The best choleretic drugs for kinked gallbladder and other pathologies in children. The principle of action of choleretic herbs, indications and contraindications for use

The pain in the child’s abdomen that he complains of needs medical attention if the discomfort is accompanied by additional symptoms. Nothing supernatural: problems with stool, frequent rumbling in the stomach, bad breath. Taken together, these manifestations indicate the presence of problems with the child’s digestive system.

What can cause systematic abdominal pain in a child?

Ailments associated with the production and conduction of bile that a child may suffer from:

1. Cholecystitis is an inflammation of the bile reservoir.

Accompanied by:

• appetite disorder;
• bitter belching with an unpleasant odor;
• heaviness in the right side;
• pain syndrome manifests itself as dull or sharp impulses;
• the skin acquires a yellowish tint.

• heredity;
• ill-considered nutrition;
• sedentary lifestyle.

1. Dyskinesia - due to improper contraction of the sphincter of Oddi muscles in the gallbladder, the removal of substances from the reservoir is impaired.

Symptoms:

• with giardiasis, the upper abdomen hurts, near the navel;
• frequent bloating;
• problems with stool;
• sleep disturbance;
• the child gets tired quickly;
• The baby doesn't eat well.

The disease provokes inflammation of the gastric mucosa, which entails more serious consequences when the condition is neglected.

1. Neoplasms in the gallbladder are an extremely rare occurrence, the formation of a benign or malignant tumor in the bile reservoir, but it does occur.
2. A bend in the gallbladder is a congenital or acquired pathology.

When the gallbladder is bent, the following symptoms:

• pain in the right side, closer to the back;
• during the passage of bile into the abdominal cavity, the pain becomes acute and radiates to the left side;
• pain;
• sudden changes in body temperature;
• problems with stool.

• prolonged stress;
• excessive physical activity;
• obesity;
• ill-conceived diet;
• excessive physical activity for a child;
• frequent exacerbations of chronic cholecystitis.

In almost all of the previously mentioned cases, choleretic drugs for children are prescribed during treatment.

What can children take and at what age?

Choleretic medications should be taken with caution, especially in the case of children. In order to fully understand the risks and consequences, it is necessary to understand the principle of action of drugs of this type.

These drugs promote the formation of bile in volumes not exceeding the norm and the passage of the substance into the intestines.

Children's medications are different from adult ones. They are mainly produced as a syrup or suspension to make it easier for the baby to take. Doctors recommend giving preference to herbal substances because they have a minimal number of side effects compared to synthesized ones.

The most effective and popular drugs:

1. Holaflux - prescribed for chronic cholecystitis and dyskinesia. A plant substance containing thistle, dandelion and celandine.
2. Holagogum - prescribed for chronic pancreatitis, cholecystitis, dyskinesia. After treatment, it is taken to facilitate the body’s adaptation. Plant matter.
3. Allochol is a herbal preparation that improves bile flow and helps improve liver function. One of the few that contains animal bile. The dosage and course of administration are prescribed individually, depending on the age and weight of the child. The treatment is effective for children from 7 to 10 years old.
4. Cholenzym is a combined choleretic drug containing enzymes that promote high-quality digestion of food. Prescribed only to adolescents over 12 years of age.
5. Flamin - improves the flow of bile and is available in various forms. One of the most effective, judging by reviews from doctors and parents. It is prescribed for giardiasis, but is not recommended for children under 5 years of age and children with peptic ulcer disease.

In general, all of the above drugs have a good reputation among doctors and parents, are also highly effective and have virtually no side effects.

Instructions for use:

Choleretic collection is a collection of plants that help with diseases of the biliary tract and gallbladder.

pharmachologic effect

Choleretic herbal collection promotes the removal of bile, has an anti-inflammatory effect, relieves spasms, restores intestinal motility and improves appetite. There are three collections of different compositions, which include plants with similar effects.

Collection No. 1 includes mint and trifoliate leaves, coriander fruits, and immortelle flowers.

