Panangin instructions for use refers to the medication group that affects metabolic processes. It contains potassium, magnesium, which help with various diseases of the heart system.

Release forms and composition

Panangin is a product of a pharmaceutical company in Hungary and is available in:

  • pills
  • ampoules.

Panangin is based on two active ingredients:

  • potassium asparaginate, tablets contain 158 mg, in ampoules - 45 mg;
  • magnesium asparaginate, tablets contain 140 mg, in ampoules - 40 mg.

In addition, tablets consist of the following non-therapeutic ingredients:

  • corn and potato starch;
  • povidone;
  • magnesium stearate;
  • titanium dioxide;
  • talcum powder;
  • macrogol.

In Panangin injection solution, only water for injection is included as an additional component.

Pharmacological action, pharmacodynamics and pharmacokinetics

As a result of taking Panangin, the body is enriched with magnesium, potassium.

Against this background:

  • functionalized cell membranes;
  • myocardial impulse conduction improves;
  • potassium saturation is normalized;
  • synthesis of organic substances improves;
  • the process of energy release is facilitated;
  • metabolic processes improve;
  • magnesium deficiency is compensated for;
  • cholesterol level is reduced;
  • heart rate is getting better;
  • blood pressure normalizes.

With a lack of magnesium and potassium in the human body, serious changes occur, leading to the development of many pathologies. For example, arterial hypertension, atherosclerosis. In addition, myocardial contractility decreases, arrhythmia, tachycardia develops. Active substances protect the body from this. Panangin enhances blood flow, prevents the development of ischemia.

After penetration into the body, the active components of Panangin quickly and without residue enter the circulatory system. The action begins within half an hour after taking the drug. Excretion of components occurs through the urinary system.

What is Panangin prescribed for?

Panangin is prescribed to restore an insufficient amount of magnesium, potassium. Typically, indications are heart disease and its complications.

Doctors recommend taking the drug when diagnosing the following conditions:

  • heart rhythm disturbances on the background of an electrolyte failure, expressed by a lack of potassium in the blood;
  • disturbed rhythm caused by excessive use of digitalis-based medications;
  • atrial fibrillation;
  • the initial stage of ventricular extrasystole;
  • poor saturation of the heart with oxygen, which causes coronary insufficiency;
  • failure of metabolic processes in cardiac tissues (this may be a mismatch in the digestibility of oxygen, insufficient saturation of the myocardium with oxygen);
  • enhanced excretion of potassium from the blood while taking diuretics;
  • myocardial infarction;
  • hypomagnesemia;
  • hypokalemia;
  • prolonged diarrhea;
  • vomiting
  • tachycardia;
  • digital intoxication.

Panangin treatment is recommended for prolonged use of diuretics, saluretics, glucocorticosteroids, laxatives.

Doctors recommend taking the drug in the absence of cardiac pathologies in the following situations:

  • people over 45 years old;
  • people professionally involved in sports;
  • in the presence of excessive household loads requiring physical effort;
  • people who like to frequent saunas, baths;
  • suffering from diabetes;
  • people prone to frequent colds and infectious diseases;
  • in case of malnutrition.

It is recommended to take Pananginum for women, exhausting themselves with frequent diets.

Instructions for use and dosage

How to take Panangin is indicated in the instructions for use. Treatment with the drug in tablet form is not indicated for children under 12 years of age. The dosage and duration of administration are made by the doctor, based on the type of disease and the patient's condition.

Panangin Pills

Panangin tablets are recommended to be drunk after eating, as they are not equipped with an enteric coating that protects the drug from the aggressive effects of gastric juice. Usually, 1-2 tablets are prescribed up to 3 times per day. The same time intervals between receptions are important. If the patient is diagnosed with impaired coronary circulation, immunity to the digitalis plant, then it is recommended to drink 3 tablets. 3 times a day.

Important! The doctor should reduce the prescribed dose.

Doctors do not recommend taking Panangin for preventive purposes. Since this medication has a number of side effects. Against the background of improper administration of the drug, there is a risk of accustoming the body to a large amount of potassium, magnesium. This causes a surplus of their number. This condition can lead to negative reactions of the body.

Solution for intravenous use

Panangin injections are injected exclusively into a vein. It is forbidden to put them in the muscle. A single dosage consists of one ampoule. Depending on the severity of the condition, injections can be given up to 4 times a day. For drip administration, the ampoules are diluted in a glucose solution. The course of treatment is determined by doctors. At the end of injection therapy, it is possible to prescribe Panangin in tablet form.

