Festal tablets - what they help from, instructions for use and reviews. "Festal": the activity and role of enzyme tablets Conditions in which it is recommended to take festal

Almost every first aid kit has a festal. This medication copes well with pain in the stomach, and it is also prescribed for chronic diseases of the gastrointestinal tract. However, medical practice shows that poisoning with this drug is common due to non-compliance with the indicated dosage.

How to drink festal so as not to cause poisoning

Festal poisoning

Festal poisoning, like any other drug, unfortunately, is not uncommon, but has its own distinctive features due to the specifics of the drug.

Festal - what is it?

This is a stomach medicine. Doctors recommend taking festal for various disorders in the activity of the stomach and intestines, chronic pathologies and diseases of the digestive system and pancreas.

The composition of the drug includes many enzymes that interact with gastrointestinal enzymes along the entire length of the digestive tract and contains all the substances necessary for the stomach in various pathologies.

The composition of the drug includes the main and additional components.

Main:

Festal Components

  • amylase;
  • hemicellulase;
  • bile enzymes;
  • pancreatin;
  • lipase;
  • proteases.

Additional are the following components that formed the composition of the drug shell:

  • methylparaben;
  • sucrose;
  • titanium dioxide;
  • cellulose;
  • ethylvanillin;
  • castor oil extract;
  • glycerol;
  • macrogol.

The medicine is produced in the form of large biconvex pills with vanilla flavor, which makes it very convenient to give festal to children who perceive it as candy.

The description of the medicine would be incomplete without listing what festal can be taken directly from, according to the instructions:

Festal is prescribed for chronic diseases of the stomach

  • insufficient secretion of the pancreas;
  • chronic forms of pancreatitis and cystic fibrosis without exacerbation;
  • chronic and degenerative diseases of the stomach, intestines, liver, gallbladder and pancreas;
  • in complex therapy after resection procedures or irradiation of the stomach, intestines or gallbladder;
  • to restore the balance of digestibility of proteins, fats and carbohydrates.

Is festal harmful?

The composition of the drug is quite complex, which provides the drug with good interaction with internal enzymes in the digestive organs. But it is the composition (some of its components) that seriously limit the ability to be treated with this drug when breastfeeding, during pregnancy, when taking various medicines that are not very compatible with any components of festal. It limits the possibility of taking medication and drinking alcohol and a number of internal diseases.

Proper intake of festal will not allow an overdose

As a rule, festal during pregnancy on early dates does not cause allergic reactions in the mother, is actively prescribed by doctors. But the use from the second trimester already provokes side effects.

During lactation, any, even a single use of the drug is highly undesirable, since Festal, taken even long before feeding, penetrates into the composition of milk and gives it specific properties that can affect the health of the newborn.

If an infant is experiencing digestive problems, doctors sometimes prescribe festal to the mother, precisely because it penetrates the composition of milk.

As for whether children can be given this medicine, the opinions of physicians differ. As it is written in the instructions for the medicine, festal can be given to children only when the drug is prescribed by a doctor, who determines the dosage of the drug.

The drug cannot be used with alcohol, alcohol and the bile components of the drug are completely incompatible, alcohol does not just increase the side effects I drugs, such a combination often leads to poisoning of the body.

Festal contraindications

In addition to alcohol, the medicine has a number of significant contraindications for taking:

Gastritis is a contraindication to taking festal

  • pancreatitis in the stage of an acute process;
  • pathology of the structure of the liver;
  • hepatitis of any type;
  • empyema of the gallbladder;
  • intestinal obstruction of an operable nature;
  • mechanical form of jaundice;
  • diabetes mellitus of any type;
  • exacerbation of gastritis or ulcers.

In general, the drug is well received by the body, and its use can be combined with many drugs, but ignored contraindications may well worsen a person's condition and cause symptoms of drug poisoning.

Festal side effects

The symptoms of drug poisoning are sometimes taken as the side effects of drug treatment, which are purely individual and, indeed, are in many ways similar to the signs of poisoning.

