Capoten at high pressure. Instructions for use, price, reviews

Kapoten - drug, which is often prescribed at high pressure in order to normalize indicators and prevent complications. The instructions for its use describe in detail the indications and dosages for adults. When taken correctly, the remedy is considered effective and quickly improves the patient's condition.

Release form

The medicine is produced in the form of tablets for oral administration, which are round in shape. They are packaged in standard plastic plates, each with 14 tablets. Plates are placed in cardboard boxes of 1-3 pieces. A description is attached to them, which details the nuances of use, possible contraindications and complications during therapy.

Composition of the preparation

Kapoten at high pressure (instructions for use are attached to the medicine) is used due to the presence of the captopril component in its composition, which has the main hypotensive effect.

The composition of the medication contains excipients:

• Microcrystalline cellulose.
• Talc.
• Macrogol.
• Povidone.
• Starch.

Additional substances have no medicinal properties. The dosage of the active ingredient per 1 tablet is 25 mg.

Pharmacological properties

The drug has hypotensive properties, that is, it helps to reduce blood pressure indicators and normalize the condition of patients with hypertension of varying severity. It also helps relieve stress on the atria, which has a beneficial effect on the work of the entire cardiovascular system.

When using the drug, blood pressure indicators are normalized, the load on the myocardium is somewhat reduced, which is important for patients with a history of chronic heart pathologies.

The tool somewhat reduces the risk of re-development of the crisis for a short period of time after taking the pill.

Pharmacodynamics and pharmacokinetics

The high pressure hood is used not only because of its high efficiency, but also because of its speed. Instructions for use indicate that the therapeutic effect can be observed within 10-15 minutes after taking a single dose.

The tablet drug dissolves quickly in the digestive tract, and its main ingredient enters the systemic circulation. Captopril lowers pressure in the pulmonary circulation, as well as general indicators of blood pressure. As a result, the risk of complications is reduced against the background of a constant increase in numbers.

The tool has other properties:

• Improves the condition of the walls of blood vessels, which worsens as a result of a sudden spasm, as well as regular expansion, narrowing. With the use of the drug, a decrease in the number of crises is observed over a short period of time, which has a beneficial effect on the vessels.
• Reduces the likelihood of developing a hypertensive crisis in patients who suffer from arterial hypertension and chronic heart pathologies.
• The drug increases the minute volume of the heart, which allows the tissues to be saturated with oxygen and essential substances.
• Reduces the level of aldosterone, which is formed in the adrenal glands and can provoke an increase in blood pressure.
• In combination with other means, it prevents the development of concomitant abnormalities from the cardiovascular system.

After taking the drug inside, its absorption in the digestive tract occurs rather quickly, about 75% of the active substance spreads through the systemic circulation. In the presence of a history of pathologies of the digestive system, a slowdown in absorption is observed, which can affect the time of the onset of the therapeutic effect.

Despite the fact that the therapeutic effect is noted after 10-15 minutes, the maximum result from the use of a one-time therapeutic the dose develops after 1.5 hours, and lasts for 6-8 hours, depending on the individual characteristics of the organism the patient.

The processing of the main ingredient is carried out in the patient's liver for several hours after ingestion. In the presence of liver pathologies, the metabolic process of the drug slows down somewhat.

Excretion of metabolites is carried out by the kidneys by about 90%. The process takes no more than 12 hours. In the study of pharmacokinetic features, it was found that about 50% of metabolites are evacuated unchanged. The agent does not accumulate in the patient's body, which does not allow achieving a long-term therapeutic effect when used.

Indications for use

Kapoten at high pressure (instructions for use assumes preliminary monitoring of blood pressure indicators) is used most often.

The main indications for prescribing a medicine:

• Arterial hypertension with frequent exacerbations of symptoms and the presence of concomitant deviations.
• Hypertensive crisis, in which the indicators rise to critical numbers, other disorders appear.
• Myocardial infarction. Usually, the remedy is prescribed after the elimination of acute symptoms, as well as with constant measurement of blood pressure, which can change in patients in the acute stage.
• The presence of pathologies of the vascular system, accompanied by a periodic increase in blood pressure. The remedy in this case is not used on an ongoing basis, it is prescribed during periods of exacerbation.
• Diabetes mellitus, accompanied by diabetic nephropathy and hypertension.
• Chronic heart failure. The medicine is used as part of a complex treatment to increase its effectiveness.

The remedy is often included in the complex treatment of diseases of the nervous system, if the patient has concomitant abnormalities in the form of hypertension.

Contraindications

The effectiveness of the pill medication is not considered a reason for its uncontrolled use.

