Nitresan 20mg 30 tablets — Made in Czech — Free Delivery

Hot flashes, headache, arterial hypotension (circulatory collapse), changes in heart rate (tachycardia or bradycardia).

It is necessary to remove the preparation from the body: rinse the gastrointestinal tract, take activated charcoal. Monitor the patient's vital signs closely. With a significant decrease in blood pressure, dopamine and norepinephrine should be taken. Attention should be paid to the possible negative effects of catecholamines (especially in relation to cardiac arrhythmias). With bradycardia, intravenous atropine or orciprenaline (similar to the treatment of intoxication with other calcium channel blockers). It is possible to re-introduce 10 ml of 10% calcium gluconate or 10% calcium chloride, followed by calcium infusion (it is necessary to prevent the possible development of hypercalcemia). In such cases, catecholamines are also effective, but at higher doses. Further treatment is symptomatic.

Nitrendipine is not dialyzable, so hemoperfusion and plasmapheresis will not be effective.

From the immune system: infrequently - allergic reactions, including skin reactions and allergic edema / angioedema.

From the side of the cardiovascular system: very often - peripheral edema (especially at the beginning of treatment, usually transient); often - at the beginning of treatment, angina attacks or an increase in the frequency, duration and severity of angina attacks in patients suffering from this disease are possible; palpitations, tachycardia; infrequently - arterial hypotension; rarely - leukocytoclastic vasculitis; very rarely - myocardial infarction.

From the blood and lymphatic system: very rarely - leukopenia, agranulocytosis. The composition of peripheral blood returned to normal after discontinuation of the preparation.

From the nervous system: very often - headache (especially at the beginning of treatment, usually mild and quickly passing); infrequently - anxiety, sleep disturbances, paresthesia, dizziness, fatigue, tremor (at high doses), drowsiness, nervousness, migraine, hypesthesia.

On the part of the organs of vision: infrequently - blurred vision, blurred vision.

On the part of the hearing and vestibular apparatus: infrequently - dizziness, tinnitus, vertigo.

From the respiratory system: infrequently - shortness of breath, epistaxis.

From the digestive system: often - a feeling of fullness in the stomach; infrequently - nausea, diarrhea, vomiting, abdominal pain, dry mouth, constipation, gastroenteritis; very rarely - gingival hyperplasia.

From the side of the kidneys and urinary tract: infrequently - peripheral edema of the lower extremities; rarely - urge to urinate; polyuria.

On the part of the skin: very often - hot flashes (especially at the beginning of treatment, usually transient); infrequently - hypersensitivity reactions (itching, urticaria, erythema, rash, photosensitivity); very rarely - exfoliative dermatitis, angioedema, maculopapular rash.

From the musculoskeletal system: infrequently - arthralgia, myalgia.

From the reproductive system and mammary glands: very rarely - erectile dysfunction, gynecomastia (in elderly patients), menorrhagia.

From the side of the liver and biliary tract: rarely - a violation of liver function, an increase in the level of certain laboratory parameters (slight or moderate increase in transaminases).

Other: infrequently - runny nose, nonspecific pain, weight gain, increased sweating; very rarely - fever.

Store in the original packaging at a temperature not exceeding 25 ° C, out of the reach of children and protected from light.

Shelf life - 4 years.