Heart disease is getting younger every year. More and more people, starting from twenty years old, complain of heaviness, burning in the heart. Cardiologists say that ischemic disease is getting younger due to the lifestyle of a modern person. Fatty foods, bad habits and low mobility are the main causes of ischemia.
In order to alleviate an attack of angina pectoris, nitrate preparations are prescribed. Long-acting forms are in great demand, which reduce the number of “eaten” tablets, and the effect of the drug lasts all day. One of these is Cardicet Retard.
Features of the drug
The action of "Cardicet" is based on the expansion of the lumen of blood vessels, which in turn contributes to the deposition of blood. This effect allows you to reduce the load on the heart muscle and reduce the oxygen demand of the myocardium.
Oxygen that comes with blood not only enriches the heart muscle, but also enters those tissues that have not received enough of it for a long time. The load on the heart decreases during the period of activity, the pain associated with a lack of oxygen disappears.
Having a prolonged form, "Cardiket" allows you to use from one to three tablets in the acute period. This is due to the intensity of the loads and the form of angina in the patient.
Dosages of 20, 40, 60 milligrams of isosorbide dinitrate exist. The peculiarity of this form is that it begins to “work” in a certain part of the gastrointestinal tract, gradually releasing the active substance.
How to accept?
It is worth remembering that nitrate preparations cannot be used alone. Their dosage and number of doses are adjusted by the attending physician.
The maximum daily dosage is one hundred twenty milligrams. Reception of such an amount of "Cardicet" is possible with increased demand for nitrates contained in the preparations.
- 20 mg - 1 tablet twice a day;
- 40 mg - 1 tablet per day (if necessary, can be increased);
- 60 mg - 1 tablet per day (if necessary, can be increased);
Before using the next pill, six to eight hours should pass.
How to replace?
The cost of this drug is quite high, but if necessary, you can use synonyms and analogues of "Cardicet". All of them are derivatives of nitrates, but in a different form of release (tablets, aerosol, injection) and dosage.
The simplest and most affordable of the analogues of "Cardicet" is the drug "Nitrosorbit". Its dosage is 10 mg, which significantly affects the number of doses. On average, a patient can take from three to four tablets per day, which is a standard daily dose of 40 mg. With high physical exertion, the dose can be increased, but not more than 120 mg per day.
Tablets are taken before meals with a glass of water.
Izo-Mik is a spray for sublingual use. It can be used both for prevention and for the relief of angina attacks in adults. One application accounts for one to three sprays with a difference of thirty seconds.
For this it is necessary:
- shake the can;
- put it horizontally;
- take a deep breath
- hold the breath;
- spray aerosol and close your mouth, breathing your nose for the next thirty seconds.
With myocardial infarction or acute heart failure, the relief of an attack begins with one spray, increasing to three. If in the next five minutes the patient's condition does not improve, another application is allowed.
If the effect is not visible in the next ten minutes, you can use Izo-Mik again, but carefully monitor your blood pressure. If systolic pressure is below 90 units, the drug is canceled.
If you wish, and on the advice of a doctor, you can easily pick up the Cardicet Retard analogues that are more affordable.
Contraindications and side effects
In case of an overdose of nitrate preparations, reactions such as severe dizziness, nausea, loss of clarity of vision, a sharp decrease in blood pressure, sensations of heat, redness of the face, and a rapid heartbeat are possible.
To avoid this, it is worthwhile to carefully study the instructions for the use of "Cardicet". Analogs have a similar way of using. After all, there is a list of diseases during which nitrate preparations are strictly prohibited. The main reason: a sharp drop in blood pressure.
"Cardiket" is contraindicated with analogues when:
- traumatic brain injury;
- acute myocardial infarction with low blood pressure;
- increased intracranial pressure;
- shock, collapse;
- severe hypotension;
- sensitivity to the components of the drug.
Patients using Cardicet and its analogues should take a break in use after three weeks of use for twenty-four hours. In addition, it must be remembered that the doctor is responsible for choosing the dosage. A properly used drug with an individually adjusted dosage is only beneficial. And even if you didn’t have enough funds to purchase the Cardicet Retard drug, analogues will be able to easily replace it cheaper.