A drug Atenolol possesses cardioselective activity in relation to B-adrenergic receptors, the drug does not have a sympathomimetic effect, does not block the release of the mediator into the synaptic cleft and does not reduce its amount in the presynaptic part. Does not have a stabilizing effect on the cytoplasmic membranes. The drug, even in small doses, is able to block the B-adrenergic receptors of the heart, while the level of catecholamines decreases, which in turn stimulate the formation of ATP metabolites (in particular cAMP). By reducing the concentration of Ca2 + ions, taking the drug helps to reduce myocardial contractility, reduces heart rate, conduction and excitability in the heart muscle. It has a hypotensive effect on systolic and diastolic pressure, decreases the minute volume of blood circulation and stroke volume of blood. With prolonged use of the drug, the heart rate decreases at rest and during periods of physical exertion. By reducing the heart rate and the effect of the sympathetic system on the myocardium, the oxygen demand of the heart muscle decreases. This is how the antianginal effect of the drug manifests itself. However, at the same time, the diastolic pressure in the ventricles of the heart rises and the tension on the smooth muscles of the ventricles increases, thus increasing myocardial oxygen demand, this property of the drug is especially pronounced in patients suffering from heart failure. The drug also has a moderate antiarrhythmic effect, this is due to the ability of atenolol to balance the effect of the sympathetic and parasympathetic systems on the myocardium, eliminate tachycardia, and arterial hypertension, which are the main factors that provoke heart rhythm disturbances. With the regular intake of atenolol, there is also a decrease in the efficiency of impulses through the atrioventricular node. In patients with myocardial infarction, the drug increases the quality and life expectancy by reducing the frequency of angina attacks and eliminating arrhythmias. In therapeutic doses, it does not affect the B-adrenergic receptors located in other organs (bronchi, uterus, vascular wall of peripheral arteries, transverse muscles of the skeleton, pancreatic tissue). Has no effect on lipid metabolism in the body. Does not cause bronchospasm and does not affect the action of anti-asthma drugs. When the therapeutic dose is exceeded several times, it blocks both types of B-adrenergic receptors.
After oral administration, the drug is well adsorbed from the small intestine, practically does not bind to plasma proteins, and is poorly soluble in fats. It is not metabolized in the body, the main part is excreted by the kidneys during the process of glomerular filtration, the rest of the drug is excreted in the feces. Poorly penetrates through the natural barriers of the body (practically does not penetrate the blood-brain barrier, in minimal quantities excreted in breast milk, weakly penetrates the placenta). The maximum concentration of atenolol in the blood is reached within 2-4 hours after oral administration, the half-life is 6-9 hours. In case of impaired renal function and in elderly patients, the half-life increases and the drug accumulates in the body.
The therapeutic effect occurs 2-4 hours after oral administration and lasts about a day, with regular intake, blood pressure indicators finally stabilize 2 weeks after starting atenolol therapy.
Indications for use
Applicable Atenololin adults for the treatment of cardiovascular pathologies such as: ischemic heart disease; exertional angina, rest angina, unstable angina (except for Prinzmetal's angina); arterial hypertension, essential hypertension, including hypertensive crisis; decreased muscle tone in the mitral valve, hyperkinetic cardiac syndrome caused by functional disorders in the heart; neurocirculatory disorders with hypertensive complications; senile tremor, tremor with withdrawal symptoms, essential tremor.Treatment and prevention:
Myocardial infarction, including maintenance therapy after acute conditions;
Arrhythmias of various etiologies (including against the background of anesthesia, thyrotoxicosis, myocardial infarction in patients who do not suffer from heart failure);
Supraventricular and ventricular extrasystoles, sinus tachycardia, paroxysmal atrial tachycardia, other types of arrhythmias;
Atrial flutter;
In complex treatment:
Thyrotoxicosis, prevention of migraine, hypertrophic obstructive cardiomyopathy.
Mode of application
Tablets Atenololit is recommended to take before meals, the tablet is swallowed without chewing and drinking plenty of water.The dose of the drug is selected for each patient individually, the initial therapeutic dose for angina pectoris is 50 mg once, in the absence or insufficiency of the effect, the dose is increased, the maximum daily dose is 200 mg (in case of impaired renal function and in elderly patients, the maximum dose is less).
The maintenance dose is usually 25 mg once a day, but it can also be increased by the attending physician.
Side effects
Most side effects are mild and usually go away after 2-3 weeks of regular use of the drug Atenolol... When the therapeutic dose is exceeded, the frequency and severity of side effects increase sharply.From the side of the central nervous system: weakness, dizziness, increased fatigue, decreased concentration, memory impairment. Sleep disturbance, anxiety, depression, hallucinations, convulsions, tremors. Decreased activity of the glands of external secretion, impaired visual function.
From the side of the cardiovascular system: bradycardia, arrhythmias, atrioventricular block, heart failure, hypotension, chest pain, thrombocytopenia, agranulocytosis.
From the gastrointestinal tract: dry mouth, vomiting, nausea, epigastric pain, stool disturbance, liver dysfunction.
From the respiratory system: shortness of breath, bronchospasm, laryngospasm.
Other side effects: skin rash, itching, urticaria, skin changes due to trophic disturbances, hyperhidrosis, myasthenia gravis. Decreased libido, impotence, a local decrease in body temperature (in particular of the extremities), a change in the activity of some enzymes, an increase in the level of bilirubin in the blood.
The drug is characterized by a withdrawal syndrome, therefore, at the end of therapy with atenolol or switching to another antihypertensive drug, it is necessary to adhere to the scheme of gradual withdrawal of the drug to prevent complications.
Contraindications
:A drug Atenololcontraindicated for use if the patient has one of the following conditions: individual hypersensitivity to the components of the drug; sinus bradycardia; cardiogenic shock; atrioventricular block II and III degree; arterial hypotension (indicators of systolic blood pressure below 90 mm Hg); acute and chronic heart failure; sinoauricular block; bronchial asthma; violation of the acid-base balance in the body towards acidosis.
Use with caution in patients suffering from:
Diabetes mellitus, chronic obstructive diseases of the lungs and bronchi, impaired liver and kidney function.
In childhood and old age, as well as in patients with depression (including a history), psoriasis, myasthenia gravis, atenolol is also prescribed with caution.
Pregnancy
:A drug Atenololin small quantities, it penetrates the placental barrier, therefore, the administration of the drug in pregnant women should be under the supervision of the attending physician after the ratio of the expected benefits to the mother and potential risks to the fetus. If necessary, use during lactation, it is necessary to decide on the termination of breastfeeding.
