At what pressure is Atenolol appointed? Instructions and references

Atenolol is a very popular medical drug used to treat heart disease.

It has an overall anti-anginal effect on the body, as well as an antiarrhythmic and hypotensive effect. Particularly valued for the ability to reduce the heart rate, reduce the excitability or contractility of the myocardium, and also minimizes the need for myocardium in oxygen.

On this page you will find all information about atenolol: full instructions for use on this medicated medium, average prices in pharmacies, complete and incomplete analogs of the drug, as well as reviews of people who have already applied Atenolol. Want to leave your opinion? Please write in the comments.

Clinical and pharmacological group

Beta1-adrenoblocker.

Conditions of leave from pharmacies

It is released on prescription.

Price list

How much is Atenolol? The average price in pharmacies is at the level of25 rubles.

Form of issue and composition

The drug Atenolol is available in tablet form from 14 to 100 pieces in one package.

• Contains in its composition an active component of atenolol (in 1 tablet 25, 50 or 100 mg of this substance).
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• Additional elements: calcium hydrogen phosphate, propyl parahydroxybenzoate, sodium carboxymethyl starch, starch, silicon dioxide, methyl parahydroxybenzoate, magnesium stearate, talc.

Pharmacological effect

The drug blocks nerve impulses, which is the reason for the decrease in the frequency and strength of the heart contractions. Many reviews about Atenolol are confirmed by such pharmacological properties as pressure reduction (hypotensive effect), elimination of cardiac rhythm disturbances (antiarrhythmic effect), elimination of symptoms of myocardial ischemia (antianginal impact).

During the first day after taking the drug, a reactive increase in the total peripheral resistance of blood vessels is observed against a background of a decrease in cardiac output. But within a few days the severity of this action begins to decline. The hypotensive effect is manifested by a decrease in the minute and shock volume, the greatest and lowest arterial pressure due to the action of the active substance of the drug.

Reviews about Atenolol say that the pressure decrease under the influence of the drug lasts for average 24 hours, and if you apply it regularly, then after a couple of weeks or two results stabilize.

Indications for use

As an independent drug:

• Arrhythmias of different origin;
• Elimination of trembling of limbs;
• Treatment of angina pectoris;
• High blood pressure;
• Perforation of the mitral valve;
• Treatment of ischemic heart disease;
• Treatment of myocardial infarction and its prevention;
• Trembling of limbs and a strong emotional arousal with withdrawal syndrome.

As part of the drug complex:

• Treatment of pheochromacytoma;
• Prevention of migraine attacks;
• Multiple violations of the heart muscle associated with an increase in the mass of the myocardium;
• Increased concentration of the thyroid hormone.

Contraindications

Doctors prescribe medication with caution, with such diseases as:

• there is an allergic reaction in case of anamnesis;
• acidosis (metabolic);
• depression;
• psoriasis;
• diabetes;
• hypoglycemia;
• emphysema of the lungs;
• Raynaud's syndrome;
• myasthenia gravis;
• elderly age;
• pregnancy.

The drug is contraindicated in many diseases, such as cardiogenic shock, atrioventricular block, weakness syndrome sinus node, bradycardia, acute chronic heart failure, arterial hypotension, during lactation, cardiomegaly (no signs of heart failure - cardiac insufficiency). It is unacceptable to take the drug together with monoamine oxidase inhibitors and with increased sensitivity to Atenolol. Not intended for admission to children under 18 years of age.

Application in pregnancy and lactation

Atenolol penetrates the placenta, so it is not recommended to prescribe during pregnancy (especially in the first trimester), and even when planning pregnancy, tk. the drug can cause fetal immaturity, delayed development and growth of the fetus, premature birth or intrauterine death the fetus.

The drug may lead to a decrease in blood glucose and bradycardia (a reduction in the number of heartbeats) in the fetus and newborn baby. Therefore, if you need to use Atenolol in the III trimester of pregnancy, you need to ensure constant monitoring of the doctor. Apply it is permissible in cases of excess effect for the mother over the potential risk to the fetus.

If the need to prescribe Atenolol occurs during breastfeeding, breast-feeding should be discontinued.

Instructions for use

The instructions for use indicate that Atenolol tablets are swallowed without chewing, squeezed with a small amount of liquid, before eating, preferably at the same time. Doses of the drug and the duration of treatment the doctor sets individually, depending on the therapeutic effect obtained.

1. Chronic stable and unstable angina: usually prescribed 100 mg of atenolol 1 time per day or 50 mg, which are taken 2 times.
2. Myocardial infarction after intravenous injection, after 1: 0 after injection, 50 mg orally and 100 mg after 1: 0 are prescribed.
3. Supraventricular (supraventricular) and ventricular (ventricular) arrhythmia drug is prescribed 1-2 times a day for 50-100 mg.
4. Arterial hypertension: treatment, as a rule, begins with the application of 100 mg once a day. Some patients are 50 mg per day. The effect is observed after 2 weeks. In the case of inefficiency, atenolol is used together with diuretics.

The maximum daily dose is 200 mg.

Patients on hemodialysis should be administered 50 mg after each dialysis. This should be done in a hospital environment, as there may be a marked decrease in blood pressure.

In patients with significant renal dysfunction, the doses of the drug depend on the level of creatinine clearance (CC): with QC 10-30 ml / min dose is reduced by a factor of 2 (50 mg per day or every other day), and in the case of CC less than 10 ml / min, doses are reduced 4-fold as compared to usual.

