We establish the correct dosages and types of drugs for the treatment of angina pectoris

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2017.06.21
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Ischemia

Heart diseases cause a person to seek help from a doctor more often, because sometimes the pain in the chest becomes simply unbearable. If one person is already standing in the doctor's office with the first ailments, then others wait until the moment when there is no more urine. One of such diseases, which can suddenly declare itself, is angina pectoris. In order not to be afraid for health, it is necessary to know how to treat angina pectoris. What drugs are better?

Content

  • What is this disease?
  • Symptoms
  • Preparations for the treatment of "angina pectoris"
    • Anti-money funds
    • Nitroglycerine
    • Isosorbide dinitrate
    • Calcium antagonists and beta-blockers
  • Drugs thrombosassing
  • Preparations with antiatherosclerotic action
  • Novelties in the field of production of medicines for hypertension and angina pectoris

What is this disease?

Angina pectoris represents a cardiovascular disease that develops as a result of coronary heart disease. The myocardium receives less than the required blood volume because of clogged blood vessels. The blood can not flow properly through the blood vessels properly, as they are blocked by sclerotic plaques. The lumen of the vessels decreases, and this is fraught with the appearance of a number of other serious diseases of the cardiovascular system. If the time to begin treatment of angina pectoris, then you can prevent the occurrence of an early stroke or heart attack. What medications should I take with angina?

Symptoms

Angina in the people has the second name "angina pectoris since the disease is due to a list of characteristic symptoms:

  • piercing pain in the chest,
  • the appearance of hypertension (headache, weakness in the legs, dizziness);
  • excessive sweating;
  • dyspnea;
  • pallor of the skin;
  • cold sweat all over the body;
  • uneven heart rhythm (arrhythmias and tachycardia),
  • cyanosis of the hands, lips, legs.

The list can be replenished. With angina in adults, pain is localized in the right side of the sternum, but can be given to the left side, neck or shoulder.

Attack of angina pectoris

The disease "angina pectoris" is accompanied by a feeling of compression behind the breastbone. This kind of pain, many cores are not confused with any other.

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Important! If the pain appears due to heavy physical exertion, then this may indicate the presence of coronary heart disease.

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Diagnosis of angina pectoris, or "pectoral toad should be conducted by a cardiologist. To accurately diagnose, the doctor needs to clarify the localization of pain and conduct ECG, exclude sternal injuries, the occurrence of intercostal neuralgia and myocardial infarction. Hypertension is a concomitant disease.

Preparations for the treatment of "angina pectoris"

Preparations for the treatment of angina are prescribed by the attending physician. It is forbidden to engage in self-medication. If the dose of the medicine is incorrectly set, it is possible to increase blood pressure or aggravate the situation. Hypertension promotes the development of cardiovascular diseases.

Preparations for angina pectoris are divided into three main groups:

  • with antianginal properties,
  • with a thromborassation effect,
  • with antiatherosclerotic action.

The medicine for angina pectoris at elevated pressure with an anti-anginal property is responsible for increasing the amount of oxygen in the blood. Drugs reduce the need for cardiac muscles in oxygen. This group includes three more types of drugs: nitrates, beta-blockers and calcium antagonists.

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Important! An increased level of cholesterol in the blood says that blood vessels have thrombi. This dramatically increases the risk of stroke or heart attack, so for the treatment of angina drugs with tromborassasyvayuschim and antiatherosclerotic effect.

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Vessels with plaques

Earlier doctors put droppers, but now there are preparations which can be accepted in the form of tablets.

Anti-money funds

Preparations for stenocardia of this group are issued in different formats. They can be purchased in the form of:

  1. capsules with prolonged effect,
  2. spray,
  3. tablets,
  4. plaster,
  5. films,
  6. ointments.

This diversity is due to the wide demand. A person should be comfortable to use the chosen remedy, regardless of work or lifestyle. But it is worth considering that the drugs do not treat the disease, but prevent the attack. Over time, the body can get used, so you can not increase the dosage yourself.

