Mr. Zhuang approached the doctor with his 25mg betalerk and asked why his friend Mr. Gao was dispensing 47. 5mg, I need to eat twice a day, but Mr. Gao only needs to eat once?
The doctor briefly browsed the two cases and replied to him: This is the right medicine according to the current situation of your condition.
<h1 class="pgc-h-arrow-right" data-track="3" > the difference between a 1, 25 mg betalek and 47.5 mg betalek</h1>
Betalac is a well-known drug like aspirin and metformin, but in fact, betalunk is just a trade name, and his real drug name is metoprolol.
In clinical medicine, the two most important roles of Betalek are to treat high blood pressure and heart disease.
25mg betalerk, also known as metoprolol tartrate, is an ordinary plain tablet, which has a short half-life, about 3 to 5 hours, so it needs to be taken 2 times a day to form a stable blood concentration;
47.5mg of Betalek is an extended-release tablet, also known as metoprolol succinate, which uses today's very advanced microcapsule sustained release technology, which can maintain a stable blood concentration of 24 hours after taking it once, generally once a day.
Not only is the frequency of taking different, but there is also a certain difference in the time of taking, 25mg of betalek and 47.5mg of betalec.
Metoprolol succinate is not affected by food, so it is permissible to take it before and after meals.
Metoprolol tartrate tablets are fat-soluble drugs, and food can nearly double their bioavailability, but patients cannot take them with meals in order to save drugs, because although this will increase utilization, the incidence of adverse reactions will also increase significantly.
Therefore, doctors recommend that metoprolol tartrate be used on an empty stomach, that is, half an hour before or two hours after a meal.
In the control of heart rate, the two agents are slightly different.
If you want to immediately control the reduction of heart rate, etc., you can choose betalek of 25mg with a peak efficacy of 1 to 2 hours; but if it is not an acute spike in heart rate, choosing extended-release tablets will be better than 25mg betalek, because the drug is mild and there is no need to worry about lowering the heart rate below the standard.
In fact, the performance of the side reactions of the two drugs is not much different, and the clinical studies are roughly manifested as insomnia, headache, only fatigue and dizziness; or nausea, diarrhea, stomach pain and constipation;
The most important thing is that when taking Betalek for lowering blood pressure and heart rate, be sure to monitor blood pressure and heart rate in time, otherwise it is likely to lead to aggravation of AV block, worsening heart failure, peripheral vasospasm, Raynaud's phenomenon, etc., and the consequences are unpredictable.
Although the side reactions of 25 mg of betalec and 47.5 mg of betalox are similar, the degree of side reactions is still different, and the degree of side reactions of the milder extended-release tablets will be generally smaller than that of ordinary tablets.
The sustained release technology used in metoprolol succinate extended-release tablets is more advanced and fit in the era, which is also the reason why it is more popular with the public today.
<h1 class="pgc-h-arrow-right" data-track="39" >2. How to choose and take the appropriate dosage form of Betalek</h1>
Betalek is mostly used clinically to treat hypertension, angina, myocardial infarction, arrhythmias and heart failure, etc. Since there are many differences between 25mg of Betalek and Betalek of 47.5mg, how to choose a drug suitable for your current condition is another big problem.
First of all, we can choose through the most basic time schedule, some office workers with greater work pressure and heavy work tasks recommend choosing metoprolol succinate extended-release tablets to take, because one dose can stabilize the blood concentration of one day, which is not only convenient and time-saving, but also does not have to worry about forgetting to take the drug due to too many things.
If the heart rate and blood pressure are too high and need Betarak to help lower the heart rate and blood pressure, it is usually possible to choose either one.
However, for patients with hypertension with tachyarrhythmias or hypertension with hypertensive angina, if the surge in heart rate and blood pressure needs to be controlled for a short period of time, it is recommended to choose betalek of 25 mg.
This is also a reason why the doctor prescribed 25mg of betalek to Mr. Zhuang, but we must pay attention to heart rate monitoring during taking, observe whether the heart rate is lower than 50 times per minute during rest, and if there is a slow heart rate, we must seek medical treatment in time to avoid accidents.
For nasal feeding or eating difficulties, doctors will also choose to prescribe metoprolol tartrate, that is, 25 mg of betalec, to patients. Because in the way of taking, 25mg of betalok can be broken open to take, and can be taken after grinding; while 47.5mg betalok is only allowed to be opened by delayed indentation, not grinding or chewing.
