Which is better: Concor Cor or Metoprolol ratiopharm


Composition and release form

Composition and release form of the drug Concor

The drug Concor is available in a single dosage form

The high effectiveness of this drug is explained by the unique interaction of its components. The main active ingredient of Concor is bisoprolol hemifumarate. To enhance its effectiveness, the composition contains special stabilizer ingredients.

The drug is available in tablet form. One tablet may contain 2.5 or 5 mg of the active ingredient.

When should you take Bisoprolol?

"Concor", like other beta-blockers, is used for the following diseases:

  • essential hypertension;
  • secondary (symptomatic) arterial hypertension;
  • single increase in blood pressure to 139/89 mm Hg. Art., caused by a stressful situation;
  • compensated chronic heart failure;
  • IHD (stable angina);
  • various heart rhythm disturbances (with the exception of bradyarrhythmias);
  • prevention of myocardial infarction, cerebrovascular diseases.

A popular drug against arrhythmia, which includes bisoprolol fumarate

This group of drugs helps lower blood pressure, reduce the load on the heart muscle and facilitate its work under hypoxic conditions. You should be careful with atrial fibrillation, which is accompanied by bronchial asthma, since beta-adrenergic receptors are contained in the bronchi. "Concor" predominantly affects beta-1 adrenergic receptors, practically without affecting the respiratory system, which is its significant advantage.

The effect of any drug is directly dependent on what is included in its composition and how clearly patients follow the recommendations for use. As for Concor, doctors advise taking it orally in the morning, 1 tablet, with a small amount of water. It is noted that taking the medicine does not depend on when a person eats.

Since each tablet is in a special shell, they do not have any bright taste effects. This is very important for patients with hypersensitivity.

The medication is taken in a dosage of 2.5 or 5 mg, depending on the clinical picture of the disease and the therapy prescribed by the cardiologist. If general health worsens, the daily dosage of Concor is increased to 10 mg. It is worth noting that the medicine must be swallowed immediately, without crushing or dissolving it before doing so. The drug is available in blisters of 10, 25 or 30 tablets.

Concor for cardiac arrhythmia: application

You should carefully monitor the daily dosage of the drug, as exceeding it may cause unwanted side effects. If after taking the pills there is no improvement in your well-being, you should consult a doctor and make changes to your therapy. It is prohibited to abruptly stop using Concor.

In case of cancellation, the daily dosage is gradually reduced to the minimum. In case of severe illnesses, for example, ischemic or heart failure, the daily dose of the drug will be higher. Atrial fibrillation, hypertension and other similar cardiovascular disorders require no more than 2.5 mg daily intake of Concor as a maintenance drug.

Concor tablets are a medication designed to normalize the functioning of the cardiovascular system.

Pharmacological properties

The drug belongs to the group of selective beta-blockers. Concor does not affect cell membranes, reducing the oxygen demand of the heart muscle. The medicine also helps to reduce the activity of plasma renin.

Concor is often used as a first aid remedy for arrhythmic attacks. The following properties of the drug contribute to this:

  • antianginal;
  • hypotensive;
  • antiarrhythmic.

Concor is a long-acting agent that helps reduce overall peripheral vascular resistance. The patient’s well-being returns to normal within an hour or two after taking the pill. The maximum effect is achieved 3-4 hours after consumption and persists throughout the day.

Concor is not able to change the strength of contractions of the heart muscle. Its effectiveness is based on a decrease in cardiac output. The receptors of the carotid sinus and aortic arch are affected, resulting in a decrease in blood pressure.

The drug has a complex effect on the heart muscle. In view of this, Concor helps with arrhythmia, including atrial fibrillation. It can also be successfully used to prevent diseases that can injure the heart muscle.

The drug has the following effects:

  1. Normalization of myocardial contraction frequency.
  2. Reduced blood pressure.
  3. Preventing the development of coronary heart disease.

Concor for atrial fibrillation: properties, use, indications and contraindications

Heart rhythm disorders are considered the most common diseases of the cardiovascular system. Atrial fibrillation is characterized by an increased heart rate, reaching 300–700 beats per minute, occurring chaotically during the full cycle of the heart.

To normalize myocardial activity, relieve arrhythmic symptoms and prevent attacks, a wide range of medications are used. Antiarrhythmic drugs and beta-blockers, both selective and non-selective, are often used.

These include the drug “Concor” or “Bisoprolol”, which are widely used in the complex treatment of diseases of the circulatory system.

The drug reduces the load on the myocardium, thereby improving the overall well-being of the patient susceptible to heart failure, reduces blood pressure in hypertension and stops attacks of unstable angina.

It is worth noting that taking the drug for diseases such as bradycardia and hypotension is prohibited, while tachycardia and other similar rhythm disturbances respond well to beta-blockers.

When are medications prescribed for arrhythmia?

Prescription of medications is carried out only by a cardiologist after conducting a full course of clinical studies. Self-medication in this case is dangerous and can result in fatal consequences.

To combat the disease, complex therapy is used, which includes not only taking medications, but also adjusting the diet.

The use of tablets often allows you to get rid of arrhythmic symptoms and prepares the body to attack the root causes of the disease.

The doctor prescribes medication if the patient exhibits the following symptoms:

  1. Unreasonable heart palpitations felt by a person.
  2. Periodic occurrence of pain and rising pulse.
  3. Slow heart rate.
  4. Severe chest pain.
  5. Increased fatigue and shortness of breath.

What is Concor?

The medicine is available in the form of tablets, the main active ingredient of which is bisoprolol hemifumarate, acting together with auxiliary stabilizer ingredients. An older drug with a similar effect is Bisoprolol. One tablet, divided by a partition for more convenient dosage, contains 2.5 mg of the active ingredient.

The medication is a selective beta-blocker that does not affect cell membranes and also does not have its own sympathomimetic activity.

Taking Concor for arrhythmia, the patient reduces the heart's need for oxygen and reduces the activity of plasma renin.

Due to its anginal antiarrhythmic and hypotensive properties, the drug can be used as first aid for arrhythmic attacks.

