Vasodilator drugs prescribed for osteochondrosis


Dosage form and composition of Andipal

The medicine is intended for oral administration and is available in the form of flat-cylindrical tablets of yellowish or white color, bitter taste, without a coating and a distinct odor. Each pill contains:

  • analgin (metamizole): 250 mg;
  • bendazole: 20 mg;
  • papaverine hydrochloride: 20 mg;
  • phenobarbital: 20 mg.

Auxiliary formative compounds of the drug: starch, talc, stearic acid. Tablets are packaged in foil or paper blisters. One package of medication contains from 10 to 100 pieces.

The combination of an analgesic, antispasmodics and sedative in the drug provides a simultaneous analgesic, antipyretic effect, reduces vascular tone, preventing the development of heart attacks and hypertensive crisis.

Why the Ministry of Health standard for lowering blood pressure can be harmful

Many patients are embarrassed to admit the cause of high blood pressure, that is, that it was due to alcohol.

Attention! Your blood pressure may rise within 7 days after your last drink!

Therefore, they try to find information on the Internet on the treatment of high blood pressure on their own, call friends, ask for advice, or call emergency doctors, who are not told that they drank alcohol. As a result, the patient receives the Standard for the treatment of hypertensive crisis.

Mechanism of action of the drug

Andipal has established itself as an effective antispasmodic, quickly normalizing blood pressure and relieving symptoms associated with hypertension: severe headache, feeling of heat, tachycardia, nervous agitation.

  • Analgin slows down the release of prostaglandins of the arachidonic group, reduces pain, and affects the activity of the body's thermoregulation center.
  • Papaverine slows down the flow of calcium into cells, reduces vascular tone, relaxes smooth muscle fibers, eliminating peripheral spasms. Helps improve blood supply to internal organs and reduce headaches.
  • Bendazole complements the action of papaverine, dilates the vascular bed, improves the functions of the spinal cord, eliminates the feeling of body numbness, dizziness and other neurological symptoms.
  • Phenobarbital reduces nervous excitement, reduces sensitivity to stress factors, calms, and helps eliminate insomnia.

The active substances used together reduce the symptoms of disorders of the heart, blood vessels, central nervous system, and internal organs.

The tablets quickly dissolve under the action of gastric juice and are absorbed into the blood. The effect of the drug develops within 15–30 minutes and lasts up to 8–10 hours. The substances do not accumulate in the body; they are transformed in the liver. Metabolites are excreted with intestinal contents and through the kidneys.

Interaction with other drugs and analogues

Since Andipal Avexima has a slight depressant effect on the nervous system, ethanol-based products should not be used during treatment with the drug. Drinking alcohol during therapy is also prohibited. If you take medications with a sedative effect and anesthetic properties at the same time as Andipal, the effect of all medications will be enhanced at once.

Analogues of the drug:

  • Papazol;
  • Theodibaverine;
  • Urolesan;
  • No-shpa;
  • Drotaverine;
  • Unispaz.


This drug can replace Andipal in its antispasmodic and anti-inflammatory effects. However, you should not replace the medications recommended by your doctor with others on your own - each of them has side effects and contraindications

Hypertension is a disease caused by poor diet, excess weight, addictions and concomitant diseases of the heart and blood vessels. Taking antihypertensive drugs helps eliminate sudden increases in blood pressure and normalize the patient’s condition, but it is better to carry out therapy in combination. The use of tablets should be combined with a healthy lifestyle, outdoor walking, proper nutrition and stress prevention. Then the use of Andipal or other antihypertensive drugs will be minimized.

Who should use Andipal?

The drug is prescribed for pain caused or accompanied by vascular spasms, increased blood pressure:

  • for migraines: mild to moderate;
  • tension headaches;
  • symptoms of weather dependence;
  • pain and spasms in the area of ​​the gallbladder, liver, pancreas, intestines associated with impaired vascular tone or spasms of the muscles of internal organs;
  • for pain in the pelvic organs;
  • for high blood pressure: in complex therapy of primary and secondary hypertension at the initial stage.

