Angina pectoris, heart pain, arrhythmia over time can lead to myocardial infarction. In order to avoid such a development of events, it is necessary to think about possible preventive measures that can, if not cure, then stop such a scenario.
The main cause of heart attacks is insufficient oxygen supply to the myocardium, caused by spasm of tissues and blood vessels. This leads to necrosis of the heart muscle. But with the right treatment, there is a chance to stop tissue death.
As a rule, the complex therapy of cardiovascular diseases includes nitrates (to stop ischemia attacks), vasodilators, vitamin preparations. Not the last place in this list is occupied by preparations of potassium and magnesium s alts, "Asparkam" or "Panangin". What's better? And what's the difference?
Just what the doctor ordered
Feeling unwell, discomfort in the chest area, you should consult a doctor. These may not always be symptoms of more seriousdiseases, but it's worth making sure. Having made a cardiogram and not seeing any deviations, except, possibly, arrhythmia, the doctor can prescribe valerian tablets, as well as Panangin or Asparkam.
Cardiovascular drugs with more serious active substances are not always appropriate in such indications. And the patient’s logical question: “why should I do this?” Can lead the doctor into a stupor. After all, it is not customary to deny the need for prescribed therapy.
Please note: for the accuracy of treatment, it is necessary to donate blood for a detailed analysis. This is necessary to exclude a history of hyperkalemia and hypermagnesemia. With an excess of potassium and magnesium, treatment with saline preparations is not necessary.
The main indications for the treatment of "Asparkam" and "Panangin" are the same, since both drugs contain 175 mg of potassium and magnesium aspartate. The exceptions are manufacturing companies: Panangin - Gedeon Richter (Hungary), and Asparkam is produced at many pharmaceutical factories of the former USSR.
Indications
Due to their composition, both drugs are the most sought after in the pharmaceutical market. The main difference between Panangin and Asparkam is reviews and prices.
Medications are prescribed:
- With a deficiency of potassium and magnesium s alts.
- Atrial fibrillation of the heart.
- A multipurpose treatment for heart attack survivors.
- As an additional source of s alt when taking digitalis preparations.
- Source of essential trace elements whenpoor or diet food.
- Source of potassium when taking diuretics.
Contraindications
If you were not satisfied with the consultation with a doctor, the full instructions for "Asparkam" and "Panangin" will help you understand when and who needs or is not allowed to take these drugs. If you carefully study the annotation, then there are still differences in contraindications. Their number is much higher in the domestic drug than in its foreign counterpart.
Only five points are similar:
- Allergic reactions to drug components.
- Blood pressure below 90.
- Insufficient nerve conduction in the muscles of the heart.
- Addison's disease.
- Kidney diseases associated with a malfunction in their work.
Although there are sub-items that are not in the instructions of the imported drug. "Asparkam" is contraindicated in:
- Inadequate urination.
- No urination at all.
Drinking but being careful
It has been repeatedly discussed whether potassium and magnesium preparations can be used in patients with gastrointestinal ulcers. There is no definite answer, since Panangin is produced in a film shell, which gives it a significant advantage over other drugs. Although its instructions clearly indicate such points as careful use in patients with peptic ulcer and intestinal obstruction.
Furthermore, caution is needed when usingpatients with severe dehydration due to vomiting or intestinal upset, burns to most of the body.
Caution is also possible in people suffering from various autoimmune diseases associated with abnormalities in the functioning of the facial muscles (myasthenia gravis).
What to drink with?
Do not forget that taking even vitamins can affect the pharmacological properties of drugs. Therefore, you should be careful about what and with what to take.
Studies have been carried out and experts have voiced reviews about "Pananigin" or "Asparkam" - which is better not to take with them. A risk group with possible hyperkalemia in the future is people taking medicines for the treatment of hypertension with a potassium retention effect.
New generation diuretics also tend to retain potassium in tissues. In the case of their use together with potassium, an increase in the content of this element in the blood is inevitable. Non-steroidal anti-inflammatory drugs, heparin, antibiotics (Polymexin, Neomycin) are not an exception.
In addition, there is a possibility of poor absorption in the stomach of potassium and magnesium s alts while taking tetracycline, iron preparations and sodium fluoride. Their use is possible only if one of the dosage forms is taken no earlier than three hours later.
