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Варикоз вызывает серьезные осложнения и последствия. Есть способ, который помогает навсегда избавиться от варикоза. читайте ДАЛЕЕ
Тромбоасс или Кардиомагнил: что лучше для разжижения крови, при варикозе, что эффективней принимать, инструкция по применению, цена и аналоги препаратов. В настоящее время фармакологический рынок представлен широким спектром всевозможных лекарств, обладающих схожим лечебным действием.
Тромбоасс или Кардиомагнил: особенности и различия
В числе подобных средств необходимо назвать конкурирующие медикаменты, используемые преимущественно для разжижения гемолимфы и обладающие мощным противовоспалительным воздействием: Кардиомагнил и Тромбоасс.
Зачастую представители практической медицины предписывают пациенту прием того или иного средства в зависимости от собственных предпочтений. Но есть ли разница между этими медикаментами, и какое из них лучше в соответствии с объективными оценками?
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Для того чтобы выбрать наиболее подходящее лекарство из списка аналогов необходимо обратить особенное внимание на характерные особенности и отличия между ними. Указанные продукты являются аналогичными по составу и лечебным свойствами медикаментами, тем не менее, между ними имеется выраженное отличие.
В качестве такового необходимо назвать присутствие в Кардиомагниле активного компонента гидроксида магния. Указанное вещество, обладающее антацидным свойством, является своего рода нейтрализатором негативного действия ацетилсалициловой кислоты на слизистые ткани желудка.
Таким образом, лицам, имеющим проблемы с органами пищеварительного тракта лучше остановить свой выбор именно на нем. Что касается характерных особенностей обоих лекарств, то необходимо сравнить их в соответствии с рядом следующих аспектов:
- регулярный прием Кардиомагнила или Тромбоасса существенно уменьшает риск развития повторного инфаркта;
- также допустимо использовать их при наличии таких болезней, как ишемия и стенокардия, такая мера стабилизирует состояние больного и снижает риск усугубления патологии.
Кроме того, прием рекомендован в качестве профилактической меры после проведения некоторых оперативных манипуляций для снижения риска тромбообразования, что обусловлено эффектом снижения вязкости гемолимфы.
Что лучше для разжижения крови
Медикаменты обладают практически идентичным химическим составом и терапевтическим действием, применять их рекомендуется для эффективного разжижения гемолифы, в том числе, в целях профилактики. В основе каждого из упомянутых лекарств используется ацетилсалициловая кислота, а также ряд вспомогательных активных компонентов.
Объективно ответить на вопрос такого рода: что эффективнее принимать для снижения свертываемости крови, Тромбоасс или Кардиомагнил, практически невозможно, так как указанные медикаменты фактически одно и то же. Отдать предпочтение Кардиомагнилу следует лицам, имеющим некоторые проблемы с органами тракта пищеварения, так как он оказывает минимальное негативное воздействие на слизистые ткани.
Кроме того, некоторые особенности формы его выпуска позволяют более точно определить требуемую дозировку на однократный прием.
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На вопрос такого рода: что лучше для желудка, что лучше принимать при наличии проблем с органами тракта пищеварения можно дать вполне объективный ответ – Кардиомагнил. Его состав обогащен гидроксидом магния, который обладает антацидным, а также легким слабительным эффектом, существенно уменьшая негативное воздействие ацетилсалициловой кислоты, являющейся в большинстве случаев основным компонентом препаратов для разжижения гемолифы.
В Тромбоасса не входят компоненты, способствующие нейтрализации агрессивного действия ацетилсалициловой кислоты, однако и данное лекарство обладает особенностями, способствующими защите слизистых тканей желудка. Таблетки медикамента Тромбоасс покрыты специальной оболочкой, которая растворяется только в кишечнике, минуя желудок. Указанный фактор позволяет существенно усилить всасываемость активных компонентов препарата и его эффективность.
При варикозе вен
Кардиомагнил и Тромбоасс обладают выраженным эффектом разжижения крови, а также противовоспалительными свойствами. Применять их можно при различных патологиях кровеносной системы, в том числе, при варикозном расширении вен. Что лучше при варикозе, какой медикамент способствует получению максимального эффекта оздоровления?
