What helps Panangin forte: instructions for use

Panangin forte is a medicament that improves metabolic processes in the myocardium.

With a lack of potassium and magnesium in the body, hypertension, heart rhythm disturbances, and sclerosis of coronary vessels can develop. Compared with the usual Panangin, this drug contains more active components.

The medication is indicated for use by people suffering from arrhythmia, heart failure and healthy patients for the prevention of cardiac pathologies. Potassium asparaginate and magnesium asparaginate, which are part of Panangin Forte, are absorbed intensively in the intestine, mainly in the small intestine. They are excreted by the kidneys.

Clinical and pharmacological group

The drug that replenishes the deficiency of potassium and magnesium in the body.

Conditions of leave from pharmacies

Released without a doctor's prescription.

Price list

How much does Panangin forte in pharmacies cost? The average price in 2018 is at the level of370 rubles.

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Form of issue and composition

The drug is only available in tablet form. The color of the dragee is white or beige. Each capsule is covered with a film sheath, because of which its surface becomes uneven and shiny. One tablet has the following components:

• potassium asparaginate 280 mg;
• magnesium asparaginate - 316 mg;
• corn starch;
• potato starch;
• povidone;
• talc;
• magnesium strelate.

The film membrane of the tablets consists of:

• methacrylic acid;
• talc;
• a copolymer;
• macrogol;
• titanium dioxide

Panangin Forte in tablets is issued in special bottles of 60 capsules each.

Pharmacological effect

Thanks to the use of the medicine, it is possible to have a positive effect on the cardiovascular system and the whole organism as a whole. Potassium and magnesium are valuable components that play a crucial role in the formation of connections between intracellular structures and macromolecules in the mechanism of contractility of the human muscle tissue. If the balance in the body of potassium, sodium, magnesium and calcium ions is impaired, myocardial function worsens, which leads to the development of hypertension, atherosclerosis, arrhythmias, cardiac conduction abnormalities and other job failures heart.

Panangin forte promotes the adjustment of metabolic processes, improves the contractile function of the heart muscle, restores the tone of the nervous and muscular structures of the myocardium. In addition, the magnesium content in the preparation helps improve the enzyme reactions of the heart, which provides a normal contractility of the organ, reduces the need for the heart in oxygen. Magnesium also prevents the development of ischemic disease, is an excellent prophylaxis of many complications in heart and vascular diseases.

What is the difference between Panangin fort from Panangin?

The difference "Panangin Forte" from the usual "Panangin" consists primarily in the concentration of active substances. In the first preparation, the content of potassium and magnesium is twice as high, so this medicine is taken by one tablet 3 times a day, in contrast to "Panangin which uses 2 pills three times a day day.

Increased content of active ingredients in the drug "Panangin Forte" affected the price. This drug costs twice as much as "Panangin". The latter, in addition to the tablet form, is available as a solution for injections. This drug has more bioavailability than tablets.

Indications for use

What helps? Panangin Forte is designed to eliminate the deficiency of magnesium and potassium in the body. It is used as part of complex therapy in such cases:

• various manifestations of coronary heart disease, including acute myocardial infarction;
• disorders of the heart rhythm, in particular, arrhythmias due to an overdose of cardiac glycosides;
• chronic heart failure.

Contraindications

The instructions for use contain a description of the diseases in which the use of a medicament is prohibited. They include:

• severe cases of myasthenia gravis;
• cardiogenic shock;
• heart block;
• age of patient under 18;
• Addison's disease;
• personal intolerance of active or auxiliary components of the drug;
• serious kidney pathologies, including chronic, as well as acute insufficiency;
• excess magnesium and potassium. The use of the drug can provoke hyperkalemia, hypermagnesemia;
• any diseases accompanied by dehydration of the body;
• violation of amino acid metabolism;
• severe liver disease.

Women in the period of bearing a child Panangin forte is appointed with extreme caution, especially in the first 3 months of pregnancy. The decision to take the medicine during lactation is taken exclusively by the attending physician if the expected benefit exceeds the risk of developing negative consequences.

Use in pregnancy and lactation

During pregnancy, especially in the first trimester, the drug should be used with caution also if the expected benefit for the expectant mother exceeds the possible risks to the fetus.

Active substances Panangina Forte penetrate into breast milk, so lactating women for the period of treatment should stop breastfeeding.

Dosage and route of administration

The instructions for use indicate that Panangin forte is indicated for oral use. Tablets should be swallowed whole, not liquid, and washed down with sufficient amount of drinking water. Taking medication is recommended after eating, as the acidic environment of the stomach reduces its effectiveness.

