Any problems of the cardiovascular system require the attention of a cardiologist. If any unpleasant symptoms appear, you should immediately seek help from a specialist. The drug "Propanorm" is popular among doctors. Analogues of this medication are also used quite often. Experts advise to carefully study the instructions before starting a course of treatment.
Release form and composition
The drug is presented in the form of biconvex round white tablets. The main active ingredient is propafenone hydrochloride. Microcrystalline granular cellulose, sodium lauryl sulfate, titanium dioxide, magnesium stearate, and also copovidone are used as auxiliary substances. The drug goes on sale in cardboard packaging.
The propanorm drug belongs to the group of arrhythmic drugs. Reviews by cardiologists show that the main active ingredient blocks fast sodium channels. The local anesthetic effect, which is provided by the medication, practically corresponds to the activity of procaine. The action of propafenone begins within an hour after taking the tablets inside. The maximum effect is achieved after 3 hours. The effect of the drug lasts for 12 hours.
Indications
The medication in most cases is prescribed for the manifestation of ventricular and supraventricular extrasystoles. In order to avoid the development of an ailment, tablets can also be prescribed for the purpose of prevention. The drug is also indicated for the treatment of abnormalities such as paroxysmal abnormalities of the heart rhythm, ventricular atrial tachycardia, monomorphic ventricular tachycardia.
Patients who have impaired liver function are prescribed with propan tablets with caution. Analogs should also be taken after prior consultation with your doctor. In most cases, the medicine can be prescribed in a reduced dosage (20-30% of the normal norm). Patients with excessive body weight, as well as patients older than 70 years of age, undergo treatment strictly under the supervision of a doctor. The first pill is controlled by an ECG.
For pregnant women, Propanorm may be prescribed if the expected benefit to the mother outweighs the potential harm to the baby. The decision on the dosage is made by the cardiologist in accordance with the individual characteristics of the patient's body.
Contraindications
You should not take propanorm tablets without a doctor’s recommendation. Reviews of cardiologists show that the medicine has many contraindications. In no case should the medication be taken with deviations such as arterial hypotension, severe heart failure, bradycardia, myocardial infarction, cardiogenic shock. Before starting treatment, the patient must undergo a full examination of the body. This will help to avoid unpleasant consequences during the treatment period.
There are age restrictions. Propanorm tablets cannot be prescribed to minor patients. Reviews of cardiologists show that for children there is a separate group of drugs with a mild effect on the cardiovascular system.
special instructions
Propanorm tablets in most cases are prescribed to patients in a hospital. This is due to the fact that during treatment it is periodically necessary to monitor the work of the heart on an ECG. This is especially important at the beginning of therapy. Great attention is paid to elderly patients whose weight exceeds 80 kg. Do not forget that propafenone has an arrhythmogenic effect. In this regard, the patient's well-being at the initial stage of treatment may worsen.
Patients with impaired liver function should start taking the drug after prior consultation with a doctor. In such patients, the bioavailability of propafenone may increase by 70%. In this regard, side effects often develop. The dosage of patients with abnormal liver function is reduced. In addition, laboratory parameters are regularly monitored.
During the period of therapy with the propanorm drug, it is advisable to refrain from driving or any other means of transport. Patients may experience attention disorder or dizziness.
Dosage
The course of treatment is established by a cardiologist individually for each patient in accordance with the clinical manifestations of a particular ailment. The bioavailability of the drug increases if taken after a meal. The tablets are swallowed whole with a small amount of liquid. The initial dosage may be 150 mg every 8 hours (three times a day). The daily norm should not exceed 450 mg. Gradually, the dose increases. Do not take propanorm tablets on your own. Reviews of patients note that the required dosage can only be determined by a qualified specialist. The maximum daily norm in the middle of the course of treatment can reach 900 mg (divided into three doses).
For elderly patients whose weight exceeds 70 kg, the dosage is reduced. They can take no more than 100 mg at a time. In this case, the daily norm is 300 mg. During treatment, patients periodically undergo heart rate monitoring on an
ECG apparatus.Patients with serious impaired liver function may be prescribed a dosage that is only 30% of the standard. If there is a positive trend, the daily rate may be slightly reduced. Treatment takes place in a hospital.
Overdose
Once the patient only twice exceeds the norm recommended by the doctor, he will feel the symptoms of intoxication. Therefore, strictly on the recommendation of a specialist, it is worth using propanorm tablets. Reviews of doctors show that dizziness and nausea appear first. In addition, the patient may feel dry mouth, his blood pressure decreases.
Overdose treatment can take place only in a hospital setting. First of all, gastric lavage is performed. In the future, symptomatic therapy gives good results. The patient is given Dobutamine and Diazepam. In the most difficult cases, they carry out ventilation of the lungs, as well as indirect heart massage.
Side effects
Unpleasant symptoms can also occur if the patient takes the drug at the dosage recommended by the doctor. It is worth studying the full information about the medication before you start taking the propanorm tablets. Instructions for use, reviews - all this can be obtained from your doctor. Most often, side effects are manifested by the digestive system at the beginning of the course. The patient may experience nausea or loss of appetite. In rare cases, diarrhea is observed. All these symptoms are reversible and do not require any treatment.
Side effects from the central nervous system can be observed, such as dizziness, pain in the temples, confusion, sleep disturbance. At the beginning of treatment, the patient may feel excessive fatigue. All this is not a reason to cancel the propanorm drug. Reviews of cardiologists show that any side effects disappear within a week after the start of therapy.
Pay attention to allergic reactions. The patient may notice a rash on the back and arms. The puffiness of the limbs and face should be alerted. The most dangerous is Quincke's edema. As soon as the patient notices that the neck area is swelling, he must immediately call an ambulance.
Drug interaction
Before use, it is necessary to carefully study the instructions for the drug "Propanorm." Analogs are also used after clarifying all the necessary information. The fact is that antiarrhythmic drugs are not compatible with all medicines. In no case are tablets used together with lidocaine. This ratio enhances the cardiodepressive effect.
Propanorm tablets are not taken in conjunction with Varvarin. By blocking the metabolism, the effect of the last medication is significantly enhanced. Also, it is not recommended to use antiarrhythmic drugs in parallel with local anesthetics. The risk of damage to the central nervous system increases.
Do not take together with medications that inhibit cerebral hematopoiesis, the propanorm medication. Instructions for use (tablets) states that such a combination can lead to the development of myelosuppression.
Analogs
What to do if it was not possible to find Propanorm tablets in the pharmacy? The analogs, reviews of which are good, can be prompted by a cardiologist. The drug "Propafenone" is popular. This is an antiarrhythmic drug that can be prescribed for diseases such as supraventricular tachycardia, WPW syndrome, etc. The medication is not prescribed for minors, as well as women during pregnancy.
"Rhythmorm" is another antiarrhythmic drug that cardiologists speak well of. Apply it most often in a hospital. You can’t get a medicine without a prescription.
Reviews about the medicine "Propanorm"
Cardiologists note that the instructions for use must be studied for the drug "Propanorm". A photo of the medication and all information about it we presented in the article. In patients who know possible side effects and contraindications, negative emotions about the pills do not occur. Patients who are treated in a hospital, note that the positive effect of the use of the medicine "Propanorm" is noticeable after a week.