Как уже было сказано выше, приведенные лекарства обладают практически аналогичными терапевтическими свойствами, именно поэтому выбрать наиболее подходящий вариант лечения может только лечащий врач, основываясь на индивидуальных физиологических особенностях пациента и наличии возможных противопоказаний.
Кроме того, следует отметить варианты дозировки. Например, Кардиомагнил представлен в виде таблеток по 150 и 75 мг, тогда как Тромбоасс выпускается в пилюлях по 50 и 100 мг. В некоторых случаях осуществлять использование наиболее удобно именно в соответствии с указанными показателями.
Атеросклероз характеризуется как болезнь, сопровождающаяся образованием бляшек в полости вен и сосудов, а также ухудшением тока крови. Для устранения указанных патологий, нормализации микроциркуляции гемолимфы, обеспечения противовоспалительного эффекта, а также в профилактических целях рекомендуется пить нестероидные препараты, к классу которых относят Тромбоасс и Кардиомагнил.
Несмотря на то, что они обладают идентичными терапевтическими свойствами и химическим составом, выбрать наиболее подходящий вариант можно в соответствии с учетом следующих аспектов:
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- Пить Тромбоасс допустимо даже при условии наличия почечной недостаточности легкой степени тяжести.
- Употреблять Кардиомагнил можно при наличии патологий и заболеваний органов тракта пищеварения, так как в нем имеется вещество, частично нейтрализующее негативное влияние ацетилсалициловой кислоты.
Не менее важным аспектом является цена 100 таблеток 75 мг, 150, 100 и 50 мг. Согласно среднестатистическим данным, Кардиомагнил обладает более высокой стоимостью, что в большинстве случаев не совсем оправданно ввиду идентичности медикаментов.
В чем разница: что эффективней принимать
Для того чтобы определить, что лучше пить, выявить разницу между препаратами, которая, как уже было сказано выше, практически отсутствует, необходимо уточнить плюсы и минусы медикаментов, их пользу и вред. Итак, в числе основных полезных свойств того и другого средства необходимо назвать такие:
- оказание антиагрегантного эффекта, то есть, уменьшение риска образования тромбических масс в полости вен;
- благодаря наличию аспирина достигается жаропонижающий эффект;
- анестезирующие свойства, снижающие болезненные синдромы;
- противовоспалительное действие.
Какой препарат лучше в том или ином случае, можно определить в соответствии с минусами каждого из них, в числе которых:
- Кардиомагнил не рекомендуется к приему лицам, страдающим хроническими и острыми заболеваниями органов выделительной системы.
- Тромбоасс не следует употреблять лицам, имеющим в анамнезе заболевания органов тракта пищеварения различной степени тяжести.
Таким образом, их польза и вред практически идентичны. Для получения максимального эффекта перед приемом любого медикамента следует проконсультироваться с лечащим врачом, который предпишет оптимальный вариант в соответствии с имеющимися заболеваниями, противопоказаниями и рисками.
Показания к применению
Продукты фармакологического рынка, упомянутые выше, обладают идентичным списком показаний к применению, основными среди которых называются следующие:
- для профилактики тромбообразования и закупорки вен при патологиях сосудистой системы;
- уменьшения вероятности повторного инфаркта;
- гипертония;
- высокий уровень гемоглобина;
- тромбофлебит, тромбоз, варикозное расширение вен;
- профилактика инсульта.
Как свидетельствуют отзывы врачей, указанные выше аналоги рекомендуется пить при недостаточном кровообращении в сосудах головного мозга.
Состав препарата
Основным действующим веществом в составе фармакологических продуктов Кардиомагнил и Тромбоасс является обычная ацетилсалициловая кислота. Также в незначительных количествах имеются вспомогательные компоненты, усиливающие действие основного ингредиента. Состав Кардиомагнила обогащен гидроксидом магния, способствующего частичной нейтрализации негативного действия аспирина.
