Inside, it is recommended to take once a day, before meals, preferably in the morning. Dose selected individually for each patient depending on the severity of the disease and the individual response side effects of trenbolone enanthate to treatment.
Hypertension drug Perineva may be used alone or in combination with other antihypertensive agents. The recommended starting dose of 4 mg once daily in the morning. For patients with marked activation of the renin-angiotensin-aldosterone system (eg, in renovascular hypertension, hypovolemia and / or hyponatremia, heart failure decompensation or severe hypertension), the recommended starting dose is 2 mg per day in one step. When treatment failure within a month dose may be increased to 8 mg 1 time / day, if tolerated previous dose.
The addition of ACE inhibitors to patients taking diuretics can cause the development of arterial hypotension. In this connection, it is recommended to conduct therapy with caution, stop taking the diuretic for 2 – 3 days before the start of treatment Perineva or start treatment with Perineva with an initial dose of 2 mg per day, in one step. Necessary to control: blood pressure, side effects of trenbolone enanthate renal function and potassium ion concentrations in blood serum. Further the dose can be increased, depending on the dynamics of blood pressure levels.
If necessary, it could be resumed diuretic therapy. In elderly patients the recommended initial daily dose – 2 mg, in a single step. Further the dose can be gradually increased to 4 mg, and, if necessary, to the maximum -. 8 mg once a day, provided good tolerability at doses Chronic heart failure recommended starting dose of 2 mg in the morning, under medical supervision. After 2 weeks, the dose may be increased to 4 mg per day in one portion, under the control of blood pressure. CHF Treatment of symptomatic usually combined with kaliynesberegayuschimi diuretics, beta-blockers and / or digoxin.
In patients with heart failure, renal failure, and with a tendency to electrolyte disorders (hyponatremia), and in patients taking both diuretics and / or vasodilators, drug treatment start under close medical supervision. patients at high risk of symptomatic hypotension (eg, when taking high doses of diuretics) , if possible, before you start taking the drug Perineva necessary to eliminate hypovolemia and electrolyte disturbances. Before you start treatment and during it carefully monitor blood pressure levels, renal function and the concentration of potassium ions in the blood serum. Prophylaxis of recurrent stroke in patients with cerebrovascular diseases in history Treatment with Perineva should start with 2 mg for the first 2 weeks before indapamide. Treatment should be initiated at any time (from 2 weeks to several years) after suffering a stroke.
A stable coronary heart disease (CHD) in patients with stable coronary artery disease the recommended starting dose Perineva drug is 4 mg per day.After 2 weeks, the dose was increased to 8 mg per day, provided good tolerance dose of 4 mg per day, and the control of renal function.Treatment of elderly patients should start with a dose of 2 mg, a week can be increased to 4 mg per day.In side effects of trenbolone enanthate the future, if necessary, even a week can increase the dose to 8 mg per day with the obligatory preliminary control of renal function.In elderly patients the dose can be increased only if the previous well tolerated, a lower dose.In renal insufficiency: Patients with kidney disease Perineva drug dose is determined depending on the degree of renal function.Control patient typically includes regular determination of potassium ions in serum creatinine. anabolic steroids online shop
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