Today, every tenth patient in the clinic is in line with a cardiologist. Many people suffer from cardiovascular disease. Shelves in pharmacies are crammed with multi-colored boxes with pills for treating the heart. Every expensive or, on the contrary, cheap medicine has analogues that are distinguished by price. Bravadin is a mid-priced drug. Consider it, and several options for its analogues.
"Bravadin": evidence
The drug is prescribed for people with angina pectoris, in which the 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 of this disease. Most hospitalizations and deaths from heart and vascular disease occur precisely due to severe complications.
Contraindications to the use of "Bravadin"
This drug, like all medicines, has contraindications. To exclude the risk of complications due to taking the pills, it is worth carefully reading the list of contraindications that Bravadin has. Instructions for use are included in each package.
Do not use "Bravadin" if the patient has one or more contraindications:
- Sensitivity and intolerance to ivabradine or other components that are contained in the drug.
- If before treatment the patient had a heartbeat with a frequency of less than sixty beats per minute. This condition is called bradycardia.
- If there was an acute myocardial infarction.
- Cardiogenic shock.
- Patients with acute arterial hypotension are not prescribed Bravadin tablets. If the patient's systolic (upper) pressure is below ninety, and the lower (diastolic) pressure is less than fifty - this is the same hypertension.
- In severe liver disease.
- Weakness of the sinus node and sinoatrial block.
- Unstable or acute heart failure, angina pectoris unstable.
- Simultaneous administration of Bravadin with certain medications is not allowed: antibiotics (macrolide group), antifungal agents (azole group), nefazodone and HIV protease inhibitors.
- Artificial rhythm control, which is constantly stimulated.
- In pregnancy and breastfeeding.
- Patients under the age of eighteen are not prescribed Bravadin, since the effectiveness of the drug and its safety have not been studied for this age group.
- Lactase deficiency and lactose intolerance.
For all the above prescribed diseases and conditions, you can not take the drug. There are some conditions for careful medication for the following diseases:
- retinal pigmentation;
- if not so long ago a stroke was suffered;
- moderate hepatic insufficiency;
- left ventricular dysfunction (asymptomatic);
- extended QT interval (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 you are using any of them, and will decide if Bravadin should be prescribed. Instructions for use of this drug should also be carefully studied by the patient himself. If you are using any drugs that the doctor does not know about, it is better to tell him about it. In this case, the specialist will consider analogues. Bravadin may not prescribe if it considers its use unsafe.
Dosage and route of administration
This drug is usually consumed in the morning and evening with meals.
In the treatment of angina pectoris, the initial dosage is ten milligrams per day, this is Bravadin 5 mg, 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 7.5 mg tablet).
The dose of the drug is reduced if during treatment the patient appears dizzy, blood pressure decreases, and fatigue occurs. In this case, the doctor will not cancel the drug, but will reduce its dosage to a minimum level of five milligrams per day (twice a day with half a 5 mg tablet).
The drug should be excluded from use if, after reducing the dosage, the previous symptoms remain, and the heartbeat remains below fifty beats per minute.
In the treatment of heart failure (chronic), Bravadin is prescribed in the same dosages.
If the patient is more than seventy-five years old, then the drug is prescribed in the lowest dosage - two and a half milligrams (half a tablet) twice a day. In further successful treatment and the absence of side effects, the dose increases.
If, for some reason, complications or side effects appear during administration, then other drugs or analogues are prescribed, Bravadin is canceled.
What side effects may be from "Bravadin"
When taking this drug, unwanted side effects can be detected. If you began to feel worse, noticed some of the complications listed below, then immediately consult a specialist. You may be assigned analogues. "Bravadin" can provoke the appearance of the following symptoms:
- visual impairment (fuzzy silhouettes, the feeling of light can be changed);
- hearing impairment (tinnitus may appear, hearing may become worse);
- disturbances in the work of the heart (pressure may become uncontrollable, palpitations may be felt, pressure will most often be lowered);
- headaches, dizziness, fainting (this can be the cause of bradycardia, in this case you need to urgently go to the doctor, the doctor will reduce the dosage or prescribe another drug by canceling Bravadin);
- the possibility of shortness of breath;
- urticaria, itching may appear on the skin, there is a possibility of edema;
- nausea, diarrhea, or constipation;
- cramping and muscle pain;
- fatigue, drowsiness, and malaise.
In most cases, side effects do not occur. The patient himself can provoke undesirable symptoms, if he will self-medicate, take Bravadin incorrectly. Instructions for use (patient reviews indicate this) is very simple and understandable. During treatment, it is necessary to come to receptions, follow all the rules of treatment.