The difference in the warnings for "Asparkam" and "Panangin" is incompatibility with drugs for anesthesia (the nervous system is inhibited) and muscle relaxants (muscle blockade increases). This warning is only forAsparkama.
Overdose
How scary the word "overdose" sounds! Involuntarily, terrible pictures come to mind about those who did not calculate the dose of a narcotic drug. But not everything is so sad. There should be no lethal outcomes with timely intervention.
- The first and most common symptom: impaired sensitivity in the nerve endings of the arms and legs, slight tingling, "goosebumps" under the skin. They appear in the event that the limb was squeezed, clamped for a short time.
- Second symptom: muscle weakness, slow heartbeat. Both symptoms are characteristic of an excess of potassium in the body, and if first aid is not provided in time, the patient may die from cardiac arrest.
- Third symptom: sleepiness associated with low blood pressure.
- Fourth symptom: vomiting, indigestion and intestines associated with an excess of magnesium in the body. In addition, there may be a metallic taste in the mouth, thirst.
- And the simplest, but no less important symptom is skin rashes, with reddening of the skin and increased itching.
How many pills, who and when to take?
Standard dosage is one tablet three times a day, fifteen minutes after meals. The number of tablets per day can be increased to nine, if such treatment is prescribed by a doctor.
The duration of therapy also depends on the doctor.
Pregnant women, breastfeeding mothers, drivers and children
Special Medical Use Studiespreparations of mineral s alts in pregnant and lactating women were not carried out. But there are known cases of using "Asparkam" or "Panangin" by pregnant women. Reviews that it is better or worse tolerated have not been received. The main point is that there was no harm from taking breastfeeding women and expectant mothers.
But you need to remember that "Asparkam" involves taking only when the benefit to the mother outweighs the risk to the fetus. And Panangin is not forbidden to be used by this category of consumers.
Because drugs do not affect the nervous system, general well-being and reaction speed, drivers are allowed to use them.
Due to the lack of clinical studies on the effect of potassium and magnesium aspartate on the body of children, the use of tablets in pediatric practice is strictly prohibited.
Word of mouth
For many consumers, price and reviews play an important role in choosing a drug. Which is better, "Asparkam" or "Panangin", they decide after a heart-to-heart talk with a neighbor or after reading reviews.
Comparing their well-being while taking both drugs, patients noted one big minus of Asparkam: after taking the pill, the patient begins to fall asleep. Although, perhaps this is one of the individual characteristics of this particular medicine.
In general, both drugs are well tolerated, and the result is visible already at the end of the first week of use. The main difference between these drugs is the price. "Asparkam" costs from thirty to seventy rubles, and "Panangin" - from one hundred and twenty to one hundred and seventy rubles.
Whatdoctors say?
It is worth noting that experienced cardiologists insist on the correct prescription and use of drugs containing potassium and magnesium aspartate. After all, excessive passion can lead to an excess of potassium in the body, and with it unpleasant side effects.
When asked what is better "Asparkam" or "Panangin", doctors' reviews are ambiguous. The first piece of advice they give to their patients is to take a blood test and only then, if it shows a lack of potassium and magnesium s alts, take action.
Second advice: the right dosage. Some Internet resources indicate that one tablet of "Panangin" or "Asparkam" is a sufficient dosage for the prevention of hypokalemia and hypomagnesemia. But if you calculate, then the same "Panangin" contains no more than 25 mg of pure potassium in one tablet, with a daily dosage of two grams.
Reading the reviews, which is better, "Asparkam" or "Panangin", pay attention to how much both drugs were taken. Taking one tablet a day is akin to harmless ascorbic acid with sugar, unless, of course, you have diabetes.
Third advice: compatibility with other drugs prescribed for the treatment of arterial hypertension, arrhythmias, etc. ACE inhibitors, sartans, aldosterone antagonists contribute to potassium retention in the body. Together with long-term use of "Asparkam" and "Panangin" can lead to its overabundance in the body.
If you still have not decided what to use for treatment - Pananigin or Asparkam, instructions, reviews, prices and s alt analoguesdrugs are always at your service. Having carefully studied all the nuances, as well as the opinion of doctors, you can easily understand which of these drugs is more suitable.