If we briefly describe why choleretic drugs are used, then first of all they eliminate pain, reduce the inflammatory process, and reduce the risk of relapses in previously existing pathologies of the biliary tract.
Remedies for bile stagnation
Choleretic drugs for stagnation of bile are used to activate the outflow of secretions. Thanks to this, the functioning of the organ improves, the removal of toxins formed during stagnation is activated, and the production of cholecystokinin, which is responsible for the contractility of the organ, increases.
When bile stagnates, both pharmaceuticals and folk choleretic agents can be used. Among pharmaceutical drugs, cholekinetics, which activate the contractile activity of the gallbladder, are primarily used. These are the best choleretic drugs for bile stagnation.
Choleretic agents for bile stagnation - Berberine, Cormagnesin, Flamin, Holosas. Folk remedies for stagnation of bile - corn silk, peppermint, immortelle, dandelion.
Choleretic drugs for kinking of the gallbladder
All choleretic drugs used to treat GB inflection are divided into three main categories:
- Preparations based on natural substances, which include extracts of medicinal plants;
- Products containing ingredients of animal origin, in particular dry bile enzymes;
- Preparations based on synthetic components.
All groups of drugs are used in gastroenterology. Important factors when choosing a drug are the severity of the disease, the individual characteristics of the patient’s body and the tolerability of the components of the drug, the presence of concomitant ailments.
Herbal medicines
Herbal medicines are highly effective and have minimal contraindications. The composition of such preparations includes exclusively natural components - extracts of medicinal plants and herbs that have a choleretic effect, that is, they improve liver function and increase bile production. Some drugs are cholekinetics and help eliminate congestion in the gallbladder. They have a complex effect on the body due to antimicrobial, anti-inflammatory and soothing properties.
Effective drugs prescribed for inflection of the gallbladder and obstruction of bile outflow are:
- Holesos. It is considered one of the effective means. The therapeutic effect of the drug is due to the flavonoids contained in the composition (substances that affect the activity of enzymes), as well as the presence of pectins (gel-forming compounds), essential oils, vitamins B1, B2, PP, C, E, provitamin A, malic and citric acid. Holosas enhances the production of bile, reduces its viscosity, relaxes the sphincter, smooth muscles of the bile ducts, and activates intestinal motility. It has a thick and viscous consistency. The drug should not be used for diabetes due to the high sugar content. Do not use in children under 3 years of age. Dose – 1 hour. l. 3 times a day.
- Flamin. When the gallbladder is inflated, this choleretic drug is very often prescribed in the form of tablets based on the extract of immortelle inflorescences. The drug contains flavonoids, bitter and tannins, essential oils, organic acids. Flamin increases the contractile function of the gallbladder, enhances the outflow of bile, suppresses muscle spasm of the muscles of the bile ducts and sphincter, dilates the vessels of the intestines and other digestive organs. It is not recommended to use the drug for fructose intolerance, diabetes, and infants under 1 month. May cause adverse reactions in the form of allergic rashes and increased blood pressure. Take internally, 30 minutes before meals, with warm water.
- Urolesan. It is a combined herbal medicine produced in the form of drops. A preparation has been developed based on fir oils, peppermint, castor oil, wild carrot extracts, hop cones, and oregano herb. Due to its natural composition, the product reduces the inflammatory process and increases blood supply to the urinary tract and kidneys, has a choleretic effect, and normalizes the tone of the gallbladder muscles. The drug is indicated for acute and chronic infectious diseases of the ureters and kidneys. It is not recommended for use in cases of gastric ulcers and gastritis. Take 10 drops (on sugar or bread) three times during the day, before meals.
- Karsil. The drug is widely used to treat inflammation in the gallbladder. It relieves an acute attack of cholecystitis and restores the functionality of the organ. Karsil eliminates congestion by normalizing the consistency of bile and accelerating its excretion. Available in tablet form. It is not allowed to be used in case of individual intolerance to the components of the medication and in children under 12 years of age. Dose – 1-2 tablets three times a day.
- Gepabene. Available in the form of capsules, the active ingredients are extracts of milk thistle and fumaria officinalis. The drug has choleretic and hepatoprotective qualities. Reduces the tone of the bile ducts and sphincter of Oddi. It is not allowed to be used in cases of acute pathologies of the liver and biliary tract, as well as in cases of hypersensitivity to the components of the product, or in children under 6 years of age. The use of the drug may cause abnormal bowel movements in the form of diarrhea, increased urination, and allergic reactions.
