Hilak forte: indications for use for children. Instructions

Release form and shelf life

The drug is available in two forms:
In bottles of 100 ml and 30 ml, both flavored and non-flavored;

In sachet volumes of 2.2 mg or 1.1 mg, packaged in cardboard boxes of 30 pieces.

There is no other form of release in tablets, syrup or capsules for this drug.

Each bottle (necessarily made of dark glass) is equipped with a dropper.

Manufacturer: German pharmaceutical company.

It should be stored at room temperature within 15-25 degrees and away from children.

Shelf life after opening is no more than 6 weeks.

Each package is supplied with detailed instructions. Available without a prescription.

The price of medicine in a bottle varies from 500 rubles and above for a bottle of 100 ml and above 300 rubles for a bottle of 30 ml.

The price for the drug sold in sachets is approximately the same.

Properties, composition and release form of the drug

Pregnant women often experience digestive problems. This is due to the growth of the abdomen, which puts pressure on the walls of the stomach. As a result, stomach acid enters the esophagus, causing heartburn. In the early stages, toxicosis may appear, which is accompanied by nausea. It appears due to disruption of the endocrine system.

Some hormones necessary for the normal course of pregnancy can negatively affect the body. For example, progesterone, which is produced to reduce uterine contractility and prevent miscarriage, affects the lower intestines. It slows down peristalsis, prevents the movement of feces, and as a result, the woman becomes constipated. To relieve symptoms, doctors recommend taking Hilak forte.

The drug is completely natural, so it is allowed to be used throughout pregnancy, during breastfeeding and given to infants after birth. The medicine is a prebiotic. The action of the drug is aimed at destroying pathogenic microorganisms and increasing the number of beneficial bacteria in the intestines. As a result of the normalization of microflora, many problems of the gastrointestinal tract disappear.

Hilak Forte is produced in glass bottles of 30 and 100 ml. The bottle is equipped with a lid with a dispenser, thanks to which it is convenient to measure the required dose of the drug. The product is produced only in the form of drops.

Drugs with similar effects

There are quite a few analogues of Hilak Forte. Reviews about them also vary, because the products differ in the components they contain and in price. The cost of the drug in question is quite high. The medicine can be purchased at the pharmacy for 400–500 rubles. Analogs exist, both cheaper and much more expensive.

Among the products with a similar effect are:

• "Linex";
• "Licidophilus";
• "Entrogermina";
• "Laktiale".

On the Internet you can find different reviews about these drugs. There are patients who are satisfied with the replacement, while others report a complete lack of effect. If you were unable to purchase Hilak Forte or it is not suitable for some reason, then your doctor should select another medicine. In this case, the indications, the patient’s age and the characteristics of his health are taken into account.

Is it possible to take Hilak Forte during pregnancy?

As you know, during the period of bearing a baby, every woman should be especially attentive to her health. After all, the condition of her unborn baby depends on this. The drug "Hilak Forte" is not contraindicated during pregnancy. This is exactly what the instructions indicate. What do the experts say?

Doctors say that taking this medication during pregnancy is possible. However, for this there must be strong evidence. Before prescribing this medication, you must take into account possible contraindications and restrictions. It is also worth choosing an individual dosage in each individual case.

Mode of application

Hilak Forte for diarrhea and other disorders in the gastrointestinal tract and the body as a whole is recommended to be taken before meals, or combined with meals. The prescribed number of drops must be dissolved in drinking water or any other liquid that does not contain milk proteins.

Taking the drug in adults

At the initial stage of the course, adults are prescribed the drug in a dosage of 40-60 drops. three times a day. Next, you need to gradually reduce the number of techniques.

If the pathogen Helicobacter Pylori is detected in the gastrointestinal tract, Hilak Forte drops act as an additional drug to the course of taking Galstena, Smecta, etc.

It is highly undesirable to combine the intake of Hilak Forte drops with various types of alcohol! Such relaxations of discipline during the course threaten a decrease in the effect of the active components of the drug and unpredictable reactions of the body.

How many days to take Hilak Forte in each specific case is determined by the attending physician (from 2-3 days to 1 month).

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Taking the drug by children

The manufacturer's instructions clearly indicate the minimum age from which you can drink Hilak Forte - 2 years. But sometimes doctors go to extreme measures, prescribing the drug to infants (justified in the case when the benefits of using the drug outweigh the possible risks to the child’s health). As a rule, the dosage for infants is 15-30 drops 3 times a day. Children aged 2-12 years are prescribed a dose of 20-40 drops, adolescents from 12 years old - from 40 to 60 drops.

Overdose

There are currently no cases of overdose reported among adult patients. If a child swallows a large volume of drops, if reflex regurgitation does not occur, symptomatic therapy is recommended.

pharmachologic effect

The natural intestinal microflora can be disrupted both due to external and internal factors. For example, changes often occur as a result of taking antibiotics, exposure to radiation on the body, changes in diet and climate, stomach surgery, drinking poor-quality water, etc.

Taking Hilak Forte drops regulates the balance of intestinal microflora, restoring its natural composition. The medicine promotes the rapid growth and reproduction of normal bacteria in the intestines. The active ingredients also help improve the synthesis of vitamins and restore damaged intestinal mucosa.

In addition, studies have confirmed that the drops have a positive effect on the immune system. Thus, active stimulation of the immune response leads to an increase in the level of body resistance.

The drug is not absorbed through the blood and is excreted through the gastrointestinal tract.

Read more Instructions for using Espumisan baby drops for newborns

What's better

For adults and children, pharmaceutical companies offer many substitutes for this probiotic. We will briefly consider their main advantages and disadvantages below.

Bifiform or Hilak Forte

“Bifiform” is a fairly well-known remedy that normalizes intestinal function. Like any other probiotic, its main goal is to restore microflora. It is prescribed for both constipation and diarrhea. It is produced in various forms, including capsules, which relieves the patient of the sharp sour taste that those who take Hilak Forte often complain about. If necessary, Bifiform is prescribed to infants.

Bifiform normalizes intestinal microflora

The medicinal mixture for them has an oil base and can easily be mixed with baby food, for which the drug is available in a special form - “Baby bottle”.

Hilak Forte or Maxilak

The main purpose of "Maxilac" is to correct the microflora after the action of other medications. Compared to Hilak Forte, it has fewer indications for use. In the treatment of candidiasis, its action is inferior to some drugs. The use of Maxilak by children under 14 years of age is possible only after consultation with a doctor.

Maxilac can be taken if you are lactose intolerant

According to reviews of those who have taken Maxilac, a fairly long period of medication is required to achieve visible results. One of its main advantages is its use for lactose intolerance.

Lactofiltrum or Hilak Forte

"Lactofiltrum" is a sorbent and belongs to a group of drugs different from "Hilak Forte". To cleanse the intestines of toxins, doctors prescribe the first drug. And then, in order to fill the intestines with beneficial microflora, a second one is prescribed. Both medications are used to treat childhood skin rashes caused by allergic reactions. But the principle of their action on the body is different, so only a doctor should decide which drug is better, taking into account the individual condition of the patient.

Lactofiltrum cleanses the intestines of toxins

Hilak Forte or Linex

"Linex" is a well-advertised and well-known medicine. This probiotic is available in capsules, so the buyer will not have to suffer from the sour taste that Hilak Forte drops have. Both products balance microflora well; there is no particular difference in the specifics of their action.

Linex balances intestinal microflora

At the same time, the spectrum of action of Hilak Forte is much wider. It is prescribed to combat salmonellosis and allergic rashes, but Linex is powerless for such problems.

Hilak forte or Maxilak – which is better?

Manufacturer: Danisco, France Release form: capsules, sachets Active ingredient: bifidobacteria, lactobacilli, streptococci, lactococci

Maxilak is a modern analogue of Hilak Forte with positive reviews from doctors and patients. Intended for adults and children, available in capsules and sachets. Thanks to its complex composition, the drug suppresses the activity of pathogenic microorganisms, eliminates diarrhea, constipation and other stool disorders, flatulence and dysbacteriosis.

A significant disadvantage of the analogue, compared to Hilak Forte, is the course lasts from 10 days to a month. A package starting from 400 rubles is designed for 10 days, which makes the drug inaccessible to all segments of the population.

The medicines are similar in quality, effectiveness and mechanism of action.

Hilak Forte for children

A child's body reacts much more strongly to unfamiliar food, especially for infants (up to six months). The digestive system is still imperfect and even with breastfeeding there is a risk of dysbiosis. Hilak Forte is intended for the treatment and prevention of dysbacterial reactions, alleviation of colic, lactase deficiency, and intoxication. The drug has no age restrictions and can be used from the first days of life.

Composition and release form

Hilak Forte is a transparent yellowish solution with a sour taste and a weak specific odor. Available in bottles of 30 and 100 ml. Lactose is included in the medicine as a waste product of bacteria, so patients with lactase deficiency should consult a doctor before use.

Pharmacological properties

The drug is used in cases of disruption of the physiological intestinal microflora due to treatment with antibiotics, operations, poor nutrition, changes in water and climate. In addition, Hilak Forte - instructions for use for children is used at an early age when signs of dysbiosis appear (colic, green stool, bloating). The main purpose is to create a balance between beneficial and opportunistic bacteria, normalize and restore the intestinal microflora, which provides conditions for the normal functioning of the intestinal mucosa.

