What is Verapamil?
Verapamil is available under different names: Verpamil, Isoptin, Falicard, Phenoptin, Calan, Cardilax, Dilacoran, Falicard, Finoptin, Ikacor, Iproveratril, Isopine, Isoptin, Manidon, Vasolan, Vepamil, Verapamilhydrochlorid, Verapamil and others.
This kind of medicine in the people is called simply - heart. But their action is very difficult. These are not the drugs that a person dares to take on their own. Because the consequences can be very serious.
Verapamil belongs to the group of drugs - calcium antagonists. It is unlikely that anyone reading this article understands what this means specifically for him. So, calcium ions play an important role in the life of the body. They, for example, activate the metabolic processes in the cells, so that those cells can function normally. But among other things, calcium ions cause constriction of the blood vessels and cause the heart muscle to contract. This is indicated by increased blood pressure and tachycardia.
Calcium ions enter the cells through channels specially allocated for them. Antagonist drugs, to which Verapamil refers, block them, slowing down this process. This leads to the expansion of coronary vessels (just those that nourish the heart muscle), which allows you to lower blood pressure and normalize the heart rate.
Verapamil blocks calcium channels selectively and has a triple action: dilates the coronary vessels, lowers arterial pressure and normalizes the heart rhythm. What we talked about. This is its effect allows us to successfully apply the drug in the treatment of angina, arterial hypertension and arrhythmias. Since under the influence of verapamil myocardium begins to contract less intensively, it requires less oxygen. Also this medicine provides an additional intake of potassium, which improves cardiac activity.
When and why is verapamil prescribed for pregnant women?
So, from what has been said above, you can already understand in what cases Verapamil is appointed. In the instructions, the indications for use look like this:
- chronic coronary insufficiency (ischemic heart disease);
- hypertension, including the relief of hypertensive crisis;
- idiopathic hypertrophic subaortal stenosis, hypertrophic cardiomyopathy;
- long-term treatment of angina pectoris, angina in the post-infarction period, prevention of angina attacks (including angina of Prinzmetal - variant, tension, combined);
- Treatment and prevention of arrhythmias (paroxysmal tachycardia, flicker and atrial flutter, extrasystole and others).
It is clear that if you suffer from any of the above, you may well be prescribed this drug. But during pregnancy, verapamil is usually "covered" by the action of other drugs that increase the heart rate and provoke steno- and tachycardia. Most often during the gestation period, this can be Ginipral.
Briefly, Ginipral is a drug given to pregnant women to reduce the tone of the uterus with the current threat of miscarriage. But it significantly increases the frequency of heartbeat - both in the mother and in the fetus. And this is very dangerous for them. To neutralize this action Ginipral, doctors at the same time appoint Verapamil in small doses. Such women, lying on the preservation and taking these drugs, doctors among themselves are called "giniprailschitsami."
How to take Verapamil during pregnancy?
The doctor will prescribe the dosage and the method of administration. They can be set individually, but always Verapamil is taken with food and always first need to take Verapamil, and then Ginipral (if these drugs are prescribed together). Usually, 1 tablet of Verapamil is prescribed for half an hour before Ginipral.
Is it possible to take Verapamil during pregnancy?
The question is probably more illogical than natural, because it is prescribed to very many pregnant women, and already for many years. Nevertheless, the situation, as it often happens, is a little absurd.
During the entire period of Verapamil's application, no studies have been conducted in the practice of treating pregnant women for its effect on the fetus. That is, there is no realistic assessment of the threat to the child or the safety of Verapamil today. As well as answering the question: is it possible to take Verapamil during pregnancy? But it is precisely known that it penetrates to the fetus through the placenta (exactly as to the infant through the mother's breast milk). That's just not known what happens next. This unknown pharmacists interpret differently. Therefore, in the instructions for the drug, indications about the possibility of use during pregnancy and lactation are somewhat different. You can find different interpretations of the ignorance of pharmacists:
- the use of verapamil in pregnancy is only possible if the expected benefit to the mother exceeds the potential risk to the fetus;
- is contraindicated in the first trimester of pregnancy;
- is contraindicated during pregnancy and lactation.
But they all mean only one thing: doctors can not assess the level of threatening danger to the fetus or vice versa - the safety for its development.
What other contraindications does Verapamil have?
However, the drug has proven its effectiveness. And, like many other effective cardiac drugs, it certainly has a number of contraindications:
- Low blood pressure ("upper" pressure is below 90 mmHg);
- heart rate and heart rate less than 50 beats per minute;
- heart block II-III degree;
- chronic heart failure II-III stage, acute heart failure;
- an overdose of cardiac glycosides;
- severe stenosis (constriction) of the aortic estuary;
- complicated acute myocardial infarction;
- porphyria (hereditary metabolic disorder causing increased sensitivity to solar radiation);
- hypersensitivity to the drug;
- pregnancy and lactation period.
In addition, you will certainly be useful to know that there are also many side effects of Verapamil. In the instructions to the drug indicated, that they are insignificant and temporary, but this does not console a pregnant woman, and in any case they are, and notice - many of the phenomena are already often observed during pregnancy:
- from the side of the cardio- cardiovascular system: reddening of the face, blockade of the heart, a sharp decrease in blood pressure, heart failure;
- from the digestive system: nausea, diarrhea or constipation, liver dysfunction;
- from the central nervous system: dizziness, headache; rarely - nervousness, inhibition, drowsiness, increased fatigue, violation of concentration, "goose bumps" in the body;
- from the endocrine system: rarely - increase and swelling of mammary glands in elderly patients, especially with prolonged therapy;
- from the musculoskeletal system: pain in the muscles and joints;
- allergic reactions: skin rash, itching, hives, Quincke's edema;
- Other: bronchospasm (with intravenous administration), swelling (especially the legs).
So do I take verapamil or not?
Only a good specialist can answer this question by conducting a correct examination. If you and a child have a tachycardia - it must be removed. If the doctor - is reinsured - it needs to be replaced. Therefore, the main condition for making a decision must be absolute trust to the doctor.
And if you see the reception of such drugs - do not worry. A lot of women took them during pregnancy and gave birth to pretty clever kids! What do you want!