Substitutes and analogues of "Bravadin". Comparison and reviews

Today every tenth patient in a polyclinic is standing in line for a cardiologist. Many people suffer from cardiovascular diseases. Shelves in pharmacies are stuffed with colorful boxes with pills to treat the heart. Each expensive or, conversely, cheap medicine has distinctive counterparts. "Bravadin" is a medication of an average price category. Consider it, and several variants of its analogs.

"Bravadin": testimony

The drug is prescribed for people with angina pectoris, in which a normal sinus rhythm. "Bravadin" is used in cases where the patient has intolerance or contraindications to the use of beta-blockers, as well as additional treatment if these beta-blockers are taken normally.

The second group of patients - with chronic heart failure. "Bravadin" is taken in this case in order to reduce the frequency and risk of complications with this disease. Most hospitalizations and deaths from heart disease and blood vessels occur precisely because of severe complications.

Contraindications to the use of "Bravadin"

This drug, like all medicines, has contraindications. To exclude the risk of complications due to the taking of tablets, it is worth to carefully read the list of contraindications that "Bravadin" has. Instructions for use are enclosed in each package.

You can not use "Bravadin" if the patient has one or more contraindications:

1. Sensitivity and intolerance to ivabradine or other components that are contained in the drug.
2. If before the treatment the patient had a heart rate of less than sixty beats per minute. This condition is called bradycardia.
3. If there was an acute myocardial infarction.
4. Cardiogenic shock.
5. Patients with acute arterial hypotension are not assigned tablets "Bravadin". If a patient has a systolic (upper) pressure below ninety, and a lower (diastolic) pressure less than fifty - this is the same hypertension.
6. In severe liver disease.
7. Weakness of the sinus node and sinoatrial blockade.
8. Unstable or acute heart failure, unstable angina.
9. It is not allowed simultaneous reception of "Bravadin" with certain drugs: antibiotics (macrolide group), antifungal agents (azole group), nefazodone and HIV protease inhibitors.
10. Artificial control of the rhythm, which is constantly stimulated.
11. When pregnant and breastfeeding.
12. Patients under the age of eighteen years are not assigned "Bravadin", since for this age group, the effectiveness of the drug and its safety have not been studied.
13. Deficiency in the body of lactase and lactose intolerance.

With all the above prescribed diseases and conditions, you can not take the drug. There are some conditions for careful medication in the following diseases:

• Retinal pigmentation;
• If not so long ago, a stroke was transferred;
• Moderate hepatic impairment;
• Left ventricular dysfunction (asymptomatic);
• Prolonged interval QT (congenital) or the use of drugs that extend this interval.

When using certain drugs, "Bravadin" should be taken with extreme caution and under the supervision of a specialist. The attending physician should know if any of them you apply, and decide whether it is worthwhile to prescribe "Bravadin". Instructions for the use of this drug should also be carefully studied by the patient himself. If you use any drugs that a doctor does not know about, then it's better for him to tell about it. In this case, the expert will consider the analogs. "Bravadin" may not be appointed if he considers his application unsafe.

Dosage and route of administration

This drug is usually consumed in the morning and in the evening with a meal.

In the treatment of angina, the initial dosage is ten milligrams per day, this is "Bravadin" 5 mg for one tablet in two divided doses. In the future, after about a month, the doctor can increase the dosage to fifteen milligrams (twice a day on a tablet of 7.5 mg).

The dose of the drug is reduced if, during treatment, the patient develops dizziness, lowers blood pressure, and fatigue occurs quickly. In this case, the doctor will not cancel the drug, but reduce its dosage to the minimum level - five milligrams per day (twice a day, half a tablet of 5 mg).

The drug should be excluded from the application, if after the dosage reduction the former symptoms remain, and the heartbeat remains below fifty beats per minute.

When treating heart failure (chronic), "Bravadin" is prescribed in the same dosages.

If the patient is more than seventy-five years old, the drug is prescribed at the lowest dosage - two and a half milligrams (half a tablet) twice a day. In the further successful treatment and the absence of side effects, the dose increases.

If, for some reason, complications or side effects occur during admission, other drugs or analogues are prescribed, "Bravadin" is canceled.

What side effects can there be from "Bravadin"

When taking this drug, unwanted side effects can be identified. If you started feeling worse, noticed some of the complications listed below, then consult a specialist immediately. Perhaps you will be assigned analogs. "Bravadin" can trigger the appearance of such symptoms:

• Impaired vision (fuzzy silhouettes, a sense of light can be changed);
• Hearing impairment (tinnitus may occur, hearing may become worse);
• Disorders in the work of the heart (the pressure can become uncontrollable, palpitation can be felt, the pressure will most often be reduced);
• Pain in the head, dizziness, fainting (this can be the cause of bradycardia, in this case you need to go urgently to the doctor, the doctor will reduce the dosage or prescribe another drug, canceling "Bravadin");
• The possibility of dyspnea;
• On the skin there may be hives, itching, there is a possibility of edema;
• Nausea, diarrhea, or constipation;
• Spasms and pains in the muscles;
• Fast fatigue, drowsiness and malaise.

In most cases, side effects do not appear. The patient himself can provoke unwanted symptoms, if he is engaged in self-medication, it is wrong to take "Bravadin". Instructions for use (patients' comments note this) is very simple and understandable. During treatment it is necessary to come to receptions, observe all the rules of treatment.

"Bravadin": patient feedback

We try to learn about it from other patients who have already encountered it before applying a new drug for themselves. Do not always have friends who have already been prescribed the same drug. It is easiest to see reviews on the Internet, where many people who are communicating with "Bravadin" communicate. The use of this drug in most patients shows obvious improvements in health. Many people who take this medicine write that they did not feel any side effects.