The drug contains biosynthetic lactic acid and its buffer salts; they restore normal stomach acidity, regardless of whether it was high or low. The medicine contains short-chain volatile fatty acids, which restore the disturbed balance of microflora in infectious diseases of the gastrointestinal tract, stimulate the restoration of epithelial cells of the intestinal walls, promote the regeneration of water-electrolyte balance in the intestinal lumen and the absorption of electrolytes.

As a result of the use of the drug, the natural synthesis of vitamins K and B occurs. Hilak Forte helps stimulate the immune response, which increases the body's protective functions, and is used for salmonella enteritis in infants. When used, accelerated elimination of salmonella in infants is observed due to stimulation of the growth of acidophilic anaerobic flora. Hilak Forte is not absorbed into the blood and is excreted through the gastrointestinal tract

Indications for use

Hilak Forte is prescribed at any age, including infants from the first days of life with:

• disorders of the gastrointestinal tract after treatment with antibiotics, sulfonamides, radiation and chemotherapy;
• dyspesia;
• stomach upset (poor circulation, flatulence, constipation, diarrhea);
• colitis, gastroenteritis, nausea, heartburn;
• disorders of the gastrointestinal tract in old age (atrophic, chronic gastroenteritis);
• skin irritations;
• salmonellosis during the recovery process;
• anacid states;
• enterogenic diseases of the liver and gall bladder.

Properties and composition

The drug is a brownish or yellowish solution with a slight sour odor. Active components are germless aqueous substrates of metabolic products of the following strains:

1. Escherichiacoli - Escherichia coli;
2. Streptococcus faecalis - fecal enterococcus;
3. Lactobacillusacidophilus - anaerobic non-spore-forming bacteria;
4. Lactobacillushelveticus is a strain of probiotic bacteria.

In addition, the medication contains lactose as a product of bacterial metabolism. Excipients include citric, lactic and phosphoric acids, potassium phosphate and sorbate, as well as sodium phosphate.

The main direction of action of the drug is the normalization of intestinal microflora, disturbed under the influence of various factors.

Poor nutrition, operations on the gastrointestinal tract, radiation, taking certain medications - any of these external influences can cause the proliferation of pathogenic microorganisms. Additional damage to health is manifested in the fact that the water-electrolyte balance is disturbed, acidity changes and the synthesis of epithelial cells of the intestinal mucosa slows down.

Drops help eliminate the above problems. The complex of bacterial metabolic products acts in several directions.

Biosynthetic lactic acid and its compounds restore the acid-base environment, gram-positive and gram-negative bacteria accelerate mucosal regeneration, and volatile fatty acids improve the absorption of sodium, chlorine and water.

The result of the course of treatment is a healthy intestine that fully performs its functions. The drug does not penetrate into the blood and is completely eliminated through the gastrointestinal tract.

special instructions

When taking drops regularly, it is not recommended to consume lactic acid products. It is acceptable to consume a small amount of fermented baked milk or kefir; the fat content of these dairy products should be zero. Drinking milk while taking the drug is prohibited. The drug does not affect driving or operating complex mechanisms.

The drug does not enter the blood, but is excreted through the gastrointestinal tract

Therefore, patients who have increased acidity of gastric juice or are diagnosed with reflux esophagitis, a chronic disease associated with the reflux of stomach contents into the esophagus, should take the medicine with caution. The maximum daily dose for such patients is 6 ml, 2 ml at each dose

During pregnancy

The use of the drug during pregnancy or lactation is not contraindicated. The active ingredients do not pose a danger to the health of the mother and unborn child. The dosage regimen is designed to take 30 drops orally three times a day. It is better to add the medicinal solution to a small amount of liquid (about 100-150 ml) and stir.

Hilak Forte for children

Digestive disorders and dysbacteriosis occur very often in children. In pediatrics, drops are used for children of any age. Timely improvement of intestinal flora is mandatory for an organism that grows and develops. The dosage for children from one year of age is 20-40 drops, which are taken 3 times a day before meals or directly during meals.

The duration of therapy depends on the child’s condition and ranges from 2 weeks to several months. If the dynamics are positive, as diagnosed by the attending physician, the daily dosage of the drug is halved. The drug normalizes the level of acidity, rids the digestive organs of pathogenic flora, and naturally restores the healthy biological composition of intestinal bacteria.

For babies and newborns

It is acceptable to give medicine to children from the first days of life. Imperfect digestion processes cause intestinal colic, constipation, diarrhea, lactose deficiency, and dyspepsia in infants. The listed conditions are indications for prescribing the drug. The use of the drug is recommended as a medicine for the prevention of disorders of the microflora of the gastrointestinal tract:

• when diagnosing respiratory infections;
• use of antibiotics, OKI suppositories;
• during the period of preventive vaccinations;
• during teething.

The pediatrician prescribes a preventive regimen. Due to the sour taste, it is difficult for newborns to take the drops. The attending physician will definitely give recommendations for the correct administration of the drug to infants:

• a little fructose is added to the water with drops to give it a sweet taste, or you can mix them with juice or tea (children drink sweet drinks much more willingly);
• You can add drops to breast milk, but mixing them with formula milk is unacceptable;
• mix drops with liquid in proportions 1:1 (the child will drink a small amount faster);
• It takes 3-4 days for the child to get used to the specific taste of the medicine.

Do not give your child undiluted drops. After such a dose, the child experiences reflex regurgitation and aspiration pneumonia develops. This is an acute toxic process of lung tissue, the development of which is provoked by foreign bodies, liquids, and chemicals that enter the lungs. To provide assistance, the newborn must be immediately taken to the hospital.

The use of the drug is incompatible with the use of antacid (symptomatic) drugs. This group includes Rennie tablets, Gaviscon, calcium carbonate solution and other pharmacological drugs, the action of which is aimed at relieving the symptoms of heartburn and normalizing the acid-base balance. When the drops are used together with these drugs, lactic acid is neutralized and the medicine loses its effectiveness.

Opinions about the reception

"Hilak Forte" during pregnancy (reviews often mention this) is quite difficult to take. But the whole point is what the drug tastes like. Some women during pregnancy have great difficulty consuming anything sour; it is very unpleasant for them. Others, on the contrary, happily take the medicine, and in undiluted form. A huge advantage of the probiotic is that it can be diluted with water before taking it.

Experts advise that each patient select her own, individual amount of liquid: from a teaspoon to a whole glass.

“Hilak Forte” during pregnancy really perfectly solves all the tasks that are assigned to it. If taken regularly, pregnant women quickly get rid of bloating and diarrhea, which bother expectant mothers at the very beginning of pregnancy. But closer to the end of this wonderful period, they are more worried about heaviness in the stomach, constipation and difficult digestion. And all this can be easily removed with these excellent drops.

A lot of patients are afraid to take Hilak Forte during pregnancy at the very beginning. And in some ways they are right. After all, during the first 12 weeks the vital organs and systems of the embryo are formed. And every medication that can be taken to obtain the desired effect can somehow indirectly interfere with such an important process. But it is precisely in the first trimester that pregnant women begin to experience digestive problems.

It is important that the only contraindication to the use of the medication at any stage of pregnancy is the woman’s allergic reactions and hypersensitivity to the components of the medication.

In all other cases, such drops can be used. And if the need arises in the first weeks of pregnancy, then there is no danger. You just need to take it correctly:

• 40-60 drops at a time;
• a day - three times;
• the probiotic should be taken before or during meals;
• Before taking, dilute the medicine with liquid.

Instructions for use Hilak forte

The medicine is taken orally, before or during meals. Before use, the bottle with the product must be shaken, as sediment may form during storage. You can add this prebiotic to juice, water, or tea before taking it. The average course is about 30 days, but depending on the patient’s condition it can be shortened or extended.

The dosage of the drug depends on age: for children, from the neonatal period to 2 years, it is recommended to take 5-10 drops/kg 2-3 times a day, from 2 to 12 years, 20-40 drops per dose 3 times a day, for children from 12 years and adults, a single dose is 40-60 drops, taken 3 times a day.

If there is a marked improvement in the condition, the daily dose can be reduced by 2 times.

In case of increased stomach acidity and associated heartburn, the daily dose of Hilak Forte is divided into 5-6 doses. Simultaneous use with antacids neutralizes lactic acid in Hilak Forte, so the effectiveness of the drug is somewhat reduced. To avoid this, there should be an interval of at least 2 hours between taking the drug and antacids.

A structural analogue of Hilak forte is Lactulose.

Hilak forte or Bifiform - which is better?

Manufacturer: Pfizer, Italy Release form: capsules, drops Active ingredient: enterococcus, bifidobacteria

Hilak Forte and Bifiform are high-quality foreign analogues used in children, infancy and adulthood. The first drug has one release form - drops packaged in a sachet or bottle. The second is capsules and drops for children.

Significant difference - Bifiform contains live bifidobacteria and enterococci. Hilak forte is a metabiotic, contains waste products of beneficial bacteria and lactic acid.

No studies have been conducted to compare the effectiveness of these drugs. However, according to guidelines for doctors, metabiotics (Hilak forte) are more effective than probiotics (Bifiform). The choice of analogue is made based on indications, financial capabilities, preferences regarding time and frequency of administration, and even taste.

special instructions

There have been no cases of overdose in adults or children, but you should not use the medication in dosages exceeding those indicated in the instructions.

