Indications for use of Festal, contraindications, adverse reactions and analogues

Festal is an enzyme preparation. It is produced in dragees, which are covered with an enteric coating. It is prescribed to improve digestion and eliminate heaviness in the stomach. But you need to know not only the indications for the use of Festal, but also its contraindications and undesirable effects.

Festal is a combination drug that normalizes digestion

Enzistal

The combined digestive-enzyme drug Enzistal has a comprehensive effect on the body, compensating for the lack of enzymatic secretions in the organs of the digestive system. The drug activates metabolic functions and reduces painful symptoms.

• The feeling of heaviness in the stomach disappears;
• the volume of gas formation in the intestines decreases;
• Flatulence, shortness of breath, and diarrhea stop.

Bovine bile extract increases lipase activity, which improves the breakdown of lipids and the absorption of fat-soluble vitamins. Cellulase stimulates the breakdown of plant fiber.

The tablets of the drug are covered with a special protective coating, which does not dissolve in the digestive tract until it enters the intestines. This preserves the biologically active substances of the drug from destruction under the influence of gastric juice.

When used in combination with drugs that reduce the acidity of gastric juice, an increasing effect of Enzistal is observed.

The drug is available in pharmacies without a prescription. Its price indicators are in the range of 58-62 rubles. per pack of 20 tablets.

pharmachologic effect

Festal is of natural origin, made from bovine bile and contains all the enzymes necessary for digestive processes (hemicellulase, amylase, lipase, protease).

The dragee has lipolytic, amylolytic, proteolytic, choleretic and pancreatic-normalizing effects.

1. Pancreatin in Festal is one of the main active ingredients of the drug; it contains lipase, protease and amylase, penetrates the small intestine and excellently promotes the rapid breakdown, absorption and excretion of carbohydrates, fats and proteins.
2. The enzyme hemicellulase, which is found in tablets, accelerates the process of digestion of plant fiber and thus increases digestive functions and reduces the formation of gases in the intestines.
3. The presence of bile acids provides additional opportunities for correcting biliary insufficiency, which often accompanies chronic pancreatitis.
4. Bile extract has a choleretic effect, facilitates the absorption of fats and fat-soluble vitamins A, E and K, and promotes the secretion of lipase by the pancreas.
5. The enzyme hemicellulase promotes the breakdown of plant fiber, which also improves digestive processes and reduces the formation of gases in the intestines.

Before using Festal, carefully read the instructions for its use. See the expiration date of the drug.

Biozyme

The domestic analogue of Festal, Biozim, belongs to the group of dietary supplements and is available in the form of round pink tablets in an enteric coating in several dosage forms:

• in aluminum blister packs of 10 pieces;
• in plastic or glass bottles of 60 pieces;
• in plastic jars of 100 pieces.

This dietary supplement is highly effective. Unlike other analogue products, Biozym contains a plant enzyme - bromelain, which is obtained from pineapple stems.

Biozim also contains other active plant components. Thus, ginger root, in addition to its ability to accelerate the breakdown of food components, strengthens the immune system, reduces pain in the stomach and intestines, relieves spasms, and promotes bile excretion. Licorice root has antioxidant and anti-inflammatory properties.

It is worth noting that Biozim has a number of useful properties:

• normalizes blood viscosity and improves its circulation through the capillaries;
• stimulates the processes of resorption of blood clots;
• promotes the removal of toxic decay products from the body.

Recommended method of administration: 2-4 tablets. 3-4 times a day for adults and 1-2 tablets. 2-3 times a day for children. The course of therapy with this drug usually lasts 2 weeks; if necessary, it can be repeated with a break of 10-14 days. However, the dose and frequency of administration must be prescribed by the attending physician. The cost of dietary supplements is high, ranging from 1500-2000 rubles. per bottle of 100 tablets.

How many days to take the medicine

For the treatment of functional dyspepsia, characterized by a temporary disruption of the process of breaking down food, the medicine is not taken for too long, the course of treatment lasts on average 5-7 days.

For complex therapy of chronic pancreatitis, the medication is prescribed as a course of treatment, the duration of which can be from several months to six months.

A one-time use of the medicine is possible to prepare for examination of the gastrointestinal tract, to facilitate digestion against the background of dietary errors, as well as for better absorption of certain medications and vitamins.

How long can you drink Festal without interruption?

If the overall functional activity of the pancreas is not impaired, then the drug cannot be used for a long course. You can take the tablets without a break for a period of time that should not exceed 5 days. The additional supply of enzymes causes a decrease in the activity of the organ, which is realized through a feedback-type regulatory mechanism. At the same time, the production of one’s own enzymes is significantly reduced, which may necessitate lifelong replacement therapy.

In the case of a primary decrease in pancreatic activity, the drug can be prescribed for a longer course, which can reach six months. Then you need to take a short break to prevent the development of addiction to the active ingredients.

Lifetime admission

Lifelong use of Festal is indicated for replacement therapy of disorders of the exocrine function of the pancreas (a constant supply of pancreatin is required). This is usually necessary in severe cases of chronic pancreatitis in the stage of decompensation, accompanied by a significant decrease in the activity of the organ, as well as in some congenital diseases that affect the functional state of the body’s exocrine glands.

With lifelong use, the dosage is significantly reduced. It is 1 tablet 2-3 times a day, taken with meals. During lifelong replacement therapy, the attending physician prescribes periodic monitoring of the main indicators of the functional state of the digestive system.

Indications for use

The drug is prescribed as part of complex therapy for various gastrointestinal pathologies accompanied by abnormalities in the functioning of the hepatobiliary system.

According to the instructions for use, Festal tablets are prescribed for adults for:

• significant loss of cholic acids, for example, due to removal of the gallbladder;
• diffuse liver diseases: proliferation of connective tissue, toxic hepatitis;
• violations of the neurohumoral regulation of bile formation against the background of chronic pathologies of the gastrointestinal tract: gastritis, duodenitis or cholecystitis;
• failures of enterohepatic circulation as a result of malabsorption in the intestines and dysbiosis;
• obstruction of the biliary tract and pancreatic ducts;
• flatulence or diarrhea of ​​non-infectious origin;
• deviations in the digestive process caused by resection of the stomach or intestines, dietary errors or sudden changes in lifestyle;
• preparation for x-rays or ultrasound diagnostics of the abdominal organs.

The treatment regimen for each patient is selected individually depending on the stage of the underlying pathology and the presence of concomitant diseases. Adults take 1-2 Festal tablets three times a day during meals or immediately after it, washing down the drug with plenty of liquid (preferably non-alkaline).

The pills should not be chewed, since damage to the protective shell will neutralize the effectiveness of the enzyme.

The maximum possible daily dose is 21 tablets. The course of treatment can last from several days (for mild digestive disorders) to several years (if the patient requires constant replacement therapy).

Instructions for use

Before starting to take Festal tablets, it is important to carefully read the instructions for the drug and pay attention to several features of the correct use of the drug.

The tablet must be taken with meals or at the end of a meal. Take the product with a small amount of water without chewing. For the adult population, tablets are prescribed in a dosage of 1 or 2 tablets three times a day. If necessary, the dose can be increased, but only on the recommendation of a doctor.

• For adults, Festal is prescribed in a dosage of 1-2 tablets after or during meals. Should be used three times a day.
• If Festal is prescribed to prepare for hardware diagnostics, it is taken for 3 days before the examination, 2 tablets 3 times a day.

The duration of treatment can vary from several days (if the digestive process is disrupted due to errors in the diet) to several months or years (if constant replacement therapy is necessary).

The drug is given to children only as prescribed by a doctor. It also determines the method of use of the drug.