Побочные эффекты
В подавляющем большинстве случаев развитие побочных явлений в процессе приема лекарств исключено практически полностью, так как активные компоненты хорошо переносятся и не наносят организму вреда. Но в исключительных случаях возможны следующие негативные реакции со стороны организма:
- Тошнота, возникновение болезненных ощущений в области живота, рвота, нарушение стула.
- Головные боли, повышенная сонливость, апатия, вялость.
- Аллергические реакции.
- Развитие повышенной кровоточивости.
Как правило, подобные побочные явления возникают лишь в том случае, если была превышена предписанная доза лечебного средства. Именно поэтому перед тем, как принимать медикамент, следует внимательно ознакомиться с рекомендуемой дозировкой.
Противопоказания
Как уже было сказано выше, Тромбоасс категорически не рекомендуется принимать лицам, страдающим заболеваниями и патологиями органов пищеварительного тракта, а Кардиомагнил запрещен к приему людям с почечной недостаточностью.
В остальном же противопоказания к употреблению фармакологических продуктов являются следующими:
- Лицам, возраст которых составляет менее 18 лет.
- Людям, страдающим бронхиальной астмой, а также иными заболеваниями органов дыхательной системы.
- При заболеваниях ЛОР – органов в хронической и острой формах.
- При наличии риска возникновения желудочного кровотечения.
- Женщинам в состоянии беременности в первом и втором триместрах.
- При постановке диагноза «подагра».
Также рекомендуется проводить лечение с осторожностью лицам, склонным к развитию реакций аллергического характера на различные компоненты лекарств.
Чем отличается дозировка
Выбор оптимального варианта дозировки определяется врачом строго на основании осмотра и анамнеза пациента, риска развития побочных эффектов и наличия противопоказаний. Самостоятельно выбирать дозу препарата категорически не рекомендуется.
Несущественная разница разовой дозировки заключается в следующих аспектах: одна таблетка Тромбоасса содержит 100 или 50 мг активного вещества, тогда как у Кардиомагнила данные показатели несколько иные: 75 и 100 мг. В соответствии с указанными факторами можно выбрать наиболее подходящий вариант исходя из предписанной к приему дозировки.
Тромбоасс: инструкция по применению
Кардиомагнил: инструкция по применению
При беременности и лактации
Что лучше при беременности для улучшения состава и вязкости крови? Нередко женщины в состоянии беременности сталкиваются с необходимостью употребления медикаментозных средств, способствующих разжижению крови.
Отсутствие лечения при наличии подобных патологий может привести к нарушениям роста и развития плода. Принимать препараты в период вынашивания ребенка можно, но следует обратить внимание на следующие аспекты:
- не рекомендуется принимать лекарство на голодный желудок, несмотря на соответствующее предписание в инструкции;
- следует подбирать минимальную дозу;
- лечиться можно только в соответствии с врачебными предписаниями;
- желательно исключить лечение в течение первого и второго триместра.
В качестве дополнительных рекомендаций необходимо назвать: при наличии обязательной необходимости лечения в период беременности следует пить как можно больше жидкости. Такая мера поможет вывести из организма токсины и уменьшить негативное влияние химических веществ.
- цена Тромбоасс 100 таблеток в Москве — 150 рублей;
- цена Кардиомагнил таблетки 75мг 30 шт — 130 рублей. 150мг 30 шт — 200 рублей. Таблетки 150мг 100 шт — 360 рублей.
Аналоги
Современный фармакологический рынок изобилует различными препаратами, обладающими идентичным химическим составом, но разными названиями. В связи с указанными аспектами у пользователей нередко возникает вопрос такого рода: Тромбоасс или Кардиомагнил или Аспирин – что лучше, а также можно принимать вместе эти лекарства или лучше воздержаться от подобного.
Перечисленные выше препараты являются практически идентичными, в связи с чем определить оптимальный вариант достаточно проблематично. Тем не менее выбрать подходящее наименование можно в соответствии с имеющимися заболеваниями, например:
- Пить Тромбоасс следует лицам, имеющим склонность к образованию тромбических масс в полости вен и сосудов.
- Отдать предпочтение Кардиомагнилу следует больным с заболеваниями органов тракта пищеварения.