Mint is known for its sedative effect, but the herb is also effective for gallstone disease - it helps remove stones. It is also known that the bitterness of mint stimulates the functioning of the gallbladder and liver.

Trefoil trefoil is also called water trefoil; it stimulates digestion and has anti-inflammatory properties.

Coriander seeds have a choleretic and analgesic effect.

Immortelle is traditionally used for pathologies of the liver and gallbladder. The flowers of the plant relieve inflammation and spasms, relieve pain, increase the tone of the gallbladder and liver, affect the viscosity of bile and its chemical composition, reduce the level of cholesterol and bilirubin.

The composition of choleretic collection No. 2 includes yarrow herb, mint, coriander fruits, immortelle flowers (on the packaging of the collection it is often indicated as sandy cumin).

Traditional medicine traditionally recommends using yarrow for diseases of the gallbladder. The herb helps reduce inflammation, relieves spasms and improves bile excretion.

Collection for removing bile No. 3 includes tansy, calendula and chamomile flowers, mint leaves, and yarrow herb.

Tansy is included in the collection because has a choleretic, antimicrobial effect, relieves inflammation. Chamomile also promotes the removal of bile, relieves spasms, and has a sedative effect.

Release form

Choleretic mixtures No. 1, 2, 3 are produced in the form of crushed plant materials in cardboard packages and in filter bags for one-time use.

Indications for use

The preparations are prescribed to be taken for chronic reactive hepatitis; chronic cholecystitis - acute inflammation of the gallbladder; with poor appetite and digestive disorders; biliary dyskinesia; cholangitis – inflammation of the bile ducts of an infectious nature; attacks of nausea; postcholecystectomy syndrome - a condition in which the sphincter of Oddi is disrupted and, as a result, the patency of bile and pancreatic juice deteriorates.

Mode of application

Collection No. 1 is brewed as follows: 1 tablespoon of crushed medicinal raw materials is poured with hot water (200 ml), heated for 15 minutes, infused for at least 45 minutes. Before use, it is advisable to strain the broth and then bring it to 200 ml with boiled water. Take the collection 300 ml per day in 3 divided doses half an hour before meals. Therapy, judging by the reviews of choleretic collection No. 1, is recommended to continue for 2-4 weeks to obtain an effect.

It is advisable to shake the broth before use; it is not recommended to store it for more than two days.

Collection No. 2 is brewed in the same way as collection No. 1. Adults are recommended to drink it in 3 doses half an hour before meals - only 1.5 glasses per day. Children are recommended to give no more than 150 ml per day, in three divided doses.

Two filter bags with choleretic collection contain 200 ml of boiling water: pour them in and leave for 15 minutes. Take the decoction in the same way as the one prepared from medicinal raw materials.

To prepare a herbal decoction from collection No. 3, pour 200 ml of boiling water into one or two disposable bags and leave for 15 minutes. It is recommended to take the product 1.5-3 glasses. It is also not recommended to store ready-made decoctions from collections No. 2 and 3 for more than two days.

In most cases, herbal collections No. 2, 3 for removing bile are also recommended to be taken for 2-4 weeks, but consultation with a doctor is required.

Side effects

There are reviews of choleretic preparations indicating that they can cause heartburn and allergies.

Contraindications

It is not recommended to use choleretic preparations if you are allergic to the plants that are part of them and if you have cholelithiasis, a disease in which there are stones in the bile ducts and bladder that prevent the flow of bile into the intestines.

Pregnant and lactating women are prescribed bile removal fees in exceptional cases.

Today, digestive disorders are one of the most common pathologies among the population. A special place is occupied by diseases of the liver and gall bladder, which can lead to disruption of the outflow of bile. There are remedies that can improve the outflow of this fluid.

These include a choleretic collection. It is prepared on the basis of various herbs. The most popular decoction is based on mint, wacht, coriander and immortelle. This collection is prepared and accepted using a special technology. Firstly, after mixing 1 tablespoon of raw material with hot water and then infusing the broth, the broth must be filtered.

