Indications for the use of "Prestarium". Description of the drug, side effects, analogues

Arterial hypertension is a fairly common vascular pathology. Hypertension, as it is also called, occurs at any age. This is a serious disease that requires careful treatment and control. Increased pressure is fraught with complications, which can lead to a significant deterioration in the state of health, lethal outcome. If you feel worse, you need to see a doctor to get a check-up and start taking antihypertensive drugs.

On the modern pharmaceutical market, a huge number of medicines are presented, which can bring pressure back to normal in a short time. One of the most popular and effective means for hypertension is the preparation "Prestarium A" (10 mg). Instructions for use describe how to properly take the remedy.

Basic data

The medication is in the form of white or green capsules. The color of the drug depends on the dosage of the drug. The main element in the composition of the drug "Prestarium A" is perindopril arginine in the amount of 2.5, 5 and 10 mg. The drug refers to a group of antihypertensive drugs that are considered ACE inhibitors. The drug has the following types of effects on the body:

• Vasodilating effect;
• Reduces the secretion of aldosterone;
• In a supine and sitting position, diastolic and systolic pressure decreases;
• Decreases OPSS, which subsequently helps to reduce pressure;
• Accelerated peripheral blood flow;
• The drug has no withdrawal syndrome;
• Restores the structure of the arteries;
• Reduces hypertrophy of the left ventricle.

A medication is also prescribed for heart failure. The instruction for use must be studied before the beginning of therapy of the preparation "Preterium". At what pressure tablets are prescribed and in what dose, the doctor will tell.

When to use the medicine?

The medicine has the following indications:

• hypertonic disease;
• Heart failure (chronic);
• Prevention of stroke;
• ischemia.

Also, the drug is prescribed to reduce the likelihood of complications after cardiac surgery.

Contraindications:

• Propensity to an allergic reaction, Quincke's edema in the anamnesis;
• Hereditary angioedema ;
• Kidney failure;
• diabetes;
• Lactose intolerance;
• Period of gestation;
• The period of breastfeeding;
• Underage age;
• Hypersensitivity to the elements in the composition of the drug;
• Connective tissue diseases;
• Reception of diuretics, potassium-containing agents;
• Hypertrophic obstructive cardiomyopathy;
• Kidney transplantation.

Before starting therapy, it is necessary to study in detail all contraindications, which concern the medical device "Prestarium". From pressure, the drug is administered in an individual dosage, taking into account the severity of the disease.

Dosage

The medicine is taken in the morning, at the same time. The daily rate depends on the clinical situation and the degree of decrease in pressure on the background of therapy. You can start taking the dosage of the "Prestarium" tablets 5 mg and gradually, if necessary, increase it. The drug is used for both monotherapy and in combination with other antihypertensive drugs. The maximum daily allowance should not be more than 10 mg. If the patient drinks diuretics together, then the medicine for pressure is administered at the lowest dose. Patients with cardiac pathology are prescribed a similar drug.

There is no reliable data on drug overdose. In exceptional cases, the following symptoms may develop:

• Cardiogenic shock;
• Sharp decrease in pressure;
• cough;
• anxiety;
• tachycardia;
• Kidney failure.

If an intoxication has occurred, the patient should be washed the stomach, take absorbent and begin to restore the water-electrolyte balance by means of infusion therapy. Such measures should be carried out with the preparation of Prestarium. The price of the drug in pharmacies in Moscow is about 460 rubles per package.

Drug Interactions

You can not take the drug together with the following medicines:

• Aliskiren and aliskiren containing agents;
• Potassium-sparing diuretics;
• Potassium salts;
• Immunosuppressants;
• "Heparin";
• Estramustine;
• Lithium preparations;
• Hypoglycemic agents;
• "Baclofen";
• Antidepressants;
• "Aspirin";
• Sympathomimetics.

The hypotensive effect can be intensified with simultaneous use with other antihypertensive drugs, vasodilators, including nitrates of short and prolonged action.

Adverse events

Only on the appointment of a specialist should take the drug "Prestarium". Side effects can develop if the doctor's recommendations are not observed. The following symptoms should be cautious:

• Paresthesia;
• migraine;
• noise in ears;
• A strong reduction in pressure;
• drowsiness;
• Impaired vision;
• cough;
• Bronchospasm;
• asthenia;
• Pain in the chest.

Such side effects are typical for the maximum dose of the drug "Prestarium A" - 10 mg. The instructions for use describe when symptoms should increase the daily dosage of the medication.

If you can not find the drug in the pharmacy, the specialist will be able to find a suitable substitute. The most popular analogs will be described below.

Bi Prestarium

The drug belongs to the group of combined drugs for the treatment of hypertension. The composition includes perindopril and amlodipine. The drug has similar indications for use. "Prestarium" and "Bee Prestarium" are practically the same.

The drug has the following effects:

• Reduces the pressure (while the frequency of cardiac contractions does not change);
• Increases peripheral outflow;
• Increases the outflow from the kidneys;
• Lowers hypertrophy of the left ventricle;
• Increases the elasticity of large arteries;
• Widens the lumen of blood vessels;
• Restores blood flow in the coronary vessels;
• Reduces afterload on the myocardium;
• Increases tolerance to physical exertion;
• Reduces the risk of cardiovascular failure.

The Bee Prestarium quickly helps to normalize the pressure readings. If the patient does not have a positive therapeutic effect, the doctor prescribes additionally taking an antihypertensive drug of another group. This is the only way to achieve the desired result and improve the state of health of hypertensive patients. The positive effect is noticeable within a few hours after taking the medicine.

When is the drug used?

The tool has the following indications:

• arterial hypertension;
• Cardiac pathology.