Bravadin: patient reviews
We try before using any new drug for ourselves to learn about it from other patients who have already experienced its use. Not always there are friends who have already been prescribed the same drug. It is easiest to see reviews on the Internet, where a lot of people chatting with Bravadin communicate. The use of this drug in most patients shows clear improvements in health. Many people taking 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 both cheaper and more expensive) suits patients, since Bravadin is a drug of the middle price category. Today, in different pharmacies, it costs from four hundred to six hundred rubles.
Contraindications, as noted by patients, are also not in such numbers as they may be in cheaper analogues. Therefore, many believe that it is better to buy a drug prescribed by a doctor than not to see your predisposition to them in contraindications of its analogue.
Ivabradine: Bravadin analogues
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 the general course of 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 component of these drugs is ivabradine hydrochloride. Additional excipients are added to Bravadin - glycerol, magnesium stearate, titanium dioxide and silicon dioxide, macrogol, hypromellose. From these additives, the drug does not become weaker, the concentration of ivabradine is the same as in Ivabradine itself.
Contraindications for the 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. There are no additional components in Ivobradin.
Side effects of these drugs are also the same. Both drugs are used twice a day, and the dosage is increased or decreased. For older people, the initial dose is minimal when taking Ivabradine and taking Bravadin.
Reviews: Bravadin analogues are more expensive.
People who have been assigned Ivabradin are asking on social networks if it can be replaced by Bravadin. Of course, this question should be asked by the doctor, only he can prescribe and cancel the drugs. Theoretically, of course, it is possible, since their action is exactly the same, they are prescribed 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 pharmacies.
Coraxan as an analogue of Bravadin
Coraxan, like Bravadin and Ivabradine, is available in pill form. They also come in dosages of five and seven and a half milligrams.
"Coraxan" is prescribed for the same diseases - angina pectoris, a chronic disease of the heart and blood vessels, as an addition to beta-blockers. This drug, like Bravadin and Ivabradine, reduces heart rate.
It is important to remember: none of the above prescribed drugs is used to treat arrhythmia.
Coraxan is more similar in composition to Bravadin, as it also contains additional and auxiliary substances. This is the main difference between drugs and Ivabradine.
Bravadin or Coraxan: which is better
Cardiologists mainly prescribe these drugs. Both may be appointed. Contraindications for the 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 while taking one drug, they did not feel the improvements that the second drug gave.
So what's the truth? Looking at the composition of these drugs, it is really not clear what their differences are. The tablets are produced in the same dosages, and both are covered with a film membrane that protects against irritation of the walls of the stomach.
The drug is used in the same dosages, an equal amount once a day (twice with meals). Indications for use are also the same, there are no supplements or various contraindications.
So what is the difference between drugs? There is only one answer: they are produced at different companies, their price is also different.
Many people think that Coraxan is better, as it costs more. This is how human psychology works: what’s cheaper is worse in quality. For this reason, many doctors can prescribe Coraxan, but if it is not in the pharmacy, the pharmacist will offer Bravadin or Ivabradin. Feel free to buy either one or another drug, they differ only in price.
At the next appointment, tell the doctor that you bought another drug. In any case, the specialist conducting 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 were prescribed.
"Bravadin": reviews, analogues
Vivaroxan, Bravadin, Ivabradine, and Coraxan are analog drugs. In the absence of one of them, you can safely replace it with another. 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 should not be used 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 action of these drugs is aimed at reducing heart rate. They can not be taken from pain in the heart.
Reviews of all these drugs are mostly positive. Many people who take one of the analogues write that they cannot be interchanged. But they are wrong. You can take any of the drugs, but still first you need to consult a doctor with this question.
Some do not know how these drugs differ, even about the existence of analogues. If the same "Coraxan" seems a little expensive for you and you do not have the opportunity to purchase it, then ask the doctor to choose a more affordable analogue. In most cases, Bravadin will be prescribed. It is cheaper than Ivabradin, Coraxan and Vivaroxan. The difference in price is enormous - in some cases up to a thousand rubles.
The effect of the drugs is exactly the same, so do not be afraid to switch to a cheaper option.
Some write that they are afraid to switch to Bravadin, the price difference is confusing. If you are afraid, then take the same medicine.
Some write that when they take Coraxan, they feel better. Allegedly, they switched to Bravadin and side effects appeared. This is the case when the mind plays with the body. Just a man did not trust such a cheap analogue, but in order to save, he decided to try. Constantly twisting himself in that which is cheap means bad, he began to pay attention to the slightest ailment. This was considered a side effect, although the cause could have been caused by normal tiredness or overeating.
No matter what they write on the Internet, rely only on the opinion of a specialist, the doctor who treats you.