Ritmonorm tablets ppo 150 mg No. 50

Author of the article: Marina Dmitrievna

2017.11.26

375

Drugs

Ritmonorm is produced in the form of tablets, 50 pieces per package, coated with a protective coating. The active ingredient of the drug is Propafenone (instructions for use). The most common dosage of Ritmonorm, which can be bought at a pharmacy, is 150 mg per tablet.

Packaging of the drug

Indications

The antiarrhythmic drug Ritmonorm is prescribed to patients with disturbances of normal heart rhythm in the form of:

• paroxysmal ventricular tachyarrhythmia, which occurs suddenly and, in the absence of adequate assistance, can pose a real threat to life;
• atrial fibrillation or fibrillation, which contributes to the formation of blood clots and their accumulation in the atrial appendages;
• tachycardia caused by pathological impulses from the atrioventricular node;
• supraventricular tachycardia, which occurs against the background of WPW syndrome.

How does Rhythmocor affect the body?

This combined medication has several properties: antioxidant, membrane stabilizing, antiarrhythmic. In addition, the drug is characterized by strong metabolic activity.

Problems solved by taking the drug:

• when interacting with antiarrhythmic drugs - improving their effectiveness;
• stabilization of the rhythm of the heart muscle;
• blocking and slowing down fat peroxidation;
• participation in the restoration and normalization of tissues exposed to ischemia and hypoxia;
• normalization of ion pumps.

Rhythmocor has a pronounced effect on the body. Using the drug without a doctor's recommendation can be life-threatening.

Contraindications for use

• Heart failure, in which the ejection fraction of the left heart is less than 40%, despite drug therapy.
• Myocardial infarction in the scarring stage - the first three months after necrosis of the heart muscle.
• Brugada syndrome, which is characterized by transient changes on the ECG. To identify them, it is necessary to carry out daily Holter monitoring, as a result of which it will be possible to determine paroxysmal tachycardia, ST segment elevation and right bundle branch block. This condition often ends in death.
• Cardiogenic shock.

Patient with cardiogenic shock

• Sick sinus syndrome, manifested by severe bradycardia.
• Impaired conduction of impulses through the atrial conduction system.
• Low blood pressure – below 80\60 mm. rt. Art.
• Hyper- and hypokalemia or other disturbances of water and electrolyte balance.
• Myasthenia.
• Chronic obstructive pulmonary disease with severe respiratory failure. Use the drug Ritmonorm very carefully if a diagnosis of bronchial asthma is established.
• Children under 18 years of age.
• Individual intolerance to the components of Ritmonorm and hypersensitivity to the drug.
• The administration of the drug Ritmonorma to patients with an electrical pacemaker deserves special attention.

Dosage regimens and method of administration

Doctors select the dose of Ritmonorm only when the patient undergoes inpatient treatment. First, a full examination is carried out, based on which the cardiologist makes a final diagnosis. Next, all medications that the patient had previously taken are discontinued, and constant monitoring of blood pressure and pulse rate is organized and an electrocardiogram is recorded. Depending on these indicators, the dosage is reduced or increased.

On average, for an average adult with a body weight of about 70 kilograms, an initial dose of the drug of 150 mg three times a day is indicated. In the future, the dose is increased due to the frequency of use from 3 to 4-5 times a day, and by adding another tablet to the dose. It turns out 300 mg at one time. The maximum dose of Ritmonorm is 300 mg 3 times a day. It is advisable to begin therapy with minimal doses for patients weighing less than 70 kilograms. If the duration of treatment with Ritmonorm does not exceed 5-7 days, then experts do not recommend increasing the dosage.

Note! In case of chronic liver and kidney failure with impaired excretory function, the dose of the drug Ritmonorm is reduced to avoid overdose and the symptoms that accompany it.

Analogs and substitutes for Rhythmokor

Pharmaceutical companies develop and release several hundred new drugs every year. In this regard, if for some reason it is impossible to prescribe a drug, then the cardiologist can always choose an equally effective analogue. In this case, the drug can be in the form of tablets or solution.

Analogues of Rhythmokor:

• Magvit is a modern drug used in cardiology and other branches of medicine. Taking the medicine allows you to normalize the amount of magnesium and improve your condition.
• Panagin is a medicine of the latest generation, used as a supplement in the treatment of chronic pathologies of blood vessels and heart.
• Asparkam is a common remedy used in the complex treatment of cardiovascular diseases.

Analogue
of Asparkam Structural analogues of Rhythmocor include the following.

Analog
Analogs are drugs from other groups with similar effects.

Substitute

Overdose symptoms

In case of overdose, two groups of symptoms appear, some of which can only be detected by an electrocardiogram, while others will be complained about by the patient during a conversation with a doctor. The latter include:

• pain in the head, especially in the back of the head and temples;
• severe dizziness;
• blurred vision, blurry picture before the eyes;
• tingling and trembling in the limbs;
• increased drowsiness and fatigue;
• chest pain, feeling of heart failure;
• dryness of the oral mucosa;
• nausea and vomiting;
• upset stool, often constipation;
• attacks of clonic-tonic convulsions;
• breathing disorders up to apnea;
• coma as the most severe complication.

