Clinical and pharmacological group: & nbsp

Alpha-adrenomimetics

Included in the formulation
  • Estulik
    pills inwards 
  • АТХ:

    C.02.A.C.02   Guangficin

    Pharmacodynamics:

    Alfa-adrenomimetic of central action, stimulates α2-adrenoceptors of the brainstem, thereby reducing central sympathetic impulses, which leads to a decrease in heart rate and overall peripheral resistance of blood vessels, both during exercise and at rest. Has analgesic and sedative effect.

    Pharmacokinetics:

    After oral administration, an empty stomach is absorbed up to 80% in the gastrointestinal tract. The maximum concentration in blood plasma is achieved in 1-4 hours. The connection with plasma proteins is 64%.

    Metabolism in the liver.

    The half-life is 17 hours. Elimination by the kidneys, about 30% unchanged.

    Indications:

    It is used for the treatment of primary and secondary, including renal, arterial hypertension.

    V.F10-F19.F11.3   Mental and behavioral disorders caused by the use of opioids - withdrawal symptoms

    IX.I10-I15.I10   Essential [primary] hypertension

    IX.I10-I15.I15.0   Renovascular hypertension

    IX.I10-I15.I15   Secondary Hypertension

    Contraindications:

    Heart and liver failure, recently suffered myocardial infarction, cerebrovascular diseases, individual intolerance, children under 18 years.

    Carefully:

    Obliterating diseases of peripheral arteries, conduction disorders, sinus bradycardia, hypersensitivity.

    Pregnancy and lactation:

    Recommendations for FDA - Category B. It is used with caution during pregnancy and lactation in cases where the intended benefit exceeds the risk to the fetus and newborn.

    Dosing and Administration:

    Inside, 0.5-1 mg once a day before bedtime. It is possible to increase the dose to 3 mg.

    The highest daily dose: 6 mg.

    The highest single dose: 3 mg.

    Side effects:

    Central and peripheral nervous system: drowsiness, confusion, depression, dizziness.

    The cardiovascular system: bradycardia, orthostatic hypotension, fluid retention.

    Digestive system: nausea, vomiting, dry mouth, constipation.

    Dermatological reactions: Hyperhidrosis.

    Sense organs: congestion of the nose, conjunctivitis.

    Reproductive system: decreased sexual desire, impotence.

    Allergic reactions.

    Overdose:

    Difficulty in breathing, syncope, bradycardia, severe weakness, arterial hypotension, collapse.

    Treatment is symptomatic. Dialysis is ineffective.

    Interaction:

    Non-selective α-adrenomimetics, sympathomimetics, non-steroidal anti-inflammatory drugs (especially indomethacin) weaken the effect.

    Enhance the effect of peripheral vasodilators, β-adrenoblockers, diuretics.

    With simultaneous use with alcohol, the central nervous system is mutually suppressed.

    With simultaneous use with estrogens, fluid retention increases, which leads to an increase in blood pressure.

    Special instructions:

    It is necessary to control blood pressure, especially after the end of treatment - withdrawal syndrome is possible.

    During treatment, alcohol is not allowed.

    In the treatment it is not recommended to drive vehicles and work with moving mechanisms.

    Instructions
    Up