De-Nol - instructions for use, analogs, reviews and release forms (tablets 120 mg) of a drug for the treatment of gastritis and stomach and duodenal ulcers in adults, children and in pregnancy
In this article, you can read the instructions for using the drug De Nol. There are reviews of visitors to the site - consumers of this medication, as well as opinions of doctors of specialists on the use of De-Nol in their practice. A big request is to actively add their feedback on the drug: the medicine helped or did not help get rid of the disease, which were observed complications and side effects, possibly not declared by the manufacturer in the annotation. Analogues of De-Nol in the presence of existing structural analogs. Use for the treatment of gastritis and ulcers of the stomach and duodenum in adults, children, as well as during pregnancy and lactation.
De Nol - antiulcer drug with bactericidal activity against Helicobacter pylori. It also has an anti-inflammatory and astringent effect. Insoluble bismuth oxychloride and citrate are precipitated in the acidic environment of the stomach, and chelate compounds are formed with the protein substrate in the form of a protective film on the surface of ulcers and erosions.
Increasing the synthesis of prostaglandin E, the formation of mucus and the secretion of bicarbonate, stimulates the activity of cytoprotective mechanisms, increases the resistance of the gastrointestinal mucosa to the effects of pepsin, hydrochloric acid, enzymes and bile salts.
It leads to the accumulation of the epidermal growth factor in the defect area. Reduces the activity of pepsin and pepsinogen.
Pharmacokinetics
Bismuth titrate dicitrate (active ingredient of the drug De-Nol) is practically not absorbed from the digestive tract. It is excreted mainly with feces. An insignificant amount of bismuth, which enters the plasma, is excreted by the kidneys.
Indications
- peptic ulcer of the stomach and duodenum in the phase of exacerbation (including associated with Helicobacter pylori);
- chronic gastritis and gastroduodenitis in the phase of exacerbation (including associated with Helicobacter pylori);
- irritable bowel syndrome, mainly with symptoms of diarrhea;
- functional dyspepsia, not associated with organic gastrointestinal diseases.
Forms of release
Tablets coated with 120 mg.
Instructions for use and dosing regimen
Adults and children over 12 years of age the drug is prescribed 1 tablet 4 times a day for 30 minutes before meals and at night or 2 tablets 2 times a day for 30 minutes before meals.
Children aged 8 to 12 years are prescribed 1 tablet 2 times a day for 30 minutes before meals.
Children aged 4 to 8 years are prescribed at a dose of 8 mg / kg per day; The daily dose is divided into 2 doses. Take 30 minutes before meals.
Tablets should be washed down with a small amount of water.
The duration of the course of treatment is 4-8 weeks. For the next 8 weeks, do not take drugs containing bismuth.
For the eradication of Helicobacter pylori, it is advisable to use De-Nol in combination with antibacterial drugs possessing anti-Helicobacter pylori activity.
Side effect
- nausea, vomiting;
- increased frequency of stools;
- constipation;
- skin rash;
- itching of the skin;
- encephalopathy associated with the accumulation of bismuth in the central nervous system.
Contraindications
- severe renal dysfunction;
- pregnancy;
- lactation period;
- hypersensitivity to the drug.
Application in pregnancy and lactation
De-Nol is contraindicated for use during pregnancy and lactation.
special instructions
The drug should not be used for more than 8 weeks.
During treatment it is not recommended to exceed the established daily doses for adults and children.
During the De-Nol treatment period, other preparations containing bismuth should not be used.
At the end of the course treatment with the drug at recommended doses, the concentration of the active substance in the blood plasma does not exceed 3-58 μg / l, and intoxication is observed only at a concentration of more than 100 μg / l.
When De-Nol is used, it is possible to stain the stool black due to the formation of bismuth sulphide. Sometimes there is a slight darkening of the tongue.
Drug Interactions
With the simultaneous intake of other medicines, as well as food and liquids, in particular antacids, milk, fruits and fruit juices, it is possible to change the effectiveness of De-Nol (it is not recommended to take inside for 30 min before and after taking De-Nol).
Analogues of the drug De Nol
Structural analogs for the active substance:
- Ventrisol;
- Bismuth tricalcium dicitrate.
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