During the period of use of the medicine, the total amount of NSAIDs and antispasmodics used together with Andipal should be taken into account in order to avoid an overdose.

What to do with high blood pressure and a hangover

We, narcologists, can apply this standard only after we introduce sleeping pills. Only after this we begin symptomatic treatment if necessary, but not earlier.

In most cases, sleeping pills reduce blood pressure as a side effect, and a well-chosen drip composition that will nourish all organs will cause the symptoms to go away on their own.

Magnesium sulfate or hot injection!

At the moment, one of the best drugs that serves to relieve pressure, even in withdrawal syndrome, is Magnesium sulfate. This drug is used because of its positive properties:

  • Reduces blood pressure in the proportion as necessary and is not a dose-dependent drug;
  • Relieves convulsions, spasms, epileptic condition;
  • Protects nerve cells from death;
  • Normalizes heart function;
  • Dilates blood vessels;
  • Narcologists almost always use this drug, even for slightly high blood pressure. Unfortunately, people are often allergic to it.

The article is for informational purposes only! If you want to receive professional medical assistance, please contact us. We also recommend reading other articles on this topic on our website.

How to use Andipal correctly

The tablets must be swallowed without chewing: whole or, depending on the dose prescribed by the doctor, divided into 1 piece. in half. Reception time: 20–30 minutes. before meals. The drug should be taken with still water, warm or at room temperature. It is unacceptable to use tea, coffee, juices and other drinks for this purpose.

The daily dose of the drug depends on the type of disease and general condition. General recommendation: 1 tablet. 2–3 times a day. For severe pain, you can take up to 6 tablets per day. One-time use is also possible: for pain and spasms of a spontaneous nature.

The exact treatment regimen is determined by the doctor. Andipal does not have a pronounced effect on the course of pathologies. This is a symptomatic remedy; taking it for more than 10 days in a row is not recommended.

Dangerous consequences

After a certain time, the pressure and pulse will increase as a compensatory mechanism, and if you lower it again, it will be a “swing” (pressure differences over a short period). Such “swings” increase the risk of stroke or heart attack many times more than if the pressure was constant, for example, 150/90.

After the pressure decreases, the patient's behavior changes dramatically. He does not orient himself in time and space, sometimes his limbs become more numb due to impaired blood circulation in the brain due to decreased pressure.

Side effects of Andipal

With long-term use, leukopenia and increased platelet levels in the blood are possible. Occasionally, while taking the drug, red urine occurs. Other adverse reactions:

  • increased drowsiness;
  • dizziness;
  • dry mouth;
  • change in taste;
  • loss of appetite, nausea;
  • hyperemia of the mucous membranes, conjunctivitis;
  • frequent urination:
  • a sharp decrease in blood pressure;
  • profuse sweating;
  • chills;
  • absent-mindedness, mental retardation.

Andipal requires careful use in cases of reduced liver and kidney function, and neurological pathologies. The medicine affects the speed of motor skills and the activity of brain reactions, so it is important to stop driving while taking it.

What does this standard mean?

It leads to taking emergency cardiac medications to lower blood pressure (capoten, captopril, nifedipine). They act immediately and relieve pressure as a symptom!

Also, according to the Standard, it is necessary to take diuretics (diuretics)! After drinking alcohol, the water-salt balance is always disturbed, so the bloodstream is dehydrated, even if there is swelling in the legs and face, this liquid is outside the bloodstream, and diuretics will primarily remove fluid from the vascular bed and provoke an increase in blood viscosity - the load will increase sharply on the heart and increases the chance of blood clots.

Taking accumulative drugs for the treatment of hypertension - for example, beta-blockers, calcium channel blockers, antirelapse inhibitors - they begin to work only after constant use for at least a week - there is no point in drinking them.

With high blood pressure, the pulse is almost always increased, so drugs from the group of B-blockers (metoprolol, atenolol, propranolol, anaprilin) ​​are also used to slow down the heartbeat.