Interaction with other medicinal products
Simultaneous reception Atenololwith drugs that depress the central nervous system (hypnotics, sedatives, antidepressants, etc.), as well as with other antihypertensive drugs, enhance the effect of atenolol.Non-steroidal anti-inflammatory drugs, estrogens, sympathomimetics weaken the hypotensive effect, antacids reduce the adsorption of atenolol from the gastrointestinal tract.
Antiarrhythmic and anesthetic drugs increase the cardiodepressant effect.
The simultaneous use of the drug with insulin and other antidiabetic agents increases the risk of hypoglycemia.
Prolongs the anticoagulant effect of coumarins.
If it is necessary to administer verapamil intravenously to the patient, it is necessary to check that at least 48 hours elapse between the last intake of atenolol and the injection of verapamil.
Overdose
:In case of overdose Atenololpatients have bradycardia, atrioventricular block, respiratory failure, hypotension, shock, collapse, bronchospasm, hypoglycemia.
Shows gastric lavage, intake of adsorbents. If necessary, sympathomimetic drugs, cardiac glycosides, diuretics, selective B-adrenomimetics are administered. With the development of hypoglycemia, intravenous drip of glucose is indicated. In severe cases, dialysis is performed.
Storage conditions
Store in a dry, dark place at a temperature not exceeding 25 degrees Celsius.Shelf life is 2 years.
Release form
Tablets of 25, 50 or 100 mg of active ingredient, 10 or 20 pcs. in a contour package, 1, 2, 5 or 10 contour packages in a cardboard box.Composition
:1 tablet contains:
Atenolol- 25, 50 or 100 mg.
Excipients.
Synonyms
:Atenol, Atenolan, Atenova, Betadur, Catenol, Prinorm, Tenolol.
main parameters
| Name: | ATENOLOL |
| ATX code: | C07AB03 - |
Beta 1 -adrenergic blocker
Active substance
Atenolol (atenolol)
Release form, composition and packaging
10 pieces. - contour cell packaging (1) - cardboard packs.
10 pieces. - contour cell packages (2) - cardboard packs.
10 pieces. - contour cell packages (3) - cardboard packs.
pharmachologic effect
Beta 1 -adrenergic blocker. It has antianginal, antihypertensive and antiarrhythmic effects. Does not possess membrane stabilizing and internal sympathomimetic activity. Reduces catecholamine-stimulated formation of cAMP from ATP. In the first 24 hours after oral administration, against the background of a decrease in ejection, there is a reactive increase in the total peripheral vascular resistance, the severity of which gradually decreases within 1-3 days.
The hypotensive effect is associated with a decrease in cardiac output, a decrease in the activity of the renin-angiotensin system, the sensitivity of baroreceptors, and an effect on the central nervous system. The antihypertensive effect is manifested by both a decrease in systolic and diastolic blood pressure, a decrease in stroke and minute volumes. In medium therapeutic doses, it does not affect the tone of the peripheral arteries. The antihypertensive effect lasts 24 hours, with regular use it stabilizes by the end of the second week of treatment.
The antianginal effect is determined by a decrease in myocardial oxygen demand as a result of a decrease in heart rate (lengthening of diastole and an improvement in myocardial perfusion) and contractility, as well as a decrease in myocardial sensitivity to sympathetic stimulation. Reduces heart rate at rest and during exercise. By increasing the end-diastolic pressure in the left ventricle and increasing the stretching of the muscle fibers of the ventricles, oxygen demand can increase, especially in patients with chronic heart failure.
The antiarrhythmic effect is manifested by the suppression of sinus tachycardia and is associated with the elimination of arrhythmogenic sympathetic influences on the cardiac conduction system, a decrease in the rate of propagation of excitation through the sinoatrial node and an extension of the refractory period. It inhibits the conduction of impulses in the antegrade and, to a lesser extent, in the retrograde directions through the AV (atrioventricular) node and along additional conduction pathways.
The negative chronotropic effect appears 1 hour after administration, reaches a maximum after 2-4 hours, and lasts up to 24 hours.
Reduces the automatism of the sinus node, hardens the heart rate, slows down AV conduction, reduces myocardial contractility, and reduces myocardial oxygen demand. Reduces myocardial excitability. When used in moderate therapeutic doses, it has a less pronounced effect on the smooth muscles of the bronchi and peripheral arteries than non-selective beta-blockers.
Pharmacokinetics
Absorption from the gastrointestinal tract is fast, incomplete (50-60%), bioavailability is 40-50%, the time to reach C max in the blood is 2-4 hours. Poorly penetrates the blood-brain barrier, passes in small amounts through the placental barrier and into breast milk. The connection with blood plasma proteins is 6-16%.
Virtually not metabolized in the liver. T 1/2 - 6-9 hours (increases in elderly patients).
It is excreted by the kidneys by glomerular filtration (85-100% unchanged).
Renal dysfunction is accompanied by lengthening T 1/2 and cumulation: with CC below 3 5 ml / min / 1.73 m 2 T 1/2 is 16-27 hours, with CC below 15 ml / min / 1.73 m - more than 27 hours (it is necessary dose reduction). It is excreted during hemodialysis.
Indications
- arterial hypertension;
- prevention of angina attacks (except for Prinzmetal's angina);
- cardiac arrhythmias: sinus tachycardia, prevention of supraventricular tachyarrhythmias, ventricular extrasystole.
Contraindications
- cardiogenic shock;
- AV blockade of II and III degree;
- severe bradycardia (heart rate less than 45-50 beats / min.);
- sick sinus syndrome;
- sinoauricular block;
- acute or chronic heart failure (in the stage of decompensation);
- cardiomegaly without signs of heart failure;
- Prinzmetal's angina;
- arterial hypotension (if used for myocardial infarction, systolic blood pressure less than 100 mm Hg);
- lactation period;
- simultaneous intake of MAO inhibitors;
- age up to 18 years (efficacy and safety have not been established);
- patients on hemodialysis;
- elderly age;
- hypersensitivity to the drug.
Carefully: diabetes mellitus, metabolic acidosis, hypoglycemia, history of allergic reactions, chronic obstructive pulmonary disease (including pulmonary emphysema), 1st degree AV block, chronic heart failure (compensated), obliterating peripheral vascular disease ("intermittent" claudication, Raynaud's syndrome), pheochromocytoma, liver failure, chronic renal failure, myasthenia gravis, thyrotoxicosis, depression (including a history), psoriasis, pregnancy, old age.
Dosage
Assign orally before meals, without chewing, drinking a small amount of liquid.
Arterial hypertension.Treatment begins with 50 mg of Atenolol 1 time per day. To achieve a stable hypotensive effect, 1-2 weeks of admission are required. If the hypotensive effect is insufficient, the dose is increased to 100 mg at a time. Further dose increases are not recommended, since they are not accompanied by an increase in the clinical effect.
