Many residents of our country have encountered the problem of swelling of the limbs. Sometimes it causes excessive fluid intake, but often it is a consequence of the pathology of the body. To reduce swelling, doctors use the proven Trigrim drug , the price of which allows it to be prescribed to pensioners who are not able to buy expensive medicines. You can familiarize yourself with the composition, form of release, instructions for use, analogues and reviews of doctors and people being treated in this article.
Indications for use
Instructions for use describe in detail the reasons why patients are forced to take Trigrim . Its analogs have similar actions, differing only in cost. The medicine is a diuretic, that is, a remedy that positively affects the activity of the kidneys and organs of the genitourinary system. Once in the body, such substances inhibit the absorption of water and salts in the renal tubules , thereby increasing the rate of urine formation. As a result, the fluid leaves the body faster, not having time to transform into edema .
Profuse puffiness is the main reason that Trigrim tablets eliminate . What does it come from? Edema, as a rule, appears in diseases of the kidneys, liver and cardiovascular system. The drug also helps in the treatment of primary hypertension, which is expressed by high pressure. It is successfully used for monotherapy , and in combination with other drugs. However, do not rush to take Trigrim when you discover these symptoms. Drug treatment is only possible after consultation with your healthcare provider.
Composition and form of release
In the form of small round white tablets, the drug Trigrim is available. Its analogues, as a rule, do not differ in form. The drug is produced by the Polish pharmacological company Polpharma . She has been working in the Russian market for many years, supplying quality and inexpensive goods. One package of the drug consists of three blisters, each of which contains 10 tablets, that is, a total of 30 tablets in a pack. The medicine packaging is cardboard, it is made in white with red spots, the name " Trigrim " is highlighted in blue . The price of the drug starts from 250 rubles and may vary, depending on the region.
One tablet of Trigrim almost completely consists of the active active substance - torasemide . It can contain it from 2.5 to 10 mg, depending on the dosage. Excipients may also include corn starch, magnesium, colloidal silicon dioxide and lactose. Tablets have a dividing risk, so they can be taken in parts.
Mode of application
You can find out how to properly take Trigrim, the indications for the use of which are described above, in the instructions for use. The manufacturer recommends that it be used by adults and older people inside, not considering meals. The dosage of the drug may vary, depending on the disease. So, with small edema, doctors recommend taking " Trigrim " once a day, 5 mg each. If the effect is insufficient, and swelling does not pass, then the dose can be increased to 20-40 mg in exceptional cases.
If the patient suffers from congestive heart failure, then you need to take the drug 5-20 mg in one day. Gradually, the doctor can increase the dosage, bringing it to a maximum of 200 mg per day. A larger amount of the drug should not be taken daily. In chronic renal failure, you need to take the medicine in the same quantities. The dose should be increased gradually, doubling it, until the swelling stops moving. To stabilize the liver during cirrhosis, Trigrim is also taken (its analogues may have a different dosage). In this case, the patient is prescribed small doses - 5-10 mg per day. They can also be increased, however, the maximum single dose should not exceed 40 mg per day.
The drug also copes well with primary arterial hypertension. With this disease, small doses are prescribed that do not exceed 5 mg per day. A larger amount of the agent does not in this case affect the efficiency and does not reduce the pressure. To see the results of treatment, you should take " Trigrim " for at least 12 weeks. After starting to use the medicine, it is not recommended to drive the car yourself due to possible dizziness.
Contraindications and possible side effects
However, not all people can take Trigrim , the analogues of which have similar contraindications. It is worth remembering that only your doctor can prescribe the drug and its dosage. With caution, the drug is prescribed for patients suffering from diabetes mellitus, gout, or a violation of the water-electrolyte balance in the body. Diseases of the liver, including cirrhosis, can also become a reason because of which it will be impossible to take medicine.
However, there are categories of people who are forbidden to use the drug. The following contraindications are indicated in the instructions for use:
- Age to 18 years. Doctors were unable to establish the effectiveness of the drug when taken by children and adolescents.
- Pregnancy and lactation.
