Replacing Concor with another medicine. Order with tachycardia, hypertension, bronchial asthma, bradycardia, psoriasis. Analogs

The category of selective beta-1-blockers includes the drug Concor, which positively affects the work of the heart. The drug has a suppressive effect on adrenaline, and also improves the functioning of the nervous system. Concor is recommended for use in case of sudden surges in blood pressure, diagnosed angina pectoris and coronary artery disease. Cardiologists prescribe Concor to patients with heart failure.

With regular use, the drug helps to overcome tachycardia and arrhythmia attacks, as well as get rid of disturbances in the work of the myocardium. Numerous reviews of cardiologists confirm that after the use of a beta-1-blocker, there is a decrease in heart rate, oxygen deprivation of the myocardium is prevented, which is extremely important in coronary artery disease hearts.

Before buying Concor, you must study the instructions attached to it to make sure there are no contraindications. To replace the drug with another drug, it is recommended to contact a qualified cardiologist, who, based on the collected anamnesis, will prescribe an individual treatment regimen.

As an active ingredient, the drug contains bisoprolol fumarate, which has an antihypertensive, anti-ischemic and antiarrhythmic principle of action. The drug is effective in angina pectoris, chronic heart ischemia, congestive heart failure, as well as in primary and secondary hypertension.

Concor is often used in cardiology, since this drug has a number of advantages over other antihypertensive drugs:

• The drug not only lowers blood pressure, but also normalizes the heartbeat, thanks to which it is used not only for hypertension.
• The drug is well tolerated by 98 out of 100 patients, which is confirmed by medical statistics.
• The components of the beta-1-blocker are 100% bound to blood proteins. In case of an overdose, the drug can be quickly removed from the body through hemodialysis.
• Concor is characterized by high efficiency, as after 60 minutes. after its application, blood pressure indicators gradually decrease. It is possible to stabilize the patient's condition in 98% of cases within 3 hours.
• The drug works throughout the day. With a single use of the drug, you can keep blood pressure within normal limits in during the day, which is extremely important for hypertensive patients of working age and pensioners who forget to drink medicine.

Among the disadvantages of a selective beta-1-blocker, only a large number of contraindications can be distinguished and the fact that the drug is ineffective in the fight against advanced forms of angina pectoris. If it becomes necessary to replace Concor with a safer drug, then it is recommended to first consult with a cardiologist to avoid possible complications.

Compositional analogs

Replacing Concor with another medicine is necessary if the patient is diagnosed with severe forms of peripheral circulation pathologies. For an effective fight against arterial hypertension, angina pectoris and chronic heart failure, it is recommended to use beta-1-blocker analogs with a similar composition.

As the main component, Concor contains bisoprolol fumarate, which makes the heart receptors immune to the hormone adrenaline. Thanks to this, the body tolerates stressful situations more calmly, the likelihood of sudden changes in blood pressure is reduced by 99%.

Bisoprolol

This drug compares favorably with Concor in a more affordable price and a mild effect on the body, which is extremely important for the safe reduction of blood pressure in people over 65 years old. The drug is produced in tablet form.

Bisoprolol, like Concor, has a hypotensive effect on the patient's body, which is due to the ability of the drug to reduce the indicators of total peripheral resistance.

The following indications for use are indicated in the annotation to the medicinal product:

• Chronic heart failure.
• Ischemic disease.
• Secondary prevention of myocardial infarction.
• Exertional angina.
• Arterial hypertension.

Bisoprolol and Concor are prohibited from prescribing to patients under 18 years of age, as well as to women during pregnancy and lactation. Otherwise, there is a risk of complications. For example, diarrhea, shortness of breath, hypoglycemia, bradycardia. For the safe use of the drug, only a qualified cardiologist should prescribe a course of treatment. The drug is Bisoprolol in the range of 80-160 rubles.

Niperten

The drug has a beta-adrenergic blocking, hypotensive, antiarrhythmic and antianginal principle of action. In the annotation to the drug Niperten, the same indications, contraindications and adverse reactions are indicated as in Concor. For effective treatment of diseases of the cardiovascular system, the drug should be taken 1 time per day on an empty stomach (for 30 minutes. before breakfast). The recommended dosage of Niperten is 5 mg.

Gradually, the daily dose can be increased to 20 mg. The duration of the therapeutic course depends on the form of the diagnosed disease and the general condition of the patient. Niperten, like Concor, must be stored in a well-ventilated place, out of direct sunlight, at temperatures from +15 to +30 C. The average price of the drug is 150 rubles.

Coronal

Replacing Concor without prior consultation with a cardiologist is strictly prohibited, since self-medication diseases of the cardiovascular system is fraught with a rapid deterioration in general well-being sick. Before purchasing other medicines, it is recommended to make sure that there are no contraindications. If necessary, Concor can be replaced with Coronal, which is also available in tablet form and has similar indications for use.

With arterial hypertension and coronary heart disease, the initial dosage of the drug Coronal is in the range of 2.5-5 mg. It is recommended to take the drug once a day. The maximum daily dose of the drug is 20 mg.