Angina pectoris.The initial dose is 50 mg / day. If the optimal therapeutic effect is not achieved within a week, the dose is increased to 100 mg / day. Elderly patients and patients with impaired renal excretory function need to adjust the dosage regimen.
In the presence of renal failure
Have elderly patients
Side effects
The cardiovascular system:development (aggravation) of symptoms of chronic heart failure (swelling of the ankles, feet; shortness of breath), impaired atrioventricular conduction, arrhythmias, bradycardia, marked decrease in blood pressure, orthostatic hypotension, palpitations.
CNS:dizziness, decreased ability to concentrate, decreased reaction speed, drowsiness or insomnia, depression, hallucinations, increased fatigue, headache, weakness, "nightmares", anxiety, confusion or short-term memory loss, paresthesia in the extremities (in patients with " intermittent "claudication and Raynaud's syndrome), muscle weakness, convulsions.
Gastrointestinal tract:dry mouth, nausea, vomiting, diarrhea, abdominal pain, constipation, change in taste.
Respiratory system:dyspnea, bronchospasm, apnea, nasal congestion.
Hematological reactions:platelet purpura, anemia (aplastic), thrombosis.
Endocrine system:gynecomastia, decreased potency, decreased libido, hyperglycemia (in patients with non-insulin dependent diabetes mellitus), hypoglycemia (in patients receiving insulin), hypothyroidism.
Metabolic reactions:hyperlipidemia.
Skin reactions:urticaria, dermatitis, itching, photosensitivity, increased sweating, skin flushing, exacerbation of psoriasis, reversible alopecia.
Senses:visual impairment, decreased secretion of lacrimal fluid, dry and sore eyes, conjunctivitis.
Effect on the fetus:intrauterine growth retardation, hypoglycemia, bradycardia.
Laboratory indicators:agranulocytosis, leukopenia, increased activity of "liver" enzymes, hyperbilirubinemia.
Others:back pain, arthralgia, withdrawal syndrome (increased angina attacks, increased blood pressure).
The frequency of side effects increases with increasing dose of the drug.
Overdose
Symptoms:severe bradycardia, AV block II-III degree, increasing symptoms of heart failure, excessive decrease in blood pressure, difficulty breathing, bronchospasm, dizziness, fainting, arrhythmia, ventricular extrasystole, cyanosis of fingernails or palms, convulsions.
Treatment:gastric lavage and the appointment of adsorbent drugs; if bronchospasm occurs, inhalation or intravenous administration of beta 2 -adrenomimetic is indicated. In case of violation of AV conduction, bradycardia - intravenous administration of 1-2 mg of atropine, epinephrine or setting of a temporary pacemaker; with ventricular premature beats - lidocaine (class 1A drugs are not used); with a decrease in blood pressure - the patient should be in the Trendelenburg position. If there are no signs of pulmonary edema - IV, if ineffective - the introduction of epinephrine, dopamine, dobutamine; with chronic heart failure - cardiac glycosides, diuretics, glucagon; with convulsions - intravenous diazepam. Dialysis is possible.
Drug interactions
With the simultaneous use of atenolol with insulin, oral hypoglycemic drugs - their hypoglycemic effect is enhanced.
When used together with antihypertensive drugs of different groups or nitrates, the hypotensive effect is enhanced.
The simultaneous use of atenolol and (or diltiazem) can cause mutual enhancement of the cardiodepressant effect.
The antihypertensive effect is weakened by estrogens (sodium retention) and NSAIDs, GCS.
With the simultaneous use of atenolol and cardiac glycosides, the risk of developing bradycardia and violations of atrioventricular conduction increases.
With the simultaneous appointment of atenolol with reserpine, methyldopa, clonidine, verapamil, severe bradycardia may occur.
Simultaneous intravenous administration of verapamil and diltiazem can provoke cardiac arrest; nifedipine can lead to a significant decrease in blood pressure.
With the simultaneous administration of atenolol with derivatives of ergotamine, xanthine, its effectiveness decreases.
When the combined use of atenolol and clonidine is discontinued, clonidine treatment is continued for several more days after atenolol is discontinued.
Concomitant use with lidocaine can reduce its excretion and increase the risk of toxic effects of lidocaine.
The use together with phenothiazine derivatives increases the concentration of each drug in the blood serum.
When administered intravenously, phenytoin, drugs for general anesthesia (derivatives of hydrocarbons) increase the severity of the cardiodepressant effect and the likelihood of lowering blood pressure.
When used together with aminophylline and theophylline, mutual suppression of therapeutic effects is possible.
Simultaneous use with MAO inhibitors is not recommended due to a significant increase in the hypotensive effect, the break in treatment between taking MAO inhibitors and atenolol should be at least 14 days.
Allergens used for immunotherapy or allergen extracts for skin tests increase the risk of severe systemic allergic reactions or anaphylaxis.
Means for inhalation anesthesia (derivatives of hydrocarbons) increase the risk of suppression of myocardial function and the development of arterial hypertension.
Amiodarone increases the risk of developing bradycardia and inhibition of AV conduction.
Cimetidine increases the concentration in the blood plasma (inhibits metabolism). Iodine-containing radiopaque drugs for intravenous administration increase the risk of developing anaphylactic reactions.
Prolongs the action of non-depolarizing muscle relaxants and the anticoagulant effect of coumarins.
Tri- and tetracyclic antidepressants, antipsychotic drugs (antipsychotics), ethanol, sedatives and hypnotics increase CNS depression.
special instructions
Monitoring patients taking Atenolol should include monitoring heart rate and blood pressure (at the beginning of treatment - daily, then 1 time in 3-4 months), blood glucose in patients with diabetes mellitus (1 time in 4-5 months). In elderly patients, it is recommended to monitor renal function (1 time in 4-5 months).
The patient should be trained in the method of calculating the heart rate and instructed on the need for medical advice if the heart rate is less than 50 beats / min. In thyrotoxicosis, atenolol can mask certain clinical signs of thyrotoxicosis (for example, tachycardia). Abrupt withdrawal in patients with thyrotoxicosis is contraindicated, since it can aggravate the symptoms. In diabetes mellitus, it can mask tachycardia caused by hypoglycemia. In contrast to non-selective ones, it practically does not increase insulin-induced hypoglycemia and does not delay the restoration of blood glucose to normal concentration.
In patients with coronary artery disease, abrupt withdrawal of beta-blockers can cause an increase in the frequency or severity of anginal attacks, therefore, discontinuation of atenolol in patients with coronary artery disease should be carried out gradually.
Compared to nonselective beta-blockers, cardioselective beta-blockers have less effect on lung function, however, in obstructive airways diseases, atenolol is prescribed only in case of absolute indications. If necessary, their appointment in some cases, you can recommend the use of beta 2 -adrenomimetics.
