"Propanorm": reviews of cardiologists, patients, instructions for use, analogues

Any problems of the cardiovascular system require the attention of the cardiologist. If any unpleasant symptoms appear, you should immediately seek help from a specialist. The drug "Propanorm" is popular among doctors. Analogues of this drug are also used quite often. Experts advise to carefully study the instruction before the beginning of the course of treatment.

Form of issue and composition

The drug is presented in the form of biconvex round white tablets. The main active ingredient is propafenone hydrochloride. As auxiliary substances are used microcrystalline granulated cellulose, sodium lauryl sulfate, titanium dioxide, magnesium stearate, as well as copovidone. The drug is sold in carton packs.

The drug "Propanorm" refers to the group of arrhythmic drugs. Cardiology reviews show that the main active ingredient blocks fast sodium channels. The local anesthetic effect, which is provided by the medicament, practically corresponds to the activity of procaine. The action of propafenone begins already an hour after taking the tablets inside. The maximum effect is achieved after 3 hours. The drug continues for 12 hours.

Indications

Medication in most cases is prescribed for the manifestation of ventricular and supraventricular extrasystoles. To prevent the development of the disease, tablets can be prescribed for prevention. The drug is also indicated for the purpose of treating such abnormalities as paroxysmal deviations of the heart rhythm, ventricular-atrial tachycardia, monomorphic ventricular tachycardia.

Patients who have violations of the liver, with caution prescribed tablets "Propane". Analogues should also be taken after a preliminary consultation with a doctor. In most cases, the medicine can be prescribed in a reduced dosage (20-30% of the normal rate). Patients with excessive body weight, as well as patients older than 70 years of treatment are strictly under the supervision of a doctor. The first tablet taking is controlled by ECG.

Pregnant women can be prescribed a medicine "Propanorm" if the expected benefit for the mother exceeds the potential harm for the baby. The decision on the dosage is taken by the cardiologist in accordance with the individual characteristics of the patient's body.

Contraindications

Do not follow the doctor's advice to take tablets "Propanorm". Reviews of cardiologists show that the medicine has many contraindications. The drug in any case can not be taken with such deviations as arterial hypotension, severe heart failure, bradycardia, myocardial infarction, cardiogenic shock. Before starting treatment, the patient must undergo a complete examination of the body. This will help to avoid unpleasant consequences during therapy.

There are age limits. Tablets "Propanorm" can not be assigned to under-age patients. Cardiology reviews show that for children there is a separate group of drugs that have a mild effect on the cardiovascular system.

special instructions

Tablets "Propanorm" in most cases are prescribed to patients in a hospital. This is due to the fact that during the treatment periodically it is necessary to monitor the cardiac function on the ECG. This is especially important at the beginning of therapy. Great attention is paid to elderly patients, whose weight exceeds 80 kg. Do not forget that propafenone has an arrhythmogenic effect. In this regard, the patient's state of health at the initial stage of treatment may worsen.

Patients with insufficient liver function should begin taking the drug after consultation with a doctor. In such patients, the bioavailability of propafenone can increase by 70%. In connection with this, side effects often develop. Dosage to patients with abnormalities of liver function is reduced. In addition, regular monitoring of laboratory parameters.

In the period of therapy with the drug "Propanorm" it is desirable to refrain from driving or any other vehicles. Attention or dizziness may occur in patients.

Dosage

The course of treatment is established by the cardiologist individually for each patient in accordance with the clinical manifestations of a particular ailment. Bioavailability of the drug is increased if taken after a meal. The tablets are swallowed whole, with a small amount of liquid. The initial dosage can be 150 mg every 8 hours (three times a day). Daily allowance should not exceed 450 mg. Gradually the dose increases. It is not necessary to take tablets "Propanorm" on your own. The patients' comments indicate that only a qualified specialist can determine the required dosage. The maximum daily norm in the middle of the course of treatment can reach 900 mg (divided into three doses).

Elderly patients, whose weight exceeds 70 kg, dosage decreases. At one time they can take no more than 100 mg. The daily norm is 300 mg. During the treatment, patients periodically undergo cardiac rhythm monitoring on the ECG apparatus.

Patients with severe impairment of liver function may be prescribed a dosage that is only 30% of the standard. If there is a positive dynamics, the daily rate can be slightly reduced. Treatment takes place in a hospital.

Overdose

The patient is only two times higher than the norm recommended by the doctor, how he will feel the symptoms of intoxication. Therefore, strictly on the recommendation of a specialist, it is worthwhile to use the "Propanorm" tablets. The doctors' reviews show that dizziness and nausea appear first of all. In addition, the patient may feel dryness in the mouth, his blood pressure decreases.

Treatment of overdose can only take place in a hospital. First of all, the stomach is washed. In the future, good results are symptomatic therapy. The patient is administered "Dobutamine" and "Diazepam". In the most difficult cases, ventilation is carried out, as well as indirect cardiac massage.

Adverse events

Unpleasant symptoms can also occur if the patient is taking the drug at the dosage recommended by the doctor. It is worth studying the full information about the drug before you start taking the "Propanorm" tablets. Instructions for use, testimonials - you can find out all this from your doctor. Most often, side effects are manifested by the digestive system at the beginning of the course. The patient may feel nausea or loss of appetite. In rare cases, diarrhea is observed. All these symptoms are reversible and require no treatment.

From the side of the central nervous system, there may be side effects such as dizziness, pain in the temples, confusion, sleep disturbance. At the beginning of treatment, the patient may feel excessive fatigue. All this is not a reason to cancel the drug "Propanorm". Cardiology reviews show that any side effects occur within a week after the start of therapy.

Attention should be paid to allergic reactions. The patient may notice rashes on the back and hands. Caution should puffiness of the limbs and face. The most dangerous is the Quincke's edema. As soon as the patient notices that the area of the neck is swelling, he must immediately call an ambulance.

Drug Interactions

Before use, you should carefully study the instructions for the preparation "Propanorm". Analogues are also used after clarifying all the necessary information. The fact is that antiarrhythmic drugs are not compatible with all medicines. In no event are tablets used together with lidocaine. This ratio contributes to a cardiodepressant effect.

Tablets "Propanorm" do not take together with the drug "Varvarin". Due to the blocking of metabolism, the action of the last drug is greatly enhanced. Also, do not recommend using antiarrhythmic drugs in parallel with local anesthetics. The risk of damage to the central nervous system is increasing.

Do not take medication "Propanorm" together with medications that suppress brain hemopoiesis. Instructions for use (tablets) states that such a combination can lead to the development of myelosuppression.

Analogues

What if I could not find the "Propanorm" tablets in the pharmacy? Analogues, reviews of which are good, will be able to tell the cardiologist. The drug "Propaghenon" is very popular. This anti-arrhythmic drug, which can be prescribed for such diseases as supraventricular tachycardia, WPW syndrome, etc. Medication is not prescribed to under-age patients, as well as to women during pregnancy.

"Ritmonorm" - another antiarrhythmic drug, which is well recalled by cardiologists. Apply it more often in a hospital. You can not buy a medicine without a prescription.

Reviews about the medicine "Propanorm"

Cardiologists note that the instructions for use must be studied for the preparation "Propanorm". Photo of the medicine and all the information about it we presented in the article. In patients who know the possible side effects and contraindications, negative emotions about the tablets do not arise. Patients undergoing treatment in a hospital, note that the positive effect of using the drug "Propanorm" is noticeable in a week.