Заболевания сердца и сосудов являются одной из наиболее распространенных причин инвалидности и смертности среди пациентов среднего и старшего возраста. Поэтому выбор оптимального фармацевтического препарата для лечения и профилактики таких патологий является необходимым условием для сохранения жизни и здоровья пациента. Современные кардиологи и терапевты часто назначают пациентам с заболеваниями сосудов и сердца «Кардиомагнил» и «Панангин». О различиях между препаратами важно знать любому пациенту, принимающему их в рамках терапевтического курса.
Общая характеристика препаратов
«Кардиомагнил» и «Панангин» — это эффективные медикаментозные препараты, которые используются в современной кардиологической практике в качестве лечебных или профилактических средств, направленных на предупреждения развития и прогрессирования острых нарушений со стороны работы сердца или сосудов.
Эти средства представлены на фармацевтическом рынке в таблетированной форме, адаптированной для быстрого всасывания после перорального приема. «Кардиомагнил» и «Панангин» в ряде случаев рекомендованы для совместного применения в комплексной терапии острых и хронических сердечно — сосудистых заболеваний. Учитывая, что оба фармацевтических средства содержат соединения магния в своем составе, существует риск развития симптомов гипокалемии.
Панангин
«Панангин» выпускается на венгерском предприятии «Гедеон Рихтер» в виде белых округлых таблеток, покрытых специальной кишечно — растворимой оболочкой. Средство относится к фармакотерапевтической группе минеральных веществ. Фармакологические свойства определяются двумя основными действующими веществами — аспарагинаты магния и калия.
Ионы основных действующих компонентов, которые являются важными внутриклеточными катионами, после перорального применения и всасывания в кишечнике включаются в механизм действия некоторых ферментов, участвуют в связывании макромолекул элементами субцелярного типа и воздействуют на сокращения мышечных волокон на клеточном уровне. Данные химические соединения благоприятно действуют на трофику и метаболизм сердечной мышцы, предупреждают риск развития гипертонии, атеросклероза коронарных сосудов и аритмий.
Не рекомендуется применять при наличии у пациента любого из перечисленных ниже состояний:
- Индивидуальная гиперчуствительность к любому из компонентов препарата;
- острое течение или хроническое проявление недостаточности функций почек или печени;
- шок кардиогенного типа;
- проявление болезни Адисона;
- III степень сердечного блока.
При разовом приеме или длительной терапии этим средством существует риск развития некоторых патологических состояний или симптомов:
- Резкое учащение и разжижение стула, регистрируемые после случайного или умышленного превышения рекомендованных дозировок;
- Тошнота, рвотные позывы, приступообразные боли в животе.
Кардиомагнил
Средство относится к фармакотерапевтической группе антитромбических препаратов. Антиагрегатные свойства этого медикамента определяются входящей в состав лекарства ацетилсалициловой кислоты. Важным вспомогательным компонентом служит гидроксид магния, который направлен на защиту слизистого слоя.
Салицилаты негативно воздействуют на синтезирование тромбоксана А2, что приводит к быстрому снижению агрегации тромбоцитов. Эти химические свойства способствуют профилактике развития патологического образования кровяных тромбов и последующему разжижению крови.
Строго противопоказан прием средства при наличии у пациента хотя бы одного симптома из приведенного ниже списка:
- индивидуальная непереносимость одного из веществ, входящего в состав препарата;
- хроническое течение астмы, ассоциированное с кратковременным или длительным приемом салицилатов или других известных НПВП;
- язвенные поражение тканей желудка;
- гематологические отклонения и кровотечения;
- беременность свыше 30 недель, кормление грудью.
Прием этого препарата может вызвать следующие негативные реакции:
- диспепсические нарушения, боли с локализацией в эпигастральной области, эрозивные или язвенные процессы в органах пищеварения;
- печеночная недостаточность транзиторного типа;
- появление кровотечений любой интенсивности или локализации;
- большой риск развития и прогрессирования любых аллергических реакций;
- гипогликемические состояния, нарушение выделительного процесса мочевой кислоты;
- головокружения различной интенсивности или боль в ушах.