Products based on animal ingredients
Choleretic products containing components of animal origin do not include plant elements. Such medications are developed based on enzyme components and bile of cattle. They are called true choleretics and are used in replacement therapy for insufficient bile secretion. They have less effect on the motility of the gallbladder and biliary tract.
Popular and effective means are:
- Allohol. The drug is produced in the form of tablets containing dry ox bile, dried garlic, nettle leaves, and activated carbon. Dry bile in the composition increases the concentration of bile acids. Thanks to extracts of garlic and nettle, the product activates the passage of bile through the excretory channels, prevents the occurrence of infection, and increases the tone of the bladder. Activated carbon binds and removes harmful accumulations from the intestines. Allochol is not allowed to be taken for pancreatitis, acute hepatitis, hepatic colic, peptic ulcer and cholelithiasis. Possible adverse reactions include allergies, stool upset, and digestive disorders. You need to take the medicine after meals, a dose of 1-2 tablets 3 times a day.
- Ursosan. The drug is produced in the form of capsules, based on ursodeoxycholic acid, which has a hepatoprotective effect and prevents the destruction of cell membranes. The action of the medication is aimed at restoring normal cholesterol levels. Helps eliminate congestion in the gallbladder, stimulates the body's protective functions and prevents the formation of stones in the bile ducts. The active component, ursodeoxycholic acid, was extracted from the bile of brown bears, but currently a chemically synthesized substitute is used, so the drug can only conditionally be called natural. Contains gelatin, magnesium, silicon, corn starch. The medicine is contraindicated in cases of non-functioning gallbladder, severe impairment of the kidneys, pancreas, and liver. Dose – 1 capsule per day.
- Holenzim. Tablets of the drug are developed on the basis of the pancreas, dry bile, and mucous membranes of the small intestines of cattle. Bile in the drug affects the liver, stimulating the synthesis of its own bile. Pancreatic extract contains digestive enzymes to help digest food, and dry mucous membranes prevent bile acids from irritating the intestinal walls. The drug is prescribed for chronic hepatitis, cholecystitis, pancreatitis. The use of Cholenzym is not allowed in the acute phase of the disease, in case of intestinal obstruction. Dose – 1 tablet per day, after meals. Course duration is 14-20 days.
Synthetic drugs
Choleretic drugs for biliary dyskinesia are produced on the basis of synthetic active substances - nicodine, hymecromone, osalmide, cyclone. Compared to natural choleretics, they are better tolerated, do not cause digestive disorders, and have additional therapeutic effects. The antispasmodic properties of hymecromone and osalmide make it possible not to take other antispasmodics while using them.
Effective synthetic drugs include:
- Cyclalon. It is a medicine developed entirely on a synthetic basis. The action of the drug is aimed at restoring the outflow of bile and normalizing its functioning. You need to take the drug 4 times a day after meals.
- Odeston. The active component of the medicine is hymecromone. The action of the medication is aimed at activating the production of bile and its evacuation into the intestinal lumen as a result of eliminating spasm of the sphincter and muscles of the bile ducts. The drug also eliminates bile stagnation and inhibits cholesterol crystallization. Taking Odeston can cause headaches, diarrhea, and hives. The medication is contraindicated in case of liver and kidney failure, ulcerative colitis, blockage of the gallbladder, during pregnancy and lactation. You need to take the medicine 30 minutes before meals, 3 tablets per day.
- Holagol. The drug belongs to complex agents that stimulate the production of bile. Available in the form of drops based on natural and synthetic components: turmeric root extract, frangulomodin, magnesium salicylate, peppermint and eucalyptus essential oils. The drug helps the discharge of bile and has a laxative effect, which facilitates the easy removal of stones. The use of the drug eliminates muscle spasms.
Drops can rarely cause adverse reactions such as diarrhea or allergic rashes. The medicine is prescribed to children from 12 years of age. Women during pregnancy and lactation are prohibited from taking the drug. The use of Kholagol in case of renal failure and the acute stage of pathologies of the liver and biliary system is not allowed. Take drops on a piece of sugar 30 minutes before meals, 3 times a day, course duration is a maximum of 6 weeks.