Nitroglycerine

Nitroglycerin is the main active substance that is part of the antianginal drugs. This name is also for the drug of the same name. Nitroglycerin is in the composition of Deponite, Gilustenon, Nitradisk and Nitrogin. Depending on the method of application, the frequency of use of such means is different:

  • Means in the form of tablets are placed under the tongue. The effect comes in 2-3 minutes. Such a tool helps to quickly remove the pain syndrome. The duration of exposure of one tablet reaches 30 minutes.
  • The spray is simply sprayed through the mouth. Starts acting after 1 minute.
  • Films are glued to the mucous membrane of the mouth. Operate no more than 3-4 hours.
  • Capsules must be drunk on a regular basis. Dosage is calculated by the doctor.
  • Plasters or ointments are applied to dry skin, but the effect is not as effective as capsules or spray.

Isosorbide dinitrate

This form of antiaginal drugs is in the form of a capsule, a spray or tablets. Isosorbide dinitrate is a part of Nitrosobid, Isoket or Izolong. Assign 20 mg 2-3 times a day. Take 2 hours before meals or after. If the doctor observes a poor recovery, the dose is increased to 120 mg per day. To the body is not accustomed to the drug, after 1 month replace the analog. Drink according to the updated scheme, since in the new preparation there may be another dosage of the basic substance.

Calcium antagonists and beta-blockers

Calcium antagonists help to relieve vasospasm. They lower blood pressure, which favorably affects the heart rate. The heart muscle needs less oxygen, since its work is not as active. Representatives of the group: Nifedipine, Verapamil and Diltiazem. Drink no more than 2 tablets per day.

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Important! During the reception of beta-blockers, it is necessary to regularly monitor the pulse, as it rises. In the norm - 50-60 beats per minute.

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Beta-blockers recommend drinking during meals to reduce possible side effects. The most popular and affordable drug is Anaprilin.

Drugs thrombosassing

A truly effective drug that fights with blood clots is Aspirin - acetylsalicylic acid, which can adversely affect the gastric mucosa.

Clopidogrel

For people with an individual intolerance to this substance, doctors prescribe Clopidogrel. His impact is not so aggressive, but with angina copes better. At cost is considered average, as 28 tablets Klopidogrel cost 400-500 rubles.

Preparations with antiatherosclerotic action

This group of drugs is called statins. These substances fight harmful cholesterol in the blood. When its amount is excessive, cholesterol settles on the walls of the vessels, forming atherosclerotic plaques. Reception of such drugs is carried out in the evening, as it can cause soreness in the muscles and nausea. Representatives of this group are: Atorvastatin, Rosuvastatin, Fluvastatin. Assign drugs only after a blood test for cholesterol.

Statins

The listed medicines are basic. Specific drugs for the treatment of angina pectoris, their doses should be prescribed and strictly controlled by a cardiologist. Do not increase dosage yourself or buy analogues yourself. In addition to the main active substance in the preparation there may be elements that cause side effects and complications.

Novelties in the field of production of medicines for hypertension and angina pectoris

Preparations for angina pectoris at high pressure should be prescribed taking into account all contraindications and previous intake of medicines. The main thing is an integrated approach to the choice of treatment. The principles of treatment for angina and blood pressure failures are similar. Modern pharmacists, who are engaged in the development of antihypertensive drugs, have already put on the flow preparations with a combined composition. This approach helped to rationally approach the problem of the treatment of angina and hypertension. In one preparation now combine:

  • Beta-blocker and diuretic.
  • Beta-blocker and calcium antagonist.
  • ACE inhibitor and diuretic.
  • ACE inhibitor and calcium antagonist.

Absolutely new drugs for fighting the disease "angina pectoris" and increased pressure were antagonists of imidazoline receptors. The world is only waiting for the launch of these drugs in mass production, while these innovations are being developed. Drug treatment for angina and hypertension has become not only affordable, but also effective. Upgrade your health today!

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