Применение гидроксида магния, входящего в состав «Кардиомагнила», снижает риск развития побочных реакций.
Показания к применению
Препарат «Панангин» назначается кардиологами в рамках комплексной терапии при хроническом течении некоторых заболеваний сердца, нарушений сердечного ритма, в том числе — тахикардии. Дополнительные показания:
- Одновременный прием вместе с медикаментами на основе наперстянки.
- Как пищевая добавка при диетическом типе питания, для предотвращения дефицита минеральных элементов.
«Кардиомагнил» рекомендован к применению при наличии у пациента одного из приведенных ниже состояний:
- ишемические состояния в тканях миокарда;
- предупреждение вторичного тромбообразования;
- первичный профилактический курс для предупреждения развития угрожающих для жизни и здоровья сердечно — сосудистых заболеваний.
Схема приема
По рекомендации лечащего врача можно принимать «Панангин» и «Кардиомагнила» одновременно или по раздельности в зависимости от стадии течения заболевания и индивидуальных особенностей пациента.
При ишемических процессах в тканях сердца назначается 150 мг ацетилсалициловой кислоты в начале терапии, а затем переводят на поддерживающую дозу — 75 мг ежедневно. При остром инфаркте или стенокардии нестабильного типа рекомендуется прием 150-450 мг.
В начале профилактического курса для предупреждения риска развития повторного тромбообразования применяется 150 мг, затем плавно понижают до 75 мг. Таблетки следует принимать каждый день, желательно в первой его половине.
«Панангин» нужно принимать по 1-2 таблетки 3 раза в день, после еды. Продолжительность курса лечения и индивидуальный расчет оптимальной дозировки производится лечащим врачом после изучения анамнеза и проведения дополнительных диагностических мероприятий.
Отличия
Несмотря на то, что данные препараты успешно используются для лечения и профилактики заболеваний сердечно — сосудистой системы, существует разница между «Панангином» и «Кардиомагнилом», представленная в списке основных различий:
разное фармакологическое действие на ткани органов и систем;- состав, характеризующийся различными основными веществами и вспомогательными компонентами;
- кратность приема;
- стоимость. На месячный курс «Панангина» необходимо минимум 240 рублей (2 пачки), в то время как на курс «Кардиомагнила» 120 руб.;
- упаковка: «Панангин» продается в традиционных блистерах из алюминиевой фольги, «Кардиомагнил» — в стеклянной баночке.
разное фармакологическое действие на ткани органов и систем;Какой препарат выбрать
Учитывая разный механизм действия препаратов на органы и системы, большую вероятность развития побочных явлений, целесообразность приема любого из этих средств должен определять исключительно терапевт или кардиолог. Для пациентов с нарушением функций органов пищеварения рекомендуется регулярный прием «Кардиомагнила», а у «Панангина» отсутствуют противопоказания к применению лицами, страдающими хронической астмой, патологическими изменениями обменных процессов и другими патологиями.
Кроме этого, «Панангин» может использоваться как дополнительный источник важных минералов у пациентов с ограниченным пищевым рационом. Он имеет значительно меньше зарегистрированных патологических реакций и противопоказаний к использованию в терапии.
«Панангин» и «Кардиомагнил» зарекомендовали себя как эффективные и относительно безопасные препараты, однако назначение и индивидуальную коррекцию дозировки желательно проводить в условиях специализированного отделения под присмотром медицинского персонала.
Дефицит калия и магния в организме может привести к повышенной возбудимости кардиомиоцитов — сократительных клеток сердечной мышцы. Недостаток минеральных веществ приводит к возникновению аритмии и изменениям артериального давления. На фоне хронических сердечно-сосудистых заболеваний такие перемены могут привести к ухудшению состояния пациента и негативно отражаются на динамике лечения. Чтобы предупредить дефицит микроэлементов, назначают магнийсодержащие препараты Панангин или Кардиомагнил.