Pharmacological properties

Bisoprolol is positioned as a long-acting drug that helps reduce high total peripheral vascular resistance. Normalization of the patient’s well-being occurs no more than 1–2 hours after the first tablet is taken. After 3–4 hours, the effect reaches its maximum effect and lasts for another day.

It is noted that the medication does not affect the strength of heart contractions; it improves myocardial activity by reducing cardiac output.

This property entails a decrease in blood pressure, influencing the receptors of the aortic arch and carotid sinus.

It is prescribed for atrial fibrillation due to the fact that problems with heart rhythm occur due to increased load on the myocardium.

Patients with identified cardiac pathologies are often concerned about whether Concor really helps against cardiac arrhythmia or is it just a marketing gimmick.

It is worth noting that most of the incoming reviews are positive, since taking the drug has the following effects:

  1. Helps lower blood pressure.
  2. Reduces the risk of developing coronary heart disease.
  3. Normalizes the frequency with which heart contractions occur.

These effects prove the complexity of the drug’s effect on the body and its ability to fight different types of arrhythmias, including a positive effect on atrial fibrillation. In addition, Bisoprolol can be used as a prophylactic for diseases that injure the heart muscle.

How to take Concor

The effect of any drug is directly dependent on what is included in its composition and how clearly patients follow the recommendations for use. As for Concor, doctors advise taking it orally in the morning, 1 tablet, with a small amount of water. It is noted that taking the medicine does not depend on when a person eats.

Since each tablet is in a special shell, they do not have any bright taste effects. This is very important for patients with hypersensitivity.

The medication is taken in a dosage of 2.5 or 5 mg, depending on the clinical picture of the disease and the therapy prescribed by the cardiologist. If general health worsens, the daily dosage of Concor is increased to 10 mg. It is worth noting that the medicine must be swallowed immediately, without crushing or dissolving it before doing so. The drug is available in blisters of 10, 25 or 30 tablets.

You should carefully monitor the daily dosage of the drug, as exceeding it may cause unwanted side effects. If after taking the pills there is no improvement in your well-being, you should consult a doctor and make changes to your therapy. It is prohibited to abruptly stop using Concor.

In case of cancellation, the daily dosage is gradually reduced to the minimum. In case of severe illnesses, for example, ischemic or heart failure, the daily dose of the drug will be higher.

Atrial fibrillation, hypertension and other similar cardiovascular disorders require no more than 2.5 mg daily intake of Concor as a maintenance drug.

Indications for use

Cardiologists prescribe Concor and other drugs from the group of beta-blockers for the following diseases:

  1. Primary hypertension, characterized by prolonged and persistent high blood pressure.
  2. Secondary hypertension, manifested against the background of damage to organs that regulate blood pressure.
  3. Increased blood pressure due to stressful situations.
  4. Chronic form of heart failure.
  5. Stable form of angina or ischemic heart disease.
  6. Diseases that disrupt heart rhythm (except bradycardia).
  7. Preventive measures against heart attack and cerebrovascular diseases.

Drugs in this group have a lowering effect on blood pressure, reduce the workload of the heart muscle and help it function normally during hypoxia.

Caution should be exercised in case of atrial fibrillation, complicated by the presence of bronchial asthma, due to the fact that the bronchi contain beta-adrenergic receptors.

The predominant effect of Concor extends to beta-1 adrenergic receptors, without actually affecting the respiratory system as a whole, which is a significant positive side of the drug.

Side effect

Like any medicine, Concor can cause side effects, along with an improvement in the patient’s general well-being:

  1. The central nervous system can result in poor sleep, migraines and a general decline in performance.
  2. An inflammatory process in the conjunctiva, leading to deterioration in the functioning of the visual analyzer.
  3. Impact on the circulatory system can provoke the manifestation of bradycardia and collapse.
  4. When exposed to the respiratory system, shortness of breath and cough are likely to occur.
  5. A disorder of the digestive system, manifested in the form of nausea, dyspepsia, flatulence.
  6. Men report decreased libido and erectile dysfunction.

Some patients note manifestations of typical allergic reactions in the form of itching, rhinitis, skin rashes, tearing eyes, and redness of the skin.

In this case, it is necessary to consult a specialist, prescribe antihistamines and select another medication from a different group.

Contraindications for use

Due to the fact that drugs from the group of beta-blockers can cause a sharp drop in blood pressure, it is strictly forbidden to use them for hypotension, as well as a history of collapse. The use of Concor for arrhythmia accompanied by bradycardia will cause no less harm to the patient’s health.

Its use is also contraindicated in patients diagnosed with bronchial asthma. This is due to the influence of beta-blockers on other receptors in the body. The medicine is not prescribed in cases of impaired blood flow to peripheral organs, kidney disease and oncology.

Pregnant women, minors and elderly people with chronic renal failure take the medication under the strict supervision of a medical specialist.

Therapy is prescribed individually, taking into account the type of arrhythmia and the presence of concomitant ailments. The initial prescribed dosage of the medication should not be more than 5 mg per day; in the case of angina pectoris, the daily dose cannot be higher than 20 mg.

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Indications

Indications for the drug Concor

Concor is taken for many heart diseases

As well as other representatives of the group of beta and adrenergic blockers, Concor is very effective in the treatment of diseases that provoke rapid heartbeat. Therefore, it is prescribed for the following ailments:

  1. Secondary hypertension.
  2. Chronic heart failure.
  3. Angina pectoris.
  4. Pressure changes caused by stress.
  5. Heart rhythm disturbances.

The exception is bradycardia, in the treatment of which Concor is absolutely useless.

This drug is often used to treat cerebrovascular diseases and prevent heart attacks. Concor may be prescribed if the following symptoms are present:

  • arrhythmic pulse;
  • causeless heart palpitations;
  • heart pain;
  • dyspnea;
  • fast fatiguability;
  • slow heart rate.

Interaction

Before starting treatment of cardiac arrhythmia with the pharmaceutical drug "Concor", the patient should inform the attending physician about the previously started use of other medications.

It is strictly not recommended to combine Concor with Methyldopa, Clonidine and other centrally acting antihypertensive drugs, since as a result of such a combination the heart rate may decrease and vasodilation may develop. It is possible to enhance the hypotensive effect of Concor if it is used together with medications that have similar therapeutic effects. The risk of overdose increases when combining the described drug with eye drops for glaucoma and other beta-blockers. Suppression of the antihypertensive effect of Concor was noted when it was used together with non-steroidal anti-inflammatory drugs.