When decoding an electrocardiogram in case of an overdose of Ritmonorm, pay attention to:

1. increase in PQ interval;
2. expansion of the ventricular QRS complex;
3. non-sinus rhythm;
4. blockade of the atrioventricular node;
5. ventricular flutter and fibrillation.

Poisoning with Ritmonorm leads to a significant decrease in the contractility of the heart, blood pressure rapidly drops, which leads to total hypoxia of internal organs and tissues and the development of a collaptoid state.

First aid and treatment of side effects

The active components of the drug have a high degree of binding to the patient’s blood plasma albumin. It is more than 95%, so there are no effective ways to cleanse the body of Propafenone. In this situation, a set of therapeutic measures is carried out aimed at eliminating the symptoms caused by drug poisoning.

An overdose of Ritmonorm is an emergency condition that requires maintaining basic body functions: breathing and cardiac activity. Electrodes of tracking equipment are attached to the patient’s body to monitor the level of blood pressure, heart rate, and also for continuous recording of the electrocardiogram. If the normal rhythm is disrupted, defibrillation may be required, and the decrease in inotropic function and collapse is corrected by intravenous administration of catecholamines: dopamine, adrenaline, ephedrine, isoproterenol.

Defibrillation and oxygen support

If the patient has respiratory failure, then doctors replace this function with the help of a ventilator. Convulsive attacks are stopped with an intravenous injection of the drug diazepam.

Price

You can buy a package with 30 capsules for a price starting from 275 rubles .

For 90 capsules you will have to pay approximately 580 rubles .

The cost depends on the region of sale and the company’s pricing policy. The supplement is sold in pharmacies without a doctor's prescription.

If you wish, you can order dietary supplements to the nearest pick-up point by making a purchase online at an attractive price.

When purchasing a supplement, you should pay attention to the expiration date of the vitamins. It is 3 years. Store the packaging in a dry place, out of reach of small children, at a temperature not exceeding 25 degrees.

Side effects

The side effects of the drug Ritmonorm manifest themselves as minor symptoms that actually do not affect the general condition of a person, as well as more serious ones that can lead to death. In any case, the decision to discontinue the drug Ritmonorm is made only by the attending physician. The most common cardiac side effects are:

• arrhythmias with slowing and accelerating heart rate;
• disruption of the passage of impulses through the conduction system of the heart, especially through the sinoatrial and atriventricular nodes;
• when taking Ritmonorm in combination with organic changes in the myocardium, the contractility of the heart may decrease and congestive heart failure may occur;
• hypotension that occurs when changing body position from horizontal to vertical.

In case of an overdose of Rytmonorma, the nervous system reacts as follows:

• headache and dizziness;
• clouding of consciousness, increased anxiety and sleep problems;
• visual impairment.

Interesting! In connection with taking the drug, an imbalance in the normal course of neuropsychic processes may occur, and erectile dysfunction may develop in case of poisoning with Ritmonorm.

From the digestive system after taking Ritmonorm the following are possible:

• nausea, vomiting;
• bitter taste in the mouth;
• stagnation of bile, which indicates liver dysfunction;
• constipation and increased gas formation.

In case of hypersensitivity to the components of the drug Ritmonorm, allergic reactions occur in the form of:

• all kinds of skin rashes, accompanied by redness and severe itching;
• bronchospasm and asthma attacks;
• in a general blood test and immunogram, the level of leukocytes, especially granulocytes, may be reduced, up to agranulocytosis, a decrease in the number of platelets and an increase in antinuclear antibodies.

Allergic rash due to an overdose of the drug Ritmonorm

Important! Indicators in blood tests return to normal after discontinuation of the drug Ritmonorm within one to two weeks.

Use of Ritmonorm during pregnancy and breastfeeding

Due to the fact that ramdominized studies of the drug have not been conducted, there is no reliable evidence and reviews on the safety of using Ritmonorm during pregnancy and lactation. What is certain is that the medicine passes well through the blood-placental barrier and can affect the development of the child. Scientists also suggest that the drug Ritmonorm can pass into breast milk. Therefore, the attending physician is obliged to study all the benefits and possible consequences after taking the drug Ritmonorm. If the positive effects for a woman exceed the possible negative consequences, then the drug is used.

The blood-placental barrier is not an obstacle for Rytmonorm

Reviews

Rhythmocor shows good results in the fight against arrhythmia and certain types of tachycardia. It can help prevent the development of PFP. The drug very rarely provokes the development of side effects. Another advantage of the medicine is its affordable price. Rhythmocore can be used as an element of combination therapy.

I.A. Stotsky, cardiologist

I have been tormented by arrhythmia for almost 20 years. I tried many medications, but only after Rhythmocor did I feel really good. Complete relief came within two days.

Nadezhda, 62 years old