The drug Pancreazym

If you need to choose a cheap analogue of Festal, then pay attention to this product. The cost of the drug "Pancreazim" is on average 30 rubles

Moreover, the drug is almost as effective as the original drug. It compensates for the lack of pancreatic enzymes, provides lipolytic, proteolytic and amylolytic effects. The product perfectly normalizes the digestive process.

The medication is recommended for use for:

• chronic pancreatitis, pancreatectomy, dyspepsia, cystic fibrosis;
• flatulence, diarrhea of ​​non-infectious origin;
• impaired absorption of food (after resection of the stomach, intestines);
• the need to improve food digestion;
• violation of chewing function, immobility;
• Roemheld syndrome.

Side effects

When taking Festal for a long time, if the instructions for use are not followed, the following undesirable effects may occur:

• From the intestines: diarrhea, stabbing pain, nausea;
• From the immune system: redness of the skin, sneezing, active lacrimation;
• Increased levels of trioxypurine in blood plasma;
• In children, after taking Festal, irritation of the skin near the anus and mucous membranes in the mouth may occur.

Medicine Gastenorm

This is another effective analogue of Festal (cheap). The medicine is available in the form of tablets, coated on top. This remedy is intended to eliminate pancreatic enzyme deficiency.

The active ingredient of the drug is pancreatin.

The indications for use of this medicine are practically no different from those described above. In pediatric practice, the use of the drug is allowed from the age of 3 and only under the supervision of a doctor.

Pharmacologists have developed an effective type of medicine - “Gastenorm Forte”. This medication has a higher concentration of the main substance - pancreatin. Thanks to this, it is able to act on the gastrointestinal tract much faster, effectively blocking the problematic process.

If we talk about the cost of the drug "Gastenorm", then the average price is 70 rubles.

Undesirable effects and cases of overdose

While taking Mezim and Festal, the same adverse reactions may occur:

• allergies, which can manifest as watery eyes, sneezing and redness of the skin;
• dyspeptic disorders such as nausea, constipation or loose stools, but these same symptoms are observed with a deficiency of enzymes that are characteristic of chronic pancreatitis;
• epigastric pain;
  Pain in the epigastric region may occur while taking Mezim and Festal
• with prolonged use in high dosages, increases in uric acid in the blood and urine may be observed;
• In children treated with high dosages, irritation of the oral mucosa and near the anus may occur.

If recommended doses are exceeded, hyperuricemia and hyperuricosuria may occur. In this case, you need to interrupt treatment. There is no antidote; drugs are prescribed that eliminate the symptoms of overdose.

Differences between the drug and other medicines

Unlike other medicines, Festal has a multicomponent composition and a wider spectrum of action. The effectiveness of the drug is due to the action of:

• pancreatin,
• ox bile,
• hemicelluloses.

Active components improve the process of digestion, breakdown and absorption of proteins, fats, carbohydrates. Hemicellulase allows you to break down fiber and obtain essential micronutrients from it. The dragee is produced by an Indian pharmaceutical company. Available in packs of 20, 40, 100 pieces. The medicine improves the process of digestion of food, ensures complete absorption of all beneficial micronutrients.

Which is better: Holenzim or Festal

Cholenzym is a complex preparation based on bile and powder obtained from the mucous membrane of the small intestine; it is of animal origin and exhibits choleretic properties. It is similar to Festal in pharmacological action, but has a less extensive composition. Like Festal, it has a choleretic effect, speeds up the process of digesting food and absorbing useful elements. Helps patients with chronic hepatitis, cholecystitis, pancreatitis, gastritis.

Differences between Omeprazole and Festal

Omeprazole is a representative of proton pump inhibitors that act on the underlying cause of gastrointestinal dysfunction. Festal is an enzyme medicine for symptomatic therapy. Medicines differ in composition, group, release form and mechanism of pharmacological action.

Omeprazole is used for acute conditions, such as pancreatitis. The active substance prevents the free movement of hydrogen and reduces stomach acidity. The drug fights inflammatory processes, reduces acute manifestations of diseases, and normalizes the functioning of the pancreas.

Both drugs can be used in complex treatment regimens for diseases of the gastrointestinal tract. Festal is more suitable for chronic conditions, while Omeprazole is a first aid remedy for sudden exacerbations. Both medications are not intended for self-medication and are used on the recommendation of a gastroenterologist.

Ingredients and effect

It is a combination medicine with the following substances:

• Pancreatin. It is an enzyme that is obtained from the pancreas of animals, in most cases from the body of a bovine. It provides good production of its own necessary enzymes, allowing the pancreas to work stably. In addition, it significantly reduces the load on it during the digestion of food;
• Hemicellulase. Responsible for the breakdown and dissolution of fiber;
• Amylase. Breaks down starch;
• Lipase. An auxiliary element that facilitates the digestion of fats;
• Protease. Promotes favorable protein absorption.

In addition to the above-mentioned elements, the composition includes other additional substances - glucose, sucrose, castor oil, gelatin and others.

The main task of the drug is to improve the general condition against the background of heaviness in the abdominal cavity, eliminate any problems in the digestive system, overcome nausea, flatulence and general normalization of the gastrointestinal tract.

Which drug to choose

Which medicine is best out of all the variety of enzyme remedies? Festal, Enzistal, Mezim, Panzinorm or some other drug? There is no clear answer to this question. Ideally, you should consult a doctor before purchasing any medication. Based on the patient’s complaints and research results, the specialist will prescribe the most appropriate remedy in each specific case.

When independently choosing a suitable drug, you should consider the following recommendations:

• For long-term use, “monopreparations” containing only pancreatin are better suited: Mezim, Pancreatin, Creon, etc. These same drugs are preferred for concomitant diseases of the gallbladder, hepatitis and inflammatory bowel diseases.
• Festal, Enzistal and other preparations containing bile are ideal for normalizing digestion after overeating, breaking the diet, or eating large amounts of fatty foods. Also, such medications are used for hypofunction of the gallbladder, a tendency to constipation and flatulence.
• For short-term use, preference is given to drugs containing lipase up to 10,000 units.
• Before using drugs to treat children, consultation with a doctor is required. It is better to give preference to modern enzymes: Micrasim, Creon, Pangrol.

It should be remembered that taking any enzyme preparations for a long time without a doctor’s prescription can provoke a decrease in pancreatic secretion and, as a result, serious gastrointestinal dysfunction.

Contraindications

According to the instructions, Festal is contraindicated for use for treatment in the presence of the following factors and pathologies:

• Children's age less than three years;
• Excessive sensitivity to the constituent elements of the drug;
• Liver failure, encephalopathy;
• Increased content of bile pigment in the blood, Gospel disease;
• Aggravated form of pancreatitis;
• If there are stones in the gallbladder or its ducts;
• Intestinal obstruction;
• Acute inflammatory process in the gallbladder;
• Predisposition to diarrhea;
• Hepatitis;

If there are indications, as prescribed and under the supervision of a doctor, Festal is used by women during pregnancy and breastfeeding (lactation), as well as by patients with a hereditary pathology - cystic fibrosis.

How to replace Festal, list of similar drugs with prices, their similarities and differences

Price for Festal in December 2019: 120-130 rubles. for 20 tablets. If the patient cannot use Festal, it is recommended to discuss with the doctor the possibility of using:

• Mezima Forte (95 rubles).
• Creona (285 rub.).
• Hermital (320 rubles).
• Micrazima (435 rub.).
• Pancreatin is an inexpensive substitute made in Russia (47 rubles).
• Enzistala-P (57 rub.).
• Pacreatina Forte (55 rubles).
• Panzinorma Forte (85 rubles).
• Penzital (60 rub.).
• Unienzyme (100 rub.).

