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АМЛОДИПИН. Как избежать ПОБОЧНЫХ эффектов? Врач кардиолог Ольга Стойко

АМЛОДИПИН. Как избежать ПОБОЧНЫХ эффектов? Врач кардиолог Ольга Стойко

Channel: Врач-кардиолог Ольга Стойко

Xo4y vse rzhat 04 SATRip

Xo4y vse rzhat 04 SATRip

Channel: александр яхин

Лекция 1

Лекция 1

Channel: denis denspam

лерканидипин

лерканидипин инструкция

леркамен применение

леркамен аналог

амлодипинаналог

препаратотдавления

отекиног

отекинаамлодипин

чемзаменитьамлодипин

леркамен

занидип

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my next duty, while I

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have a few minutes, I would like to

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continue the conversation with a

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cardiologist section because for some reason there is

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less and less time for new videos, and

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I want to tell more

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and more and more, so the topic of

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today’s review is the drug lerka

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not dipping the drug is quite

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interesting and popular, I see that there

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were a lot of people in the comments asking to

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talk about this drug, so

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we will make a short video why it will be

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short because I will ask you to watch a

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video about Mazepine before this video

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because this is also a group of drugs and

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almost all what will I talk about

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Mlada Pin and said about Mazepine is suitable

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for bright not dippy but I will mainly tell in this

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video

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the differences and features of this drug

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this is a third generation ring antagonist drug I will

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remind a little of the mechanism of

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action of ring channel blockers

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they do not affect calcium which

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is in In the blood plasma, these drugs

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slow down or prevent the flow of

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calcium from the intercellular space in the

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cell, which maintain the tone of our

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blood vessels, that is, calcium does not

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enter the cell, the cell does not contract, the vessels

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dilate, relax, due to this, the

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level of blood pressure decreases,

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this is a very simple mechanism of action of

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calcium antagonists. keepin is a

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special drug, a fairly

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modern drug of the third generation,

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which has very close effects to Mazepa,

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but there are nevertheless some

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differences, which means it is very important how

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Verka differs from Dupin, and there LDP on

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firstly, it is a drug with a similar

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mechanism of action with similar

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effectiveness, but significantly better

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tolerated, that is, the number of side

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effects cooler book pin they occur

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much and although all the side effects

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that are characteristic of the class of

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calcium antagonists are certainly verka not

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pin are also characteristic, so if on

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amlodipine there will be edema in 10 percent of

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patients on lerka not le pin it will be

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two percent patient, if there is a

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headache or palpitations, we are lucky

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penny again, about

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10 percent of patients will be tonal

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Irka not type not this will also be 2-3

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percent, that is, the frequency of side

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effects is lower, tolerance is higher, this is a

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significant advantage of this

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drug as for the dosage of lerka

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threads pinata the drug has several

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dosages, we use it with dosages of

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5 milligrams, 10 milligrams, twenty

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milligrams, these are standard dosages, the

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maximum dosage of the drug is

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twenty milligrams per day, the drug

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is taken once a day at the

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same time, it doesn’t matter when the doctor prescribed it

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in the morning or in the evening, it is advisable

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to stick to one and At the same time of

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administration, the drug is effective for 24 hours, this is

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quite enough and I will say again that the

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drug is quite well tolerated,

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so you and I heard that the drug is

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close to Mazepa, but it is only better

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tolerated. The logical question is why it did not

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replace amlodipine and why is it still the

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number one drug groups of

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calcium antagonists for the treatment of

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arterial hypertension

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is still amlodipine a little about the

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disadvantages of lerka not type on minus number

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one it is of course a more modern

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molecule and it costs significantly more pain than

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amlodipine molecules for many this

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is the decisive factor when we

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choose which calcium antagonist to

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prescribe for many similar parameters of

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initial effectiveness, we can

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sometimes prescribe a

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drug that is more affordable, but this is again not a

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medical question, so we

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will not dwell on it much now

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the question of the effectiveness of drugs is Lerka not

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Dupin is slightly inferior in effectiveness to

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amlodipine; the effectiveness is close, but

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it is slightly inferior the effectiveness

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of the drug does not have such a volume of

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evidence-based research, in comparison

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with me Epin, it also has

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quite a lot of research,

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however, in comparing the most dippy, we

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still do not have enough of these studies to

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expand the indications of lerka not dippy

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to, for example, the treatment of very severe

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hypertension, all however, usually this is a drug

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for the treatment of

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initial or moderate hypertension in the

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treatment of severe hypertension, we

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still choose amlodipine in patients who