Heart rhythm disorders are considered the most common diseases of the cardiovascular system. Atrial fibrillation is characterized by an increased heart rate, reaching 300–700 beats per minute, occurring chaotically during the full cycle of the heart.

To normalize myocardial activity, relieve arrhythmic symptoms and prevent attacks, a wide range of medications are used. Antiarrhythmic drugs and beta-blockers, both selective and non-selective, are often used. These include the drug “Concor” or “Bisoprolol”, which are widely used in the complex treatment of diseases of the circulatory system. The drug reduces the load on the myocardium, thereby improving the overall well-being of the patient susceptible to heart failure, reduces blood pressure in hypertension and stops attacks of unstable angina. It is worth noting that taking the drug for diseases such as bradycardia and hypotension is prohibited, while tachycardia and other similar rhythm disturbances respond well to beta-blockers.

Atrial fibrillation is one of the forms of rhythm disturbances caused by the occurrence of a pathological focus of impulse circulation in the sinus node or in the atrium tissue

Contraindications

Like any potent drug, Concor also has a number of contraindications. The fact is that beta blockers can cause unwanted reactions in the presence of certain ailments. We are talking about the following diseases:

  • bradycardia;
  • hypotension;
  • kidney diseases;
  • the presence of oncological processes in the body;
  • renal failure;
  • disturbances of blood flow to peripheral organs.

In addition, an absolute contraindication to taking the drug is atrial fibrillation complicated by bronchial asthma. The fact is that the bronchi contain beta-adrenergic receptors, which are affected by Concor, which can lead to adverse consequences.

Features of taking the drug by children and pregnant women are determined individually. The specialist conducts a thorough examination and is obliged to compare the possible risk with the expected benefit of taking the drug.

Concor for atrial fibrillation: composition, use, indications and contraindications

A heart rhythm disorder characterized by very frequent (300–700 beats/min) excitation of the atrial myocardium in a chaotic manner during the full cardiac cycle is called atrial fibrillation.

To treat it, it is necessary to use drugs that belong to the group of beta-blockers, which are widely used in the treatment of diseases of the circulatory system.

These drugs reduce the load on the myocardium, which helps improve the condition of a patient suffering from heart failure, help reduce blood pressure in arterial hypertension and are appropriate for relieving attacks of unstable angina.

Arrhythmia is considered one of the most common diseases of the cardiovascular system

What is Concor?

Does Concor help with heart arrhythmia? This is a selective beta-blocker that selectively affects the cardiovascular system. The active ingredient is bisoprolol fumarate. There is an older analogue of the drug - “Bisoprolol”.

One tablet additionally contains stabilizers, such as: “Calcium hydrophosphate”, corn starch, “Silicon dioxide” and so on.

A less dosage analogue of the drug is produced - "Concor Cor", available on the pharmaceutical market in a dosage of 2.5 mg of the active substance - bisoprolol.

Pharmacological effects

"Concor" is classified as a long-acting drug. The patient's condition returns to normal within 1–2 hours after taking the first tablet and is in a stable condition throughout the day.

The drug helps improve heart function by reducing cardiac output. This leads to a decrease in blood pressure due to the effect on the receptors of the aortic arch and carotid sinus.

The drug is prescribed for atrial fibrillation, since heart rhythm disturbances most often occur due to its excessive load.

Tablets containing the active substance bisoprolol hemifumag

"Concor" ("Bisoprolol") has various effects on the heart and blood vessels:

  • antianginal (prevents the development of ischemia);
  • hypotensive (reduces blood pressure);
  • antiarrhythmic (normalizes myocardial contractile function).

The drug is effective in the fight against heart failure, hypertension and various types of myocardial contraction rhythm disturbances (atrial fibrillation, atrial flutter, etc.). This remedy is effective in the prevention of various diseases accompanied by damage to the heart muscle.

How to use the drug correctly

One tablet in a dose of 2.5 or 5 mg (depending on the indications) should be taken every morning with plain water. You can take the medicine regardless of the meal: before, during or after breakfast.

How to take Concor if your condition suddenly worsens? Then the daily dose can be increased to 10 mg. The tablet should be swallowed immediately and should not be crushed or dissolved. The drug is available in blisters of 10, 25 or 30 pieces.

The tablets are protected by a special coating.

Can be taken on an empty stomach or after meals

The maximum dosage should not be exceeded, as this may lead to side effects. If the drug is ineffective, it is worth discussing treatment methods with a cardiologist. You should not suddenly stop drinking Concor.

When discontinuing the drug, the dose should be gradually reduced from the recommended to the minimum. Severe conditions such as coronary heart disease and heart failure require higher dosages.

To maintain normal functioning of the body in case of hypertension, it is enough to take Concor in the amount of 2.5 mg per day as a maintenance medicine.

When should you take Bisoprolol?

"Concor", like other beta-blockers, is used for the following diseases:

  • essential hypertension;
  • secondary (symptomatic) arterial hypertension;
  • single increase in blood pressure to 139/89 mm Hg. Art., caused by a stressful situation;
  • compensated chronic heart failure;
  • IHD (stable angina);
  • various heart rhythm disturbances (with the exception of bradyarrhythmias);
  • prevention of myocardial infarction, cerebrovascular diseases.

A popular drug against arrhythmia, which includes bisoprolol fumarate

This group of drugs helps lower blood pressure, reduce the load on the heart muscle and facilitate its work under hypoxic conditions.

You should be careful with atrial fibrillation, which is accompanied by bronchial asthma, since beta-adrenergic receptors are contained in the bronchi.

"Concor" predominantly affects beta-1 adrenergic receptors, practically without affecting the respiratory system, which is its significant advantage.

Undesirable effects

In addition to improving the condition, some patients may develop a number of side effects of the drug:

  • from the central nervous system: decreased performance, migraine, insomnia;
  • deterioration of the visual analyzer: inflammation of the conjunctiva;
  • from the circulatory system: bradycardia, collapse;
  • from the respiratory system: shortness of breath, cough;
  • negative effect on the digestive system: dyspepsia, nausea, flatulence;
  • in men: decreased libido, erectile dysfunction.

