The drug Capoten: at what pressure to take and how, patient reviews, analogues, compatibility, price. This medicine is based on the familiar captopril, a drug that lowers blood pressure.
How it works: the inhibitor reduces the amount of hormones (angiotensins of group I-II) that are formed in the liver and serve to control the walls of blood vessels, that is, in excessive quantities they can cause high blood pressure or even a hypertensive crisis. Thanks to Capoten, the veins and arteries expand, and blood pressure begins to drop.
The second feature of the drug is that it blocks the decrease in the concentration of bradykinin, that is, a peptide that dilates blood vessels and reduces blood pressure.
That is, the effect of Kapoten is more or less stable. Composition of Kapoten:
- • Captopril;
- • Cellulose;
- • Corn starch;
- • Stearic acid;
- • Lactose.
Many people use Kapoten as an emergency medicine for high blood pressure or during a crisis, however, there may be specific features and contraindications when using it.
After taking Capoten, blood supply to the myocardium improves, and in large doses the medicine can be used to inhibit the development of renal failure.
Like any drug, Capoten has pros and cons, advantages and disadvantages. This article is for informational and educational purposes only and cannot serve as a basis for self-medication. Therefore, Capoten cannot be used without a doctor’s prescription, especially if you have other chronic diseases.
Composition of the drug
The package contains white tablets (sometimes they may have a creamy tint) with a specific odor.
One tablet (25 mg) contains captopril as the main active ingredient. Thanks to it, the effect of the drug begins approximately 15 minutes after taking it and the effect lasts up to 7-8 hours.
Auxiliary ingredients: starch, cellulose, octadecanoic acid, lactose.
How does it affect blood pressure?
With high blood pressure, the blood vessels begin to narrow, causing blood to not circulate normally. Capoten tablets dilate blood vessels to a normal level, which leads to a decrease in blood pressure and improved well-being.
Another advantage of the drug is its immediate absorption into the blood. At least 70 percent of the main substance is absorbed and subsequently excreted in the urine.
Capoten usually begins to act a few minutes after administration.
The maximum effect of its action can be felt after 60-80 minutes. It is not recommended to take the tablets after meals, as in this case the effect of the medicine is dulled.
Drug interactions
The antihypertensive effect of Capoten is potentiated by vasodilators (minoxidil) and diuretics.
Simultaneous use with lithium salts may lead to an increase in the concentration of lithium in the blood serum.
With the simultaneous use of Capoten with procainamide and allopurinol, the development of Stevens-Johnson syndrome and/or neutropenia is possible; with immunosuppressants, the risk of hematological disorders increases.
The antihypertensive effect of the drug is reduced by indomethacin and other non-steroidal anti-inflammatory drugs.
Concomitant use of potassium-sparing diuretics, potassium supplements, potassium supplements and salt substitutes with Capoten may increase the risk of hyperkalemia.
Who is the medicine prescribed to?
It is recommended to use the drug Capoten if:
- Blood pressure readings are periodically or regularly overestimated;
- In the presence of heart failure. If such a disease occurs in a chronic form, then the drug can only be taken as an adjuvant to improve well-being;
- Previously suffered a myocardial infarction;
- With the development of diabetic nephropathy in combination with diabetes mellitus.
After long-term use of the drug, kidney function should be checked periodically.
At what pressure is it taken?
Considering the vasodilating and hypotensive effects of the drug, it can be used for any hypertension.
With the help of Capoten, you can normalize blood pressure in emergency situations when there are no other medications at hand. The medicine is also suitable for use after a hypertensive crisis or other similar complications.
How to take with high blood pressure
It is recommended to use the medicine according to the instructions. It is important to follow the correct dosage depending on your symptoms and general condition.
So, if your blood pressure begins to increase, it is enough to chew one tablet in your mouth with a dose of 25 mg. Within an hour after taking it, it will drop to twenty percent.
If the readings remain elevated, then an hour later you can take another tablet in the same way. In this case, the indicators stabilize to normal levels without taking additional medications and without calling an ambulance.