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have heart failure in

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patients who have severe

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chemical heart disease, it is unlikely that we are the

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Romans dipper, we will start lipina with me

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and only in some cases - then in rare special

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cases we can switch to verka

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without dipping, again due to the lack of

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evidence-based research and the large

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evidence base of amlodipine and the side

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effects are still the same, which is typical

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for many and this is a headache, this is

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dizziness, this is swelling of the

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ankles, which is not related to time

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day is not associated with physical activity,

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that is, such dense kicks in the ankles and

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shins that occur with

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calcium antagonists in about 2 to 10

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percent of cases,

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and perhaps palpitations are something that in

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practice we sometimes see, this is not a common

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side effect, however, this is a class

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effect all

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hydra in front of the new calcium antagonists,

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which we see on all such

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drugs to one degree or another for

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the mirror pin once again about the secondary

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frequency is lower than that of amlodipine luna 3 pin the

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frequency of such side effects is

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slightly higher, however, but also

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occurs if we talk about edema

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syndrome I’m sure that a lot of

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questions have now accumulated in the

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comments will be approximately the same

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if I had swelling on my face pin if

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it makes sense to switch to the lyre book pin this is a

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standard question and I repeat once again

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that swelling of the lower extremities swelling of the ankles is

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specific to calcium antagonists

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then the class effect if they there is a pin on the sea,

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as if the probability that they

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will be on verka is not dippy, it

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increases significantly in comparison with

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other classes of drugs, but again I

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repeat that sometimes we recommend

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switching to Oleg they dupin and see,

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that is, doing such an intermediate

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intermediate link before how to completely

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cancel a group of drugs because

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very often it is calcium antagonists that

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are the most effective in terms of

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influencing the numbers in the trial pressure of a

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group of drugs, sometimes just without them,

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but we can’t imagine how we will still

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treat arterial hypertension in such

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situations, we recommend trying Lear

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comedy pins if you already Then it’s not possible

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to consider only other classes of

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the drug; I, in fact, have a

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short video together with a video on the

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pin wire; this is a video that very, very well

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reveals the issues associated with taking

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calcium antagonists and hydra pyridine; you

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and the group in this camp on Thaler to Mita pin

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can also include the drug here filo de

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pin is probably quite popular, so

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write your questions, write if there is something

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left unclear unsaid, you still

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have some questions about

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calcium antagonists or about the clerk, I’m not a

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[ __ ], I’ll be happy to answer them in

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the comments, I try to include them, but at

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least to most of the questions that

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I receive Have a

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nice day everyone, good health to everyone, good

00:06:55

luck bye

Description:

ЛЕРКАНИДИПИН Онлайн - консультации: https://taplink.ru/profile/353398/pages Инстаграм: https://www.facebook.com/unsupportedbrowser (рубрика вопрос - ответ каждую неделю) FB: https://www.facebook.com/unsupportedbrowser Нравится контент? Делитесь или можете угостить меня кофе :) https://www.donationalerts.com/r/drnemik Меня зовут доктор Дмитрий Намик. Этот ролик знакомство со мной - https://www.youtube.com/watch?v=mAz_-akrEdo Я эксперт в кардиологии, кандидат медицинских наук. Работаю кардиологом в современной израильской клинике Барзилай. Здесь вы найдете ролики на следующие темы: РАЗБОР ПРЕПАРАТОВ: ► ДИГОКСИН (#3) https://www.youtube.com/watch?v=6futsw5C024&list=PL0KqnVX2_xshtP1c4n0Nz6jm-njpSyQLB&index=23 ► СТАТИНЫ (#8) https://www.youtube.com/watch?v=KOU3r3euJqE&list=PL0KqnVX2_xshtP1c4n0Nz6jm-njpSyQLB&index=21 ► ЛОЗАРТАН (#16) https://www.youtube.com/watch?v=iiTsVw4sQJk ► ВАЛСАРТАН (#17) https://www.youtube.com/watch?v=ubMKMAqfEd8 ► АПИКСАБАН (#19) https://www.youtube.com/watch?v=w1DINgkQtog ► АМЛОДИПИН (#22) https://www.youtube.com/watch?v=MPs26CVtk_o ► ИНДАПАМИД (#23) https://www.youtube.com/watch?v=9shxYtZgQMc ► МОКСОНИДИН (#24) https://www.youtube.com/watch?v=_E0Zt1dqInY ► ПРОПАНОРМ (#14) https://www.youtube.com/watch?v=CABfz1sSpD0 ► РАНОЛАЗИН (#26) https://www.youtube.com/watch?v=cZTmSLormQQ ► РОЗУВАСТАТИН/АТОРВАСТАТИН (#28) https://www.youtube.com/watch?v=JjMGRWJyLp4 ► ТЕЛМИСАРТАН (#29) https://www.youtube.com/watch?v=LN8MZsrQHUI ► ИВАБРАДИН (#31) https://www.youtube.com/watch?v=NVz0mErmFlA ► ВЕРАПАМИЛ/ДИЛТИАЗЕМ (#23) https://www.youtube.com/watch?v=qTuVoBEFIsg ► КАНДЕСАРТАН (#36) https://www.youtube.com/watch?v=TSo2vpZvCuA ► АЛЛАПИНИН (#39) https://www.youtube.com/watch?v=LcKyWe63iSQ ► РАМИПРИЛ/ЛИЗИНОПРИЛ/ПЕРИНДОПРИЛ (#40) https://www.youtube.com/watch?v=ZnRnMUuwMBc ► ЭНАЛАПРИЛ (#41) https://www.youtube.com/watch?v=UPgCwSAgumc ► БИСОПРОЛОЛ (#42) https://www.youtube.com/watch?v=_dUYRrApKyg ► ЭДАРБИ (#44 https://www.youtube.com/watch?v=cddc2gk2rDY) ► СОТАЛОЛ (#46) https://www.youtube.com/watch?v=Bw4LdqMHzSE ► ГИПОТИАЗИД (#51) https://www.youtube.com/watch?v=-hT4CSRDmgE ► ВЕРОШПИРОН (#52) https://www.youtube.com/watch?v=q813ysWChf4 ПОЛЕЗНЫЕ ТЕМЫ: ► ВЧ С-РЕАКТИВНЫЙ БЕЛОК (#4) https://www.youtube.com/watch?v=S4MawvHPbQs ► ЛЕЧИМ ГИПЕРТОНИЮ ЗНАЯ ПРИЧИНУ (#5) https://www.youtube.com/watch?v=YSGCCnNgADs ► КЕТОДИЕТА (#12) https://www.youtube.com/watch?v=54udu-GqD7Y ► ВТОРИЧНАЯ ГИПЕРТОНИЯ (#15) https://www.youtube.com/watch?v=i0e_rTV-dBA ► ГИПЕРТОНИЯ И ПАНИЧЕСКИЕ АТАКИ (#18) https://www.youtube.com/watch?v=y2Wr1QRHygg ► СИНДРОМ БРУГАДА (#25) https://www.youtube.com/watch?v=xDllY56STvI ► ИНСТРУКЦИЯ К ПРЕПАРАТУ (#35) https://www.youtube.com/watch?v=7vfe7Q4UR-I И (#27) https://www.youtube.com/watch?v=YqBkQwFIJzU ► БОЛИ В ГРУДНОЙ КЛЕТКЕ (#28) https://www.youtube.com/watch?v=k8TMBvBhkp0 ► САХАРНЫЙ ДИАБЕТ (#28) https://www.youtube.com/watch?v=KWeFcGw71Ow ► БОЛЕЗНЬ ТАНЖЕРА (#30) https://www.youtube.com/watch?v=UI_KCsofrtg ► НА ЭКГ: СПРЖ/НАРУШЕНА РЕПОЛЯРИЗАЦИЯ/ОТРИЦАТЕЛЬНЫЙ Т (#32) https://www.youtube.com/watch?v=2neH04IH40E ► ПРО ПУЛЬС (#34) https://www.youtube.com/watch?v=Mb11GOIdJjk ► ИНФАРКТ В 40 ЛЕТ. СЛУЧАЙ ИЗ ПРАКТИКИ (#37) https://www.youtube.com/watch?v=WXlB1HgPsFQ ► ФИБРИЛЛЯЦИЯ ПРЕДСЕРДИЙ (#38) https://www.youtube.com/watch?v=pvP2bjTfjAU ► ПОИСК ИШЕМИИ СЕРДЦА (#43) https://www.youtube.com/watch?v=edQqxM6Ro8I ► AV БЛОКАДА (#45) https://www.youtube.com/watch?v=2BccU9C58sc ► COVID - 19 (#46) https://www.youtube.com/watch?v=EEBIM31svjM ► СЕРДЕЧНАЯ НЕДОСТАТОЧНОСТЬ (#3) ► ЖЕЛУДОЧКОВАЯ ЭКСТРАСИСТОЛИЯ (#3) ► ХОЛЕСТЕРИН (#3) ПРИЯТНОГО ПРОСМОТРА!

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