There are many analogues on the pharmaceutical market. It is recommended to replace the drug after consulting with a specialist. These medications contain the same active ingredient as Festal, which fights functional disorders of the gastrointestinal tract and normalizes pancreas function. They differ in the presence of active ingredients, manufacturer, dosage form and the number of tablets/capsules/dragés in the package.

There are medications that differ in composition, but are similar in indications for use. A gastroenterologist may recommend taking:

• Solizima.
• Enterosana (405 rub.).
• Enzymthala.
• Solizima Forte.
• Unienzyma (110 rub.).
• Omez (80 rub.)

The cheapest analogues

• Panzinorma.
• Hermital.
• Penzital.
• Enzistala-P.

These are pancreatin-based drugs with a budget cost and high efficiency. In case of hypersensitivity reactions to substances of animal origin, it is recommended to select a replacement with another active component. If medications do not have the expected therapeutic effect, it is recommended to reconsider the general treatment regimen.

Composition and medicinal properties

The main component of the product is pancreatin (an analogue of digestive juice). The substance is endowed with lipase, proteinase, amylase - enzymes that help in the breakdown of proteins, lipids, and carbohydrates. A deficiency of these substances leads to the development of hyperosmolar diarrhea, a pathology accompanied by the “attraction” of undigested substances into the intestinal lumen. Because of this, the volume of feces increases and they become liquid.

To normalize the functioning of the gastrointestinal tract, doctors prescribe Festal for diarrhea. The use of the product contributes to:

• breakdown of proteins and lipids in the intestines;
• increased absorption of nutritional components;
• normalization of the gastrointestinal tract;
• improving small intestinal motility;
• elimination of digestive insufficiency.

What can replace the medicine?

There are a number of drugs related to enzyme agents that can act as an effective substitute for Festal.

However, patients who are recommended to take the original medicine on a regular basis need to know: despite the excellent interchangeability of medicines, you should not select an analogue without consulting a doctor. After all, most drugs that are similar in their effects differ in composition.

Analogues of the drug are:

• "Creon."
• "Mezim."
• "Pancreazim".
• "Pancreatin".
• "Gastenorm."
• "Micrazim".
• "Pangrol."
• "Enzistal".
• "Hermital".
• "Digestal".
• "Normoenzyme".
• "Biofestal".
• "Panodes".
• "Ferestal."

So, what analogues of the drug “Festal” can be purchased cheaper?

Interaction of Festal with other medications

If you take Festal simultaneously with other medications, including vitamins and microelements, you may notice an increase or decrease in the effectiveness of taking Festal or another medication taken in parallel.

So, for example, if you drink festal together with iron, the beneficial effect of iron on the body will be minimal. Iron is necessary for a nursing mother and baby to avoid anemia (decreased hemoglobin in the blood). If this happens, the umbilical wound will take a long time to heal, and besides, the child has a risk of contracting a purulent disease.

A lack of iron can lead to the appearance of physiological jaundice in an infant, slow weight gain and muscle mass, and a decrease in the child’s intelligence in the future.

The beneficial properties of folic acid (B9) will also be reduced. This drug is very important for the formation of the bone skeleton and for the normal growth of an infant. Vitamin B9 prevents the development of anemia, diseases of the stomach and intestines, regulates metabolism and the functioning of the digestive organs.

Creon

Thanks to its progressive release form, the German drug Creon is considered one of the best analogues of Festal. The peculiarity of this medicine is that it contains pancreatin in the form of microspheres, which are covered with a shell that is resistant to the aggressive effects of an acidic environment.

In addition, they are placed in a gelatin capsule, which can only dissolve in the stomach. Here its contents are evenly mixed with food gruel and pancreatic enzymes begin to work actively, which allows you to achieve a quick and maximum therapeutic effect.

Creon adds pancreatic cancer to the list of indications for similar enzyme preparations.

The cost of the drug, compared to analogues, is high. So, a package of 20 capsules (25,000 units) costs from 581 rubles, and a package of 50 capsules (40,000 units) costs from 1,470 rubles.

Taking Festal during breastfeeding

During breastfeeding you can take Festal. But to do this, you first need to weigh the pros and cons and be sure to consult with a general practitioner and pediatrician. A specialist and our article will help you find out how safe Festal GW is.

Festal is the most famous enzyme preparation that is popular with many people. It promotes favorable functioning of the stomach and intestines; The enzymes inside the product help normalize the digestive process in the body, and the excipients help improve the absorption of nutrients through the small intestine into the body.

Festal contains pancreatin, bovine bile extract and hemicellulase. Let's look at each component and its effect on the body.

How to use Festal

1. Festal tablets are swallowed without chewing during or immediately after meals. Take 1-2 tablets three times a day, washed down with clean water.
2. Adult patients, without the approval of a physician, should not exceed the doses described in the instructions. Children can take the drug only on the recommendation of a doctor and in accordance with the dosage indicated by him.
3. The duration of treatment depends on the individual situation and disease of the patient. If we are talking about the need to normalize digestion due to heavy meals, Festal is taken for several days.
4. If there are serious malfunctions in the patient’s pancreas, the drug can be taken for a long time (several years).
5. Before the ultrasound, the patient needs to take 2-3 tablets about 3 times a day on the eve of the examination.

Festal tablets - application

Taking into account what Festal helps with, that this drug is necessary for the complete digestion of incoming food, it is important to follow some rules for taking this drug so that it acts correctly and at the right time. Next, we will dwell on the main features of how to take Festal, in what quantity, how often and for long.

Festal - use and doses

Often, if Festal is prescribed, the dosage is 1 tablet three times a day. The dosage may be doubled in case of severe pancreatic secretory insufficiency. If it is necessary to take it before an X-ray or ultrasound examination, you should take the medicine twice or thrice a day, 2 tablets, 2-3 days before the diagnosis.

It is worth considering that when the drug is used together with iron preparations, the bioavailability of the latter decreases, and when using anti-tuberculosis drugs, antibiotics and sulfonamides, their absorption increases. The effect of Festal is enhanced by concurrent use of Cimetidine, and its effectiveness is reduced by the use of antacids with calcium or magnesium.

How to take Festal - before or after meals?

Festal, the use of which should be carried out according to the instructions or as prescribed by a doctor, must be swallowed whole, without chewing and with a small amount of liquid. It is advisable to drink the drug with clean water, always non-alkaline, in order to prevent the destruction of the protective shell of the pill. The water temperature should be room temperature (you can’t drink it with hot water - the shell will dissolve).

It should be taken immediately before, during or immediately after meals. This rule is explained by what Festal helps with, and by the fact that the onset of its action begins 20-30 minutes after administration, lasting for 6-8 hours. It is worth understanding that the food eaten is retained in the stomach for 0.5-6 hours, after which it passes into the small intestine to continue digestion.

How often can I take Festal?

Many people ask whether Festal can be taken once, and what is the maximum permitted period for taking it without interruption. This drug can be taken occasionally if necessary or in courses from several days to several months, depending on the severity of the pathology. Some categories of patients are advised to take these pills for many years as replacement therapy.

Omez

Very often you can hear people with digestive problems talking about the drug “Omez”. The question arises: “What is the effect of Omez and can it be used in treatment, replacing Festal?”

The active component of the drug "Omez" is omeprazole - a medicinal substance that reduces the secretion of hydrochloric acid in the stomach, used in the treatment of diseases associated with damage to the mucous membrane of the stomach and duodenum. It is absolutely impossible to choose what to buy or use in the treatment of digestive problems - Festal or Omez, because these are completely different drugs, they do not intersect in their work in any way, having different areas of functioning.