Folk choleretic remedies
Traditional methods of treating gallbladder kinks must be discussed with your doctor before use. It is recommended to combine drug therapy with traditional methods. To treat the bending of the gallbladder, various medicinal herbs and plants are used, in particular oats, corn silk, chamomile, calendula, tansy, barberry, yarrow, and rose hips. Decoctions and tinctures of medicinal herbs are prepared in a water bath or by infusion.
Use:
- Vegetable oils (olive, flaxseed). You need to take the oil in the morning, before breakfast, in the amount of 100 g at a time. After taking it, you need to lie on your right side on a hot heating pad and lie there for about 40 minutes. Due to the content of many fatty acids and vitamins, vegetable oil helps remove sand and stones from the gallbladder, reduce the level of bad cholesterol, and remove toxins. On the day of the cleansing procedure, it is recommended to take a decoction of rose hips during the day instead of water.
- Oatmeal with the addition of flax seeds. The prepared composition has a choleretic, anti-inflammatory, softening, cleansing effect and is used for inflammation of the bile ducts. To prepare the collection, you need to take 20g of green oat stalks, corn silks, flax seeds, rose hips, dandelion leaves and 15g of birch leaves. 1 tbsp. l. collection, pour 200g of boiling water, close the lid tightly, leave for an hour, filter. The infusion should be taken before meals, 100 ml, warm, with the addition of honey.
- Birch decoction. Birch buds or leaves are used to prepare a healing drink. The decoction has a choleretic, antimicrobial, diuretic, sedative, anti-inflammatory, and antispasmodic effect. You need to take 8g of dry birch leaves or 4g of dry buds and add half a liter of cold water, cover with a lid, put on low heat and boil for 15 minutes. The finished broth should be cooled, filtered and taken before meals, 100 ml. Birch sap is also a good choleretic agent, which should be consumed 1-2 glasses a day to achieve a choleretic effect.
- Pumpkin and pumpkin juice. You should eat pumpkin every day, baked or pureed. Vegetable juice is also useful (no more than 200 ml per day).
- Corn silk. 1 tbsp. l. corn silks should be combined with 200 ml of hot water. Afterwards you need to leave the broth in a thermos for 5 hours. Take 50 ml 3 times a day.
Cholespasmolytics
When the gallbladder is bent, complex therapy includes cholespasmolytics, the main task of which is to eliminate pain and spasms. Such drugs allow you to stimulate the work of the gallbladder and eliminate discomfort in the right hypochondrium. This group is represented by Papaverine and No-shpa. Medicines quickly and effectively relieve muscle spasms. These drugs can be used for no longer than 2 to 3 days without a doctor’s prescription.
Cholekinetics
Drugs in this group are used to reduce the tone of the ducts, which helps to expand the lumen and normalizes the outflow of bile. Effective means of this group are:
- Magnesia. To use, you need to dissolve 25 mg of the product in 100 ml of water. It is allowed to use 15 ml of the resulting solution at one time. Should be taken 3 times a day before meals.
- Platyfillin. The active components of the drug are platyphylline hydrotartrate and papaverine hydrochloride. The product is available in tablet form and also as a solution for injection. Used to relieve pain and eliminate spasms. It is administered subcutaneously once every 12 hours. The pills should be taken once a day every 8 to 12 hours.
- Xylitol or sorbitol. They are effective antispasmodics, relieve symptoms of intoxication that accompany the inflammation characteristic of the disease, and eliminate constipation. To prepare the solution, you need to stir 1 packet of the product in 120 ml of warm water. Should be taken before meals, no more than 2 times a day. Course duration is 4-10 weeks.
Choleretics
Preparations in this group contain acids that reproduce the composition of those included in bile, thereby preventing the thickening of bile and reducing the risk of stone formation. Effective drugs in this group include Urososan, Holagol, Allohol, Odeston, Nikodin, Tanacechol, Berberine. To enhance the therapeutic effect of medications, it is recommended to drink them with medicinal mineral waters (Essentuki).
What helps with a kinked gallbladder?
If a patient is diagnosed with a gallstone inflection, the risk of proliferation of pathogenic microflora increases. This contributes to the further development of the inflammatory process and stone formation. The risk of cholecystitis transitioning into a protracted form, as well as diagnosing cholelithiasis, increases. Therefore, doctors recommend choleretic drugs for kinking of the gallbladder.
