Attacks of angina pectoris, the appearance of heart pain, arrhythmias over time can lead to myocardial infarction. In order to avoid such a development of events, it is necessary to think about possible preventive measures that can, if not cure, but suspend a similar scenario.
The main cause of heart attacks is an insufficient supply of myocardial oxygen caused by spasm of tissues and blood vessels. This leads to necrosis of the heart muscle. But with the right treatment, there is a chance to stop tissue necrosis.
As a rule, the complex therapy of cardiovascular diseases includes nitrates (for the relief of ischemic attacks), vasodilator, and vitamin preparations. Not the last place in this list is occupied by preparations of potassium and magnesium salts, Asparkam or Panangin. What's better? And what is the difference?
What the doctor ordered
If you feel unwell, discomfort in the chest area, you should consult a doctor. These may not always be symptoms of more serious diseases, but it is worth making sure of this. Having made a cardiogram and not having seen any deviations, except, possibly, arrhythmias, the doctor can prescribe Valerian in tablets, as well as Panangin or Asparkam.
Cardiovascular agents with more serious active ingredients are not always appropriate for such indications. And the patient’s natural question: “Why do I need this?” May lead the doctor into a stupor. After all, it is not customary to deny the need for prescribed therapy.
Please note: for the accuracy of treatment, it is necessary to donate blood for a detailed analysis. This is necessary to exclude a history of hyperkalemia and hypermagnesemia. With an excess of potassium and magnesium, salt treatment is not necessary.
The main indications for treatment with Asparkam and Panangin are the same, since both drugs contain 175 mg of potassium and magnesium asparaginate. An exception is the manufacturing companies: Panangin - Gideon Richter (Hungary), and Asparkam is produced at many pharmaceutical factories in the former USSR.
Indications
Due to its composition, both drugs are the most popular in the pharmaceutical market. The main difference between "Panangin" and "Asparkam" - reviews and prices.
Medicines are prescribed:
- With a deficiency of potassium and magnesium salts.
- Atrial ventricular arrhythmias of the heart.
- A multipurpose treatment for people who have had a heart attack.
- As an additional source of salts when taking digitalis preparations.
- A source of essential trace elements for poor or dietary nutrition.
- Source of potassium when taking diuretics.
Contraindications
If you are not satisfied with the consultation with your doctor, the complete instructions of Asparkam and Panangin will help you understand when and who needs or is forbidden to take these drugs. If you carefully study the annotation, then there are still differences in contraindications. Their number is much larger for the domestic drug than for its foreign counterpart.
Only five points are similar in them:
- Allergic reactions to the components of the drug.
- Blood pressure is below 90.
- Insufficient nerve conduction in the heart muscles.
- Addison's disease.
- Kidney disease associated with a malfunction in their work.
Although there are subparagraphs that are not included in the instructions for the imported drug. "Asparkam" is contraindicated in:
- Inadequate urination.
- The complete absence of urination.
We drink, but be careful
The question of whether potassium and magnesium preparations can be used in patients with gastrointestinal ulcers has been repeatedly discussed. There is no definite answer, since “Panangin” is produced in a film coating, which gives it a significant advantage over other drugs. Although his instructions clearly indicate such moments as careful use in patients with peptic ulcer and bowel obstruction.
In addition, caution is also necessary when used in patients with acute dehydration against the background of vomiting or intestinal upset, burns of most of the body.
With caution, reception is also possible in people suffering from various autoimmune diseases associated with deviations in the functioning of the facial muscles (myasthenia gravis).
What to drink with?
Do not forget that taking even vitamins can affect the pharmacological properties of drugs. Therefore, it is worthwhile to carefully consider what and with what to take.
Studies were conducted and experts voiced feedback about the "Pananigin" or "Asparkam" - which is better not to take with them. The risk group with possible hyperkalemia in the future is people taking drugs for the treatment of hypertension with the effect of potassium retention.
New generation diuretics also tend to trap potassium in tissues. In the case of their use together with potassium, an inevitable increase in the content of this element in the blood is inevitable. Non-steroidal anti-inflammatory drugs, heparin, antibiotics (Polymexin, Neomycin) are not an exception.
In addition, there is a likelihood of poor absorption in the stomach of potassium and magnesium salts while taking tetracycline, iron preparations, and sodium fluoride. Their use is possible only if one of the dosage forms is taken no earlier than three hours later.
