There are two main types of nosebleeds. Anterior nosebleeds are approximately ninety percent of all cases. Blood thus comes from the blood vessels located at the front of the nose. Such bleeding is usually easy to control, in particular, and by home remedies. Rear nosebleeds occur much less frequently, and are more dangerous. Most often they suffer from the elderly. Usually bleeding starts in an artery located in the rear part of the nose. In this state, usually require professional assistance.

Most susceptible to nosebleeds in children aged two to ten years and adults and elderly people from fifty to eighty years.

Causes

The most common trigger of nasal bleeding becomes injury. Blood from the nose can begin to flow out of the impact face, due to prolonged exposure to cold, as well as due to picking nose.

Much less nosebleeds may be a symptom of certain disorders, such as poor blood clotting. Liver disease, abnormal patterns of blood vessels are rare causes of nosebleeds. High blood pressure may contribute to nasal bleeding, but almost never the sole cause of it.

Nosebleeds can cause blood thinning medication such as warfarin Warfarin - indirect anticoagulants   and aspirin.

When you need to see a doctor

Often, a nosebleed can be managed independently; However, in the following cases, you will need professional help:

• Recurrent episodes of epistaxis.
• Frequent bruising, including - for no apparent reason.
• In addition to frequent nosebleeds, the presence of blood in urine Blood in the urine - a reason for serious concern   and / or stool.
• Bleeding from the nose after taking blood thinners.
• The presence of the main diseases that can wag on blood coagulation, such as hemophilia, liver or kidney disease.
• Nosebleeds occur during chemotherapy Chemotherapy - it always falls the hair?   or shortly after its completion.

Seek emergency medical assistance if:

• Bleeding from the nose continues, despite the fact that you hold his nose for more than ten minutes ago.
• You feel dizzy Dizziness - if the ground is slipping from under his feet   or are in near syncope.
• The observed increase in heart rate and / or shortness of breath.
• The presence of blood in the saliva and / or vomit.
• Body temperature above 38.5 C.

Help with nasal bleeding at home

If you have started bleeding from the nose, but in general you feel okay, first of all, stay calm - nosebleeds usually not a very serious problem. Sit straight and tilt your head down (if you zaprokinete head back, blood gets into the respiratory tract). Pinch your nose with your fingers and hold it clamped for about ten minutes. Spit out the blood that gets into your mouth, otherwise it may cause vomiting.

After the bleeding has stopped, try to avoid any irritation of the nose for twenty-four hours - possibly not sneeze, or sneeze, and avoid injuries. Dry air may cause rebleeding. If necessary, use a humidifier and / or put on the battery cup with water - it will vaporize and humidify the air.

Health care

• Front nosebleeds

When severe nosebleeds that can not be stopped with home remedies, you need to see a doctor. If the vessel from which the blood is, is clearly visible, the physician may immediately cauterize it with silver nitrate. This effectively means, if the blood comes from the vessels into the very front of the nose.

In more severe bleeding nose tamponade applied. Since tamponade partially blocks the sinuses, appointed by a short course of antibiotics to prevent a sinus infection.

• Rear nosebleeds

To stop the rear epistaxis also applies tamponade, but it causes the patient discomfort considerably greater than in the front nose bleeding. Sometimes the patient is recommended to take painkillers to relieve the discomfort. If after 48-72 hours, the bleeding will not stop, it can be used surgical or radiological treatment.

Curantil - a drug class of antiplatelet agents and angioprotectors. Curantil inhibits platelet aggregation and prevents thrombosis, due to the stimulation of the synthesis of prostacyclin and inhibition of the biosynthesis of thromboxanes.

When administered chimes?

Curantil used in complex therapy in combination with other medications to reduce the risk of thrombus formation after cardiac surgery, in particular, the prosthetic heart valve. Curantil - antiplatelet that is a drug that reduces clot formation by inhibiting platelet aggregation.

How to apply chimes?

Curantil exists in the form of tablets or dragées for oral administration. It should be taken with liquid, squeezed a small amount of liquid (preferably milk). Oral dosage forms of the drug should preferably be taken on an empty stomach, 1 hour before meals. Carefully follow the instructions for use of the drug, indicated on the packaging. In no case do not exceed and do not underestimate or specified dose prescribed by your doctor. Do not stop taking chimes even after the appearance of improvement, without consulting a doctor.

What else chimes apply?

Curantil also taken in combination with aspirin for the secondary prevention of ischemic stroke and transient ischemic attack that gives good results, but may cause numerous side effects.