These methods will, of course, lead to a decrease in blood pressure and normalization of the pulse, but despite the normalization of indicators, the patient gets worse! These drugs act for a certain number of hours, and the main criterion for the treatment of alcohol withdrawal is sleeping pills, which were not used, so the nervous system continues to be deficient in nutrients and agitation increases, which will lead to:

Contraindications to the use of Andipal

It is necessary to stop using the drug if you are prone to hypotension, habitual low blood pressure, individual intolerance to metamizole or other components, blood disorders, severe chronic liver diseases, cirrhosis, intestinal obstruction.

Andipal is prohibited for use during pregnancy and breastfeeding. It should not be given to children under 14 years of age.

Neglect of contraindications or overdose of the drug causes increased side effects and intoxication. Possible signs of poisoning:

  • severe headache;
  • impaired coordination of movements;
  • nausea, vomiting, pain in the epigastric region;
  • vascular collapse;
  • angioedema;
  • skin itching, urticaria.

Negative reactions are possible within a few minutes after taking the medicine or within several days while therapy is continued.

Symptoms caused by a hypertensive crisis:

  • Headache;
  • Chest pain, shortness of breath;
  • Numbness in the limbs;
  • Nausea and vomiting;
  • Convulsions;
  • Cardiopalmus;
  • Deterioration of vision sharpness.

In a malignant form:

  • Hallucinations;
  • Delusional states.

Important! If you are treating this condition, or a doctor comes to you, he must rule out a heart attack (Acute coronary pathology). This can only be done by recording and decoding the electrocardiogram. Relying on this information, the doctor will choose treatment tactics. A conversation with the patient and his complaints cannot be taken into account, since he is under the influence of alcohol. This dulls sensations; he cannot adequately assess his condition.

In 80% of cases, our patients feel chest pain and lack of air, although the cardiogram does not show acute disorders. Therefore, call specialists who come with a cardiograph and diagnose this condition, remove the threat to life and begin treatment, or do not waste time and immediately contact a medical institution.

Note!

The description of the drug Andipal on this page is a simplified author’s version of the apteka911 website, created on the basis of the instructions for use.
Before purchasing or using the drug, you should consult your doctor and read the manufacturer's original instructions (attached to each package of the drug). Information about the drug is provided for informational purposes only and should not be used as a guide to self-medication. Only a doctor can decide to prescribe the drug, as well as determine the dose and methods of its use.

Categories of patients with high blood pressure

Let's immediately divide these people into two groups:

1 People initially suffering from hypertension and taking medications to lower blood pressure on an ongoing basis.

2 Initially healthy, without hypertension.

In the first case, in case of hangover, this category of people must take the medications prescribed by the doctor, regardless of drinking alcohol, although this is contraindicated.

In the second case, let's look at several options.

Andipal - instructions for use, price, analogues, reviews and at what pressure is the drug indicated?

According to data, almost every second person suffers from headaches. If you are one of them, the combined action drug Andipal, which will be discussed, is necessary.

This is a drug that has a vasodilator, antispasmodic, sedative and analgesic effect.

Andipal quickly eliminates pain in smooth muscles during spasms and lowers blood pressure due to its mild antihypertensive effect.

Composition and pharmacological properties

The medicine is produced in the form of flat-cylindrical tablets. The color of the tablet is white or yellowish. Let us list the components that make up Andipal and present the pharmacological properties of each substance in the form of a table.

Components included in the composition

Component nameAmount of substance in the tablet in gramsEffect on the body
Metamizole sodium0, 25Analgesic, anti-inflammatory and antipyretic
Bendazole0, 02Dilates blood vessels, relieves spasms and lowers blood pressure. Has a stimulating effect on the spinal cord. Excellent immunostimulant
Papaverine hydrochloride0,02Eliminates spasm, reduces conductivity and excitability of the heart muscle
Phenobarbital0,02Sleeping pills, in small quantities - sedative
Additional substancesStearic acid, starch, talc, calcium stearate

Andipal is used as a means to lower blood pressure, which has a mild hypotensive and sedative effect. However, its effectiveness is achieved only under certain indicators. Therefore, it is advisable to take the medicine not occasionally, during attacks, but according to systematic courses of therapy. Your attending physician will help you compile them.