Secondly, it is recommended to use the collection every day for 2-3 weeks. Take it 3 times a day in a volume of 300 ml. It is very important that the intake is taken before meals, and not after or during it. This will ensure optimal flow of bile and preparation for digestion of food.

It is advisable to always drink the decoction fresh, since after two days it loses its healing properties. Before drinking the herbal mixture, you will need to shake it thoroughly so that the active substances that have settled at the bottom are evenly distributed in the container.

Using a collection based on mint, coriander and immortelle

From the previous one, it is recommended to drink this collection in a volume of no more than one and a half glasses per day. Number of receptions per day – 3.

It is very important to observe the interval between taking the choleretic decoction and eating food; it should be approximately 30 minutes.
These numbers are optimal for people, but everything is a little different. In this case, the daily dose is reduced to 150 ml, the number of doses remains the same. It is necessary to drink a healing and healthy drink until the impaired functions are restored and only under the supervision of a doctor. It is important that the decoction must be cooled before use; there is no need to drink it hot.

It is recommended to store the choleretic collection in the refrigerator at low temperatures, otherwise it can quickly deteriorate and become useless. It is forbidden to drink this mixture for people with stones, as well as with individual intolerance. Thus, based on all of the above, we can conclude that it is necessary to drink the healing herbal mixture according to certain instructions, observing storage rules, serving sizes and frequency. You need to drink until complete healing and restoration of bile flow.

Biliary dyskinesia, chronic pancreatitis and cholecystitis are very common diseases in our country, even among children. They do not always manifest noticeable symptoms: most only note a lack of appetite and even nausea in the morning, heaviness in the right hypochondrium, and periodic itching of the skin. However, it turns out that all these are signs of bile stagnation. And, until thick bile begins to turn into stones, it is necessary to take choleretic drugs.

We'll talk about what they are and how they work.

Why and where do you need to drive bile?

Many people mistakenly believe that bile is formed in the gallbladder and for some reason accumulates there. This is not so: bile is produced by liver cells, from the liver it enters the gallbladder and concentrates there - excess water leaves it.

When a person eats food that contains fats, a signal about this reaches the gallbladder, and it, by contracting, removes bile through the bile ducts into the duodenum. The hole through which bile exits is located next to the hole where the pancreas releases its secretions.

Tasks of bile:

• make an emulsion from the incoming fats, which will be easier for pancreatic enzymes to reach;
• create the right conditions for the functioning of pancreatic enzymes - and without them neither proteins, nor fats, nor carbohydrates can be digested normally;
• stimulate intestinal contractions;
• ensure the absorption of fat-soluble vitamins: A, D, E, group K;
• prevents microorganisms from attaching to the intestinal walls: then they will not be able to be absorbed into the blood along with food;
• removes substances that have passed through the liver with feces: some hormones, bilirubin, cholesterol.

That is, bile is a very useful substance, and it is imperative that it is formed correctly and correctly delivered to the duodenum. This is what choleretic drugs are aimed at. But in reality, everything is not so simple.

Three different groups of drugs have been called choleretic. They affect the biliary tract in different ways, and do not simply “drive” bile along its path:

• some – choleretics – increase bile production;
• others - cholekinetics - accelerate the excretion of bile from the hepatic ducts to the duodenum;
• third - cholespasmolytics - relax the spasmodic bile ducts;
• fourth - cholelitogenic preparations of bile acids - are used to liquefy bile so that stones do not form in it. These same agents have the ability to dissolve very small stones - due to changes in the chemical properties of bile.

Each of them has its own point of application and, accordingly, its own indications. Without knowing which drug to take in this situation, you can only harm yourself. For example, relax the bile ducts that are already lacking tone. Or force the already sick liver to “strain” and produce bile (when the liver is already working as hard as it can - in order to at least neutralize dangerous toxins).

How choleretic drugs work, and on what basis one or the other is chosen, is not a mystery at all. Therefore, we tell you what, how and why.