Types of gallbladder kinks
Choleretic phyto-recipes
The use of traditional medicine recipes depends on the condition and age of the patient. In children, greater effectiveness is observed than in adults, since the body is more susceptible to herbal remedies and, as a rule, there is a minimal number of concomitant diseases.
Ready-made herbal preparations with choleretic effect
Of the mass of ready-made phyto-collections, collection No. 3 is considered the most effective for kinks. It consists of dry herbs and flowers of calendula and tansy, chamomile and yarrow, mint. The collection is taken in three doses before eating.
Natural decoctions and extracts
Inna Lavrenko
auto RU
Beetroot cake and juice are considered useful for curing the gallbladder. This decoction or juice is taken in the volume of a glass per dose, 45 minutes before the intended meal.
The bending of the gallbladder can be corrected with therapy, but in cases of advanced disease, the outflow of bile can only be eliminated surgically.
Read also: Is it possible to take Allohol after gallbladder removal?
Choleretic mechanism of action
Choleretic drugs are classified into 2 large groups depending on what effect they produce:
- activate secretion production;
- improve the excretion of bile.
The mechanism of action of choleretic drugs is based on the reflex activity of the intestinal mucosa and the effect of drugs on secretion. With the help of medications, the amount of bile increases, its chemical composition improves and secretion is activated.
List of medications
Medicines are represented by several groups, but the division is more conditional, since almost all drugs both activate the secretion of bile and affect the contractility of the organ. The list of funds is quite large, so we will name the main ones - Allohol, Odeston.
Allohol
The drug is based on an extract of nettle and garlic leaves, and also includes dry bile. Promotes active secretion of bile. The drug is contraindicated for calculous cholecystitis, acute hepatitis and jaundice, liver dystrophy, duodenal and gastric ulcers. During pregnancy and lactation, you should consult your doctor.
Allohol in tablets
The drug is available in tablets. They contain activated carbon, dry bile, garlic powder and crushed nettle leaves. Choleretic tablets enhance the secretory activity of the liver and promote more active functioning of the biliary tract.
Choleretic herbal tablets Allohol are not prescribed for individual intolerance and acute inflammatory processes in the digestive tract. You need to take 1-2 tablets three times a day. The course of treatment is on the recommendation of a doctor, on average from one to two months, after three months it is possible to repeat Allochol.
Odeston
Odeston is a choleretic agent based on hymecromone.
Stimulates the secretion of bile and activates the contractility of the gallbladder. Prevents secretion stagnation and stone formation. Indicated for use after organ resection. Adults are recommended to take the drug three times a day, 200-400 mg. The maximum daily dosage is 1200 mg.
Medicines for the treatment of cholestasis (for bile stagnation)
Effective choleretic drugs for bile stagnation may have different compositions and mechanisms of action. The correct selection of such a medicine for stagnation of bile in the gallbladder is possible only with the help of a qualified doctor, since medical science knows a wide range of choleretic agents. So how to treat bile stagnation?
Regardless of the type of such drugs, certain rules should be followed when taking them:
- Regardless of the dosage form of the drug, they should be taken at least one hour before meals; if these are capsules or tablets for stagnation of bile in the gallbladder, then they should be washed down with still water;
- the daily dose is divided into two, three or four doses (the number of doses depends on the number of meals per day the patient is accustomed to);
- It is mandatory to eat after taking such medications, because if the patient remains hungry after taking the medication, the risk of diarrhea or nausea increases;
- Choleretic medications are taken over a long period of time (from 21 days to two months, depending on the recommendations in the instructions);
- after completing the course of taking such a drug, you should definitely take a break for a period of one to two months; after this (if there is such a need), treatment can be repeated, but not more than two, three or four courses of therapy per year;
- When treating cholestasis in a child, you should carefully monitor the age restrictions on the use of a particular drug, since many drugs are contraindicated for children.
Read also: Scheme for effective treatment of the liver and gallbladder
Choleretic drugs
These medications include drugs that stimulate the production of bile in the liver. Depending on the composition of a particular drug, their mechanism of action may be as follows:
| № | Helpful information |
| 1 | so-called true choleretics: the basis of their composition is bile acids contained in substances of plant or animal origin; the basis for such tools can be |
- natural bile;
- animal liver tissue;
- tissues of the mucous membrane of their intestines;
- tissue of their pancreas and so on.
As a rule, extracts of various medicinal herbs are used simultaneously with taking drugs of this group.
The most famous true choleretics are:
- Allohol;
- Liobil;
- Holenzyme;
- Hologon.