Quite often, patients after taking Concor experience the following symptoms: dizziness, bradycardia, headaches, numbness in the limbs

In some cases, typical allergic manifestations occur: itching, rhinitis, dermatitis, lacrimation, redness of the skin. If such symptoms are observed, you should consult a doctor who will prescribe antihistamines and select a drug from another group.

What are the contraindications?

Since beta-blockers can provoke a sharp decrease in blood pressure, their use is prohibited in cases of hypotension and a history of collapse. Concor for arrhythmia accompanied by bradycardia can seriously harm the patient's health.

Since beta-blockers affect other receptors in the body, they cannot be prescribed to people suffering from bronchial asthma; they are prohibited from being used in severe forms of impaired blood flow to peripheral organs and kidney diseases, including oncology.

Contraindications include:

  • acute and chronic heart failure in severe form;
  • cardiogenic shock (as a consequence of myocardial infarction);
  • AV block (except first degree), SA block;
  • persistent arterial hypotension;
  • severe diseases of the respiratory system (bronchial asthma);
  • violation of the acid-base balance (acidosis).

The risk group includes minor children and pregnant women, since there is not enough information about the effect of the drug on these categories of people.

Source: https://sosudoff.ru/aritmiya/konkor-pri-mercatelnoj-aritmii.html

Side effects

Side effects of the drug Concor

Insomnia is one of the possible side effects of Concor

Taking Concor for atrial fibrillation can cause a number of side effects, which should be reported to your doctor. We are talking about such deviations from the norm:

  1. From the central nervous system, migraines and sleep disorders are possible. Some patients complain of a significant decrease in performance.
  2. From the respiratory system, shortness of breath and cardiac cough are possible.
  3. The negative effects of the drug can also affect the organs of vision. We are talking about conjunctivitis caused by the development of an inflammatory process.
  4. From the digestive system, flatulence, dyspepsia, and nausea are possible.
  5. From the genitourinary system, problems with erection in men may occur.
  6. The negative effect on the circulatory system is represented by collapse and bradycardia.

In rare cases, rhinitis, skin rashes and itching occur. Such side effects require immediate replacement of the drug.

Concor - a cure for arrhythmia

The pharmaceutical drug "Concor" for cardiac arrhythmia reduces the load on the myocardium, which is the root cause of the development of arrhythmic disease.

"Concor" is part of the group of beta-blockers widely used in the treatment of the circulatory system.

The medicine for cardiac arrhythmia is available by prescription, therefore, it is strictly not recommended to use it without medical advice.

Composition and properties

"Concor", sold in the form of tablets, consists of the main component - bisiprolol hemifumarate and such auxiliary components as:

  • corn starch;
  • food emulsifier E572;
  • polysorb;
  • calcium hydrogen phosphate;
  • crospovidone;
  • MCC.

The medicine in question has a long-lasting effect and is intended to reduce peripheral vascular resistance.

If Concor is used correctly, the patient will be able to observe improvements in their condition 1-2 hours after taking the pill. The maximum therapeutic effect occurs after 4 hours and persists throughout the day.

The drug improves the functioning of the myocardium, reducing cardiac output, resulting in lower blood pressure.

Concor also helps with atrial fibrillation, by reducing excessive load on the heart muscle and normalizing the frequency with which the heart contracts.

The drug is effective even for atrial fibrillation.

Thus, the drug has a complex effect on the body and helps fight various types of arrhythmias, including atrial fibrillation.

Plus, the medication stimulates the central nervous system and restores response sensitivity when pressure drops.

Concor can also be used as a prophylactic agent to prevent the development of pathologies that cause damage to the heart muscle. The beta blocker does not disrupt carbohydrate metabolism and promotes the removal of sodium from the body.

Drug analogues

If it is necessary to replace Concor, doctors prescribe the following medications containing a similar active ingredient:

  • "Biprol";
  • "Bisocard";
  • "Aritel";
  • "Corbis"
  • "Coronal"
  • "Tirez";
  • "Bisomor";
  • "Nipperten";
  • "Bidop."

Appointments

The drug can be prescribed to a patient with angina pectoris.

It is advisable to take Concor for the treatment of such pathological conditions as:

  • high blood pressure provoked by stressful situations;
  • chronic dysfunction of the heart muscle;
  • primary and secondary hypertension;
  • coronary heart disease, angina pectoris;
  • arrhythmia and other diseases that disrupt the heart rhythm (except bradycardia);

Instructions for use and dosage

"Concor" is prescribed 1 tablet (2.5 mg) per day, which should be taken in the morning with a small amount of water. The dragees are swallowed whole, without crushing them first. If the patient's health worsens, the dosage is increased to 10 mg.

It is important to strictly follow your doctor's instructions and not exceed the dose recommended by him. Otherwise, the patient is at risk of developing unwanted side effects. Patients who do not see improvement in their condition should consult a doctor who will adjust the prescribed treatment.

You should stop taking Concor gradually.

"Concor" is taken not only for treatment, but also for the prevention of pathologies affecting the heart muscle.

Side effects

Taking this medication may cause increased fatigue in some patients.

The medication is well tolerated and does not provoke a negative reaction from the body. But it is possible that while using it, patients will encounter such negative phenomena as:

  • stool disorders;
  • increased fatigue;
  • dizziness;
  • headache;
  • nausea, vomiting;
  • depression;
  • insomnia.

During pregnancy, breastfeeding and childhood

In addition, persons under 18 years of age should not choose Concor for the treatment of arrhythmia. Women carrying a child are allowed to use a beta-blocker only if the expected benefit for the expectant mother significantly outweighs the danger to the fetus.

During pregnancy, Concor is not recommended due to the fact that the β-blocker can reduce the flow of arterial blood to the placenta. As a result, there is a lack of oxygen, which negatively affects the development of the fetus.

If it is impossible to exclude the use of Concor, a pregnant woman should be observed by a doctor during therapy. There is no data on the ability of bisoprolol to pass into breast milk.