Indications for use

The main indicator for the use of Andipal is the elimination of spasm of the smooth muscles of internal organs. Here is a list of diseases and symptoms for which the use of the medicine is effective:

  • postcholecystectomy syndrome;
  • spasm of the bladder and ureters;
  • algodismenor;
  • spasm of cerebral vessels;
  • migraine;
  • biliary dyskinesia;
  • eye pain;
  • renal, biliary and intestinal colic;
  • lesions of the trigeminal nerve;
  • pain in the chest that occurs when breathing;
  • essential and intracranial hypertension.

Moreover, it has proven itself well as an adjuvant for pain during the postoperative recovery period.

Contraindications

Due to the fact that Andipal is classified as a combination drug, it is effective in use, however, it is quite specific. If the patient has the diseases listed below, the use of the drug is contraindicated.

  • liver and kidney dysfunction;
  • decreased muscle tone;
  • blood diseases;
  • hypotension;
  • increased blood clotting;
  • intolerance to components;
  • pregnancy and lactation;
  • pathologies of pigment metabolism;
  • tachyarrhythmias;
  • severe form of angina;
  • collapse;
  • heart failure;
  • angle-closure glaucoma;
  • prostatic hyperplasia;
  • intestinal obstruction;
  • megacolon.

As you can see, the list of diseases for which the drug is contraindicated is quite large, which means that a doctor’s consultation is necessary!

Directions for use and doses

Andipal is an antispasmodic, which, according to reviews from doctors and physicians, has a mild hypotensive effect. When asked how to take the drug, I would like to draw the attention of lovers of self-medication: the intake and dose of the medicine is selected by a specialist, according to the diagnosis and physiology. The official instructions from the manufacturer read as follows:

  • if you have high blood pressure, without consulting a doctor, you can take one tablet to relieve symptoms characteristic of hypertension;
  • For severe headaches, it is recommended to take two tablets an hour apart. In this case, the maximum permissible dose of the drug is five tablets;
  • for vegetative-vascular disorders - 1 pc. 2 times within 24 hours.

Important! Self-administration of Andipal, without consulting a doctor, should be limited to a week, after which you should contact a medical facility.

Side effect

  • nausea leading to vomiting;
  • constipation;
  • dysfunction of the gastrointestinal tract and hepatic system;
  • blood clotting disorder;
  • decreased immunity;
  • depression;
  • general weakness;
  • drowsiness;
  • allergic reactions.

It should be added that with prolonged use of Andipal the following may develop:

  • agranulocytosis;
  • thrombocytopenia;
  • leukopenia.

special instructions

Andipal should be prescribed with caution to people who are engaged in activities with increased concentration and those associated with quick reactions. Phenobarbital, which is part of it, is addictive.

Pregnancy and breastfeeding

Andipal is not recommended for women expecting a baby and nursing mothers. If there is no alternative medicine, the newborn is transferred to artificial feeding.

This is due to the action of the component included in the composition - phenobarbital.

Even a small dose of this substance can provoke a delay in the development of the fetal brain, and the syndrome of cerebral palsy increases tens of times.

Children and teenagers

The drug is not recommended for children. Adipal can be prescribed to a teenager after he or she reaches 14 years of age. In exceptional cases, Andipal is used under the supervision of a physician, in accordance with the prescribed dosage, unless an alternative is found.

Alcohol compatibility

Taking Andipal together with any drink containing alcohol is strictly prohibited! The components that make up the drug enhance the effect of ethyl alcohol on the body, which is fraught with unpredictable consequences.

Interaction with other groups of drugs

Andipal in combination with other drugs can have different effects on blood pressure: increasing or, on the contrary, decreasing the hypotensive effect.

Drugs that increase the hypotensive effect:

  • Diuretics - Furosemide, Lasix;
  • Calcium channel blockers - Nifedipine;
  • Nitrates - Nitroglycerin;
  • Beta-blockers - Anaprilin, Metoprolol;
  • Myotropic antispasmodics - Eufillin;
  • Calcium channel blockers - Nifedipine.