Reception for high blood pressure and crisis
Capoten can also be used for hypertensive crisis. To do this, you need to put 2 tablets (25 mg each) under your tongue at once and dissolve them completely. The pressure will begin to gradually decrease after ten minutes. It is not advisable to take higher doses without consulting a doctor.
Contraindications for use
The antihypertensive drug is not dangerous to health, but not everyone can use it. Capoten is prohibited for use in cases of severe hypertensive crisis if there is:
- serious kidney and liver dysfunction;
- intolerance to the components of the drug;
- increased amount of potassium in the blood;
- angioedema;
- reduced aortic mouth;
- pregnancy and breastfeeding;
- narrowing of the renal arteries;
- age less than 18 years.
For some serious diseases, the drug can be used, but after consulting a doctor. He will compare the risks and the need to take the drug. In the list of ailments when contraindications are relative:
- autoimmune disease lupus erythematosus;
- ischemia of the heart or brain;
- hyperaldosteronism (when the adrenal cortex secretes more aldosterone than normal);
- reduced amount of blood circulating in the human body;
- diabetes;
- scleroderma (a connective tissue disease characterized by hardening).
Instructions for use for hypertension
The required dosage should be calculated by the doctor, taking into account the peculiarities of the course of the disease, the usual blood pressure levels and the body’s reaction to the drug.
Instructions for use for hypertension
It is worth noting that the correct medication should be taken before meals. It is better to take 1 – 1.5 hours, in the quantities prescribed by the doctor.
If hypertension is diagnosed at the initial stage, then it is enough to take the drug orally, one tablet twice a day. If the disease progresses, then it is worth taking two tablets at a time, twice a day.
Download complete instructions for use of the drug
In cases where arterial hypertension is in advanced form, it is necessary to start taking half a tablet twice a day and gradually increase the dosage to two tablets three times a day.
Capoten dosage
- For older people – a quarter of a tablet 2 times a day (6 mg).
- For healthy adults – 12.5 mg (half a 25 mg tablet) twice a day an hour before meals with high blood pressure.
- For severely elevated blood pressure, take one 25 mg tablet twice a day.
- The maximum daily dose is 50 mg.
If you overdose on Kapoten, your blood pressure will drop sharply, heart problems and a state of shock will begin. You should immediately call an ambulance and try to rinse your stomach.
Recommendation for admission
: consume less salt, take care of your kidneys. Do not take other stimulants.
As a rule, the drug is started at 6.5 mg twice a day, then the amount can be increased. The dose of the drug depends on the disease, blood pressure, test results - in case of diabetes and heart attack, the weight of a single dose of Capoten can be generally large, but it is still determined by the doctor. Because of habituation, doctors usually try not to overload their patient with chemistry.
It is better to use Capoten on your own with mandatory monitoring using a tonometer. (Rating of the best HERE).
For example, you have high blood pressure 150/95, you took half a tablet, and measured your blood pressure half an hour later. If everything goes according to plan, it should drop by 10-15%. After an hour - by 20-30%. If symptoms persist, you can take another 25-mg quarter.
If the reaction to the body is already known, and it is not too sharp, then even at a pressure of 140 you can take a whole tablet of Capoten under the tongue. Over time, the reaction rate decreases with regular use of the drug.
Dosage of Capoten depending on pressure:
| Pressure | Dose (twice a day), mg |
| 130/85 – 140/90 | 6,5-12,5 |
| 140/90 – 160/100 | 12,5-25 |
| 160/100 – 180/110 | 25-50 |
| 180/110 – and higher. | 12.5-50 (small portions every hour) |
In case of a serious crisis, it is recommended to take half a 12.5 mg tablet, then an hour later another 12.5 mg and so on until the pressure subsides. It is best to use small doses.
Attention!
The dosage is determined only by the doctor! The table is for informational purposes only! The doctor will select the dose of Capoten according to weight, age, depending on the presence of chronic diseases.
If there is noise in the ears, weakness in the limbs, speech disturbances or problems with facial expressions, then you need to put nitroglycerin under your tongue and immediately call an ambulance!
By the way, during the first few months of treatment, the doctor is obliged to monitor the level of leukocytes - and this once again indicates the seriousness of the drug.