- synthetic choleretics: the basis of their composition is chemical compounds obtained through organic synthesis; in addition to choleretic, they also have antibacterial, antispasmodic and antibacterial and anti-inflammatory effects; such drugs have a positive effect on the digestive process, help eliminate symptoms of flatulence, and also have a suppressive effect on fermentation processes in the intestines.
The most popular synthetic choleretics:
- Osalmid;
- Nikodin;
- Cyclalon.
- various kinds of medicinal plants and herbs for bile stagnation, which have a pronounced choleretic effect: they cause dilution of bile in the gallbladder, stimulate its production and have other beneficial effects on the liver.
The most widely used drugs are based on medicinal herbs, which have proven their effectiveness in treating bile stagnation:
- Insadol (based on corn silk extract);
- Chofitol (field artichoke);
- Holosas (rose hips);
- Flamin (immortelle);
- Berberis-Gommacord (barberry);
- Febichol (turmeric).
Herbal preparations of complex action:
- Travochol;
- Holagol;
- Urolesan.
Medicines – cholekinetics
If the causes of cholestasis are associated with impaired motility of the bladder and its ducts, then drugs of this group are used. The effect of such drugs significantly increases the tone of an organ such as the gallbladder, and has a relaxing effect on the bile ducts, which in combination will accelerate the secretion of bile.
These include:
- beckons;
- Sorbitol;
- Magnesia,
- Flamin;
- Xylitol;
- Holosas.
Hydrocholeretic group drugs
It is important to know!
78% of people with gallbladder disease suffer from liver problems! Doctors strongly recommend that patients with gallbladder diseases undergo liver cleansing at least once every six months... Read more...
These effective choleretic agents for stagnation of bile increase its secreted amount by reducing its viscosity. The use of such drugs leads to an increase in the amount of water in the bile, which allows it to be removed faster into the duodenum, and it stagnates less.
These are mainly different types of medicinal mineral waters:
- Polyana Kvasova;
- Essentuki;
- Borjomi.
In addition, such drugs include valerian-based drugs and salicylates.
Medicines – cholespasmolytics
This group of drugs includes drugs that differ in their pharmacological action, but they are taken for one purpose - to eliminate spasms in the gallbladder and expand the bile ducts. Both of these effects speed up the excretion of bile. In addition, such drugs are taken to relieve pain.
Cholenospasmolytics are classified as follows:
- synthetic drugs:
- Mebeverine;
- Papaverine;
- Eufillin;
- No-shpa.
- medications - anticholinergics:
- Besalol;
- Ballalgin;
- Platyfillin.
- herbal cholenospasmolytics - tinctures of medicinal herbs such as:
- arnica;
- Melissa;
- St. John's wort;
- elecampane;
- valerian.
Allohol is one of the most popular remedies to combat this disease. It includes:
- Activated carbon;
- dry bile,
- chopped nettle;
- garlic powder.
The combination of such components is the most successful for effective cleansing of the gallbladder. Allochol also helps improve the functioning of the entire digestive system as a whole.
Read also: How to take soda for gallstones?
This effective choleretic agent, which is distinguished by its inexpensive cost and availability, is often prescribed for stagnant processes called cholestasis. This medication is usually taken one to two tablets at least three times a day. The duration of treatment is usually one month. The most common regimen for taking this drug is as follows:
- on the first day of the course – one tablet three times a day;
- second – fifth day – two tablets three times a day;
- sixth and seventh – three tablets three times a day;
- eighth – tenth – two tablets three times a day;
- eleventh – one tablet three times a day.
Cleansing the gallbladder with this product should be done as directed and under the supervision of a physician. If taking the drug leads to a deterioration in your health, it should be stopped immediately.
Herbal tablets
Natural-based preparations successfully cope with the activation of bile secretion. Herbal components are also used in the treatment of adult patients during remission and for prevention. Tanacehol, Flamin, Tykveol, Cynarix and others have proven themselves well.
Tanacehol
Tanacehol contains tansy flowers. The drug increases the outflow of bile by changing the chemical composition of the liver secretion. Has a beneficial effect on the intestines. Used for non-calculous cholecystitis, hypomotor dyskinesia.
The drug must be taken 1-2 tablets. three times a day 15-20 minutes before meals. The course of treatment is three to four weeks. The product should not be taken if you have cholelithiasis.