Drugs leading to a decrease in antihypertensive effectiveness:

  • Analeptics - Cytisine, Camphor, Sulphocamphocaine;
  • M- and N-cholinomimetics - Acetylcholine, Nicotine;
  • Adrenergic agonists - Ephedrine, Adrenaline;
  • Tonics - tinctures of medicinal herbs or tablets;
  • Opioid analgesics cause side effects.

Release form

Andipal is produced in the form of flat cylindrical tablets, slightly yellowish or white. The blister pack contains from 10 to 30 tablets, which are placed in a cardboard box with instructions for use.

Storage conditions

Andipal is stored in a dry and dark place, out of reach of children.

Best before date

The medicine is suitable for use for 2.5 years from the date of release. The date of manufacture is indicated on the box.

Conditions for dispensing from pharmacies

Andipal is sold in pharmacies throughout the country without an accompanying prescription.

Analogs

According to the data, there are no generics with a similar composition. The pharmacist can offer a drug similar in properties to Andipal.

  • Captopril;
  • Kofalgin;
  • Urolesan;
  • Avexim;
  • Nomigren;
  • No-shpalgin;
  • Quatrox;
  • Papazol-UBF;
  • Unispaz;
  • Theodibaverin.

Price

Despite the low cost of Andipal, slight changes in price may depend on the manufacturer, country and company producing the drug.

ManufacturerPrice in rubles
AveximaFrom 12 to 85
Pharmstandard TomskkhimpharmFrom 15 to 65
OJSC Irbit Chemical Pharmaceutical PlantFrom 9 to 38

Reviews

Examples from medical practice

Example 1

The patient has just begun to develop a hangover syndrome. This is a normal reaction of the body to intoxication! The body is poisoned, it is excited, the body requires pressure to remove brain hypoxia as the end result.

Example 2

The patient completed a course of IV drips to cleanse the body, but for 3 days he still experiences pressure surges. Within 3 days, even after selecting a high-quality treatment for a hangover, we consider this to be the norm, unless of course the numbers rise to the critical 180, 200 mm. rt. Art. This will continue until the nervous system is completely restored, it is this that provokes the release of tonic substances! If the therapy is chosen incorrectly, the person walks around irritable, has insomnia and the prescriptions need to be reconsidered.

Example 3

The man recovered from a hangover, but he still had high blood pressure for a week. In this case, hypertension was already present, this can be confirmed by recording a cardiogram, where we see changes in the heart muscle in the form of hypertrophy of one of the walls, and the person believes that this is due to alcohol. No - hypertension was here initially but had an asymptomatic course. Our doctor immediately warns about this when recording an ECG and advises you to contact a cardiologist.

Compound

The composition of Nurofen depends on the form of its release:

Dosage formActive ingredient: NurofenAuxiliary Connections
CapsulesIbuprofen 200 mgMacrogol-600, potassium hydroxide, water. shell: gelatin, sorbitol 76% solution, crimson dye [Ponceau 4r] (e124), water, white ink [opacode wb ns-78-18011].
PillsIbuprofen 200 mgCroscarmellose sodium, sodium lauryl sulfate, sodium citrate dihydrate, stearic acid, colloidal silicon dioxide. shell: carmellose sodium, talc, acacia gum, sucrose, titanium dioxide, macrogol 6000, black ink [opacode s-1-277001].
Suspension for childrenIbuprofen 100 mg/5 mlPolysorbate, glycerol, maltitol syrup, sodium saccharinate, citric acid, sodium citrate, xanthan gum, sodium chloride, domiphene bromide, orange flavor 2m16014 or strawberry flavor 500244e, purified water.
Express gelIbuprofen 5 g/100 gHyethylose, sodium hydroxide, benzyl alcohol, isopropanol, purified water.
Suppositories for childrenIbuprofen 60 mgSolid fat 1 (vitepsol n 15), solid fat 2 (vitepsol w 45).
Rating
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