Can Capoten be used daily?
During medical therapy, for example, during recovery from a heart attack or cardiovascular diseases, Capoten can be used daily. The duration of the course and dosage are determined by the doctor. It is allowed to drink Capoten during a congestive hypertensive crisis; for several days in a row, moderate consumption will help lower blood pressure and relieve stress on the heart.
However, it is not recommended to drink Capoten for months at a time - both due to addiction and the lack of a serious therapeutic effect. It is necessary to look for the cause of hypertension, and in combination with medications, exercise therapy, wellness programs and folk remedies, achieve stable blood pressure without taking Capoten daily.
Why didn’t two Capoten tablets lower my blood pressure?
Capoten works only with the adrenal glands. If the body is already accustomed, the effectiveness decreases. If a person has eaten heavily, then there will be no effect either. But the most important thing is that if high blood pressure is caused by nervous shock, increased heart function, physical activity, or diseases of the internal organs, then Capoten will not help. So if you drink and your blood pressure does not decrease, then either use other means (without active captopril in the composition, of course), or think about the reasons and draw conclusions. You need to go to the hospital and get checked, otherwise it may be that your kidneys are failing.
How many Capoten tablets can you take to lower blood pressure?
For severe hypertension, no more than 25 mg (two tablets) 2 times a day. But it’s better to take it in small doses, monitoring it with a tonometer.
How to enhance the effect of Capoten?
The simplest thing is to take Capoten on an empty stomach. But if it doesn’t help, then what you don’t need to do is increase the dose. Doctors usually prescribe auxiliary medications, such as hydrochlorothiazide or another diuretic. A combination drug of captopril and a diuretic is also available, called Capozide.
How to use Capoten?
The main questions are to swallow, dissolve or sublingually. It is better to take orally with water. But if emergency aid is required for high blood pressure, then Capoten is placed under the tongue, like nitroglycerin. In this case, the active substance immediately penetrates the blood.
Due to the peculiarities of the effect on the mucous membrane, as well as on internal organs and the liver, it is often better not to put Capoten under the tongue. And when swallowing it, you should wash it down with plenty of water.
Contraindications to the use of Capoten:
- Age up to 18 years;
- During pregnancy - not allowed!
- When breastfeeding - no!
- Edema of various forms;
- Liver and kidney diseases;
- Intolerance to lactose and other components of the drug;
- Aortic stenosis;
- Diabetes mellitus (needs consultation with your doctor!).
Based on the general picture that follows from studying opinions about the drug, the medicine is more suitable for “first aid” than for therapy. Again, this is a very harsh chemistry, which is useful in severe degrees of hypertension and older age. The more conservative and natural the treatment, the better, therefore, you should not fight blood pressure with such drugs, if you still have the opportunity to maintain healthy activity, be treated with herbs and selected nutrition. And, of course, medical supervision is required - without this it is better not to think about taking pills.
In old age, with high iron or cholesterol, hemoglobin and abnormalities in the results of blood and urine tests, Captopril is either prescribed in reduced doses or is replaced with analogues.
Is it possible to drink during pregnancy?
Capoten reduces blood pressure well, but can it be taken during pregnancy? Such tests were simply not carried out. Many doctors indicate that in the event of a sudden hypertensive crisis, when other drugs are not at hand, you can take the minimum dose - half a tablet.
But for course therapy before and after childbirth, it is prohibited. It is not recommended as a medicine in the first months of pregnancy.
Before you decide to take the medicine yourself, you should consult with your doctor and get his approval.
Reviews from doctors and patients:
“Capoten has a huge number of contraindications, but, nevertheless, it is a very good remedy for those suffering from high blood pressure periodically, for example, during the weather. I recommend taking it with great caution, starting with a quarter of a tablet or a third.”
Vladislav Akimushkin, cardiologist, Moscow.
“I decided to drink kapoten, the result was that I was taken away in an ambulance after losing consciousness. The drug tends to accumulate in the body, it reduces blood pressure well, but you cannot drink it constantly. We need treatment, otherwise it will be like mine – blood pressure will drop sharply.”