In children, accidental ingestion may result in regurgitation. This phenomenon is dangerous because if the contents of the esophagus enter the lower respiratory tract, aspiration pneumonia can develop. It is necessary to closely monitor the child and if the condition worsens, call emergency help.

It is not recommended to combine the medication with antacids. Having the ability to reduce the acidity of gastric contents, such drugs neutralize the lactic acid contained in the drops.

The drug is sold in pharmacies without a prescription. The shelf life is 4 years from the date of issue. The production date should be looked at on the packaging. The medication should be stored in a place protected from light, at room temperature. After opening the bottle, the product must be used within 40 days. Unused solution is disposed of along with the bottle.

Contraindications and possible adverse reactions

Hilak Forte is well tolerated by the body and does not cause adverse reactions. Increasing the dosage as prescribed by the doctor will not harm the health of the woman and child.

Contraindications for use:

• Sharing with dairy products and heartburn medications is unacceptable, because lactic acid and components of antacids neutralize the beneficial properties of Hilak Forte;
• individual intolerance to individual components of the drug;
• allergic reactions.

Price and analogues

The answer to the question of how much a drug costs may vary slightly depending on local pharmacy markups. The estimated cost of a 30 ml bottle is 260,290 rubles, a 100 ml bottle costs 570,640 rubles. The price of a sachet package is about 640 rubles. (30 pcs. 2.2 ml) and 530 rub. (30 pieces, 1.1 ml each).

The price of this drug is relatively affordable and quite commensurate with its effectiveness (confirmed by numerous reviews). But if necessary, you can find analogues of Hilak Forte, which have a similar effect to it, but cost a little less.

These include:

1. “Bifidumbacterin forte” – contains bifidobacteria, normalizes intestinal microflora. Available in capsule form, 10 pcs per pack. They cost about 190 rubles.
2. "Probifor" is an antidiarrheal drug similar in pharmacological action. Approved for use by pregnant women. A package containing 2 sachets of powder for preparing a suspension costs about 140 rubles.
3. “Colibacterin” is available in powder form for the preparation of suspensions. It is an antidiarrheal drug and restores intestinal flora. 10 bottles of powder cost about 210 rubles.

Bifidumbacterin Forte is similar in composition to Hilak Forte

When choosing a cheaper analogue of Hilak Forte, it is important to look at the dosage of the drugs and the amount of active substance in the package. For 140 rubles you can buy only 2 sachets of Probifor, and for a full course of treatment you will need much more

Analogs

As analogues, preparations containing bifidobacteria and lactobacilli, which constitute the normal intestinal microflora, can be used. According to doctors, the best analogue of Hilak Forte is Bifidumbacterin capsules. The drugs Bifiliz, Bactisporin, Acylact, Bifiform are effective. The drugs Linex, Acipol, Laktofiltrum have a healing effect on the intestinal microflora.

Analogues and cost

All drugs, which, if necessary, can replace the original medication, are similar to it in their therapeutic effect, but differ in composition. One of the popular analogues is Hilak. It differs from the modified product in composition. It does not contain metabolic products of fecal enterococci and Escherichia coli, but only a concentrate of metabolic products of Lactobacillus acidophilus lactobacilli.

The cheapest popular products are Narine, Lactobacterin. Other analogues of Hilak Forte:

1. Normoflorin;
2. Acylact;
3. Bifinorm;
4. Flonivin;
5. Bifidumbacterin;
6. Enterol;
7. Bifiform;
8. Sporobacterin;
9. Acipol;
10. Linux;
11. Bificol;
12. Biosporin.

The combined medication Linex contains strains of three types of lactic acid microorganisms present in the microflora of a healthy intestine. The therapeutic and preventive effect is manifested as follows:

1. bacteria contribute to the processing of bile acids and pigments;
2. general and local immunity is strengthened;
3. bacteriocins are actively produced - biologically active substances with antibacterial properties;
4. adhesion (sticking) of pathogenic microorganisms to the walls of the intestinal tract is prevented;
5. lactic acid bacteria stimulate the synthesis of vitamins K and group B;
6. The pH shifts to an acidic environment, favorable for digestive enzymes and unfavorable for pathogenic intestinal flora.

Linex is recommended for use for regurgitation, constipation, diarrhea, dyspepsia, nausea, vomiting and other symptoms characteristic of dysbiosis.

The drug Lactofiltrum is made on the basis of plant components. It helps the body get rid of toxins, metabolic products and substances formed during the breakdown of medications.

Regardless of what caused the poisoning of the body, Lactofiltrum helps to normalize the intestinal microflora. The active substances in the composition are lactulose and lignin. The first component is a synthetic prebiotic, the second is a plant enterosorbent.

List of contraindications:

1. galactosemia;
2. obstruction of the intestinal tract;
3. bleeding in the stomach or intestines;
4. intestinal atony;
5. peptic ulcer of the stomach and duodenum;
6. pregnancy and lactation.

The drug Acipol is approved for use in adults and children over 3 months. It contains kefir grains, brought to the desired degree of activity by heating. Another active component is live acidophilus lactobacilli, which have antagonistic activity.

Acipol acts in several directions:

1. suppresses the activity of opportunistic microorganisms;
2. neutralizes pathogenic microflora;
3. returns the balance of bacteria in the intestines to normal;
4. increases immunological properties.

Bifiform contains enterococci and bifidobacteria. Both of these components are present in healthy intestinal microflora, but have different properties. Bifiform works in three parts of the digestive tract at once, acting in the stomach, small and large intestines.

The components of the product include both anaerobic and aerobic microorganisms. The latter are protected by a shell that can dissolve in an acidic environment. Thanks to this, their activity begins to manifest itself in the desired area of ​​the gastrointestinal tract.

Bifiform works in this way:

1. restores microflora to its natural state;
2. eliminates dysbacteriosis;
3. maintains optimal acidity level.

Prices for Hylak Forte start from 245 rubles. and reach 1470 rubles. The difference is due to the unequal volume of bottles and the number of pieces in the package. A sachet with a volume of 30 ml costs 250−290 rubles, 100 ml - 450−570 rubles. A package containing 3 bottles will cost the buyer 1155-1465 rubles.

Prices for Hilak Forte drops in Ukrainian pharmacies start from 72 UAH. for a 30 ml sachet. A bottle with a capacity of 100 ml can be purchased for 195 UAH. These are the average prices in pharmacies in Kherson, Odessa, and Kyiv. In Belarus, the medicine can be bought for 51 thousand rubles. (30 ml) and 124 thousand rubles. (100 ml). Hylak Forte is not available in tablets or other dosage forms other than drops.

Lactofiltrum or Hilak Forte – which is better?

Manufacturer: Avva Rus, Russia Release form: tablets Active ingredients: lignin and lactulose
Tablets Lactofiltrum is a cheaper substitute for Hilaka forte, used for acne, poisoning, and to restore and cleanse the intestines. The drug is prescribed for antibiotic therapy, vaginal dysbiosis, irritable bowel syndrome, hepatitis, cirrhosis, and allergic diseases.

Hilak forte and Lactofiltrum differ in composition and mechanism of action. The choice is individual depending on the patient’s complaints and indications.

Baktistatin has a similar effect - a combination of sorbent, pro- and prebiotic. As an analogue sorbent, it binds and removes toxins, their waste products, allergens and waste. Additionally restores intestinal microflora.

Analogs of Hilak Forte differ in their mechanism of action, composition, and pharmacological group. The drugs are dispensed without a doctor's prescription. When taking antibiotics, read the instructions for use, in particular, whether simultaneous use is possible.

Indications and contraindications

Hilak Forte must be taken with other medications. In some cases, comprehensive treatment is required, including the use of other medications.

Main indications:

1. liver diseases caused by improper metabolism;
2. gastrointestinal disorders that develop as a result of low acidity;
3. salmonellosis;
4. fecal intoxication associated with dysfunction of the kidneys, liver, and gastrointestinal tract;
5. cholecystitis;
6. dyskinesia of the gallbladder and biliary tract;
7. skin problems caused by allergies;
8. indigestion that has developed due to climate change, eating unusual or inappropriate food;
9. senile (senile) bowel syndrome;
10. excessive gas formation, loose stools, constipation;
11. treatment with antibiotics and sulfa drugs;
12. radiotherapy and the period after its completion.

Effective treatment may require a special diet, which is developed by a gastroenterologist.

Oral drops are contraindicated if the patient cannot tolerate certain components of the drug or has hypersensitivity to them. Also, the drug is not prescribed for acute diarrhea if there are blood particles in the stool and the patient has an elevated temperature.

Adverse reactions to the medication are extremely rare. Patients may complain of a feeling of heaviness and discomfort in the intestines. Such symptoms do not require any action and go away on their own after a while.

People with hypersensitivity experience allergic manifestations in the form of redness of the skin and rash. If these problems are severe enough, it is better to ask the gastroenterologist to prescribe another remedy.

