Asparkam, tablets 24 pcs

Asparkam is a source of potassium and magnesium ions, regulates metabolic processes, promotes restoration of electrolyte balance, has antiarrhythmic effect.

Potassium ion is involved both in conducting impulses along the nerve fibers and in synaptic transmission, muscle contractions, maintaining normal cardiac activity. Disruption of potassium ion metabolism leads to changes in nerve and muscle excitability.

The active ion transport maintains a high gradient of potassium ions across the plasma membrane. In low doses potassium ion dilates coronary arteries, in high doses it narrows. It has negative chrono- and batmotropic effects, in high doses – negative chrono- and dro-motropic, as well as moderate diuretic effect.

Magnesium ion is a cofactor of 300 enzymatic reactions. It is an irreplaceable element in the processes of energy supply and expenditure. It participates in the balance of electrolytes, ion transport, membrane permeability and neuromuscular excitability.

Involves in the structure (pentosephosphate) of deoxyribonucleic acid. It participates in the synthesis of ribonucleic acid, heredity apparatus, cell growth, in the process of cell division. Limits and prevents excessive release of catecholamine during stress, possible lipolysis and release of free fatty acids. Is a “physiological” slow calcium channel blocker. It promotes penetration of potassium ion into cells.

Asparaginate promotes penetration of potassium and magnesium ion into the intracellular space and stimulates intercellular synthesis of phosphate.

Pharmacokinetics

It is easily absorbed when taken orally and excreted relatively quickly in the urine.

Indications

Strengthening the cardiovascular system Asparkam is used in complex therapy for heart failure, coronary heart disease, hypokalemia, heart rhythm disorders (including myocardial infarction, overdose of cardiac glycosides).

Active ingredient

Potassium and magnesium asparaginate

Composition

Asparkam – 0,5 g
active ingredients:
potassium asparaginate hemihydrate. – 0,177 g
magnesium asparaginate tetrahydrate – 0,177 g
excipients:
potato starch – 0,131 g
talc – 0,010 g
calcium stearate – 0,005 g

How to take, the dosage

Asparkam is taken orally after a meal, 1-2 tablets 3 times a day. The course of treatment is 3-4 weeks. If necessary, the course is repeated.

Interaction

Pharmacodynamic: co-administration with potassium-saving diuretics (triamterene, spironolactone), beta-adrenoblockers, cyclosporine, heparin, angiotensin-converting enzyme inhibitors, nonsteroidal anti-inflammatory drugs increases the risk of hyperkalemia up to arrhythmia and asystole. The use of potassium preparations together with glucocorticosteroids eliminates hypokalemia caused by the latter.

The undesirable effects of cardiac glycosides are reduced due to the content of potassium ions.

The content of magnesium ions reduces the effect of neomycin, polymyxin B, tetracycline and streptomycin.

In concomitant use the drug may increase neuromuscular blockade caused by depolarizing myorelaxants (atracurium besylate, decamethonium bromide, suxamethonium (chloride, bromide, iodide).

Calcitriol increases plasma levels of magnesium ions; calcium preparations reduce the effect of magnesium preparations.

Pharmacokinetic: astringents and coagulants decrease absorption of the drug in the gastrointestinal tract.

Special Instructions

In case of cardiac rhythm disturbances in combination with atrial-ventricular blockade, the use of Asparkam is not recommended.

Information on the possible effect of the drug for medical use on the ability to drive vehicles, machinery

No information available.

Contraindications

Hypersensitivity to the drug, amino acid metabolism disorders, arterial hypotension, acute and chronic renal failure, hyperkalemia, hypermagnesemia, atrioventricular conduction disorders (atrioventricular block of degree I-III), severe myasthenia gravis, hemolysis, adrenal insufficiency, age under 18 years (effectiveness and safety not established).

With caution it is prescribed during pregnancy and during breast-feeding, lactation.

Side effects

Nausea, vomiting, diarrhea, discomfort or burning in the epigastric region (in patients with anacid gastritis or cholecystitis), hyperkalemia (nausea, vomiting, diarrhea, parasthesias), hypermagnesemia (redness of face, thirst, decreased blood pressure, hyporeflexia, muscle weakness, paresis, coma, areflexia, respiratory depression, seizures) are possible.

Overdose

Symptoms: conduction abnormalities (especially with previous pathology of the cardiac conduction system).

Treatment: intravenous calcium chloride administration; if necessary – hemodialysis and peritoneal dialysis.

Pregnancy use

Use is possible if the potential benefit to the mother outweighs the possible risk to the fetus or child.

Similarities

Panangin, Potassium and Magnesium Asparaginate, Panangin Forte