Tykveol
Choleretic agent in the form of capsules, oil and rectal suppositories. Tykveol has a hepatoprotective effect and resists the development of inflammation. The product is based on bioactive substances of pumpkin seeds (tocopherols, carotenoids). The drug is drunk thirty minutes before meals, 1 capsule three times a day. course of treatment – from one to three months.
Flamin
The main ingredient of Flamin is immortelle extract, as well as auxiliary components. Thanks to the action of the medicine, inflammation in the biliary tract is reduced. It is indicated for chronic inflammation of the gallbladder, cholelithiasis, and diarrhea.
The drug is available in the form of granules and tablets. The granules are convenient for use in children. A suspension is prepared from granules; it is used in children older than 1 month of life. The product in a volume of 7.5 g (about half a dessert spoon) is poured with lukewarm water and diluted to a homogeneous consistency. Dosage for children depends on age. One package is given to children up to one year old, from one to three years old - two packages, patients 4-5 years old - three packages, and from 5 to 12 years old - 4 packages per day.
For adults, Flamin is recommended in tablets. They can also be used in children over 5 years of age. You need to take one tablet three times a day; on the doctor’s recommendation, the dosage is doubled, taking two to three times a day. Course duration is from 10 to 40 days.
Choleretic agents
Anatomical-therapeutic-chemical classification has been adopted for the classification of medications. When compiling it, the effect of taking the tablets and the chemical structure of choleretic drugs were taken into account. This classification helps to divide drugs as completely and accurately as possible according to the aspect of application, absorption characteristics, therapeutic effect, distribution, and excretion from the human body. The largest groups of these drugs are choleretics and cholekinetics.
Choleretics
These choleretic tablets contain bile acids, which play the role of active components. Choleretics are produced primarily from animal raw materials. As a rule, natural bile, extracts of the pancreas, liver, and small intestinal mucosa are used. For this reason, medications on this list are also called drugs of animal origin.
Another large group of this type of tablet is synthetic choleretics. The active substances in the base are compounds that were obtained through organic synthesis. Medicines in this group have not only a thinning effect, but also:
- reduce pain;
- lower the amount of cholesterol;
- kill bacteria that cause inflammation of the tract;
- stop inflammation.
Cholekinetics
These drugs for the gallbladder increase the tone of the organ and relax the muscles of the bile duct. Cholekinetics create better conditions for the outflow of bile, because the increased activity of the bladder pushes it out, and the relaxed duct does not interfere with the movement into the duodenum, preventing the masses from stagnating. The same effect affects the improvement of digestive functions.
Cholespasmolytics
These medications consist of several groups, which are formulated on the basis of pharmacological action, but the results from their use are the same. Cholespasmolytics are aimed at eliminating spasms and expanding the bile duct, which facilitates the flow of bile into the intestine. According to the instructions, these drugs are taken in short courses to relieve pain in various diseases of the biliary tract and gallbladder.
Holosas
Product based on rose hips.
Available in the form of syrup. It has a choleretic effect due to the content of natural flavonoids in its composition. Holosas is indicated for inflammation of the gallbladder without the formation of stones and hepatitis. You should not use the drug in diabetics or with increased individual sensitivity to the component, as well as in children under 12 years of age, women during pregnancy and lactation. It is recommended to take Holosas 1 tsp. twice a day thirty minutes before meals. The course is determined by the doctor, but on average lasts 3-4 weeks.
Price for choleretic drugs
It is not recommended to buy drugs from this group on your own or based on reviews. A course of treatment, which includes choleretic drugs, should be drawn up by a doctor based on indications to avoid side effects. The approximate price for medications in this group is presented in the table below:
| Name | Price |
| Ursocaps, 10 pcs. | From 190 rub. |
| Ursosan, 10 pcs. | From 170 rub. |
| Chophytol (artichoke extract), 60 pcs. | From 220 rub. |
| Karsil, 30 capsules | From 350 rub. |
| Flamin, 30 pcs. | From 170 rub. |
Cynarix
The product is classified as a dietary supplement, like many other herbal choleretic drugs, and actively helps fight biliary tract pathologies due to its composition. The main component is artichoke extract. It stimulates the process of bile production and supports the functioning of hepatocytes.
You need to take 4 tablets twice a day. Cynarix has no contraindications, but you should not take it if you are hypersensitive to the main substance. The course of treatment is 2-3 weeks.