Patients with bronchospastic diseases can be prescribed cardioselective adrenergic blockers in case of intolerance and / or ineffectiveness of other antihypertensive drugs, but the dosage should be strictly monitored. Overdose is dangerous for the development of bronchospasm.
Particular attention is required in cases where surgery is required under anesthesia in patients taking atenolol. The drug should be discontinued 48 hours before the intervention. As an anesthetic, you should choose a drug with the lowest possible negative inotropic effect.
With the simultaneous use of atenolol and clonidine, the administration of atenolol is stopped a few days earlier than clonidine in order to avoid the symptom of the latter's withdrawal.
It is possible that the severity of the hypersensitivity reaction and the lack of effect from usual doses of epinephrine against the background of a burdened allergic history are possible.
Medicines that reduce the supply of catecholamines (for example, reserpine) can enhance the effect of beta-blockers, therefore, patients taking such combinations of medicines should be under constant medical supervision to detect a pronounced decrease in blood pressure or bradycardia.
In case of the appearance in elderly patients of increasing bradycardia (less than 50 beats / min), arterial hypotension (systolic blood pressure below 100 mm Hg,), AV blockade, bronchospasm, ventricular arrhythmias, severe liver and kidney dysfunction, it is necessary to reduce the dose or stop treatment.
If intravenous administration of verapamil is necessary, this should be done at least 48 hours after taking atenolol.
With the use of atenolol, it is possible to reduce the production of tear fluid, which is important in patients using contact lenses.
It is impossible to abruptly interrupt treatment due to the risk of developing severe arrhythmias and myocardial infarction. Cancellation is carried out gradually, reducing the dose within 2 weeks. and more (reduce the dose by 25% in 3-4 days).
Should be canceled before examining the content of catecholamines, normetanephrine, and vanillyl mandelic acid in the blood and urine; antinuclear antibody titers.
In smokers, the effectiveness of beta-blockers is lower.
Influence on the ability to drive vehicles and use mechanisms
During the period of treatment, it is necessary to refrain from engaging in potentially hazardous activities that require increased concentration of attention and speed of psychomotor reactions.
Pregnancy and lactation
Pregnant women should be prescribed atenolol only when the benefit to the mother outweighs the potential risk to the fetus.
Atenolol is excreted in breast milk, so it should be taken only in exceptional cases and with great caution during the nursing period.
Pediatric use
Contraindication: age up to 18 years (efficacy and safety have not been established).
With impaired renal function
In the presence of renal failure recommend dose adjustment depending on creatinine clearance. In patients with renal failure with CC values \u200b\u200babove 35 ml / min / 1.73 m2 (normal values \u200b\u200bare 100-150 ml / min / 1.73 m2), significant accumulation of atenolol does not occur. The following maximum doses are recommended for patients with renal insufficiency:
To ensure the following dosing regimen, it is possible to use Atenolol in a 25 mg tablet dosage form.
For patients on hemodialysis, Atenolol is prescribed at 25 or 50 mg / day immediately after each dialysis, which must be carried out under stationary conditions, since a decrease in blood pressure may occur.
For violations of liver function
FROM caution: liver failure.
Use in the elderly
Have elderly patients initial single dose - 25 mg (can be increased under the control of blood pressure, heart rate).
Terms of dispensing from pharmacies
The drug is available by prescription.
Storage conditions and periods
Store in a dry place out of the reach of children at a temperature not exceeding 30 ° C. The shelf life is 3 years. Do not use after the expiration date.
Composition
Contains an active ingredient atenolol (in 1 tablet 25, 50 or 100 mg of this substance).
Additional elements: calcium hydrogen phosphate, propyl parahydroxybenzoate, sodium carboxymethyl starch, starch, silicon dioxide, methyl parahydroxybenzoate, magnesium stearate, talc.
Release form
Available in tablet form.
pharmachologic effect
Cardioselective beta-1-blocker .
Pharmacodynamics and pharmacokinetics
The drug has antiarrhythmic, antianginal, hypotensive effects. It has negative dromotropic, chronotropic, inotropic and batmotropic effects.
Hypotensive effect achieved by influencing the nervous system, decreasing the sensitivity of baroreceptors on the aortic arch, decreasing activity renin-angiotensin system , decreasing the IOC.
The drug lowers the systolic and diastolic blood pressure, decreases the volumetric flow rate, blood volume flow rate.
The drug does not affect the tone of the peripheral arteries in therapeutic doses.
Antianginal effects is provided by a decrease in the oxygen demand of myocardial cardiomyocytes, which leads to a decrease in heart rate. The drug reduces the pulse at rest and during physical activity.
Antiarrhythmic effect provided by the elimination of arrhythmogenic factors (arterial hypertension, an increase in the cAMP content, an increase in the activity of the sympathetic part of the nervous system, tachycardia), atrioventricular conduction , a decrease in the rate of spontaneous excitation of the ectopic and sinus pacemaker.
When taking Atenolol, the survival rate of patients who have had myocardial infarction significantly increases.
The drug does not weaken the bronchodilating effect of isoproterenol.
Indications for the use of Atenolol
What are the pills from?
The medicine is prescribed for hypertensive crisis , angina pectoris, ischemic heart disease, neurocirculatory dystonia , hyperkinetic cardiac syndrome of functional origin, with withdrawal symptoms, essential tremor, agitation.
The drug is recommended for use for the prevention of rhythm disturbances, myocardial infarction, ventricular premature beats , sinus tachycardia, atrial flutter, atrial fibrillation, ventricular tachycardia.
The medication is prescribed for migraine, thyrotoxicosis, pheochromocytoma .
Indications for use of Atenolol Nycomed are similar.
Contraindications
The medicine is not used for severe bradycardia, atrioventricular blockade of 2-3 degrees, cardiogenic shock , decompensated form of CHF, acute heart failure, SA-blockade, with prinzmetal angina , intolerance to the active component, cardiomegaly, breastfeeding, taking MAO inhibitors.
With emphysema, allergies, metabolic acidosis, diabetes mellitus, hypoglycemia, pheochromocytoma, thyrotoxicosis, myasthenia gravis, liver failure , pregnancy, psoriasis, depression, children and the elderly, with Raynaud's syndrome, the drug is used with caution.
Side effects
Senses: conjunctivitis , visual impairment, dry eyes, decreased production of tear fluid, sore eyes.
Nervous system: depression, insomnia, headaches, dizziness, weakness, asthenia, drowsiness, depression, paresthesia in the limbs , concentration disorders, short-term memory loss, convulsions, myasthenia gravis.