General contraindications and adverse reactions of the drugs Coronal and Concor
Contraindications	Adverse Reactions
Allergy to the components of the drug	Arthralgia
Bronchial asthma	Cramps, pain in the calf muscles
Shock (eg, cardiogenic)	Allergic rashes, skin hyperemia
AV block	Decreased heart rate
Bradycardia	Angiospasm
Sick sinus syndrome	Decrease in blood pressure indicators to critical levels
Hypotension	Asthenia
Sinoatrial blockade	Sleep disturbance
Acute heart failure	Attacks of nausea, vomiting

The drug Coronal differs from Concor in the principle of action, since a positive therapeutic effect appears only after 2-4 days of regular use of the drug. To achieve the most lasting result, the medicine must be taken for at least 45 days. The cost of the drug varies from 105 to 500 rubles.

Aritel

This drug reduces the oxygen demand of the heart muscle, restores the level of renin activity in the blood plasma, and also normalizes the heartbeat. The drug has an antiarrhythmic, hypotensive, antianginal principle of action.

Cardiologists prescribe Aritel for the prevention of angina attacks, as well as for the treatment of coronary heart disease and arterial hypertension. An effective treatment regimen is drawn up by the attending physician on an individual basis.

Aritel, like Concor, is available in the form of tablets that must be taken orally with a sufficient amount of still water. The recommended dosage of the drug is 5 mg. You need to take the drug once a day in the morning. To achieve the maximum therapeutic effect, the dosage of the drug can be increased to 10 mg. The maximum daily dose is 20 mg. Aritel costs 77-140 rubles.

Cordinorm

The drug Cordinorm has the same indications and contraindications as the drug Concor. Both drugs are used in cardiology to achieve antianginal, antihypertensive and antiarrhythmic effects.

Numerous patient reviews confirm that Cordinorm helps to achieve a significant improvement in the general condition in coronary heart disease and arterial hypertension. A single dose of the drug varies from 2.5 to 5 mg. The maximum daily dosage is 20 mg. It is recommended to take Cordinorm once a day in the morning.

Biprol

Already after the first application, Biprol reduces the activity of renin in the blood plasma, and also improves the state of the myocardium. The drug has the same pharmacological properties as Concor. A safe dosage of a drug can only be determined by the attending physician, taking into account the general condition of the patient, his age and the presence of concomitant complications.

The manufacturer's recommended daily dose of Biprol should be within 5 mg. The drug should be taken on an empty stomach. The tablets must be taken with plenty of water without chewing. The pharmacological agent costs 96-278 rubles.

Tyrez

It is a selective beta-1-blocker with no intrinsic sympathomimetic activity. The drug does not show membrane stabilizing activity.

The drug Tyrez has the same restrictions on use as Concor:

• Severe renal failure.
• Type I diabetes mellitus with significant fluctuations in blood glucose concentration.
• Restrictive cardiomyopathy.
• Hyperthyroidism This is a clinical syndrome caused by an increase in the hormonal activity of the thyroid gland.
• Prinzmetal's angina. This is a type of angina pectoris that develops at rest as a result of spasm of the coronary arteries and proceeds with severe prolonged attacks.
• Psoriasis.

To achieve a positive therapeutic effect, it is recommended to take Tirez at 2.5-10 mg 1 time per day. The duration of drug treatment is determined by the cardiologist on an individual basis. The drug costs 75-190 rubles.

Action analogs

Replacing Concor with another medication is necessary if the patient has been diagnosed with hormonal active tumor of chromaffin cells of the sympatho-adrenal system, extra-adrenal or adrenal localization.

In the presence of an increased sensitivity of the body to the components of the drug, it is recommended to choose an equally effective drug of a similar principle of action, but with a different composition. It is recommended to consult with your doctor before purchasing a pharmacological agent.

Captopril

As an active ingredient, the drug contains captopril.

Auxiliary components:

• Anhydrous colloidal silicon dioxide.
• Lactose.
• Corn starch.
• Castor hydrogenated oil.

The drug is effective in essential, malignant and renal hypertension.

Captopril differs from Concor by the following contraindications:

• Myocardiopathy.
• Recently underwent kidney transplant.
• Narrowing of the mitral valve.
• Primary hyperaldosteronism.
• A tendency to edema.

The difference between the drugs is also that Concor is not used in pediatrics, but Captopril can be prescribed for children from the age of 14.

In case of hypertensive crisis, 1 tablet of the drug at a dosage of 25 mg must be placed under the tongue in order to achieve a quick hypotensive effect. For the treatment of the renovascular form of hypertension, Captopril is recommended to be taken at 12.5 mg 3 times a day. The average price of the drug varies from 16 to 180 rubles.

Enalapril

The active component of the drug is enalapril.

The auxiliary components include:

• Lactose monohydrate.
• Gelatin.
• Crospovidone.
• Magnesium carbonate.
• Magnesium stearate.

In cardiology, Enalapril is in the same demand as Concor, since the drug normalizes indicators blood pressure, expands the lumen of blood vessels, and also has a natriuretic and cardioprotective action.