Indications for use

Hilak Forte eye drops are prescribed for certain conditions and diseases accompanied by disturbances of the intestinal microflora. Main medical indications for use:

• diarrhea, characterized by an increase in pathogenic microflora;
• systemic digestive disorders caused by constipation, diarrhea, flatulence, etc.;
• dyspepsia, insufficient digestion syndrome;
• prevention of dysbacteriosis before and after antibacterial therapy;
• inflammation of the mucous membrane of the stomach, small and large intestines (colitis, enteritis, gastritis, gastroenteritis);
• diseases of the gallbladder, liver, pancreas;
• allergies accompanied by skin rashes;
• senile bowel syndrome;
• salmonellosis (during the recovery period);
• disorders of the gastrointestinal tract caused by changing climatic conditions;
• vaginal dysbiosis.

Use in pediatrics

Children under 12 years of age can be given from 20 drops at a time, but not more than 40. In case of acute dysbacteriosis, drops should be taken three times a day. If the patient's condition improves, the frequency is reduced, leaving the single dosage unchanged. For some pathologies, including increased acidity and heartburn, the daily amount is always divided into 3 doses.

A single dosage for children over 12 years of age is 40−60 drops. Initially, the medicine is given 3 times a day, then the number of doses or a single dosage is reduced, monitoring the patient’s condition. The duration of the course is determined individually depending on how the body responds to treatment.

The instructions indicate that the drug should not be used to treat infants and children under 2 years of age. Despite this, sometimes pediatricians prescribe Hylak Forte to newborns, which causes concern for parents. This prescription is justified if a small patient receives antibiotics. In addition, drops that restore intestinal flora are prescribed to infants in the following cases:

1. diarrhea;
2. constipation;
3. regurgitation;
4. unstable bowel function;
5. bloating, colic.

Infants are given the drug an hour before feeding, diluting the drops with a small amount of warm water with the addition of glucose. It is strictly forbidden to dissolve the medication with milk. The drug restores the mucous membrane, acid-base and water-electrolyte balance, while simultaneously creating a favorable environment for the development of beneficial intestinal flora. It can be given to infants only as prescribed by a pediatrician.

Reviews of the drug "Hilak Forte"

Which is better, Hilak Forte or another prebiotic? Consumer reviews indicate that this medication has a lot of advantages. So, one package of the drug is enough for several months of use. Whereas ordinary beneficial bacteria in tablets run out very quickly and are expensive. Expectant mothers also talk about the convenience of taking the medicine. Many pregnant women experience toxicosis and cannot take regular pills. Drops dissolved in water are practically not felt and do not cause a gag reflex.

Doctors often prescribe the drug "Hilak Forte" or "Linex". However, the latter medication is recommended to be taken with dairy products. The drops described above eliminate this condition. The instructions indicate that they are not recommended to be drunk with milk or other similar products. That is why the medicine “Hilak Forte” is recognized as the most universal and safe during pregnancy. It is worth noting that the drug can also be used in late pregnancy. While other medications pass into breast milk and can have a negative effect on the baby's body.

Pharmacists indicate that pregnant women use this medicine more often than other prebiotics and complexes of beneficial bacteria. After all, every expectant mother takes vitamin complexes. The described drug promotes proper absorption of vitamins. Also, the composition of the drug has a regenerating effect. "Hilak Forte" promotes the healing of damaged mucous membranes of the stomach and intestines of the expectant mother. It restores acidity, regardless of its original values.

Interaction with other drugs

Have there been any cases of drug overdose in a child?
We would like to point out that if you strictly adhere to the drug use regimen, an overdose will not occur. Otherwise, allergic reactions, as well as disorders of the digestive system, may form on the skin of the newborn. As for interactions with other drugs, it is in most cases prescribed as a maintenance agent during the active therapeutic phase with the use of an antibiotic, as well as other aggressive drugs that have a detrimental effect on the stomach, liver and intestines. In this case, there are no problems with interaction; the only thing with which it is not recommended to take Hilak Forte is with antacid medications, since lactic acid is neutralized in Hilak Forte.

Hilak forte during pregnancy, reviews

Despite the effective, safe and mild effect of the probiotic, Hilak Forte is not particularly popular among pregnant women. The main reason is the not very pleasant taste of the drug. To reduce the unpleasant impressions of the medicine, doctors recommend selecting the optimal amount of liquid for dilution. The results of therapy are positive.

• Pauline. I took Hilak Forte in the first trimester of pregnancy on the doctor’s recommendation. Complaints included noticeably severe toxicosis, as well as periodic constipation. To normalize the condition, a dosage of 15 drops per morning dose was sufficient. After just a week of treatment, I felt positive changes in my health.
• Inna. During my first pregnancy, I had fairly frequent bowel movements for almost the entire 9 months. With the onset of a new pregnancy, as prescribed by the doctor, Hilak Forte was administered from the third month, 30 drops twice a day. Intestinal function returned to normal and no side effects were observed.

Hilak forte is an effective and natural probiotic that helps support microflora and activate local immunity. The drug is safe and can be used (as prescribed by a doctor!) during pregnancy.

The effect of the drug on the expectant mother and baby

The medicine helps:

• reduce symptoms of bloating, heartburn, belching, intestinal pain;
• enhance the absorption of essential substances from food;
• cope with constipation, diarrhea, and other digestive disorders;
• reduce the production of gastric juice;
• accelerate the healing of wounds on the mucous membrane of the gastrointestinal tract;
• restore electrolyte balance;
• normalize the natural internal environment after treatment with antibiotics or chemotherapy;
• improve the microflora of the genital tract.

The instructions for Hilak Forte indicate that the medication is safe at all stages of pregnancy. It does not pose a threat to the health of the mother and, accordingly, does not harm the baby.

The most common side effects from taking the drug are:

• allergies in the form of itching and rash;
• pain in the abdomen.

Discomfortable symptoms in pregnant women occur only with excessive use of the medication. If they appear, it is necessary to discontinue treatment with the drug.

To prevent side effects, you need to take Hilak Forte strictly according to the instructions: the maximum permitted dosage of the medicine is 60 drops in one of three daily doses. As soon as your health has returned to normal, you need to reduce the volume of the product to 30 drops at a time.

Indications

The expanded composition of the probiotic significantly increases its functionality. Here's what Hilak Forte helps with:

• flatulence, constipation, diarrhea;
• reduction in the amount of natural intestinal microflora due to the use of antimicrobial drugs or radiotherapy;
• disturbance of metabolic processes in the liver;
• decreased acidity of the stomach and intestines;
• atrophic gastroenteritis in chronic form;
• disturbances in the gastric and intestinal digestive system due to sudden climate change;
• intestinal intoxication in a chronic form (nausea, poor circulation, fatigue).

Important! This drug is used exclusively in the form of maintenance therapy. Hilak Forte should be used in combination with other therapeutic measures. The dietary supplement will populate the intestines with the necessary microflora for diarrhea, but will not restore the water-electrolyte balance of the body, which has lost a large amount of fluid.

Use by infants

Principles of admission

You can give the drug to your baby only after prescribing it from a pediatrician and under his supervision. This is due to the fact that in some cases, infants under 1 year of age develop a negative reaction to the medicine in the form of nausea and irritation of the esophagus. In most cases, this is due to an overdose or improper administration technique.

Hilak Forte is available in drops. To prepare the medicine for use, the drops should be dissolved in a spoonful of warm water, and then a small amount of glucose should be added. It is necessary to mask the bitter taste that the drops have, which is unpleasant for the child. Do not dilute the drug in milk or dairy products. Feeding the baby is allowed an hour after consumption.

It is necessary to give Hilak Forte to your child for 30 days, after which you should take a break and then repeat the course. It is required to begin use with minimal doses, gradually increasing them within the permitted volume. The instructions for use state that the timing of use of the drug is individual. If there are obvious improvements before 30 days, you need to reduce the dosage by half, and then gradually abandon the drug.

Doses

For infants, the recommended dosage is 15-30 drops. Children under 1 year should reduce the dose to 15-20 drops, and after 1 year – increase to 20-40. The product must be taken 3 times a day before or during meals.

Contraindications

Drinking drops is prohibited if children have:

• hypersensitivity to any of the components of the drug;
• acute diarrhea, which is accompanied by blood in the stool.

Side effects

Hilak Forte rarely causes side effects, but their occurrence is possible. They usually appear as:

• diarrhea;
• bloating in the abdominal area;
• constipation;
• allergic reaction;
• itching;
• rashes and hives.

Basically, such effects are observed with increased sensitivity to the components of the drug.

Also, a side effect may be a reaction to the chosen method of treatment, which is based on the use of an increased dose of the drug. If any of them appears, the baby should stop taking it and consult a doctor to prescribe another drug.

Hilak Forte is often prescribed by pediatricians to children due to its positive effect on the baby’s intestines.

The method of use varies depending on the age of the child, and the permitted dosage should not be exceeded, as it can cause the opposite effect of treatment. Self-medication is also prohibited, because the baby may have an individual intolerance to the components of the drug. Before giving the drug to an infant, parents should remember that it should not be diluted in milk, as it reduces the therapeutic effectiveness of the drug.

Some facts

It is known that the gastrointestinal environment actively interacts with food, drinks and other substances that enter the body. Therefore, it is the intestines and stomach that are subject to increased stress not only due to the performance of direct functions, but also becoming the target of various biological and chemical organisms and substances.