- Выбрать Аспирин Кардио, являющийся абсолютным аналогом приведенных выше средств, но обладающий менее высокой стоимостью, следует больным с ишемическим синдромом.
Не следует забывать о том, что во избежание развития негативных реакций со стороны организма, а также ухудшения состояния, принимать любые лекарственные средства следует только в соответствии с врачебными предписаниями.
Как вылечить варикоз! Поразительное открытие в истории медицины.
Реальный пример, как можно избавиться от варикоза навсегда! Проверенный метод в истории известного блогера на ЭТОМ САЙТЕ!
Практикующие специалисты, выписывая пациенту то или иное лекарственное средство, чаще всего делают выбор на свое усмотрение. Однако есть ли различия между аналогичными препаратами, и какому из них лучше отдать предпочтение? Чтобы ответить на этот вопрос, нужно изучить специфические признаки лекарственных аналогов и выявить их главные отличия. К числу подобных медикаментов относятся «ТромбоАСС» и «Кардиомагнил».
Оба лекарственных средства обладают схожими биологическими и химическими признаками, однако между ними все-таки имеются небольшие отличия. Что лучше: «ТромбоАСС» или «Кардиомагнил»? Изучим подробнее эти противовоспалительные нестероидные таблетки.
Разница в показаниях к применению
У данных лекарственных средств отсутствуют какие-либо значимые отличия в показаниях к применению. Такие препараты рекомендуется использовать при следующих патологиях:
- стенокардии;
- дефекте кровотока мозга головы;
- сердечной недостаточности;
- ишемическом инсульте.
Кроме того, медикаментозные средства используются в качестве профилактических для предотвращения инфаркта миокарда и тромбоза. Они широко применяются для ускорения восстановления пациента после операции. Очень важно помнить, что самостоятельно начинать прием как «Кардиомагнила», так и «ТромбоАСС», запрещается. Нужно предварительно обратиться к специалисту, который и назначит подходящую дозировку в каждом конкретном случае.
Основные отличия препаратов
Так что лучше «ТромбоАСС» или «Кардиомагнил»? Хотя эти лекарственные средства назначаются при терапии одинаковых заболеваний, у каждого из них свои особенности воздействия на человеческий организм. Основным действующим компонентом обоих препаратов выступает ацетилсалициловая кислота, отличающаяся обезболивающим, противовоспалительным, антиагрегантным и жаропонижающим эффектом. Наряду с этим данное вещество отрицательно влияет на функционирование органов ЖКТ, поскольку происходит увеличение кислотности, а желудочная слизистая раздражается.
Многие интересуются, что лучше для желудка: «ТромбоАСС» или «Кардиомагнил»?
Кроме ацетилсалициловой кислоты, последний содержит еще и такой активный компонент, как гидроксид магния, способный оказать положительное воздействие на органы желудочно-кишечного тракта, стимулировать кишечную перистальтику и уменьшать кислотность. В то же время «ТромбоАСС» не содержит других действующих компонентов, кроме ацетилсалициловой кислоты. Именно в этом кроется основное отличие данных лекарственных средств, в связи с чем более подходящим для желудка выступает «Кардиомагнил». Стоит отметить, что наличие в нем гидроксида магния позволяет в значительной степени уменьшить вероятность развития таких отрицательных побочных явлений, как болезненные ощущения в области желудка, тошнота, изжога, рвота.
Разная дозировка
Существует также и отличие в выборе подходящей дозировки данных препаратов. «ТромбоАСС» производится в форме таблеток в дозировках по пятьдесят и сто миллиграммов. В то же время «Кардиомагнил», характеризующийся той же формой выпуска, отличается массой пилюль: семьдесят пять и сто пятьдесят миллиграммов. Принимать решение о том, какая именно дозировка лекарственного препарата станет наиболее подходящей в конкретной ситуации, способен только врач. Начинать самостоятельный прием этих лекарств категорически запрещено, поскольку из-за этого могут развиться серьезные осложнения.
В плане стоимости препараты разные. Упаковка «Кардиомагнила» стоит в среднем двести рублей, в то время как «ТромбоАСС» — сто рублей.