The cardiovascular system: chest pain, vasculitis, coldness of the lower extremities, angiospasm, orthostatic hypotension, CHF, weakening of myocardial contractility, arrhythmia, palpitations, bradycardia, myocardial conduction disturbances.
Digestive system: changes in taste, epigastric pain, nausea, vomiting, dry mouth, stool disorders: diarrhea.
Respiratory system: bronchospasm, laryngospasm , difficulty breathing, nasal congestion.
Endocrine system: hypothyroid state, hyperglycemia, hypoglycemia.
Skin: reversible alopecia, psoriasis-like rashes on the skin, increased sweating, exacerbation of psoriasis symptoms, skin hyperemia.
Back pain is also noted, bradycardia , decreased potency, weakening of libido, arthralgia, intrauterine growth retardation.
The severity of side effects directly depends on the dose of the drug.
Instructions for use of Atenolol (Way and dosage)
The tablets are taken orally, washed down with liquid, not chewed.
The initial dosage is 25-50 mg per day, after a week, if necessary, the amount of the drug is increased by 50 mg, the average daily dosage is 100 mg.
With tachysystolic disorders, with ischemic heart disease, Atenolol is prescribed 1 time per day, 50 mg.
Acute myocardial infarction with stable hemodynamic parameters: intravenous infusion, then taking a 50 mg tablet after 10 minutes, after 12 hours, repeat it.
With cardiac hyperkinetic syndrome, 25 mg per day is indicated.
The drug acts during the day, more than 1 time a day, the drug is not used. It is not recommended to prescribe more than 200 mg per day. The medication is withdrawn gradually, every 3 days - ¼ of the dose.
Instructions for use of Atenolol Nycomed are similar.
Overdose
It appears bronchospasm , cyanosis of the nail plates, convulsions , shortness of breath, arrhythmia, fainting, drop in blood pressure, severe bradycardia.
An emergency gastric lavage is required.
In case of violation of atrioventricular conduction, with bradycardia, a temporary pacemaker is administered intravenously or installed.
With a sharp drop in blood pressure, the patient is given trendelenburg position .
In the absence of signs of pulmonary edema, plasma-substituting solutions are administered intravenously, in case of ineffectiveness, , epinephrine,.
With convulsive syndrome, intravenous infusion is indicated. Dialysis effective.
Interaction
In patients taking Atenolol, allergen extracts for skin tests, and allergens for immunotherapy significantly increase the risk of severe systemic, anaphylaxis. Risk anaphylactic reactions increases with intravenous administration of X-ray contrast agents.
A drop in blood pressure and cardiodepressive effects are noted with intravenous infusion of phenytoin, as well as with the use of drugs for inhaled general anesthesia. The drug is able to mask the signs of developing hypoglycemia with the simultaneous use of oral hypoglycemic agents, insulin.
Atenolol reduces the clearance of xanthines. Estrogens, glucocorticosteroids, NSAIDs, BMCC, guanfacine, cardiac glycosides, amiodarone, and many antiarrhythmic medications increase the likelihood of developing atrioventricular blockade, bradycardia, cardiac arrest, and worsening heart failure.
Hydralazine, sympatholytics, diuretics, antihypertensive drugs, BMCC can significantly lower blood pressure.
Atenolol lengthens the duration of action of coumarins, non-depolarizing muscle relaxants. Antipsychotics, sedatives, hypnotics, ethanol, tetracyclic and tricyclic antidepressants increase the depressing effect on the central nervous system.
Simultaneous administration of MAO inhibitors is unacceptable due to the risk of hypotension. Violation of peripheral circulation is noted when using medications with non-hydrogenated ergot alkaloids.
Terms of sale
Prescription required.
Storage conditions
Store in a dry place, out of the reach of children, at a temperature not exceeding 30 degrees Celsius.
Shelf life
No more than three years.
special instructions
Taking the drug should be accompanied by regular measurement, determination of the pulse, sugar level in persons with diabetes mellitus .
Elderly patients are shown periodic monitoring of the state of the renal system. The doctor needs to instruct the patient and teach how to correctly measure the heart rate. In 20% of patients with angina pectoris, adrenergic blockers do not give the desired effect due to severe coronary atherosclerosis with a low ischemic threshold, impaired subendocardial blood flow .
In patients with nicotine dependence, the effectiveness of the drug Atenolol is significantly lower than in patients who do not smoke. Against the background of therapy, it is possible to reduce the production of tear fluid, which is necessary to warn patients who wear contact lenses.
The drug can mask the clinical picture of thyrotoxicosis (tachycardia). Abrupt withdrawal of the drug in patients with risk of increased severity of the symptoms of the disease is unacceptable. Atenolol is able to mask tachycardia in hypoglycemia. The medication is canceled a few days before the planned general anesthesia with ether or chloroform. Otherwise, a drug for general anesthesia is selected for the patient, which has a minimal inotropic effect.
Intravenous administration of atropine eliminates reciprocal activation of the vagus nerve. The drug can be prescribed to patients with bronchospastic pathology with ineffectiveness or intolerance to other antihypertensive drugs with strict adherence to the dosage regimen.
With the development of arterial hypotension in elderly people, increasing bradycardia, ventricular arrhythmias, bronchospasm, severe violations in the liver and kidneys, the dosage of the drug is reduced or the therapy is completely stopped. When depression develops, the drug is replaced. Abrupt withdrawal can become the causes of myocardial infarction, a severe form of arrhythmia. Cancellation of the drug is carried out by gradually reducing the dosage over two weeks.
Before determining the level of normetanephrine, catecholamines, antinuclear body titers, vanillyl mandelic acid, Atenolol is canceled. The medication affects the management of vehicles.
Recipe in Latin:
Rp: Atenololi 0.05
D. t. d. N 30 in tab.
S. 1 tablet 1 time per day.
During pregnancy
Used with care. Contraindicated during lactation.
When carrying a pregnancy, the appointment of a medication is justified in case of vital necessity.
Atenolol's analogs
Matching ATX level 4 code:Analogues of Atenolol are: Atenobene , Atenova , Atenol , Tenolol.
Reviews about Atenolol
The drug is effective for hypertension and arrhythmias, and is quite inexpensive. However, side effects are common, such as hallucinations and low blood sugar levels. Reviews about Atenolol Nycomed are generally better than about preparations released by other manufacturers.
Few facts about the product:
Instructions for use
Price in the online pharmacy website: from 21
Few facts
The drug Atenolol is a drug that is used to normalize blood pressure. Its active ingredient is atenolol itself, a cardioselective blocker of beta1-receptors of the adrenaline group. It lowers blood pressure by reducing cardiac output. To date, more than 30 varieties of BAB are used for medical purposes, while the first of them was discovered in 1962 by J. Black.