Such agents include pathogens of infectious diseases, parasitic infections, cancer, chemicals and other substances that cause poisoning. And even food taken contrary to the rules of a healthy diet will cause harm to the body, and above all to the intestines.

At the same time, the intestines play an important role not only in evacuating indigestible contents and gases, but also in forming and maintaining the immune system and are fully responsible for the absorption of nutrients from food and the absorption of water.

Therefore, disturbances in the functioning of the intestines lead to disruption of the functioning of the whole organism, and in the long term – to sad consequences.

Since ancient times, products containing lactic acid bacteria have been used to treat intestinal diseases. However, their therapeutic effect was limited due to the death of most organisms when they entered the strongly acidic juice of the gastric cavity. A real breakthrough in the treatment of many conditions associated with intestinal dysfunction has been the use of laboratory-derived strains of probiotic cultures that are resistant to the acidic environment of the stomach.

Hilak Forte is exactly such a remedy.

Indications for use for expectant mothers

Women expecting a child are prescribed Hilak Forte to treat the following diseases:

• digestive insufficiency syndrome, dyspepsia (disruption of normal stomach activity);
• toxicosis;
• diarrhea, flatulence, constipation;
• gastroenteritis, colitis, senile intestinal syndrome (chronic atrophic gastroenteritis);
• gastrointestinal disorders caused by climate change;
• enterogenous diseases of the gallbladder and liver;
• allergic skin diseases (urticaria);
• disruption of the physiological flora of the small and large intestines;
• hypo- and anacid states.

A drug for which there are no restrictions in the age group, as well as in pregnant women. I prescribe without fear. I know that it is well tolerated and there are no side effects. The gastrointestinal tract responds with gratitude. An excellent assistant for normalizing motility and intestinal function!

Stukalova V.V., gynecologist

https://protabletki.ru

Use during pregnancy and lactation

• During pregnancy, as well as during lactation, the use of this drug is justified. It is worth noting that only the attending physician can prescribe this drug. Therefore, self-medication is not recommended.

Treatment with the drug during all three trimesters of pregnancy and breastfeeding does not cause any harm to the body of the woman and baby.

In rare situations, unexpected effects may occur in the form of:

• diarrhea, constipation;
• allergic rashes, redness of skin areas, itching.

These cases are very rare and do not pose any harm to the body. The reason for such a reflex can only be the individual characteristics of the body.

Contraindications

Hilak forte is used in the following cases:

1. Disorder of the natural intestinal flora (the same applies to the time of use of antibiotics or sulfonamides, when undergoing radiation therapy treatment, normalization of intestinal function after chronic diseases, acute infections).
2. Dyspepsia, with the manifestation of incomplete digestion.
3. For constipation, diarrhea, frequent flatulence.
4. Colitis, gastroenteritis.
5. Normalization of gastrointestinal functions after climate change.
6. Low or high acidity. This also applies to any trimester of pregnancy.
7. Skin diseases caused by allergic rashes.
8. Improvement of the body after salmonellosis.
9. Normalization of liver and gall bladder functions.

The drug is contraindicated:

1. Hilak Forte should not be used if you have an individual intolerance or hypersensitivity to some components of the medicine.
2. It is prohibited to use as therapy for acute forms of diarrhea, which are accompanied by bleeding and fever.
3. Not recommended for use in children under 2 years of age.
4. Be sure to consult before use for patients who suffer from reflux esophagitis and increased stomach acidity.
5. Hilak forte should not be consumed without first diluting it with liquid.
6. The drug is not prescribed to patients who have hereditary lactose intolerance, insufficient absorption of galactose-glucose, or lack of lactose in the body.

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List of popular analogues of Hilak Forte:

1. Acylact. Used for vaginosis, colpitis, for the sanitation of the birth canal and surgical sites. Active ingredients: 3 different types of lactic acid bacteria. Serves as a prophylactic after medical procedures, sexually transmitted infections, hormonal colpitis and inflammatory processes. Also used as an anthelmintic and antiparasitic agent. Country of origin: Russia. Average cost – 150 rubles.
2. Acipol is a probiotic that can regulate intestinal microflora and eliminate digestive problems. The drug promotes the rapid destruction of pathogenic microflora, treats dysbiosis and intestinal infections much faster, creates favorable conditions for the development of normal microflora, and increases resistance to pathogens of various infectious diseases. Average cost – 280-366 rubles.
3. Biosporin is a probiotic that contains live microorganisms. It is used for mild to moderate intestinal infections (and in cases where antibiotics are contraindicated for patients), dysbacteriosis, vaginosis and candidiasis. For these diseases it is also used during pregnancy. Used as a prophylactic for periods after surgery, which are accompanied by purulent-septic complications. After diluting the drug, it is used only on the day of preparation. The average cost is 110-188 rubles.
4. Bifiform. Available in capsule form. It is used for diarrhea, during treatment with antibiotics, and for malnutrition. The drug is approved for use in patients who are lactose intolerant. If the symptoms of the disease do not disappear after 2 days, and bleeding or fever are added, you should stop using the drug and consult a doctor. Average cost – 460 rubles.
5. Linex is an antidiarrheal agent. It is used as a drug for the treatment of viral and bacterial intestinal infections. And also after using antibiotics or synthetic medications. Unexpected undesirable effects do not appear after using the product. The average cost is 272-648 rubles (depending on the release form or the number of capsules in the package).
6. Bifidumbacterin – contains live bifidobacteria. Used for intestinal dysfunctions, acute intestinal infections, complex therapy in children and for premature babies, women who have severe toxicosis during pregnancy. Bifidumbacterin is also known to be used for the prevention of diseases of the female reproductive system. The average cost is 104-870 rubles (depending on the form of release).
7. Sporobacterin. During use, the drug releases antibacterial substances that actively help resist pathogenic and opportunistic microorganisms. It is recommended to use it for bacterial infections of the intestines, dysbacteriosis, surgical infections, osteomyelitis, as a prophylactic against pathogenic microflora. The average cost is 347 rubles.
8. Bificol. The bacteria are based on living strains of bifidobacteria. The drug is used to treat adults and children (after 6 months of age) with various disorders of the gastrointestinal tract, including after the use of antibiotics. The drug must not be stored diluted or diluted with water above 40°C. It is produced in the form of powder in different shades of brown. It has a specific smell and taste. Average cost – 260 rubles.
9. Flonivin BS. Indications for therapy may include diarrhea in patients of different age groups, dysbacteriosis and colitis, flatulence, and enteritis. Sold in the form of drops, taken orally. The antibacterial active substance has a huge spectrum of action. The main distribution of the drug occurs in the intestines. If no changes are observed after 3 days of therapy, it is better to stop using the drug. The drug is prescribed to adults and children over 7 years of age. The cost per package is from 28 to 42 rubles. It is often very difficult to find the drug for free sale in pharmacies.
10. Enterol is indicated for acute and chronic viral diarrhea, intestinal disorders due to climate change, intestinal dysbiosis, diarrhea associated with special dietary or therapeutic nutrition. The drug contains inactivated microorganisms. Enterol substances do not remain in the body; after 3-6 days they are excreted from the body in feces. Cost – 10 capsules – 270 rubles, 50 capsules – 712 rubles.
11. Bifinorm. The product is not for use in children under 3 years of age. Helps the body resist staphylococci, E. coli, and yeast-like fungi. The intestinal and vaginal microflora quickly improves, normalizes metabolic processes and digestive processes. After using the drug, allergic rashes may occur. The average cost is 470 rubles (price for 30 capsules).
12. Lactobacterin is a mass of living lactobacilli. It is used for the treatment and prevention of diseases such as: acute intestinal infections, dysbiosis of various origins, intestinal dysfunction, colitis of various origins. Lactobacterin is used only from 3 years of age. Cost – 210 rub. (for 10 bottles).
13. Normoflorin. The active ingredients quickly and effectively cope with dysbiosis and intestinal infections, gastrointestinal problems during pregnancy and breastfeeding, lactase deficiency, in the pre- and postoperative stages. They are also active in cases of severe allergic reactions and respiratory infections. The medicine is relevant after antibiotics or a course of chemotherapy. Cost – 215 rubles.

Acilact Acipol Bifidumbacterin Bifiform Bifikol Bifinorm Biosporin Flonivin Lactobacterin Linex Normoflorin Enterol Sporobacterin
Both drugs are used both for healthy people for the purpose of prevention, and for patients who have diseases or disorders of the gastrointestinal tract.

Linex is mainly prescribed for the treatment and prevention of dysbiosis, improving gastric acid levels. Linex is 100-120 rubles more expensive than Hilak Forte. If the composition of Linex includes 1 type of lactic bacteria, then Hilak contains 3 of them.

It is precisely because of the larger composition of active ingredients and a wider range of applications (eliminates difficulties with the kidneys and gall bladder) that Hilak Forte is considered a more effective remedy.

Both drugs have common contraindications - personal intolerance to the elements contained in the product.

The main elements of the drugs are different. Lactofiltrum contains hydrolytic lignin and lactulose.

The medicine, unlike Hilak Forte, belongs to sorbents, which are of plant origin and are capable of not only normalizing intestinal microflora, but also cleansing the body of toxins, drug residues in the body and metabolic products.

In addition, Lactofiltrum can improve the body’s defenses and quickly relieve allergic reactions. The list of indications for use of this drug is much wider than that of Hilak Forte.

