Festal period of application. How long can I take festal without a break

Is combination drug, which includes digestive enzymes that contribute better digestion and digestion of food. 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 the activity of lipase and promotes better assimilation fats and fat soluble vitamins. The use of this medicine improves the condition gastrointestinal tract and normalizes the processes of digestion.

Composition and form of release

The composition of the drug includes active ingredients:

pancreatin;
hemicellulase;
bile components.

Produced in the form of a dragee, packed in 10 pieces in strips, 2, 4, 6 and 10 in a package.

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 a proteolytic, amylolytic and lipolytic effect.

The enzymes that are part of 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 for the correction of 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, promotes the release of lipase by the pancreas.

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

Indications for the use of Festal

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

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

Preparation for X-ray and ultrasound abdominal organs.

Dosage and administration

Side effects

Allergic reactions:

hyperemia of the skin;
sneeze;
lacrimation.

From the gastrointestinal tract:

nausea;
diarrhea;
stomach ache;
intestinal colic.

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

Interaction with other drugs

With simultaneous use with Festal, the absorption of PASK (p-aminosalicylic acid), sulfonamides, antibiotics increases; may reduce the absorption of iron preparations. 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;
mechanical jaundice;
cholelithiasis;
empyema of the gallbladder;
intestinal obstruction;
tendency to diarrhea;
children's age up to 3 years.

Carefully:

cystic fibrosis;
pregnancy.

Overdose

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

Treatment: drug withdrawal 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 that compensate for the deficiency of pancreatic enzymes. They act almost the same, they simplify the digestion of food. These drugs are practically the same, but there are some differences in the composition.

Festal contains bile powder, which is used as auxiliary component. And in mezima it is not. They also differ in the form of tablets. Festal is produced only in the form of dragees. Mezim also 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 drug work in right place . Mezim does not have such a shell and acts along the way, dissolving in different departments gastrointestinal tract.

Festal is able to cope with discomfort in the stomach, the instructions for use will help you figure out how to take the drug to people different ages. The remedy is effective drug able to quickly overcome discomfort in the digestive tract, improve digestion and excretion of bile acids.

Festal is included in the group of enzymes and anti-enzymes, only natural ingredients. Festal includes the following components:

pancreatin;
hemicellulose;
bile components.

Additional components are:

titanium dioxide;
polyethylene glycol;
sucrose;
acacia gum;
gelatin;
ethylvanillin;
talc.

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

Dragees differ in white color, the smell is weakly expressed. Bad tastes, acid or bitterness after taking the drug, the experts did not observe.

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

pharmachologic effect

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

The enzyme hemicellulase, which is part of the composition, helps the gastrointestinal tract to cope with fiber, reduces the risk of gas formation. And the extract of bovine bile has a choleretic property, thanks to this ability in the human body, the emulsification of fats is accelerated, as well as the process of assimilation of vitamins and trace elements from food.

Festal contains enzymes natural origin, this feature accelerates metabolic processes in the human body and contributes to the acceleration of certain processes:

lipase - breaks down fats;
amylase - provides carbohydrate processing;
protease - is engaged in 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 circulation.

Indications for use

Dystrophic diseases of the stomach, gallbladder, pancreas, intestines.
Cystic fibrosis.
Failure of bile acid excretion.
Digestive disorders in people leading sedentary image obese life.
Diffuse liver disease, cirrhosis, toxic or alcoholic lesions digestive systems.
Organ preparation digestive system to the x-ray examination.

Sometimes Festal is taken when diagnosed.

It is appropriate to use Festal within the framework complex therapy, especially after resection of the stomach, pancreas, some other operations on the gastrointestinal tract. The tool must be used after a long feast, when signs of overeating appear - nausea, as well as 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 the complete meal, or during meals. Gnawing, rubbing is not necessary, but it is better to drink 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 if absolutely necessary 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 in a month.

In case of removal of the pancreas, the patient is required to 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 forbidden to use Festal after taking alcohol. The tool is not able to influence the psyche and reaction of the patient, so doctors do not forbid people to control vehicle or perform important work in production, undergoing treatment with this drug.

With caution, dragees should be taken by patients with cystic fibrosis. The dosage should exactly match the amount of food used.

Special precautions

Do not use this enzyme preparation for the following disorders

liver disease;
acute pancreatitis;
intestinal obstruction;
hepatitis;
jaundice;
empyema of the gallbladder;
hypersensitivity to the agent, its individual components;
children under three years of age.

Rules for taking the drug during pregnancy

Festal tablets are allowed to 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 with caution. The tool is able to enhance the absorption, the effectiveness of the following drugs:

sulfonamides;
PASK;
antibiotics.

The following medicines can worsen the effect of Festal:

antacids;
preparations containing magnesium hydroxide;
medicines 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 likelihood of such a situation. If the dosage of the drug is significantly exceeded, the patient has an excess amount of uric acid.

