"Hilaka Forte" is a drug whose action is aimed at balancing the intestinal microflora. As an active ingredient, Hilak Fort uses aqueous and anhydrous substrates for metabolic products of E. coli strain DSM 4087, fecal enterococcus strain DSM 4086, Lactobacillus acidophilus strain DSM 4149 and helveticus strain DSM 4183.
Auxiliary components in the manufacture of a medicinal product are: sodium phosphate heptahydrate, potassium sorbate, lactic acid, potassium phosphate, citric acid monohydrate, phosphoric acid. Also, the composition of the medication includes lactose, which is a vital product of these microorganisms.
The use of "Hilak Forte" is justified with antibiotic therapy.
Forms of drug release
The drug is produced by the manufacturer in the form of drops intended for oral administration. The Hilak Forte solution is yellowish-brown in color, may be transparent or slightly cloudy. It has a characteristic sour smell. The manufacturer offers two types of solution - with a cherry flavor and caramel.
The solution is packaged in dark glass bottles, which may contain 30 ml of the drug, and 100 ml. Each bottle is equipped with a special dropper stopper for more convenient dosing. Also available in sachets made of laminated varnished paper. Each sachet can hold 1.1 ml of substance or 2.2 ml. Each carton pack includes 30 sachets.
The independent use of Hilak Forte for adults and children without a doctor's prescription is not recommended.
Pharmacokinetics and pharmacodynamics
The drug helps to normalize and restore the disturbed balance of intestinal microflora. It allows you to normalize the level of acidity in the intestinal lumen, the balance of electrolytes and water, stimulates the synthesis of epithelial cells of the intestinal wall.
Violation of the natural intestinal microflora occurs as a result of excessive reproduction of pathogenic microorganisms. This is facilitated by external influences, such as the use of drugs of the antibiotic group, surgical operations performed on the stomach, eating disorders, radiation. As a result, the patient notes the occurrence of diarrhea, constipation, and heaviness in the abdomen. These symptoms are the main indications for the use of Hilaka Forte.
The metabolic products of intestinal microorganisms, which are symbionts of the large and small intestines, are capable of producing lactic acid. This allows you to maintain the normal functionality of the intestinal mucosa, restore the natural microflora.
The drops also contain lactic acid of biosynthetic origin and its intermediate salts, normalizing the acidity of the intestinal environment. Volatile fatty acids used in Hilak Fort help prevent damage to the intestinal environment, restore it if there are injuries caused by infectious diseases of the gastrointestinal tract, and contribute to the absorption of water, sodium, chloride ions and other electrolytes.
Absorption of the drug into the blood is absent. The drug is excreted through the digestive tract.
Let us consider in more detail in what cases the use of Hilak Forte is indicated.
Indications
The medication is indicated for admission to patients if they have the following deviations:
- Pathologies of the gallbladder of enterogenic nature.
- Salmonellosis. The medication is indicated during the recovery period after a disease, including to infants.
- Skin allergic manifestations.
- Symptoms of chronic intestinal intoxication (increased fatigue, nausea, impaired blood circulation).
- Digestive disorders due to climate change.
- Chronic atrophic gastroenteritis (senile intestine).
- Gastrointestinal disturbances caused by low acidity.
- Metabolic pathology of the liver.
- Radiotherapy, antibiotic and sulfa drugs. It is advisable to take drops during therapy with these drugs, and at its completion.
- Digestive upset. The drug is effective if constipation, diarrhea, flatulence are observed.
“Hilak Forte” is a means of maintenance therapy and should be used exclusively in combination with other therapeutic measures.
For example, drops are not able to replace diarrhea therapy, which should be aimed at replenishing the lost fluid, as well as the necessary diet, which involves the rejection of solid foods.
Contraindications
The use of Hilak Forte is contraindicated for adults and children if the patient has an individual sensitivity to any of the components. Also, you should not take the drug if there are acute manifestations of diarrhea, which are accompanied by hyperthermia and the presence of blood in the stool.
Side effects
Negative manifestations while taking the drug "Hilak Forte" develop extremely rarely. Most often they are expressed in reactions of the mucous membranes. The appearance of a skin allergic reaction is not ruled out. Similar effects occur if the patient is hypersensitive to the ingredients of the drops.
Some of the patients, in addition, noted unpleasant discomfort in the peritoneum.
The method of application of “Hilak Forte” is discussed below.
Reception instructions
Drops are intended for oral administration. They should be taken immediately before or with food. Before taking the drug should be dissolved in a small amount of liquid (in no case in milk).
This confirms the instructions for use for drops of "Hilak Forte".
For adults, the drug is prescribed in a dosage of 40-60 drops. It should be taken a maximum of three times during the day. In the first days of therapy, the maximum frequency of doses is recommended, that is, 3 times a day. Subsequently, the number of receptions can be reduced.
The duration of therapy should be determined individually by the doctor.
If the bacterium Helicobacter pylori is present in the stomach, therapy with Hilak Forte should be supplemented with medications such as Smecta and Galstena.
