Recently, more and more people are faced with such a problem as hypertension. This is a rather insidious ailment, which can lead to serious complications and even death. The main symptom of hypertension is high blood pressure. At the first signs of a pathology of the cardiovascular system, you need to see a doctor. He will conduct an examination, establish a diagnosis and prescribe competent treatment. One of the popular remedies for the treatment of hypertension is the drug "Fozicard." Analogs, Russian medicines, are sold at a pharmacy without a prescription and at an affordable price.
The drug "Fozicard"
The medicine belongs to ACE inhibitors. Available in the form of white tablets. The main substance in the composition of the drug is fosinopril sodium at a dose of 5, 10 and 20 mg. The drug has a hypotensive, vasodilating, diuretic, potassium-sparing effect. Normalization of pressure occurs within 60 minutes after taking the medicine. The maximum effect develops within 6 hours. Saved a day. No addiction to the remedy. With prolonged treatment, the pressure is normal throughout the time.
Indications and contraindications
A medicine is prescribed to reduce the pressure in an individual application or complex treatment. Also, the drug is indicated for chronic heart failure. Many patients praise this drug. Analogs of "Fozikard" also have positive feedback from patients. Those claim that they normalize pressure in a short time.
Despite this, Fozicard has contraindications:
- Angioneurotic edema of a hereditary or idiopathic nature.
- Pregnancy.
- Breast-feeding.
- Lactose intolerance.
- Age to 18 years.
- Hypersensitivity to the components of the drug.
- Severe heart failure.
- Renal and hepatic pathology.
Dosage
The dose of taking the drug is individually established. You need to start treatment with 10 mg. Further, with constant monitoring of the dynamics of blood pressure, the dosage may increase to 40 mg. This is the maximum allowable daily rate, which can not be exceeded. In the absence of a therapeutic effect, diuretics are added to the treatment regimen. In case of chronic heart failure, it is recommended to take 5 mg twice daily medication called Fosicard.
An overdose can cause the development of the following symptoms:
- bradycardia;
- strong decrease in pressure;
- acute renal failure.
If such symptoms occur, the patient needs to rinse the stomach, give activated charcoal to drink, and detoxification therapy. The use of hemodialysis in case of an overdose of the drug will not give a positive effect.
The action of the drug "Fosinopril"
The most basic analogue of the drug described above is Fosinopril. The drug is an ACE inhibitor. It is considered a prodrug. In it, an active metabolite, fosinoprilat, is formed. The drug has a vasodilating effect. It reduces the load and pressure in the pulmonary capillaries and the resistance in the vessels of this organ. In addition, it increases endurance to loads.
Pharmacokinetics
When ingested, it is completely absorbed in the stomach. Almost 100% bound to blood plasma. The active ingredient is excreted by the kidneys and intestines. The use of the drug during pregnancy is prohibited. It is also contraindicated for young mothers. If there is a need for therapy for hypertension during lactation, it is advisable to refuse breastfeeding.
The Fozikard's analogs, except for Fosinopril, are Fozinap, Monopril and Fosinopril-Teva. Their contraindications are similar. These are gestation, lactation and hypersensitivity to ACE inhibitors.
Dosage
The medicine "Fosinopril" is prescribed orally. The initial dose is 10 mg once a day. Then it can increase depending on the state of pressure and increase to 40 mg per day. The maximum norm of the drug should not exceed 80 mg. If a doctor prescribes diuretics together with Fozinopril, the dose of the first substance remains at the level of 10 mg.
Some drugs are undesirable to take in combination with ACE inhibitors. These include:
- Antacids.
- Antihypertensive agents.
- Diuretics.
- "Lithium carbonate."
- "Acenocoumarol."
- Analgesics.
- Acetylsalicylic acid.
Also, together with these drugs, the drug "Fozicard" can not be used. Cheap analogues can be purchased at the pharmacy, but before that it is better to consult a doctor. After all, there is a risk of suffering from the negative effects of the drug. As for Fosinopril, the following side effects may develop during the treatment period:
- Chest pains.
- The tides.
- Loss of consciousness.
- Palpitations.
- Nausea.
- Vomiting
- Dyspepsia.
- Increased fatigue.
- Violation of sensitivity.
- Dizziness.
- Oliguria.
- Proteinuria
- Increased urinary creatinine concentration.
- Difficulty breathing.
- Allergic reactions.
special instructions
The safety of taking medication in children is not fully understood. Therefore, it is not recommended to prescribe the drug to minor patients. Treatment should be under the control of blood pressure and ECG. In a pharmacy, the product is sold without a prescription. Store the medicine in a dry and dark place. The above side effects can be observed when taking the drug "Fozicard". Instructions for use, analogues and substitutes - all this information can be obtained from your doctor.
