During diarrhea, severe dehydration develops . Children and people with chronic diseases of the cardiovascular system and kidneys are especially sensitive to it. Together with water, the elements that are responsible for maintaining the so-called osmotic balance - the stability of the internal environment - are washed out of the body. A lot of potassium and sodium leaves the body with vomit. In a hospital, the patient must be prescribed drugs that restore the loss of fluid, salts and energy. Sometimes it’s enough just to drink solutions, in other cases, intravenous infusion is necessary. One of the medications for oral administration is Regidron.
The composition of the drug
Preparations for restoring electrolyte balance differ in the concentration and ratio of salts. The so-called solutions with low osmolality include the means "Regidron". Its analogs, such as the Hydrovit preparation, contain less potassium and more sodium.
The composition of the drug:
- Dextrose - 10.
- Potassium chloride - 2.5 g.
- Sodium Citrate - 2.9 g.
- Sodium chloride 3.5 g.
They release it packaged in foil bags, packed in a paper box of 10 or 20 pieces.
How to apply the medicine? First prepare a solution. One bag of "Regidron" is bred in one liter of water. Water must first be boiled and cooled to room temperature. You can not reduce or increase the amount of water for the solution, as this violates the osmolality of the drug. Take "Rehydron" inside. The finished solution is stored in the refrigerator, the shelf life is not more than a day from the date of preparation.
Indications for use
The medicine "Rehydron" is used in situations where it is necessary to quickly replenish potassium and prevent the development of hypernatremia. The drug is prescribed to restore electrolyte balance and correct acidosis in the following cases:
- acute diarrhea with mild to moderate dehydration;
- heatstroke;
- for preventive purposes with intense physical exertion and excessive sweating.
"Regidron" has no age restrictions, can be prescribed to pregnant and lactating women.
To replenish dehydration in the first hours, you need to drink twice as much solution as weight loss. If a person has lost 500 g, then you need to drink 1 liter of "Regidron". Other liquids are excluded during this period. Next, take the solution according to the dosage:
- With a body weight of up to 10 kg - in an amount of 350 to 500 ml.
- With a weight of 20 kg - 700 ml.
- From 30 to 50 kg - in an amount of 800 - 1000 ml.
- Over 50 kg of weight "Regidron" is taken in a dose of 1 to 1.2 liters per day.
In this case, it is necessary to make up for the loss of fluid additionally with water, drinking from three to seven liters per day.
In case of an overdose of the drug, the development of hypernatremia is possible, which manifests itself in a decrease in respiratory activity and an increase in neuromuscular excitability, up to the development of a convulsive syndrome.
"Rehydron": analogues
The drug has many analogues. All of them are slightly different in composition, but similar in mechanism of action. Manufacturers vary, release forms. Under stationary conditions, a similar preparation is sometimes prepared by mixing glucose, potassium chloride, sodium chloride and sodium citrate.
The drug "Rehydron" analogues are as follows:
- "Hydrovit";
- "Hydrovit Forte";
- Reosolan
- "Trihydron";
- "Citraglucosolan";
- Hydran.
When treating diarrhea , hospitalization is not always necessary. In noncommunicable diseases, treatment usually proceeds at home.
How to treat diarrhea
If diarrhea is caused by food poisoning, it is recommended to take enterosorbents. Among them, the Smecta drug is most effective. It not only adsorbs harmful substances, but also has an enveloping effect, protecting the irritated wall of the stomach.
"Smecta" for diarrhea is taken one sachet three times a day. For children, the dosage goes according to age, starting with one sachet per day, divided into several doses. It is also necessary to drink other means - "Rehydron", analogues of the drug. This is necessary to restore electrolyte balance.
Smecta from the disorder
The drug "Smecta" is prescribed for diarrhea of any origin. It has virtually no contraindications and is suitable for children of any age. You can not drink "Smecta" with constipation and bowel obstruction. The medicine stops diarrhea by removing toxic products from the intestines, adsorption of viruses and pathogenic bacteria and reducing irritability of the intestinal wall due to the enveloping effect. Treatment requires an average of three to four days.
Which remedy to prefer?
Which is better - Smecta or Regidron? Both remedies have their merits. But Smecta does not restore the water-salt balance and does not energize the body. Therefore, in parallel with Smecta, the introduction of Rehydron or its analogues is necessary for dehydration.
"Hydrovit": the composition of the drug
One of the most common analogues of Hydrovita is Regidron. It is produced in the form of powder in bags. The composition of the drug is as follows:
- Dextrose - 4 mg.
- Potassium chloride - 300 mg.