Composition and form of release
The composition of the drug contains such components as:
- atenolol;
- corn starch;
- gelatin;
- magnesium stearate and carbonate;
- sodium lauryl sulfate.
In the manufacture of the shell, titanium dioxide, propylene glycol, hypromellose (15 cP), talc are used.
The white pills are capsule-shaped, convex, dividing, and stamped. On pills with a dosage of 0.05 gram there is a marker; AB55, and on 0.1 gram AB57.
The pills are sealed in plastic containers, 30 pieces each. The bottles themselves have a screw cap with control of the initial opening, they are packed in cardboard boxes. Instructions for use are also enclosed there.
Pharmacological properties
The drug prevents arrhythmias, ischemia and angina pectoris. It normalizes blood pressure and stabilizes the membranes inside cells. Together with a slowdown in cardiac output, it affects the nervous system without affecting the tone of the arteries (peripheral). With prolonged use for several weeks, the myocardium ceases to excessively need oxygen, its sensitivity to mechanical stress is noticeably reduced. As a result, a person tolerates physical activity much easier.
Unlike non-selective agents, it loads the liver, bronchi and arteries to a lesser extent.
The action of Atenolol reaches its peak three hours after taking the medication. It is used once a day and actively interacts with the body throughout the entire time between the use of pills. Completely excreted along with urine in 12-18 hours. In the case of the use of the drug by the elderly and patients with abnormal kidney function, the time may increase.
Indications
The medication is indicated for the appearance of the following diseases:
- arrhythmia;
- heart attack;
- ischemia;
- high blood pressure (including a critical condition);
- overexcitation;
- tremor.
In some cases, the indication for the use of the remedy may be the treatment of endocrinological problems. In particular, it helps to reduce the amount of thyroid-stimulating hormone. Due to the ability to dilate blood vessels, it has a beneficial effect on migraines.
Method and features of application
The minimum dosage of atenolol is 0.025 grams, and the highest should not exceed 0.2 grams. Usually 0.05 grams is prescribed for two weeks. If a stable effect is not observed, the dose is doubled. In rare cases, when eliminating angina pectoris, the rate may be 0.2 grams.
In the absence of positive dynamics during the crescent, it is recommended to stop using the medication. In this case, the cancellation occurs gradually, since with a sharp cessation of the course, side effects may develop.
Precautions
It is forbidden to chew pills and drink a lot of liquid. It is recommended to use them after waking up one or two hours before meals.
People on hemodialysis should drink 0.025 grams immediately after the end of the sessions. This mode is necessary because the procedure significantly reduces the activity of the components of the medication. A similar therapy is desirable in the case of severe kidney disease.
Contraindications
There is an impressive list of contraindications when using this substance to eliminate diseases. It includes:
- insufficient strength of the sinus node;
- shock associated with heart disease;
- any form of heart failure;
- low heart rate;
- low pressure;
- violation of acid-base balance;
- pneumonia, asthma, bronchitis.
Also, you should not give a blocker to people under the age of 18, and people with an acute reaction to one or more of the components that make up the composition.
In the process of using a blocker, it is not advisable to play sports and smoke, since the effectiveness of the medication is significantly reduced. It is contraindicated in the process of eliminating diseases with the help of this substance to drive a vehicle or work with complex mechanisms, due to the fact that it greatly reduces the reaction. It is strictly forbidden to use the medicine together with alcoholic beverages, since they also dilate blood vessels.
Application during pregnancy
Pregnant women should not use this remedy to treat diseases. The substance can only be prescribed as a last resort, as it causes a slowdown in the growth of the child, problems with heart rate and pressure. Since it can have a negative effect on the baby, you should not drink the medication while breastfeeding.
Side effects
As a result of a particular case of intolerance to Atenolol, during an increase in the amount of the active substance or if the recommendations for its use are not followed, the problem of reverse exposure may arise, that is, the substance will contribute to the development of diseases from which it should help. Also, sometimes the following pathologies appear:
- Hallucinations, dizziness, short-term memory loss, muscle weakness, headache, and nausea.
- Cuts in the abdomen, malfunctioning of taste, vomiting, constipation, diarrhea
- Sinus congestion, respiratory arrest, bronchospasm.
- The development of blood clots, a decrease in the level of hemoglobin.
- Allergic manifestations on the skin, sweating, hair loss, reaction to sunlight, overcrowding of blood vessels.
- Deterioration of vision, inflammation of the lining of the eye, decrease in the amount of lacrimal substance.
Overdose
As a result of an overdose, side effects increase, fainting may occur, in some cases, convulsions begin. To get rid of an adverse reaction, first of all, the digestive tract is washed and the medication is canceled. The patient is then transferred to intensive care and symptomatic medications are prescribed.
Interaction with other medications
When prescribing Atenolol, a detailed study of the patient's accompanying problems and laboratory studies are required, since the substance actively interacts with many drugs. Namely, what happens:
- Strengthening the effect of insulin, verapamil, medicines that reduce pressure, verapamil, nifedipine, phenothiazine, MAO inhibitors.
- Weakening the effects of estrogens, drugs without steroids to eliminate inflammation, steroid hormones, ergotamine, xanthine, aminophylline.
- The risk of developing an adverse reaction herbal remedies for heart disease, reserpine, clonidine, allergens, amiodarone, cimetidine, iodine-based products for radiography.
- The medicine enhances the effects of coumarins, sedatives, sedatives and antipsychotics. It is also undesirable to use it with any medication for anesthesia (both general and local).
Terms of sale
Atenolol's instruction states that the medication is dispensed from pharmacies only if there is an individual prescription from the attending doctor.
Storage conditions
Storage of containers with pills is required in a cool room at a temperature of 15 to 25 degrees Celsius. At the same time, it should be protected from solar influence, heating. The place must be out of reach of children. The shelf life is 60 months from the date indicated on the package.
Analogs
A similar effect and a similar active substance have such medicines as:
- Azotene;
- Betalok;
- Bisoprolol;
- Dorez;
- Corvitol;
- Nebivolol.
However, you should not choose an analog yourself. Only a doctor can make an appointment taking into account the laboratory tests performed.
This drug is a beta blocker. Reducing blood pressure is a "side effect". Rather, he evens it out .. His main task is tachycardia, arrhythmia.
This drug was prescribed for my dad. He was 66 years old, sometimes his heart was naughty, but there was no hypertension. And on that unfortunate day, the pressure jumped. The district doctor came and appointed "Atenol". Dad only had time to drink it, and the next morning he died. Another doctor said that this drug is prescribed with extreme caution to elderly people and those who do not have problems with hypertension. Dad's blood pressure dropped sharply and his heart could not stand it. Maybe "Atenol" is a good drug, I don't want to say anything. And helped many people. But it is only necessary to apply it only as prescribed by an intelligent, qualified doctor who truly understands the essence and peculiarity of the disease. And not the Aesculapius, who bought his diploma and rowed all patients with the same brush.