Rating of the best choleretic drugs
When preparing this TOP, we took into account, first of all, the effectiveness of the drugs, paying attention to customer reviews. The opinions of doctors were also monitored and all the most important characteristics of the products in question were carefully studied.
As a result, the choice in favor of one drug or another was made based on the following features:
- Release form: tablets, capsules, herbal tea, tea, syrup;
- Indications for use;
- Natural composition;
- Duration of treatment;
- Optimal daily intake;
- No side effects;
- Speed of obtaining first results;
- Complete absorption of nutrients;
- Dimensions (separately for tablets and capsules);
- Spectrum of action;
- Taste and smell;
- Ease of preparation (for herbal preparations);
- Packaging volume;
- Recommended age of the patient, can it be given to children;
- List of contraindications.
Also, when preparing the rating, we paid attention to whether a prescription is required to purchase the drug, as well as how easy it is to find it in pharmacies. The ratio of price and quality of products has become no less important.
The best fiber
Hofitol
Chophytol is a choleretic agent of plant origin. Available in various forms. Recommended for:
- chronic liver inflammation;
- inflammation of the gall bladder (without stones);
- JVP along with weak contractile activity of the organ;
- liver cirrhosis.
Medicine in tablets
It is recommended to drink 1-2 tablets. depending on the doctor's recommendations, three times a day. The drug, which has a choleretic effect, is taken for 2 to 3 weeks.
During pregnancy
Hofitol, like other choleretic drugs, is not contraindicated during pregnancy. Use Hofitol under the supervision of a physician.
For children
At the age of up to one year, it is recommended to give Hofitol ¼ of the adult dose of drops. From one to five years - half the adult dosage, from 6 to 12 years - 1-2 tablets three times a day before meals. The dosage may be adjusted by the doctor.
For newborns
Children can take Hofitol from the neonatal period. Hofitol is usually recommended for elevated bilirubin, and it does an excellent job of reducing it. For babies, drop 5 drops of the product into water or breast milk.
Products based on animal ingredients
Preparations of animal origin contain cattle bile and natural enzymes, have a small number of contraindications, and rarely cause side effects.
Allochol - tablets contain dry bile, garlic and nettle extract, activated carbon. The medicine has a complex effect - it normalizes the contractile function of the gallbladder, improves the process of bile excretion. Take 1–2 tablets every 8 hours after meals, course duration is 20–30 days.
Cholenzym - the drug contains powder from the mucous membrane of the small intestine, bile and pancreas of animals. It improves the movement of bile and the digestion process. Take 1 tablet 2-3 times a day after meals, drink plenty of water, duration of treatment is 4-8 weeks.
Choleretic collection
It is most effective to drink herbs as part of a mixture. Doctors will recommend the following fees:
- motherwort, peppermint, St. John's wort;
- chamomile, calendula, yarrow;
- wormwood, immortelle, chamomile;
- tansy, plantain and calendula.
Each ingredient should be taken in equal quantities at the rate of one tablespoon per glass of boiling water and brewed for half an hour. The collection is drunk for two weeks, after which the herbs are changed. All of these remedies improve the functioning of the pancreas. Following a strict diet will improve the effectiveness of treatment.
Best for kids
For children from the first month of life, Flamin can be given. It is based on sandy immortelle flowers, as well as auxiliary substances that are safe for newborns. It is used as an element of complex therapy in the treatment of gastrointestinal pathologies.
In childhood and adolescence, you can often hear complaints of pain in the right side. After examination by a gastroenterologist, children are found to have various problems with the outflow of bile; most often, a diagnosis is made of biliary dyskinesia.
Choleretic drugs in combination with antispasmodics will help relieve the child of pain by stimulating the formation of secretions and their timely entry into the intestines.
Children's drugs must first of all be safe, which means that choleretic drugs for children 3 years old should not have side effects. In most cases, doctors recommend natural choleretic agents that do not cause side effects.
The list of choleretic drugs is as follows:
- Holosas;
- Cyclalon;
- Febichol;
- Flacumin.
Choleretic drugs are prescribed for children of different ages, so they must be used carefully.
Choleretic juices, infusions and decoctions based on:
- birch buds;
- knotweed;
- rowan fruit;
- corn silk;
- rosehip;
- immortelle;
- burdock root.
Choleretic folk remedies are very useful:
- Dandelion juice has antispasmodic properties. You need to take half a tablespoon twice a day. The course of therapy is three weeks.