First aid for drug overdose includes the following actions:

gastric lavage;
performance ;
the use of adsorbents, antiallergic drugs.

In particular difficult cases the patient must be hospitalized. He is recommended infusion therapy, symptomatic treatment.

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

Digestive system - often there is nausea, diarrhea, pain in the intestines (colic), irritation of the oral mucosa.
Hematopoiesis: an 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 the use of the drug or after taking antihistamines.

Angioedema - treated only permanently.

Anaphylactic shock is the most complex variant of an allergic reaction, requiring emergency care. cases anaphylactic shock after using Festal is not fixed.

The cost of the drug and its analogues

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

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

Mezim forte is a German version of an enzyme preparation, it costs about 210 rubles per pack.
Pancreatin - produced in Ukraine, costs about 50 rubles per plate of 10 pieces.
Microzim - manufactured in Russia, its cost is 140 rubles.

Other drugs that can replace Festal are:

A drug	A photo	Price
		Specify
		From 145 rubles.
		From 71 rub.
		From 303 rub.

Storage conditions of the drug

It is necessary to store dragee Festal in a dry and dark place. The temperature should not exceed 25 degrees. Shelf life - 3 years from the date of production. The product should not be used after its expiration date.

If the pills have changed color, do not take the drug. The reaction of the body in this situation is unknown to physicians. In addition, it is necessary 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. It is prescribed by a doctor for violations of the digestive tract. Before using Festal, you must read the instructions for use. What helps and how to use it correctly for adults, as well as what analogues can be replaced - we will consider later in the article.

Composition and form of release

The drug Festal (Festal) is a clinical and 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 smell.

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

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

pharmachologic effect

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

Dragee has a lipolytic, amylolytic, proteolytic, choleretic and normalizing action of the pancreas.

Pancreatin in the composition of Festal is one of the main active ingredients of the drug, contains lipase, protease and amylase, penetrates into the small intestine and excellently contributes to the rapid breakdown, absorption and excretion of carbohydrates, fats and proteins.
Hemicellulase enzyme, which is in tablets, accelerates the process of digestion of vegetable fiber and thus increases the digestive action, reduces the formation of gases in the intestines.
Presence of bile acids provides additional opportunities for the correction of 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, promotes the release of lipase by the pancreas.
Hemicellulase enzyme promotes the breakdown of plant fiber, which also improves digestive processes, 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 helps Festal: indications for use

Accepted as aid to improve the functioning of the digestive system

When enzymes in the body are not enough, there is a violation of the process normal operation Gastrointestinal tract and symptoms such as burning sensation, nausea, diarrhea and in some cases vomiting occur. With such manifestations, it becomes necessary to help the digestive tract and take medications.

What are the pills for? 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.

The main indications for the use of tablets for adults:

violations 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 ultrasound or x-rays 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 violations of the work of these organs.

With caution, the drug is used with concomitant, as well as during pregnancy. Before starting the use of Festal dragees, it is important to exclude the presence of contraindications.

Instructions for use

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

The tablet should be taken with meals or at the end of a meal. You need to drink the product with a small amount of water, without chewing. For the adult population, dragees 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 advice of a doctor.

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

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).

For children, the drug is given only by doctor's prescription. It also determines the way the drug is used.

Contraindications

There are a number of pathological and physiological states the patient's body, which are contraindications for taking Festal dragees, 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, appoint yourself self-treatment Festal can't.

Pregnancy and lactation

Festal should be used with caution during pregnancy.

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

Side effects for the body

Festal tablets, when taken, can cause some side effects:

On the part of 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

Overdose symptoms are hyperuricemia and hyperuricuria. If symptoms of an overdose appear, the drug should be discontinued and symptomatic therapy should be carried out.

Interaction with other drugs

The combination of the drug with sulfonamides, antibiotics and iron preparations may have different influence for their absorption.
Antacids containing magnesium hydroxide or calcium carbonate can reduce the effectiveness of Festal.
Simultaneous reception with Cimetidine can 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 expiry date stated on the packaging.

Terms of dispensing from pharmacies

Without recipe.

Analogues

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

Festal's analogs:

enzistal,
digestal,
normoenzyme.

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

pancreatin,
mezim,
Creon.

The enzymes that make up 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 make the decision to replace the pills on your own, consult your doctor.

Prices in pharmacies

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

In our life, situations are not uncommon when errors in the diet, abundant food can lead to indigestion. And here Festal can come to the rescue - an enzyme preparation that helps normalize digestion. Also, the drug 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 chemical substances 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 also without pancreatic enzymes, collectively called pancreatin, and bile secreted by the liver. And if one of these components is missing in the body, then various digestive failures occur, manifested in abdominal pain, nausea and stool disorders.