The use of "Hilaka Forte" for the treatment of infants is prohibited. You can use it only from 2 years. For children 2-12 years old, a dosage of 20-40 drops is indicated, from 12 years old - 40-60 drops.
Overdose
There have been no cases of overdose with this medication in adults.
Accidental ingestion of a drug by a child can provoke reflex vomiting, as a result of which the development of aspiration pneumonia is not ruled out. Therapy in this case is symptomatic. In some cases, hospitalization of the child may be required.
Lactic acid, which is part of the drug, is completely neutralized if you take parallel drugs of the antacid group.
Storage and terms of sale
The drug is dispensed in pharmacies without a prescription from a doctor. According to the instructions for use with Hilak Forte drops, they should be stored in a place protected from light. At a maximum temperature of 25 degrees Celsius. The medication is suitable for 4 years, if the recommended storage conditions are met, and the bottle is sealed. After opening, store drops should be no more than one and a half months.
special instructions
Take the drug only in diluted form. It is forbidden to use milk for dilution.
Caution should be taken in patients with an increased acid-forming function of the stomach. This also applies to the reception of Hilak Forte sachets.
Instructions for use with the drug tells us about it.
Preparations similar to Hilak Forte
Among analogues, drugs such as Normoflorin, Lactobacterin, Bifinorm, Enterol, Flonivin BS, Bifikol, Sporobacterin are especially popular. Bifidumbacterin, Linex, Bifiform, Biosporin, Acipol, Atzilact, Subalin. "Biobactone." "Bactisubtil."
Cheap analogues of the drug are:
- Acylact tablets - they contain the main substances that are part of the Hilak Forte preparation, but in a smaller amount, therefore they can be much less effective in some cases.
- "Acipol" with lactobacilli and kefir fungus polysaccharide.
More expensive analogues, or equal in price:
- "Baktisporin".
- Bactisubtil.
- "Bifilis".
The cost of analogues of the drug starts from 160 rubles. The cheapest analogues are Narine, Lactobacterin, Normoflorin.
The use of drops "Hilak Forte" for children
A child under the age of 12 should be given a drug in an amount of 20-40 drops. If the disease is in acute form, then three times a day is indicated. Further, as the unpleasant symptoms disappear, it is recommended to halve the dosage, and reduce the frequency of doses.
If a child has increased acidity in the stomach, as well as heartburn, it is recommended to divide the daily dose into several doses - at least three.
When treating children from 12 years of age, the dosage recommendations intended for an adult patient should be followed. The frequency of taking the drug is three times a day, the dosage is 40-60 drops. As the symptoms disappear, the amount of medication taken should be halved.
For newborn therapy
In the instructions for use "Hilak Forte" infants are not recommended to give it to children. However, some pediatricians still prescribe it. The medication is indicated if the child has a weakened intestinal function, frequent regurgitation, bloating and unstable stools are observed.
On a day, infants need to be given the drug 3 times. At one time - no more than 30 drops. As the symptoms disappear, the number of doses and dosage is recommended to be reduced.
When treating infants with Hilak Forte drops, you should first dilute the drug in a small amount of warm water with a small addition of glucose. Begin feeding the baby after taking the medicine should not be earlier than an hour later.
Parents often report the effectiveness of the drug for impaired bowel and stomach functionality in newborns. Against the background of taking “Hilak Forte” in infants, the development of beneficial microflora is observed, acidity, water-electrolyte balance are normalized, and the gastrointestinal mucosa is restored.
Cost
In Russian pharmacies, the average cost of the drug ranges from 240-1450 rubles and depends on the volume of the bottle of the drug, as well as on the number of bottles in one package.
The average price for Hilak Fort in a 30 ml bottle is 247-287 rubles, in a 100 ml bottle 463-562 rubles. A package containing 3 bottles of 10 ml will cost an average of 1,450 rubles.
It is important to note that the drug is produced by the manufacturer in a single dosage form - in the form of drops. Hilak Forte tablets do not exist.
Reviews about the drug "Hilak Forte"
The vast majority of patient and specialist reviews about the drug are positive. The effectiveness of the drug in the fight against diarrhea, constipation, flatulence was noted. In addition, it is effective for skin manifestations of allergies and acne.
The most common reviews are those of parents about using Hilak Forte to treat digestive disorders in newborns. Almost everyone notes the ease of use of drops and their high efficiency in most problems with digestion in infants.
Among the shortcomings quite often indicate the impossibility of diluting drops in milk, as well as the specific acidic taste of the drug. Another shortcoming noted is the short shelf life after the bottle was opened. Therefore, many patients prefer to purchase "Hilak Forte", packaged in a sachet. This allows you to use the required number of drops, while the rest of the drug will be in sealed form.
Patients should remember that despite the large number of positive reviews about this drug, self-medication should not be. It is important to consult a doctor who will determine the root cause of the problems with digestion and select the drug, dosage and duration of the course of therapy individually, taking into account the susceptibility of the body and its individual characteristics. Only a competent approach will make therapy as effective as possible and get rid of unpleasant symptoms as soon as possible.
We reviewed the Hilak Forte drug and reviews and instructions for use for adults and children.