One of the most popular choleretic and enzymatic digestive agents is Cholenzyme. Instructions for use, method of use and reviews of the drug will be considered in the article. We will also pay special attention to analogues of the product.
Release form
The medicine goes on sale in tablet form. Other forms of release by the manufacturer are not provided.
Structure
"Cholenzym", the instructions for use and analogues of which we will consider below, contains the following active components:
- dry bile;
- dry extract of the mucosa of the small intestine of animals;
- dry extract of animal pancreas.
Excipients are also present in the preparation, such as magnesium carbonate, wheat flour, potassium stearate, aerosil, sucrose, wax, titanium dioxide, gelatin.
Operating principle
The tool has a combined type of action.
Bile contributes to the improvement of digestive processes in the duodenum 12, and causes the active production of bile in the liver.
The pancreas dry extract contains digestive enzymes such as protease, amylase and lipase. They improve the digestion of food in the stomach and intestines, contribute to its complete breakdown.
Mucus of the small intestine is needed to stimulate the protective mechanisms of the intestinal walls, so they are not irritated by bile acids.
Indications for use
Instructions for use "Cholenzym" suggests that the drug is prescribed for the treatment of many diseases of the liver and gastrointestinal tract:
- gastritis;
- colitis;
- non-infectious diarrhea;
- flatulence;
- chronic forms of pancreatitis, hepatitis, cholecystitis.
The drug is used in other cases. For example, the instructions for use with "Cholenzym" indicate that the medication is able to eliminate the negative effects of nutritional errors (irregular eating, overeating, eating fatty foods, alcohol, and so on). In addition to this, the medication is used in the presence of violations of the chewing function of the patient, or when he is involuntarily motionless.
Contraindications
The instructions for use with the "Cholenzym" tablets indicate that the product has some contraindications. The drug is not prescribed for:
- the patient has an increased sensitivity to its components;
- acute pancreatitis;
- acute hepatitis;
- exacerbation of chronic pancreatitis;
- exacerbation of peptic ulcer;
- intestinal obstruction;
- obstructive jaundice.
"Cholenzym" is also not used to treat children under 12 years of age.
Treatment during pregnancy and lactation is allowed to be carried out exclusively under the supervision of a doctor.
Side effects
Are any side effects possible during treatment with Holenzim tablets? Instructions for use and reviews of the patients themselves say yes. Side effects can manifest themselves in the form of an allergic reaction, which will be accompanied by symptoms such as tearing, sneezing, nasal congestion, redness of the skin, rash.
If any of the unforeseen reactions of the body occurs, the drug should be discontinued.
Instructions for use
In the instructions for use of "Cholenzyme", the manufacturer indicates that the drug should be taken one tablet three times a day. The greatest effect can be achieved by doing this within the first 15 minutes after eating.
Additionally, it is worth clarifying that the phrase "after eating" refers not only to a full meal. Even a light snack in the form of a banana, an apple, a sandwich or a few spoons of porridge is enough.
The tablet must be washed down with no less than a glass of liquid. It can be: still water, compote, tea, juice.
Experts recommend swallowing the pill without chewing it. But if this does not work out, it is not forbidden to divide the tablet into smaller pieces.
It is important to remember that "Cholenzym" in no case should be taken before meals! This can provoke the appearance of new problems, since the bile that has entered the stomach and intestines will begin to corrode their mucosa.
A course of treatment
The duration of treatment with "Cholenzym" (this nuance is indicated in the instructions for use) may vary depending on the goals:
- Treatment of chronic diseases during remission will take about 3-4 weeks. After completing the full course of taking the drug (by the way, it is not recommended to interrupt it) it is important to take a three-month break.
- During an exacerbation of chronic diseases, the duration of the course will depend on the rate of onset of recovery. Usually it is within 1-2 months. 3 months after the end of therapy, experts recommend taking a 3-4-week prophylactic course to extend the period of remission.
- It is possible to eliminate the negative consequences of errors in nutrition in just 4 days. Although in some cases, for example, with a sedentary lifestyle, the course will increase to 3-4 weeks and will be repeated every 3 months.
Interaction with other drugs and substances
It was found that antacids can reduce the effectiveness of "Cholenzym". Therefore, at least two hours should elapse between the use of these medicines. The same applies to the use of sorbents.
Long-term use of "Cholenzyme" can reduce iron absorption.
Alcohol does not affect the effectiveness of the drug.
Overdose
Long-term treatment with the drug in high doses can lead to:
- heartburn;
- diarrhea
- nausea
- vomiting
- skin rash;
- bloating;
- increasing levels of AST and ALT in the blood.
There is no special antidote, therefore, if any of the above symptoms occurs, symptomatic therapy is carried out.
Analogs
"Cholenzym" is not the only drug of its kind. If such a need arises, it can be successfully replaced by other means, such as:
- Hofitol;
- "Febihol";
- "Bilikur";
- Tsinariks;
- Hepafitol. "
Before replacing "Cholenzym" with analogues, you should consult your doctor, as the therapeutic effect of these drugs may vary.
Reviews
What do gastroenterologists and patients say about Cholenzym? The first claim that this is a universal and quite effective remedy, which has a minimum number of contraindications for use and side effects. According to them, improvements are observed already several days after the start of the drug.
These words are also confirmed by patients who underwent treatment with "Cholenzym". They note some other advantages of the medication, such as low cost (about 120-160 rubles) and natural composition.
As for the shortcomings, finding feedback with them is quite difficult. Only in rare cases, patients report the occurrence of allergic reactions after the use of "Cholenzym".
Instructions for use, reviews and analogues of "Holenzym" were considered for informational purposes. Do not self-medicate!