The question of whether these medications should be used simultaneously or whether treatment with one drug can be started only after finishing the course of treatment with another can only be decided by a doctor. There are no contraindications to the combined use of both drugs, but the advisability of such treatment should be discussed with a specialist.

Festal: indications and contraindications for the use of the drug

The action of Festal can be divided into three main categories:

1. as a replacement therapy for the prevention and treatment of gastrointestinal diseases, intestinal dystrophy after irradiation, resection of the stomach or intestines;
2. as an adjuvant therapy for elderly people with age-related gastrointestinal problems, as well as for diseases not related to gastroenterology;
3. as the main method of cleansing the body before performing an endoscopic or fluoroscopic examination of the abdominal cavity.

In case of exacerbation of chronic pancreatitis, the drug Festal is categorically not recommended for use. It is also not prescribed in cases of severe liver damage with high levels of bilirubin, acute intestinal obstruction, obstructive jaundice and individual intolerance to enzymes of animal origin. The drug Festal can be prescribed by the attending physician in any trimester of pregnancy according to individual indicators.

Release form and composition

Available in the form of enteric tablets.

Useful tips for women during breastfeeding

1. If a mother takes Festal, she must be sure that the drug will be safe for the baby and effective for herself. Therefore, you should be very careful and attentive when taking the medicine. Simple rules and recommendations will help with this.
2. It is not recommended to take the medicine yourself unless there is an urgent need to take it.
3. After taking the drug, the remaining milk in the breast must be expressed until the breast feels relieved. Under no circumstances should you give your baby expressed milk; it should be disposed of.
4. You should take the medicine immediately after breastfeeding your baby. Thus, active enzymes will enter the woman’s body and not into the milk.
5. When taking a fermented drug, you need to carefully monitor the health of the newborn. If the child’s well-being changes or worsens, you should urgently stop taking the medicine and seek advice from doctors: a gastroenterologist, a therapist, a pediatrician. Only a comprehensive consultative approach can help solve the problem of a nursing mother and her child.
6. During treatment with Festal, the mother must follow a certain diet and strict diet. Doctors advise drinking pomegranate juice, adding rice and yesterday's black bread to food (to consolidate and normalize stool).
7. The medicine should be taken with food. The drug should be taken with regular non-carbonated water. The enzyme should not be taken with compote, tea, juice, or other liquids.
8. The pill or tablet should be swallowed without chewing. The enzyme is located in an enteric coating, which, dissolving in the small intestine, begins to act effectively at the “destination” of the drug. If you take the pill correctly, digestion will improve, pain and bloating will go away, stool will normalize, and the general condition and well-being of the body will improve.
9. After using the enzyme medicine, it is better to take a horizontal position, remaining in it for about half an hour. In this position, the body will quickly absorb and dissolve the active components of the drug Festal.
10. If taking a large amount of the drug is caused by an urgent need, then you should temporarily stop breastfeeding the child. This is the safest method for the baby and it is temporary (depending on the course of treatment, this can be a week or two). The child needs a healthy mother with healthy milk.
11. During weaning, you can feed the baby formula. It is better to do this not from a pacifier, but from a spoon, a small cup, using a plastic syringe without a needle. In this case, there will be less likelihood that in the future the baby will completely abandon the female breast, since sucking milk from it is much more difficult than from a nipple.
12. The frequency of taking the medicine and its dosage are prescribed only by the attending physician. During lactation, the patient must strictly follow the instructions recommended by her gastroenterologist. You should not self-medicate - this can lead to sad consequences and serious complications in the life of the mother and her baby.

After treatment is completed, the baby can be put to the breast again. After all, the nutrients that human milk carries cannot be replaced by anything. And remember an important rule: as long as the baby eats mother’s milk, he is not afraid of any colds or illnesses.

Analogs

The main analogues of Festal are the following drugs:

• Digestal;
• Kreon 10000, Kreon 25000;
• Mezim;
• Normoenzyme;
• Pancreatin;
• Enzistal.

Many of these drugs are an order of magnitude cheaper than Festal, but it should be noted that each drug has its own characteristics in composition and action.

That is why you should not switch from taking one drug to taking another unreasonably and without a doctor’s recommendation.

All of these drugs act in generally the same way: they improve digestion, ensure better absorption of nutrients, including vitamins, and also reduce gas formation and normalize the outflow of bile.

Does Festal help against diarrhea (diarrhea)?

Taking the described drug as a remedy against diarrhea is permissible only in combination treatment of the causes of indigestion. Festal will be completely ineffective when trying to relieve diarrhea of ​​infectious origin. On the contrary, taking this remedy for bacterial diarrhea (diarrhea) or the appearance of loose stools caused by pathogenic microorganisms can only aggravate the situation, delaying antibacterial therapy.

The hemicellulase contained in the drug is capable of attracting liquid, which alleviates the patient’s condition and normalizes loose stools caused by liver enzyme deficiency. And the remaining components of the drug promote the breakdown of fats, protein foods and complex carbohydrates, normalizing digestion and eliminating diarrhea of ​​non-infectious origin.

It is impossible to reliably diagnose a deficiency of pancreatic enzyme secretion on your own, but it is important to understand that debilitating diarrhea (diarrhea) or loose stools with a foul odor, blood, greens, mucus or other impurities usually signal an infection. Festal does not help treat bacterial infections that cause diarrhea.

If diarrhea or loose stools develop suddenly, do not self-medicate, but call a doctor and get tested for all necessary laboratory tests.

special instructions

If, with a significant overdose, patients experience an increase in uric acid levels, hyperuricosuria, or any serious side effects, the drug is discontinued and palliative therapy is prescribed.

Among other things, when using the product, you should take into account the nuances of its interaction with other medications:

• Pancreatin reduces the absorption of folic acid and negates the effect of hypoglycemic drugs, so using them simultaneously is not recommended.
• Festal enhances the absorption of para-aminosalicylic acid, antibiotics and sulfonamides.
• Long-term use of pancreatin minimizes the absorption of iron supplements.
• Cimetidine may enhance the effect of Festal.
• Antacids containing calcium carbonate and/or magnesium hydroxide may cause a decrease in the effectiveness of pancreatin.

Contraindications and side effects

Festal has a number of contraindications for use:

1. So the drug is strictly prohibited for patients susceptible to attacks of acute pancreatitis. Additional enzymes can provoke inflammation of the membranes of the pancreas and aggravate the patient’s condition, to the point where he needs surgery.
2. Festal is also contraindicated in patients predisposed to the formation of gallstones. The enzyme preparation can provoke the movement of stones and sand from this organ into the ducts, and lead to their blockage. As a result, the development of hepatosis and liver dysfunction. This may cause an increase in bilirubin in the urine.
3. The drug is not recommended for chronic diarrhea , which is caused by insufficient absorption capacity of the walls of the small intestine. The digestive enzymes included in Festal will only worsen diarrhea.

Anyone who takes enzyme medications should be aware that uncontrolled use can lead to the development of side effects. First of all, these are malfunctions in the digestive system, signs of which may include nausea, abdominal pain, and diarrhea.

Long-term therapy with Festal can lead to an increase in plasma uric acid levels and the development of hyperuricosuria.

Festala is considered one of the safest drugs in the group of enzymes. However, during pregnancy and lactation, this medicine should be taken with great caution and under medical supervision.

Most often, pregnant women experience the following negative effects: diarrhea, severe nausea, heartburn, vomiting. Blood tests in such patients often show elevated levels of plasma uric acid, which can lead to kidney damage .