Choleretic drugs and indications for them

To understand what type of drug is needed and when, consider how bile moves:

1. Formed in the liver cells, it enters the intrahepatic bile ducts.
2. From these ducts, bile flows by gravity first into the right or left hepatic duct (from the right lobe of the liver to the right, from the left, respectively, to the left). Then the bile from both of these ducts, also by gravity, is collected into the common hepatic duct. It is a tube in which there are few muscle cells.
3. From the common hepatic duct there is a branch - a “tube” (duct), which leads to the gallbladder. There are almost no muscles in it, so the bile needs to get there somehow. The force that propels it in this direction is the difference in pressure between that created by the liver (when it secreted bile) and the resistance exerted by the sphincter of Oddi. The sphincter of Oddi is a circular muscle that lies where the hepatic duct (more precisely, its continuation - the common bile duct) passes into the duodenum. That is, the sphincter of Oddi is such a faucet. When it is closed, bile flows into the cystic duct, its pressure straightens the folds lying between the bladder and the cystic duct, and accumulates in the gallbladder.
4. As the gallbladder fills, the pressure in it increases, and in the hepatic ducts, accordingly, decreases. And when the “faucet” of the sphincter of Oddi opens (this happens in response to pepsin in the gastric juice and is a signal that food has entered the gastrointestinal tract), the pressure differences become such that already prepared, concentrated bile first flows into the duodenum.
5. When the pressure in the gallbladder increases to 250-300 mm of water column, it contracts itself - then the sphincter of Oddi has to open.
6. The common bile duct also has almost no muscle fibers, so it contracts poorly.

What follows from all this in relation to drugs? Let's consider it in relation to diseases. As a result, you will understand which particular group of choleretic drugs you need. So.

Choleretic drugs for biliary dyskinesia

The word “dyskinesia” refers to a disturbance in the normal movement of bile. This diagnosis itself necessarily requires decoding, because it is unclear whether the bile will move faster or slower.

So, dyskinesia is characterized by only 2 concepts:

1. What tone do the bile ducts have? He can be:
   • normal (then there is no need to correct it);
   • increased (hypertensive dyskinesia), when bile is released quickly, which will facilitate its reflux into the stomach. In this case, drugs are needed - cholespasmolytics;
   • reduced when bile flows slowly. To correct this condition, cholekinetics are needed.
2. How the biliary tract contracts:

• at high speed - then the bile does not have time to concentrate. This can be relieved with antispasmodics;
• at normal speed;
• at a low speed, which contributes to stagnation of bile. In this case, either choleretics are needed (then more bile will be formed and it will have to be released faster), or cholekinetics - to stimulate the movements of the biliary tract.

Thus, the diagnosis for biliary dyskinesia consists of 2 parts. As a result, it may be:

• hypertonic hyperkinetic. More “strong” cholespasmolytics are needed. Usually these are synthetic drugs;
• hypertensive normokinetic. It is treated with cholespasmolytics, which do not inhibit the peristalsis of the biliary tract itself (usually herbal remedies);
• hypertensive hypokinetic. You need a drug that will relieve the spasm (otherwise the bile will not go away), and a cholekinetic agent;
• hypotonic hypokinetic. Both choleretics and cholekinetics are needed;
• hypotonic normokinetic. Usually one choleretic is enough.

If you do not determine the type of your own dyskinesia and take drugs at random, you can worsen your condition. Most often, choleretics drink it to increase bile production. Now imagine what will happen if dyskinesia is caused by a bend in the gallbladder? Or is it hypokinetic? Then the gallbladder becomes full, and then it has to contract sharply. This will be a very painful condition called biliary colic.

There is a second option: uncontrolled use of cholespasmolytics. As a result, the bile stagnates, and salts with cholesterol begin to precipitate, forming stones, or the bile becomes infected: cholecystitis occurs.

Choleretic drugs for bile stagnation

Choleretic drugs for bile stagnation are choleretics and cholekinetics. In addition, it is necessary to check the bile ducts for the presence of stones in them. If they are absent or they are small (up to 3 mm), bile acid preparations are prescribed.

When there is stagnation in the liver, which is accompanied by yellowing and itching of the skin, not only choleretic drugs are prescribed, but also drugs from other groups. In this case, treatment is generally recommended to take place in a hospital - to monitor the effectiveness of therapy and timely diagnosis of complications.