Side effects are usually caused by an excessive amount of medication, and are manifested as follows:

  • pain or twisting in the abdomen;
  • diarrhea, sometimes uncontrollable;
  • nausea and vomiting;
  • a decrease in the synthesis of bile acids, leading to a specific taste in the mouth;
  • hyperuricosuria;
  • allergic reactions, in any manifestation, from urticaria to edema.

Acute pain in the abdomen - a sign of an overdose

Allergy is the most common of the side effects that the use of festal causes, due to its complex composition.

To avoid side effects of the drug will help the correct method of application and dose, the appropriate instructions - a couple of tablets three times a day. The course of treatment lasts from two to three days. After that, there comes a break time, at least for a day, then the course can be repeated if necessary.

How long you can use this medicine, only the attending physician can answer, based on the totality of the individual moments of the patient's condition and the general clinical picture of health. Usually you don’t have to drink festal longer than 1-2 courses.

Festal poisoning

Poisoning with festal is possible only under "special" circumstances, for example, when children eat a lot of medicine, which is not uncommon, since dragees resemble delicious sweets. This is exactly what is written in the instructions - to store in inaccessible places.

It also leads to drug poisoning by its unauthorized use, this is the case that demonstrates why a doctor is needed.

Almost always ends with poisoning behavior corresponding to the popular colloquial bravado "we do not drink medicines, we eat them." The use of festal and alcohol are poorly compatible, malaise will occur in any case, and with a large portion of alcohol, all the symptoms of poisoning will come.

Symptoms of poisoning are as follows:

  • diarrhea;
  • nausea turning into vomiting;
  • stomach ache;
  • weakness.

A constant state of weakness is a symptom of festal poisoning.

The specificity of the composition of the drug adds a number to the general symptoms:

  • hyperuricemia;
  • hyperuricuria;
  • perianal irritation;
  • irritation of the mucous membrane in the mouth;
  • "feverish" allergic spots, especially on the buttocks.

Usually it is enough to provide first aid, but if the child was poisoned, or the poisoning occurred due to taking the medicine if there were contraindications to it, then after the first aid it is necessary to call the doctors.

Help with overdose

In case of an overdose of the drug and in case of poisoning, they need to do the following:

  • wash the stomach and intestines, since festal is most active in the lower intestine;
  • take natural sorbents, coal is best, at the rate of 1 puck per 10 kg of weight;
  • provide a plentiful sour unsweetened drink - water with lemon, cranberry juice, a decoction of black mountain ash.

If the condition and well-being of a person does not cause concern, you should stop taking the medication completely, and with the relief of symptoms, as a rule, on the third day, consult a doctor for the selection of another drug. With continued therapy with festal after poisoning, a strong relapse is possible.

If you ate too much medicine Small child, the procedure is the same, but the doctor must be called.

Possible health effects

  • uric acid diathesis;
  • elevated levels of uric acid in the blood plasma;
  • imbalance in the enzymes of the stomach and intestines;
  • chronic urticaria;
  • puffiness;
  • swelling of the gallbladder.

These consequences require medical therapy, just not taking festal will not be enough to correct its overdose or poisoning with it.

Video material about the features of the festival

Festal poisoning occurs in case of an overdose, but this drug has many useful properties to restore the work of the gastrointestinal tract, so doctors actively prescribe it. To learn more about dosages and contraindications for use, watch the video.

Festal- This is a drug that has a combined composition, which includes the following active ingredients:

  • standardized pancreatic enzymes (amylase, lipase and protease);
  • hemicellulase enzyme;
  • ox bile extract.

An auxiliary ingredient in the composition of the product is sodium chloride. Festal is produced in the form of coated tablets (pellets), which consists of the following substances:

  • cellacephate;
  • castor oil;
  • methylparaben;
  • ethylvanillin;
  • propylparaben;
  • sucrose;
  • gelatin;
  • glucose;
  • glycerol;
  • talc;
  • calcium carbonate, etc.
Pharmacological action of the drug Festal

The therapeutic effect of the drug is as follows:

  • compensation for insufficiency of the secretory function of the pancreas, as well as the biliary activity of the liver;
  • activation of digestive processes;
  • improving the digestion of carbohydrates and proteins and ensuring their most complete absorption in the small intestine;
  • improving the breakdown of plant fiber;
  • reduction of gas formation in the intestine;
  • improved emulsification of fats;
  • improved absorption of fats and fat-soluble vitamins;
  • increased lipase activity;
  • stimulation of the production of bile and its own enzymes of the pancreas, stomach and small intestine.