Side effects

At adenolol reception such possible side effects are possible:

• Organs of the senses: inflammation of the conjunctiva of the eyes, decrease in the release of tear fluid;
• Reactions of hypersensitivity to Atenolol: itchy skin;
• Endocrine system: lowering of blood glucose level;
• Exchange processes: increased sweating;
• Respiratory system: the appearance of symptoms of constriction of the bronchial tree;
• Reproductive system: decreased potency;
• Central and peripheral nervous system: fatigue, depressive syndrome, sleep disorders, involuntary muscle contractions of the limbs, dizziness, mild headaches, cold sensation in the limbs, a decrease reactions;
• Digestive system: dry mouth, nausea, upset stomach, vomiting;
• Cardiovascular system: lowering of arterial pressure, symptoms of functional insufficiency myocardium, a decrease in heart rate, a violation of the conduction system of the heart, redness of the skin.

The severity and incidence of side effects directly depends on the dose.

Overdose

Symptoms when used in excess of the drug dose: can be caused by a sudden increase in difficulty breathing, fainting, dizziness, convulsions, etc.

Help with these conditions can be as follows: rinse the stomach, use adsorbing drugs. Also, you can take some medications depending on the overdose symptoms.

special instructions

With special caution appoint the use of Atenolol in groups of patients suffering from a number of diseases such as:

1. chronic heart failure;
2. myasthenia gravis;
3. hypoglycemia;
4. psoriasis;
5. obstructive pulmonary disease, including chronic;
6. liver failure;
7. diabetes;
8. peripheral vascular disease (obliterans);
9. depression;
10. pregnancy.

Special control is required for elderly patients, as well as for people who have an allergic reaction in their history.

Drug Interactions

1. Simultaneous reception of Atenolol and cardiac glycosides can provoke a bradycardia.
2. In the event that intravenous guidance of the drug Verapamil is required, this can be done no earlier than 2 days after the last Atenolol tablet was taken.
3. Simultaneous use with hypotensive drugs of other groups and nitrates may cause increased hypotensive effects.
4. It is not recommended simultaneous use with eufillin because of the risk of reducing the pharmacological effect of both drugs.
5. When used simultaneously with lidocaine, the risk of developing toxic effects increases.
6. Atenolol is contraindicated to be used simultaneously with MAO inhibitors.
7. Simultaneous use with verapamil increases the risk of cardiovascular depressions.

Compatibility with alcohol

Pharmacists have not yet created such drugs that can be combined with "hot drinks" and not be afraid of the consequences. With drugs that reduce blood pressure, such jokes are especially bad. After taking Atenolol, you should refrain from drinking at least 12 hours. Otherwise, the pressure may drop sharply, sudden weakness and nausea, until fainting. Before the operation under anesthesia, the drug should be excluded from the course of therapy for 48 hours.

Reviews

There are a lot of reviews about the drug, and not all of them are good. However, dissatisfaction with Atenolol usually comes down to the fact that the patient has side effects, which means only that the drug is not suitable for a person because of individual features.

In favorable responses, it is noted not only the availability of the remedy, but also the fact that the drug has not lost its properties for many years, helping to cope with illnesses. The most important rule is the strict adherence to the recommendations of doctors. In this case, the appearance of side effects is unlikely.

We picked up some feedback from people about the drug Atenolol:

1. Love. I accept recently. From the first day - great results. The pulse decreased. pressure yet140 / 80. But for me the most important thing is no attacks of atrial fibrillation and there is no need to constantly take a deep breath that exhausts.
2. Yuri. The doctor said that atenolol is a harmful medicine, and appointed a non-ticket instead. I checked on the Internet - indeed, raises blood sugar, bad cholesterol, weakens potency. I bought a non-ticket in the pharmacy, tried to take 5 mg per day, but in a few days I became convinced that it was weaker. I started to increase pressure, so I had to go back to atenolol.
3. Alice. Pressure keeps in norm or rate is remarkable. But take it better course, then change.
4. Olga. My mother has been suffering from arrhythmia for 5 years now. Initially, the doctor after all the examinations prescribed to her Atenolol, motivating that he is very effective and there is nothing superfluous. The first week of using this drug my mother suffered well, but then dizziness, nausea, and sleep disturbances began to appear. The doctor after that appointed her another medicine - Amiodarone, he had no side effects appeared
5. Christina. By the appointment of a doctor, I take atenolol nycomed from palpitation and panic attacks. I drink low doses - in the morning and in the evening to 1, mg. Tablets help, but sometimes I feel their side effects - weakness, dry mouth, constipation. I know that the drug is harmful for metabolism, but I'm still afraid to give it up. I'm worried that panic attacks will start again

Analogues

Analogues of Atenolol are:

• By active ingredient: Betacard, Vero-Atenolol, Atenolol-Teva;
• By the mechanism of action: Aritel, Betak, Bidop, Bisogamma, Bisoprolol, Vazocardin, Concor, Corvitol, Cordanum, Lokren, Metocard, Metoprolol, Nebivator, Nebikor, Serdol, Tirez, Egilok S and others.

Before using analogues, consult your doctor.

Storage conditions and shelf life

Store in a dry place inaccessible to children at a temperature not exceeding 30 ° C. Shelf life - 3 years. Do not use after expiry date.

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