Note. Panangin injections can be given during the neonatal period.

During pregnancy and lactation

During pregnancy and lactation, you should be careful about the possibility of treatment with Panangin. This is especially true for the tablet form of the drug. If a woman has an urgent need for treatment with this medicine, then she should be observed by a doctor, since the manufacturer does not give data on the possibility of using the drug for pregnant and lactating women.

Drug interaction

Panangin should be used with caution along with certain medications.

  1. With heparin-containing, non-steroidal, cyclosporins, it is possible to develop high levels of potassium in the blood, which causes asystole, arrhythmia.
  2. With other drugs containing potassium causes hyperkalemia.
  3. With cardiac glycosides, the number of side effects decreases.
  4. With antiarrhythmic drugs, the effect of Panangin is enhanced.
  5. With neomycin, tetracyclines, the effectiveness of antibacterial agents decreases.
  6. With antiseptics, the central nervous system is inhibited, the severity of side effects from the central nervous system increases.
  7. With dexamethonium, neuromuscular blockade is enhanced.
  8. Calcitriol increases the content of magnesium in the blood.

With simultaneous administration with drugs that have an enveloping, astringent effect, the process of absorption of Panangin worsens. In this case, it is important to observe a break of at least 3 hours between doses of these medicines.

Contraindications, side effects and overdose

It is contraindicated to take Panangin in any form in the following cases:

  • with individual intolerance to the active and auxiliary components;
  • with cardiogenic shock;
  • with Addison's disease;
  • with anuria;
  • with hyperkalemia;
  • with oliguria;
  • with a serious violation of the heart rhythm;
  • with hypermagnesemia;
  • with renal failure.

The Panangin tablet form is not indicated for use in the presence of the following conditions:

  • impaired amino acid metabolism;
  • hemolysis;
  • severe myasthenia gravis;
  • acute metabolic acidosis;
  • dehydration of the body.

Panangin is not prescribed if the patient has intolerance to sorbitol, fructose.

Against the background of Panangin treatment, the development of the following adverse reactions from the body is possible:

  • vomiting
  • burning in the stomach;
  • nausea
  • arrhythmias;
  • atrioventricular block;
  • violation of the sensitivity of the epithelium;
  • convulsive phenomena;
  • increased drowsiness;
  • confusion of consciousness;
  • lowering blood pressure.

In case of side effects, you should stop taking Panangin and get specialist advice. An overdose of the drug is manifested by a brighter course of side effects.

Analogues of the drug

Analogs of Panangin should be selected only after consulting a doctor.

Usually, the replacement is made with the following drugs:

  • Asparkam has in its composition only magnesium, potassium, due to which the drug has a minimal amount of side effects;
  • Aspangin has a similar composition to Panangin;
  • The rhythmocore has a pronounced effect from arrhythmia;
  • Panangin forte contains a lower dosage of active ingredients;
  • Magnerot is characterized by contraindication for use in children;
  • Pamaton is completely identical to Panangin;
  • Magnesium Biolectra is often prescribed for women with pain during menstruation, menopause (available in the form of effervescent tablets).

Often, Panangin analogues have a large number of side effects. Therefore, if the patient tolerates the original medication well, then it should not be replaced.

Comparison with Asparkam and Cardiomagnyl

Often, patients are interested in the question, Panangin or Cardiomagnyl, which is better. Before answering it, you should disassemble the composition of Cardiomagnyl. It is based on magnesium and aspirin.The drug is used to thin the blood, prevents the process of thrombosis. Magnesium protects the stomach from the negative effects of aspirin.

These drugs can not replace each other. Rather, they are a supplement. Often, doctors prescribe Panangin and Cardiomagnyl in the complex for the treatment of many cardiac pathologies.

Comparing Asparkam and Panangin, attention should be paid to the identical composition. They consist of the same active substances and perform the same function. Both drugs are prescribed to combat the same heart disease. Based on which it is believed that there is no significant difference in these drugs. They only vary slightly in the dosage of the active ingredients.

Panangin is a modern medicine that helps to fill the deficiency of magnesium and potassium. It is widely used to combat many cardiac pathologies; it is actively used both for treating children and adults.