Novocainamide pills 250mg №20

Composition

Novocainamide 0.25 g (250 mg).

Packaging

20 pieces

Mechanism of action

Novocainamide has a membrane stabilizing effect.

It lowers the excitability and conductivity of the heart muscle, inhibits the formation of impulses in the foci of automatism, has a local anesthetic effect.

Indications and usage

Applied with various violations of the heart rhythm:
Ventricular arrhythmias.
Extrasystole.
Paroxysmal ventricular tachycardia.
Supraventricular arrhythmias.
Paroxysmal atrial fibrillation or atrial flutter.

Contraindications

Hypersensitivity to the drug.
Atrioventricular block 2 and 3 degrees.
Myocardial infarction.
Blockade of the bundle of His.
Arrhythmias associated with cardiac glycoside intoxication.
Severe heart failure.
Severe renal failure.
Hypotension.
Cardiogenic shock.
Pronounced atherosclerosis.
Systemic diseases of the connective tissue.
Bronchial asthma.
Myasthenia.

Pregnancy and Breastfeeding

When using procainamide during pregnancy there is a potential risk of accumulation of the substance and development of arterial hypotension in the mother, which can lead to uteroplacental insufficiency.

Dosage and administration

Take the drug inside, regardless of the meal.
For relief of ventricular extrasystoles

0.25-1.0 g, then 0.25-0.5 g every 3-6 hours (if necessary, the dose can be increased to 3-4 g).

With paroxysmal atrial fibrillation

1.0-1.5 g (once). After 1 hour (in the absence of a therapeutic effect), another 0.5 g and then every 2 hours, 0.5-1.0 g (before stopping the paroxysm).

Adverse reactions

Weakness.
Nausea, vomiting.
Bitterness in the mouth.
Hypotension.
Asystole.
Atrioventricular block.
Ventricular tachycardia.
Tachyarrhythmia.
Lupus syndrome.
Hemolytic anemia with a positive sample of Coombs.
Agranulocytoa.
Dyspeptic phenomena.
Headache.
Dizziness.
Drowsiness.
Depression
Psychotic reactions with productive symptoms.
Allergic reactions.

Overdosage

Symptoms: confusion, decreased urination, severe dizziness or fainting, rapid or irregular heartbeat, nausea or vomiting.
Treatment: when the above symptoms of overdose occur, urgent medical consultation is required. Before the arrival of the doctor, it is recommended to drink a large amount of liquid (2-3 liters) and induce vomiting.

Storage conditions

Store in a dark place.