Carniland
Carniland: instructions for use and reviews
- 1. Release form and composition
- 2. Pharmacological properties
- 3. Indications for use
- 4. Contraindications
- 5. Method of application and dosage
- 6. Side effects
- 7. Overdose
- 8. Special instructions
- 9. Application during pregnancy and lactation
- 10. Use in childhood
- 11. Drug interactions
- 12. Analogs
- 13. Terms and conditions of storage
- 14. Terms of dispensing from pharmacies
- 15. Reviews
- 16. Price in pharmacies
Latin name: Carniland
ATX code: C01DA52
Active ingredient: nitroglycerin (Nitroglycerin) + valerian medicinal rhizomes with roots tincture (Valerianae officinalis rhizomatum cum radicibus tinctura) + lily of the valley herb tincture (Convallariae herbaectura) + levomenthol solution in mentil isovalerate (Levoment isovalerate solution in
Producer: JSC "Tverskaya Pharmaceutical Factory" (Russia)
Description and photo update: 2019-12-07
Prices in pharmacies: from 80 rubles.
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Carniland is an antianginal agent.
Release form and composition
The drug is produced in the form of sublingual drops: a dark yellow-green transparent liquid with a characteristic smell of menthol and valerian (25 or 50 ml each in an orange glass dropper bottle, 1 dropper bottle in a cardboard box and instructions for using Carniland).
100 ml of the preparation contains:
- active substances: alcoholic solution of nitroglycerin 1% - 2.17 ml (equivalent to nitroglycerin in the amount of 17.8 mg); validol (levomenthol solution in menthyl isovalerate) - 4.35 ml; valerian tincture - 21.7 ml; lily of the valley tincture - 21.7 ml;
- additional components: ethyl alcohol (ethanol) 95% - up to 100 ml.
Pharmacological properties
The drug has a sedative and antispasmodic vasodilator effect, improves blood supply and metabolism of the heart muscle.
The composition of the medicinal product is similar to Votchal's drops, a standard manual prescription included in the "Collection of unified medicinal prescriptions" of the Ministry of Health of the Russian Federation.
Indications for use
Carniland drops are recommended to be taken to relieve angina attacks and symptomatic therapy of cardialgia (pain in the heart area not associated with coronary artery disease).
Contraindications
Absolute:
- collapse, shock;
- combined use with phosphodiesterase-5 (PDE-5) inhibitors, such as tadalafil, vardenafil, sildenafil;
- age up to 18 years;
- sensitivity to any of the constituents of the product and other nitrates.
Relative (you need to take Carniland drops with extreme caution):
- conditions accompanied by a decrease in the filling pressure of the left ventricle, including isolated mitral stenosis, cardiac tamponade, constrictive pericarditis;
- idiopathic hypertrophic subaortic stenosis;
- heart failure with normal / low pulmonary artery pressure;
- hemorrhagic stroke;
- arterial hypotension - systolic blood pressure (BP) below 90 mm Hg;
- intracranial hypertension;
- subarachnoid hemorrhage;
- shock;
- recent traumatic brain injury;
- violation of cerebral circulation;
- toxic pulmonary edema;
- high intraocular pressure with closed-angle glaucoma;
- severe anemia;
- hyperthyroidism;
- alcoholism.
Carniland, instructions for use: method and dosage
Carniland is used sublingually.
It is recommended to take the drug in 10-15 drops with a small amount of liquid, or put on a lump of sugar and keep in the mouth under the tongue, without swallowing, until it is completely absorbed. A single dose can vary from 5 to 25 drops, depending on the tolerance of the agent and individual sensitivity. It is possible to increase a single dose from 15 to 25 drops only after consulting your doctor.
The frequency of admission and the duration of use of Carniland depend on the intensity and frequency of angina attacks, as well as on the tolerance and effectiveness of the therapy.
Side effects
- cardiovascular system: feeling of heat, hyperemia, "nitrate" headache, orthostatic hypotension, tachycardia;
- digestive tract: dryness of the oral mucosa, nausea;
- nervous system: dizziness.
With the development of these adverse reactions, it is recommended to reduce a single dose of the drug.
Overdose
Symptoms of Carniland's overdose include: a feeling of heat, headache, increased drowsiness, dizziness, nausea, vomiting, asthenia, reflex tachycardia, a marked decrease in blood pressure with orthostatic dysregulation.
If you suspect an overdose, you should urgently seek medical help. Before the doctor's examination, the patient needs to be given a horizontal position, laying him on his back and raising his legs.
special instructions
Taking Carniland in patients can cause a significant decrease in blood pressure and the development of dizziness in such cases as a sudden transition from a lying or sitting position to a standing position, taking ethanol-containing drinks, exercising, and the presence of hot weather.
With frequent use of the drug, as well as other drugs included in the group of organic nitrates, addiction develops, in which an increase in dose may be necessary.
It should be borne in mind that the content of ethyl alcohol in the drops is at least 75%. The maximum daily dose of Carniland contains 1.96 g of ethanol.
Influence on the ability to drive vehicles and complex mechanisms
During therapy with an antianginal agent, patients who drive vehicles, other complex mechanisms, and also perform other potentially dangerous types of work should be careful.
Application during pregnancy and lactation
Treatment with the drug is contraindicated for pregnant and breastfeeding women.
If it is necessary to use Carniland during lactation, it is necessary to resolve the issue of transferring the child to artificial feeding.
Pediatric use
For patients under 18 years of age, the drug is contraindicated, since the safety and effectiveness of its use in patients of this age category have not been established.
Drug interactions
- slow calcium channel blockers, β-blockers, angiotensin-converting enzyme (ACE) inhibitors and other antihypertensive drugs; vasodilators, tricyclic antidepressants, PDE-5 inhibitors (vardenafil, sildenafil, tadalafil), procainamide, ethanol, monoamine oxidase (MAO) inhibitors: Carniland enhances their hypotensive effect;
- sapropterin: the threat of arterial hypotension increases.
Analogs
Carniland's analogs are Coraxan, Ranexa, Preductal OD, Lily of the Valley-Valerian drops, etc.
Terms and conditions of storage
Store out of the reach of children, protected from light, at a temperature of 12-15 ° C.
The shelf life is 2.5 years.
Terms of dispensing from pharmacies
Available without a prescription.
Reviews about Carniland
On medical sites, reviews about Carniland are very rare and, as a rule, are positive. Patients note that the drug shows good results when used to relieve angina attacks. The drug also effectively and quickly relieves aching pain, feeling of constriction and pressure in the heart area in the treatment of cardialgia.
There are no complaints about the development of undesirable phenomena while using an antianginal agent.
Price for Carniland in pharmacies
The price of Carniland, sublingual drops, can be 80–110 rubles. for a dropper bottle containing 25 ml of the drug.
Carniland: prices in online pharmacies
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Drug name Price Pharmacy |
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Carniland sublingual drops 25 ml 1 pc. RUB 80 Buy |
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Carniland drops sublingual. 25ml 109 RUB Buy |
Maria Kulkes Medical journalist About the author
Education: First Moscow State Medical University named after I. M. Sechenov, specialty "General Medicine".
Information about the drug is generalized, provided for informational purposes only and does not replace the official instructions. Self-medication is hazardous to health!