На фоне хронических сердечно-сосудистых заболеваний назначают Панангин или Кардиомагнил.
Характеристика Панангина
Терапевтический эффект от препарата основывается на комбинированном действии 2-х активных соединений — калия и магния в форме аспарагинатов. Минеральные компоненты помогают стабилизировать сердечный ритм. Благодаря регулярному приему препарата в организме не развивается дефицит магния и калия, не нарушается обмен веществ в клетках сердечной мышцы. Ионы химических элементов восстанавливают сократительную способность миокарда.
Важно помнить, что недостаток минеральных компонентов может привести к ряду метаболических расстройств. Сбой обмена веществ способен спровоцировать развитие атеросклероза сосудистых стенок коронарных артерий и гипертензии. При приеме Панангина такого не происходит.
Существуют следующие показания к приему препарата:
- желудочковые аритмии;
- ишемическая болезнь;
- постинфарктный период;
- дефицит магния и калия;
- мышечные судороги;
- сердечная недостаточность.
При лечении Панангином препарат применяется по 1-2 таблетки 3 раза в сутки. В редких случаях при злоупотреблении медикаментом появляются признаки желудочно-кишечных расстройств, аллергические реакции.
Препарат противопоказан в следующих случаях:
- Аддисонова болезнь;
- почечная недостаточность;
- избыток калия и магния в организме;
- миастения;
- атриовентрикулярная блокада;
- индивидуальная непереносимость структурных компонентов;
- острое нарушение обмена веществ.
При лечении Панангином препарат применяется по 1-2 таблетки 3 раза в сутки.
Препарат выпускается в 2 лекарственных формах: в виде таблеток и раствора для приготовления инъекций. В последнем случае для внутривенного введения лекарство необходимо растворить в 50 или 100 мл раствора глюкозы.
Действие Кардиомагнила
Основными действующими компонентами Кардиомагнила являются 75 мг ацетилсалициловой кислоты и 15,2 мг гидроксида магния. В такой дозировке аспирин не оказывает противовоспалительного, болеутоляющего или жаропонижающего эффекта. Ацетилсалициловая кислота необходима для разжижения крови при повышенной свертываемости и для профилактики тромбообразования.
Гидроксид магния не только обеспечивает нормальную работу сердечной мышцы, но и защищает слизистую оболочку желудка от агрессивного воздействия ацетилсалицилата.
Благодаря антиагрегационному действию на тромбоциты Кардиомагнил улучшает реологические свойства крови, улучшает кровообращение в коронарных и магистральных артериях. В результате повышается питание миокарда, увеличивается функциональная активность кардиомиоцитов.
Показаниями к применению препарата служат:
- предупреждение инфаркта миокарда;
- стенокардия;
- профилактика тромбоза;
- послеоперационный период после хирургического вмешательства на сосудах;
- стойкое нарушение мозгового кровообращения;
- профилактика острых и хронических расстройств кровообращения;
- высокая свертываемость крови;
- высокий уровень вредного холестерина в крови.
Лекарство назначается в качестве профилактики людям с сахарным диабетом, артериальной гипертензией и ожирением. Лицам пожилого возраста рекомендуется принимать Кардиомагнил регулярно, чтобы снизить риск сердечных нарушений.
Препарат противопоказан при язвенно-эрозивном поражении пищеварительного тракта, повышенной кислотности желудочного сока, индивидуальной непереносимости компонентов. При передозировке препаратов возможно развитие ряда побочных эффектов:
- расстройство кроветворения;
- изжога;
- рвота;
- бронхоспазм;
- кожный зуд и сыпь;
- повышается риск кровотечений;
- нарушение стула.
Препарат противопоказан при язвенно-эрозивном поражении пищеварительного тракта, повышенной кислотности желудочного сока.