- Anuria (insufficient urine flow into the bladder).
- Arterial hypotension and arrhythmia.
- Severe hepatic insufficiency, including predomatous state.
- Chronic renal failure, expressed by increasing azotemia.
- Individual intolerance to the components of the drug, namely torasemide or lactose.
Like other medicines, Trigrim has its side effects. They rarely appear, but it is still necessary to know about them. If you suspect that taking the drug is uncomfortable, then stop taking it and consult your doctor. As a rule, the drug can cause the following negative conditions:
- allergic reactions, which are expressed by severe skin itching and rashes;
- headaches and dizziness, as well as weakness and severe drowsiness, confusion and, in rare cases, cramps;
- dry mouth and a gradual loss of appetite, heartburn and the appearance of symptoms of pancreatitis;
- increased plasma urea due to acute urinary retention;
- lowering blood pressure, lowering the content of red blood cells and white blood cells in the blood, circulatory disorders;
- disorders of the sensory organs: visual impairment, tinnitus, turning into deafness.
Overdose
In case of an overdose, unpleasant symptoms can also appear, repeatedly enhancing side effects. These include:
- confusion and drowsiness;
- forced urination;
- drop in blood pressure;
- decrease in electrolyte balance;
- violation of the gastrointestinal tract.
To treat an overdose, consult a specialist. As a rule, he will recommend to reduce the amount of the drug taken or completely cancel it. The patient must also make up for the shortage of fluid and electrolytes in the body.
Analogues of the drug
If for some reason the patient cannot take the medicine, then he is prescribed a remedy that, in its action, is similar to Trigrim . Analogs are cheaper, but not always more effective . However, it is strictly forbidden to choose a drug on your own, you must always consult your doctor. We list analogues containing the same active substance as Trigrim :
- Britomar ;
- Diuver ;
- " Torasemide ."
Britomar: instructions for use
Britomar is a tablet in which torasemide is also an active substance . They practically do not differ in composition from Trigrim , but are sold in packages of 15 pieces. The medicine can be taken with caution during lactation, which is considered its advantage. At the same time, it is forbidden to use it with insufficient work of the kidneys and liver. The cost of the product is significantly higher than the price of Trigrim and starts at 350 rubles per package. The drug is released by the well-known pharmacological company Nycomed from Switzerland.
The drug " Britomar " calls the instructions for use an effective tool, but it has much more side effects. As a rule, they are similar to Trigrim , apart from the possible occurrence of nosebleeds, diarrhea, flatulence and tachycardia.
Similar tablets "Diuver": instructions for use
Another popular analogue of Trigrim is Diuver . It is available in white round tablets containing 5 or 10 mg of torasemide . Their composition does not differ from the drug described in this article. They are sold in cardboard packages that contain 2 or 6 blisters of 15 tablets. The cost of one pack starts at 370 rubles. The drug is produced by the Croatian pharmaceutical company Pliva .
Virtually no different from the " Trigrim " or " Britomar " tablets " Diuver ." Instructions for use describe similar contraindications, dosage and side effects.
Positive reviews
Trigrim is an inexpensive and effective remedy, which makes it popular among both doctors and patients. In their opinion, the drug has the following advantages:
- instantly removes small swelling;
- unlike other diuretics, it does not remove electrolytes (magnesium and potassium) from the body, which is useful for heart diseases;
- does not cause excessive urination;
- the medicine can be used once to relieve swelling from the face;
- people taking " Trigrim " people practically do not meet the side effects described above.
Negative reviews
Not without negative reviews. Trigrim did not fit some patients . In their comments, they indicate the following disadvantages of the drug:
- the remedy does not always relieve severe swelling;
- the appearance of constant pulling pains in the lower abdomen;
- high price;
- small tablets that are almost impossible to correctly divide into 2 equal parts.
How to choose a diuretic? Britomar , Diuver or Trigrim - which is better? These questions often worry patients suffering from edema. The effectiveness of each drug has been proven by many studies, but it is worth remembering that only the specialist treating you should prescribe the medicine. You can not start taking the drug yourself or change it to an analog.