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

The main effects that Festal has:

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

Festal consists of the following active ingredients:

pancreatin,
hemicellulase,
bull 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 decrease 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 contributes to the release of bile in the digestive system of the patient himself. The functions of bile are to increase the activity of lipase, improve the digestibility of fats, as well as vitamins belonging to the class of fat-soluble. All components of the drug have their effect in the intestinal lumen and do not penetrate into the systemic circulation.

Release form

Festal is produced in only one form - in the form of a dragee coated with an enteric coating. Sometimes dragees are called tablets, although this is not entirely true. The drug is dispensed 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,
ethylvanillin,
methylparaben,
liquid dextrose,
macrogol,
gelatin,
Castor oil,
calcium carbonate,
gum.

One box may 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 out of the reach of children. average cost medicines is low and is approximately 6-7 rubles in terms of one dragee.

Drug analogues

In pharmacies you can also find some analogues this drug, for example:

Mezim,
Gastenorm,
Pangrol,
Panzenorm,
panzim,
Digestal,
Normoenzyme,
Creon,
biofestal,
Ferestal,
Panolez.

However, some of them differ in composition from Festal. So, 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 cleanse the intestines of excess gases and remove bloating.

Diseases or situations in which Festal is prescribed:

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

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

In some cases, in order to stop the situation or hold 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 with exacerbation of chronic pancreatitis, or with acute form pancreatitis, with gallstone disease. In 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 preparations cannot harm the child, however, during these periods, it is best for a woman to seek the advice of a doctor before taking Festal.

Also contraindications include:

hepatitis;
mechanical jaundice;
purulent inflammation of the gallbladder - empyema;
intestinal obstruction;
liver failure, hepatic coma or ancestral coma;
age up to 3 years;
tendency to diarrhea;
an increase in the level of bilirubin in the blood.

Side effects

Since Festal contains almost exclusively natural ingredients, side effects when taking it are rare. The most common type side effects are allergic reactions(hyperemia, lacrimation). Nausea, diarrhea, abdominal pain, and in children, oral mucosal irritation and perianal irritation may occur. If a long time use Festal in high doses, it is possible to increase the concentration of uric acid in the urine or in the blood. For treatment given state drug withdrawal is necessary. In the future, systematic therapy is carried out.

With the simultaneous use of certain antacids containing calcium carbonate or magnesium sulfate, the effectiveness of the drug may decrease. 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 drinking 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 the indigestion with the drug, and in other cases, the doctor may prescribe it for life.

HOECHST MARION ROUSSEL HOECHST/SOTEKS SANOFI-AVENTIS TURK-HOECHST Aventis Pharma Limited Aventis Pharma San.Ve Tick.Ltd Shti Sanofi India Limited Turk Hoechst Pharmavision San. Ve Tick. A.Sh.

Country of origin

India Russia Turkey

Product group

Digestive tract and metabolism

Enzyme preparation

Release form

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

Description of the dosage form

Dragee white color, glossy, round, with a slight smell of vanilla Enteric dragee white, glossy

pharmachologic effect

normalizing functions of the pancreas, proteolytic, amylolytic, lipolytic, choleretic. 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. It has a proteolytic, amylolytic and lipolytic effect. The enzymes that are part of 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 practically does not differ from other enzyme preparations. The presence of bile acids provides additional opportunities for the correction of 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, promotes the release of lipase by the pancreas. The enzyme hemicellulase promotes the breakdown of plant fiber, which also improves digestive processes, reduces the formation of gases in the intestines.

Special conditions

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.

Compound

1 dragee pancreatin 192 mg with enzymatic activity: lipase 6000 U FIP amylase 4500 U FIP protease 300 U FIP hemicellulase 50 mg bile components 25 mg Excipients: sodium chloride. Shell composition: cellacephate (cellulose acetate phthalate), ethyl vanillin, castor oil, sucrose, methyl parahydroxybenzoate (methyl paraben), propyl parahydroxybenzoate (propyl paraben), gelatin, liquid dextrose (glucose), talc, calcium carbonate, acacia gum, glycerol (glycerin), macrogol (polyethylene glycol) 6000), titanium dioxide. pancreatin 192 mg with enzymatic activity: lipases 6000 IU FIP amylase 4500 IU FIP proteases 300 IU FIP dried extract of bovine bile 25 mg hemicellulase 50 mg Excipients: sodium chloride, hydroxypropyl methylcellulose, macrogol 8000, Eudragit L 100-55, sodium hydroxide, 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, gallbladder; - as part of combination therapy for conditions after resection or irradiation of these organs, accompanied by disorders of food digestion, 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 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: possible - perianal irritation, irritation of the oral mucosa. Other: allergic reactions.

drug interaction

With simultaneous use enhances the absorption of PAS, sulfonamides, antibiotics; may reduce the absorption of iron preparations. 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