Enzyme preparations are not recommended for children under three years of age. In cases where it is impossible to do without enzyme therapy, the daily dosage of the drug should be 1-2 Festal tablets per day. The dosage regimen for children is the same as for adult patients - 3 times a day. It is best if the child takes the medicine while sitting, which facilitates free passage of the drug into the stomach.

You should be extremely careful with enzymes, as well as with other medications, especially when prescribing them to children and pregnant women. Taking them without consulting a gastroenterologist is strictly prohibited.

A specialist will help you choose the right treatment regimen and calculate the daily dosage. This will reduce the likelihood of negative effects of enzyme components on a developing or growing organism. If painful or allergic reactions occur, use of Festal must be stopped immediately.

The key to successful therapy is also proper storage of medications. Festal should be stored in a dry and dark place at a temperature no higher than 20-24°C. Shelf life – 3 years from the date of release. Information about the production date of the medicine can be found on the packaging.

Where to choose

Pharmacists often hear the question: “Pancreatin” or “Enzistal”, “Festal” or “Mezim” - which is better to buy?” Pharmacy workers cannot give a definite answer, because all of these drugs have the same active component - pancreatin, moreover, Festal and Enzistal are absolute analogues in terms of the complex of active substances, which includes, in addition to pancreatin, hemicellulose and bile components .

In most cases, people are guided by reviews of other buyers or acquaintances who have taken any of these drugs, as well as by the price, believing that if the drugs are analogues, then why pay extra to get an identical result. Some people are adherents of old, proven remedies and prefer Mezim, while others believe that only new products with a correspondingly high price can overcome the problem by buying Festal. The saying “how many people, so many opinions” works flawlessly in the case of these drugs.

Indications for use of the drug during breastfeeding

Festal GW for mothers is usually prescribed by a doctor for the following signs and symptoms:

• if you feel heaviness or pain in your stomach;
• when the stomach feels full after a heavy meal;
• in cases of observation of flatulence;
• if you feel sick;
• if diarrhea suddenly occurs.

What diseases can force a woman to take Festal while breastfeeding:

• pancreatitis, acute or chronic during exacerbation;
• chronic diseases of the gastrointestinal tract;
• postoperative period of adaptation of the body, if, for example, the stomach or part of it was removed; a condition causing indigestion, constipation or diarrhea;
• sedentary, sedentary lifestyle.

Read more about how to take Festal for pancreatitis in the detailed material.

Brief description of the medicine Festal

Let's study the original drug. This will help you understand what analogues can replace Festal.

The drug is an enzymatic agent. To determine what pathologies it helps with, let’s consider its composition.

The medicine "Festal" includes 3 enzymes:

• lipase,
• protease,
• amylase.

These components perfectly break down fats, carbohydrates and proteins. In addition to the above-mentioned digestive enzymes, Festal contains bile extract and hemicellulase. Such ingredients contribute to the digestion of all food components and coarse fibers. Thanks to them, complete absorption of essential fat-soluble vitamins is ensured.

The drug “Festal” not only provides the body with ready-made enzymes, but also helps to activate the body’s own system.

Thus, the medicine provides 2 important functions:

1. Supplies missing enzymes needed to digest food.
2. Makes the pancreas function more actively.

The main indications for prescribing this medication are:

1. Chronic pancreatitis, in which there is insufficient enzymatic function of the pancreas.
2. Large losses of bile acids caused by the removal of bile.
3. Impaired chewing function caused by low mobility.
4. Diffuse liver pathology, which is based on toxic damage or alcohol, cirrhosis.
5. Dysbacteriosis.
6. Impaired circulation of bile acids as a result of narrowing of the bile ducts.
7. Inadequate digestion of food, provoked by heavy consumption of food or errors in nutrition.
8. Impaired formation and secretion of bile, observed in chronic diseases of the digestive organs.

Now, knowing the mechanism of action and the main indications for using the product, let’s consider whether there is a cheap analogue of Festal.

The cost of this drug on average varies between 107-201 rubles.

Analogues of Festal and Mezim

A complete analogue of Mezim is Pancreatin, which has the same indications, prescription restrictions, and undesirable effects.

Pancreatin is a complete analogue of Mezim

What is the difference between Festal and Pancreatin. First of all, they differ in their composition. Pancreatin is a partial analogue of Festal; they have the same indications for use and adverse reactions. But the contraindications for use of these drugs differ. What is better Festal or Pancreatin? The bile contained in Festal can provoke the movement of stones in gallstone disease. This can cause blockage of the bile ducts. Complete obstruction will provoke an enlargement of the liver and stretching of its capsule. All this is accompanied by constant dull pain and a feeling of heaviness in the right side. Obstructive jaundice develops, in which there is discoloration of stool, yellowing of the skin and sclera of the eyes. There may also be a rise in temperature, excessive sweating and cramps.

Therefore, in case of cholelithiasis, preference should be given to Mezim or Pancreatin.

Another complete analogue of Mezim and Pancreatin is Creon. Its active substance is also pancreatin, but the drug is produced in gelatin capsules, each of which contains mini-microspheres coated with an enteric coating. Creon is convenient to use for the treatment of small children who cannot swallow Festal tablets or Mezim and Pancreatin tablets without chewing or crushing them. And if the integrity of the dosage form is compromised, then its contents will be destroyed by the action of gastric juice and there will be no effect from taking enzymes. Therefore, in children it is advisable to use Creon rather than Festal, Mezim or Pancreatin; for this, the gelatin capsule must be opened and its contents mixed with water or food and given to the child.

Instead of Creon, children can be given Micrasim. It also contains pancreatin and is available in gelatin capsules containing pellets - solid particles coated with an enteric coating, the size of which varies from 2000 to 5000 microns. But Mikrasim costs less than Creon.

It is difficult to say unequivocally that Festal, Mezim or Pancreatin is better. The doctor must decide; only a specialist can select the right drug, taking into account existing contraindications for use. In addition, only a doctor can choose the correct dosage and duration of therapy.

With chronic diseases of the intestines or stomach, various disturbances in the gastrointestinal tract occur. To restore the normal regulatory activity of the digestive system, pancreatin, produced by the pancreas, is necessary. In case of limited secretory activity of the gland, drugs containing pancreatin are prescribed, which include Festal.

Patients' opinions

So, if you think that the drug "Festal" is expensive, there is a cheaper analogue. Reviews from patients show that many of them, of course, after consulting with a doctor, have perfectly chosen a budget remedy for themselves.

What do patients think about the drug "Pancreatin"? The opinions of patients were divided. Some claim that the drug “works,” others advise using it only to normalize digestion caused by a hearty meal. Moreover, all people who used Pancreatin tablets claim that they did not encounter any side effects.

The product "Gastenorm" received excellent reviews. It effectively eliminates all negative symptoms and can have a quick effect on the body.

However, remember that choosing the drug yourself is very dangerous.

How to use - method and dose

Festal for diarrhea should be taken 1 tablet three times a day. The duration of the therapeutic course is one and a half weeks. The medicine is taken before meals. The tablet does not need to be broken or chewed; it is swallowed whole and washed down with water. For children over three years of age, the medication is prescribed if there are special indications.

Only a doctor can select the dosage of Festal for diarrhea or adjust it, taking into account the pathology, its severity and the individual characteristics of the body.

Breast-feeding

Breastfeeding women are also susceptible to digestive disorders, which Festal can eliminate:

1. Thanks to pancreatin, proteins, fats, carbohydrates are broken down, and beneficial substances penetrate to the internal organs along with the bloodstream.
2. Under the influence of hemicellulose, fiber is broken down, flatulence and the amount of gas in the intestines are reduced.
3. Bile stimulates the pancreas, improves the absorption of beneficial micronutrients and fat.

