Composition
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1 ml of sublingual drops contains:
active ingredients:
nitroglycerin solution of 1% – 0.0217 ml,
menthol solution in menthyl isovalerate (validol) – 0.0435 ml,
lily of the valley tincture-0.2170 ml,
valerian tincture-0.2170 ml,
excipients:
ethanol up to 1.0 ml
Pharmacological action
Carniland is an antianginal agent. It has sedative and antispasmodic (vasodilating) effects, improves blood supply and metabolism of the myocardium.
Indications
Relief of angina attacks, cardialgia.
Contraindications
- Hypersensitivity to nitrates,
- shock,
- collapse,
- concomitant use of sildenafil,
- age up to 18 years (efficacy and safety have not been established).
With caution: craniocerebral hypertension, cardiac tamponade, isolated mitral stenosis, constrictive pericarditis (conditions accompanied by a decrease in left ventricular filling pressure), uncontrolled hypovolemia, in patients with heart failure with normal or low pulmonary artery pressure, hemorrhagic stroke, subarachnoid hemorrhage, recent head trauma, toxic pulmonary edema, idiopathic hypertrophic subaortic stenosis, angle-closure glaucoma with high intraocular pressure; severe anemia, hyperthyroidism, impaired cerebral circulation, shock, hypotension (systolic blood pressure less than 90 mm Hg), pregnancy, breast-feeding.
Side effects
From the cardiovascular system: dizziness, orthostatic hypotension, “nitrate” headache, tachycardia, skin hyperemia, fever; from the gastrointestinal tract: dry mouth, nausea.
If there are side effects, it is recommended to reduce the dose of the drug to a single dose.
Interaction
Concomitant use with vasodilators, antihypertensive agents, ACE inhibitors, beta-blockers, slow calcium channel blockers, procainamide, tricyclic antidepressants, monoamine oxidase (MAO) inhibitors, phosphodiesterase inhibitors, and ethanol increases the hypotensive effect.
How to take, course of use and dosage
Sublingual. 10-15 drops of Carniland 3-4 times a day with a small amount of liquid or applied to a piece of sugar and kept in the mouth (under the tongue), not swallowing until completely absorbed.
Taking into account individual sensitivity and tolerability, a single dose can range from 5 to 25 drops.
Overdose
Symptoms: marked decrease in blood pressure with orthostatic dysregulation, reflex tachycardia, headache; asthenia may develop; dizziness, increased drowsiness, fever, nausea, vomiting.
If an overdose is suspected, seek immediate medical attention.
Before the doctor arrives, the victim should be laid down with his legs raised.
Special instructions
Against the background of taking the drug Carniland, a significant decrease in atretial pressure and dizziness may occur with a sharp transition to an upright position from a “lying” or “sitting” position; with alcohol consumption, exercise and hot weather.
Karniland, like all organic nitrates, becomes addictive with frequent use, and an increase in dosage is required.
During pregnancy and lactation, the drug can only be taken for vital signs.
Form of production
Sublingual drops
Storage conditions
In a cool, dark place
Shelf life
2 years
Active ingredient
Valerian lek. rhizomes with root tincture, Lily of the valley tr tincture, Nitroglycerin, Levomentol
Dosage form
oral drops
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Side effects of Carniland, 25ml
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