• Adults are usually prescribed 1 tablet 3 times a day.

The duration of therapy depends on the indications and is set by the doctor individually.

Side effects

Among the side effects of using Panangin Forte in the instruction note:

• allergic reactions;
• vomiting, nausea and upset of the stool;
• discomfort or pain in the liver in patients with cholecystitis;
• violation of water-electrolyte balance;
• confusion and paresthesia;
• redness of the face;
• lowering blood pressure;
• a constant thirst;
• problems with breathing.

In the case of a significant excess of the recommended dose of Panangin Forte, the probability of hypermagnesemia and hyperkalemia increases.

Overdose

The development of overdose is indicated by the following manifestations:

• heart failure;
• fast fatiguability;
• feeling of shatter;
• muscle weakness;
• sensation of running along the body;
• impaired consciousness.

In particularly severe cases, lethargic sleep, coma may develop. Treatment is usually done with the use of symptomatic therapy, sometimes hemodialysis is necessary.

special instructions

Before taking the drug, the patient should consult a doctor.

Caution is necessary to prescribe the drug to patients with an increased risk of hyperkalemia. In this case, it is necessary to regularly monitor the level of potassium ions in the blood plasma.

Drug Interactions

When using the drug, it is necessary to take into account the interaction with other drugs:

1. Hyperkalemia (including asystole and arrhythmia);
2. calcitriol: Magnesium increase in blood;
3. group GCS: elimination of hypokalemia, provoked by GCS;
4. anesthetics: oppressive action of magnesium agents on the central nervous system;
5. calcium drugs: lowering the effectiveness of magnesium products;
6. cardiac glycosides: potassium is able to reduce their negative effects;
7. polymyxin B, streptomycin, neomycin, tetracycline: magnesium in the composition lowers their effective effect;
8. decamethonium, suxamethonium, atracuronium, succinyl chloride: it is believed that the increase in the musculoskeletal blockade is considered;
9. means with antiarrhythmic efficacy: tablets (potassium in the composition) increase their batmo- and dromotropic negative effects;
10. diuretics of potassium - sparing type, heparin, beta - adrenoblockers, ACE inhibitors, cyclosporine, NSAID group: probability
11. enveloping or astringent medicinal substances: a decrease in the absorption of elements Panangin forte. It is important to maintain the interval between the intake of tablets and these substances for at least 3 hours.

Reviews

We picked up some reviews of people who used the drug Panangin forte:

1. Lydia. Many years I suffer from increased pressure, I take diuretics. Recently, his legs began to ache heavily, the doctor advised him to drink potassium preparations - Asparcum or Panangin. Abstract for these capsules I was studied very carefully, since each drug may have contraindications. After treatment, it became easier for a while, but convulsions and pain persisted. I switched to the drug twice the dosage. After that, I completely forgot about the pain, and my general well-being improved.
2. Maria. After she underwent myocardial infarction, I was assigned to take Panangin forte. Although these capsules are expensive, but it's worth it. Packaging is large and convenient, I had one for the full course. Of course, I not only took it, but after 2 weeks I was discharged home in a satisfactory condition.
3. Veronica. Nothing bad about the drug I can not say, only good! Assigned as part of complex therapy for heart rhythm disturbances. The potassium and magnesium ions in the drug have a beneficial effect on the heart muscle and the general condition after taking the medication I only always improves. I took the pill only after eating.

According to the patients' reviews, Panangin Forte is a relatively inexpensive and effective tool that helps to normalize the heart, including heart rhythm and blood pressure. To the disadvantages, some include the impossibility of using the drug in patients with kidney disease, as well as the large size of the tablets and, as a consequence, the inconvenience of their administration.

Cardiology reviews of these tablets are only positive. Doctors say that the medicine helps to normalize the work of the heart and cope with pain in the chest, replenishes the lack of potassium and magnesium, can be used to prevent the deficiency of these components. Because of the increased content of active substances, this drug is more effective than the usual "Panangin".

Analogues

Structural analogs for the active substance:

• Asparks;
• Asparks-L;
• Asparks-UBF;
• Asparks-Farmak;
• Potassium and magnesium asparaginate Berlin-Chemie;
• Pamaton.

Before using analogues, consult your doctor.

Storage conditions and shelf life

The temperature should not exceed 30 degrees. The manufacturer indicates that storage is allowed only for 2 years period, but not longer than the date indicated on the secondary cardboard box and on each blister with tablets. Are selected places that are inaccessible to children and as dry as possible.

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