Low blood pressure pills: drug therapy for arterial hypotension

Blood pressure readings that are 20% or more below the accepted clinical medical norm (120/80 mm Hg) are considered a sign of low blood pressure or arterial hypotension. That is, men with blood pressure below 100/65 mm Hg and women with a reading of 95/60 mm Hg can consider themselves hypotensive. They are the ones who need pills for low blood pressure.

This disease can be acute and chronic, primary (physiological and pathological) and secondary (symptomatic, accompanying some disease). Neurocirculatory and idiopathic hypotension are considered pathologically low blood pressure. So, it is unlikely that you will be able to determine the necessary medicine on your own, without a doctor's recommendation...

Moreover, when a doctor prescribes pills for low blood pressure to a specific patient, first of all, he takes into account the etiology of the disease. And among the causes of low blood pressure may be general neurosis or depression, stress or anemia, cervical osteochondrosis or gastric ulcer, pancreatitis or heart failure, circulatory disorders, allergies or vitamin deficiency.

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What pills should I take for low blood pressure?

Given the individual condition of the patient complaining of low blood pressure, it is necessary to objectively evaluate many factors, primarily the tone of the arteries and hemodynamics (blood flow through the vessels) - central and peripheral. Based on the principle of adequate therapy accepted in medicine, with reduced vascular tone, it is recommended to use tablets for low blood pressure that will improve hemodynamics, especially blood supply to the brain (drugs of the alpha-adrenergic agonist group).

In addition, with low blood pressure, doctors may prescribe medications to increase total peripheral vascular resistance (TPVR), as well as tonics or neurometabolic stimulants.

Here are some names of tablets for low blood pressure that are used in the complex treatment of this pathology: Gutron, Ekdisten, Rantarin, Heptamil.

Gutron

In the last decade, a drug from the alpha-adrenergic agonist group, Gutron (synonym - Midodrine), has been used in the complex therapy of arterial hypertension. The active substance of this drug is midodrine. Indications for the use of Gutron tablets for low blood pressure include: primary neurogenic idiopathic hypotension; secondary orthostatic hypotension, including diabetes and Parkinson's disease; as well as relief of symptoms such as dizziness, fainting, nausea, headache, blurred vision, numbness and tingling.

The pharmacodynamics of Gutron tablets for low blood pressure is based on the fact that when midodrine enters the body, it is broken down with the release of a more active metabolite, desglymidodrine. Desglymidodrine has a vasoconstrictive effect by selectively stimulating postsynaptic alpha-adrenergic receptors of the autonomic nervous system. As a result, cardiac output, vascular tone and pressure increase, which significantly reduces the symptoms of hypertension caused by decreased blood flow to the brain.

The pharmacokinetics of Gutron tablets for low blood pressure have been well studied, and the manufacturer of this drug claims that it is well absorbed after oral administration and is found in blood plasma after 10 minutes, partially binding to proteins. Absolute bioavailability is 93%, and its components do not penetrate the blood-brain barrier (BBB). The final stage of metabolism occurs in the liver, and within 24 hours, the metabolites are completely excreted by the kidneys.

Gutron is available in tablet form, containing 0.0025 g (2.5 mg) of midodrine, in a package of 20 or 50 pieces.

The dosage of the drug Gutron is determined by the doctor individually - depending on the indications and severity of the disease. For long-term treatment, the usual dose is 0.5 tablets (1.25 mg) 2 times a day - before meals, with a glass of water.

Contraindications to the use of Gutron low blood pressure tablets are arterial hypertension, pheochromocytoma (hormonally active tumor of chromaffin cells of the sympathoadrenal system of the adrenal gland), arteriosclerosis and obliterating endarteritis, acute inflammation of the kidneys (nephritis) and severe renal failure, closed-angle glaucoma, benign enlargement of the prostate (prostatic hyperplasia), hyperfunction of the thyroid gland, increased sensitivity to midodrine. The use of these tablets for low blood pressure during pregnancy is not provided.

Possible side effects of Gutron low blood pressure tablets are as follows: sweating, pilomotor reaction (goose bumps), paresthesia (tingling sensation, crawling of ants on the skin), itching, chills, facial flushing, decreased heart rate (bradycardia), headache, dizziness, sleep disturbances, heartburn, dry mouth, nausea, dyspepsia, urinary disorders, flatulence.

Interactions of low blood pressure tablets with other drugs: when Gutron is used simultaneously with cardiac glycosides, reflex bradycardia is possible. Simultaneous use with atropine and cortisone leads to a significant increase in blood pressure, and use with reserpine completely neutralizes the effect of midodrine.

Storage conditions for Gutron low blood pressure tablets - in a place protected from light at a temperature not exceeding +25°C. The expiration date of the drug is indicated on the packaging.

Ecdysten

The main pharmacological substance of the drug Ekdisten is biologically active phytoecdysteroids obtained from the medicinal plant Leuzea carthamoides, growing in Altai and Siberia under the popular name "maral root". In medicine, the rhizomes and roots of this plant are widely used as a tonic and adaptogenic drug. Indications for the use of tablets for low blood pressure Ekdisten - as part of complex therapy for asthenia, hypotension, physical and mental fatigue, neurasthenia, neuroses, decreased potency, as well as during the recovery period after illnesses.