Thanks to a special shell, the enzymes remain protected from the negative effects of gastric juice and penetrate into the small intestine. The drug is able to quickly eliminate unpleasant phenomena associated with impaired digestion, namely:

  • flatulence;
  • heaviness and pain in the abdomen;
  • rumbling in the stomach;
  • nausea;
  • etc.

Indications for the use of tablets Festal

The drug is prescribed for the treatment of the following diseases and conditions:

  • insufficiency of the secretory activity of the pancreas (including cystic fibrosis, chronic pancreatitis);
  • pathologies of the stomach, intestines, liver, gallbladder associated with chronic inflammatory-dystrophic processes;
  • conditions after resection or irradiation of the digestive organs, which are accompanied by digestion failures, flatulence, diarrhea;
  • inaccuracies in the diet a large number fatty, fried, unusual and hard to digest food, irregular meals);
  • violations of chewing function (for example, with diseases and injuries of teeth and gums);
  • inactivity associated with prolonged immobilization, hospitalization;
  • preparation for x-ray examination or ultrasound of the abdominal organs;
  • the need to improve the absorption of certain drugs (sulfonamides, antibiotics).

How to use Festal

Festal should be taken internally, without chewing, 1-2 tablets with meals or immediately after meals. The medicine should be taken with a small amount of water. Multiplicity of reception - up to 3 times a day. The duration of therapy depends on the type of pathology and can reach several years if replacement therapy is necessary.

Contraindications to the use of the drug Festal

Like other drugs, Festal has contraindications for use. Taking the drug is prohibited in the following cases:

In case of an overdose of Festal, such negative effects as nausea, diarrhea, increased levels of uric acid in the blood, etc. are possible.

Festal is an enzyme drug used to compensate for the functions of the pancreas and liver that have been suppressed for some reason.

The composition of the drug includes the following enzymes: amylase, protease, lipase, hemicellulase, and bovine bile extract. They have a positive effect on the digestion of nutrients, increasing the quality of their absorption, break down fiber, and reduce gas formation. Festal promotes the dilution of fats with water and improves their digestibility. Indicated for use in pancreatitis, liver damage, loss of bile acid, disorders of bile formation, bile excretion, diseases of the gastrointestinal tract.

The duration of the drug course varies significantly and is calculated in days (for digestive disorders due to excessive passion for "wrong" food) or even years (as part of replacement therapy for lack of functioning internal organs involved in digestion due to chronic diseases).

Clinical and pharmacological group

enzyme preparation.

Terms of sale from pharmacies

Can buy without a doctor's prescription.

Price

How much does Festal cost in pharmacies? average price is at the level of 195 rubles.

Composition and form of release

Festal is available in the dosage form of enteric dragees. They have a white color, round shape, glossy surface.

  • The composition of the drug includes active ingredients: pancreatin, hemicellulase and bile components.

Additional components: sodium chloride, cellacefate, ethyl vanillin, sucrose, castor oil, methyl parahydroxybenzoate, gelatin, propyl parahydroxybenzoate, liquid dextrose, acacia gum, calcium carbonate, glycerol, macrogol, titanium dioxide, talc.

Pharmacological effect

The active active ingredients of the drug are hemicellulase, pancreatin and bile components. The auxiliary substance that is part of the dragee is sodium chloride. The shell consists of titanium dioxide, macrogol, talc, liquid dextrose, gelatin, propyl parahydroxybenzoate, methyl parahydroxybenzoate, sucrose, castor oil, ethylvanillin, cellacephate.

When using Festal, due to pancreatin, it eliminates the insufficiency of the exocrine function of the pancreas, and also, thanks to the bile component, normalizes the biliary function of the liver. The drug has amylolytic, proteolytic and lipolytic effects. When applied, Festal improves the digestion of proteins, fats and carbohydrates, which accelerates their absorption in the small intestine.