The drug has contraindications that should be considered before starting treatment:

• Stenosis of kidney arteries in patients who have undergone kidney transplantation.
• Intolerance to the ingredients in the composition of the tablets, a tendency to allergic reactions in the patient's history.
• The patient's age is up to 18 years. Children and adolescents usually do not need pills, but other medications are selected if necessary.
• The period of lactation and bearing of the child. There is no data on the effect of the drug on the body of women during this period.
• Lack of liver, kidney function, severe organ diseases.
• Elevated levels of potassium in the blood.
• The period of rehabilitation of the patient after undergoing surgery to remove the kidney.
• Bilateral renal artery stenosis.
• Recovering a patient after undergoing surgery on the abdominal organs.
• Exacerbation of pancreatitis.
• Acute peptic ulcer disease, severe gastritis.
• Internal bleeding resulting from damage to the mucous membranes of the digestive tract.
• Acute mental disorders.

For each patient there may be individual contraindications, determined by the doctor during the examination and questioning. With caution, the drug is prescribed to elderly patients, as well as to patients with autoimmune pathologies. When undergoing hemodialysis, tablets are rarely used, only according to individual indications and in short courses.

Instructions for use, dosage

Kapoten at high pressure (the instructions for use recommend a preliminary diagnostic examination) and other violations are used according to the scheme determined by the doctor at the reception. The standard treatment regimen assumes taking ½ tablet 2 times a day. Usually, treatment begins with this dose.

If there is no effect, the dosage is increased on an individual basis. The drug can be used on an ongoing basis or in courses, depending on the blood pressure indicators. The dosage for low efficacy of the agent is increased by a specialist after examination. In each case, it may differ depending on the patient's condition.

The maximum therapeutic norm is 150 mg, that is, 6 tablets per day, which are taken for 3 times during the day at approximately equal intervals and after monitoring the arterial pressure. The duration of treatment is also determined individually.

At high pressure

When diagnosing hypertension, the drug is taken in the minimum effective dosage. It is ½ a tablet. Usually, it is recommended to take it 2 times a day, due to the lack of a long-term effect.

If the desired therapeutic result is not achieved for several days, the specialist increases the dosage to 50 mg. Take 2 tablets 2 times a day. For 2-4 weeks, the drug is used in this dosage. After that, the doctor assesses the result of therapy, if necessary, prolongs the course, increases or decreases the dosage.

Sometimes patients take the remedy for a long time, but in most cases it is necessary to prescribe medications that act for a long time. They are selected individually for each patient.

With a hypertensive crisis

When diagnosing the symptoms of a hypertensive crisis, the patient needs immediate and correct help. The tablets can be used in an acute period, but they are usually given in combination with other medications to increase their effectiveness.

A single dosage for a crisis is 50 mg, that is, 2 tablets. In the absence of an effect, it can be increased to 100 mg at a time. Repetition of the reception is usually not required, since on the first day several means are used at once to obtain a quick result.

When symptoms of a crisis appear, a repetition of the appointment is possible, but as prescribed by a doctor and after visiting a doctor. The dosage and duration of therapy is determined individually, depending on the patient's condition, whether he has concomitant abnormalities from the internal organs.

Low heart rate

Kapoten at high pressure (instructions for use should be studied by patients before starting use) is considered quite effective, but with bradycardia in patients it is usually not used. This is due to the ability of the drug to slightly reduce the pulse rate, which can aggravate the patient's condition.

If the patient's pulse is slightly reduced, but blood pressure is increased, it is allowed to take the drug in a minimum dosage of 1 tablet. Usually, the courses are short, since complications may occur with constant bradycardia.

Side effects

The medication can provoke negative reactions if the instructions for use are violated and if they are followed. Disorders affect the work of internal organs and systems, manifest to varying degrees depending on the duration of admission, dosage, characteristics of the patient's body.

Damage area	Most common complications
Nervous system	With the use of the medication, disorders of the nervous system appear frequently. They are accompanied by a deterioration in general condition, weakness and fatigue, sleep disturbances, dizziness and headache. Some talk about a decrease in emotional activity and mental performance, as well as a depression. Symptoms disappear after refusal of therapy, sometimes medication is required to normalize the condition.
Digestive tract	Disorders of the digestive system do not occur so often, but in patients with a tendency to such reactions may cause nausea, vomiting, pain in the intestines, flatulence, bloating belly. Sometimes there is heartburn, upset stools, stomach pain, and indigestion. In the presence of pathologies of the liver, pancreas, complications occur more often, their course may worsen, and additional complications develop.
Blood system	Violation of the process of formation of blood cells is observed with prolonged treatment with large doses of the drug. In the study of blood, a decrease in the level of erythrocytes, platelets, as well as an increase in granulocytes can be noted. The work of the hematopoietic system is normalized after refusal of treatment, if the patient has no history of chronic diseases.
The cardiovascular system	From the side of the heart and blood vessels, complications manifest themselves in the form of aggravation of the symptoms of the underlying disease, as well as the development of concomitant deviations in the form of tachycardia, a critical decrease in blood pressure, pain in the area hearts. Complications occur with prolonged use and the patient has a history of chronic diseases.
urinary system	Increased urination and increased blood potassium levels are common. Sometimes, when examining urine in the laboratory, traces of protein, nitrogen and urea are found. This not only worsens the general condition, but also negatively affects the functioning of the kidneys. With prolonged use, it is possible to develop kidney failure if such a disease is absent in the patient's history.