- Sodium citrate - 590 mg.
- Sodium chloride - 700 mg.
One sachet is designed to dissolve in 200 ml of water.
How to use
The drug "Hydrovit" instructions for use advises to use to eliminate dehydration and detoxification. It acts equally well on both adults and babies. "Hydrovit" for children is more convenient, since one bag is diluted in 200 ml of water. Also, the composition of electrolytes is balanced for the child's body with dyspepsia and poisoning. Glucose provides additional energy, which is especially important for infants, because doctors often advise precisely “Hydrovit”. Powder Dilution Instructions:
- The solution is prepared immediately before use.
- For breeding take 200 ml of boiled water or tea.
- Pour the powder into water, stir and give the child a drink.
- At room temperature, the solution is suitable for an hour, in the refrigerator for 24 hours.
The dose of medicine depends on the age of the child:
- For children under three years old, the daily dose is 100-150 ml of solution per 1 kg of body weight.
- For children from three to seven years old - 80-120 ml of the finished solution per 1 kg of weight.
- For adolescents - 50-80 ml per 1 kg of weight.
- Older children and adults - 20-60 ml per 1 kg of body weight.
For older and middle-aged children, it is recommended to take one sachet after each stool. As for the kids, it is not necessary to make them drink a large amount of the solution immediately. "Rehydron" does not have a very pleasant taste, but it can not be mixed with drink or food - this can upset the balance of electrolytes. Rehydron is produced with strawberry flavor, especially for such cases. To drink the child, you can give a spoonful of solution every five to ten minutes.
The duration of treatment is usually 1-2 days, until diarrhea subsides or vomiting stops. If the disease has dragged on, then the appropriateness of the further use of "Hydrovit" is determined by the attending physician.
Other analogues
The composition of the Hydrovit Forte preparation according to electrolytes is the same as that of Hydrovit. In addition, the preparation includes lemon flavoring, black tea flavoring, malic acid, dye and saccharin.
Dosages and indications for use are similar to those for the usual "Hydrovit".
Contraindications and side effects
Contraindications for the use of the Hydrovit and Hydrovit Forte preparations are as follows.
- Indomitable vomiting.
- Clouding of consciousness.
- Renal failure.
- Hypovolemic shock.
- Impaired acid-base balance with a shift to the alkaline side (alkalosis), congenital malabsorption of glucose in the intestine.
- Hyperkalemia
When prescribing the drug to patients with diabetes mellitus, it should be borne in mind that one packet of Hydrovita contains 3.56 g of glucose.
With an overdose of the solution, no side effects were detected if the patient does not suffer from impaired renal function. If you accidentally take dry powder, electrolyte imbalance in the body may develop, manifested by increased diarrhea.
Hydrovit can weaken the effect of cardiac glycosides, and in patients taking glycosides regularly, it is necessary to control the level of potassium in the blood.
Of the adverse reactions to Hydrovit, nausea and vomiting may occur. It is not excluded the development of allergies with individual intolerance to the components.
Regidron or Hydrovit
What to prescribe is decided by the doctor. In general, "Hydrovit" for children is more effective in vomiting - it better compensates for the loss of sodium and chlorine, leaving the body along with the contents of the stomach. It also has a more convenient packaging - the bag is dissolved in 200 ml of water, and not in a liter. For infants, it is preferable to use "Hydrovit", since it is focused on the needs of the child's body with diarrhea. Also, according to reviews, many parents give preference to "Hydrovit" for diarrhea in children and are quite satisfied with the results.
As for the cost, the Rehydron is much cheaper than the Hydrovita, given that in one Hydrovita sachet there are five times less powder. Prices for drugs (for one bag):
- Regidron - 24.1 rubles.
- Hydrovit - 17.5 rubles.
- Hydrovit Forte - 18.2 rubles.
One pack of medicine contains 10 or 20 sachets.
Preparations "Hydrovit" and "Hydrovit Forte" are analogues of the drug "Regidron". The difference lies in other proportions of the electrolyte content: in "Rehydron" there is more sodium and less potassium. "Hydrovit" is primarily aimed at children: it has a convenient packaging (one bag is dissolved in 200 ml of water), the ratio of salts in it is aimed at replenishing the child's electrolytes with diarrhea and other diseases, when dehydration occurs. Nevertheless, the preference should be given to one drug over another primarily by the attending physician, since there are times when it is better for children to use Regidron. For example, if there is a risk of developing hyperkalemia, which may be the case when taking potassium-sparing diuretics, administering antibiotics based on potassium salts, impaired renal filtration, and other situations.