Choleretic drugs for inflection of the gallbladder

The inflection of the gallbladder itself already indicates biliary dyskinesia. Most likely, it will be hypokinetic (since bile must overcome a greater obstacle to enter the gallbladder) and hypermotor. And for its treatment, cholespasmolytics, cholekinetics and bile acid preparations will be needed - for the prevention of cholelithiasis. As with “normal” dyskinesia, herbal preparations are preferable outside of exacerbation.

Dyskinesia when bending can be both hypokinetic and hypomotor. In this case, cholekinetics and, sometimes, choleretics are needed.

Choleretic agents for cholecystitis

Inflammation of the gallbladder usually requires the following medications:

• choleretics - to “dilute” infected bile with “fresh”;
• cholespasmolytics - since when the gallbladder is inflamed with cholecystitis, its spasm is inevitable;
• cholelithogenic agents in case there are no stones - to prevent their formation.

For this disease, antibiotics are also prescribed - usually 2 groups at once.

Choleretic agents for pancreatitis

Inflammation of the pancreas - pancreatitis - is accompanied by increased production of its enzymes. We remember that bile stimulates the synthesis of these substances, which means that in this case it should be released in small portions - no sudden surges. For this purpose, cholespasmolytics are prescribed for both acute and chronic pancreatitis. And to prevent the formation of stones - since bile stagnation will inevitably occur here - cholelitogenic drugs will be used.

Pancreatitis is a dangerous disease that requires complex therapy, but in no case self-medication!

How to improve your condition after cholecystectomy

The main problem after removal of the gallbladder is the inability to concentrate bile. That is, it is more liquid and flows faster into the duodenum. However, even in such less concentrated bile, conditions remain for the formation of stones, so taking cholelithogenic drugs is mandatory.

Choleretics are contraindicated in post-cholecystectomy conditions: the liver already begins to compensatoryly produce more bile.

Antispasmodics are needed, which should be taken systematically immediately after surgery and during the first three months. This is explained by the fact that previously the gallbladder and the sphincter of Oddi worked in concert: when the bladder contracted (under the influence of hormone-like substances, gastric and pancreatic juice), the sphincter relaxed. As soon as the gallbladder was gone, the sphincter of Oddi, which is not endowed with such sensitivity, became more difficult to navigate what and when to do. In this situation, it most often spasms. It needs to be relaxed with cholespasmolytics before the spasm becomes stenosis, which will require a new operation.

The condition after surgery may also be accompanied by hypotonicity of the sphincter of Oddi, which occurs already some time after the operation. In this case, cholekinetics are prescribed.

In this condition, drugs that improve liver function, anti-inflammatory drugs and antibiotics are also prescribed.

List of choleretic drugs

Let's consider what representatives of the different groups of these drugs are. Let's start our list of choleretic drugs with the largest group - choleretics.

Choleretics

Choleretics are divided into 2 large groups:

1. True choleretics, which increase the amount of bile by increasing its formation. They, in turn, are divided into 3 groups - depending on the raw materials from which they are made - into:
   • containing bile acids (from animal bile);
   • synthetic drugs that activate the mechanisms of bile formation;
   • medicinal herbs that affect the mechanisms of bile formation.
2. Hydrocholeretics are drugs that increase the volume of the gallbladder by diluting bile with water.

In this section we will consider only drugs of animal and synthetic origin, as well as hydrocholeretics. We will consider all herbal preparations - both choleretics and cholekinetics - separately.