The difference in warnings for Asparkam and Panangin is incompatibility with drugs for anesthesia (the nervous system is inhibited) and muscle relaxants (increased muscle block). Such a warning is only for Asparkam.
Overdose
How scary the word "overdose" sounds! Involuntarily come to mind terrible pictures of those who did not calculate the dose of the drug. But not everything is so sad. Lethal outcomes with timely intervention should not be.
- The first and most common symptom: a violation of sensitivity in the nerve endings of arms and legs, slight tingling, "goosebumps" under the skin. They occur if the limb was squeezed, clamped for a short time.
- The second symptom: muscle weakness, slow heartbeat. Both symptoms are characteristic of an excess of potassium in the body, and if you do not provide first aid in time, the patient may die from cardiac arrest.
- Third symptom: drowsiness associated with lowering blood pressure.
- The fourth symptom: vomiting, an upset stomach and intestines associated with an excess of magnesium in the body. In addition, there may be a metallic taste in the mouth, thirst.
- And the simplest, but therefore no less important symptom, are skin rashes, with reddening of the skin and intensified itching.
How many tablets, to whom and when to take?
The standard dosage for taking one tablet three times a day, fifteen minutes after eating. The number of tablets per day can be increased to nine, if such a treatment is prescribed by a doctor.
The duration of therapy also depends on the doctor.
Pregnant, lactating mothers, drivers and children
Special medical studies on the use of mineral salts in pregnant and lactating women have not been conducted. But there are known cases of pregnant women using Asparkam or Panangina. Reviews that are better or worse tolerated have not been reported. The main point is that there was no harm from nursing women and expectant mothers.
But we must remember that "Asparkam" involves taking only when the benefits to the mother outweigh the risk to the fetus. And “Panangin” is not forbidden to use with this category of consumers.
Since drugs do not affect the nervous system, general well-being and speed of reaction, drivers are allowed to use them.
Due to the lack of clinical studies on the effect of potassium and magnesium asparaginate on the body of children, the use of tablets in pediatric practice is strictly prohibited.
Word of mouth
For many consumers, price and reviews play an important role in choosing a drug. Which is better, "Asparkam" or "Panangin", they decide after a conversation "heart to heart" with a neighbor or after reading the reviews.
Comparing their well-being while taking both drugs, patients noted one big minus of Asparkam: after taking the pill, the patient begins to fall asleep. Although, perhaps this is one of the individual characteristics of this particular medicine.
In general, both drugs are well tolerated, and the result is already visible at the end of the first week of admission. The main difference between these drugs is price. “Asparkam” costs from thirty to seventy rubles, and “Panangin” - from one hundred twenty to one hundred and seventy rubles.
What are the doctors talking about?
It is worth noting that experienced cardiologists insist on the correct prescription and use of drugs containing potassium and magnesium asparaginate. Indeed, excessive enthusiasm can lead to an excess of potassium in the body, and with it unpleasant side effects.
When asked what is better for Asparkam or Panangin, the opinions of the doctors are mixed. The first of the tips that they give to their patients: it is necessary to donate blood for analysis, and only then, if it shows a lack of potassium and magnesium salts, take action.
Second tip: the right dosage. Some online resources indicate that one Panangin or Asparkam tablet is a sufficient dosage to prevent hypokalemia and hypomagnesemia. But if you calculate, then in the same "Panangin" contains no more than 25 mg of pure potassium in one tablet, with a daily dosage of two grams.
When reading reviews, which is better, “Asparkam” or “Panangin”, pay attention to how much both drugs were taken. Taking one tablet a day is akin to a harmless ascorbic acid with sugar, unless, of course, you have diabetes.
Third tip: compatibility with other drugs prescribed for the treatment of arterial hypertension, arrhythmias, etc. ACE inhibitors, sartans, aldosterone antagonists contribute to the retention of potassium in the body. Together with a long intake of Asparkam and Panangin can lead to an excess of it in the body.
If you still have not decided what to use for treatment - “Pananigin” or “Asparkam”, instructions, reviews, prices and analogues of salt preparations are always at your service. Having carefully studied all the nuances, as well as the opinions of doctors, you can easily understand which of these drugs is more suitable.