Pregnancy is a difficult period for a woman. Bearing responsibility for yourself and your unborn child, you need to be attentive to your own health. During pregnancy, the need for macronutrients increases. During pregnancy, Panangin helps correct deficiency and is also used for preventive purposes.
This medicine does not contain potent substances and is not taken seriously by many patients. Despite the imaginary “harmlessness”, the use of Panangin requires strict adherence to the instructions.
The prescription of this drug to an expectant mother must be justified: the use of any drug during pregnancy is associated with the risk of unwanted reactions.
Description
Panangin can be considered a vitamin medicine; it contains only potassium and magnesium. It can be prescribed separately to compensate for the deficiency of these substances in the body, but more often it is used in complex therapy.
Indications for the use of this drug may occur if you have heart problems. Of course, not all disturbances in the functioning of the heart during pregnancy require drug correction, since an increased load on the heart muscle is characteristic of this period. However, if you have rhythm disturbances, heart failure or coronary artery disease, such a need exists. Panangin is used in additional therapy with cardiac glycosides, improves and increases their effect and tolerability.
Prescription of "Panangin" during pregnancy
"Panangin" is prescribed by doctors for symptoms of hypokalemia and hypomagnesemia - deficiencies of potassium and magnesium salts that occur due to disturbances in electrolyte metabolism or insufficient intake of macroelements from food.
The diagnosis of hypokalemia or hypomagnesemia cannot be established solely on the basis of an in-person examination and interview of the pregnant woman. The symptoms of these conditions are described in the table. To confirm the assumption of a lack of electrolytes, the doctor prescribes a biochemical blood test to determine the content of electrolytes in the plasma. The second name of the analysis is ionogram.
Table - Manifestations of potassium and magnesium deficiency
Due to the special importance of potassium and magnesium for the functioning of the heart muscle, Panangin is used in the complex treatment of diseases of the cardiovascular system:
- IHD;
- angina pectoris;
- heart failure;
- arrhythmia (ventricular origin);
- during therapy with cardiac glycosides.
Instructions for use Panangin
Many pregnant women do not take this drug seriously, considering it just vitamins that cannot cause any harm. But meanwhile, it is worth recalling that these are synthetic substances that a priori cannot be absolutely safe. Let's say that Panangin contains only potassium and magnesium, but they cannot be used unless necessary. More doesn't mean better! And hypervitaminosis during pregnancy can cause more harm than good.
important I would like to note that there are no absolute contraindications to the use of Panangin during pregnancy and lactation. However, in the first 12 weeks, if possible, it should be abandoned, since there is no clinical data on its effect on the embryo.
Only your attending physician can confirm the advisability of prescribing and taking Panangin for you! At the same time, he must take into account all the indications and contraindications in your particular case.
In what cases can Panangin be prescribed during pregnancy?
Pregnancy is a difficult period for a woman. Bearing responsibility for yourself and your unborn child, you need to be attentive to your own health. During pregnancy, the need for macronutrients increases. During pregnancy, Panangin helps correct deficiency and is also used for preventive purposes.
This medicine does not contain potent substances and is not taken seriously by many patients. Despite the imaginary “harmlessness”, the use of Panangin requires strict adherence to the instructions.
The prescription of this drug to an expectant mother must be justified: the use of any drug during pregnancy is associated with the risk of unwanted reactions.
The drug is widely used in therapeutic and cardiological settings. Panangin contains potassium and magnesium aspartate. The active ingredients are non-toxic and do not directly affect the development of the fetus. The medicine has good compatibility, therefore it is successfully used as part of complex therapy.
Panangin is available in two forms:
- solution for parenteral administration;
- tablets for oral administration.
The optimal choice is to prescribe the enteral form of Panangin, which is gradually absorbed, reducing the risk of overdose to a minimum. The drug does not cause drowsiness or addiction and is approved for use while driving.
According to official instructions, taking Panangin during pregnancy is not prohibited, but caution is required. This is not explained by the fact that cases of negative effects on the mother and unborn child have been recorded, but by the lack of appropriate clinical trials among pregnant women.
Despite the fact that the drug can be taken during pregnancy, you should beware of adverse reactions.
Sometimes there may be:
- Dyspeptic syndrome - vomiting, nausea, diarrhea, discomfort in the stomach. As a rule, people who experienced these adverse events suffered from concomitant gastrointestinal pathology, for example, gastritis with low acidity.
- Disturbance in the conduction of electrical impulses in the heart from the atrium to the ventricles.
- Paradoxical reaction to the drug. During gestation, Panangin is often prescribed to stop extrasystole, but sometimes taking it, on the contrary, provokes the appearance of extraordinary heart contractions.
- Dyspeptic syndrome may occur, accompanied by tingling and a feeling of pins and needles in the extremities.
- Hypermagnesemia. In case of an overdose of the drug, facial hyperemia, a feeling of constant thirst, convulsions, depression of reflexes and breathing appear. Using Panangin in extremely high quantities can cause cardiac arrest. However, this applies more to the parenteral form, since it is difficult to get an overdose by taking tablets.
Dosage of the drug
The dosage and duration of use are always calculated individually, depending on the reasons for the prescription.
Admission rules:
- Most often, during pregnancy, Panangin is prescribed 1-2 tablets per day.