Allohol Compound: natural bile, nettle, activated carbon, garlic Analogues– based on bile: Canned medical bile (emulsion), Cholenzym (contains pancreatic enzymes and bile), Festal (a complete analogue of Cholenzym) Contraindications: Allergy to components, acute hepatitis, for cholenzyme/festal - acute pancreatitis, obstructive jaundice, acute gastroenterocolitis, liver dystrophy - acute and chronic Prices: Allochol: 10 tabs – 10 r, 50 tabs – 60 r, Medical bile (emulsion) 250 ml – 250 r, Cholenzym 50 tabs – 220 r, Festal 40 tabs – 220 r

Odeston Compound: hymecromone (synthetic drug) Analogues: Holestil, Holonerton (they are currently undergoing re-registration) Contraindications: blockage of the biliary tract, Crohn's disease, increased bleeding, including hemophilia, liver failure, ulcers of the stomach, intestines, lactation Prices: 20 tab – 360 rub, 100 tab – 750 rub

Nikodin Compound: synthetic substance hydroxymethylnicotinamide Analogues: Bilizarin, Cholamide, Felosan, Isokhol (currently not in pharmacies) Contraindications: blockage of the biliary tract, gastritis with extremely low acidity, allergy to the drug Prices: drug under re-registration

Hydrocholeretics include mineral waters with an alkaline pH:

• Borjomi;
• Essentuki 4 and 17;
• Jermuk;
• Naftusya;
• Slavyanovskaya.

Cholekinetics

The following synthetic drugs promote contractions of the biliary tract:

Magnesium sulfate (powder) Compound: magnesium Analogues: Other magnesium preparations are not used as choleretic drugs How to use: Dissolve the sachet in 1 liter of water, take 1 tbsp * 3 times a day Contraindications: Allergies, inflammation in the intestines, cholelithiasis, pregnancy, blockage of the bile ducts Prices: 25 g – 30 r

Sorbitol Compound: Analogues: No How to use: Dissolve 1 tbsp of the drug in a glass of warm water, drink it, put a warm heating pad under your right side, lie down with it for 30 minutes Contraindications: ascites, irritable bowel syndrome, allergies, colitis. With caution - for diabetes Prices: powder 350 g – 90 rub.

Cholespasmolytics

Bellalgin Compound: belladonna extract, metamizole, soda, benzocaine Analogues:(based on belladonna extract) – Atropine How to use: Strictly as prescribed by a doctor due to the abundance of side effects. 1 tablet*2-3 times a day, before meals Contraindications: tachycardia, pregnancy, allergies, angle-closure glaucoma, liver or kidney failure, hematopoietic disorders Prices: Bellagin 10 tablets – 60 r, Atropine is sold as a solution for subcutaneous injection

Metacin Compound: Methocinium iodide Analogues: No How to use: 2-3 rubles/day for 1-2 tablets. before meals Contraindications: heart disease, reflux of gastric contents into the esophagus, diaphragmatic hernia, intestinal atony, prostate hyperplasia, gastrointestinal obstruction, liver or kidney failure Prices: 10 tab – 180 RUR

Platyfillin Compound: platyphylline hydrotartrate Analogues: — How to use: subcutaneous injections Contraindications: atherosclerosis, heart disease, arrhythmias (especially tachycardia type), diaphragmatic hernia, ulcerative colitis, intestinal atony, gastrointestinal bleeding Prices: 10 amp – 70 RUR

Papazole Compound: papaverine hydrochloride, bendazole Analogues: Papaverine - suppositories, Papaverine - injections, Dibazol - tablets and injections How to use: 1 tab 2-3r/day Contraindications: hypotension, impaired AV conduction, allergies, old age Prices: 10 tablets – 10 rub.

Drotaverine Compound: Analogues: No-shpa How to use: 1-2 tab*2-3r/day Contraindications: glaucoma, atherosclerosis of heart vessels, allergies Prices: Drotaverine from different manufacturers No. 20 from 15 to 70 rubles, No-shpa No. 24 – 110 rubles

Duspatalin Compound: mebeverine Analogues: Mebeverin, Meverin – under re-registration How to use: 1 caps*2r/day Contraindications: allergies, pregnancy, children under 10 years old Prices: 30 tab – 510 RUR, 50 tab – 600 RUR

Eufillin Compound: aminophylline Analogues: Aminophylline – under re-registration How to use: 1 tab*3r/day Contraindications: acute myocardial infarction, arrhythmia, allergy, cardiomyopathy, exacerbation of peptic ulcer, children under 6 years of age, epilepsy, hyperthyroidism Prices: 30 tab – 20 RUR