Some patients want to change to another dosage form when taking one of the betalox, such as Mr. Zhuang, who previously took 25mg of betalok, and now want to change to 47.5mg of betalok to take it, what should be done at this time?
The doctor pointed out that it can also be seen from the dosage that taking 25 mg of betalec twice a day is equivalent to taking 47.5 mg of betalok once.
Therefore, in medicine, one metoprolol succinate extended-release tablet is roughly equivalent to two ordinary metoprolol tartrate tablets, and so on. If the patient wants to stop the drug, do not blindly and self-assertively stop taking the drug, especially if the previous dosage is large, because this is very likely to cause a surge in heart rate reflexes, and even the risk of myocardial infarction and angina increases sharply. Therefore, it is necessary to slowly reduce the amount of medication under the guidance of a doctor and then transition to discontinuation.
Some patients in the use of betalek, but also take some other or health care or medical drugs, at this time must explain the situation to the doctor when prescribing the drug and other drugs that need to be taken for a while, and in the process of taking also pay attention to the monitoring of heart rate, to avoid the occurrence of adverse reactions caused by joint use.
If it is inevitable to take certain drugs that may cause betalek to be less medicinal in combination during the taking process, it is recommended to choose 47.5 mg of betalec to take it, because for extended-release tablets, the drug released at the same time will be smaller than that of 25mg betalek, and the reduction will be reduced, so the overall therapeutic effect of extended-release tablets will not be greatly affected.
The last point is not to blindly take any kind of betalox.
There was an old woman who felt that she was flustered and had a rapid heartbeat, and did not want to spend money and time to go to the hospital, so she bought a beta lek in the pharmacy to take it, and after taking it for some time, she found that not only did her condition not improve, but even more serious, which eventually led to hospitalization.
After the doctor's examination, it was found that the old woman had only been caused by insufficient blood supply caused by anemia, and the heart was in a state of self-regulation and protection to accelerate its heartbeat, and the old woman took Betarak, which slowed down the heartbeat, which was equivalent to preventing the body's self-protection, but led to a worse physical condition.
<h1 class="pgc-h-arrow-right" data-track="53" >3, how to prevent high blood pressure, myocardial infarction and angina and other diseases</h1>
Although Betalek is called "cardiology panacea" by cardiovascular doctors, but "it is a three-point poison of medicine", it is certainly the best to prevent the disease before it happens, so how should we prevent high blood pressure, myocardial infarction and other diseases in daily life?
The first is the prevention of hypertension, which can start from the restriction of sodium salts and fat increases the intake of potassium and calcium.
Eating fresh vegetables and fruits in moderation daily can replenish the potassium needed in the body.
By reducing the intake of fats, especially animal fats.
For example, control the intake of pork, chicken, etc. to achieve the purpose of reducing the intake of animal fat.
Increasing your intake of high-quality protein can also serve to prevent high blood pressure, such as animal protein (such as fish) and legume protein.
Nutritionists recommend that you eat more coarse grains, so it is recommended to eat natural high-fiber foods (whole grains), such as bran bread.
Advocate eating whole grains, which not only enables the human body to obtain a variety of nutrients, but also has the effect of disease prevention and health care.
Temporary myocardial ischemia and hypoxia are a major cause of angina, which usually presents with episodic chest pain or various symptoms of chest discomfort.
Therefore, daily exercise is very important, set aside half an hour or more of exercise time for yourself every day, you can walk fast, swim or jog, the initial exercise intensity should not be too large, after the body slowly adapts, it can gradually strengthen, but do not cause too much burden on the body.
There is also a type of exertional angina that accounts for up to 2/3 of it.
Occurs when the oxygen demand of the heart muscle is increased during physical activity, emotional agitation, or intense mental work. Therefore, regular work and rest, adequate sleep and a good attitude are also particularly important.
Try to maintain about eight hours of sleep every day, do not stay up late and do not work, and eat three meals regularly.
Avoid excessive emotional fluctuations, including excessive sadness, anger, and even too much happiness, otherwise it is very easy to cause a surge in heart rate and an increase in myocardial oxygen consumption.
<h1 class="pgc-h-arrow-right" data-track="68" >4</h1>
Not only Mr. Zhuang, many patients also have many knowledge blind spots for 25mg of Betalek and 47.5mg of Betalek, what is the difference, how to choose and other issues, generally follow the doctor's advice and combine their own situation to take it. You can't make a good claim to match drugs for yourself, take them randomly, etc., and pay attention to the health of the details of life on weekdays, and cooperate with the treatment of drugs to achieve the best results.