Therefore, in order to prevent any risks, you will need to discontinue the medication or suspend lactation by transferring the baby to formula milk.

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Drug interactions

Concor for cardiac arrhythmia is often prescribed as part of complex therapy. Therefore, you should know in advance about its interaction with other medications. The most important combinations are:

  1. Strengthening the effect of antihypertensive drugs.
  2. When taken with Ergotamine, significant pressure surges are possible.
  3. A weakening of the effectiveness of Concor is observed when it is used simultaneously with Rifampicin and Nifedipine.
  4. Strengthening the hypoglycemic effect with insulin.
  5. Reduced effectiveness when combined with sympathomimetics.
  6. It is especially dangerous when used together with Verapamil or Diltiazem, since acute heart failure, low blood pressure and arrhythmia may occur.
  7. A sharp decrease in heart rate is observed when taking Concor along with Reserpine, Clonidine and alpha-methyldopa.

Concor for cardiac arrhythmia: effectiveness, indications, use and contraindications

Arrhythmia is one of the most common diseases, the characteristic manifestation of which is heartbeat: from 300 to 700 beats per minute.

Various drugs are used to relieve attacks, among which Concor, better known as Bisoprolol, has proven itself well.

It relieves stress from the myocardium, improving health, lowering blood pressure in hypertension, and inhibiting the manifestations of angina pectoris.

Efficacy of Concor for arrhythmia

Concor is a heart-shaped tablet with a light orange shell. The main composition is bisoprolol fumarate. Excipients:

  • calcium hydrogen phosphate;
  • starch;
  • silica;
  • microcrystalline cellulose;
  • crospovidone;
  • magnesium stearate.

The drug was developed as a selective beta-blocker that does not affect the condition of cell membranes. Concor solves the problem of lack of oxygen for the heart and reduces the activity of blood plasma components. It has anginal, antiarrhythmic and hypotensive properties, thanks to which it is successfully used as a first aid remedy for attacks of arrhythmia.

How does it work?

Concor acts quite quickly, your health returns to normal within an hour and a half after taking the pill. And after a couple of hours, the effect is consolidated and lasts throughout the day.

Among the characteristic features of the drug:

  • reduces vascular resistance;
  • relieves stress on the heart;
  • reduces the risk of ischemia;
  • normalizes heart contractions.

How to use?

It is recommended to drink Concor in the morning, regardless of meals. The drug is suitable for patients with hypersensitivity, since the tablets do not have a strong taste due to the special coating.

Some important tips for use:

  1. The tablets are developed in dosages of 2.5 and 5 mg, the regimen is adjusted by the doctor.
  2. The medicine should be swallowed whole, without dissolving or crushing.
  3. Follow the dosage strictly, as exceeding it can cause unpleasant side effects.
  4. You should not suddenly stop taking Concor; the dose should be reduced little by little.
  5. For atrial fibrillation and hypertension, exceeding the dose is unacceptable.
  6. In case of ischemia or heart failure, the daily norm may be higher.

Only a cardiologist can increase or decrease the dosage!

Although the medicine has positive properties, it also has a number of contraindications. This is explained by the fact that beta blockers also affect other receptors and can cause an undesirable reaction in the presence of other ailments.

Concor should not be taken by patients with the following diseases:

  1. Hypotension.
  2. Bradycardia.
  3. Bronchial asthma.
  4. Impaired blood flow to peripheral organs.
  5. Kidney diseases.
  6. Oncology.
  7. Kidney failure.

Whether pregnant women and children can take medications is decided by the doctor after an examination.

Even with a clear improvement in well-being, Concor can also exhibit side effects, which also need to be paid attention to.

Possible deviations:

  1. Poor sleep, migraines.
  2. Decline in performance.
  3. Conjunctivitis.
  4. Cough, shortness of breath.
  5. Nausea, flatulence, dyspepsia.
  6. Erectile dysfunction in men.

Sometimes itching and skin rashes, rhinitis occur; in such cases, a change in the drug is required.

It is important to consider that a reaction to bisoprolol can also be triggered by interactions with other drugs. There may be unpleasant reactions. Dangerous combinations:

  1. Strengthens the effect of antihypertensive drugs.
  2. In combination with alpha-methyldopa, reserpine, clonidine and digitalis, it sharply reduces the heart rate.
  3. Together with taking diltiazem or verapamil, it reduces blood pressure, causes arrhythmia, and heart failure.
  4. The effectiveness of bisoprolol is reduced by combination with sympathomimetics.
  5. With nifedipine or rifampicin, Concor loses its effect.
  6. With ergotamine it provokes pressure surges.
  7. Together with insulin, it enhances the hypoglycemic effect.

Doctors' opinion

Doctors highly appreciate the effectiveness of Concor, noting the convenient dosage and good price-quality ratio. Among the noted positive properties:

  1. It helps well in the treatment of high blood pressure and angina pectoris.
  2. Controls heart rate.
  3. In most cases, it is well tolerated by patients.
  4. Copes with the manifestations of the initial stage of hypertension, accompanied by autonomic imbalance and stress.
  5. Improves the performance of cardiovascular tests.

Concor has been successfully used for many years; both doctors and patients have had the opportunity to evaluate its positive properties.

It is highly valued for the fact that it does not affect coordination and motor skills, and makes it possible to drive a car, unless there are individual characteristics of the body.

So it is important to strictly follow the dosage and pay attention to possible side effects in order to take precautions in time.

Source: https://serdce.biz/preparaty/konkor-pri-aritmii-serdca.html

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Beta blockers: list of drugs

Catecholamines: adrenaline and norepinephrine play an important role in regulating body functions. They are released into the blood and act on special sensitive nerve endings - adrenergic receptors. The latter are divided into two large groups: alpha and beta adrenergic receptors. Beta adrenergic receptors are located in many organs and tissues and are divided into two subgroups.

When β1-adrenergic receptors are activated, the frequency and strength of heart contractions increases, the coronary arteries dilate, the conductivity and automaticity of the heart improves, and the breakdown of glycogen in the liver and energy production increases.