Возможные противопоказания и особенности применения
Что лучше: «ТромбоАСС» или «Кардиомагнил»? Давайте углубимся в характеристики препаратов.
Оба лекарства имеют схожие противопоказания:
- период обострения язвы ЖКТ;
- бронхиальная астма;
- предрасположенность к сильным кровотечениям;
- аллергия на АСК;
- первый и последний триместры беременности;
- лактация.
Препараты назначаются с осторожностью пожилым людям, детям, пациентам, страдающим почечной и печеночной недостаточностью в легкой форме, а также при хроническом гастрите, подагре и других болезнях.
Побочные эффекты
Оба лекарственных средства обладают идентичным побочными реакциями:
- аллергия в тяжелой форме;
- нарушения стула, рвота, тошнота;
- болевые ощущения в области живота, изжога;
- вялость, обмороки, головокружение;
- чрезмерная сонливость или беспокойный сон;
- симптомы анемии;
- язвы слизистой оболочки ЖКТ;
- предрасположенность к кровотечениям.
Обычно побочные явления дают знать о себе только в тех случаях, когда увеличена рекомендуемая дозировка препарата, а в остальных ситуациях при должном соблюдении врачебных предписаний практически исключается проявление нежелательных эффектов в процессе приема медикаментов.
Каждому свое
Гидроксид магния, который присутствует в «Кардиомагниле», представляет собой нейтрализатор соляной кислоты и отличается небольшим слабительным эффектом. Вводится в препарат данный компонент для того, чтобы защитить внутреннюю поверхность желудка, преобразовываясь там в обволакивающую пленку.
Хотя «ТромбоАСС» не имеет других активных компонентов помимо ацетилсалициловой кислоты, таблетки все-таки отличаются мягким действием и не подвергаются распаду в желудочной полости, проявляя свою активность исключительно в области кишечника. Поэтому на вопрос, что лучше принимать — «ТромбоАСС» или «Кардиомагнил», каждый ответит согласно своим предпочтениям.
Если рассматривать подробно достоинства и недостатки данных лекарственных средств, можно с большей точностью выявить отличия «Кардиомагнила» от «ТромбоАСС».
- отличается невысоким риском развития отрицательных побочных явлений со стороны органов ЖКТ за счет содержащегося в его составе гидроксида магния;
- дозировка основного действующего компонента в этом препарате больше в полтора раза по сравнению с «ТромбоАСС».
- меньшая стоимость по сравнению с «Кардиомагнилом»;
- возможно осторожное использование при легкой степени почечной недостаточности.
Отрицательные стороны «Кардиомагнила»:
- препарат нежелательно употреблять, если у пациента есть почечные патологии;
- более высокая стоимость.
- отсутствие в составе дополнительных компонентов, которые могут нейтрализовать нежелательное влияние ацетилсалициловой кислоты на желудок.
Таким образом, можно сделать вывод о том, что «ТромбоАСС» лучше всего употреблять тогда, когда есть почечные заболевания. «Кардиомагнил» – при дефектах органов ЖКТ. Некоторые люди могут интересоваться и отзывами: что лучше — «ТромбоАСС» или «Кардиомагнил», и допускается ли применять их совместно? Все дело в том, что эти лекарственные препараты имеют один и тот же основной действующий компонент, в связи с чем пить их совместно нет смысла. Кроме того, необходимо помнить, что одновременный их прием способен стать причиной передозировки или отрицательных побочных явлений.
Какой из препаратов эффективнее при варикозе?
Что лучше — «ТромбоАСС» или «Кардиомагнил» при варикозном расширении вен? Оба лекарственных средства отличаются выраженным эффектом разжижения крови, а также оказывают противовоспалительное влияние. Именно поэтому специалисты советуют использовать их при различных нарушениях кровеносной системы, частным случаем которых как раз-таки является варикоз.
Однако какой же из них эффективнее борется с такой проблемой? Дело в том, что у этих лекарственных препаратов лечебные свойства практически одинаковые, поэтому не представляется возможным судить о том, что лучше при варикозе — «ТромбоАСС» или «Кардиомагнил». В такой ситуации выбирать то или иное средство будет только лечащий врач, основываясь на показаниях каждого конкретного случая. Специалист учтет физиологические особенности пациента, а также наличие у него противопоказаний.