The remedy corrects biliary insufficiency, promotes the release of lipase from the pancreas, accelerates the breakdown of plant fiber and reduces the formation of gases in the intestines.

Indications for use

What helps? The main indications for the use of Festal are pancreatic insufficiency, accompanied by chronic pancreatitis, as well as biliary insufficiency with impaired food digestion, flatulence, constipation, and so on during treatment:

  • large losses of bile acids, for example, after undergoing cholecystectomy;
  • diffuse liver diseases, for example, alcoholic and toxic liver damage;
  • malfunctions in the circulation of bile acids, as a result, and malabsorption;
  • violations of the neurohumoral regulation of various processes of bile formation or bile secretion, accompanied by chronic diseases of the gastrointestinal tract, for example, or;
  • deviations in the digestion of food in people with normal gastrointestinal function with changes in nutrition, problems with chewing function, a sedentary lifestyle, and so on;
  • in preparation for ultrasound of the abdominal organs or x-rays.

Contraindications

The drug should not be taken under the following conditions:

  1. mechanical jaundice.
  2. Intestinal obstruction.
  3. Gallstone disease.
  4. Exacerbation of the chronic form of pancreatitis.
  5. Hepatitis.
  6. Elevated levels of bilirubin in the blood.
  7. Hypersensitivity to auxiliary components.
  8. Acute pancreatitis.
  9. Tendency to diarrhea.
  10. Empyema of the gallbladder.
  11. Liver failure, coma or precoma.

Festal is also contraindicated for children under 3 years of age.

Appointment during pregnancy and lactation

It should be noted that Festal during pregnancy is prescribed with extreme caution. As a rule, you should check with your doctor to find out if pregnant women can take this or other medicines. According to the instructions for breastfeeding and pregnancy, the use of this drug is allowed if the benefit to the treatment of a woman significantly outweighs the risk of developing undesirable effects for the baby.

Dosage and method of application

As indicated in the instructions for use, Festal should be taken orally, without chewing, during or immediately after a meal, with a small amount of liquid.

  • Adults appoint 1-2 tablets 3 times / day. Higher doses are prescribed by a doctor.

The use of the drug in children as prescribed by a doctor.

  • The duration of treatment can vary from a few days (if the digestive process is disturbed due to errors in the diet) to several months or years (if you need constant replacement therapy).

Before x-ray or ultrasound examination - 2 tablets 2-3 times / day for 2-3 days before the examination.

Adverse reactions

During treatment with Festal, patients complained of:

  1. Allergic reactions, which were manifested by sneezing, lacrimation, hyperemia of the skin.
  2. Feeling of nausea, the appearance of diarrhea or intestinal colic.

It is also possible to increase the content of uric acid in the blood and urine. In children, irritation in the perianal region or oral mucosa was noted as adverse reactions.

Overdose

special instructions

In cystic fibrosis, the drug should be administered with caution, since the dose should be adequate to the quantity and quality of the food consumed.

Compatibility with other drugs

When using the drug, it is necessary to take into account the interaction with other drugs:

  1. Cimetidine may enhance the effect of the drug.
  2. Pancreatin may reduce the absorption of folic acid.
  3. Long-term use of pancreatin may reduce the absorption of iron preparations.
  4. Pancreatin can reduce the effect of acarbose, so you should not use Festal and acarbose at the same time.
  5. The simultaneous use of antacids containing calcium carbonate and / or magnesium hydroxide can lead to a decrease in the effectiveness of pancreatin.
  6. With simultaneous use with the drug Festal, the absorption of PAS, sulfonamides, and antibiotics is enhanced. It is possible to reduce the absorption of iron preparations.

Festal is a combined enzyme preparation used for insufficiency of the biliary function of the liver and the secretory function of the pancreas.

It consists of bile, pancreatin and hemicellulase. Pancreatin enzymes (animal amylase, protease and lipase) help digest proteins, fats and carbohydrates, bile improves the processing of food components, and hemicellulase helps to cope with plant fiber.

