NITROLONG. 10 mg. 50 tablets
NITROLONG. 10 mg. 50 tablets
Nitrolong 10 mg, tablets Pentaerithrityl tetranitrate
Drug in one tablet Nitrolong : Pentaerithrityl tetranitrate 10 mg.Pomoshtni ingredients: lactose monohydrate, corn starch , gelatin, magnesium stearate, talc , microcrystalline tseluloza.Nitrolong is available in packs of 50 tablets (5 blister cards of 10 tablets) .
1. NITROLONG WHAT IS AND WHAT IT IS USED
Nitrolong a product of the so -called nitrates slower action. It causes dilation of veins primarily by lowering their tone of smooth muscle, decreases the pressure in the venous system , decreases venous return to the heart and ventricular filling . So it improves the function of the heart , relieves work and reduces its needs for oxygen. Thus preventing the occurrence of cardiac pain of an anginal proizhod.Nitrolong be used in chronic coronary insufficiency (impaired blood supply to the heart muscle ):
• For prevention and long-term treatment of angina in order to reduce the frequency and severity of angina attacks (including in the recovery period after myocardial infarction) ;
• In chronic ischemic cardiomyopathy ( heart muscle damage due to chronic disorder in its blood supply ) ;
• In the complex treatment of congestive heart failure.
2 . WHAT YOU NEED TO KNOW BEFORE YOU START NITROLONG
Nitrolong not apply to :
• Hypersensitivity to the active substance or to any of the excipients .
• Acute myocardial infarction.
• Acute circulatory weakness, severe hypotension and hypovolemia (low blood pressure or decreased volume of circulating blood ) , collapse states of shock.
• Expressed anemia.
• Recent brain injury , cerebral haemorrhage and conditions with increased intracranial pressure.
When taking this medicine, you should consider:
Caution should be exercised and medical supervision when conducting therapy Nitrolong in the following cases :
Nitrolong is not suitable for the treatment of angina attacks , because of its slow deystvie.Tozi " product should be used with caution in patients with hypothyroidism ( underactive thyroid gland) , hypo (cooling) , malnutrition , severe hepatic and renal function. upon rapid passage of food through the gastrointestinal tract or reduced absorption and can not reach the desired levels of the drug in the blood ( need escalation ) . careful use of this product in diseases accompanied by difficulty ventricular filling ( pericardial tamponade , constrictive pericarditis, aortic or mitral valve stenosis, hypertrophic obstructive cardiomyopathy ) , as it can enhance angina ( painful ) simptomatika.Neobhodimo is defining the application in glaucoma ( increased eye pressure). elderly patients are more sensitive to the hypotensive action of the product and easily develop orthostatic hypotension (a sudden drop in blood pressure when standing up ) . during prolonged use of the product may develop tolerance ( decrease the therapeutic action ) . To prevent recommended periodic time intervals of 10-12 discontinuation of Nitrolong ( once or twice weekly ) .
Application of Nitrolong and intake of food and drink
No evidence of a need for a special diet or restrictions on certain types of food and beverages during treatment with this product.
Before taking any medicines , consult your doctor or farmatsevt.Tozi product not be used during pregnancy unless clearly needed and after careful consideration of the benefit / risk ratio .
Before taking any medicines , consult your doctor or farmatsevt.Poradi possible risk of harm to the infant must decide or to stop breast-feeding or discontinuation of Nitrolong .
Driving and using machines
At the beginning of treatment may be a transient worsening of attention and motor responses due to low blood pressure , which may require suspension of driving or operating machinery.
Important information about some of the ingredients of Nitrolong :
This medicinal product contains lactose as an ingredient , which makes it unsuitable for patients with lactase intolerance . Due to the composition of wheat starch , this product may be dangerous for people with gluten intolerance ( celiac disease ) .
Taking other medicines :
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines , even if they have not been prescribed by your lekar.Ednovremennoto administration of phosphodiesterase inhibitors (eg Viagra ) is contraindicated due to the increased hypotensive effect of nitrates . a similar effect is observed with concomitant administration of nitrates with neuroleptics and tricyclic ??????????????.?????????????? use alcohol and drugs that lower blood pressure , such as beta -blockers, calcium channel blockers , vasodilators , etc. . may enhance the hypotensive (especially orthostatic ) their efekt.Efektite norepinephrine , acetylcholine , histamine and others. can be attenuated by concomitant use of ???????.??????????????????? can reduce the antianginal effects of nitratite.Nitratite may increase plasma levels of dihydroergotamine and strengthen its hypertensive effect .
3 . HOW TO TAKE NITROLONG
Always Nitrolong as instructed by your doctor. According to the complaints, the doctor will determine the appropriate treatment of your illness doza.Tabletkite Nitrolong be taken before food orally unchewed with sufficient liquid.
Recommended doses for adults:
Treatment starts with 2-3 tablets (20-30 mg) divided into two or three doses. The dose may be increased according to the individual needs of the patients to 2 tablets (20 mg) for 3 to 4 times daily. Usual maintenance dosage is three times daily one tablet (10 mg) in prodalyashtelni courses (determined by the individual needs of the patients ) .
Children - This product is not recommended for children. Its safety and efficacy have not been established.
If you have the impression that the effect of Nitrolong is strong or too weak, talk to your doctor or pharmacist.
If you take more than the prescribed dose Nitrolong :
In ' Taking a higher dose than prescribed , immediately contact a doctor for pomogts ! Symptoms of overdose may be - severe hypotension (low blood pressure ), headache, palpitations or slow pulse , nausea , vomiting and disorder , redness and heat face and neck ; Signs mainly due to methemoglobin formation in the body are - cyanosis of the lips, fingernails , or palms purposes ; dizziness feeling of intense pressure in the head ; breathlessness, weak and rapid pulse , unusual weakness and impotence ; fever and convulsions. Treatment should be initiated with gastric lavage, placement of feet high to improve venous return and then needed hospital treatment for symptomatic treatment , monitoring the concentration of methemoglobin in the blood and oxygen therapy and intravenous methylene sinyo.Pri onset of symptoms of overdose , immediately contact a doctor! If you forget to use Nitrolong
If you miss a dose, take it at the next regular intake without increasing the dose .
4 . POSSIBLE SIDE EFFECTS
Like all medicines , Nitrolong can cause adverse effects in reaktsii.Nezhelanite application Nitrolong at usual doses are usually mild and transient, and not to be stopped , but only temporarily reduce dozata.Po common (mainly start of treatment ) side effects are redness of the face and / or neck , headaches, low blood pressure , palpitations, ringing in the ears , dizziness , nausea or vomiting , fatigue . More rarely, can be observed disorder , cutaneous itching , blurred vision, dry ustata.Pri prolonged use and often in high doses, can develop tolerance to the drug (reducing its therapeutic effect). Some patients may be lost antianginal ( antianginal ischemic ) activity. A slight increase in intraocular pressure were seen in patients with zatvorenoaglova glaukoma.Ako notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
5 . STORAGE CONDITIONS
Keep out of reach of children ! At temperatures below 25 ° C. Do not use after the expiry date stated on the package ! Srok'na life: three (3 ) years from date of manufacture.