Description overdue on 02/12/2014

Digestive tool . The active component acts pancreatin . The mechanism of action is based on filling a lack of pancreatic enzymes. Medicament lipolytic, amylolytic and proteolytic effects. In addition to pancreatin in the medicament include pancreatic enzymes such as alpha-amylase , Chymotrypsin, trypsin and lipase, which promote dissolution of starch into dextrins and sugars, fats - to acids and glycerol, protein - to the level of amino acids.

The drug normalizes digestion, improves the functional state of the gastrointestinal system. Trypsin   It has analgesic effect and suppresses the production of its own pancreatic juice. Enzymes preparation are only released in the lumen of the small intestine, in an alkaline medium. The protective coating protects the active substance from the effects of gastric juice. The drug reduces the load on pancreas It provides complete digestion and eliminate flatulence abnormal due to the normalization of digestion. After 30 minutes of taking the capsules recorded maximum enzymatic activity expressed medicament. The drug is available as a capsule dose of 10,000, 25,000, 36,000 units. Price Ermitalya depends on the dosage (500-900 rubles).

Indications:

When exocrine pancreatic insufficiency for replacement and substitution therapy prescribers Ermital. Instructions for use recommends medication for diarrhea of ​​non-infectious origin, the chronic course pankreatita at   dyspepsia , Expressed flatulence, cystic fibrosis, chemotherapy and irradiation, after pancreatectomy . Ermital 10,000 is prescribed for digestive problems after surgery on the small intestine and stomach resection. The drug is recommended for use with the sedentary lifestyle, with severe pathology of masticatory function, with prolonged immobilization , Errors in diet (irregular, eating large quantities of food, intake of fatty foods). The drug is prescribed to ultrasound of the abdominal cavity, to X-ray examination at gastrocardiac syndrome .

Contraindications:

Ermital 10000 does not prescribe intolerance pancreatin, an exacerbation of chronic pancreatitis. The drug is strictly contraindicated in acute pancreatitis within.

Side effect:

The drug may cause constipation, hyperuricemia, diarrhea syndrome, irritation in the perianal area, epigastric discomfort, irritation of the mouth, the formation of different stricture in the lumen of the colon (in patients cystic fibrosis ). Reviews Ermital to demonstrate its good tolerability. Long-term use of enzymes in cystic fibrosis can lead to fibrous colonopathy .

Overdose:

High doses cause pancreatin hyperuricosuria , Constipation, hyperuricemia. It is recommended to wash the intestines, stomach, symptomatic therapy to stabilize the condition.

Mode of application:

Ermital 25,000 taken orally, washed down with fruit juice or water. Dosage medicament is individually depending on the insufficiency of the pancreas, and age of the patient. Adults appoint 150 thousand units a day. The amount of drug may be increased up to 400 thousand IU full exocrine insufficiency   pancreas. This is an amount of active ingredient corresponding to a daily human requirements lipase. The duration of the drug Ermital 25,000 varies from a few days (errors in diet, a violation of the digestive function) to several years (at a constant need for replacement therapy). The maximum daily quantity of medication - 20 thousand units per 1 kg of body weight.

Special instructions:

When long-term therapy is recommended parallel assignment iron supplementation . Analogs Ermitalya: Pangrol , Creon, Penzital, Gastenorm, Pancreatin.

Drug Interactions:

Ermital enhances anticholinergic effects when taking m-holinoblokatorov. The drug reduces the effectiveness of antithrombotic drugs. Antacids   reduce the absorption of pancreatin. Ermital partially blocks the absorption of iron. Alkaline liquid violate pharmacodynamics of the drug.