Cardiologists note the ease of use (see "Bravadin": instructions for use). The price (analogues can be cheaper and more expensive) suits patients, since "Bravadin" is a medication of the average price category. For today in different drugstores it costs from four hundred to six hundred rubles.

Contraindications, as the patients note, are also not in the same quantity as they can be found in cheaper analogues. Therefore, many believe that it is better to buy a drug prescribed by a doctor than not to see in their counterparts its predisposition to them.

"Ivabradin": analogues of "Bravadin"

One of the most common analogues of "Bravadin" is "Ivabradin". This drug is prescribed for angina pectoris, chronic heart failure. It can also be prescribed for general therapy with certain drugs in order to prevent and reduce the risk of serious complications.

What is the difference between "Ivabradin" and "Bravadin"

The main constituent of these drugs is ivabradine hydrochloride. In "Bravadin" additional auxiliary substances are added: glycerol, magnesium stearate, titanium dioxide and silicon, macrogol, hypromellose. From these supplements the drug does not become weaker, the concentration of ivabradine is the same as in the Ivabradine itself.

Contraindications for drugs are the same. The only difference is in one point - intolerance to ivabradine or other components of the drug - this is only for "Bravadin". In "Ivobradin" there are no additional components.

Side effects of these drugs are also the same. Apply and that and another drug twice a day, and the dosage increases or decreases. For the elderly, the initial dose is minimal and with the reception of "Ivabradin", and taking "Bravadin".

Reviews: analogues of "Bravadin" more expensive.

People who are appointed "Ivabradin", ask in social networks, can I replace it with "Bravadin"? Of course, this question should be asked the doctor, only he can prescribe and cancel the drugs. Theoretically, of course, it is possible, since their action is absolutely identical, assigned and canceled with the same symptoms. Talk with your doctor about the possibility of replacing the drug.

"Ivabradin" costs from one to one and a half thousand rubles in different drugstores.

"Koraksan" as an analog of "Bravadin"

"Koraksan" as well as "Bravadin" and "Ivabradin", is available in the form of tablets. They also come with a dosage of five and seven and a half milligrams.

Assign "Koraksan" in the same diseases - angina, chronic heart and vascular disease, as an addition to beta-blockers. This drug, as well as "Bravadin" and "Ivabradine", reduces heart rate.

It is important to remember: none of the above prescribed drugs are used to treat arrhythmia.

"Koraksan" is more similar in composition to "Bravadin", since it also contains additional and auxiliary substances. This is the main difference between the drugs from "Ivabradin".

"Bravadin" or "Koraksan": what is better

Cardiologists basically prescribe these drugs. They can appoint both. Contraindications for drugs are identical, side effects too.

Many people have a question about which of these drugs is better and more effective. Some even try to argue, arguing that by taking one drug, they did not feel such improvements that the second drug gave.

So what's the truth? Looking at the composition of these drugs, it really is not clear what their differences are. Tablets are produced in the same dosages, and both are covered with a film membrane that protects from irritation of the walls of the stomach.

The drug is used in the same dosages, equal to the number of times per day (twice during meals). Indications for use are also the same, there are no additions or different contraindications.

So what are the different drugs? The answer is only one: they are made by different firms, the price they also have different.

Many believe that "Koraksan" is better, because it costs more. So the psychology of man is arranged: what is cheaper, worse in quality. It is for this reason that many doctors can appoint "Koraksan", but if it is not in the pharmacy, the pharmacist will offer "Bravadin" or "Ivabradin". Boldly buy either one or another drug, they differ only in price.

At the next appointment, tell your doctor that you bought another drug. In any case, the specialist leading your treatment should know exactly what you are taking.

If you are afraid to buy another drug, then consult your doctor about the possibility of such a purchase, or go to other pharmacies. Somewhere there is exactly the drug that you have been prescribed.

"Bravadin": reviews, analogs

Vivaroxan, Bravadin, Ivabradin and Coraxan are analog preparations. In the absence of one of them, you can safely replace the other. The properties of the drugs are aimed at treating the same diseases - chronic heart failure and angina pectoris. These drugs should be prescribed only by a doctor, in no case be applied by an independent decision.

These are serious "heart" drugs, they should be treated with extreme caution. Keep only in places where they will not be accessible to children.

The effect of these drugs is aimed at reducing heart rate. They can not be taken from pains in the heart.

Reviews about all these drugs are mostly positive. Many people who take one of the analogues write that they can not be interchanged. But they are not right. You can take any of the drugs, but you must first contact your doctor.

Some do not know what distinguishes these drugs, even about the existence of analogues. If the same "Koraksan" seems expensive for you and you do not have the opportunity to purchase it, then ask the doctor to choose a more affordable analog. In most cases, "Bravadin" will be appointed. It is cheaper than "Ivabradin", "Koraksan" and "Vivaroxan". The difference in price is colossal - in some cases up to a thousand rubles.

The effect of drugs is exactly the same, so do not be afraid to switch to a cheaper option.

Some write that they are afraid to go to "Bravadin", confuses the difference in price. If you are afraid, take the old medication.

Some write that when they take Coraxan, they feel better. Allegedly switched to "Bravadin" and there were side effects. This is the case when the mind plays with the body. Just a person did not trust such a cheap analog, but decided to try for the sake of economy. Constantly winding himself up that cheap - it means bad, he began to pay attention to the slightest indisposition. This was a side effect, although the cause could be caused by usual fatigue or overeating.

Whatever you write on the Internet, rely only on the opinion of a specialist, the doctor who treats you.