Indications	Contraindications
Hypertension	Renal artery stenosis
Raynaud's disease	Azotemia
Symptomatic arterial hypertension	Kidney dysfunctions
Heart failure	Aortic stenosis
Secondary hyperaldosteronism	Hyperaldosteronism
Diabetic nephropathy	Hypersensitivity to ACE inhibitors
Scleroderma	Hyperkalemia

Enalapril is intended for oral administration. The initial dosage of the drug is 5 mg per day. You need to take a pharmacological agent once a day. The maximum daily dose is 40 mg. The average price of the drug is in the range of 15-76 rubles.

Lisinopril

Replacing Concor with another medication is necessary if the patient is diagnosed with hypersensitivity of the body to bisoprolol, as otherwise there is a risk of developing allergic reaction. A popular analogue of the drug is Lisinopril, which contains dihydrate in the composition of lisinopril as the main component.

The following excipients help to enhance the effectiveness of the drug:

• Colloidal silicon dioxide.
• Pregelatinized starch.
• Magnesium stearate.
• Lactose monohydrate.
• Microcrystalline cellulose.

The pharmacological agent is effective in chronic heart failure, arterial hypertension, diabetic nephropathy and acute myocardial infarction, which does not provoke arterial hypotension. Lisinopril, like Concor, is prohibited from taking during pregnancy and breastfeeding.

To reduce the likelihood of adverse reactions and the development of complications, it is recommended to take into account the following contraindications:

• Hyperkalemia.
• Gout.
• Bilateral renal artery stenosis.
• Collagenosis.
• Anaphylactoid reactions.
• Hyponatremia.

Lisinopril should be taken once a day, 2.5 mg. To achieve the maximum therapeutic effect, the course of therapy should last 4 weeks. The maximum daily dosage is 40 mg. The drug costs 26-146 rubles.

Losartan

For the treatment of arterial hypertension, chronic heart failure and diabetic nephropathy in traditional medicine uses the drug Losartan, which contains losartan as an active substance potassium.

The auxiliary components include:

• Magnesium stearate.
• Lactose monohydrate.
• Pregelatinized starch.
• Microcrystalline cellulose.

Losartan differs from Concor in that it has a minimum number of contraindications. The drug should not be taken with an increased sensitivity of the body to at least one of the components that are present in the composition, as well as during the period of gestation and lactation.

To lower blood pressure, Losartan must be taken 1 time per day, 50 mg. If necessary, the cardiologist can increase the daily dose of the drug to 100 mg. Losartan costs in the range of 45-309 rubles.

Amlodipine

Replacing Concor with another medicine is necessary if the patient is diagnosed with an extreme degree left ventricular failure, which is characterized by a sharp decrease in contractility myocardium. Quite often in cardiology, the drug Amlodipine is used as an analogue, which contains besylate in amlodipine.

Excipients are:

• Lactose.
• Crospovidone.
• E470.
• Povidone.

Amlodipine and Concor have identical indications and contraindications. Subject to the recommended dosage, the likelihood of adverse reactions is practically excluded.

In the annotation to the drug Amlodipine, it is indicated that it should be taken 1 time per day, 5 mg. The dosage can be gradually increased to 10 mg. A more accurate treatment regimen can only be drawn up by the attending physician based on the collected anamnesis. The average price of the drug is within 120 rubles, which is much lower than the cost of the pharmacological agent Concor (350 rubles).

Carvedilol

You can replace the drug Concor with the pharmacological agent Carvedilol. Both drugs are sold strictly according to the doctor's prescription. The composition of the product includes carvedilol as the main component.

Excipients:

• E473.
• Polyvidone K25.
• Lactose.
• Crospovidone.
• E461.
• Croscarmellose sodium.

Carvedilol is effective in heart failure, angina pectoris, and hypertension. The drug is prohibited from taking those patients who have been diagnosed with bronchial asthma, severe bradycardia, sick sinus syndrome or liver failure. The dosage and duration of the therapeutic course are selected by the cardiologist on an individual basis, since everything depends on the patient's condition.

In the annotation to the drug Carvedilol it is indicated that it should be taken 1 time per day at 12.5 mg. The therapy should last at least 2 weeks. It is forbidden to exceed the recommended dosage of the drug, otherwise various complications may occur.

Overdose symptoms
Carvedilol	Concor
Decrease in blood pressure indicators to critical levels	Hypoglycemia
Respiratory dysfunction	Atrioventricular block
Low heart rate arrhythmia	Acute heart failure
Left ventricular failure	Bronchospasm
Heart failure	Bradycardia

If symptoms of an overdose occur, it is recommended to stop taking the drug and seek qualified medical help. To reduce the risk of complications, the patient needs to flush the stomach and give the sorbent (for example, activated carbon, Enterosgel) to take. The average price of Carvedilol is 130 rubles.

In 98% of cases, Concor is well tolerated by the body of patients over 18 years of age. Replacing the drug with another drug is necessary in isolated cases. In the absence of contraindications and adherence to the recommended dosage, the likelihood of adverse reactions is 2%.

To undergo effective, safe therapy for diseases of the cardiovascular system, the patient must undergo a comprehensive examination of the body so that the cardiologist correctly diagnoses and prescribes an individual scheme treatment.

Video about the analogues of Concor

Instructions for Concor and its analogues: