Festal for bloating: instructions for use

Release form and composition

The dosage form of Festal is a combination of various chemical and biological components that help the proper absorption of food.

Main active ingredients of Festal:

• Pancreatin. A substance obtained by processing animal pancreas. Participates in the process of breakdown of proteins and fats. It has an effect on the human pancreas, helping to stimulate enzymatic activity (192 mg).
• Ox bile. It is synthesized from natural bile of cows or bulls. Under the influence of this enzyme, food processing is enhanced (25 mg).
• Hemicellulose. Its enzymatic activity is aimed at breaking down fiber (50 mg).
• Lipase. Helps process fatty foods.
• Amylase. Its action in the body promotes the absorption of starch.
• Protease. Participates in protein metabolism.

In addition to the active ingredients, Festal tablets include:

• Gelatin.
• Sucrose and Glucose.
• Medicinal talc.
• Castor oil.

Festal is available in foil plates of 10 pills. Cardboard packages contain from 20 to 100 tablets, which are coated with a white coating, which creates an obstacle to premature dissolution in the esophagus (enteric-soluble).

Recently, pharmaceutical companies have been producing Uni-Festal , the active ingredient of which is Pancreatin. Available in tablet forms No. 10.

Festal Neo. Also has the main ingredient Pancreatin, in a volume of 192 mg. Its activity is 5000 amylolytic IU. Available in 10 tablets per currency. Cardboard packs contain 2 currency notes and an annotation (instructions) for the use of the drug.

Festal NEO

Festal in foil packaging

Uni Festal tablets

"Festal": release form

The medicine is produced in the form of pills. They have a milky tint, a round shape, and a smooth surface. The structure of “Festal” includes several active components:

1. Pancreatin.
2. Hemicellulose.
3. Components of bile.

In addition, Festal tablets contain additional substances, which include the following:

• talc;
• glycerol;
• ethyl vanillin;
• liquid dextrose;
• titanium dioxide;
• cellafelate;
• Castor oil;
• gelatin;
• calcium carbonate;
• methylparaben;
• acacia gum;
• propylparaben;
• macrogoal

The dragees are packaged in aluminum foil strips of 10 pieces. There are 2, 4, 6 or 10 strips in total in the package. What is Festal, and what is this medicine intended for?

pharmachologic effect

Festal helps the proper functioning of the pancreas and liver. This is due to the content of enzymatic components in it. The drug causes proteolytic, amylolytic and lipolytic effects.

Its use ensures the normalization of metabolic processes in the human body. Bile acids correct the biliary process, this helps prevent the development of chronic pancreatitis.

Bile extract helps the absorption of fat-soluble vitamins (A, E, K).

Methods and indications for use

Many pathological conditions lead to disruption of the pancreas, which reduces its ability to produce enzymes. What causes disruption of food processing? Drug therapy helps the pancreas function.

Indications for use

The drug Festal is prescribed for the following diseases:

1. Inflammatory liver diseases (cirrhosis, cyst).
2. Development of chronic forms of pancreatitis (with this disease, the level of enzymes decreases, which leads to prolonged constipation, heartburn, increased gas formation - bloating).
3. After surgical interventions performed on the liver, stomach or pancreas.
4. In case of non-compliance with the norms of rational nutrition. Errors in food (eating fried, salty, spicy).
5. Diarrhea of ​​unknown etiology.
6. Before diagnostic tests.
7. Dysbacteriosis.
8. Festal is used for intoxication of the body, which occurs when consuming large amounts of alcoholic beverages (helps relieve symptoms of alcohol intoxication).
9. It is increasingly used to lose weight. This effect occurs due to the fact that the food consumed is quickly processed under the influence of enzymes, all components are broken down and are not stored in fat depots.

Dosage

Dosage regimen:

• The drug Festal should be taken during meals , washed down with a small amount of water. Adult patients are recommended to take 2 pills 3 times a day. The dosage may be increased by your doctor. Therapy with this drug takes a long time (up to several months).
• Festal helps very well in childhood in the treatment of gallbladder pathologies. Dosage and prescription are selected individually by a pediatrician or gastroenterologist. Usually it does not exceed one tablet 3 times a day. As with adults, taking the pills should be combined with eating food.
• For the youngest patients under the age of 3 years, Festal is crushed and stirred before use, combined with breast milk. The quality of the therapeutic effect with this use is significantly reduced, but in this period of life, the child does not have the opportunity to swallow the pill on his own.

Festal tablets - application

Taking into account what Festal helps with, that this drug is necessary for the complete digestion of incoming food, it is important to follow some rules for taking this drug so that it acts correctly and at the right time. Next, we will dwell on the main features of how to take Festal, in what quantity, how often and for long.

Festal - use and doses

Often, if Festal is prescribed, the dosage is 1 tablet three times a day. The dosage may be doubled in case of severe pancreatic secretory insufficiency. If it is necessary to take it before an X-ray or ultrasound examination, you should take the medicine twice or thrice a day, 2 tablets, 2-3 days before the diagnosis.

It is worth considering that when the drug is used together with iron preparations, the bioavailability of the latter decreases, and when using anti-tuberculosis drugs, antibiotics and sulfonamides, their absorption increases. The effect of Festal is enhanced by concurrent use of Cimetidine, and its effectiveness is reduced by the use of antacids with calcium or magnesium.

How to take Festal - before or after meals?

Festal, the use of which should be carried out according to the instructions or as prescribed by a doctor, must be swallowed whole, without chewing and with a small amount of liquid. It is advisable to drink the drug with clean water, always non-alkaline, in order to prevent the destruction of the protective shell of the pill. The water temperature should be room temperature (you can’t drink it with hot water - the shell will dissolve).

It should be taken immediately before, during or immediately after meals. This rule is explained by what Festal helps with, and by the fact that the onset of its action begins 20-30 minutes after administration, lasting for 6-8 hours. It is worth understanding that the food eaten is retained in the stomach for 0.5-6 hours, after which it passes into the small intestine to continue digestion.

How often can I take Festal?

Many people ask whether Festal can be taken once, and what is the maximum permitted period for taking it without interruption. This drug can be taken occasionally if necessary or in courses from several days to several months, depending on the severity of the pathology. Some categories of patients are advised to take these pills for many years as replacement therapy.

Contraindications

Despite the good tolerability of Festal tablets, they have contraindications.

These include the following pathological processes and conditions:

1. Pancreatitis in the acute stage. The first thing prescribed in the treatment of this disease is a strict diet, and sometimes for better results, complete fasting is recommended for several days. Festal can provoke swelling of the pancreas, which will significantly worsen the course of the disease.
2. Severe forms of hepatitis. In this case, taking Festal tablets inhibits the synthesis of bile acids. This contributes to liver dysfunction.
3. Obstructive jaundice and cholestasis. With such pathologies, the outflow of bile is disrupted, and Festal will try to enhance it. Ultimately, this will lead to the development of unwanted side reactions.
4. Functional liver failure.
5. Acute intestinal obstruction. The use of Festal in this case increases intestinal motility, this will lead to an increase in side effects, and emergency therapy will be required.
6. Empyema of the gallbladder.
7. Increased level of bilirubin in the blood.
8. Gallstones.
9. Hepatic coma.

Instructions for use of Festal (Method and dosage)

This medicine is intended to be taken orally as a whole, together with or immediately after eating, with water.

The average daily dosage is 1-2 tablets for 3 times a day. Increasing the dose is possible only as prescribed by a doctor. Before an x-ray or ultrasound, the drug is taken 2-3 days before the examination, 2 pieces 2-3 times a day.

At the same time, the instructions for using Festal for children indicate that when prescribing the drug to a small patient, the dose is determined by the attending physician.

The duration of therapy depends on the complexity of the disorder and can range from several days to years.

Side effects of Festal tablets

List of side effects:

• Frequent use of Festal tablets, which occurs when the dosage is not observed. Leads to the development of side effects. They can occur in various organs and systems.
• Most often, allergies to the ingredients of this medicine occur. The patient experiences redness of the skin, runny nose, and watery eyes.
• Disruptions may occur in the digestive system , which are accompanied by symptoms of nausea, diarrhea, and cramping pain in the lower abdomen.
• Sometimes symptoms of metabolic disorders appear ; a high level of uric acid is found in the blood of patients (hyperuricemia).
• and redness of the skin in the anus area may occur And stomatitis develops in the oral cavity.

Side effects

When a person has a stomach ache, Festal helps, but it is important to understand that you should not drink it for a long time. Negative reactions often occur when taking the medication for a long time. Frequent side effects are presented in the table:

In childhood, after using Festal, itching in the anus and oral mucosa may be bothersome.

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Festal overdose

If the patient self-prescribed this dosage form and did not follow the correct regimen for using this drug, a clinical picture of an overdose may develop.
This condition is accompanied by:

1. The appearance of dizziness.
2. Increased sweating, which is accompanied by nausea, sometimes turning into vomiting.
3. Sometimes stool upset (severe diarrhea) appears.
4. Loss of strength and increased body temperature.

To help a patient in this condition it is necessary:

• Cleanse the stomach (induce vomiting).
• Take some drug from the sorbent group (Polysorb, Atoxil, Enterosgel, Sorbex).
• Due to the fact that this clinical picture is accompanied by symptoms of dehydration, the patient must be put to bed and given hot tea.

Carrying out such events helps to get rid of problems with Festal overdose.

If symptoms do not disappear, you should contact a medical facility.

How Festal helps pregnant women

The use of Festal pills during all trimesters of pregnancy is permitted. Since in pregnant women the proper functioning of the digestive system is disrupted.

The future newborn during intrauterine development puts pressure on the internal organs, this can cause a violation of the outflow of bile.

Prescribing Festal helps prevent the development of undesirable consequences. Fetal development helps reduce the acidity of gastric juice, and women may have problems digesting food.

Before prescribing this medication, it is necessary to correct the diet and balance it in such a way that it helps eliminate the undesirable consequences that arise in the body due to gestation.

Festal can be taken in short courses to prevent the appearance of overdose symptoms and side effects.

During the period when breastfeeding occurs, the use of Festal is allowed. It helps restore the proper functioning of the digestive organs, this is important for mother and baby.

There are several rules for breastfeeding:

1. You should take the tablets immediately after feeding.
2. The remaining milk must be expressed.
3. Be sure to monitor the baby's condition. If his health changes, this is the first signal to discontinue the drug.
4. It is important to include juices, wholemeal black bread, rice and buckwheat porridge in your diet.
5. When using Festal, it is important to drink it only with non-carbonated water.
6. After taking the pill, you need to lie down for a while, this helps the medicine to be absorbed well.

Application and optimal dose

Take the tablets orally as prescribed by the doctor. The medicine “Festal” should be taken at the same time as food, avoiding chewing the tablets. After use, wash down the product with plenty of liquid. Adults are prescribed to take up to 2 tablets at a time three times a day. If necessary, the dosage may be increased. For children, an individual dose and duration of Festal therapy are selected. Often it takes several days to be treated, in other cases the medicine is taken for 2-3 years or more. If the medication needs to be taken for diagnostic purposes, then take 2 tablets three times a day several days before the examination.

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Interaction with other drugs

Drug interactions:

• Parallel administration of Festal along with antibacterial and sulfonamide therapy helps these drugs to be well absorbed.
• iron-based drugs
• This medication is not prescribed with medications that reduce stomach acid levels.

Does Festal help children?

If the child is under 3 years of age, this drug is prescribed very rarely. Because a child at this age cannot swallow a pill whole.

It can be crushed and added to breast milk, but the effectiveness of such use will be extremely low. There are a number of medications that can be used during this period of the baby’s development.

After 3 years, Festal is prescribed with caution. It helps eliminate heartburn, improve the functioning of the pancreas, and help normalize intestinal function, but in a child it can cause undesirable consequences.

Festal and alcohol

When using this drug and alcohol in parallel, a twofold picture can be observed:

• In the first case, a person who combines these two ingredients experiences a delayed onset of alcoholic intoxication, which helps to feel alert the next morning.
• But there is also a significant disadvantage in such a tandem. A person can consume a significantly larger dose of alcohol, which can seriously affect the condition of his liver and intestines.

Therefore, you should not combine alcoholic drinks with enzymatic preparations.

Price

This medication is a publicly available drug, it has a low price, and can be purchased at any pharmacy or online store:

• 20 tablets can be purchased at a price of 125-140 rubles.
• 40 tablets have a price of 210-235 rubles.
• 100 tablets 600-615 rubles.
• Festal Neo No. 20,130 rubles.

This is the pricing policy in Moscow and the Moscow region.

In the Lugansk region, Festal can be purchased for 120 rubles. for 20 tablets.

Festal price, where to buy

The price of Festal in Moscow is 120-590 rubles.

In Ukraine, the medicine can be bought in Kyiv, as well as in cities such as Kharkov, Dnepropetrovsk, etc., the cost of the drug varies between 53-75 UAH.

• Online pharmacies in RussiaRussia
• Online pharmacies in UkraineUkraine
• Online pharmacies in KazakhstanKazakhstan

ZdravCity

• Festal - tablets 40 pcs., three-component enzyme agentAventis Pharma/Sanofi India
  RUB 305 order
• Festal other intestinal digestions. 10 pcs. Sanofi India Limited

  81 RUR order

• Festal - tablets 100 pcs., three-component enzyme agentAventis Pharma/Sanofi India

  RUB 692 order

• Festal - tablets 20 pcs., three-component enzyme agentAventis Pharma/Sanofi India

  RUB 173 order

Pharmacy Dialogue

• Festal dragee No. 40Aventis Pharma

  RUB 233 order

• Festal dragee No. 40Sanofi Aventis

  RUB 342 order

• Festal dragee No. 100Sanofi Aventis

  830 rub. order

• Festal dragee No. 20Sanofi Aventis

  RUB 178 order

• Festal dragee No. 100Aventis Pharma

  RUR 624 order

show more

Pharmacy24

• Festal Neo 10000 N20 tablets LLC "Pharmex Group", m. Boryspil, Ukraine
  60 UAH. order

PaniPharmacy

• Festal neo tablets Festal Neo 10000 tablets. No. 20 Ukraine, Pharmex Group LLC

  69 UAH order

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What helps better? Festal or Mezim?

Festal and Mezim belong to the same pharmacological group and are analogue drugs. They have similar properties and indications. They help and are used for the same pathological processes.

Similar properties for which these drugs are prescribed:

• The basis of these dosage forms is Pancreatin, which helps the digestive system function properly.
• Mezim and Festal are not recommended for use in early childhood under 3 years of age.
• Their use is excluded during exacerbation of chronic pancreatitis.
• Use is permitted (under medical supervision) during pregnancy and while breastfeeding.

Differences:

• Additional components in Festal have an active effect on the breakdown of fatty foods and help the absorption of coarse fiber. Mezim does not have such qualities.
• When using Mezim, the number of side effects is less than that of Festal.
• When using Festal, you can drink no more than 6 tablets per day , and the daily dose of Mezim can be up to 12 pills.
• The average price for tablet forms of Festal is up to 250 rubles. Mezim can cost up to 300 rubles .
• In the first case, the country of origin is India or Ukraine , Mezim is produced by a pharmaceutical company in Germany.

How does it work?

Festal tablets help improve digestion and are also often prescribed for weight loss. The main substance is pancreatin, the digestive enzymes of which have the following actions:

• Amylase. Normalizes the process of digesting carbohydrates.
• Lipase. Acts as the main enzyme that breaks down fats accumulated in the intestines.
• Protease. Promotes the breakdown of proteins.

Used for various pathologies of the digestive system.

The bile components that make up Festal act as restorers of digestive function, which is disrupted due to the exocrine function of the pancreas. The use of the drug has a positive effect on pathologies of the liver and biliary tract. Thanks to hemicellulose, plant fiber is better digested. After using the drug, the active substances penetrate the lumen of the small intestine, where they begin to act. The substances contained in Festal do not enter the bloodstream.

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Analogues that help better than others

Festal has many analogues, the most popular are:

1. Mezim. It has a good therapeutic effect and helps in the treatment of chronic pancreatitis of various etiologies, inflammatory diseases of the liver and stomach. As an additional remedy it can be used in the treatment of intestinal infection pathologies and diarrhea. It has few contraindications. It can be prescribed to pregnant women, children, and breastfeeding women. The average price does not exceed 300 rubles.
2. Pancreatin. It has a good effect and helps with increased gas formation, chronic inflammation in the intestines, and low-grade inflammatory processes in the stomach, gallbladder, liver, and intestines. The main contraindications are reduced to hypersensitivity to the ingredients of this drug, pregnancy and breastfeeding. The average price for 60 pills does not exceed 40 rubles.
3. Micrasim. A drug with a wide range of indications. Used in the treatment of chronic forms of pancreatitis, in the postoperative period of pancreatectomy, and disorders of chewing. Helps with heartburn, increased gas formation, and diarrhea. Used as an additional means for weight loss. The list of contraindications is small. The average price does not exceed 250 rubles. for 20 capsules.
4. Gastenorm. It is an almost complete analogue of Festal, has similar indications and contraindications. Can be used during pregnancy in all trimesters. It has a price from 60 to 70 rubles.
5. Panzinorm . It can be prescribed for diseases of the pancreas, cystic fibrosis, and in the postoperative period if surgery was performed on the pancreas. Helps and accelerates the passage of food in the intestinal lumen. The big disadvantage is the high price of this medicine, up to 900 rubles.
6. Creon. This is the best substitute for this pharmacological group. An expensive drug ( up to 2000 rubles ). Can be used by adults, children, pregnant women. It is well tolerated and has few contraindications. Helps restore the functioning of the pancreas, normalizes its secretion, increases the absorption of high-calorie and fatty foods.

Gastenorm

Creon

Micrasim

Mezim

Panzinorm
This medicine has proven itself well in pathological conditions of the gastrointestinal tract. It helps in the treatment of diseases of the bile ducts, eliminates the unpleasant sensation of heartburn, prevents the accumulation of gases in the intestines, and eliminates the symptoms of alcohol intoxication.

These positive qualities may turn out to be negative if the patient did not consult a gastroenterologist and made his own appointment.