Monopril
The medicine belongs to the group of ACE inhibitors. Available in white tablets. The main substance in the composition of the drug is fosinopril sodium in a dose of 20 mg. Auxiliary components: crospovidone, lactose, cellulose, povidone. Tablets are packaged in blisters. In each - 14 pieces.
The main substance of the drug, fosinopril, slows down the metabolism of bradykinin, which has an increased vasodilating effect. Due to this, the antihypertensive effect increases. Pressure is not accompanied by a change in the volume of circulating blood, cerebral and renal blood flow. Patient reviews suggest that after oral administration, the drug begins to act within an hour, the maximum effect occurs after 6 hours and lasts a day.
Indications and contraindications
The medicine is prescribed for the treatment of hypertension individually or in combination with other groups. Also, the drug is indicated for heart failure. After the start of treatment, the pressure normalizes due to the Monopril preparation. Identical indications for use apply to the drug "Fozicard". Analogues of the drug have a similar effect. As for contraindications, they also have much in common. For example, at Monopril they are as follows:
- Angioneurotic edema of a hereditary nature.
- Pregnancy.
- Breast-feeding.
- Lactose intolerance.
- Hypersensitivity to the components of the product.
- Age to 18 years.
- Renal and liver failure.
Dosage
The dose of the drug is prescribed individually. At the beginning of treatment, it is necessary to take 10 mg once a day. Further, the dosage is adjusted depending on the pressure. It can be increased to 40 mg. This is the maximum allowable dose per day. People of advanced age and with a mild degree of renal failure need to make adjustments, depending on the severity of the disease. If there is no Monopril medicine in the pharmacy, then it can be replaced with the Fozicard drug. Analogs, replacements have a similar composition and indications for use.
Side effects of the drug "Monopril" are slightly different from the above drugs:
- Significant decrease in pressure.
- Tachycardia.
- Renal failure.
- Nausea.
- Intestinal obstruction.
- Change in body weight.
Fosinopril-Teva
Another analogue of Fozikard. The medicine belongs to the group of ACE inhibitors. Due to the vasodilating effect, the load and pressure in the pulmonary arteries are reduced, and tolerance to loads is increased. When taken orally, it is rapidly absorbed from the stomach. Patients claim that within an hour the pressure has returned to normal. The main substance is metabolized in the liver and excreted through the kidneys and intestines.
Indications and contraindications
The drug "Fosinopril-Teva" is prescribed for hypertension in the complex or individually. Contraindications for taking the medicine are:
- allergic reactions;
- pregnancy;
- lactation;
- hypersensitivity to the components of the drug.
The medical product "Fosinopril-Teva" can fully replace the drug "Fozicard." Russian analogues can be purchased at a more affordable price in a pharmacy without a prescription.
Dosage
At the beginning of treatment, it is recommended to take 10 mg of the drug "Fosinopril-Teva." In the future, with constant monitoring of pressure and the lack of proper therapeutic effect, the dosage can be increased to 40 mg per day.
Side effects are as follows:
- palpitations
- chest pain;
- dyspnea;
- nausea;
- migraine;
- dizziness;
- sleep disturbance;
- the development of allergic reactions.
Precautions prescribe a remedy for the elderly and patients with renal and hepatic insufficiency. Any analogues of the Fozikard should not be taken if it is necessary to drive a vehicle. If any unpleasant symptoms appear during the treatment period, you should consult a doctor. In rare cases, individual intolerance to one of the components of the agent may develop. A specialist will be able to recommend a quality substitute.
Reviews about the analogues of "Fozikarda"
Many patients take the drug "Fozicard N" to reduce blood pressure. Analogues of the drug are also in demand. They can be bought at any pharmacy at an affordable price. The medicine does not harm the body, is well tolerated and, with the right dosage, does not cause side effects. Patients leave only positive reviews about the drug "Fozicard" and its analogues. The drug does not irritate the gastric mucosa. The medicine is sold in different dosages, which is very convenient when choosing a treatment regimen.
Experts note that with prolonged use of the described drugs, addiction syndrome does not develop. In the treatment process, not only blood pressure is normalized, but also ECG indices are improved, the load on the left ventricle of the heart is reduced. Therefore, many therapists and cardiologists prescribe the drug "Fozicard". Analogs (cheaper or more expensive can be purchased in Russia) can also improve the dynamics of pressure and keep the vessels in good shape. It is necessary to carry out treatment under the supervision of a doctor who can make timely adjustments to the dose of the drug, which will stop the development of hypertension and relieve the patient of its symptoms. It is recommended to do ECG monitoring and a clinical blood test every six months. Specialists recommend abolishing the medicine gradually, so as not to provoke the development of a hypertensive crisis.