Gastenorm Forte tablets p / o, No. 20

• Lack of exocrine pancreatic function (chronic pancreatitis, cystic fibrosis, etc.).

• Chronic inflammatory-dystrophic diseases of the stomach, intestines, liver, gallbladder. Conditions after resection or irradiation of these organs, accompanied by impaired digestion of food, flatulence, diarrhea (as part of combination therapy).

• To improve the digestion of food in patients with normal function of the gastrointestinal tract in case of errors in nutrition, as well as in violation of chewing function, forced immobilization for a long time, a sedentary lifestyle.

• Preparation for X-ray and ultrasound examination of the abdominal organs.

The dose is determined individually depending on the degree of indigestion.

Adults (unless otherwise prescribed): 1 to 4 tablets with meals without chewing and drinking plenty of fluids.

It is not recommended to exceed the daily dose of enzymes, which is 15,000 IU of FIP lipase per kg of body weight.

In children, the drug is used as directed by a doctor. Usually it is prescribed 1 tablet 3 times a day during meals.

The duration of treatment can vary from a single dose or several days (if the digestive process is disturbed due to dietary errors) to several months or years (if constant substitution therapy is necessary).

Active substance: pancreatin with minimal enzymatic activity: amylase 4 200 U FIP *, lipase 3 500 U FIP, protease 250 U FIP

Excipients: Povidone K-30, sodium chloride, microcrystalline cellulose, lactose monohydrate, sodium glycolate, colloidal silicon dioxide, talc, magnesium stearate, white opadry OY-IN-58903 (cellacefate, triacetin, titanium dioxide, sorbitan oleate).

* Units of the International Federation of Pharmaceuticals.

• Hypersensitivity to the components of the drug,

• acute pancreatitis,

• exacerbation of chronic pancreatitis,

• children's age up to 3 years.

Trade name of the drug: Gastenorm Forte

International non-proprietary name:

Pancreatin

Dosage form:

enteric-coated tablets

Composition
Active substance: pancreatin with minimal enzymatic activity: amylase 4 200 U FIP *, lipase 3 500 U FIP, protease 250 U FIP

Excipients: Povidone K-30, sodium chloride, microcrystalline cellulose, lactose monohydrate, sodium glycolate, colloidal silicon dioxide, talc, magnesium stearate, white opadry OY-IN-58903 (cellacefate, triacetin, titanium dioxide, sorbitan oleate).

* Units of the International Federation of Pharmaceuticals.

Description

White or almost white, round, biconvex enteric-coated tablets. A slightly rough surface may be observed.

Pharmacotherapeutic group:

digestive enzyme

Pharmacological properties

The drug compensates for the insufficiency of the exocrine function of the pancreas.

The enzymes lipase, amylase and protease, which are part of pancreatin, facilitate the digestion of fats, carbohydrates and proteins, which contributes to their more complete absorption in the small intestine.

Indications for use

• Lack of exocrine pancreatic function (chronic pancreatitis, cystic fibrosis, etc.).

• Chronic inflammatory-dystrophic diseases of the stomach, intestines, liver, gallbladder. Conditions after resection or irradiation of these organs, accompanied by impaired digestion of food, flatulence, diarrhea (as part of combination therapy).

• To improve the digestion of food in patients with normal function of the gastrointestinal tract in case of errors in nutrition, as well as in violation of chewing function, forced immobilization for a long time, a sedentary lifestyle.

• Preparation for X-ray and ultrasound examination of the abdominal organs.

Contraindications

• Hypersensitivity to the components of the drug,

• acute pancreatitis,

• exacerbation of chronic pancreatitis,

• children's age up to 3 years.

Pregnancy and lactation

The safety of using pancreatin during pregnancy has not been studied enough. Application is possible in cases where the expected benefit to the mother outweighs the potential risk to the fetus. During lactation, the use of pancreatin is not contraindicated.

Method of administration and dosage

The dose is determined individually depending on the degree of indigestion.

Adults (unless otherwise prescribed): 1 to 4 tablets with meals without chewing and drinking plenty of fluids.

It is not recommended to exceed the daily dose of enzymes, which is 15,000 IU of FIP lipase per kg of body weight.

In children, the drug is used as directed by a doctor. Usually it is prescribed 1 tablet 3 times a day during meals.

The duration of treatment can vary from a single dose or several days (if the digestive process is disturbed due to dietary errors) to several months or years (if constant substitution therapy is necessary).

Side effects

Allergic reactions (sneezing, watery eyes, skin rash). Rarely - diarrhea or constipation, nausea, epigastric discomfort. With prolonged use in high doses, the development of hyperuricosuria, an increase in the level of uric acid in the blood plasma are possible. With cystic fibrosis, if the required dose of pancreatin is exceeded, strictures (fibrous colonopathy) may develop in the ileocecal region and in the ascending colon.

When using pancreatin in high doses in children, perianal irritation and irritation of the oral mucosa may occur.

Overdose

Symptoms: hyperuricosuria, hyperuricemia. Children have constipation.
Treatment: drug withdrawal, symptomatic therapy.

Interaction with other medicinal products

With the simultaneous use of pancreatin with iron preparations, it is possible to reduce the absorption of the latter. The simultaneous use of antacids containing calcium carbonate and / or magnesium hydroxide can lead to a decrease in the effectiveness of pancreatin.

special instructions

With prolonged use, iron supplements are prescribed at the same time.

Release form

Enteric-coated tablets. 10 tablets in PVC / aluminum blister. 2 or 5 blisters, together with instructions for use, are placed in a cardboard box.

Storage conditions

In a dry, dark place at a temperature not exceeding 25 ? C.
Keep out of the reach of children!

Shelf life

3 years. Do not use after the expiration date printed on the package.

Conditions of dispensing from pharmacies

Without recipe.