- Rowan juice - the product is obtained from slightly frozen berries by squeezing. You need to take 15 ml of the product twice a day for 21 days.
- Radish juice - the product is obtained by simply squeezing grated radish. Drink 30 ml daily, but the product is prohibited for children with high stomach acidity and gastritis.
- Pear juice is a tasty and healthy medicine. Due to its weak effect, it is used as a prophylaxis or after the end of treatment to support the functioning of the biliary tract.
Rowan juice is a good choleretic agent.
Drugs of synthetic origin
Choleretic drugs obtained synthetically, when the gallbladder is bent, act much faster than the considered groups of medications. Their main task is to relieve the symptoms of inflammation, stimulate the production of bile and its excretion.
Cyqualon
The active ingredient of the product is cyclone. The drug relieves inflammation while simultaneously stimulating the process of formation and excretion of bile. During treatment with Tsikvalon, rapid elimination of pathological symptoms is observed. Contraindications for use are:
- hypersensitivity to the component composition of the tablets;
- cirrhosis of the liver;
- obstructive form of jaundice;
- acute form of hepatitis;
- ulcerative pathology of the stomach.
Cyclalon is well accepted by the patient’s body, so side symptoms are extremely rare. This is a bitter taste in the mouth or slight pain in the right hypochondrium.
Odeston
The active ingredient is hymecromone (each tablet contains 200 mg of the substance). Treatment with Odeston helps to activate the processes of production and excretion of bile. The drug anesthetizes only the area of the bile ducts and the sphincter of Oddi, without disturbing the peristalsis of the digestive tract.
The use of Odeston should be abandoned in the following cases:
- increased sensitivity to the composition of the product;
- liver, kidney failure;
- diseases of the biliary tract;
- ulcerative form of colitis;
- Crohn's disease;
- hemophilia;
- childhood and adolescence.
While taking the medication, it is possible that allergic symptoms may develop, as well as:
- bloating;
- bowel disorder - diarrhea;
- ulceration of the intestinal mucous surfaces;
- dizziness;
- headaches and abdominal pain.
Features of the choleretic effect when the gallbladder is removed
Choleretic drugs for a removed gallbladder must have antispasmodic activity in order to prevent stagnation of bile in the ducts. Therapy should be comprehensive and not include only choleretic drugs in the absence of a gallbladder. After the operation, the doctor will give the patient a plan for restoring digestion in the absence of a gallbladder:
- Bile-thinning drinks (barberry decoction, juices, berry fruit drinks and compotes) are useful, as are Essentuki, Slavyanskaya, Smirnovskaya waters.
- In case of congestion, the doctor will recommend the most effective choleretic drugs.
What is recommended to drink for pancreatitis?
In patients with pancreatitis, it is important to begin drug treatment to counteract pancreatic necrosis, in which the pancreas becomes unable to perform its functions.
For this purpose, the following are recommended as therapy:
- Antispasmodics.
- Analgesics.
- Drugs that inhibit the functioning of the pancreas.
- Means for reducing the acidity of gastric juice.
- Choleretic agents.
Choleretic drugs for pancreatitis are necessarily included in therapy, since an attack of pancreatitis is often provoked by stagnation of secretions and disruption of the functioning of the gastrointestinal tract, when an increased load is felt on the pancreas, and bile is thrown into its ducts, provoking an inflammatory process.
For pancreatitis, the doctor will advise which choleretic drugs are best to activate the production of bile secretions.
Review Reviews
Choleretic drugs are actively used in the prevention of congestion for patients of any age. There are very different reviews about how choleretic drugs work. Patients note positive effects from drugs such as Holosas, but it is not recommended for use in diabetes mellitus.
Allohol, a safe and effective remedy, has been used by doctors for a long time for problems with the biliary tract and has already gained authority among specialists and patients. Reviews of choleretic drugs, including Allochol, are some of the most frequently encountered. Some patients complain of bloating and allergies.
Choleretic products
In case of congestion in the gallbladder, it is recommended not only to use drugs, but also to change the nature of nutrition in order to help activate the functioning of the gallbladder. Thanks to dietary nutrition, recovery is faster and relapses do not return.
To stimulate the smooth functioning of the gallbladder, you need to eat 4-6 times a day in small portions. Choleretic products must be added to the diet. They should be consumed in moderation.
