Ritmonorm (international name - Propafenone) refers to a group of anti-arrhythmic drugs with membrane-stabilizing action. The drug is effective for the treatment of various types of ventricular arrhythmias and supraventricular rhythm disturbances.
Structure and Composition
The main active ingredient - propafenone 150 - 300 mg.
Auxiliary components: cellulose, corn starch, croscarmellose sodium, magnesium stearate, purified water.
Ritmonorm is available as a solution for injection in vials of 20 ml and 150-300 mg tablets in blister packs of 10 pieces.
Pharmacological action Ritmonorma
Ritmonorm for the treatment of disorders of rhythm frequency and sequence of heart contractions. The drug acts as a beta-blocker that blocks sodium channels and prolong the refractory period pathways.
Good reviews Riomonorm received for its ability to slow down the conduction in the atrium, and the system Gisa. The drug is effective for the prevention of arrhythmias of various etiologies and treatment of supraventricular arrhythmias and sinus heart rhythm disorders.
Analogues are Ritmonorma arrhythmias Tiodaron, Panangin, Ritmokor and Kardiodaron. These drugs have similar pharmacological actions and prescribed to treat arrhythmias of various types.
Arrhythmias and Kardiodaron as Ritmonorma counterparts, are a group of anti-arrhythmic drugs class 3, which block the flow of sodium and contribute to slowing of atrial and atrioventricular conduction.
Ritmonorm assigned to the prevention and treatment of arrhythmias of various etiologies, sinus tachycardia and supraventricular type syndrome of paroxysmal atrial fibrillation.
Positive feedback received Ritmonorm as an effective drug for the treatment of ventricular tachycardia in severe stages of the flow.
Instructions for use Ritmonorma
In accordance with the instructions Ritmonorm be administered in an initial dose of 150 mg every 5-8 hours under the supervision of the attending physician in a hospital. Effect of the drug begins within 1-2 hours after administration and lasted 10-12 hours. Dosage during primary treatment course is 200-300 mg 2-3 times a day after meals, washed down with copious amounts of water.
For children assigned daily dose of 15-20 mg / kg three times daily, and if necessary to increase the dose of 30 mg / kg two times a day.
Ritmonorm as a solution is introduced dropwise at 1-2 mg / kg at 2 mg / min. for 2 hours. The introduction of the drug is carried out under the control of blood pressure, heart rate and EKG readings.
According to the instructions Ritmonorm elderly and patients with impaired liver function appointed in small doses. When prevention of arrhythmia drug is given at 200-300 mg 2 times a day.
During treatment Ritmonormom Caution should be exercised and greater attention to patients who drives the vehicle and working on hazardous sites.
When concomitant administration Ritmonorma, blockers and other antidepressants may increase antiarrhythmic effect. Simultaneous reception and Ritmonorma amiodarone increases the likelihood of tachycardia.
Contraindications to receiving Ritmonorma are hypersensitivity and intolerance to the components of the drug, heart failure, cardiogenic shock, electrolyte disturbances, bradycardia in the severe stage of flow, weak sinus syndrome, severe lung disease, hypotension.
Precautions drug is given during pregnancy and breastfeeding, childhood.
Side effects Ritmonorma
Ritmonorm may cause the following side effects:
- of the cardiovascular system - angina, bradycardia, orthostatic hypotension, ventricular conduction disorders;
- on the part of the digestive system - nausea, vomiting, diarrhea, taste changes, constipation, disturbances of liver function, jaundice;
- the central nervous system - dizziness and headache, spasms and convulsions, tremors, decreased motor reactions, drowsiness, confusion, decreased vision and hearing;
- on the part of the genitourinary system - menstrual disorders, oligospermia, reduced potency, dysfunction of the kidneys.
When receiving Ritmonorma may appear allergic reactions - skin rashes, hives, itching, bronchospasm, eczema, dermatitis.