When β2-adrenergic receptors are excited, the walls of blood vessels and the muscles of the bronchi relax, the tone of the uterus decreases during pregnancy, the secretion of insulin and the breakdown of fat increase. Thus, stimulation of beta-adrenergic receptors with the help of catecholamines leads to the mobilization of all the body’s forces for active life.

Beta-adrenergic blockers (BAB) are a group of drugs that bind beta-adrenergic receptors and prevent the action of catecholamines on them. These drugs are widely used in cardiology.

Mechanism of action

BBs reduce the frequency and strength of heart contractions and lower blood pressure. As a result, oxygen consumption by the heart muscle decreases.

Diastole lengthens - a period of rest and relaxation of the heart muscle, during which the coronary vessels are filled with blood. Improvement of coronary perfusion (blood supply to the myocardium) is also facilitated by a decrease in intracardiac diastolic pressure.

There is a redistribution of blood flow from normally blood-supplied areas to ischemic areas, as a result of which physical exercise tolerance improves.

Beta blockers have an antiarrhythmic effect. They suppress the cardiotoxic and arrhythmogenic effects of catecholamines, and also prevent the accumulation of calcium ions in the heart cells, which worsen energy metabolism in the myocardium.

Features of application

Features of using the drug Concor

Experts recommend taking the medicine in the morning, regardless of meals.

When using the medicine, you should follow simple recommendations:

  1. The dosage regimen should be adjusted exclusively by a doctor. This drug is not suitable for self-medication; any changes in the developed course of administration may lead to undesirable consequences.
  2. The daily dose can be increased if the patient has heart failure or coronary artery disease.
  3. If the patient suffers from hypertension or atrial fibrillation, then exceeding the recommended dose is unacceptable.
  4. It is forbidden to abruptly stop taking the drug. The daily dose should be reduced gradually.
  5. The tablet should be swallowed whole. It is prohibited to dissolve it in water or crush it. Otherwise, the absorption mechanism of the drug may be disrupted.

If the desired effect is not achieved during treatment, then this is not a reason to independently increase or decrease the dose.

Medicine Concor for cardiac arrhythmia

Currently, arrhythmia is one of the most common heart pathologies, which complicates the lives of many people. The essence of this disease is that it disrupts the heart rhythm, which, of course, can negatively affect the body.

Concor is extremely popular today for cardiac arrhythmia - a medication that belongs to the antiarrhythmic class and has a very wide range of applications. Next, you will learn about the advantages of this drug and why it is so popular.

What is Concor

Concor tablets are a medication designed to normalize the functioning of the cardiovascular system.

The main active compound is bisoprolol fumarate. In addition, each tablet contains additional excipients (silicon dioxide, corn starch, calcium), which have a positive effect on the body and promote proper absorption of the drug.

It is important that this medicine has an affordable price, so anyone can purchase it, even with an average income.

Reception for arrhythmia

Despite the fact that this medicine is a beta-blocker, it has no effect on cell membranes and sympathomimetic activity. During treatment with this medication, the patient’s body is more saturated with oxygen, and the need for it decreases. In addition, the use of Concor helps to reduce renin activity in plasma.

Since this drug has antiarrhythmic and antianginal effects, many doctors recommend it as one of the best remedies during attacks.

Important! Since this medicine is quite active and effective, it should not be abused; during use it is very important to strictly adhere to the dosage.

Effect on the heart

Many people suffering from cardiac pathologies are worried whether the drug for cardiac arrhythmia Concor actually helps or is it just another advertising ploy. To be fair, it should be said that the majority speak only positively about these pills, because taking them allows you to achieve the following effects:

  • decreased blood pressure;
  • reducing the likelihood of developing ischemia;
  • normalization of heart rate.

From all of the above it follows that this medication really has a complex effect and is able to actively resist a variety of types of arrhythmia, including it will be effective for atrial fibrillation. In addition, Concor is an excellent medicine for the prevention of diseases accompanied by damage to the heart muscle.

Instructions, tips for use

The effect of a particular drug on the body depends on what exactly is included in its composition and how competently the patient takes it. As for Concor, there will definitely not be any difficulties with it. But before you begin active treatment, be sure to carefully read the attached instructions.

Most cardiologists advise taking this medicine one tablet at a time in the morning, and they should not just be swallowed, but washed down with water. You can take them regardless of meals .

Since the tablets are coated with a special protective coating, they do not have any pronounced taste, which is extremely important for many patients.

Dosage selection

This medication is available in blisters, which differ in the number of tablets. It can also differ in the dosage of the active substance (2.5 or 5 mg).

Which pills you need to take depends on the diagnosis. In any case, you cannot prescribe medication for yourself; you must consult with an experienced doctor.

As for sudden attacks and deterioration of health, in such situations the dosage can be increased (up to 10 mg). The tablets will need to be swallowed immediately. Exceeding this dose is strongly not recommended, as this can lead to unforeseen consequences.

It is important to remember that Concor is somewhat addictive. If for some reason you decide to quit it, then you should not do this suddenly, but gradually reduce the dose.

Possible complications

Like any other medicine, Concor can cause side effects. Here's what you might encounter:

  • the occurrence of insomnia;
  • constant headaches;
  • the occurrence of an allergic reaction (itching, redness, watery eyes and runny nose);
  • bradycardia;
  • loss of appetite and feeling of constant nausea;
  • In men, libido may also deteriorate significantly.

Existing analogues

Sometimes there are situations when you urgently need to purchase a certain medication, but the nearest pharmacy does not have it for sale. It is in this case that you need to know which drugs can be replaced with. Here are the most famous analogues of Concor:

  • Bisoprol;
  • Bisogamma;
  • Biprol;
  • Coronal.

It’s worth saying right away that, despite the fact that the price of these medications is slightly lower, Concor is still produced abroad and has a milder and more effective effect. But, of course, what exactly to choose depends only on you.

Now you know whether you can take Concor for arrhythmia and what to expect from it. Despite the fact that this medication has proven itself very well, it is still recommended to consult a specialist before using it; only in this case will you avoid various complications and significantly improve your health.

Source: //prososud.ru/serdechniye/konkor-pri-aritmii.html

Cases of overdose

Concor should be taken with extreme caution during arrhythmia, strictly following medical recommendations. Otherwise, the following problems may occur:

  • arterial hypertension.
  • bradycardia.
  • heart failure.