The first hypertensive crisis was at 95th. I drank some pills, slowly the pressure went away by itself. In 2004, several crises in a row, almost knocked down. Atenolol was prescribed for a long time. Until today, one pill a day ... about between ... I couldn't quit trying, terrible tachycardia, I tried to replace it with Concor, but it doesn't work. I have been sitting on Atenolol for 8 years, physically very weak, the potency is average, I don’t know how to really replace this medicine, quitting, as I understood, will not work.
The doctor prescribed atenolol 25 mg (50 mg tablets) twice a day for hypertension, and amlodipine as well. Both of these drugs are in place of another regimen that I used to take for blood pressure medications. For a month everything was more or less normal, and then the pressure increased again. Recently there was a hypertensive crisis, an ambulance had to be called, almost a stroke.
I just can't find good medicines to control my hypertension.
I have been taking atenolol for almost 10 years, it helped me a lot in the treatment of arrhythmias, however, I had side effects, such as - my limbs became cold and my legs began to go numb (constant tingling), a vascular mesh appeared on my legs, hemoglobin was off scale and more. I had to change, on the recommendation of a doctor. Yes, and the old drug, it turned out, there is a new generation that is no less effective - though more expensive and safer.
At the very first dose, the pulse rate returned to normal, but the pressure, on the contrary, only rose.
I am 49 years old, I have been taking atenolol for several years to lower my blood pressure. Was reading. Of course, pills also have a negative effect on potency, but I decided that a healthy one with a sick heart ... is not very necessary. Nothing of the kind, if you take pills according to the instructions, then there will be no problems in men's affairs. But the nausea after taking atenolol recently got sick, only because of her the doctor changed atenolol to concor. And it would be better to drink atenolol, it is much cheaper.
After prolonged use of Atenolol, a strange feeling of placebo effect occurs. The pressure seems to drop, but the sensation does not completely go away. And I use just one tablet, as described.
The DRUG, of course, was the gold standard for a long time ", because a number of studies have shown figures of about 30% reduction in the incidence of gastric fibrillation in risk groups. All hypoperfusion complications are natural (it is more correct to call them a relative overdose) to reduce the dose or change the drug to a drug of another group, and CHANGE DIAGNOSTIC CONCEPT
Used atenolol in combination with the diuretic chlorthalidone, the drug is called tenoric. I helped very well, about 3 years. But then the pressure began to jump. During the prophylactic examination, an increased blood glucose level was found (at first about 6, 8). The drug was first replaced with lorista, but it did not help, then with bisangil, I drank it for six months, but the pressure does not hold. Now I drink a lozap, there is no such effect as with a tenoric, tachycardia and a pressure of up to 150 are tortured. Such a successful combination in tenoric as antihypertensive, diuretic and antiarrhythmic action is canceled out by the fact that it causes the phenomenon of hypoglycemia, provokes the development of diabetes (maybe it helped!) ... I don't know what to replace, and I'm afraid to start drinking it again.
Positive reviews
Attention!
Advantages:
- good hypotensive effect
Disadvantages:
- not yet identified
My mom has been taking this drug for the past five years. A dosage of 25 mg per day is sufficient to provide a maintenance regimen. The drug is suitable for this, taking it at the same time (in the evening), it provides itself with a hypotensive effect for a day. The time was not chosen by chance, since earlier increases in pressure occurred most often in the morning - taking the drug in the evening provides a peak of its daily action just in the morning and thus protects most actively during a probable rise. Mom did not feel any side effects, therefore she treats the drug with great confidence, which ensures her satisfactory well-being. However, I want to remind you that the selection of an antihypertensive agent should be made individually by your doctor!
Atenolol is an excellent remedy for hypertension and tachycardia, if the heart jumps out of the chest like a hare's, when every heartbeat is felt and begins to throw up, then you need to seriously start taking care of your heart. The effect of taking this medication is noticeable almost immediately: shortness of breath disappears, with exertion the pressing pain in the chest simply disappears, the pressure stabilizes. The first two weeks of admission I slept badly, insomnia tormented me, but after a while my sleep improved. I heard that it has a bad effect on potency: I can't say for sure, because I'm not a man. Atenolol works great for various cardiovascular symptoms, it costs just a penny at current prices, but like any drug, Atenolol has its side effects and contraindications, so you first need to consult a doctor so that this medicine will help you, and not harm you.
I do not have hypertension, rather I'm still hypotonic, but there is a serious risk of tachycardia paroxysms. I tried to take ANAPRILIN, but the dose doubled in two months, and I also needed ASPARCAM or PANANGIN. I have been taking atenolol for 10-12 years. First, 0.25 mg 2 times a week, then 3, then daily. Now I forget (is it better?), But without him I am not going anywhere.
I do not note side effects (according to my health), but it is better to lie down for half an hour after taking it.
Advantages:
- Reduces blood pressure quickly.
Disadvantages:
- It is inconvenient to break the pill.
My husband suffered a myocardial infarction and now has to take many medications.
With an increased heart rate or high lower (heart) pressure, he is prescribed to take "Atenolol". A very good drug, it helps in just 20 minutes.
My husband is taking a dosage of 50mg. After taking "Atenolol" he always lies down and lies for a while, then when his condition is normalized, he even forgets about his illness.
Every day my husband does not take "Atenolol", because basically his blood pressure is normal (they regulate other drugs), although the doctor advises him to take "Atonolol" every day.
I also sometimes have pressure surges (I do not take individual medications yet) and when the lower reaches 90, I take a pill "Atenolol" from my husband (sometimes and more often 0, 5 tablets), lie down and do my business further, no matter how what has never happened.
"Atenolol" relieves pressure quickly, only it is not convenient for me to divide the pill (there is no dividing risk on it, but there is a risk on 100mg tablets).
We buy "Atenolol" from our domestic manufacturer, and the price simply surprises him - from 11 to 16 rubles.
My sister takes Atenolol every day - she has tachycardia.
Last year my heart began to bother me - shortness of breath, palpitations, pressing pain on the chest with some physical exertion, also when I have to walk for a long time, the pressure also jumps. I went to a cardiologist, did all the necessary procedures and it turned out that I had coronary heart disease. The doctor prescribed me Atenolol. After reading his instructions, I was pleased. She began to take 1 tablet without chewing and drinking a large amount of food, the dose was 50 mg. There are tablets of 25, 50 and 100 mg and 10 or 20 pieces per pack. After a week of taking, I began to notice an improvement, the pressure became normal and shortness of breath slightly decreased. The only side effect I had was that I slept poorly, worried about insomnia. But after 2 weeks of taking Atenolol, everything returned to normal. Yes, there are contraindications, but I was lucky, from the listed contraindications, I did not have anything like that. Now I accept it as needed.