Препарат выпускается только в форме таблеток для перорального приема. Суточную дозировку кардиолог устанавливает самостоятельно в зависимости от вида заболевания, индивидуальных особенностей пациента и наличия факторов риска.
В чем разница и сходство Панангина и Кардиомагнила
Лекарственные препараты различаются составом и фармакологическим эффектом. Поэтому назначаются при разных патологических состояниях. Панангин применяется для лечения аритмии, тогда как Кардиомагнил необходим людям с повышенной свертываемостью крови. Магний и калий нормализуют сердечный ритм, ацетилсалициловая кислота помогает улучшить питание кардиомиоцитов и восстанавливает нормальную вязкость крови. Кроме того, Панангин выпускается в форме раствора и в виде таблеток. Кардиомагнил предназначен только для перорального применения.
Но несмотря на ряд отличий, оба препарата применяются для лечения сердечно-сосудистых патологий. Кардиомагнил и Панангин помогают поддерживать функциональную активность миокарда, стабилизируют работу сердца. Оба медикамента применяются при постинфарктном состоянии.
В состав Кардиомагнила и Панангина входит магний, который помогает поддерживать работу сердца, улучшает скорость метаболизма и функциональную активность скелетно-мышечной системы.
Что лучше принимать — Панагин или Кардиомагнил?
Многие люди задаются вопросом, что лучше — Кардиомагнил или Панангин. Кардиологи не могут сказать точный ответ, потому как терапевтический эффект у обоих препаратов различается. В то же время ценность Кардиомагнила выше по сравнению с Панангином. Последний используется в большей степени как профилактическое средство.
Для лечения Панангин применяется только при аритмиях. Для купирования других сердечно-сосудистых патологий лекарство используется как дополнительное калий- и магнийсодержащее лекарство вместе с гликозидами и сильными антиаритмическими препаратами.
Кардиомагнил используется наравне с Аспирином и Тромбо АССом для разжижения и восстановления реологических свойств крови. При применении в качестве профилактики препарат применяется для монотерапии.
Поэтому невозможно сказать точно, какой из препаратов подходит лучше в каждом индивидуальном случае. Выбор медикамента остается за лечащим врачом, который опирается на степень тяжести и характер патологического процесса. Если при гипокалиемии должен применяться Панангин, то при высоком риске тромбообразования необходимо выписать рецепт Кардиомагнила.
В то же время при нарушениях сердечного ритма и расстройства кровообращения в коронарных артериях Панангин обладает одним преимуществом — препарат производится в форме раствора. При внутривенном введении пациент получает быстрый терапевтический эффект. Кроме того, внутривенное введение можно осуществлять при психических нарушениях, потере сознания, нарушении глотания, коме.
Панангин является более безопасным средством лечения. Это обусловлено вхождением ацетилсалициловой кислоты в состав Кардиомагнила. При превышении суточной дозировки антиагрегантного препарата повышается риск развития внутренних кровотечений. Вероятность возникновения негативных эффектов возрастает при длительном приеме медикамента.
Побочное действие Панангина не может сильно ухудшить состояние пациента. Часто у больных при превышении дозировки препарата развивается тошнота или головокружения. Более тяжелые негативные действия в виде мышечных судорог, болей в эпигастральной области или дыхательной недостаточности в клинической практике не встречались.
В некоторых случаях Панангин и Кардиомагнил могут применяться совместно, что объясняется разными фармакологическими свойствами препаратов. К таким ситуациям относят постинфарктное состояние, стенокардию и повышенный риск развития инсульта.
Что дешевле
Панангин для перорального применения продается в аптеках по 160 руб., тогда как таблетки Кардиомагнила стоят от 230 руб.
Можно ли заменить Панангин на Кардиомагнил?
