Festal enteric soluble 200mg, 40pcs

Composition

Active ingredients:

pancreatin 192 mg;

hemicellulase 50 mg;

bile components 25 mg;

Auxiliary substances:

sodium chloride;

Shell:

cellacephate (cellulose acetate-phthalate);

ethylvanillin;

castor oil;

sucrose;

methyl parahydroxybenzoate (methylparaben);

propyl parahydroxybenzoate (propylparaben);

gelatin;

dextrose liquid (glucose liquid);

talc;

calcium carbonate;

acacia gum;

glycerol (glycerin);

macrogol (polyethylene glycol 6000);

titanium dioxide.

Pharmacological action

An enzyme preparation. Compensates for insufficiency of secretory function of the pancreas and biliary function of the liver.

The enzymes included in pancreatin: amylase, lipase and protease facilitate the digestion of carbohydrates and proteins, which contributes to their more complete absorption in the small intestine.

The enzyme hemicellulase promotes the breakdown of plant fiber, which also improves digestive processes, reduces the formation of gases in the intestines.

Bovine bile extract has a choleretic effect, promotes fat emulsification, improves the absorption of fats and fat-soluble vitamins, increases lipase activity.

Indications

• insufficiency of external secretory function of the pancreas (including in chronic pancreatitis, cystic fibrosis);
• chronic inflammatory and dystrophic diseases of the stomach, intestines, liver, gallbladder;
• as part of combination therapy for conditions after resection or irradiation of these organs, accompanied by disorders of food digestion, flatulence, diarrhea.

Use during pregnancy and lactation

It is possible to use the drug during pregnancy and lactation (breastfeeding )according to indications.

Contraindications

• acute pancreatitis;
• exacerbation of chronic pancreatitis;
• liver failure;
• hepatitis;
• jaundice of mechanical origin;
• cholelithiasis;
• empyema of the gallbladder;
• intestinal obstruction.

Side effects

Allergic reactions (hyperemia of the skin, sneezing, lacrimation), nausea, diarrhea, abdominal pain (including intestinal colic).

With prolonged use in high doses, hyperuricemia and hyperuricuria may develop.

Children (when taken in large doses) may develop perianal irritation and irritation of the oral mucosa.

Interaction

When used concomitantly, it enhances absorption PASC, sulfonamides, antibiotics; may reduce the absorption of iron preparations.

Concomitant use of antacids containing calcium carbonate and / or magnesium hydroxide may reduce the effectiveness of Festal®.

Cimetidine enhances the effect of the drug.

How to take, course of use and dosage

Inside, without chewing, during or immediately after a meal, with a small amount of liquid.

Assign 1-2 pills 3 times a day. Higher doses are prescribed only by a doctor.

Before X-ray or ultrasound examination — 2 tablets 2-3 times a day for 2-3 days before the study.

The dosage regimen for children is determined by the doctor.

The duration of treatment can vary from several days (if the digestive process is disrupted due to dietary errors) to several months or years (if permanent replacement therapy is required).

Overdose

Symptoms:  hyperuricemia and hyperuricuria.

Treatment:  symptomatic therapy, drug withdrawal.

Special instructions

With caution, the drug is prescribed to patients with a history of chronic pancreatitis.

It should be borne in mind that with high activity of lipase contained in pancreatin, the likelihood of developing severe constipation in children increases. In clinical practice, cases of fibrotic colonopathy have been observed in children with cystic fibrosis who received daily preparations containing pancreatin in high doses.

Digestive disorders may occur in patients with hypersensitivity to pancreatin, or in patients with a history of meconium ileus or intestinal resection.

When using pancreatin in high doses, in some cases, perianal irritation may occur.

Form of production

Dragees

Storage conditions

Store at a temperature not exceeding 25 °C.

Shelf

life is 3 years.

Active ingredient

: Hemicellulase, Bile components, Pancreatin

Dosage form

dragees

Description

Pregnant women as prescribed by a doctor, For adults, Nursing mothers as prescribed by a doctor, Children over 3 years of age

Indications

Gastritis, Diarrhea, Gastroduodenitis, Constipation, Preparation for ultrasound and X-ray of the abdominal cavity, Liver damage, Overeating, Flatulence, Diet errors, Cirrhosis of the liver, Chronic pancreatitis, Biliary dyskinesia