An allergic reaction to pills is manifested by the classic symptoms of the skin and mucous membranes. In patients, a rash appears on the body, there is severe itching and burning, peeling. In the absence of therapy and continued taking pills, the allergy spreads to the mucous membranes of the eyes, mouth and nasal passages.

Symptoms are aggravated if untreated, and can spread to large areas of the skin. If negative reactions appear, you should stop using the pills and consult a doctor.

Overdose

When taking the drug in the dose prescribed by the doctor, an overdose does not develop. But with the simultaneous administration of a large number of tablets, a significant decrease in blood pressure indicators is possible. The condition is accompanied by dizziness, headache, and darkening of the eyes.

Often, with an overdose, coordination of movements is impaired, weakness and a decrease in physical strength are noted. At the same time, the course of allergic manifestations is aggravated, Quincke's edema develops, accompanied by damage to the tissues of the throat and suffocation in the absence of timely assistance.

Sometimes patients note the development of acute urticaria, in which the rash is large, spreads throughout the body, accompanied by severe itching. Overdose can provoke repeated vomiting during the day and upset stools, which can lead to dehydration, seizures and other disorders of the nervous system.

If symptoms of an overdose appear, you must refuse to take it and consult a doctor. Treatment is usually symptomatic and involves the appointment of drugs depending on the manifestations. In severe cases, plasma transfusion, hemodialysis is prescribed, which is carried out in a hospital under the supervision of a doctor. Depending on the severity of the manifestations, treatment can take from 3 to 7 days. Self-administration of funds in case of an overdose is not recommended, since symptoms may worsen.

special instructions

High pressure hood (instructions for use may vary for patients depending on condition) should be used as directed by a doctor, which allows you to somewhat reduce the risk of developing complications.

If negative reactions or symptoms of an overdose appear, you should not take any medication on your own or ignore the manifestations of the disease. In some cases, the patient is admitted to a hospital, often it is enough to prescribe drugs to normalize the condition.

The increase in dosage is done by the doctor, while it is impossible to sharply increase the rate, since a critical decrease in blood pressure indicators is possible. When using tablets, you must drink them with plenty of water, especially with a significant increase in blood pressure. This will accelerate the dissolution process and the onset of the therapeutic effect.

Drug interactions

The drug is not prescribed simultaneously with drugs from the same therapeutic group in order to prevent the development of an overdose and other complications. In combination with diuretics, the effectiveness of the drug increases, therefore, with simultaneous administration, blood pressure monitoring is necessary.

With caution, the agent is used simultaneously with potassium-sparing diuretics, since an increase in the level of potassium in the blood is possible. Indomethacin and some similar drugs reduce the effectiveness of therapy.

When prescribing any medication, a preliminary visit to the doctor is necessary, especially with the constant intake of any medication.

Analogs

The drug has analogues that can be used in the absence of it in pharmacies or the impossibility of prescribing for various reasons.

Common drug substitutes:

• Captopril contains the same active ingredient as the original, has antihypertensive properties. The medication helps to reduce blood pressure indicators, prevents the development of a hypertensive crisis, improves the condition in the presence of heart failure of varying severity. The effectiveness of the substitute is high, therefore, if necessary, it can be prescribed to patients.
• Lisinopril contains another active ingredient, is considered effective, but is prescribed when patients have no complications. The drug is available in tablet form, taken in courses or once with a sudden increase in blood pressure.
• Enap prescribed quite often for long-term use, it contains enalapril as the main active substance. The tablets are considered effective, help to quickly reduce blood pressure indicators, and prevent the progression of concomitant diseases.

Analogues should be selected by a doctor based on a diagnostic examination and symptoms of a specific disease.

Terms, conditions of sale and storage

The drug is dispensed in pharmacies with a prescription from a doctor. The maximum storage time is 3 years. After the expiration date, use is not allowed. During storage, it is important to exclude access to the tablets of moisture.

Price

The cost of the medicine ranges from 150-300 rubles. depending on the number of tablets in the package.

Kapoten is considered a fairly effective remedy, which is often prescribed for high blood pressure, as well as some pathologies of the cardiovascular system. Instructions for its use involve a preliminary examination by a doctor and determining the reason for the increase in numbers, the degree of neglect of the disease.

Video about the drug Kapoten

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