Препараты обладают разным терапевтическим действием, поэтому замена Панангина на Кардиомагнил и наоборот практически не осуществляется в медицинской практике. Такое случается только при неправильно поставленном диагнозе, когда вместо стабилизации сердечного ритма пациенту требуется снизить риск тромбообразования. Решение о такой замене принимает кардиолог, который корректирует суточную дозировку и длительность применения медикаментов.
Мнение врачей
Александра Борисова, кардиолог, Санкт-Петербург
Препараты имеют разные показания к применению, отличаются по составу и фармакологическим свойствам. Поэтому ответить, что из них лучше, никто не может. Нужно смотреть на диагноз и состояние пациента. Панангин назначается женщинам старше 55 лет, когда развивается дефицит минеральных соединений. Часто назначаю лекарство в качестве профилактики аритмии. Единственный минус — при длительном применении пациенты жалуются на тошноту и головокружение. Кардиомагнил применяют для разжижения крови. При правильно подобранной дозировке пациенту ничего не угрожает.
Михаил Колпаковский, кардиолог, Владивосток
Пациенты отзываются о лекарствах положительно. Терапевтический эффект достигается в 95-98% случаев. В то же время и Панангин, и Кардиомагнил практически не назначаются в качестве монотерапии для лечения острого заболевания. Показания и действие препаратов разное. Панангин более безопасный, потому как при передозировке не угрожает жизни пациента. Ацетилсалициловая кислота в составе Кардиомагнила может спровоцировать развитие внутренних кровотечений.
Отзывы пациентов
Даниил Королев, 57 лет, Уфа
Мне назначили Кардиомагнил из-за высоких показателей свертываемости крови на фоне варикоза вен на ногах. Врач сказал, что препарат помогает снизить риск образования тромбов в сосудах. Лекарство не оказывает побочных эффектов, не наблюдал ухудшения общего состояния. В качестве плюса могу отметить, что Кардиомагнил дополнительно снизил уровень холестерина в крови. После прохождения курса лечения порадовало, что голова стала болеть меньше, прекратилось покалывание в ногах
Мария Искра, 49 лет, Казань
Год назад начались проблемы с сердцем. Сначала из-за аритмии назначили Панангин. Не сказать, что препарат сильно помог. После его применения улучшились анализы, но проблема не прошла. В результате оказалось, что неправильно поставили диагноз. У меня была повышенная свертываемость крови и стенокардия, поэтому Панангин заменили на Кардиомагнил. Почувствовала улучшение.
Доброго времени суток, дорогие читатели. Сегодня мы с вами разберем такую нелегкую тему как: различия и общие черты Панангина и Кардиомагнила и решим какой препарат все таки лучше и кому его принимать. Разберем подробно их инструкции т.к. я нашел достаточно много информации на эту тему в интернете, мы сможем изучить эти препараты вдоль и поперек и целостно их сравнить, разберем так же такие вопросы: можно ли их принимать одновременно, как лучше их использовать совместно, что лучше для сердца, какой препарат в какое время суток лучше употреблять и многое другое.
Полную инструкцию, а так же много полезной информации о Кардиомагниле вы можете найти на этом сайте. А мне вам остается только пожелать приятного чтения и здорового сердца!
Недуги сердечно-сосудистой системы занимают первые позиции среди серьезных заболеваний человечества. Для их профилактики и лечения в современной медицине используются такие препараты как Панангин и Кардиомагнил. Какое из этих лекарств, принесет больше пользы организму, какое из них более эффективное и какому отдать предпочтение, можно решить, ознакомившись с характеристиками медикаментов, их составом, побочными эффектами. При этом важно помнить, что принимать любой препарат нужно только после его назначения врачом, и ни в коем случае не заниматься своим лечением самостоятельно, так как это чревато серьезными последствиями для организма человека.
Описание лекарства Кардиомагнил
Кардиомагнил – популярный препарат, который производится в Дании и назначается врачом для лечения и профилактики сердечно-сосудистых заболеваний. Главными компонентами лекарства являются ацетилсалициловая кислота (аспирин) и гидроксид магния. Аспирин нормализует кровообращение, разжижает кровь и рекомендуется при угрозе образования тромбов. Ацетилсалициловая кислота препятствует склеиванию тромбоцитов в крови. Это действие аспирина с успехом используется для лечения ишемической болезни сердца, острой коронарной недостаточности, инфаркта миокарда, запущенной стадии варикозного расширения вен. Гидроксид магния оберегает желудок человека от негативного влияния со стороны аспирина.
Основные оказания к применению препарата
- Профилактика заболеваний сердца и сосудов (тромбоз, сердечная недостаточность) при наличии таких факторов риска как: лишний вес, сахарный диабет, постоянное повышенное давление, курение, преклонный возраст.
- Профилактика повторного инфаркта миокарда и тромбоза кровеносных сосудов.
- Профилактика послеоперационных состояний сосудов.
- Повышенное количество холестерина в крови.
- Изменения в процессах мозгового кровообращения.
Кардиомагнил, как правило, рекомендуется лечащим врачом для ежедневного применения при профилактике и лечении болезней сердца и сосудов для предотвращения образования тромбов. Лекарство не рекомендуется принимать в таких случаях:
- при болезнях желудочно-кишечного тракта,
- бронхиальной астме,
- повышенной чувствительности и аллергии к аспирину,
- при проблемах свертывания крови,
- детям и подросткам до 18 лет,
- беременным женщинам и кормящим грудью.
Аспирин, как составная часть Кардиомагнила, способствует снижению температуры, снимает боль, выполняет противовоспалительную функцию. Лекарство рекомендуется употреблять для лечения и профилактики болезней сердца и сосудов на протяжении одного-двух месяцев, после чего делается перерыв, при необходимости курс лечения повторяется. Кардиомагнил выпускается в форме овальных таблеток или сердечек.
Дозировка кардиомагнила
Максимальное количество в день, которое может принять пациент, составляет 4 г. Однократная доза, эквивалентная 10 г, опасна для жизни, потому что кровь становится слишком кислой. Это приводит к ускорению дыхания, стимуляции почечной активности, что может вызвать опасную потерю жидкости. Затем дело доходит до разрушения тканей и, в конечном счете, приводит к смерти.
В кардиомагниле содержится 500 мг активного вещества. Кроме того, препарат кардиомагнил предлагается в комбинации с другими активными ингредиентами, например, с кофеином. Давно известно, что кофеин усиливает действие ацетисалициловой кислоты. Комбинированный кардиомагнил с витамином С положительно влияет на иммунную систему.
Риски и побочные эффекты препарата
У кардиомагнила есть и недостатки. Чувствительные люди реагируют на него раздражением, изжогой и редко – кровотечением из слизистой оболочки желудка и кишечника. Если употребить высокие дозы данного лекарства, риск серьезного кровотечения возрастает.
В редких случаях может возникнуть железодефицитная анемия, потому что железо, связанное кровью, теряется при кровотечении в желудке. Если вы регулярно принимаете кардиомагнил без совета врача, рекомендуется обязательно обратиться к нему для обсуждения возможных рисков.
Долгосрочное применение кардиомагнила может привести к следующим побочным эффектам:
- Головокружение;
- Тошнота;
- Нарушения со слухом;
- Затуманенное зрение;
- Звон в ушах.
Однако эти побочные эффекты исчезают, когда доза уменьшается. Изредка отмечались аллергические реакции в виде кожных высыпаний или возникновения астмы.
Краткая характеристика Панангина
Панангин – это лекарство венгерской компании Гедеон Рихтер, основными компонентами которого являются магний и калий, которые улучшают работу сердца, помогают функционированию сердечно-сосудистой системы. Препарат используется для лечения ишемической болезни сердца, сердечной недостаточности, нехватки поступления калия и магния в организме. Возможно применение Панангина в качестве средства от судорог.
Основные показания к применению лекарства
- Сердечная недостаточность, перенесение инфаркта миокарда.