Exceeding the dosage is dangerous because an excess of medication in the body can provoke a sudden contraction of the muscles of the bronchial wall, which will ultimately lead to difficulty breathing.

Cases of overdose with Concor

Activated carbon is recommended to be taken in case of overdose

If a patient has signs of an overdose, then he needs to do the following:

  • rinse the stomach;
  • take activated carbon.

If the patient’s condition does not improve as a result of the described actions, he should contact his doctor.

How to use the drug correctly

One tablet in a dose of 2.5 or 5 mg (depending on the indications) should be taken every morning with plain water. You can take the medicine regardless of the meal: before, during or after breakfast. How to take Concor if your condition suddenly worsens? Then the daily dose can be increased to 10 mg. The tablet should be swallowed immediately and should not be crushed or dissolved. The drug is available in blisters of 10, 25 or 30 pieces. The tablets are protected by a special coating.

Can be taken on an empty stomach or after meals

The maximum dosage should not be exceeded, as this may lead to side effects. If the drug is ineffective, it is worth discussing treatment methods with a cardiologist. You should not suddenly stop drinking Concor. When discontinuing the drug, the dose should be gradually reduced from the recommended to the minimum. Severe conditions such as coronary heart disease and heart failure require higher dosages. To maintain normal functioning of the body in case of hypertension, it is enough to take Concor in the amount of 2.5 mg per day as a maintenance medicine.

Analogs

There are a number of drugs with an effect similar to Concor, the active component of which is a substance from the group of beta-blockers. We are talking about the following drugs:

  • Atenolol.
  • Nebilet.
  • Tenormin.
  • Betacard-50.
  • Vasocardin.
  • Prinorm.

An analogue of Concor should only be chosen by a specialist. Minor differences in the composition and action of substitutes can lead to unintended consequences. Therefore, using Concor analogues on your own is strictly prohibited.

What are Concor tablets for: indications for use, contraindications and side effects

Concor tablets are the trade name of another medicine: Bisoprolol. Both are complete analogues and interchangeable, although there are some differences.

Both drugs belong to the class of selective beta1-blockers, which reduce the sensitivity of specific receptors.

The use of Concor is advisable in the treatment and prevention of arterial hypertension, coronary heart disease, heart attack, stroke, and angina.

Beta blockers are difficult to prescribe because they require careful consideration of the compatibility of different medications.

Meanwhile, Concor, like many other beta blockers, is practically not suitable for isolated exclusive use. Efficiency will be insufficient.

Therefore, it is impossible to figure out the dosage regimen and the advisability of the prescription on your own. Need help from a cardiologist.

Composition and properties of the drug

The active substance of the drug is bisoprolol fumarate. This, as stated, is a selective beta-blocking component with pharmacological activity only in relation to the heart.

The medication is extremely selective, because it has a lesser effect on beta-2 receptors localized in the vessels and bronchi.

This makes it possible to use the medicine in a wider number of cases without the danger of side effects (bronchial spasms, sudden jumps in blood pressure and other issues).

Unlike its analogue, Bisoprolol, Concor contains twice as much active ingredient per tablet: 5 mg versus 2.5. This allows you to reduce the number of doses of the drug, but at the same time, precise dosing is somewhat more difficult.

In addition to the main active component, the composition also includes additional substances. They do not affect the heart, blood vessels, or myocardial contractility.

The goal is different: to give the tablets a complete physical form, improve the bioavailability of the drug, and increase absorption in the gastrointestinal tract.

What does Concor help with and how does it work?

Concor is prescribed as a beta blocker to combat arterial hypertension, tachycardia, ischemia of cardiac structures and some other diseases.

The beneficial effect is due to a group of mechanisms of influence on the human body:

Antianginal effect

Simply put, Concor is able to reduce the myocardial oxygen demand.

Coronary artery disease, angina pectoris, heart attack - all these are the results of insufficient nutrition.

Beta blocker drugs have the ability to optimize metabolic processes and speed them up.

Relatively speaking, the efficiency of cardiac structures increases sharply, which makes it possible to increase tissue resistance to negative influences.

There is one important nuance: despite the beneficial effect, this is only symptomatic help. The main pathological process that provokes poor nutrition of the heart does not go away.

The disease will continue to progress unless help is provided. Although slower.

Decreased heart rate

Concor is ideal for correcting tachycardia. Mainly sinus form. The paroxysmal variety requires the use of other medications.

It is possible to prescribe medication to correct acute attacks of palpitations. Although the tool does not quite cope with this task. Anaprilin (Propranolol) is much more effective in such situations.

Concor should be used for tachycardia as part of regular, systematic therapy, in combination with other medications.

The basis of the beneficial effect is the ability to reduce the sensitivity of heart receptors to adrenaline, which often becomes the culprit for the increase in heart rate.

Restoring normal rhythm

Concor is not specific in this regard. It can provide additional assistance in the treatment of various forms of arrhythmias, but is unable to cope with fibrillation, extrasystole, and ventricular types of arrhythmia.

The use of specific medications is required: Amiodarone, Quinidine, similar.

Lower blood pressure

Concor lowers blood pressure relatively gently. At the same time, the severity of the effect depends on the dosage. This is convenient because it allows you to vary the useful result.

Attention:

Excessive use is not acceptable. If even high concentrations do not help, it makes sense to reconsider the therapeutic course.

The drug is used to maintain the normal condition of the heart and blood vessels by providing tissue nutrition and correcting the frequency of contractions of the muscular organ.

It is also important that the medication has virtually no effect on the pumping function of the myocardium, the nutrition of tissues: the brain, kidneys and others is not affected.

When the dosage is exceeded, Concor acquires properties to influence beta-2 receptors located in the blood vessels and bronchi. However, the advisability of exceeding the concentration of the drug for such an effect is more than controversial. Other drugs will do a better job for this purpose.

Indications

Reasons for use are described in the instructions. It is worth clarifying some points and considering them in more detail.

Arterial hypertension

Regardless of stage and origin. As an independent diagnosis or symptom of other disorders. In the early stages, the use of a name may well be isolated.