. Nadezhda Egorovna, Bryansk.
“A good remedy for rare use, just be careful with the dosage. We had an audit at the company, the accountant got nervous, her blood pressure rose, she walked along the corridors and swayed all the way. I drank half a tablet of Capoten and came to my senses. I myself drank more than once when my head was cracking due to the weather.”
. Vitaly, Moscow.
Contraindications
In some cases, the medication is not recommended to be taken orally:
- If there is intolerance to its components;
- During pregnancy and breastfeeding;
- Children before reaching adulthood;
- After operations performed on the kidneys;
- With low blood pressure (hypotension);
- If the patient has liver failure;
- With hyperkalemia;
- Elderly people (only if the doctor approves taking the drug);
- For diabetes mellitus.
Features of application
Capoten has some features of use that must be taken into account when including the product in a recipe.
If kidney function is impaired
When considering whether the medicine can be taken by patients with impaired renal function, it should be noted that treatment in this case is carried out with extreme caution.
For diabetic nephropathy with mild to moderate severity, the dosage of the drug is allowed - from 75 to 100 mg. In severe cases of the disease, the daily dose should not exceed 12 mg of the drug per day, divided into 2 doses.
During pregnancy and lactation
During pregnancy and lactation, Capoten is contraindicated, since the active component included in the drug can penetrate into the blood and through the placenta to the fetus, adversely affecting the child.
If there is a need to use the drug while breastfeeding, the doctor decides to stop feeding the child in favor of treatment with Capoten.
Children
There is currently no sufficient data on the safety of using Capoten in pediatrics, so the drug is used in extremely rare cases for the treatment of children under 18 years of age.
Elderly patients
If it is necessary to prescribe the drug among elderly patients, a comprehensive examination of the patient is carried out, the condition of his kidneys, heart and other organs is assessed. Usually the dosage for such people is lower than for ordinary patients. At the beginning of treatment, 6.25 mg of the drug is used. The dose of the drug is increased slowly until the expected therapeutic effect occurs. In addition, to maintain the body, elderly patients can be prescribed complex treatment, including drugs such as Glycine, Piracetam, Vero-Vinpocetine and others.
With alcohol
Alcoholic drinks, even in small dosages, negatively affect the human body and the functioning of internal organs. If you take alcohol during cardiovascular diseases, it can provoke a hypertensive crisis and acute heart failure. In combination with alcohol, Capoten can cause the most negative effect. In addition, the effect of the drug is neutralized by drinking alcohol. Complications often occur in patients who take Capoten to lower blood pressure against the background of a hangover, and kidney disease occurs. Considering all this, you should avoid drinking strong drinks during treatment.
During treatment it is necessary to abstain from alcohol
Side effects
The medication has some side effects, so you need to take the medicine with caution. It is important to maintain the required dosage and not increase it without the consent of the doctor.
Such negative manifestations include:
- Peripheral and pulmonary edema, dizziness;
- Possible manifestation of tachycardia;
- General weakness and lethargy;
- Renal and urinary disorders;
- Possible development of anemia;
- Manifestation of allergies to the components of the drug (there may be swelling, rash, itching, etc.);
- Disruption of the digestive organs (worsening of appetite, abdominal pain, loose stools or, conversely, constipation, etc.)
In case of an overdose of the drug, negative manifestations may occur in the form of: cerebral circulatory disorders, thrombosis of the veins of the lower extremities, myocardial infarction. In this case, the pressure must be stabilized to normal using NaCl solution (0.9% intravenously). In this case, the patient must take a supine position, the lower limbs must be raised.
Side effects:
According to studies and comments from consumers, Capoten may exhibit the following side effects:
- dizziness, ataxia, drowsiness;
- hypotension, tachycardia, peripheral edema;
- swelling of the limbs, lips, tongue, face, laryngeal mucosa;
- anemia, agranulocytosis, neutropenia, thrombocytopenia;
- hyperkalemia, acidosis, hyponatremia, proteinuria, high concentration of urea nitrogen in the blood;
- aphthous stomatitis;
- impaired taste, dry mouth, increased liver enzymes;
- in rare cases, abdominal pain, diarrhea, hepatitis, and gum hyperplasia may occur;
- erythema, rash and itching, rashes, photosensitivity, flushing of the face.