Что лучше: «ТромбоАСС» или «Кардиомагнил»? Мнение кардиологов
У кардиологов практически одинаковые мнения по поводу «ТромбоАСС» и «Кардиомагнила». Связано это опять-таки с тем, что у данных препаратов одно и то же действующее вещество – ацетилсалициловая кислота, поэтому они оказывают практически одинаковое влияние на человеческий организм. Многие специалисты считают, что «Кардиомагнил» и «ТромбоАСС» — это одно и то же.
Особенности выбора во время беременности и лактации
Часто у женщин, которые вынашивают малыша, возникают проблемы с сердечно-сосудистой системой (низкое или высокое артериальное давление, прединфарктное состояние, нестабильная стенокардия). Соответственно, у них возникает вопрос о том, какие таблетки лучше «ТромбоАСС» или «Кардиомагнил»?
Однако в инструкции говорится о том, что их нельзя употреблять в первом и последнем триместрах беременности. Прием возможен во втором триместре, но при этом нужно учитывать потенциальный риск для плода. Только врач может назначить тот или иной препарат, а также определить подходящую для пациентки дозировку. Во время грудного вскармливания разрешено употребление «ТромбоАСС». В то же время «Кардиомагнил» в этот период запрещается.
Отличия в противопоказаниях
Хотя в «Кардиомагнил» входит гидроксид магния, благотворно воздействующий на функционирование органов ЖКТ, принимать его при наличии желудочной язвы нельзя. Если все-таки применять данное средство, то это может спровоцировать осложнения, которые потребуют срочной госпитализации пациента. «ТромбоАСС» запрещается использовать при язве двенадцатиперстной кишки. В таком случае специалист подберет аналогичный препарат, отличающийся более щадящим влиянием на органы ЖКТ.
Что лучше — «ТромбоАСС» или «Кардиомагнил»? Мнения расходятся на этот счет. Главное — действовать в четком согласии с лечащим врачом.
В состав препарата входит ацетилсалициловая кислота, покрытая кислотоустойчивой оболочкой. Благодаря этому Тромбопол меньше раздражает слизистую оболочку желудка, что особенно важно при длительном приеме этого средства. Назначается для профилактики образования тромбов в артериях и венах, предупреждает развитие инсульта и инфаркта.
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Механизм действия
Основной эффект Тромбопола состоит в предотвращении образования кровяных сгустков в просвете сосудов. Это становится возможным благодаря блокаде образования тромбоксана. После снижения поступления этого соединения в кровь замедляется склеивание (агрегация) тромбоцитов.
Действие препарата сохраняется на протяжении недели после приема, оно прекращается только после образования новых клеток крови. Помимо этого, ацетилсалициловая кислота снижает интенсивность воспалительных реакций, нормализует температуру тела, снимает боль, стимулирует дыхание.
А здесь подробнее о посттравматическом тромбозе.
Показания к использованию
Тромбопол применяется для предотвращения острых нарушений кровообращения в коронарных и мозговых сосудах. Его рекомендуют даже при отсутствии клинических проявлений пациентам, у которых имеются такие факторы риска:
- повышенное артериальное давление (выше 140/90 мм рт. ст.);
- курение;
- сахарный диабет или нарушенная толерантность к углеводам (скрытый диабет);
- метаболический синдром;
- ожирение;
- возраст после 50 лет;
- климактерический период;
- повышение концентрации холестерина в крови или нарушение соотношения его фракций (дислипидемия);
- перенесенный инфаркт или инсульт.
Если у больного имеется симптоматика ишемии головного мозга или сердечной мышци, то целью применения препарата является профилактика повторных приступов и осложнений заболеваний. К ним относятся:
- нестабильная стенокардия;
- ишемическая энцефалопатия;
- признаки ишемии головного мозга;
- тромбоз глубоких вен;
- угроза закупорки тромбом или эмболом легочных сосудов.