- Недостаток калия и магния в организме.
- Нарушение ритмов желудочков сердца.
- Аритмия сердца.
Противопоказаниями лекарства являются: острая и хроническая недостаточность почек, переизбыток калия и магния в крови, обезвоживание организма. Лекарство осторожно следует использовать при беременности (в первом триместре), грудном кормлении. К побочным эффектам относится тошнота, жжение в животе.
Это безрецептурное лекарство, которое продается в виде таблеток по 50 штук в одном флаконе, производятся растворы для внутривенного введения. Принимаются таблетки по одной-две штуки три раза в день после употребления пищи.
Должен ли панангин приниматься в профилактических целях
Многие люди регулярно употребляют калий и магний в надежде сделать что-то хорошее для своего сердца, фактически не имея соответствующего дефицита электролитов. Но такой подход нецелесообразен, как подчеркивает Всемирная организация здравоохранения.
Избыточное потребление магния или калия приводит к серьезным побочным эффектам. Препараты, содержащие эти элементы, показаны только в том случае, если анализ крови подтвердил гипомагниемию или гипокалиемию.
Кто должен регулярно замерять уровни калия и магния
Люди с сердечными заболеваниями должны регулярно проверять уровень калия и магния. При заболеваниях почек экскреция с мочой электролитов может быть увеличена. Таким образом, пациенты с сердечной недостаточностью, у которых одновременно присутствуют заболевание почек, регулярно должны проверять уровень калия и магния.
Некоторые лекарства влияют на баланс электролитов. При приеме следующих препаратов рекомендуется замерить уровень до и через две недели после начала терапии, а затем проводить проверки каждые шесть месяцев:
- Фуросемид;
- Торасемид;
- Пиретанид;
- Гидрохлортиазид;
- Ингибиторы АПФ (например, каптоприл, эналаприл, лизиноприл, рамиприл);
- Индапамид, хлорталидон, ксипамид;
- Лозартан, валсартан, кандесартан, ирбесартан, олмесартана, телмисартан, эпросартан;
- Спиронолактон форте, эплеренон;
- Дигоксин, дигитоксин.
Особенно важно контролировать уровень калия и магния для предотвращения сердечных аритмий у людей с сердечной недостаточностью. Сердечная аритмия способна привести к опасному ухудшению сердечной недостаточности и даже к инфаркту миокарда.
Любой человек, страдающий сердечными аритмиями, причиной которых не являются нарушения электролитов, должен регулярно проверяться на уровень калия и магния в крови. Электролитные нарушения могут способствовать обострению сердечной аритмии. И в некоторых случаях сердечная аритмия может быть устранена или, по крайней мере, уменьшена путем нормализации значений содержания калия и магния.
Какие показатели указывают на дефицит калия или магния
Стабилизация уровня калия и магния может положительно влиять на сердечный ритм. Нормальный диапазон составляет 3,6-4,8 ммоль/л для калия и 0,7-1,05 ммоль/л для магния.
Для людей с сердечной аритмией часто целесообразно назначать панангин в высоких дозах, то есть близких к верхнему пределу. Это может привести к улучшению состояния в некоторых случаях. Для калия этот диапазон составляет 4,4 ммоль/л и 0,9 ммоль/л – для магния, однако дозы веществ должны в индивидуальном порядке обсуждаться с лечащим врачом.
Калий и магний в диете
Во многих случаях дефицит калия может быть восполнен с помощью богатой калием диеты. Особенно богатые калием продукты – фрукты и овощи: бананы, сухофрукты, картофель, фенхель. Магний находится в большом количестве в бобовых культурах: фасоли, горохе и чечевице; в злаках, орехах и сушеных фруктах.
Важно! Если уровни электролитов не могут быть увеличены диетой, богатой магнием или калием, рекомендуется принимать панангин. Калий лучше всего использовать в качестве хлорида калия при дозе 40 ммоль в день, магний – в виде аспартата или цитрата в дозе 10 ммоль ежесуточно.