But there are a few more contraindications. Lactofiltrum should not be used in patients with intestinal obstruction, frequent gastrointestinal bleeding, or individual intolerance to certain elements of the drug.

It is also not recommended for use for ulcers, intestinal atony and stomach diseases in acute stages.

Hilak Forte is recognized by doctors and patients as one of the fastest and most effective drugs for restoring intestinal microflora.

Hilak Forte is contraindicated in the following cases:

• intolerance to components;
• severe, painful diarrhea mixed with blood in the excreted contents.

Among the key indications for the use of this product are:

• changes in the natural state of the small and large intestines, which are associated with the effects of antibiotics or cancer treatment;
• dysbacteriosis;
• disorders associated with the process of digestion of consumed food;
• disorders of the gastrointestinal tract system;
• colitis;
• excessive gas formation;
• problems in the functioning of the gastrointestinal tract under the influence of a change in climate zone;
• skin pathologies (urticaria of an allergic nature, etc.);
• salmonellosis in the recovery phase (also in infants).

• This medication can be prescribed to children who have reached two years of age. Before this age, taking the drug is contraindicated.

Dosage and overdose

No cases of overdose have been established. That is, no adverse reactions were found when the recommended dose was exceeded. However, you should not experiment. We strictly adhere to all established standards from the doctor and the manufacturer.

To get the maximum benefit from treatment, follow these simple tips:

• You should not consume any dairy products together with the drug. This will automatically reduce the effectiveness of the medicine.
• Also, you should not take Hilak Forte together with heartburn medications at the same time. They neutralize the effect of beneficial components in the stomach.
• Be sure to shake the bottle before each use of the drops.
• We carefully read the instructions from the manufacturer, follow all the rules for storing the drug and the period of its use. The drug is effective for six months. After the expiration date, you should not take the medicine.

Compound

The drops are based on aqueous substrates containing lactose and metabolic products of four types of beneficial bacteria:

1. Escherichia coli;
2. Lactobacillus helveticus;
3. Lactobacillus acidophilus;
4. Enterococcus faecalis.

Such substrates are called germ-free because they do not contain bacterial cells themselves, but only products that are produced by these microorganisms during their normal life. They are predominantly short-chain fatty acids and lactic acid.

Additionally, citric and phosphoric acids are added to the solution, as well as sodium phosphate heptahydrate, potassium sorbate, water and dipotassium phosphate. The cherry flavored product also contains flavors (cherry and cream) and sweeteners (cyclamate and sodium saccharinate).

Structural and functional analogues allowed for women in an interesting position

Despite the fact that Hilak Forte is well tolerated, sometimes expectant mothers look for an alternative replacement. Some women expecting a child do not like the sour taste of the drops, while others do not like the price of the medicine.

However, the pharmaceutical industry does not produce structural analogues of Hilak Forte. Medicines that are similar in their effects are produced, but with a different active ingredient.

Photo gallery: functional analogues of Hilak Forte

Atsipol is a cheaper analogue of Hilak Forte, produced in Russia

Linex has a different principle of action than Hilak Forte, but a similar list of indications

Bifiform copes well with dysbacteriosis and restoration of acidity

Table: analogues of Hilak Forte, allowed for women during pregnancy

Pharmacological properties

Problems associated with disruption of the gastrointestinal tract may be caused by external influences (for example, during antibiotic treatment, due to chemotherapy), or as a result of poor quality of consumed water, etc.

Considering the active elements in the composition of Hilak Forte, the properties of the drug are associated with the normalization and regulation of the balance of the internal intestinal microflora. Other substances (for example, lactic acid, salts) make it possible to create conditions for restoring the required level of acid in the gastrointestinal tract.

In addition, the effect of this medication can normalize the body’s ability to synthesize vitamins B and K.

Short-chain volatile fatty acids make it possible to balance the work of damaged intestinal microflora due to the influence of infection on it in gastrointestinal diseases, and also has an initiating effect on the processes of renewal of the cell structure of the intestinal walls.

The drug has been clinically proven to increase the body's protective function and increase the rate of elimination of Salmonella in newborns during the treatment of infectious diseases.

• As such, no side effects were identified after using this product. An allergy may occur, which is expressed by a rash, itching, as well as disorders of the gastrointestinal tract (diarrhea, constipation).

The drug renews the intestinal microflora.

Pharmacodynamics

Drug substances regulate the level of intestinal microflora and its contents. They not only quickly renew the intestinal microflora, but also preserve the natural properties of the gastrointestinal tract environment and its mucous membrane. All this is due to the presence of a substance in the medicine that exchanges normal microflora.

With the help of lactic acid, the balance of gastrointestinal acidity (both high and low) is normalized. The absorption of microelements and minerals is accelerated.

Volatile fatty acids have a beneficial effect on the establishment of intestinal microflora in people with gastrointestinal diseases of infectious origin, with the renewal of epithelial tissue. Improvements in the protective properties of the immune system have been proven when using the drug.

Pharmacokinetics

Hilak forte, entering the body, is forced through the stomach and intestines along with food, and undergoes regulation of microflora and water-electrolyte balance.

Hilak forte is not able to be absorbed into the blood. The body gets rid of it only through the gastrointestinal tract. Acting on the body, it creates positive conditions for faster absorption of electrolytes.

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Average cost in Russian pharmacies:

• Hilak forte drops – 30 ml – 221-268 rubles (manufacturer Germany).
• Hilak forte drops – 100 ml – 268-530 rub. (manufacturer Germany).
• Hilak forte sachet – 2.2 ml – 560 rubles (manufacturer Germany).

According to comprehensive studies, probiotics have the following clinically proven therapeutic effects:

• Reducing the acidity level of the intestinal lumen. It is known that normally the intestinal lumen has a slightly alkaline composition. Acidification occurs naturally when food enters the intestines - this stimulates the production of the necessary enzymes to break it down. However, if a patient has gastritis with low/high acidity, recent intestinal infections, or experiences episodes of overeating, eating at night, or drinking alcohol, then intestinal acidity is disturbed. As a result, intestinal inflammation occurs, which can lead to cancer and even death.
• Stimulation of the secretion of defensins - polypeptides of the immune system responsible for the destruction of many myco- and bacterial infections, and some viral agents. It is assumed that a decrease in the level of defensins in the ileum can lead to Crohn's disease, a severe and painful autoimmune disease of the intestine.
• Secretion of antimicrobial peptides - molecules consisting of amino acids that exhibit antimicrobial activity against bacteria, viruses, fungi and protozoa. Unlike antibiotics, they do not create resistance in target cells.
• Preventing the penetration of pathogenic organisms into human cells and tissues.
• Blockade of bacterial adhesion to the surface of mucous membranes.
• Formation of nitric oxide. Nitric oxide is produced by the walls of arteries and plays a fundamental role in maintaining cardiovascular and brain health by maintaining the elasticity of muscle tissue in the vascular system, reducing inflammation and participating in the regulation of blood pressure.
• Phosphorylation of the protein of tight intercellular junctions - a component of the epithelium. Intercellular contacts perform many important functions in maintaining the integrity of the mucous membranes on the one hand, and the passage of nutrients on the other.
• Increased mucus secretion. Mucus is a natural defense mechanism against microbial agents. Contains a large number of killer cells, phagocytes and other immunoactive cells that help fight infection. The absence of mucus on the mucous membranes when infected ensures a more unfavorable and severe course of the disease and aggravates the prognosis of recovery.
• Hilak Forte stimulates the glycosylation of epithelial cell membrane components. Glycoproteins, formed during the process of glycosylation, are an essential component of cell membranes. With the help of an attached monosaccharide residue protruding from the surface of the membrane like an “antenna,” cells are able to recognize other cells and interact with them. Also contain digestive enzymes.
• Strengthening the production of immunoglobulins A - an indicator of humoral immunity.
• Stimulation of the production of antibodies - blood plasma proteins, which not only stop the process of reproduction of pathogenic microorganisms, but also neutralize the toxins released by them during life and death.
• Stimulation of the activity of NK cells - lymphocytes that have an antitumor effect on cancer cells. They also destroy cells infected with various viruses, such as papillomavirus and even immunodeficiency virus.
• Modulating the activity of dendritic cells, which are responsible for activating or suppressing the immune response to invading infection.
• Modulation of gene expression regulators, due to which DNA information is transferred during cell division.
• Changes in the activity of cytokines that are involved in the process of transmitting reactions from cell to cell. Cytokines also affect the lifespan of a cell, its destruction, stimulation or suppression of reproduction. They play a vital role in limiting the proliferation of cancer cells.
• Induction of regulatory T cells - lymphocytes that have a suppressive effect on immune responses. The lack or inactivity of suppressor T lymphocytes leads to the occurrence of autoimmune diseases.
• Modulation of apoptosis - the destruction of cells that have fulfilled their role. Apoptosis plays particular importance in the process of suppressing the vital activity of cancer tissue.
• Inhibition of the activity of proteasomes - cells of some bacteria responsible for destroying damaged parts of proteins inside the cell. “Locking” this mechanism leads to damage to the bacterial cell and its non-viability.

Thus, the drug not only relieves symptoms of intestinal disorders, but also has antimicrobial, immunomodulatory, digestive stimulating, and hormonal effects. It is used as an auxiliary or maintenance therapy in oncology, HIV infection, and autoimmune diseases.

