Festal period of use. How long can you take Festal without a break?

Is combination drug, which includes digestive enzymes that contribute better digestion and food absorption. Thanks to this drug, fats, proteins and carbohydrates are better absorbed in the small intestine.

Instructions for use:

Stimulates the production of its own enzymes in the pancreas, stomach and small intestine. Under the influence of Festal, bile is also better produced, which increases lipase activity and promotes better absorption fats and fat-soluble vitamins. The use of this medicine improves the condition gastrointestinal tract And normalizes digestive processes.

Composition and release form

The drug contains active ingredients:

pancreatin;
hemicellulase;
components of bile.

Available in the form of dragees, packaged in strips of 10 pieces, 2, 4, 6 and 10 per pack.

Pharmacological properties

The drug compensates for the insufficiency of the exocrine function of the pancreas due to pancreatin, and the biliary function of the liver due to the bile component. Festal has proteolytic, amylolytic and lipolytic effects.

The enzymes included in pancreatin: amylase, lipase and protease facilitate the digestion of carbohydrates, fats and proteins, which contributes to their more complete absorption into the body. small intestine. And in this respect, Festal is practically no different from others enzyme preparations.

Availability in Festal bile acids gives the drug additional opportunities to correct biliary insufficiency, which often accompanies chronic pancreatitis.

Bile extract has a choleretic effect, facilitates the absorption of fats and fat-soluble vitamins A, E and K, and promotes the secretion of lipase by the pancreas.

The enzyme hemicellulase promotes the breakdown vegetable fiber, which also improves digestive processes and reduces the formation of gases in the intestines.

Indications for use of Festal

Insufficiency of exocrine pancreatic function in chronic pancreatitis in combination with biliary insufficiency due to various pathological conditions, clinically manifested by disturbances in the digestion of food, flatulence, a tendency to constipation, in the composition combination therapy at:

To improve food digestion in patients with normal function gastrointestinal tract in case of errors in nutrition, as well as in cases of disorders of chewing function, forced long-term immobilization, and a sedentary lifestyle.

Preparation for X-ray and ultrasound examination abdominal organs.

Directions for use and doses

Side effects

Allergic reactions:

hyperemia of the skin;
sneeze;
lacrimation.

From the gastrointestinal tract:

nausea;
diarrhea;
stomach ache;
intestinal colic.

At long-term use V high doses hyperuricemia may develop. In children (when taken in large doses), irritation of the perianal and oral mucosa may develop.

Interaction with other drugs

When used simultaneously with Festal, the absorption of PAS (p-aminosalicylic acid), sulfonamides, and antibiotics is enhanced; Possible reduction in absorption of iron supplements. Simultaneous use antacids containing calcium carbonate and/or magnesium hydroxide may reduce the effectiveness of Festal. Cimetidine enhances the effect of the drug.

Contraindications

hypersensitivity to the components of the drug;
acute pancreatitis;
exacerbation chronic pancreatitis;
liver failure;
hepatic coma or precoma;
hepatitis;
hyperbilirubinemia;
obstructive jaundice;
cholelithiasis;
empyema of the gallbladder;
intestinal obstruction;
tendency to diarrhea;
children up to 3 years old.

With caution:

cystic fibrosis;
pregnancy.

Overdose

Symptoms: hyperuricemia - increased Instructions for use: uric acid in the blood.

Treatment: discontinuation of the drug and symptomatic therapy.

Festal's analogs

Analogues in composition and therapeutic effects are the following drugs:

Digestal;
Pancreatin;
Creon;
Mezim;
Pangrol.

Festal or mezim: which is better?

Festal and mezim are medicines, which compensate for the deficiency of pancreatic enzymes. They act almost identically and simplify the digestion of food. These medications are practically no different, but there are some differences in the composition.

Festal contains bile powder, which is used as auxiliary component. But it is not in mezim. They also differ in the shape of the tablets. Festal is produced only in the form of dragees. Mezim exists in the form of pink tablets.

The main difference is that festal has a protective enteric coating, which dissolves only in the intestines and helps the medicine work V in the right place . Mezim does not have such a shell and acts as it goes, dissolving in different departments gastrointestinal tract.

Festal can cope with stomach discomfort; instructions for use will help people figure out how to take the drug of different ages. The remedy is effective drug capable of quickly overcoming discomfort in the gastrointestinal tract, improve digestion and secretion of bile acids.