Что делать, если препарат плохо переносится пациентом
Некоторые люди чувствительны к калию и магнию. К примеру, у них возникает сильное раздражение желудка. В таких случаях можно использовать препараты с замедленным высвобождением, которые пролонгированно выделяют ингредиенты и часто лучше переносятся.
Основные отличия и общие характеристики лекарств
Кардиомагнил и Панангин по своей сути это лекарства, которые назначаются при лечении болезней сердечно-сосудистой системы, однако у них разные показания к применению, а также есть различия в составе препаратов. Магний является общим компонентом для обоих лекарств. Препарат Кардиомагнил, кроме магния содержит аспирин вместо калия, как у Панангина, из-за чего лекарства выполняют разные функции.
Панангин отличается большим содержанием количества магния в составе, что является его преимуществом, а также содержит калий, который необходим для полноценной работы сердца и сосудов. Оба лекарства имеют схожие побочные эффекты:
- диарея, рвота,
- судороги, боль в желудке, жжение,
- затрудненное дыхание.
Избыток магния характеризуется покраснением лица, появлением судорог, уменьшением давления, проблемами с дыханием.
Сравнение Панангина и Кардиомагнила
| Компонент | Панангин | Кардиомагнил (таблетки в виде "сердечек") | Кардиомагнил (таблетки овальной формы) |
|---|---|---|---|
| Магний | 140 мг (в виде аспарагината) | 15,2 мг (в виде гироксида) | 30,3 мг (в виде гироксида) |
| Калия аспарагинат | 158 мг | — | — |
| Ацетилсалициловая кислота (аспирин) | — | 75 мг | 150 мг |
| Количество таблеток | Упаковки по 50 шт. | Флаконы по 30 или 60 шт. | |
Препараты не замещают друг друга, а скорее дополняют. Если Кардиомагнил препятствует образованию тромбов, то Панангин назначают при хронических болезнях сердца для нормального функционирования сердечно-сосудистой системы. Аспирин, который входит в состав Кардиомагнила, выполняет терапевтическую функцию, но по сравнению с Панангином обладает большим количеством побочных эффектов. Возникает вопрос: можно ли принимать Панангин и Кардиомагнил одновременно? Лечащий врач может разрешить пить эти средства вместе в комплексе. Препараты могут быть дополнительными средствами, как для профилактики, так и для лечения заболеваний сердца и сосудов. Существуют более дорогостоящие и качественные аналоги. Кардиомагнил выпускается в Дании и стоит намного дороже, чем Панангин.
| Панангин | Кардиомагнил |
|---|---|
| [Общие:] детский возраст; сверхчувствительность к компонентам. | |
| Почечная недостаточность (острая и хроническая); гипермагниемия и гипермагниемия; AV блокада I–III степени; кардиогенный шок; тяжелая миастения; острый метаболический ацидоз; гемолиз; нарушение обмена аминокислот; болезнь Аддисона; обезвоживание. | |
Период лактации и беременности (особенно в первом триместре) с разрешения и под контролем врача.
Периоды беременности и лактации.
Однако выбрать, какой из препаратов лучше, должен помочь лечащий доктор. Так как самолечение сердечно-сосудистых патологий категорически запрещено из-за серьезных побочных эффектов и риска появления необратимых процессов в организме человека.
Панангин или кардиомагнил: что лучше для профилактики
В 1988 году американское исследование с 22 000 людьми пришло к выводу: ежедневное потребление кардиомагнила у здоровых людей снижает риск сердечных приступов на 44 процента. После исследования, препараты, содержащие ацетилсалициловую кислоту, начали использоваться повсеместно.
Превентивное использование кардиомагнила очень противоречиво. Потому что здоровые люди, принимающие этот препарат, могут страдать от серьезных побочных эффектов: внутренние кровотечения, боли в желудке и другое.
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