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The drug is not a drug because it has proven safety. Currently, it is used as a dietary supplement to the basic diet.

The drug is prescribed for the treatment of disorders of the intestinal microflora, vagina and other mucous membranes, stomatitis, diarrhea, constipation, increased gas formation, other disorders of the intestinal tract, atopic dermatitis, strengthening the immune system.

In the gastrointestinal tract and excretory system: rarely - diarrhea, bloating, indigestion. Sometimes – discomfort in the abdominal area.

Allergic reactions: Isolated episodes of urticaria and mucosal reactions have been reported.

Symptoms usually go away within a day or two. Otherwise, you should consult your doctor.

Reviews

Users note that analogues, like Hilak Forte, act quickly and help with a wide range of diseases of the gastrointestinal tract.

Some commentators prefer substitutes (for example, Atsipol) rather than the original, because they do not provoke abdominal pain.

Doctors recommend another drug only if it has the same or similar effect as Hilak Forte, but there is no opportunity to purchase the original. The dosage and frequency of taking a similar drug are prescribed by the attending doctor.

Use for children

The drug is used from infancy and for newborns, 15-30 drops at a time. The number of receptions is 3 times a day. Hilak forte in the form of drops is very practical for use by children. They should be mixed with water, juice or compote (but not with milk).

Like adult patients, children are offered medicine before or during meals. When the disease is alleviated, the dose is reduced by half.

For children, the drug is used for the following diseases:

• in case of insufficient digestion;
• constipation, flatulence, diarrhea;
• the presence of colitis or gastroenteritis;
• recovery process after salmonellosis;
• disturbances in the gastrointestinal tract caused by new climatic conditions;
• manifestations of various allergic reactions.

Effect on pregnant women

Hilak Forte is prescribed in case of disruption of the normal functioning of the digestive system. This phenomenon is observed with the growth of pathogenic microflora in the intestines, which destroys beneficial bacteria. To restore the normal digestive process, you must first accelerate the proliferation of beneficial microflora, which Hilak Forte does an excellent job of.

The active components of the drug, entering the intestines, begin to accelerate the proliferation of beneficial bacteria, which are responsible for the digestion of food. In addition, the smooth muscles of the intestines are stimulated, which has a positive effect on the quality of absorption of nutrients from food and the rapid removal of feces naturally.

• Hilak Forte also has a positive effect on the microflora of the genital organs, which is very important for every woman, especially during pregnancy.
• Accelerates the absorption of vitamins and minerals from food.
• Increases the body's resistance to viruses and bacteria.
• Restores water-salt balance.
• Accelerates the healing of damaged tissues of the gastric mucosa.
• Restores normal intestinal microflora after antibacterial treatment.

So, Hilak Forte has a positive effect on the digestive system of a pregnant woman and quickly restores its function.

First trimester

The first trimester of pregnancy is very important, because the formation of important organs and systems of the baby occurs. That is why you should take any medications only after consulting a specialist.

So what to do if you suffer from gas, constipation and colic?

Hilak Forte is available in bottles of thirty and one hundred milliliters. You can choose a more convenient packaging for yourself. Hilak forte contains natural substances, under the influence of which the body produces lactic acid, normalizes acidity, and activates the production of B vitamins and vitamin K. These vitamins are necessary for the normal condition of the digestive system. Some elements of Hilak Forte help to quickly bring the microflora of the digestive tract back to normal; under their influence, damaged cells in the intestinal walls are restored more quickly.

It is almost impossible to overdose on Hilak Forte thanks to its convenient packaging. But even if you accidentally take an increased dose, nothing will happen to your body or the health of your unborn baby.

The manufacturer guarantees complete safety for you and your child when using Hilak Forte during pregnancy and lactation. It is very rare that any side effects are observed when using this medicine. This could be diarrhea, constipation or hives. But, again, these are very, very rare cases.

Never combine the use of Hilak Forte with any dairy products, as dairy neutralizes the effect of Hilak Forte. Do not take Hilak Forte at the same time as antacids for the same reasons. Do not keep Hilak Forte drops in a room that is too hot. The maximum permissible temperature is plus twenty-five degrees. The drug is active for four years from the date of release.

If you suddenly feel unwell, then the drug Hilak Forte can be bought at any nearby pharmacy without a special prescription from a doctor.

During pregnancy, special care should be taken to ensure that the body receives a sufficient amount of vitamins and minerals. One of the most important minerals for the construction of a new organism is calcium. You can get calcium in the most convenient form for absorption by purchasing the drug Gai-Bao produced by the Tianshi Corporation. For better absorption, vitamin D and phosphorus are added to Gai-Bao.

Author: Pashkov M.K. Content Project Coordinator.

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"Hilak Forte" - treatment of dysbiosis in gastritis

Gastritis is a pathology that is rightfully called the “disease of the century”, because, according to modern research, this disease in one form or another is diagnosed in almost 50% of the population, including children and adolescents. There are as many reasons for the widespread spread of this disease as there are forms of gastritis, but in most cases, when special laboratory and instrumental studies of patients are carried out, it turns out that the disease is accompanied by infection of the stomach with the bacterium H. pylori. That is why probiotics are actively used in the treatment of pathology. "Hilak Forte" for gastritis is prescribed after or during treatment with antibiotics in order to maintain normal intestinal microflora, disturbed as a result of the disease.

Taking Hilak Forte in the treatment of bacterial gastritis can be prescribed by a doctor.

Bacterial gastritis

Since in approximately 80% of cases of diagnosing gastritis, the test for the presence of Helicobacter gives a positive result, such gastritis, according to the Sydney classification, is classified as a bacterial type. Previously, such forms of the disease were called type B gastritis, today other names can be found in the specialized literature - H. pylori positive non-atrophic gastritis, Helicobacter-associated gastritis). In acute gastritis, recorded for the first time, the percentage of damage by the bacterium H. pylori is much less, but in the chronic course of the disease it reaches 90% or more.

It is believed that this pathogen is normally present in the stomach or duodenum of almost all people, but in small quantities and in an inactive form. Under unfavorable circumstances, when inflammatory processes in the gastric mucosa begin to take on a permanent character, a favorable environment for the life activity (growth and reproduction) of this bacterium is created in the antrum of the stomach (which is located closest to the duodenum).

Symptoms of bacterial gastritis

As a rule, this form of the disease is characterized by the absence of atrophy of the glands responsible for the secretion of hydrochloric acid, atrophic lesions of the epithelium are also not observed, and inflammatory processes develop against the background of increased or normal acidity of the gastric environment.

Signs indicating a bacterial form of pathology:

• feeling of heaviness in the epigastric area;
• pain, burning sensation in the area of ​​the stomach;
• belching with a characteristic sour odor;
• heartburn, nausea;
• the appearance of a persistent unpleasant odor in the oral cavity;
• dyspeptic disorders in the form of stool disorders;
• Possible manifestations of cardiac syndrome (unstable blood pressure, arrhythmia).

Diagnosis of bacterial gastritis

During the examination, the patient’s history and complaints are taken into account, as well as provoking factors (the presence of pathologies of the digestive tract in blood relatives, the presence of bad habits, excess weight, old age). The standard test for suspected gastritis is gastroscopy, which allows you to more accurately determine the condition of the stomach, the form of the disease and exclude oncology.

Examination of material taken through a gastric biopsy allows one to diagnose the presence/absence of Helicobacter pylori. The bacterial form can also be diagnosed using more gentle laboratory tests.

Treatment of bacterial gastritis

Since the main emphasis in the treatment of this type of gastritis is on the eradication of pathogenic microflora, the prescription of antibacterial drugs is mandatory. As a rule, to destroy Helicobacter, a regimen is used using two different antibiotics (for example, Amoxicillin and Clarithromycin), as well as drugs that eliminate the negative consequences of taking antibiotics (Hilak Forte for gastritis has also recently been included in the standard treatment regimen for the bacterial form of gastritis) .

Typically, antibiotics are taken for 7 to 10 days, after which a repeat test for Helicobacter is performed, and if the result is positive, antibiotics of the second group (Metronidazole + Tetracycline) are prescribed.

Features of antibacterial therapy for gastritis

Long-term and intensive use of antibiotics inevitably affects the state of the gastrointestinal microflora. Today, medicine is not able to ensure the selective effect of drugs of this group on certain types of microorganisms, therefore, along with the eradication (complete destruction) of Helicobacter, a significant change in the composition of the microflora that lives in the antrum of the stomach and duodenum occurs.

A change in the balance of opportunistic and beneficial microflora is called dysbiosis. Normally, lacto-, bifido-, colibacteria and enterococci present in the digestive tract form a slightly acidic environment, which inhibits the spread of pathogenic microorganisms. When this balance is disturbed, the number of pathogens increases, and their activity is manifested by the appearance of pronounced dyspeptic symptoms:

• a feeling of heaviness in the epigastrium that appears during or after eating;
• bowel disorders in the form of constipation or diarrhea (possibly alternating them);
• heartburn, which causes discomfort;
• nausea, which also appears after eating and lasts quite a long time.

"Hilak Forte" for bacterial gastritis with high acidity can eliminate all these symptoms and restore the disturbed bacterial balance.