Contraindications to the reception of means "Bee Prestarium":

• Hypersensitivity to the components in the drug;
• Lactose intolerance;
• Hereditary angioedema;
• Acute myocardial infarction;
• pregnancy;
• lactation;
• Violation of the function of hematopoiesis;
• Reception of immunosuppressants.

Identical contraindications have the drug "Pre-Stearium". The effect of these two drugs is based on the reduction of pressure and normalization of the heart.

The medication is prescribed for oral administration. The tablet is covered with a special protective film, so it is not recommended to chew it. It is necessary to drink the medicine in the morning, after breakfast, preferably at the same time. The dosage of the drug depends on the severity of the disease, the individual characteristics of the patient's body. Daily allowance should not be more than 10 mg. The same dosage is typical for the drug "Prestarium" (10 mg, as we already mentioned, the maximum dose). Exceeding this rule can lead to the development of side effects.

The drug "Perineva"

The drug refers to drugs - ACE inhibitors. Produced in the form of white tablets in a dose of 4 and 8 mg. The drug includes perindopril erbumine.

Act:

• Reduces diastolic and systolic pressure;
• Accelerates peripheral blood flow;
• Reduces OPSS;
• Strengthens renal outflow;
• Reduces hypertrophy of the left ventricle.

Those who do not know what to replace the "Preterium", it is worth using the "Perineva" tool.

Indications:

• Chronic heart failure;
• arterial hypertension;
• Prevention of recurrent stroke in patients with cerebrovascular pathologies;
• IHD. Reducing the risk of heart and vascular disease.

Indications for use "Prestarium" and "Perineva" are similar. But use any medication is necessary only after consulting a doctor.

Contraindications:

• If there is an angioedema in the anamnesis of various etiologies;
• Intolerance of lactose of a hereditary nature;
• Age to 18 years;
• Renal and hepatic impairment;
• pregnancy;
• lactation;
• Acute myocardial infarction.

With caution appoint tablets for diabetes, blood diseases, low blood pressure. It is worthwhile to carefully study all the contraindications for taking Perineva and Prestarium medications. The price of medicine in pharmacies in Moscow is about 260 rubles.

Dosage of the preparation "Perineva"

The medicine is used once a day, in the morning, after eating. It is recommended first to start to drink 4 mg of the drug, then, if necessary, increase the norm to 8 mg. For elderly patients, the dose should not exceed 2 mg.

Overdose can lead to the development of the following symptoms:

• Marked decrease in pressure;
• Violation of water and electrolyte balance;
• anxiety;
• cough;
• tachycardia;
• Kidney failure.

To eliminate the symptoms of an overdose, it is necessary to administer drugs to the patient to stabilize the pressure and normalize the electrolyte metabolism. Care should be taken to keep the dosage prescribed by the doctor for the drugs "Perineva" and "Prestarium". The instructions for the use of these tablets contain data on the composition and characteristics of the reception.

Interaction with other medicines. Storage conditions

You can not share:

• Diuretics;
• Potassium-containing foods and supplements;
• Means with lithium;
• "Aspirin";
• Hypoglycemic drugs;
• Sympathomimetics.

The drug is stored at a temperature of not more than 25 degrees in a place inaccessible to children. The pharmacy is released on prescription.

Means Perindopril

The ACE inhibitor has a vasodilating property, reduces the afterload of the myocardium, increases the minute volume of blood and tolerates physical activity. Indications for the use of "Prestarium" and "Perindopril" are also very similar.

The medicine is prescribed for such pathologies:

• Chronic heart failure;
• arterial hypertension.

Contraindications:

• Angioneurotic edema of various etiologies;
• pregnancy;
• lactation;
• Hypersensitivity to the main substance.

Dosage of Perindopril

The initial dose of the drug can be from 1 to 2 mg per day at a time. It is necessary to try to drink the medicine at the same time and wash down with a small amount of water. With heart failure, the dose is from 2 to 4 mg per day. With hypertension, the maximum rate should not exceed 8 mg.

It is not recommended to share with the following substances:

• Muscle relaxants;
• Loop diuretics;
• Tricyclic antidepressants;
• Sympathomimetics;
• "Indomethacin";
• "Insulin";
• Potassium-containing products.

If the doctor's recommendations are not followed, the following side effects may develop:

• dry cough;
• A taste disorder;
• diarrhea;
• Convulsions;
• dizziness;
• migraine;
• Itching;
• rash;
• Sexual disorders.

Before the start of treatment, the indications for use must be studied. "Prestarium", "Perindopril", "Perineva" - all these drugs are able to normalize the state of hypertension. But self-medication is not worth it. Any drug should be prescribed by a doctor.

special instructions

All described drugs are prohibited for prescription in childhood. The product should be stored for no more than two years at a temperature of 25 degrees in a dark place inaccessible to babies. If there is a violation of the kidney function, you need to adjust the dose of the medicine and do the appropriate tests. During the treatment process, one should refrain from hemodialysis using polyacrinonitrile membranes. Patients with a low sodium and liquid content should be prevented water-electrolyte disorders.

All patients with a diagnosis of "essential hypertension" need to monitor the pressure indicators twice a day. All data should be entered in a notebook and provided to the therapist at the reception. According to these results, the doctor will be able to revise the dosage of the drug. If there is a need, then the daily rate should be raised to the maximum values to improve the patient's condition.

Periodically, the patient is prescribed to undergo ECG procedure, which allows to track changes in the left ventricle of the heart. Only by joint efforts of the doctor and the patient can the process of hypertension be suspended, thereby prolonging the patient's life. It is worth considering that hypertension requires regular therapy. Many people have to drink pills for life.

Detailed information about the "Preterium" means the instruction for use. At what pressure to take pills, when the therapy is to be abandoned, the doctor will be able to tell everything about everything. Neglect recommendations is not worth it.