At the first signs of side effects, you should stop taking the drug and consult a doctor.
Advantage of the drug
Several main advantages of Kapoten can be noted:
- Reducing the risk of death from cardiovascular complications.
- Efficiency and speed. Another advantage of the drug is its relatively mild effect on the body. It does not affect the nervous system.
- This medicine and similar drugs do not interfere with kidney function. Therefore, it is allowed to take it even with kidney pathologies.
- Price is another advantage of the medication. It is not an expensive remedy, so people can buy the medicine even on a limited budget.
Overdose is possible
As has already been mentioned several times, when taking such a medication, blood pressure levels sharply decrease. Such surges also have a negative impact on the functioning of the cardiovascular system. Therefore, no doctor will advise self-medication. Uncontrolled use of Capoten can lead to the development of complicated consequences, overdose and the manifestation of side symptoms. If possible, always coordinate the use of such medications with a specialized doctor. After conducting a comprehensive examination, assessing the clinical picture and physiological characteristics, the doctor will select the safest and most effective medication, and also describe a regimen for its administration.
If Capoten is taken in excess of the prescribed dosage, side effects will not take long to appear. Their list is huge.
Side symptoms:
- pain in the epigastric region;
- bowel dysfunction;
- the appearance of swelling;
- dry cough;
- increased heart rate;
- anemia;
- drowsiness;
- sudden increase in body temperature, etc.
Kapoten's analogs
Although the drug has proven itself to be a very good inhibitor, it has contraindications and side effects that are not suitable for everyone suffering from hypertension.
Then you should pay attention to medications with a similar effect. Now in pharmacies there are quite a few drugs with the same hypotensive effect: Alkadil, Katopil, Captopril, Lisinopril, Vazolapril, etc.
Patients usually prefer Captopril as an alternative medicine. It is considered to have an action absolutely similar to Capoten and helps in cases where other medications do not give a visible result.
Video on the topic
Review of drugs for hypertension and cardiovascular diseases Capoten and Captopril:
Capoten is one of the most effective drugs for high blood pressure. It is popular due to its efficiency, high speed, and affordable cost. The drug has proven itself in systemic treatment, and it can also be used as an “ambulance” for hypertensive crises, since when absorbed, it begins to act within a matter of minutes.
The information on the MyMedNews.ru website is for reference and general information, collected from publicly available sources and cannot serve as a basis for making a decision on the use of medications in the course of treatment.
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Reviews from hypertensive patients
“Sometimes it happens that the pressure rises sharply and you have to take medication to return it to normal. For such cases, I always have a package of Kapoten, as it gives really quick results. But mostly I take other medications to keep my blood pressure at a level that is normal for me. Usually the doctor prescribes Noliprel for me.” Alexander, 45 years old, Samara
Oksana, 31 years old, Krasnodar: “I have hereditary hypertension, so treatment was of little use. However, when I was advised to take Capoten for blood pressure, I noticed very good changes. And my health immediately improved, and my blood pressure began to decrease. Now I take this drug literally 2-3 times a year, take courses, and for some time high blood pressure stops bothering me altogether. This is the only treatment I use now. Even if I can’t completely get rid of the problem, I can at least maintain my health and this, I think, is enough.”
Maxim, 38 years old, Voronezh : “My attending physician once prescribed me the medicine “Capoten.” Then she somehow calculated an individual dose for me, and since then I have stuck to this treatment. I am satisfied that after taking the pill, blood pressure quickly drops to almost normal. I didn’t notice any side effects from it, which is also good.”
Drug price
The medicine is sold relatively inexpensively. Its cost is affected by the region, dosage and number of tablets in the package. On average, the price of a hood is 150-200 rubles.
It is the price factor that influences the fact that the medicine has been in demand among the population for quite some time.
However, you need to take into account your body’s possible reaction to the drug! Before you start taking it yourself, it is best to consult your doctor first. Author of the article Svetlana Anatolyevna Ivanova, general practitioner