In some cases, the disease is used chimes?

• in the prevention of thromboembolism Thromboembolism: severe complications   vessels;
• in coronary insufficiency;
• with prosthetic heart valves;
• when cardiomyopathy;
• in the prevention of myocardial infarction;
• for the treatment of transient ischemic attack (TIA)
• in the treatment of heart valve defect.

Before taking curantyl

• tell your doctor about allergy chimes or other drugs;
• Tell your doctor about all prescription and non-prescription medicines you are taking (especially aspirin and vitamins);
• tell your doctor if you suffer from hypotension (low blood pressure);
• tell your doctor if you are pregnant, planning a pregnancy or breast-feeding. If during treatment Curantylum you become pregnant as soon as possible inform your doctor.
• consult your doctor about possible side effects and complications when taking Chime (especially seniors over 65 years old). Elderly chimes is not recommended because this age group, there are other drugs with a similar action, but safer.
• prior to any surgery (including dental) inform the surgeon that take chimes.

What if I forgot (a) chimes?

If you miss a dose, take it as soon as possible. If you need to quickly take the next dose, forget about the missed reception and follow the established mode of treatment. In no case do not double the dose.

What side effects may cause chimes?

Curantil can cause various side effects. Be sure to tell your doctor if any of the following symptoms persist for a long time:

• weakness;
• dizziness;
• headache;
• feeling stuffy ear, the noise in my head;
• cardiopalmus;
• tachycardia;
• bradycardia;
• flushing;
• coronary steal syndrome;
• lowering blood pressure;
• nausea;
• vomiting;
• diarrhea;
• abdominal pain;
• skin rash, hives;
• arthritis Arthritis - a variety of forms and complications ;
• myalgia;
• rhinitis.

Some side effects indicate serious complications. When these side effects should seek medical advice immediately :

• bleeding;
• increased bleeding;
• yellowing of the skin or whites of the eyes;
• chest pain.

How chimes interacts with other medications?

Curantil interacts with other drugs that affect its action. Aspirin and indirect anticoagulants increase the effect of xanthine derivatives weaken (especially koronarorasshiryayuschee), heparin increases the risk of bleeding complications. Be sure to tell your doctor about all the medications you are taking, including vitamins, minerals, dietary supplements Food additives - basic classification , Herbal. In no case do not take chimes without a prescription (and do not start to take other medications without his knowledge).

What medications are contraindicated in those who accept chimes?

When you take the chimes, do not take aspirin or other nonsteroidal anti-inflammatory drugs without a prescription. For NSAIDs also include ibuprofen (Motrin, Advil), naproxen (ALEV, Naprosyn), diclofenac Diclofenac - relieve inflammation and pain   (Voltaren), diflunisal (dolobid), etodolac (Lodin), flurbiprofen (anseyd), indomethacin (Indocin), ketoprofen (orudis), ketorolac (Toradol), mefenamic acid (Poncelet), meloxicam, nabumetone (relafen), piroxicam (Feld ) and others.

Under what conditions should be kept chimes?

Keep chimes in its original sealed packaging, in a dry and protected from light and the reach of children and pets at room temperature. Do not store medication in the bathroom. Unused or expired medication must be disposed of. After expiry dispose of the drug according to instructions.

What to do in case of an overdose Curantylum?

In case of overdose may intensify the side effects of the drug: sweating, fever or itching, dizziness, weakness, anxiety, palpitations, fainting. With rapid intravenous possible decrease in blood pressure. In case of overdose, immediately seek medical attention.

What else do I need to know about Curantylum?

To reduce nausea and heaviness in the stomach chimes recommended to take milk. Violation of the liver and biliary tract obstruction necessitate dose reduction. If pregnancy should strictly determine if the use of the drug, especially in the second and third trimesters. Do not share your medication with others and do not take the drug on prescription of third parties. For parenteral administration, should not be allowed to enter the drug under the skin (irritative effect possible). You can not be administered intravenously at prekollaptoidnom state and collapse. Older persons can be reduced daily dose. You can not mix in the same syringe chimes with other drugs (possibly precipitation). Make a list of all the medicines you are taking, and carry it with you, so that in case of emergency hospitalization, doctors can prescribe the right treatment.

Trade names

• Permol
• Persantin
• Curantil
• Anginal
• Antistenokardin
• Aprikor
• Kardiofluks
• Koribon
• Angina
• Trankokard
• Vadinar
• Viskor
• Trombonin
• Parsedil
• Penselin