Festal therapy during lactation

Enzyme medications are prescribed when the expected benefit to the mother outweighs the potential risk to the child. The drug can be used only with prior agreement with your doctor.

Indications for taking an enzyme preparation

Most often, pregnant women use enzyme preparations after overindulging in sweet, salty, and fatty foods. A surge in hormones and rapid growth of the fetus can increase appetite and provoke gastrointestinal dysfunction. To prevent such disorders, moderate physical activity, diet, drinking regimen, and medication are indicated. Festal is prescribed to patients with the following symptoms:

• sedentary lifestyle;
• violation of chewing and swallowing functions;
• chronic pancreatitis;
• dysbacteriosis;
• gallbladder dysfunction;
• flatulence;
• chronic stool disorders.

The fetus is constantly growing, the size of the uterus increases and compresses the organs located nearby. This can also cause gastrointestinal dysfunction, which an enzyme remedy can help treat.

Pharmacological properties of Festal

Festal improves the breakdown of proteins, fats and carbohydrates entering the body with food. Analogs of the drug - Digestal, Enzistal, Penzital. The enzymes amylase, protease and lipase included in the drug promote the absorption of nutrients. Bile extract has a choleretic effect, improves the absorption of fats and vitamins A, K, and stimulates the pancreas. Bile acids correct disorders associated with the formation of bile, which often occur in chronic pancreatitis. The enzyme hemicellulase helps in the absorption of plant fiber, thereby improving digestion.

Festal is prescribed for chronic pancreatitis, for pathological conditions that are manifested by impaired digestion of food, a tendency to constipation, and flatulence. The drug is used together with other drugs in the treatment of diffuse liver diseases (with toxic and alcoholic lesions) and cirrhosis, for disorders of the biliary tract, accompanied by impaired circulation of bile acids, for dysbacteriosis, for dysregulation of the processes of formation and separation of bile in chronic duodenitis, chronic gastritis, chronic cholecystitis. Festal is prescribed to normalize the digestion and absorption of food when changing the diet, with a sedentary lifestyle, or with impaired chewing function.

Festal is taken in preparation for ultrasound and x-ray examination of the abdominal cavity.

Description and composition

The drug is a mixture of standardized pancreatic enzymes. 1 tablet contains 192 mg, which is also equal to:

• 4500 units of amylase.
• 6000 units of lipase.
• 300 units of proteases.

In addition, the composition includes 25 mg of bile components and 50 mg of hemicellulase, which increases the effectiveness of the main active ingredients.

Recently, a new form of the drug has appeared in pharmacies - Festal Neo, which is gradually replacing the usual Festal and is more effective. A more modern product contains an increased amount of pancreatic enzymes:

• 10,000 units of lipase.
• 7500 units of amylase.
• 375 units of proteases.

However, the new drug does not contain bile components.

Festal and its analogues

There are many drugs that can cope with those problems, which Festal also helps with. Let us list what analogs Festal has, the active composition of which is completely identical to its composition (include pancreatin, bile and hemicellulase):

Other similar drugs differ slightly in composition, including only pancreatin (the enzymes amylase, lipase and protease may be contained in different concentrations). These include:

• Creon;
• Pangrol;
• Mezim;
• Micrasim;
• Hermital
• Panzikam;
• Pancitrate;
• Gastenorm forte;
• Eurobiol and others.

Festal or Mezim?

Some people are interested in what is better – Festal or Mezim, and how these drugs differ. Mezim includes only pancreatic enzymes, and Festal also includes substances that improve the digestion and absorption of fats, helping to digest difficult-to-digest plant fiber. Which of these drugs is more rational to use in each specific case, the doctor can tell you based on the diagnosis.

Festal or Pancreatin?

When comparing these two drugs, it should be taken into account that Pancreatin contains only pancreatic enzymes. In some cases, Festal can be used instead of Pancreatin and vice versa, but such recommendations should only be given by specialists. It should be noted that the drug Pancreatin is produced by a domestic manufacturer, which determines its lower cost.

How long should I take Festal?

How long can you take Festal without a break?

Here is what is written in the annotation to the festal regarding the duration of its use:

But the fact is that festal contains digestive enzymes that improve digestion. The human body also produces enzymes for the same thing. And if Festal is taken for a long time, then the body may stop producing its enzymes for digestion: why produce them if they come from outside? And it turns out that after stopping long-term use of Festal, digestion can be completely disrupted.

When is it prescribed and in what cases is the use of Festal contraindicated?

There are a number of situations and diseases when a woman is prescribed a course of Festal while breastfeeding her baby.

It will have a positive effect on restoring the digestive process in the following cases:

1. When, after eating, there is a feeling of heaviness in the epigastric region, with a feeling of bursting pain.
2. If symptoms of increased gas formation (flatulence) appear in the intestines.
3. If spontaneous cases of dyspepsia occur (diarrhea appears, a feeling of nausea occurs).
4. Chronic diseases of the stomach and intestines (pancreatitis, enterocolitis).
5. If surgical therapy was performed on the stomach or gall bladder.
6. When a woman leads a sedentary lifestyle, and daily work necessitates prolonged sitting at a desk (at a computer monitor).

Situations that limit the scope of use of this dosage form:

1. Acute process in the pancreas, or exacerbation of chronic pancreatitis.
2. The development of hepatitis, the etiology of which involves a mechanical factor, which causes dysfunction in the liver.
3. Concretions (stones) in the gallbladder and the presence of purulent inflammation in it.
4. If a laboratory test reveals an increased level of bilirubin in the blood plasma.
5. Partial or complete obstruction of the intestinal tract.
6. Systematic disorder of defecation, with frequent manifestations of diarrhea.

What Festal helps with: indications

• insufficiency of the exocrine function of the pancreas in chronic pancreatitis in combination with biliary insufficiency due to various pathological conditions, clinically manifested by impaired digestion of food, flatulence, a tendency to constipation, as part of combination therapy for: diffuse liver diseases - alcoholic and toxic liver damage, cirrhosis of the liver
• large losses of bile acids (in patients after cholecystectomy); impaired circulation of bile acids, observed in biliary dyskinesias, dysbiosis, malabsorption; impaired neurohumoral regulation of the processes of bile formation and bile secretion in chronic gastrointestinal diseases - chronic gastritis, chronic duodenitis, chronic cholecystitis
• to improve food digestion in patients with normal gastrointestinal function in case of errors in nutrition, as well as in cases of impaired chewing function, forced long-term immobilization, and a sedentary lifestyle
• preparation for x-ray and ultrasound examination of the abdominal organs.

Festal during lactation

Festal is a popular enzyme remedy that is used to normalize digestion. According to the instructions, the drug is prescribed for breastfeeding only if the benefit to the mother is higher than the potential risk to the newborn. The medication is taken only after a doctor's prescription.

To ensure that the medication is effective for the mother and safe for the baby, follow the rules for taking it while breastfeeding:

1. Take Festal immediately after breastfeeding your baby.
2. After taking the drug, express the milk until there is slight relief in the chest and remove it. For information on how to do this, read the article at the link.
3. Self-administration of the drug is allowed only if there is an urgent need.
4. Monitor the newborn closely after taking the enzyme preparation. If you notice that your child’s health has changed for the worse, stop taking the drug and consult your doctor.
5. Monitor your diet during treatment with Festal. It is recommended to consume pomegranate juice, rye or stale bread, and rice cereal.
6. Take the pills with meals, drink only still water, juice or tea are not suitable.
7. Do not chew the tablet, as the enzymes must be released only in the intestines, otherwise the medicine will not be effective.
8. After using the drug, take a horizontal position so that the enzyme is better absorbed and dissolved in the intestines.