Медикамент показан пациентам, которым проведены операции на сосудах (аортокоронарное или артериовенозное шунтирование, удаление тромба или ангиопластика в бассейне сонных артерий), а также были хирургические вмешательства, особенно на суставах. Профилактика тромбообразования при помощи Тромбопола показана в том случае, если больной длительный период находится на строгом постельном режиме.
Дозы для лечения и профилактики тромбообразования
Терапия препаратом проводится длительно, при хорошей переносимости врач его может рекомендовать для постоянного приема. Таблетку нужно проглотить целиком, запить половиной стакана воды. В день может быть назначено от 75 мг до 300 мг Тромбопола в зависимости от состояния свертывающей системы крови и угрозы побочных действий.
При наличии стенокардии напряжения, предынфарктного или прединсультного состояния, операций или заболеваний с высоким риском появления тромбов назначается 150 мг. В особо тяжелых случаях Тромбопол по 150 мг принимается 2 раза в день.
Противопоказания
Не рекомендуется назначать препарат пациентам, у которых имеется повышенная чувствительность к ацетилсалициловой кислоте, а также к другим противовоспалительным средствам нестероидной группы. Противопоказан Тромбопол при следующих патологиях:
- бронхиальная астма, которая возникла на фоне приема аспирина или сочетание ее с полипозом носа и гиперчувствительностью («аспириновая триада»);
- эрозии или язвы на слизистой желудка, кишечника, кровотечения из органов пищеварительного тракта;
- геморрагический диатез;
- необходимость лечения Метотрексатом;
- первый и третий триместр беременности, лактация;
- возраст до 18 лет;
- тяжелое нарушение функции печени или почек;
- декомпенсация сердечной деятельности.
Требуется осторожность применения этого средства при подагре или нарушенном выделении мочевой кислоты, язвенной болезни в прошлом или желудочных (кишечных) кровотечений, а также при любых заболеваниях печени и почек.
Повышенный риск нарушения выделения мочи отмечается при атеросклеротическом изменении почечных артерий, застое крови при слабости сердца, обширных операциях, обезвоживании или кровотечении. Поэтому перед назначением Тромбопола таким больным требуется определение скорости клубочковой фильтрации.
При склонности пациента к бронхоспазму или имеющейся повышенной чувствительности к обезболивающим, антиревматическим средствам возможно усиление реакции организма на аллергены. Во второй половине беременности назначать этот медикамент следует только под контролем кардиолога и гинеколога. Следует учитывать, что на фоне приема препарата даже мелкие операции (удаление зуба) сопровождаются длительным кровотечением.
Опасными для здоровья являются сочетания Тромбопола с такими медикаментами:
- разжижающие кровь средства из разных групп;
- противовоспалительные препараты;
- Дигоксин;
- инсулин и сахароснижающие таблетки;
- противосудорожные;
- антидепрессанты;
- Ибупрофен.
Алкогольные напитки на фоне Тромбопола вызывают повышенный риск развития побочных реакций, особенно в отношении кровотечений и раздражения слизистой оболочки желудка.
Побочные реакции
Как правило, пациенты при приеме препарата жалуются на появление тошноты и боли в животе, реже возникают эрозии или язвенные дефекты в желудке на фоне лечения. Из-за торможения тромбообразования усиливается кровоточивость десен, слизистой оболочки носа, мочеполовых путей, чаще появляются синяки на коже.
Особая настороженность в отношении тяжелых форм мозгового кровотечения нужна в отношении больных с неконтролируемым или злокачественным течением гипертонии, принимающих одновременно медикаменты для разжижения крови.
При передозировке бывает головокружение, шум в голове, нарушение слуха. В случае заболеваний почек может возникнуть почечная недостаточность.
Применение при беременности
Отрицательное действие препарата на вынашивание ребенка связано с тем, что Тромбопол нарушает образование простагландинов в организме. Это приводит к таким последствиям:
- у плода нарушается развитие скелета и внутренних органов – возникают расщелины неба, пороки строения сердца и сосудов;
- препарат замедляет родовую деятельность (при приеме на поздних сроках);
- повышает риск кровотечения у матери и ребенка;
- может закрыться артериальный проток раньше времени;
- возникает легочная гипертензия у младенца;
- нарушается работа почек;
- у недоношенных новорожденных бывают внутричерепные кровоизлияния.
