Curantil - a phosphodiesterase inhibitor, increases adenosine in plasma and having a vasodilator and antiplatelet properties.
Pharmacological properties
Curantil is a competitive inhibitor of adenosine deaminase - an enzyme that breaks down adenosine, thereby increasing myocardial concentrations of adenosine participating in coronary blood flow autoregulation
. Curantil dilates coronary vessels, increases coronary blood flow volume rate, improves the myocardial oxygen supply, improves its resistance to hypoxia
. The drug inhibits platelet aggregation and prevents thrombosis
. This effect is probably due to the stimulation of the synthesis of prostacyclin and inhibition of the biosynthesis of thromboxanes
. Curantil improves blood circulation in collateral vessels for violations thereof in the major coronary arteries
. Decreases total peripheral vascular resistance, significantly reduces systemic arterial pressure, improves cerebral blood circulation; contributes to the improvement of renal function at giomerunonefrite
.
Description of the therapeutic properties of the drug
Curantil sometimes called anticoagulant since it prevents the formation of thrombi. The drug dilates blood vessels of the heart and increases the amount and speed of blood flow, improve myocardial oxygen supply. This increases the stability of the heart muscle to lack of oxygen.
Indications curantyl
The main indications for use curantyl are various types of angina, especially angina
Angina - the consequences of the activity
Arising under emotional and physical stress, cerebrovascular accident, encephalopathy and placental insufficiency in pregnancy complications. Curantil indicated for the prevention of postoperative thrombosis and myocardial infarction and thrombosis
Thrombosis - the cause of heart attack and stroke
cerebral vessels. Used Courant and in pediatric practice.
Mode of application
Curantil taken orally as tablets or pills. When taken orally drug is rapidly absorbed from the gastrointestinal tract. Is drug inside an empty stomach one hour before a meal, usually three times a day. Intramuscular and intravenous drug administered is very rare because of the numerous side effects. Curantil not be injected under the skin, as this manifests his irritating. The drug can not be combined in the same syringe with other drugs as possible precipitation. The course of treatment and the dose prescribed by the doctor.
Side effects curantyl
When receiving curantyl in some cases, side effects are the following:
- lowering blood pressure;
- nausea;
- noise in the head and vertigo;
- nose bleed;
- increased sensitivity of the gums;
- headache;
- heart pain
Pain in the heart - always consult a doctor
(rarely);
- short-term reddening of the face;
- dyspepsia;
- pain in the liver;
- darkening of the urine or stool.
- itching.
When one or more of these symptoms should immediately seek medical attention.
Contraindications
Curantil contraindicated in advanced atherosclerotic heart disease, atherosclerosis, coronary artery disease, acute myocardial infarction, heart failure, arrhythmias, hypotension, renal failure
Kidney failure - when treatment is vital
and during pregnancy. It is also contraindicated in case of hypersensitivity to the active ingredient of the drug, in particular, dipyridamole.
Safekeeping
All dosage forms curantyl should be stored in a dry, dark, cool and out of reach of children and pets, in its original packaging, shelf life of tablets, dragees, and ampoules - five years. Unused or expired medication should be disposed of in accordance with the instructions on the packaging or the physician.
Missed dose
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.
Curantyl Interaction with other drugs
Action chimes weaken xanthine derivatives (eg, coffee, tea), and reinforce - oral indirect anticoagulants (heparin, thrombolytics) or acetylsalicylic acid (increases the risk of hemorrhagic complications). Curantil enhances the hypotensive effect of antihypertensive drugs, weakens the cholinergic properties of cholinesterase inhibitors and enhances antiaggregatory effect with antibiotics-cephalosporins (cefamandole, ceftazidime, tsefotetan).
Additional information about Curantylum
Inside chimes recommended to be taken with food to avoid irritation. Coffee and tea weaken the effect Glockenspiel. Synonyms: dipyridamole, dipiridamin. Absorbability: 70%. Curantil rapidly absorbed from the stomach (most) and small intestine (a small amount). Almost completely bound to plasma proteins (99%). It accumulates primarily in the heart and erythrocytes. It is metabolized by the liver by binding to glucuronic acid, is excreted in the bile of monoglukuronida.
Application curantyl during pregnancy and lactation is possible only after the evaluation of potential risks and expected benefits. Children under the age of twelve years is not recommended to take chimes. Curantil can cause a decrease in blood pressure, which arises as a result of the lack of blood supply to the brain can affect the ability to drive and operate potentially dangerous machinery.