Restores the rhythm of the heart
Advantages:
- Acts instantly
Disadvantages:
- I got puffiness
What is the drug for?
It evens out the cardiovascular system. Recently, my rhythm has started to rise. And out of the blue. It seems that I am very worried and my heart is beating incessantly. I went to the hospital and the doctor prescribed this drug for me. It is sold without a prescription and costs 60 rubles.
How to use?
You need to take a pill only at the moment when the heartbeat is out of the normal range. I took it once a day, and sometimes I missed it because the rhythm was normal. The drug is white, you need to drink plenty of water. Works in 5 minutes.
Contraindications and side effects?
There is only one contraindication - frequent use. That is, the tablets should be drunk rarely and only if necessary. Drinking in a course is not recommended. If the heartbeat is constantly going through the roof, you need to go to the hospital and look for the problem more seriously. I began to notice that a couple of hours after the pill my legs and fingers were swelling. Sometimes she even took off her rings. Always consult your doctor before use.
She was treated with atenolol after a hypertensive crisis. As a preventive measure, it did not suit me, and after the pre-infarction state it became simply necessary. The daily dose is very small, but it is convenient in terms of taking the medicine. Instead of a whole handful of pills, just one, moreover, the morning intake greatly facilitates the use. The pressure is reduced well, I have no side effects.
Inexpensive and very powerful medicine. Side effects in the form of weakness and dizziness appeared only in the first week of admission, after which they disappeared. The doctor noted an improvement in the work of the heart (I have chronic angina pectoris), as well as a decrease in blood pressure. I haven't finished the full course yet, but my dosage has already been reduced.
Advantages:
- effective
- great price
Disadvantages:
- a doctor's consultation is required
- there are many nuances in the application
For the discovery of this group of drugs, the Nobel Prize in Medicine was awarded in 1988. Namely, for the group of beta-blockers, which include the drug Atenolol, one of my favorite drugs for ambulance. But it can also be taken continuously - as prescribed by a cardiologist, for example, in case of heart disease, arrhythmias or hypertension.
I take this drug very rarely, when my blood pressure rises against a background of stress, when my head hurts, heartbeat and bullets increase (an increase in heart rate in the medical language - tachycardia). By nature, I am a very calm person, so this happens literally a couple of times a year. Unfortunately, no one is protected from stress. And always in such cases, a pill or half a pill of Atenolol saves me, depending on the pressure. Improvement occurs in 30-40 minutes, and the pressure begins to decrease after 20 minutes.
The cost in pharmacies is now about 5 Ukrainian hryvnyas (about 15 rubles) for 20 tablets. In my photo, the price is 3, 50 UAH, since I bought the packaging back in 2012. As you can see, I personally have enough of it for a long time.
Separately, I note that the action of Atenolol, in addition to lowering the pressure, also consists in slowing down the pulse. Therefore, if you have a resting heart rate of 60-70 beats per minute or less, this drug should not be taken, it may be even worse. Therefore, the drug is not suitable for everyone!
Be sure to consult a doctor before using Atenolol. Preferably a cardiologist or a competent therapist, since there are many nuances in its appointment. And even if the drug suits you, you need to choose the right dose. It is undesirable to take with chronic diseases of the lungs and bronchi, with diabetes mellitus, during pregnancy. Or, depending on the degree of the disease, other drugs from this group of beta-blockers may be prescribed. And with prolonged use, the drug must be canceled gradually, also under the supervision of a doctor.
The only drug that really helps with palpitations. With depression, the heart thought would jump out, the pressure was normal, and the pulse was off scale. I tried everything, but this one helped, now if I drink something in half and that's it
The husband often has high blood pressure, after the examination the doctor prescribed the necessary treatment. But sometimes it happens that the pulse is high, and here we always have Atenolol for this case. He drinks not in a course, but purely, if necessary, he helps very well, brings the pulse back to normal literally within half an hour. A very good drug indeed.
I was diagnosed with hypertension several years ago. Although there have been rises in pressure before, when I get nervous. But then the pressure grew constantly, my heart trembled, flies were circling before my eyes. At some kind of prophylactic examination, they measured him and sent him to be examined. I got a consultation with a cardiologist, where I was advised to change weight, food and start treatment, otherwise there will be trouble. Atenolol was prescribed to lower the pressure. This medication is a beta-blocker, which is prescribed to most patients and at different stages of the disease. Their main advantage is that they are good at reducing pressure, regardless of physical mobility. Besides, there is no getting used to them.
From the negative nuances, my throat began to sore and constantly dry in my mouth, I had to carry lozenges everywhere with me. Although it is written that this agent is better tolerated than other beta-blockers, because it selectively affects the receptors of the heart.
The doctor said that you cannot immediately stop taking the pills, otherwise there may be a sharp drop in pressure. But I'm not going to stop yet. I changed the daily routine, lost a little weight, drink Atenolol and constantly monitor the pressure numbers. And everything is fine with me. Therefore, you need to go to the doctor, pick up a normal medicine for yourself, and not suffer from pain in the heart.
Attention! Before using medicines, consult a specialist!
Advantages:
- good
- quick result
- availability
Disadvantages:
- side effects
- contraindications
I don't want to talk about pills on New Year's Eve. But it just so happened ... I did not know what high blood pressure is for many years. I mostly have low blood pressure and I have learned to increase it. Of course I had high blood pressure, but not very high. The increased pressure was only a couple of times.
A few weeks ago, I had a severe headache. The pain was strange, incomprehensible. At that time I was at home and decided to measure my blood pressure. From the numbers that the device showed me, it became even worse and scary. 148 to 103 is no joke. I had to call a doctor to the house. I was not able to reach it on my own. The doctor prescribed me several types of pills. Among them was this drug:
I don't know how much it costs. I didn't go to the pharmacy, but definitely not more than a hundred rubles.
The box contains detailed instructions for use. It turns out that this drug is prescribed not only for high blood pressure, but also for angina pectoris, heart attack, etc.
This drug is not suitable for everyone. There is a large list of contraindications: pregnancy, old age ...
The dosage of taking the drug should be prescribed only by a doctor, depending on the disease. Atenolol Nycomed is sold without a prescription, but I do not recommend buying it and taking it without a prescription !!
I took the capsules before meals, washed it down with water without chewing. My blood pressure is now normal. My working pressure is 100 to 70. After I started taking this drug, my pressure jumps to a maximum of 110 to 70. So it helped me quickly and did not cause side effects.
Do not get sick and stay healthy! Thank you for your attention to my review.