Pathologies of the pancreas are very common today. These diseases are caused, as a rule, by a violation of the activity of the body, which, in turn, occurs due to various reasons (inflammatory processes, for example). From the clinical picture, the general condition of the patient will depend on what kind of medicine for the pancreas the doctor will prescribe. With diseases of this organ, self-administration of drugs is not allowed. It is necessary to consult a specialist.
Drug selection
In the process of drug therapy of chronic pancreatitis, as a rule, a complex of drugs is prescribed. At the same time, the actions of analgesics, antispasmodics and anticholinergics are combined, also H2 blockers and antacids, antiferment and enzyme agents are shown.
In inflammatory processes, drugs such as No-shpa, Papaverin, Platifillin, Atropine are usually prescribed. These drugs for the pancreas are taken orally or in the form of subcutaneous injections (for acute pain, for example). Against the background of exacerbation of chronic pancreatitis, exocrine organ failure is of particular importance. In this regard, enzymatic agents, H2-blockers and antacids are recommended.
Among the latter, medications such as Fosfalugel, Almagel and other alkaline mixtures of liquid substances should be noted. H2-blockers are used to relieve severe pain syndrome. For example, drugs such as Femotidine, Ranitidine and others are prescribed.
Enzyme products
Some medications are prescribed to patients for a long time. Therapy is not complete without enzyme preparations. In particular, agents such as amylase, lipase, and trypsin are recommended. These medicines are used to restore the pancreas. Their action is aimed at suppressing pancreatic secretion. As a rule, enzyme agents are prescribed immediately after the removal of an acute attack, accompanied by pain. The effectiveness of these medicines is manifested in the reduction of dyspepsia. This, in turn, is expressed in the stabilization of the mass and the cessation of diarrhea. As practice shows, an exacerbation of the condition is removed after three to five weeks from the beginning of the use of funds. The complete elimination of acute pancreatitis is noted six months to a year later. Among the enzyme funds should be called drugs such as Pancreatin, Pancurmen, Pancitrat, Festal, Enzym Forte and others. In addition, bile is present in such medicines.
Antiferment medicines
In some forms of chronic pancreatitis, complicated by edema of the pancreas, drugs such as Gordox and Contrical are prescribed. These medications are administered to the patient intravenously (drip). One of the side effects that these drugs have for the pancreas is an allergic reaction. The risk of its occurrence during therapy is quite high. Anaphylactic shock is very likely. In this regard, antiferment medicines are prescribed with extreme caution.
Antispasmodics and analgesics
To eliminate the pain syndrome, analgesic drugs are recommended. These include, in particular, drugs such as Analgin, Baralgin and Paracetamol. At the peak of the pathological condition, the patient is given intramuscular injections. And after reducing the intensity of the pain syndrome, the patient is transferred to the oral administration of these drugs. If the pain persists, the doctor may prescribe
narcotic analgesics. They not only have an analgesic effect, but also activate the effect of non-narcotic drugs. Tranquilizers, antidepressants, antipsychotics belong to this category of medicines. These funds, among other things, eliminate the anxious depressive state that often accompanies pancreatic pathology. According to experts, the occurrence of pain is associated with dysfunction of the sphincter of Oddi, dyskinetic intestinal disorders, accompanied by spasms. To eliminate such conditions, appropriate medications are used in parallel (the No-Shpa remedy, for example). Antispasmodics affect muscle contractions, regardless of the nature of their origin.
Antacids
If diseases of the pancreas proceed accompanied by exocrine insufficiency due to pain and dyspepsia, then in therapy, drugs that inhibit the secretion of hydrochloric acid by the stomach are used. This group of medicines is called antacids. Conventionally, these drugs for the pancreas are divided into two categories: absorbable and non-absorbable drugs.
The first group should include magnesium oxide , sodium bicarbonate and others. The category of non-absorbable drugs includes drugs for the pancreas, such as Fosfalugel, Gelusil, Almagel and others. These drugs reduce the activity of the acid during its adsorption and the neutralization reaction proceeding slowly . Along with this, the number of destroyed enzymes in the stomach decreases. Antacid drugs for the treatment of the pancreas have an active neutralizing effect on hydrochloric acid. However, their influence is very short.
Is there a better pancreatic medicine?
Experts do not give a clear answer to this question. Pathologies of the organ suggest in most cases complex therapy. As mentioned above, the choice of medication will depend on the clinical picture. Nevertheless, the use of enzymes as a replacement therapy for a long time is the most effective. However, as practice shows, it is not so often possible to achieve a complete disposal of the pathology. Typically, such funds contribute to the normal activity of the pancreas. Some medicines not only stabilize the secretion, but also prevent the occurrence of attacks, inflammation (such drugs include, for example, "Enzyme forte"). However, it should be remembered that no medication for prevention (for the pancreas) will be useful if the diet is not followed. The proper diet in the treatment of pancreatitis and other pathologies of the said organ is of paramount importance.
Effective Pancreatic Medicines: Creon
This tool has an enzymatic effect, helps to improve the digestion process. The active component present in the composition of this medicine for the treatment of the pancreas - pacreatin - facilitates the digestion of fats, proteins, carbohydrates. This leads to their complete absorption. The drug is in capsule form. When ingested, the active release of hundreds of mini-microspheres begins. They mix with intestinal contents and normalize the distribution of enzymes. The release of active pancreatic enzymes of the drug occurs when the mini-microspheres of the small intestine reach. Protease, amylase and lipase, which are part of pancreatin, exhibit an effect that leads to the disintegration of lipid, starch and fat molecules.
Indications for use
Medication "Creon" is recommended as a replacement therapy for insufficiency of exocrine pancreatic activity against the background of such conditions as:
- pancreatitis in a chronic course;
- cancer of the pancreas;
- pancreatectomy;
- cystic fibrosis;
- ductal obstruction due to the appearance of neoplasms;
- a decrease in the enzyme-forming activity of the gastrointestinal tract in the elderly and other pathologies.
The dosage of the drug is set by the doctor personally. It is recommended that you take half or a third of a single dose by mouth immediately before meals, the remaining amount with meals.
Side effects and contraindications
Not recommended medication for acute pancreatitis or exacerbation of its chronic form, hypersensitivity. As practice shows, the medication is well tolerated by patients. Rare side effects include abdominal pain, vomiting, or nausea, and a change in stool (diarrhea or constipation). In isolated cases, patients have an allergic reaction. As a rule, it is associated with hypersensitivity to the components of the drug.