In the article, we will consider the indications for the use of Festal and the instructions.
He is a representative of a group of enzymatic drugs. It is used to reduce the load on the enzyme system of the digestive tract and improve the digestive process.
Pharmacological forms, composition
The manufacturer "Festal" is available in the form of enteric-coated tablets. They have white color, round shape, glossy surface. The preparation contains several active substances: 25 mg of bile components, 50 mg of hemicellulose, 192 mg of pancreatin.
As additional components in the manufacture of dragees, macrogol, propyl paraben, acacia gum, methyl paraben, calcium carbonate, gelatin, castor oil, cellafelate, titanium dioxide, liquid dextrose, ethyl vanillin, glycerol, talc are used. Packed dragees in foil strips, each of which contains 10 dragees. The cardboard packaging may contain 2, 4, 6, 10 strips.
Indications for the use of "Festal"
The drug is used as an element of complex therapy of various gastrointestinal pathologies, accompanied by inhibition of exocrine pancreatic activity and the activity of structures that form the hepatobiliary system. Such pathologies include:
- Disturbed circulation of bile acids, provoked by dyskinesia of the pathways that remove bile, malabsorption, dysbiosis. What other indications are there for using the Festal tablets?
- Impaired neurohumoral regulation of bile formation and its separation, accompanying chronic gastrointestinal pathologies, such as cholecystitis, duodenitis, gastritis in chronic forms.
- Significant loss of bile acids in patients undergoing holicystectomy.
- Diffuse pathological changes in the liver - toxic and alcoholic hepatitis, cirrhosis. The list of indications for the use of the drug "Festal" is quite extensive.
In addition, it can be used if there is a functional digestion deficiency provoked by the use of large amounts of fatty foods, nutritional errors, and a sedentary lifestyle.
Indications for the use of "Festal" must be strictly observed.
Also, experts often recommend taking the drug in order to prepare for ultrasound or X-ray examinations of the digestive tract.
Contraindications
So, we examined the indications for the use of "Festal". There are some physiological and pathological conditions that can interfere with the use of an enzyme preparation, for example:
- Age up to 3 years.
- Intestinal obstruction.
- Predisposition to the development of diarrhea.
- The formation of pus in the gallbladder is empyema.
- Gallstone pathologies (diseases characterized by the formation of insoluble stones in the gallbladder and its ducts.
- Obstructive jaundice, provoked by violations of the outflow of bile in the structures that form the hepatobiliary system.
- Severe insufficiency of hepatic activity.
- Hyperbilirubinemia (which is a disease in which the level of bilirubin in the blood plasma rises.
- Hepatic precoma, coma.
- An exacerbation of chronic inflammatory processes in the pancreas (recurrence of pancreatitis in a chronic form).
- Pancreatitis in acute form.
- Hepatitis.
It is important to exercise caution if Festal is prescribed to patients with cystic fibrosis as a concomitant disease, and to pregnant women. Before starting therapy using "Festal", it is necessary to exclude the presence of contraindications.
Indicated in the instructions and contraindications, and indications for the use of "Festal". We will review reviews about the drug at the end of the article.
Use of medication
Dragee "Festal" must be taken orally. It is recommended to use when eating, and they should be washed down with water. The average therapeutic dose for adult patients is up to 2 tablets, which are taken three times a day. Higher dosage can be used only after consultation with a doctor.
When treating children, the dosage should be selected individually. The duration of the therapeutic course depends on the disease, the treatment of which is aimed at taking Festal. If the patient has a decrease in the functional activity of the gastrointestinal tract, treatment may take up to several days. When there is a need for ongoing replacement therapy, the use of Festal can be indicated for several years.
If the patient needs diagnostic preparation for an ultrasound or X-ray examination, it is indicated to take dragees twice or three times a day in an amount of up to 2 pieces. The application should be started a couple of days before the diagnosis.
Negative impact
Some systems and organs can react to the use of Festal by developing undesirable reactions, including:
- Diarrhea, nausea, abdominal cramps.
- Allergic rhinitis, lacrimation, skin itching, rash.
- An increase in the level of uric acid contained in the blood, an increase in its excretion together with urine (hyperruricemia, hyperuricosuria) - develop if the drug is used in increased dosages.
When using dragees in an increased dose in the treatment of children, development of irritation in the perianal region and on the mucous membranes lining the oral cavity can be observed.
With the development of this negative symptomatology, the patient should abandon the use of the drug and seek the advice of a doctor.
Overdose
A significant excess of the dose and non-compliance with the indications for the use of “Festal” can provoke intoxication, which is manifested by an increase in the content of uric acid in the blood plasma and an increase in its excretion together with urine.
In case of an overdose, it is necessary to immediately cancel the drug and prescribe symptomatic therapy to the patient.
So it is said in the instructions to the "Festal". Testimonials and indications are presented at the end of the article.
Analogs
If necessary, “Festal” can be replaced with drugs with a similar mechanism of action: “Normoenzyme”, “Enzistal”, “Pancreatin”.
Before replacing a medication with its analogue, consult a doctor.
Cost
The average cost of 20 tablets of "Festal" is 175 rubles, 40 tablets - about 220 rubles. 100 tablets - about 612 rubles. It depends on the region and the pharmacy network.
Reviews
The drug is very popular among patients. They note its effectiveness and speed in the fight against unpleasant symptoms from the digestive system. The possibility of using the drug for the treatment of children, its affordable cost, accessibility, and the almost complete absence of negative manifestations due to the natural origin of the active substances are separately noted.
We examined the indications for use and reviews for the Festal medication.