Чаще всего такие последствия обнаруживают у женщин, которые пользовались таблетками ацетилсалициловой кислоты в обычной дозировке (500 мг) в качестве обезболивающего средства или принимали Тромбопол по 300 мг в сутки. В первом и третьем триместре для беременных этот препарат противопоказан, а во втором его может назначить только врач с учетом риска для здоровья плода и матери, при условии, что доза не выше 150 мг, а длительность лечения не превышает 20 — 30 дней.
Что лучше Тромбопол или Кардиомагнил
Препараты Тромбопол и Кардиомагнил содержат в составе ацетилсалициловую кислоту в дозировке 75 и 150 мг, таблетки этих лекарственных средств покрыты оболочкой, которая растворяется только в просвете кишечника, то есть не нарушается состояние слизистого слоя желудка.
Но в Кардиомагниле дополнительно в состав введено 15,2 мг гидроокиси магния. Он нейтрализует действие ацетилсалициловой кислоты и защищает от ее раздражающего действия. Поэтому для пациентов с заболеваниями желудка или поджелудочной железы лучше принимать Кардиомагнил.
А здесь подробнее о Везанусе при варикозе и тромбофлебите.
Тромбопол назначают для предотвращения образования тромбов в артериях и венах. Он показан для профилактики ишемии головного мозга и миокарда, а также снижения опасности развития инсульта или инфаркта. Его можно рекомендовать пациентам из группы риска сосудистых катастроф.
Чаще всего терапия препаратом проводится длительно. Это приводит к развитию побочных действий – боль в желудке, кровотечение и аллергические реакции. Для предупреждения поражений слизистой оболочки органов пищеварения можно заменить Тромбопол на Кардиомагнил (после консультации врача).
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Смотрите на видео о препарате Тромбопол:
Зачастую тромбоз глубоких вен несет серьезную угрозу жизни. Острый тромбоз требует немедленного лечения. Симптомы на нижних конечностях, особенно голени, могут диагностироваться не сразу. Операция требуется также не всегда.
Пациентам часто назначается препарат Варфарин, применение которого основано на противосвертывающих свойствах. Показаниями к таблеткам является густая кровь. Также препарат может рекомендоваться для длительного применения, имеет противопоказания. Нужна диета.
При тромбофлебите и против эмболии назначается Ксарелто, показания к применению которого включают и определенные патологии сердца. Способ применения таблеток выбирает врач. Побочные действия лекарства могут возникнуть при длительном применении.
Возникает посттравматический тромбоз при отсутствии адекватного лечения. Острая форма поражения глубоких сосудов нижних конечностей опасна отрывом тромба. Чем раньше выявлен сгусток, тем выше шансы на успех в лечении.
Препарат Пектрол, применение которого возможно при ишемии миокарда для снятия приступов стенокардии, имеет довольно обширные показания. Также есть аналоги таблеток, поэтому если не получается купить его, то можно подобрать заменители с теми же показаниями, от чего помогает препарат.
В случаях сердечных заболеваний, в том числе стенокардии и прочих, назначают Изокет, применение которого допускается в форме спрей и капельниц. Показаниями считается и ишемия сердца, а вот противопоказаний много.
Принимать препарат Верапамил без назначения врача крайне не рекомендуется. Он выпускается в таблетках и ампулах для инъекций. Какие есть противопоказания? Как применять при высоком и низком давлении, аритмии?
При артериальной гипертензии назначается Доксазозин, применение которого предпочтительно для людей с простатитом, сахарным диабетом. Способ приема таблеток подбирает врач. Особенность лекарственного препарата — ортостатический эффект в начале приема.
Назначают Гепарин при инфаркте не всегда, особенно при остром инфаркте миокарда, поскольку есть противопоказания. Но он поможет при тромбозе глубоких вен, в т.ч. индуцированном. Какая дозировка нужна для лечения и профилактики?
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