Galidor Compound: bencyclane Analogues: No How to use: 1 tab*3r/day Contraindications: acute myocardial infarction, AV blockade, allergies, children under 18 years of age, epilepsy, hyperthyroidism Prices: 50 tab – 550 RUR

Buscopan Compound: hyoscine Analogues: No Contraindications: allergies, urolithiasis, cerebral atherosclerosis, porphyria, hypertension, myasthenia gravis, glaucoma, spastic paralysis Prices: 380 RUR – 20 tabs, 360 RUR – 10 candles

Cholelytics

Drugs that reduce the saturation of bile with cholesterol and, accordingly, are used to prevent the formation and dissolution of small stones are drugs based on ursodeoxycholic acid:

• Ursosan;
• Ursofalk;
• Ursodeoxycholic acid;
• Ursodez;
• Grinterol;
• Urdoxa.

The cheapest of them is Ursodeoxycholic acid: 600 rubles/50 tablets, the most expensive is Ursofalk: 915 rubles/50 tablets.

These drugs are available in the form of 250 mg capsules. The daily dose is calculated depending on body weight and the presence of stones, and is 2-6 caps/day.

Ursodeoxycholic acid preparations are contraindicated in acute inflammation of the liver, gallbladder and biliary tract, during pregnancy/lactation, in the presence of calcium stones, and frequent biliary colic.

Herbal choleretic drugs

Plant choleretics

Flamin Compound: Analogues: sand immortelle herb How to use: 30 minutes before meals 1t*3r/day Contraindications: stones more than 1 cm, allergies, children under 3 years old, obstructive jaundice Prices: tablets No. 30 – 180 RUR, granules for suspension No. 20 – 280 RUR

Tanacehol Compound: tansy extract Analogues: tansy flowers for preparing a decoction, tansy flowers in granules of 1.5 g How to use: 20 minutes before meals 1-2t*3r/day Contraindications: allergy Prices: 30 tab – 50 RUR

Berberis-homaccord Compound: homeopathic drops based on barberry Analogues: Berberis vulgaris granules How to use: 10 drops*3r/day 20 minutes before meals or an hour after it Contraindications: pregnancy Prices: Gommacord 550 RUR, Berberis granules 140 RUR/10 g

Holosas Compound: extract in syrup Analogues: Rosehip syrup dietary supplement, rosehip fruit CLS, Rosehip with vitamin C syrup How to use: 1 tsp * 2-3 rubles / day Contraindications: allergies, cholelithiasis Prices: 300 g – 120 RUR, Rosehip syrup dietary supplement 250 ml – 50 RUR, Rosehip fruits KLS – 20 pcs, 2 g each – 70 RUR, Rosehip with vitamin C 150 ml – 130 RUR

Hofitol Compound: artichoke extract Analogues: Artichoke Extract How to use: 2-3 t*3r/day before meals Contraindications: cholelithiasis, acute diseases of the kidneys, liver, biliary and urinary tracts Prices: 60 tabs – 300 RUR, solution 120 ml – 400 RUR, Artichoke Extract 20 tabs – 170 RUR

Urolesan Compound: complex of choleretic herbs Analogues: Kholagol – under re-registration How to use: drops – 8 drops each. for sugar*3r/day Contraindications: stones more than 3 mm in diameter, allergies. For diabetes mellitus, drip into water, not on sugar, or use capsules Prices: drops 25 ml – 310 RUR, capsules No. 40 – 350 RUR

Valerian tablets Compound: valerian extract Analogues: valerian tincture How to use: 1-2 tab*3-4r/day Contraindications: intolerance Prices: from 25 r/50 tab to 450 r/25 tab

Plant cholekinetics

Berberis gommacord and its analogue, discussed in the section of plant choleretics, are complex drugs that have both an antispasmodic and an improving peristalsis of the biliary tract.

