In the article we will consider the instructions for use, analogues and reviews for the tool “Prestarium”.
It is an ACE inhibitor orangiotensin converting enzyme. It is prescribed to lower blood pressure. This condition is most dangerous for patients with heart failure. The drug allows you to maintain the patient's condition is normal. Reviews of "Prestarium" abound.
Indications
There are several pathological conditions in which "Prestarium" is assigned. All these diseases are accompanied by a systemic increase in blood pressure. These include:
1. Arterial hypertension of an isolated type.
2. To reduce the risk of re-stroke caused by a sharp increase in blood pressure.
3. Prevention of complications of the cardiovascular system, which are associated with the formation of blood clots inside the vessels.
Еще одним показанием для назначения препарата is heart failure, wearing a chronic form. The drug can reduce the functional load on the heart through the normalization of blood pressure. This confirms the instruction. The feedback on Prestarium is mostly positive.
Contraindications
There are a number of physiological and pathological conditions when taking is contraindicated. These states are:
one.Angioedema caused by a drug previously taken from the group of ACE inhibitors. It is expressed in the form of edema of various tissues, which is caused by the increased permeability of the vascular walls as a result of an allergic reaction.
2. Angioneurotic edema of an idiopathic or genetically determined species.
3. The combination of drugs that include aliskiren. This is especially true for patients with renal insufficiency or diabetes.
four.Lactase deficiency, glucose-galactose malabsorption, lactose intolerance, as well as other conditions associated with impaired absorption and digestion of lactose carbohydrate, which is part of the "Prestarium".
5. Period of pregnancy and breastfeeding.
6. Individual intolerance to the components of the drug.
7. The age of the patient before the age of 18 years, since the safety of admission for this category has not been established.
8. Reaction to other drugs from the group of ACE inhibitor.
What else does the instruction manual tell us about the “Prestarium”? Reviews consider below.
Cautious reception
There are also a number of conditions in which a drug must be taken with caution. In particular, these include:
1. Bilateral stenosis of arteries in the kidneys.
2. The presence of one working kidney.
3. Pathology of connective tissue of a systemic nature, for example, in case of rheumatism, systemic lupus erythematosus, scleroderma, etc.
4. Reduced circulating blood volume caused by prolonged diarrhea, medication with a diuretic effect, blood loss.
5. Simultaneous use with drugs that suppress the immune system.
6. Diabetes.
7. Diseases of the thyroid gland.
8. Heart failure decompensated type.
9. Simultaneous use with drugs related to potassium-sparing diuretics.
10. During the implementation of surgical procedures, hemodialysis, after kidney transplantation, with hypertrophic obstructive myocardiopathy, etc.
Before you prescribe a drug, a specialist must check the patient for contraindications.
This confirms the Prestarium facility instruction. Reviews about analogues will also be presented.
Instructions
Стандартная схема дозирования препарата – 1 tablet once a day. It is taken in the morning before meals. However, other dosages and regimens are possible, taking into account the nature of the disease and the patient's condition:
1.In case of arterial hypertension, Prestarium is taken on its own or as part of complex therapy. At the beginning of the reception is assigned 5 mg. once a day, after that, if necessary, the dosage may be increased to 10 mg, which is the maximum permissible amount. Some categories of patients, for example, with a reduced volume of circulating plasma, chronic heart failure, a concentration of basic mineral salts in the plasma, and over the age of 75, may be given an initial dosage of 2.5 mg. in a day.
2In the complex treatment of heart failure, which is accompanied by high blood pressure of a systemic nature, 2.5 mg is prescribed. per day. Reception should be carried out under the supervision of a physician. If necessary, the daily dosage may be increased to 5 mg.
3In order to prevent re-stroke of the brain, Prestarium is prescribed in combination with Indapamide. At the initial stage, 2.5 mg is administered. per day with a subsequent increase to 5 mg. When “Indapamide” is included in the treatment regimen, the amount of the drug decreases again.
The duration of the reception of "Prestarium" is determined by the specialist individually. In most cases, you must take the drug for life.
Side effects
According to reviews of the "Prestarium" possibledevelopment of a number of undesirable reactions from some systems and organs. They are similar to adverse reactions that may appear while taking any medications that are in the ACE inhibitor group. These side effects include:
one.The digestive system: nausea and vomiting, pain in the abdomen, a violation of taste, dryness of the oral mucosa, an inflammatory process in the pancreas or liver can rarely develop.
2.Central nervous system: paresthesia, characterized by loss of skin sensitivity, headache, dizziness, rarely can be sleep disturbance, mood swings, confusion and fainting.
3Cardiovascular system: a decrease in blood pressure of a pronounced nature, that is, hypotension, vascular inflammation in the form of vasculitis, increased heart rate (tachycardia). Myocardial infarction and cerebral stroke are also possible.
4. Respiratory system: shortness of breath, dry cough, bronchospasm, rarely eosinophilic pneumonia and rhinitis.
5. Urinary system: rarely possible development of kidney failure.
6. The system of genital organs: violation of ejaculation and erection in men.
7. The system of the musculoskeletal system: muscle spasms, uncontrollable, myalgia in the form of muscle and joint pain.
8. Skin: itching and rash, urticaria, angioedema of cellulose edema under the skin, with frequent localization in the facial area.
9. Hypohidrosis, sensitivity of the skin to light.
10. Sense organs: tinnitus, impaired visual acuity.
11. Circulatory system: an increase in the level of eosinophils, which belong to the part of the immune system that is responsible for the onset of allergies.
In addition, against the background of the “Prestarium” reception,reviews, may develop a deterioration of the general condition, which is accompanied by weakness, decreased performance, etc. If the above symptoms are observed while taking the drug, the attending physician should make a decision to cancel it or reduce the dosage.
Vacation in pharmacies
"Prestarium" is available in pharmacies onlydoctor's prescription. It can not be taken independently, without consulting with a specialist and without receiving an appointment. Otherwise, adverse reactions and unwanted complications may occur.
Reviews about "Prestarium"
Отзывы со стороны пациентов в основном positive. Its speed is noted, almost immediately after the start of treatment, relief comes. Especially well proven drug in patients with chronic heart failure in a chronic form. Thanks to the drug, such patients can improve the quality of life and do not tolerate many restrictions. What other reviews are there about Prestarium 10 mg?
Even with the intake of the drug and visible reliefit is worth forgetting that excessive exercise should be excluded. They can adversely affect the state of the cardiovascular system. You can not take the drug without first consulting with a cardiologist. Only a specialist can assess the potential risk of complications and prescribe a dosage appropriate for the patient’s condition. The ideal option is to take the drug under observation in a medical institution.
Встречаются и негативные отзывы о «Престариуме».However, this is most often due to non-compliance with the doctor’s instructions and instructions for use. For example, if you take the drug with food, the bioavailability of the active substance is significantly reduced. Therefore, the effect of the drug may not be at all.
Analogs "Prestarium"
Reviews confirm that similar tools are no less effective. These include:
- Perindopril;
- "Perineva";
- Akkupro;
- "Arentopres";
- "Berlipril";
- "Hypernik".
Reviews about analogues
The feedback is mostly positive. All means of this group normalize pressure very quickly and for a long time. Rarely cause side effects, well tolerated by the body.