Festal also activates the production of its enzymes by the body. The drug will help with malnutrition, overeating, it is prescribed in preparation for an ultrasound or x-ray examination, with dystrophic changes in the digestive organs, after surgical interventions.

According to reviews, with prolonged use in high doses, hyperuricosuria, irritation of the oral mucosa, perianal irritation may occur.

Indications for use

What helps Festal? According to the instructions, the drug is prescribed in the following cases:

  • diffuse pathology of the liver - alcoholic, toxic hepatitis, cirrhosis.
  • significant loss of bile acids, in particular in patients after the removal of the gallbladder (cholecystectomy).
  • violation of the neurohumoral regulation of the processes of bile formation and bile secretion in chronic pathology of the gastrointestinal tract (chronic gastritis, duodenitis, cholecystitis).
  • violation of the circulation of bile acids, which is the result of biliary dyskinesia, malabsorption, dysbacteriosis.

It is also used for functional insufficiency of digestion in case of eating a significant amount of fatty foods (malnutrition), forced long-term immobilization, with a sedentary lifestyle, and also as a means of preparation before conducting x-ray or ultrasound examination of the organs of the digestive system.

Instructions for use Festal, dosage

Dragee is taken orally without chewing, with food or immediately after it, with a small amount of water.

Dosages for adults - 1-2 tablets Festal \ 3 times a day. According to the instructions, according to indications, an increase in the dose is possible.

The use of the drug for children - only as directed by a doctor.

The course lasts from several days (errors in the diet) to several years (replacement therapy).

Before x-ray or ultrasound examination, 2 tablets are prescribed 2-3 times a day for 2-3 days on the eve of the study.

Side effects

The instruction warns of the possibility of developing the following side effects when prescribing Festal:

  • From the digestive system: nausea, diarrhea, abdominal pain, decreased endogenous synthesis of bile acids.
  • With prolonged use in high doses: possibly - hyperuricosuria, an increase in the level of uric acid in the blood plasma.
  • When used in high doses in children: possibly - perianal irritation, irritation of the oral mucosa.
  • Other: allergic reactions.

Contraindications

Festal is contraindicated in the following cases:

  • intestinal obstruction;
  • empyema of the gallbladder;
  • cholelithiasis;
  • jaundice of mechanical origin;
  • hepatitis;
  • liver failure;
  • exacerbation of chronic pancreatitis;
  • acute pancreatitis;
  • pregnancy and breastfeeding period.

Overdose

The level of uric acid rises, and its excretion in the urine also increases. In this case, the drug is canceled and symptomatic therapy is prescribed.

Festal analogues, price in pharmacies

If necessary, you can replace Festal with an analogue for the active substance - these are drugs:

  1. Ferestal,
  2. panolez,
  3. Normoenzyme,
  4. Digestal,
  5. Enzistal,
  6. Biofestal.

ATX code:

  • Gastenorm forte,
  • Creon,
  • Mezim,
  • Micrasim,
  • Pancreatin.

When choosing analogues, it is important to understand that the instructions for use of Festal, the price and reviews of drugs of similar action do not apply. It is important to consult a doctor and not to make self-replacement drug.

Price in Russian pharmacies: Festal dragee 20 pcs. - from 130 to 170 rubles, 40 pills - from 240 to 173 rubles, according to 716 pharmacies.

The shelf life of dragees is 3 years from the date of their manufacture. The drug should be stored in a dark, dry place inaccessible to children at an air temperature not higher than + 25 ° C.

Mezim or Festal, which is better?

The main active ingredient of both drugs is pancreatin. Festal differs from Mezim in that it also contains an extract of bovine bile, which has a choleretic effect, promotes the emulsification of fats, and improves the absorption of fat-soluble vitamins and fats.

Otherwise, the preparations are practically no different, with the exception of the country of origin: Mezim is produced by a German company, Festal is an Indian one.