In addition, the following have a cholekinetic effect:

• almost any vegetable oil, especially olive, cumin, sunflower;
• barberry leaves;
• roots and rhizomes of calamus;
• fennel fruit;
• caraway fruits.

Herbal cholespasmolytics

These are drugs such as Cholagol, valerian tablets.

As antispasmodics of plant origin, decoctions and tinctures are prepared from various herbs, which are best purchased at the pharmacy:

• tansy;
• arnica;
• turmeric root.

What choleretic drugs can be used for children

If you can experiment with yourself on your own - at your own peril and risk, then choleretic drugs for children should be prescribed by a doctor, based on the disease and the type of contraction of the biliary tract.

The following choleretic drugs are used for children:

• “Papaverine” and “Atropine” in the form of injections, in strict dosages and only under medical supervision - from 6 months;
• “Holosas” - from 3 years;
• "Urolesan" - from 7 years;
• "Hofitol" - from 6 years;
• "Eufillin" - from 6 years;
• "Duspatalin" - from 10 years;
• "Flamin" - from 6 years old.

What drugs can be called the best?

It is very difficult to average which choleretic drugs are the best, since each organism is individual. But some patterns can still be identified.

So, among choleretics, the following work best: “Nikodin”, “Holosas”, “Urolesan”, “Tanacehol”.

It is better to choose their cholekinetics: “Magnesium sulfate” or “Sorbitol”, using them for “blind probing”.

As for cholespasmolytics, synthetic drugs all work well and act quite quickly. Optimal for the biliary tract are Buscopan and Duspatalin. “No-shpa” and “Papaverine” have a relaxing effect on all smooth muscles, without selectively affecting the bile ducts.

Ask a Question

What should you do if your child has pain in the right side and a bitter taste in the mouth? How are choleretic drugs useful for bile stagnation?

Why do we need bile?

The body needs bile to break down fats, improve bowel function after meals and destroy harmful bacteria that cause . Bile is produced by the liver, flows through ducts into the gallbladder, and then into the duodenum, normalizing natural digestion.

Before answering the question why choleretic drugs are needed forbile stagnation, let’s figure out what the danger of such stagnation is for the body.

What are the dangers of bile stagnation?

If for one reason or another the gallbladder or liver malfunctions,bile outflowwill slow down. This in turn will lead to symptoms :

• pain in the side,
• skin itching,
• bloating,
• nausea and vomiting,

That's why when bile stagnatescholeretic agents - the first thing doctors prescribe to relieve symptoms and improve the functioning of the child’s body.

Choleretic drugs - a solution to the problem

There are many reasons why bile stagnates in children. Among them are possibledisturbances in the composition and diet, disruptions in metabolic processes, diseases And taking certain medications . It is difficult for a child’s body to fight diseases and recover on its own, which is why the use of choleretic drugs is so important.bile stagnation The child has.

Choleretic drugs forbile stagnationwill relieve symptoms that cause severe discomfort to the baby: pain, bloating, bitterness in the mouth– and will help restore the flow of bile, improve digestion and metabolism.

What else do choleretic drugs treat?

Herbal choleretic drugs with stagnation of bile - almost a panacea for the manifestations of this unpleasant disorder. Here are some positive effects of choleretic drugs:

• improve the flow of bile,
• help eliminate ,
• used for ,
• get rid of
• protect from .

The use of choleretic drugs for stagnation of bile quickly relieves symptoms and returns the child to an active life.

Selecting a choleretic agent: what to look for?

Children do not like to take pills: they taste bad and are difficult to swallow. Therefore, when choosing a choleretic drug whenbile stagnation, pay attention to the release form. Preferred option -medicine in the form of a suspension . It’s more pleasant for the child and easier for you.

Another point when choosing a children's choleretic drug iscompound. Doctors advise choosing choleretic drugs forbile stagnation, giving preference to natural composition and a minimal list of side effects.

Flamin for bile stagnation in children

Flamin– a time-tested Russian choleretic drug forbile stagnation. Thanks to its natural composition based on immortelleFlamin:

• relieves pain and ,
• improves the flow of bile,
• helps the body (due to strong bile production).