The dosage and frequency of administration are determined exclusively by the attending physician; a lactating woman must strictly adhere to the instructions of the gastroenterologist. Self-medication is dangerous for a nursing mother and her baby.

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Use of Festal for diarrhea

Before starting treatment, it is necessary to find out the cause of diarrhea. If diarrhea is caused by an intestinal infection, accompanied by sharp pain in the lower abdomen and green, loose stools, then such diarrhea should be treated in a hospital setting with antibiotics and antiseptics, under the supervision of professional doctors.

Here the festal will be powerless.

Festal is used according to a short scheme as a drug that helps get rid of diarrhea if the stomach upset was temporary and occurred after poisoning with low-quality alcohol, eating stale food or during the period of acclimatization.

Types of treatment for diarrhea (depending on the cause)

1. For functional diarrhea and cramps in the intestines, complete rest and a warm heating pad will ease the patient’s condition.
2. In case of poisoning of the body, with symptoms of diarrhea, it is necessary to take absorbent medications such as activated carbon, smecta and others.
3. Infectious diarrhea is treated with antibiotics: chloramphenicol, ampicillin.
4. For dysbiosis, doctors prescribe medications containing bacteria.
5. If diarrhea is associated with pancreatic insufficiency, enzyme preparations such as Festal are prescribed to improve the digestive process.
6. With severe diarrhea, nausea and vomiting, the body's water supply will decrease, so you need to replenish the balance. After gastric lavage, you should drink water in small sips so as not to cause repeated vomiting. If the patient does not feel nauseous, you can give him tea with herbs in small portions - it will help replenish and restore the supply of necessary microelements (calcium, potassium, magnesium, sodium, etc.) and fluid.

Reviews

In most cases, this medication has positive reviews, both from patients and from practitioners who treat pathological processes in the stomach and intestines.

Natalya V. (37 years old):

After giving birth, the problem of heaviness in the stomach after eating arose, heartburn and unpleasant belching appeared. Surprisingly, the doctor prescribed the drug Festal, but it is not of the new generation. However, its use during the first three days made it possible to get rid of heaviness in the stomach, and after 4 days the heartburn and belching disappeared. Excellent quality at a low price.

Svetlana. M. (30 years old):

Stomach problems arose after a difficult birth. Any food began to cause bloating, and was accompanied by a feeling of nausea and abdominal pain. I consulted a doctor because I am breastfeeding my child and do not want to switch to artificial feeding. The doctor advised Festal. I didn’t expect that all the unpleasant symptoms disappeared in 2 days.

Maria K. (40 years old, general practitioner):

I am often approached by women whose enzymatic activity of the pancreas has been disrupted after childbirth. Festal allows you to eliminate the negative symptoms of this process in a short time. At the same time, you do not have to overpay, since the latest generation of medicines have a high cost.

In addition, clinical trials regarding their safety are often incomplete, and information on their safety during lactation is lacking.”

Is it possible to have Festal while breastfeeding or not? This is the main question asked by the fair sex when visiting a doctor.

Tests and many years of practice prove its safe action if it is prescribed by a doctor, and the woman complies with all recommendations and prescriptions.

Due to the fact that its breakdown occurs in the small intestine, penetration into the systemic circulation is reduced to a minimum.

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Tips and tricks

Eating with diarrhea should be done with caution. Eliminate from your diet dairy, fermented milk and flour products, fresh vegetables and fruits, foods that can cause fermentation and irritation of the mucous membranes of the stomach and intestines.

You can eat cereal porridge, rice, chicken broth, black bread or white bread croutons, and boiled eggs.

Meals should be frequent and in small portions. Food must be chewed thoroughly. Drink at least two liters of fluid per day

By following all the necessary recommendations, you can get rid of diarrhea quickly, without unpleasant consequences and complications. In any case, if you take a medication for treatment, it must be prescribed by your doctor.

Festal: method of administration and dosage

In the modern world, medications play a big role in human life. Each family has its own first aid kit, and sometimes a huge pharmacy, which contains dozens of medications for many diseases. Almost everyone is sure that if they take just one more pill, the disease will immediately recede. But this approach is wrong.

Any medicine must be taken at a strictly defined time, in the right quantities and, of course, only on the recommendation of a doctor. Although many medications can be bought at a pharmacy without a prescription. In this case, you must carefully read the instructions for the drug.

Many people have the drug Festal in their medicine cabinet. It is known that it can quickly help with digestive disorders, for example, on days of heavy holiday feasts.

How to take Festal correctly so that the effect of this medicine is the best? How to take a Festal tablet without harming your body? Is it possible to use this medication systematically? What drugs can it be combined with, and what drugs absolutely cannot? Will Festal help if a person drank alcohol at dinner or is this medicine useless in this case?

When should Festal be used?

Festal is prescribed to children for various diseases of the digestive system.

For example:

• chronic form of pancreatitis in remission;
• acute form of colitis;
• pathology of the duodenum;
• gastroduodenitis and other diseases.

When giving Festal to children, adults should make sure that the child swallows the tablet whole, without chewing it and drinking plenty of water.

By damaging the shell, the effectiveness of the drug is reduced. Children can be offered juice as a liquid, but not concentrated, but diluted with boiled water in a 1:1 ratio.

Compound

The product contains active ingredients: pancreatin, hemicellulose and bile enzymes. It is much more efficient than many radars and cheaper than imported analogues.

In addition, the tablets contain additional auxiliary ingredients:

• sodium chloride (table salt);
• cellacephate;
• ethyl vanillin;
• castor oil;
• sugar;
• gelatin;
• methyl parahydroxybenzoate;
• dextrose in liquid form;
• propyl parahydrobenzoate;
• gum;
• calcium carbonate;
• talc;
• titanium dioxide.

This composition ensures the complex effect of the tablets.

The website about the drug provides information about the purpose of this or that drug and what the instructions for using Festal are, and makes it possible to familiarize yourself with the photo.

Please note that the medicine is available only in pill form. This dosage form is most suitable for the drug to begin its action in the small intestine. It is the enzymes released under these conditions that help food digest faster. Even one pill can eliminate the symptoms of overeating.

Are there any risks for the future or born child if the mother takes Festal: doctor’s answer

To make Festal safer when breastfeeding, it is recommended to adhere to the following recommendations:

• take medications immediately after breastfeeding;
• after using the medication, express milk to relieve the breast;
• monitor the baby’s well-being and behavior after feeding during enzyme therapy;
• Use the pills during the main meal, wash down with a small amount of plain water;
• you should not bite the tablet, because the active substances must be activated in the small intestine, in an alkaline environment;

To reduce the possible risk for mother and child, it is recommended to refrain from self-medication with Festal during breastfeeding.

How can Festal be replaced in the treatment of pregnant and lactating women: list of the safest drugs

It is recommended to entrust the selection of a suitable replacement medication to your doctor. The specialist may suggest taking other enzyme preparations that alleviate the symptoms of gastrointestinal dysfunction and do not have a negative effect on the course of pregnancy. The possibility of using Mezim, Pancreatin, Creon is being considered as analogues.

The course of pregnancy depends on the diet, the psycho-emotional state of the woman, and the environment. To ensure that pregnancy is easy and not accompanied by gastrointestinal disorders, it is recommended to monitor your diet, introduce moderate physical activity, and promptly seek medical help. You should not eat fatty, heavy foods, drink, or lead a sedentary lifestyle.