Food is not only a treat, it is also a source of compounds necessary for the body: proteins, fats, carbohydrates. Enzymes play an important role in the process of digestion. They break down food, as a result of which it is absorbed into the bloodstream, takes part in metabolic reactions. If biologically active substances are not enough, the normal functioning of the digestive tract is disrupted, abdominal pain, heartburn, diarrhea, nausea, and vomiting occur. In such cases, Festal will help. It performs a substitution function, replenishing the required amount of enzymes.

Composition features

Festal is a complex preparation, it contains several components, as a result of which the remedy is indicated for many diseases.

  • Lipase is an enzyme involved in the breakdown of fats.
  • Amylase helps digest carbohydrates.
  • Proteinase helps break down proteins into amino acids.
  • Hemicellulase is necessary for the digestion of fiber, coarse fibers.
  • Bile components have a bactericidal effect, activate their own pancreatic enzymes, are necessary for emulsification of fats, absorption of fat-soluble vitamins.

Attention! The composition of Festal includes bovine bile, it resembles human bile as much as possible, as a result of which the effectiveness of the drug is quite high.

Mechanism of action

The drug begins to act in the small intestine. Enzymes eliminate food stagnation by breaking down proteins, fats and carbohydrates. Even one tablet of Festal will help get rid of abdominal pain, heartburn, nausea, feelings of fullness, heaviness.

Also, the active substances of the drug activate the production of its own enzymes by the pancreas. Festal has a dual function: it replaces the lack of enzymes and enhances the production of its own.

When is Festal needed?

In most cases, the drug is prescribed by a doctor. It is included in the protocols for the treatment of many diseases of the gastrointestinal tract. When overeating, eating fatty, fried foods, you can take the pills on your own. Before you buy Festal, you must carefully read the indications, possible side effects, contraindications.

The drug is prescribed in the following cases:

  • Chronic pancreatitis. The disease is characterized by insufficient production of enzymes by the pancreas, resulting in bloating, constipation, belching, heartburn.
  • After surgery on the stomach, liver, bile ducts or pancreas. In the postoperative period, it is necessary to provide peace to these organs.
  • Abuse of fatty or fried foods, overeating. In some cases, the amount and activity of enzymes is sufficient, but too much food is forced to take Festal tablets. The body itself cannot cope with such a load, digestion is difficult. The drug is an additional source of enzymes.
  • Inflammatory, toxic, alcoholic liver diseases.
  • Removal of the gallbladder.
  • Cystic fibrosis.
  • Diarrhea (non-infectious origin).
  • Preparation for ultrasound, X-ray examination.

Contraindications

Festal can not only help the digestive organs, but also cause deterioration. To avoid unpleasant situations, the drug should be prescribed by a doctor.

  • The components of Festal may cause an allergic reaction. If rashes appear on the skin, swelling of the face, limbs, the drug is stopped taking, after which it is necessary to go to the hospital.
  • Acute pancreatitis.
  • Liver failure (hepatic encephalopathy).
  • Increase in the amount of bilirubin, jaundice.
  • Intestinal obstruction.
  • Children under 3 years old.

Attention! During pregnancy and lactation, Festal is not prohibited. However, it should only be taken as directed by a doctor.

Interaction with other medicines

There are some features that must be considered when prescribing the drug.

  • The absorption of iron by the body worsens; simultaneous use with iron-containing preparations is not recommended.
  • The bioavailability of antibiotics, sulfonamides increases.
  • Antacids adversely affect the absorption of Festal.

Alcohol nullifies the effectiveness of the drug.

Multiplicity of reception, doses

Only a doctor can determine how long, at what dosage, to take Festal.

If the cause is overeating, a single dose of the drug is possible. The recommended dose is 1-2 tablets taken with plenty of water. The maximum frequency of admission is 3 times a day. In the case of chronic diseases of the digestive system, the doctor independently selects a treatment regimen. The course of admission can reach a month, after which the doctor assesses the patient's condition, if necessary, the reception continues.

Side effects

If the doctor's recommendations are not followed, the dosage may be exceeded, nausea, vomiting, diarrhea, heartburn may occur. Hypersensitivity to the components of the drug is manifested by rashes, itching, redness of the skin, swelling of the face and neck.

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