"Tricuktan": instructions for use. "Tricuktan MB": price, description, reviews

Adults and the elderly are often concerned about heart disease, one of which is ischemia. Often people face shortness of breath, dizziness, or noise in the ears. Help to get rid of unpleasant symptoms and cure the disease can remedy "Tricuktan."

The drug "Tricuktan" instructions for use defines both anti-ischemic and antihypoxic medicinal product. It is used for cardiological, ophthalmic, and also for otolaryngological diseases.

Composition and form of release

"Trikludtan" and "Tricuktan MB" are available in the form of coated tablets. The main active ingredient is trimetazidine dihydrochloride. The composition of the tablets "Tricuktan" includes 20 mg of the active substance. The drug "Tricukutan MB" includes 35 mg of active ingredient. As you can see, the active component is the same, so the properties, indications, contraindications and side effects of the drugs are the same.

"Tricuktan MB" (35 mg) also consists of auxiliary substances. They are microcrystalline cellulose, mannitol, glycol monovalent wax, magnesium stearate, as well as methacrylate ammonium copolymer type B. The drug in the dosage of 20 mg also has auxiliary substances such as corn starch, polyvinylpyrrolidone, mannitol, talc, magnesium stearate. The drug dosage of 20 mg has two numbers - 30 and 60. These figures show the number of tablets that are in a carton. The drug at number 30 includes 3 blisters with tablets, in each blister, 10 tablets. The dosage of 35 mg is numbered 60. "Tricuktan MB" No. 60 is available in a cardboard package containing 6 blisters of 10 tablets.

Pharmacological properties

The main constituent substance trimetazidine has an effect on cellular metabolism, thereby preventing the level of ATP from decreasing under the condition of hypoxia. The drug normalizes the energy balance in cells and, regulating the function of ion channels in cell membranes, supports cellular homeostasis. Thanks to this preparation, the process of glucose oxidation is stimulated, and the process of oxidation of fatty acids is suspended. Due to this, the energy metabolism of the cardiac muscle is maintained. "Tricuktan" helps prevent the development of intracellular acidosis. Due to trimetazidine, the infiltration and migration of reperfused and ischemic heart muscle is reduced. In addition, "Tricuktan" increases the coronary reserve, reduces attacks of angina pectoris. The drug reduces the need for nitrates for patients with ischemia.

Indications for use

"Tricuktan" is used in cardiology for prolonged therapy of ischemic disease, as well as for the prevention of angina attacks in combination with other drugs. Also, the drug is used in ophthalmology for chorioretinal disorders of ischemic origin. In addition, the drug can be used in the treatment of vestibular disorders also of ischemic origin, for example, hearing loss, dizziness or tinnitus.

Contraindications

The drug is contraindicated in case of hypersensitivity to any components of the drug. You can not take "Tricuktan" and people who suffer from severe impairment of liver and kidney function. During pregnancy and lactation, the drug should not be taken. It is undesirable to use it for children under 18 years of age, since there is no data on the safety of this medication at this age.

Adverse Reactions

Despite the fact that patients usually tolerate treatment with the drug "Tricuktan", the instructions for use warn of possible side reactions. From the side of the nervous system, there may be a side effect such as dizziness or headache. Also hypertension of muscles and akinesia, various motor disorders, for example instability of gait, are not excluded. In addition, sleep disturbance is possible. It can be both drowsiness and, on the contrary, insomnia.

Cardinal and vascular disorders are also possible. These include tachycardia, extrasystole, palpitation, orthostatic and arterial hypotension, which can be manifested by reddening of the face and general malaise.

From the side of the digestive tract, there may be pain in the stomach, as well as nausea, vomiting, constipation or diarrhea. There are also various skin reactions, such as itching, rash, swelling or urticaria. Common asthenia include asthenia and angioedema.

Overdose

The therapeutic range is large enough, this gives a low probability of intoxication with Tricuktan. Instructions for use highlight some of the symptoms of an overdose with this medication. These include redness of the face, arterial hypotension, as well as increased side effects. In case of an overdose, symptomatic treatment is necessary.

Dosing and Administration

The drug is taken orally, along with food. Take "Tricuktan" follows one tablet three times a day, "Tricuktan MB" - one tablet twice a day, preferably in the morning and at night. It is necessary to drink tablets with plenty of water. This medicine is used for a long time. The course of treatment is determined by the doctor individually for each patient, depending on how the disease proceeds. The treatment regimen can be adjusted if necessary after a couple of months.

It should be taken into account the fact that "Tricuktan" should be taken by the course, and not in order to suppress angina attacks. In the treatment of patients in old age, the dosage regimen is not necessary to change.

Patients who have a moderate impaired renal function, should take the drug 2 times a day for 1 tablet (20 mg). Elderly people should also take the drug 2 times a day.

Special instructions

It should be borne in mind that to suppress angina attacks do not take "Triduktan". The instructions for use also warn that this medication is not prescribed as a primary therapy for myocardial infarction or unstable angina. If during the treatment there were attacks of unstable angina, you should reconsider the course of the disease and make an adjustment of treatment.

The drug should be discontinued if there is an appearance of motor disorders, for example instability of gait, tremor. After the drug is discontinued, the symptoms should disappear for a maximum of 4 months. If symptoms persist, you need to visit a neurologist.

The drug "Tricuktan" has no effect on hemodynamics. But such side effects as dizziness and drowsiness, can affect the management of the vehicle or to work with mechanisms. Therefore, the use of this drug is not recommended in this case.

Drug Interactions

Data on interactions with other medicines are as follows. Trimetazidine can be administered concomitantly with agents such as heparin, acetylsalicylic acid, calciparin, beta-blockers, lipid-lowering drugs, a calcium antagonist and also with digitalis preparations. It should be noted that trimetazidine does not affect the level of digoxin in blood plasma.

Storage of the drug

The drug must be stored in a place inaccessible to the child. Storage temperature should not exceed 25 degrees. The medicine should be stored in its original packaging during the expiration date, which is 24 months.

"Tricuktan": price and leave at the pharmacy

The price of the drug "Tricuktan" depends on several factors, primarily from the manufacturer and transportation. In pharmacies the cost ranges from 300 to 400 rubles. In pharmacies, you can buy and Tricuktan MB. Its price is two times higher - about 600 rubles. The cost of the drug is considered average, but you should not try to buy it without consulting the doctor, because you can hurt your health and waste money, even if small.

Drug analogues

An analogue of this medicine may be needed in case of its absence in the pharmacy, and also if it does not suit the price. Pharmacists often offer several analogues of the drug "Tricuktan", the price of which, however, can be as low as or higher than this drug. The main substitutes are Trimetazid, Rimecor, Preductal MB, Metazidine, Trikard.

Reviews about the drug

In general, reviews about this drug are positive, but there are very few, so it's hard to judge whether the drug is good or not. Patients who have experienced ischemia are thankful for the recovery. People who had a noise in the ears and dizziness, when receiving "Trikdutana" felt an improvement. But there are also negative reviews. A small percentage of people claim that the drug is absolutely useless and does not improve the health status. Also, some people say that the improvement came after two weeks of treatment. The instruction indicates that the drug should be used for a long time, so do not expect any changes on the next day of taking Tricuktan. Athletes' responses are completely different. They argue that drenching before exercise, the pill improves physical condition, even at high loads, dyspnea does not appear. This suggests that the drug still has an effect from the first reception. It can be concluded that reviews about the drug are quite contradictory, so take it better with caution.

It should be remembered that this or that way the medicine has an effect on the heart and, if improperly dosed, can harm the body, so before using it is necessary to read the instructions and consult a doctor.