Method of administration and dosage of Ecdysten: the tablets are taken whole before meals - 1-2 tablets three times a day. The maximum single dose for adults is 0.025 g (25 mg), the maximum daily dose should not exceed 0.1 g. The duration of the course of treatment is 15-20 days, if necessary, a repeat course is carried out after a two-week break.

Insomnia is listed among the side effects of Ekdisten low blood pressure pills. Contraindications include nervous excitement, insomnia, hypertension, epilepsy, hyperkinesis (involuntary muscle contraction).

The release form of this medicine is tablets of 0.005 g (5 mg). Storage conditions for tablets for low blood pressure Ekdisten - in a dry, dark place.

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Rantarine

The drug Rantarinum is an extract of unossified antlers (antlers) of male reindeer. It has a tonic effect on the human central nervous system.

Indications for the use of Rantarin low blood pressure tablets include low blood pressure (arterial hypotension), decreased performance, increased fatigue, weakness, and a history of serious illnesses.

This drug should be taken one tablet 2-3 times a day - 30 minutes before meals. The duration of treatment is 20-30 days. A repeated course of Rantarin can be taken in a week.

Possible side effects of the drug are nausea. And contraindications to the use of Rantarin low blood pressure tablets include arterial hypertension, angina, cardiac arrhythmia, cardiac aneurysm, atherosclerosis, thrombophlebitis, thromboendocarditis, aortic atherosclerosis, nephritis and other renal pathologies, as well as the acute stage of any infectious diseases.

Release form: film-coated tablets of 0.25 g (in a package of 50 pieces).

Storage conditions for Rantarin low blood pressure tablets - in a place protected from light. Shelf life - 2 years from the date of manufacture of the drug.

Heptamil

The drug Geptamil is a neuroprotective drug that improves cellular metabolism.

Pharmacodynamics of Heptamil low blood pressure tablets: the active substance of the drug, 2-amin-6-methyl-6-heptanol hydrochloride (heptaminol hydrochloride), is a synthetic metabolite close to the natural metabolites of nerve cells, myocardial cells and striated muscles. When entering the body, heptaminol hydrochloride affects the hypothalamus centers and stimulates the physiological functions of the cerebral cortex and hypothalamus. As a result of this stimulation, the force of heart contractions increases and cardiac output increases, which activate the peripheral circulatory system and promote the return of venous blood to the arterial system. Due to this, the state of the vegetative-vascular system improves.

As a rule, this drug (in the form of an injection solution in ampoules) is used to stop a sharp drop in blood pressure during shock and myocardial infarction.

Heptamil in the form of tablets (50 mg) and drops is recommended for acute and prolonged asthenic conditions, low blood pressure, acute and chronic heart failure.

For low blood pressure and asthenia in adults, it is recommended to take Heptamil orally, one tablet (0.15 g) or 30 drops three times a day (the dosage of the drug for children depends on age - 10-40 drops per day).

Storage conditions for the drug: in a dry place, protected from light.

Using Citramon to Increase Blood Pressure

This drug is in any medicine cabinet, because it is considered one of the best drugs for relieving headaches. But how does citramon affect the human body: does it lower or raise blood pressure? There is an opinion that the drug helps to lower blood pressure, but this is wrong, since the drug contains three main components:

• paracetamol, which has antipyretic properties and blocks pain symptoms;
• aspirin, which inhibits cyclooxygenase (inflammatory process);
• caffeine, which in this combination is an enhancer of the pharmacological properties of the two previous drugs. From its pharmacodynamics it follows that citramon, on the contrary, contributes to an increase in blood pressure.

Symptolum

The drug Symptolum cannot be classified as a low blood pressure tablet, since its release forms are a 10% solution in vials and ampoules. But this drug cannot be ignored, especially since the method of its use is: 20-30 drops of the solution are dropped on a piece of sugar and taken three times a day before meals.

Symptolum promotes narrowing of peripheral blood vessels, which leads to increased blood pressure, heart rate and circulating blood volume. Thus, this drug normalizes low blood pressure and improves blood supply to the heart muscle.

Indications for its use are constitutional asthenia and low blood pressure associated with decreased vascular tone, including in the elderly, during pregnancy and childbirth, during operations and in infectious diseases.

Symptolum has the following contraindications: hypertension, atherosclerosis and a tendency to vascular spasms. The drug is prescribed with caution in case of heart muscle pathologies and thyroid problems.

Among the pills for low blood pressure, there are drugs that doctors prescribe to patients quite rarely - for severe asthenia, significant reduction in performance, depressive state and other psychovegetative disorders. These are psychotropic drugs (antidepressants and tranquilizers), as well as nootropic drugs (neurometabolic stimulants).

People with low blood pressure should systematically - three times a year - take vitamin complexes containing vitamins C, E, B, B5, B6, as well as phosphorus and calcium. The duration of one course of vitamin therapy should be 30-40 days (preferably in autumn and early spring). Expectant mothers should pay special attention to taking vitamins, since doctors categorically do not recommend using pills for low blood pressure during pregnancy.

It should be emphasized once again that all of the above medications must be prescribed by a doctor, since self-medication rarely rids a person of the disease, but can lead to undesirable and sometimes irreversible consequences.

By the way, in order not to be tormented by the question of what pills to take for low blood pressure, try brewing strong tea or making a cup of good (natural) coffee. Or you can take a pickle out of a jar... Table salt (NaCl), as you know, is contraindicated for hypertensive patients, but the sodium it contains helps a lot with low blood pressure.