Main characteristics and pharmacological parameters of the drug Festal

This dosage form belongs to the pharmacological group of medications that restore the enzymatic activity of the pancreas and normalize bile production.

The therapeutic effect is achieved due to the presence of the following enzymes:

• Amylase, the percentage of Festal is 4500 Action Units;
• the share of Lipase is 6000 units;
• Protease contains no more than 300 Action Units;
• Hemicellulose - 50 mg.

The content of bile extract components is within 25 milligrams. It is synthesized by processing bovine bile acids.

In addition, additional ingredients are used in the production of this medicine:

• Sodium chloride and titanium dioxide;
• sugar and liquid glucose;
• Castor oil;
• Talc and calcium carbonate;
• Gelatin and Glycerin.

The therapeutic effect is directly related to the presence of enzymes:

1. Amylase digests foods high in carbohydrates.
2. Lipase. Thanks to this enzyme, fats are broken down in the intestinal tract.
3. Protease. Provides rapid processing of food, which contains proteins (proteins).
4. Hemicellulose. Due to its action, coarse fiber is processed, and at the same time, the process of gas formation in the intestines is reduced.
5. Bile acids eliminate the biliary insufficiency complex (a symptom complex, the manifestation of which is a reduced release of bile and bile acids into the intestines). In addition, the absorption of fat-soluble vitamins (A, E, K) improves.

The effect of the drug is not accompanied by penetration into the systemic bloodstream. This allows you to use Festal while breastfeeding.

How does Festal work?

The therapeutic effect of Festal occurs in the lumen of the small intestine, where food masses are processed by various enzymes and bile. If bile and enzymes are produced and supplied in insufficient quantities, the digestion process is disrupted: some food ingredients are poorly absorbed, vitamins and other useful substances are poorly absorbed, and the processes of fermentation and putrefaction begin. The drug compensates for the insufficiency of biologically active substances for digesting food.

How does Festal work?

When Festal tablets enter the intestinal cavity, they promote digestive processes, performing replacement functions and helping:

• break down protein compounds into amino acids;
• digest carbohydrates, breaking them down into dextrins and monosaccharides;
• break down fatty compounds into glycerol and fatty acids;
• facilitate the absorption of fat-soluble vitamins A, E and K;
• break down plant fiber;
• stimulate the production of your own digestive enzymes and bile.

Taking into account the effects described above, it becomes clear why Festal helps. This multi-enzyme medicine not only improves the processes of digestion of food eaten, preventing the development of uncomfortable symptoms, but also helps beneficial elements to be more fully absorbed, saturating the body with them. The drug can be used occasionally if necessary, for example, before a festive feast, when eating difficult-to-digest foods, which will guarantee good health after the meal.

Festal - side effects

Like all drugs, Festal may exhibit adverse reactions due to the individual sensitivity of the patient’s body to its components, the presence of other pathologies, incorrect dosage regimen and other factors. Possible side effects include:

• allergic reactions (rash, redness of the skin, swelling, itching, rhinitis, lacrimation);
• nausea;
• loose stools;
• pain and discomfort in the abdomen;
• increased level of uric acid in the blood (with prolonged use, exceeding the dosage);
• perianal irritation (in children).

Interaction with drugs of other pharmacological groups

Before prescribing this medication, the doctor determines which medications the patient is using.

This is due to the fact that Festal can enter into drug interactions.

Therefore, the following situations are taken into account:

1. Simultaneous administration with antibacterial agents and drugs of the sulfonamide group can enhance their effect.
2. Combined use with medications that contain iron can lead to a decrease in their therapeutic effect.
3. Antacids reduce the positive effect of the main ingredients of pancreatin (it is part of Festal).
4. Cross interaction enhances the effectiveness of Cimetidine (used in the treatment of gastritis and gastric ulcers).
5. The ability to absorb vitamin B9 (Folic acid) is reduced. It is very important for the female body, as it normalizes the functioning of the intestines and stomach, while simultaneously preventing the development of anemia.

Cases when Festal can cause harm

Festal is contraindicated for children in acute or chronic pancreatitis at the acute stage. Also, it should not be taken for severe liver diseases and intestinal obstruction. Festal should be given with caution to children prone to allergic reactions, since the components included in this drug can cause skin rashes and inflammation of the mucous membranes of the mouth, nose and eyes.

It is also not recommended to use the drug in children with iron deficiency anemia, since Festal contributes to the deterioration of iron absorption and can cause a decrease in hemoglobin levels and a deterioration in the child’s condition.

Despite the fact that Festal can be purchased at a pharmacy over the counter, it should not be used to treat the digestive system in children without first consulting a doctor, especially under three years of age. This can trigger the development of other more serious pathologies in the gastrointestinal tract.

Author : Skryagina Ekaterina, especially for the site Zhkt.ru

What causes diarrhea

Indigestion is caused by indigestion. This condition is characterized by severe attacks of abdominal pain followed by bowel movements (loose stools) several times a day.

There are chronic and acute forms of diarrhea.

There are many reasons why diarrhea can occur. This:

• Acute intestinal infection (presence of harmful E. coli, dysentery)
• Food poisoning of the body
• Diseases of the stomach organs that are chronic (ulcers)
• Diseases of the intestinal organs
• Endocrine system diseases (diabetes mellitus)
• Oncological diseases of various organs
• Irregular eating
• Intestinal dysbiosis (long-term use of antibiotics)
• Poor personal hygiene
• Stress, anxiety, anxiety and nervous shock.

The first four reasons are the main ones. As a result of these reasons, diarrhea occurs in half a percent of cases.

Forms of diarrhea are divided into:

With prolonged diarrhea, severe dehydration may occur. In this case, you should definitely consult a doctor (gastroenterologist or therapist).

Rules for taking Festal during pregnancy and breastfeeding

Festal is taken with a meal, washed down with a small amount of water. If a woman forgot to take the medicine with food, you can use the pill immediately after eating. A single dosage for an adult is up to 2 tablets. The frequency of administration per day is 2-3 times. The dose and duration of the course must be agreed with your doctor. The instructions indicate that the medicine can be used only in case of objective indications, after consulting with a gynecologist.

When overeating, eating excessively spicy, fatty, heavy foods, a single, symptomatic use of Festal is indicated. If digestive disorders are caused by a surge in hormones, the medicine can be used for 2-3 days. The chronic course of gastrointestinal and pancreatic dysfunction requires a longer course of treatment.

Analogues and prices

Among foreign and Russian analogues of Festal there are:

Creon 10000. Manufacturer: Abbott (Germany). Price in pharmacies from 295 rubles. Mezim forte 10000. Manufacturer: Berlin-Chemie/Menarini (Germany). Price in pharmacies from 187 rubles. Hermital. Manufacturer: Nordmark Arzneimittel (Germany). Price in pharmacies from 474 rubles. Penzital. Manufacturer: Shreya (India). Price in pharmacies from 64 rubles. Enzistal. Manufacturer: Torrent (India). Price in pharmacies from 127 rubles.

Conditions for storage and purchase in the pharmacy chain

The optimal conditions for preserving the medicinal qualities of this medication are temperatures not exceeding 25 degrees Celsius.

The dragee can be stored for up to 3 years from the date of manufacture. In this case, the drug should be stored in its original packaging.

It is necessary to choose a place in the apartment so that the medicine does not end up as a toy in children’s hands.

In the pharmacy chain, Festal can be purchased without presenting a prescription form.

Depending on the region of Russia, the cost will range from 125 to 150 rubles per package containing 20 tablets.