- It is recommended to take the drug after meals, since gastric juice reduces its therapeutic effect.
- Also, you should not combine Panangin with taking other drugs containing potassium and magnesium.
During pregnancy, you need to be more careful about what you drink, eat, or what medications you take. Not every vitamin complex can benefit you, and their unjustified use can even harm your long-awaited baby. Do not self-prescribe. Discuss everything with your doctor! Be careful and healthy!
Release form
The active substances of Panangin (international name - Panangin) are two ingredients - Mg and K aspartate (aspartate). The amount of active ingredients depends on the form of release of the drug (according to the Vidal reference book):
- In ampoules (1 ml) - Mg aspartate 40 mg and K aspartate 45.2 mg;
- In tablets - Mg aspartate 140 mg and K aspartate 158 mg.
- Forte tablets contain Mg aspartate 350 mg and K aspartate 332.6 mg.
- In Plus vitamin B6 tablets - Mg aspartate 140 mg and K aspartate 158 mg, vitamin B6 0.6 mg.
- silicon (colloidal anhydrous form);
- talc;
- starches;
- dyes;
- magnesium salts;
- povidones;
- sterile water (for ampoules).
- injection solution (transparent) in 10 ml ampoules. In packs of 5 ampoules;
- coated tablets (dragees) (in a jar) 50 tablets each;
- Panangin forte tablets with coating. Each original package contains 60 tablets.
The manufacturer includes official instructions in each package.
The medicine is available in two forms – tablets and solution.
The solution for intravenous use is colorless and odorless, in rare cases it may have a greenish transparent color. It is impossible to determine the presence of mechanical inclusions by eye.
The preparation contains about 45.2 mg of potassium aspartate per 1 ml of solution, while the K content is 10.33 in a similar volume. Also, 1 ml of solution contains 40 mg of magnesium aspartate, the Mg content is 3.37 mg.
The auxiliary substance of the solution is distilled water. One ampoule contains 10 ml of solution intended for intravenous injection. The packaging of the drug contains 5 ampoules of the drug, packaged in plastic contours. The packaging of the medicine is cardboard.
The drug, produced in the form of biconvex round tablets, is odorless. The color of the tablets is white or almost white. The tablets are film-coated, making their surface shiny and uneven.
One tablet contains 166.3 mg of potassium aspartate x 1/2H2O, while the content of potassium aspartate in the preparation is 158 mg. One tablet contains 175 mg of magnesium aspartate x 4H2O, which corresponds to the content of 140 mg of magnesium aspartate in a tablet. The tablet also contains excipients:
- corn starch;
- talc;
- potato starch;
- magnesium stearate;
- povidone;
- colloidal silicon dioxide.
The composition of the film shell includes talc, macrogol 6000, methacrylic acid copolymer (E 100%) and titanium dioxide (color ind. 77891, E171). The drug in tablet form is available in polypropylene bottles, packaged in cardboard boxes. One bottle contains 50 tablets.
Panangin is produced in the form:
- film-coated tablets, 50 pcs. in bottles packed in cardboard boxes;
- solution for intravenous administration, 5 ampoules (10 ml) in contour plastic containers, packed in cardboard packs.
Produced in tablet form and in solution. The active elements of the drug "Panangin", which helps with heart disease, are magnesium and potassium aspartate.
Their content in the tablet is 140 and 158 mg, respectively. Excipients include magnesium stearate, silicon dioxide, starch and other components.
The concentrate for the preparation of intravenous solution contains 40 mg of magnesium, 45.2 mg of potassium aspartate and injection water. They also produce Panangin Forte tablets, which are distinguished by double the content of potassium and magnesium.
Panangin is available in two forms - tablets (15 tablets are packaged in one blister, there may be 50-60 tablets in total) and a solution for injection (one plastic ampoule contains 10 ml of solution, a package contains 5 ampoules).
Pills. Panangin has two active substances - magnesium aspartate (a derivative of aspartic acid) and potassium aspartate; the tablet contains 140 mg of the former and 158 mg of the latter.
In addition to the active substances, the tablets contain auxiliary substances - corn and potato starch, talc, magnesium stearate, povidone, colloidal silicon dioxide.
Drug for injection. It contains 40 mg of magnesium aspartate and 45.2 mg of potassium aspartate, as well as distilled water. The drug is transparent, can be either colorless or light greenish.
Terms of sale and storage
Panangin must be stored at a temperature of 15 to 30 degrees Celsius. Moreover, the shelf life of the drug in tablets is 5 years, in the form of a solution – 3 years. The drug must be stored out of the reach of children.
Panangin tablets are sold in pharmacies without a prescription, the solution is strictly according to the prescription.
The drug should be stored in a place protected from the sun at a temperature of 15-30 oC.
The shelf life of the tablets is 5 years, the solution – 3 years.
- tablets - 5 years;
- ampoules - 3 years.
Use of the drug after the end of the specified period is prohibited.
Tablet forms can be purchased at pharmacies without a prescription. Ampoules are sold only if there are recipes in Latin. It is important to indicate the INN of the drug in Latin for proper dispensing from the pharmacy.
The storage temperature of the medicine should not exceed 25⁰C. Choose a dry place with sufficient air supply. Keep away from children.