The exclusive use of Concor is not practiced, starting from stage 2 of hypertension and especially later.

Medicine will not be enough to correct the condition, since irreversible organic changes begin in the heart and blood vessels. Parallel use of calcium antagonists, ACE inhibitors, centrally acting agents, and possibly diuretics will be required.

It is necessary to carefully select combinations of drugs, because beta blockers, if the accompanying drugs are not chosen correctly, can provoke heart failure, kidney failure, and death from a critical drop in myocardial contractility and stoppage of organ function.

Cardiac ischemia

Accompanied by a gradual disruption of the normal nutrition of cardiac structures.

Can be independent. For example, as a result of aging of the body. Or caused by other pathologies: arterial hypertension, previous heart attack.

Concor helps against coronary disease due to its ability to optimize metabolic processes.

The drug, unlike many other beta blockers, is indicated, among other things, for long-term use. Since it provokes a minimum of side effects, especially if the drug is suitable for a particular patient.

Angina pectoris, heart attack

Types of coronary insufficiency. As a rule, beta blockers are prescribed as part of prevention, but are not suitable for the treatment of acute processes. Often completely contraindicated.

Further use is possible after the acute condition has passed.

Heart failure, chronic form

The effect is identical to that of ischemic disease. Read more about the symptoms and treatment methods of CHF here.

Sinus tachycardia

Concor is used as part of systematic therapy on a long-term basis. Basically, the drug prevents new episodes. Read more about the disease here.

It can be used to relieve acute attacks of palpitations, although here it is inferior to its analogues in the group.

Indications are not an axiom. Although the drug is generally well tolerated, exceptions are possible. In this case, it makes sense to give preference to other beta-blockers of similar effect, based on other active ingredients, rather than bisoprolol fumarate.

Dosage regimen

Calculated individually. Start with the minimum dosage - 5 mg (one tablet) 1 time per day.

If there is no effect, the dose is doubled to 10 mg (two tablets) once a day.

In the treatment of arterial hypertension and stable angina, the maximum dose is 20 mg once a day (4 tablets).

The drug Concor is taken once a day with a small amount of water, in the morning, regardless of meals (before, during or after breakfast).

Contraindications

There are quite few reasons for refusing to use Concor if you compare the medication with others:

  • Individual intolerance to the drug. Unfortunately, the presence of a reaction can only be determined after taking the drug, so it is recommended to start with a minimal dosage so as not to provoke an intense response.
  • Pregnancy and lactation period. During feeding, the main active ingredient is transferred to the child through milk, so use is impossible. During pregnancy, according to the manufacturer, the drug can be prescribed if the benefit exceeds the expected harm.
  • Childhood years, up to 18 years.
  • Heart failure in the acute phase. Until the condition is corrected.
  • Severe forms of bronchial asthma. Especially in high dosages, because the drug at excessive concentrations (from 200 mg and above) tends to provoke narrowing of the airways and severe shortness of breath. The use of medications will be required.
  • COPD Until the disease is brought under control.
  • Also dysfunction of the liver and kidneys. This is where the evaluative category comes into play. The possibility of use is determined by the specialist himself after a thorough diagnosis.
  • Bradycardia with heart rate less than 50 beats per minute. There is also a tendency to such conditions for unknown reasons.
  • A drop in blood pressure to critical levels. Less than 100 to 80 mmHg. Also, until the pathological process causing such sharp jumps is eliminated.
  • Cardiogenic shock. A type of emergency condition with a decrease in myocardial contractility. The disorder itself is almost always fatal and has a poor prognosis. But there is a chance of survival. The use of beta blockers against the background of such a disorder reduces them to zero.
  • Raynaud's disease. Pathology of peripheral circulation. If the deviation is proven, the use of Concor is not allowed.
  • Polyvalent allergic reaction to pharmaceuticals. Simply put, multiple intolerance to an entire group of drugs. It is rare, but if there is a response to other beta blockers, you need to carefully monitor your own condition after taking it.

A proven reaction is the basis for eliminating the drug and replacing it with a well-tolerated analogue.

  • Pheochromocytoma. A type of adrenal tumor. As a rule, benign. Produces norepinephrine, which provokes surges in blood pressure.

Concor can also be taken with this voluminous formation, but only in combination with alpha-blockers, otherwise the consequences are unpredictable.

Drug interactions

As was said, you need to carefully select concomitant medications so as not to provoke a mutual enhancement of the effect.

For example, with the simultaneous use of calcium antagonists (Diltiazem, Verapamil), there is a high probability of a critical drop in heart rate. Concor lowers blood pressure, as do calcium antagonists, this is a dangerous combination.

When used with some diuretics, rapid development of irreversible changes in the kidneys is possible.

Therefore, the question of choosing therapy falls on the shoulders of a cardiology specialist. Unauthorized use of Concor is unacceptable.

Side effects

There are heterogeneous violations from several systems:

  • Headache, weakness, drowsiness, inability to navigate in space.
  • Shortness of breath, problems with lung function. Bronchial spasm, asthma attack. Especially if the dosage is exceeded.
  • Skin itching, urticaria. General allergic reactions up to angioedema or even anaphylactic shock. Fortunately, truly severe and potentially fatal processes develop very rarely (no more than 0.2-0.5% of cases, although there are exceptions).
  • Joint pain. Arthralgia. Especially in the first few days after starting to take the drug. Also cramps, muscle discomfort.
  • Although doctors prescribe Concor for blood pressure, excessive activity of the drug in a particular patient is possible. Blood pressure values ​​vary widely. This also depends on the amount of medication taken.
  • Dry eyes. Inflammation of the outer membrane - conjunctivitis.
  • Decrease in libido, temporary impotence.
  • Bradycardia, decreased heart rate.

When used correctly, side effects are quite rare and the drug is well tolerated.

Many negative phenomena disappear on their own after a few days from the start of use.

You should tell your doctor about all unpleasant sensations so that the course of treatment can be promptly corrected.

Concor is a powerful but relatively safe beta blocker. Suitable for long-term use in a wide variety of patient groups. The method of administration and the specific regimen are selected by the cardiologist based on the indication.

Source: https://CardioGid.com/ot-chego-pomogaet-konkor/

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