Panangin Forte tabs 316mg + 280mg #60

Panangin Forte instruction for use

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Tablets have the ability to improve myocardial metabolism. The development of arterial hypertension, arrhythmia, and atherosclerosis of the coronary arteries can be triggered by a lack of potassium / magnesium. Asparaginates of potassium and magnesium are very rapidly absorbed in the human intestine. The active elements in Panangina Fort are in higher dosages compared with the drug Panangin Forte.

Release form and composition

The main active elements are represented by potassium asparaginate at a dosage of 316 mg / 1 tablet and magnesium asparaginate at a dosage of 280 mg / 1 tablet.
The manufacturer indicates the presence of corn and potato starch, colloidal silicon dioxide, povidone - KZO, magnesium stearate, talc. These are auxiliary components.
The tablet shell is made of macrogol 6000, talc, titanium dioxide, butyl methacrylate copolymer.
The tablets are in blisters of aluminum raw materials and placed in a secondary cardboard box along with 1 official instruction. 1 carton contains 60 tablets of Panangin Forte.

Indications for use

Tablets Panangin Forte are used to effectively eliminate the confirmed deficiency of potassium and magnesium, usually with the aim of complex treatment of ischemia, acute myocardial infarction, heart failure in chronic manifestations, arrhythmias, provoked by various causes.

Contraindications for Panangin Forte

It is forbidden to use in the presence of Addison's disease, shock (including cardiogenic), dehydration, myasthenia in severe manifestations, hyperkalemia, hypersensitivity to any specified in the official instructions, the element in the composition, kidney failure (acute and chronic), hemolysis, failures in the exchange of amino acids, hypermagnesemia, atrioventricular blockade of 1 - 3 degrees, acute metabolic acidosis, as well as children under 18 years of age.

Dosing and Administration

Pre-consultation with a specialist.
Tablets Panangin Forte should not be chewed, they should be taken with a sufficient amount of liquid (water).
Due to the fact that the gastric acidic environment can significantly reduce the effectiveness of the tool, tablets are taken only after meals. The recommended dosage of Panangin Forte per day, it is also the maximum allowable daily dosage, - 1 tablet three times in 24 hours.

Side effects of Panangin Forte

Cases of atrioventricular blockade, epigastric burning sensation or pain are recorded (in most cases with cholecystitis or anacid gastritis), nausea, vomiting, indigestion (usually in the form of diarrhea), hyperkalemia / magnesium, paradoxical reactions, paraesthesia, seizures, constant thirst, hyporeflexia, decreased blood pressure, depression of respiratory function.
For adverse symptoms in the form of any adverse reactions need additional medical advice.

special instructions

Pregnancy: The physician must first assess the benefit / risk ratio.
Lactation: The active elements are able to penetrate into the milk of women who are breastfeeding, therefore, when the need for treatment with this agent lactation process is stopped.
Due attention is paid to patients with conditions accompanied by hyperkalemia. They need periodic monitoring of blood levels of potassium.
Management of complex structures: studies have not been conducted. Impact on reaction rate is not expected.

Interaction

    potassium-saving diuretics, heparin, beta-blockers, ACE inhibitors, cyclosporine, NSAID-group: the probability of hyperkalemia (including asystole and arrhythmia);
    GCS group: elimination of hypokalemia caused by GCS;
    cardiac glycosides: potassium is able to reduce their negative effects;
    agents with antiarrhythmic efficacy: tablets (potassium in composition) increase their batmo- and dromotropic negative effects;
    polymyxin B, streptomycin, neomycin, tetracycline: magnesium in the composition reduces their effective action;
    anesthetics: the inhibitory effect of magnesium on the central nervous system;
    decametonium, suxametonium, atracuronium, succinyl chloride: an increase in musculo-nervous blockade is considered probable;
    calcitriol: an increase in blood indices of magnesium;
    calcium drugs: a decrease in the effectiveness of magnesium products;
    enveloping or astringent drugs: a decrease in the absorption of elements of Panangin Forte. It is important to maintain the interval between taking pills and these substances for at least 3 hours.

Overdose

Increases the likelihood of hyperkalemia / magnesium. Hyperkalemia is characterized by paresthesias, severe fatigue, heart rhythm disorders (including cardiac arrest), confusion and the development of myasthenia.
Symptoms of hypermagnesemia manifest themselves in nausea, lethargy, a decrease in musculo - nervous irritability, a decrease in blood pressure indices, and vomiting. If a sharp increase in magnesium indices occurs in the blood, then a coma, paralysis of the respiratory process and suppression of deep tendon reflexes occur.
For the purpose of treatment, symptomatic therapy is performed in the form of the introduction of calcium chloride at a dosage of 100 mg / min. Hemodialysis is performed when necessary.
Pediatrics: up to 18 years is contraindicated.

Terms and conditions of storage

Temperature readings should not exceed 30 degrees. The manufacturer indicates that storage is allowed only for a 2 - year period, but not longer than the date indicated on the secondary cardboard box and on each blister with pills. Selected places inaccessible to children and as dry as possible.

Terms of sell

You can buy Panangin Forte without a prescription.