Festal belongs to the group of enzymes and antienzymes; only natural ingredients. Festal includes the following components:

pancreatin;
hemicellulose;
bile components.

Additional components are:

titanium dioxide;
polyethylene glycol;
sucrose;
acacia gum;
gelatin;
ethyl vanillin;
talc.

The drug is produced in the form of dragees; 10 units are placed on a foil plate. The package contains 2, 4, 10, 6 plates, the drug is sold without a doctor's prescription.

The dragees are white in color and have a weak odor. Unpleasant tastes, acid or bitterness after taking the drug, experts did not observe.

The manufacturer of the medicine is Indian pharmaceutical company Sanofi India Limited.

Pharmacological action

Once in the digestive system, the product stimulates the pancreas, improving a person’s well-being. Additionally, the medication speeds up the functioning of the gallbladder, food is digested faster, and the body receives more nutrients.

The enzyme hemicellulase included in the composition helps the gastrointestinal tract cope with fiber and reduces the risk of gas formation. And ox bile extract has a choleretic property; thanks to this ability, the human body accelerates the emulsification of fats, as well as the process of absorption of vitamins and microelements from food.

Festal contains enzymes natural origin, this feature speeds up metabolic processes in the human body and helps accelerate certain processes:

lipase - breaks down fats;
amylase - ensures the processing of carbohydrates;
protease - deals with the processing of proteins.

The components of the tablet dissolve in the small intestine, where they carry out their main therapeutic goal, but Festal tablets and their components are not absorbed into the general bloodstream.

Indications for use

Dystrophic diseases of the stomach, gall bladder, pancreas, intestines.
Cystic fibrosis.
Failures in the release of bile acid.
Disorders of digestive processes in people leading sedentary lifestyle lives suffering from obesity.
Diffuse liver diseases, cirrhosis, toxic or alcoholic lesions digestive systems.
Organ preparation digestive system to conduct x-ray examination.

Sometimes Festal is taken when diagnosed.

It is appropriate to use Festal within complex therapy, especially after resection of the stomach, pancreas, and some other operations on the gastrointestinal tract. The product should be used after a long feast, when signs of overeating appear - nausea, and also to restore the metabolism of carbohydrates, fats and proteins.

The complex composition of the drug makes it effective in food poisoning.

Instructions for use

The tablet should be taken either after a complete meal or during a meal. There is no need to chew or rub, but it is better to drink it with a few sips of water. Adults can take 1-2 tablets three times a day. If necessary, the dosage is adjusted, but only after consultation with an experienced doctor.

The drug can be given to children, but only in urgent need and after consultation with a specialist.

The course of treatment is determined individually in each case; according to the doctor’s recommendations, it lasts no more than a week, and in some cases, the drug is completed after a month.

If the pancreas is removed, the patient must take Festal tablets for life.

On the eve of an ultrasound or x-ray examination, you need to take 2-3 tablets 3 times a day.

It is not prohibited to use Festal after drinking alcohol. The drug is not able to influence the psyche and reaction of the patient, so doctors do not prohibit people from driving vehicle or perform important work at work while undergoing treatment with this drug.

Patients with cystic fibrosis should take the pills with caution. The dosage must exactly match the volume of food used.

Special Cautions

This enzyme preparation should not be used for the following disorders:

liver diseases;
acute pancreatitis;
intestinal obstruction;
hepatitis;
jaundice;
empyema of the gallbladder;
increased sensitivity to the product or its individual components;
children under three years old.

Rules for taking the drug during pregnancy

Festal tablets can be used during pregnancy, but only after consulting a doctor. In the instructions for the drug, the manufacturer indicates that the drug can be taken by nursing mothers in cases where the benefit to the mother is greater than the danger to the baby.

Cases of pathologies of pregnancy or fetus as a result of the use of Festal have not yet been found.

Combine Festal with others medical preparations need to be done with caution. The product can enhance the absorption and effectiveness of the following drugs:

sulfonamides;
PASK;
antibiotics.

The following medications can worsen the effect of Festal:

antacids;
preparations containing magnesium hydroxide;
medications containing calcium carbonate.

Patients should adhere to a two-hour break between medications.

Overdose and adverse reactions

Cases of overdose with Festal are unknown to medicine, but doctors do not deny the possibility of such a situation occurring. If the dosage of the drug is significantly exceeded, the patient experiences an excess amount of uric acid.

First aid for drug overdose includes the following actions:

gastric lavage;
execution ;
use of adsorbents, antiallergic drugs.

In particular difficult cases the patient must be treated as an inpatient. Recommended for him infusion therapy, symptomatic treatment.

Side effects after using Festal are rare, but they can appear with incorrect reception drug or non-compliance with doctor's recommendations:

Digestive system - nausea, diarrhea, pain in the intestines (colic), irritation of the oral mucosa often occur.
Hematopoiesis: increase in plasma volume of uric acid.

A striking side effect is an allergic reaction.

Skin rashes and itching of the affected areas - they disappear after stopping use of the drug or after taking antihistamines.

Angioedema - can only be treated inpatiently.

Anaphylactic shock is the most complex type of allergic reaction and requires emergency care. Cases anaphylactic shock after using Festal it was not recorded.

Cost of the drug and its analogues

The cost of the drug depends on the number of tablets in the package and pricing policy the pharmacy itself. A package of pellets will cost approximately 125-140 rubles for a package of 20 pellets, 210-234 rubles for a package of 40 pellets, 600-616 rubles for 100 pellets.

Drugs with similar composition, which are also available in pharmacies today, are:

Mezim Forte is a German version of the enzyme preparation, costs approximately 210 rubles per package.
Pancreatin - produced in Ukraine, costs approximately 50 rubles per plate of 10 pieces.
Microzim - manufactured in Russia, its cost is 140 rubles.

Other drugs that can replace Festal are:

Preparation	Photo	Price
		Check
		From 145 rub.
		From 71 rub.
		From 303 rub.

Storage conditions of the drug

Festal tablets should be stored in a dry and dark place. The temperature should not exceed 25 degrees. Shelf life - 3 years from the date of production. The product cannot be used after its expiration date.

If the tablets have changed color, you should not take the drug. Doctors do not know how the body reacts in this situation. Additionally, you need to pay attention to the integrity of the packaging. It must not be damaged, the color of the packaging must be even, without streaks.

Video: Gastrointestinal diseases

Festal is an enzyme preparation. Compensates for insufficiency of the secretory function of the pancreas and biliary function of the liver. Prescribed by a doctor for disorders of the gastrointestinal tract. Before using Festal, you must study the instructions for use. What it helps with and how to use it correctly for adults, as well as what analogues can be replaced - we will look further in the article.

Composition and release form

The drug Festal represents the clinical-pharmacological group of enzyme drugs. The medicine is produced in the form of a white dragee, with a shiny protective film and a slightly vanilla odor.

Thanks to a special shell, enzymes remain protected from negative effects gastric juice and penetrate the small intestine. The drug can quickly eliminate unpleasant phenomena associated with disruption of digestive processes.

Festal helps dilute fats with water and improves their digestibility. Indicated for use in liver damage, loss of bile acid, disorders of bile formation, bile excretion, diseases of the gastrointestinal tract.

Pharmacological action

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

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

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

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

What Festal helps with: indications for use

Accepted as aid to improve the functioning of the digestive system

When there are not enough enzymes in the body, the process is disrupted normal operation Gastrointestinal tract and symptoms such as burning, nausea, diarrhea and, in some cases, vomiting occur. With such manifestations, there is a need to help the gastrointestinal tract and take medications.

What do pills help with? The main indications for the use of Festal are insufficiency of the pancreas, accompanied by chronic pancreatitis, as well as biliary insufficiency with impaired digestion of food, flatulence, constipation, and so on.

Main indications for the use of tablets for adults:

disorders of the liver and biliary tract, or dysbacteriosis, cirrhosis;
diagnosed insufficiency of exocrine pancreatic function;
sedentary lifestyle or impaired chewing function;
the need to prepare for an ultrasound or x-ray of the abdominal organs.

The use of Festal is also justified in the case of combination therapy after organ irradiation digestive tract, which led to disruptions in the functioning of these organs.

The drug is used with caution in case of concomitant symptoms, as well as during pregnancy. Before starting to use Festal tablets, it is important to exclude the presence of contraindications.

Instructions for use

Before you start taking Festal tablets, it is important to carefully read the instructions for the drug and pay attention to several features correct use drug.

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

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

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

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

Contraindications

There are a number of pathological and physiological conditions the patient’s body, which are contraindications for taking Festal tablets, these include:

acute pancreatitis;
exacerbation of chronic pancreatitis;
liver failure;
hepatitis;
jaundice of mechanical origin;
cholelithiasis;
empyema of the gallbladder;
intestinal obstruction.

Given such a number of contraindications, prescribe yourself self-treatment Festal is not allowed.

Pregnancy and lactation

Festal should be used with caution during pregnancy.

Taking the drug is possible only if the benefit to the mother significantly exceeds the expected harm to the fetus. The same applies to women who are breastfeeding. The method of use and dosage during pregnancy and lactation in each case is determined individually by the doctor.

Side effects for the body

Festal tablets may cause some side effects when taken:

From the digestive system: epigastric pain, diarrhea, nausea, vomiting, decreased synthesis of bile acids.
Increased levels of uric acid in blood plasma.
Hyperuricosuria.
The occurrence of an allergic reaction.

Overdose

Symptoms of overdose are hyperuricemia and hyperuricuria. If symptoms of overdose appear, discontinue the drug and carry out symptomatic therapy.

Interaction with other drugs

The combination of the drug with sulfonamides, antibiotics and iron supplements may have different influence for their absorption.
Antacids containing magnesium hydroxide or calcium carbonate can reduce the effectiveness of Festal.
Simultaneous use with Cimetidine may enhance its effect.

Best before date

Shelf life: 3 years. Store in a dry place, at a temperature not exceeding 25 °C.

Do not use after the expiration date stated on the package.

Conditions for dispensing from pharmacies

Over the counter.

Analogues

These days there are a number similar means belonging to the group of enzyme agents. Those who are constantly forced to take Festal must remember that, despite the interchangeability of some enzymes medications, you do not need to switch to a new drug on your own without consulting a doctor.

Festal's analogues:

enzistal,
digestal,
normoenzyme.

If the presence of pancreatin in the composition is important, then the following drugs are recommended:

pancreatin,
mezim,
Creon.

The enzymes included in Festal and its analogues facilitate the absorption of proteins and carbohydrates in the small intestine, promote the breakdown of fiber, which improves the digestion process and reduces, have a choleretic effect, improve the absorption of fats and fat-soluble vitamins.

Do not decide to replace pills on your own; consult your doctor.

Prices in pharmacies

The average price for the drug in Russia is about 250 rubles.
On the territory of Ukraine, the average cost will be about 92 hryvnia.

In our life, there are often situations when errors in the diet, rich food can lead to digestive upset. And here Festal can come to the rescue - an enzyme preparation that helps normalize digestion. Also, the medicine is often used for various diseases gastrointestinal tract, associated primarily with insufficient functionality of the biliary system and pancreas.

Description

This may surprise many, but chemicals, necessary for the absorption of food in the gastrointestinal tract of our body, is not only the juice secreted by the stomach. Complete digestion cannot be carried out without pancreatic enzymes, collectively called pancreatin, and bile secreted by the liver. And if any of these components are lacking in the body, then various digestive problems occur, manifested in abdominal pain, nausea and stool disturbances.

All these components contain the Indian drug Festal, which is well known to many in our country and has gained great popularity thanks to wide range actions, high efficiency and affordable price.

The main effects that Festal has:

improvement of the digestion process;
improved bile secretion;
reduction of gas production in the intestines;
improving the absorption of fats and fat-soluble vitamins A, E, K;
stimulation of lipase secretion by the pancreas.

Festal consists of the following active components:

pancreatin,
hemicellulase,
ox bile.

Pancreatin is a complex substance obtained from the pancreas of farm animals. It contains the following enzymes:

lipase,
amylase,
protease.

Lipase is responsible for the breakdown of fats, amylase - carbohydrates (starch), protease - proteins. Hemicellulase facilitates the breakdown of plant fiber, which leads to a reduction in gas formation. In addition, Festal contains bile. The bile contained in the preparation not only replaces this enzyme in case of its deficiency, but also promotes the secretion of bile in the digestive system of the patient himself. The functions of bile are to increase lipase activity, improve the digestibility of fats, as well as vitamins belonging to the fat-soluble class. All components of the drug exert their effect in the intestinal lumen and do not penetrate into the systemic bloodstream.

Release form

Festal is available in only one form - as a dragee coated with an enteric coating. Sometimes dragees are called tablets, although this is not entirely true. The drug is available in pharmacies without a prescription. The manufacturer of the drug is the Indian pharmaceutical company Sanofi.

One dragee contains:

192 mg pancreatin,
50 mg hemicellulase,
25 mg bile.

Pancreatin contains:

6000 units of lipase,
4000 units of amylase,
300 units of lipase.

The dragee also contains some excipients:

talc,
glycerol,
titanium dioxide,
ethyl vanillin,
methylparaben,
liquid dextrose,
macrogol,
gelatin,
castor oil,
calcium carbonate,
gum.

One box can contain 20, 40, 60 or 100 tablets.

Festal can be stored for three years at a temperature not exceeding +25°C in a dry place inaccessible to children. Average cost medicine is low and amounts to approximately 6-7 rubles per pill.

Analogues of the drug

You can also find some analogues in pharmacies this drug, For example:

Mezim,
Gastenorm,
Pangrol,
Panzenorm,
Panzim,
Digestal,
Normoenzyme,
Creon,
Biofestal,
Ferestal,
Panolez.

However, some of them differ in composition from Festal. For example, Creon contains only pancreatic enzymes - lipase, amylase and protease.

Therefore, the scope of its application is somewhat different from the scope of Festal. Therefore, before replacing Festal with an analogue, you should look at the instructions for use and, if the composition of the drug is different, you should consult a doctor for advice.

Indications

Festal is used for various diseases of the gastrointestinal tract, primarily associated with a decrease in the secretion of bile and pancreatic enzymes. In addition, the drug can be used for various violations digestion. Festal can also be used to prepare the stomach and intestines for various diagnostic procedures(X-ray, ultrasound). In this case, the drug will help clear the intestines of excess gases and remove bloating.

Diseases or situations for which Festal is prescribed:

chronic pancreatitis;
irritable stomach syndrome;
biliary dyskinesia and dysbacteriosis, accompanied by impaired circulation of bile acids;
cirrhosis of the liver, alcoholic and toxic lesions liver;
removal of the gallbladder (cholecystectomy);
resection or irradiation of the stomach;
digestive disorders caused by problems with chewing food, sedentary lifestyle;
disorders of bile formation with chronic diseases digestive system (gastritis, duodenitis, cholecystitis).

Festal can also be used for overeating, for example, after a heavy meal, dyspepsia, heartburn, and mild food poisoning. In these circumstances, the drug can quickly relieve unpleasant symptoms.

In some cases, in order to stop the situation or carry out adequate therapy, this drug alone is enough, but in other cases Festal is used only as one of the means of complex therapy.

Contraindications

Festal is not allowed to be used during exacerbation of chronic pancreatitis, or when acute form pancreatitis, gallstone disease. For cystic fibrosis, the drug is prescribed with caution. Festal should also be used with caution during pregnancy and breastfeeding. Although theoretically the components of the drug cannot harm the child, during these periods it is best for a woman to seek advice from a doctor before taking Festal.

Contraindications also include:

hepatitis;
obstructive jaundice;
purulent inflammation of the gallbladder - empyema;
intestinal obstruction;
liver failure, hepatic coma or precoma;
age up to 3 years;
tendency to diarrhea;
increased levels of bilirubin in the blood.

Side effects

Since Festal contains almost exclusively natural ingredients, side effects rarely occur when taking it. The most common type side effects are allergic reactions(hyperemia, tearfulness). Nausea, diarrhea, abdominal pain may occur, and in children, irritation of the oral mucosa and perianal irritation. If long time If Festal is used in high doses, it is possible to increase the concentration of uric acid in the urine or blood. For treatment this state discontinuation of the drug is necessary. Subsequently, systematic therapy is carried out.

With the simultaneous use of certain antacids containing calcium carbonate or magnesium sulfate, the effectiveness of the drug may be reduced. Festal affects the rate of absorption of some antibacterial drugs.

Application

The rules for taking the drug are very simple. In most cases normal dosage is one tablet three times a day. It is best to take Festal during meals or after meals, without chewing and with a small amount of water. When preparing the body for diagnostic procedures, a large dose is usually used - 2 tablets 3 times a day 2-3 days before the procedure. Large doses can only be prescribed by a doctor. The standard dosage for children is not indicated in the instructions, which means that only a doctor can prescribe the right dosage if there is a need to use the drug in childhood.

The duration of treatment depends on the reason for prescribing the drug. In some cases, a few doses are enough to eliminate digestive disorders with the help of the drug, and in other cases, the doctor may prescribe it for life.

HOECHST MARION ROUSSEL HOECHST/SOTEX SANOFI-AVENTIS TURK-HOECHST Aventis Pharma Limited Aventis Pharma San.We Tik.Ltd Shti Sanofi India Limited Türk Hoechst Pharmavision San. Ve Tik. A.Sh.

Country of origin

India Russia Türkiye

Product group

Digestive tract and metabolism

Enzyme preparation

Release forms

10 - aluminum foil strips (4) - cardboard packs. 10 - aluminum foil strips (10) - cardboard packs. 10 - aluminum foil strips (2) - cardboard packs.

Description of the dosage form

Dragee white, glossy, round, with a faint odor of vanilla Enteric dragees, white, glossy

Pharmacological action

normalizing pancreatic functions, proteolytic, amylolytic, lipolytic, choleretic. Compensates for insufficiency of the exocrine function of the pancreas due to pancreatin and the biliary function of the liver due to the bile component. It has proteolytic, amylolytic and lipolytic effects. The enzymes included in pancreatin - amylase, lipase and protease - facilitate the digestion of carbohydrates, fats and proteins, which contributes to their more complete absorption in the small intestine. In this regard, it is practically no different from other enzyme preparations. The presence of bile acids provides additional opportunities for correcting biliary insufficiency, which often accompanies chronic pancreatitis. Bile extract has a choleretic effect, facilitates the absorption of fats and fat-soluble vitamins A, E and K, and promotes the secretion of lipase by the pancreas. The enzyme hemicellulase promotes the breakdown of plant fiber, which also improves digestive processes and reduces the formation of gases in the intestines.

Special conditions

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

Compound

1 tablet pancreatin 192 mg with enzymatic activity: lipase 6000 units FIP amylase 4500 units FIP protease 300 units FIP hemicellulase 50 mg bile components 25 mg Excipients: sodium chloride. Shell composition: cellacephate (cellulose acetate phthalate), ethyl vanillin, castor oil, sucrose, methyl parahydroxybenzoate (methylparaben), propyl parahydroxybenzoate (propylparaben), gelatin, dextrose (glucose) liquid, talc, calcium carbonate, acacia gum, glycerol (glycerin), macrogol (polyethylene glycol) 6000), titanium dioxide. pancreatin 192 mg with enzymatic activity: lipase 6000 IU FIP amylase 4500 IU FIP protease 300 IU FIP dried bovine bile extract 25 mg hemicellulase 50 mg Excipients: sodium chloride, hydroxypropyl methylcellulose, macrogol 8000, eudragit L 100-55, sodium hydroxy d, titanium dioxide , talc, sucrose, acacia gum, gelatin, liquid dextrose, calcium carbonate.

Festal indications for use

- insufficiency of the exocrine function of the pancreas (including in chronic pancreatitis, cystic fibrosis); - chronic inflammatory-dystrophic diseases of the stomach, intestines, liver, gall bladder; - as part of combination therapy for conditions after resection or irradiation of these organs, accompanied by impaired digestion of food, flatulence, diarrhea.

Festal contraindications

- acute pancreatitis; - exacerbation of chronic pancreatitis; - liver failure; - hepatitis; - jaundice of mechanical origin; - cholelithiasis; - empyema of the gallbladder; - intestinal obstruction.

Festal side effects

From the digestive system: nausea, diarrhea, abdominal pain, decreased endogenous synthesis of bile acids. With long-term use in high doses: possible - hyperuricosuria, increased levels of uric acid in the blood plasma. When used in high doses in children: possible - perianal irritation, irritation of the oral mucosa. Other: allergic reactions.

Drug interactions

When used simultaneously, it enhances the absorption of PAS, sulfonamides, and antibiotics; Possible reduction in absorption of iron supplements. The simultaneous use of antacids containing calcium carbonate and/or magnesium hydroxide may lead to a decrease in the effectiveness of Festal®. Cimetidine enhances the effect of the drug

Overdose

Symptoms: hyperuricemia and hyperuricuria

Storage conditions

store at room temperature 15-25 degrees
keep away from children

Information provided