This is a drug that represents a group of probiotics - medicines containing live bacteria characteristic of the microflora of the digestive tract in a normal state. To activate the reproduction of these microorganisms, prebiotics are prescribed - preparations containing nutrients that will serve as food for beneficial bacteria. "Hilak Forte" is a new generation of probiotics that has a metabolic effect on the processes occurring in the intestines.

Mechanism of action of "Hilak Forte"

The metabolic products contained in Hilak Forte drops are used by beneficial bacteria to stimulate growth and reproduction, which contributes to the rapid restoration of the normal balance of the microflora of the digestive tract. An additional effect of the drug is the presence of biosynthetic lactic acid in the drug, which has an oxidative effect on the alkaline environment of the intestine. Under such conditions, pathogenic microflora cannot reproduce. In addition, the drops contain volatile polyunsaturated fatty acids, which have a stimulating effect on the regenerative abilities of the intestinal and gastric mucosa.

How to take Hilak Forte

The drug is a colorless liquid produced in bottles for internal use. Hilakforte is diluted with water (half a glass is enough for a single dose) and taken three times a day (during meals or immediately before meals).

For adults, a single dosage is 50–60 drops; for children diagnosed with type B gastritis, 25–40 drops are prescribed. If dyspeptic symptoms decrease, you can reduce the dosage by half, but you should not decide on your own to change the drug treatment regimen.

The full course of treatment for dysbacteriosis in gastritis takes 15–30 days—that’s how long the drops are taken to eliminate the symptoms of dyspepsia.

Side effects when treating gastritis with Hilak Forte drops

Like most other medications, the drug for the treatment of intestinal dysbiosis has a number of side effects:

• allergic reactions are possible, manifested as rashes on the skin, accompanied by itching;
• stool disorders (constipation/diarrhea).

It should be noted that both allergies and dyspeptic symptoms appear quite rarely, and stool disorders are characteristic of most types of gastritis. If such side effects do occur, you need to contact a gastroenterologist who will adjust the treatment regimen. Although the dosage prescribed by the doctor should be followed with the utmost scrupulousness, an accidental or intentional overdose of the drug does not threaten any troubles, except dyspepsia.

Contraindications to taking Hilak Forte for gastritis

It is necessary to refuse to take drops or take them with great caution if you have the following pathologies:

1. With exacerbation of gastritis. Hilak is prescribed for a bacterial type of the disease that occurs in a chronic form; in the acute course of the disease, taking drops can provoke a deterioration in the condition up to the development of gastric erosions into ulcers.
2. With very high acidity, fatty acids. The fact is that the drug, although recommended as a means of normalizing the pH level, due to the presence of lactic acid in its composition, can, when interacting with an increased concentration of hydrochloric acid, cause an exacerbation of the disease. For this reason, the question of whether it is possible to drink “Hilak Forte” for gastritis with high acidity is ambiguous, and the interpretation of the attending physician should be taken into account.
3. If you have a history of Zollinger-Ellison syndrome, a potentially malignant neoplasm localized primarily in the pancreas (85% of cases) or stomach. Long-term use of Hilak Forte due to the presence of lactic acid can provoke the development of stomach cancer.
4. Gastritis of the hemorrhagic type, accompanied by internal bleeding. Such conditions are easily diagnosed by examining stool.

If a patient experiences heartburn that lasts not only after eating, but throughout the day, this indicates that the gastric environment is too acidic. You should avoid taking Hilak Forte for gastritis with very high acidity.

If gastritis is observed in pregnant women, drops against dysbacteriosis are not included in the list of direct contraindications. Rather, on the contrary, taking Hilak will have a protective effect, protecting the digestive tract from the negative effects of other medications. But during lactation you should not drink drops.

Compatibility of "Hilak Forte" with drugs prescribed for gastritis

Antigastritis therapy involves complex drug treatment aimed at eliminating the causes of inflammation and stopping the manifestations of the disease. Drops for the treatment of dysbiosis may be ineffective when taking antacid medications that neutralize (alkalize) acids, including lactic acid. All other medications prescribed for the treatment of gastritis do not interact with Hilak Forte.

Special instructions for Hilak drops

Since the drug already contains lactic acid, when taking it it is not recommended to consume milk or any lactic acid products, with the exception of sweet yoghurts.

It is strictly forbidden to use drops in concentrated form. They can be diluted with any liquid allowed under the antigastritis diet. If reflux gastritis is present, the dosage of the medicine should be reduced to 6 ml and this amount should be taken divided into three doses.

Important: In the presence of diarrhea, severe dehydration of the body occurs, therefore, when treating gastritis in children and older patients using Hilak Forte, it is necessary to replenish fluid loss in a timely manner.

Conclusion

When eradicating Helicobacter, the answer to the question of whether it is possible to drink “Hilak Forte” for gastritis will be positive, but only if there are certain restrictions that we described above. If you strictly adhere to the doctor’s recommendations, the symptoms of dyspepsia characteristic of the treatment of bacterial gastritis will pass quite quickly.

pobedigastrit.ru

Can I take the drug?

The official instructions for the drug indicate that the product belongs to the group of prebiotics. This means that the components of Hilak Forte are products of normal metabolism of the human body.

This composition of the drug allows you to create the most favorable conditions in the intestines for increasing the population of normal microflora, which helps restore the processes of breakdown and absorption of food. Also, due to the content of naturally synthesized lactic acid in the preparation, the stomach environment is normalized, regardless of whether the acidity was initially increased or decreased.

In the early stages

In the first weeks of pregnancy, all the internal organs of the child are formed. To avoid various congenital defects and developmental anomalies of the baby’s body, a woman is strongly recommended to avoid taking medications during this period.

Since Hilak Forte consists only of metabolic products of the natural intestinal microflora, which do not enter the circulatory system, therapy with this drug in the early stages of pregnancy will be absolutely harmless for both the woman and her unborn child.

In the later stages

In the third trimester, the child mainly experiences the process of increasing the mass of muscles and internal organs. The health and endurance of the baby during this period depends on the woman’s health.

Taking Hilak Forte in the late stages of pregnancy will not only allow you to deliver to the child’s body the complete substances necessary for its nutrition and development, but also normalize the microflora of the birth canal, thus preparing it for the birth of the baby.

Inexpensive foreign analogues

In addition to domestic products, there are substitutes for Hilak Forte produced in other countries. Many of the compounds are dietary supplements, not drugs, but they also perform a normalizing function.

Lactobalance

Lactobalance is a dietary supplement analogue of Hilak Forte. It contains 9 strains of bacteria and probiotic microorganisms. The product restores intestinal microflora, strengthens the immune system and prevents the occurrence of digestive disorders.

The dietary supplement can be used from the age of three; it saturates the intestines with bifidobacteria and lactobacilli, which help increase the resistance of the gastrointestinal tract to the influence of pathogens.

The composition does not cause side effects or allergies and is not a medicine.

Children need to take 1 capsule once a day, and adults - 1 capsule twice a day.

The average price of Lactobalance is 350–400 rubles.

Biosporin

The probiotic Biosporin includes Bacillus subtilis and Bacillus licheniformis, which regulate the state of intestinal microflora. Like Hilak Forte, it neutralizes pathogenic bacteria and improves the digestion process. The drug is used for:

• postoperative or acute intestinal infections;
• dysfunction of the gastrointestinal tract;
• bacterial vaginosis.

No side effects caused by the treatment were recorded, and among the prohibitions on the use of the medicine, only an allergy to the components of the composition was indicated.

There are two forms of the medication: powder and tablets. To prepare the suspension, you need to dilute the contents of the ampoule with warm, but not hot water. The pressed medication is taken 40 minutes before meals. From the age of 7 years you need to take Biosporin twice a day for a week. The specific dosage is prescribed by the doctor depending on the diagnosis.

This is far from a cheap analogue of Hilak Forte, its cost starts from 1200 rubles.

Ecobion

Ecobion is used as a substitute for Hilak Forte. Thanks to the use of a product that contains bifidobacteria and lactobacilli, the intestinal microflora is normalized, the body's protective functions are improved, the feeling of discomfort after eating is prevented, and the production of interferon gamma is increased.

The supplement is prescribed for gastrointestinal disorders; its use is prohibited if you are allergic to the ingredients of the product. No complications from use were identified.

It is recommended to drink 2 capsules once a day with food, washed down with clean water. The maximum duration of use is 2 weeks.

The cost of a package (15 pcs) is about 600 rubles.

Overdose

In adult patients, no symptoms of overdose were observed. If the dose of the drug is exceeded by adults, monitor the condition. If you feel worse, consult a doctor.

In children, reflex regurgitation is possible, which in rare cases provokes aspiration pneumonia. Basically, such cases are possible when taking the product undiluted. If a child exhibits such signs, immediately consult a doctor who will prescribe symptomatic treatment.

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In case of overdose, diarrhea, bloating, indigestion, and abdominal pain are possible. Does not require corrective measures.

With systematic use of a dose that exceeds the recommended daily dose by 5, 10 or more times, it is possible to increase the number of dead lymphocytes, shift the cytokine balance, which is manifested by arthritis, muscle pain, liver inflammation and the manifestation of hidden autoimmune diseases. The prescription should be discontinued and symptomatic treatment should be carried out. If systemic diseases are detected, therapy should be aimed at their correction.