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Fenules - instructions for use, analogs, reviews and release forms (capsules and tablets 100, retard, Zinc, drops or syrup Complex) for the treatment of iron deficiency and iron deficiency anemia in adults, children and pregnancy. Composition

Fenules - instructions for use, analogs, reviews and release forms (capsules and tablets 100, retard, Zinc, drops or syrup Complex) for the treatment of iron deficiency and iron deficiency anemia in adults, children and pregnancy. Composition

In this article, you can read the instructions for using the drug Fenules. Comments of visitors of the site - consumers of this medication, as well as opinions of doctors of specialists on the use of Feniuls in their practice are presented. 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 Fenyuls in the presence of existing structural analogs.Use for the treatment of iron deficiency and iron deficiency anemia in adults, children, as well as during pregnancy and lactation. Composition of the preparation.

 

Fenules - an iron preparation with a complex of vitamins, for ingestion, contained in a capsule, which contains microdialysis granules and provides a gradual separation of the constituents.

 

The drug is used for chronic blood loss, alimentary iron deficiency, increased need for iron.

 

Iron is necessary for the normal functioning of hemoglobin, myoglobin, cytochrome, peroxidase and catalase. Being a structural component of heme, takes part in hemopoiesis.

 

The presence of Ascorbic acid and vitamin B in the microdialysis granules in combination with iron improves the absorption of iron, prevents the prooxidant effect of iron.

 

Thiamin is involved as a cofactor of enzymes in carbohydrate metabolism, the functioning of the nervous system.

 

Nicotinamide participates in cellular respiration.

 

Riboflavin is the most important catalyst in the processes of cellular respiration and visual perception.

 

Pyridoxine as a coenzyme is involved in the metabolism of amino acids, proteins, the synthesis of neurotransmitters.

 

Calcium pantothenate - an integral part of coenzyme A, is involved in the processes of acetylation and oxidation of fats and carbohydrates.

 

Vitamins restore the disturbed metabolism of carbohydrates, proteins and fats in the development of dystrophic disorders in the body caused by latent iron deficiency and vitamin deficiency.

 

Composition

 

Iron sulfate + Ascorbic acid + Riboflavin + Thiamine mononitrate + Nicotinamide + Pyridoxine hydrochloride + Pantothenic acid + auxiliary substances.

 

Iron sulphate + Pyridoxine hydrochloride + Folic acid + Cyanocobalamin + Zinc sulfate monohydrate + auxiliary substances (Fenulles Zinc).

 

Iron (in the form of sulfate) + Ascorbic acid + auxiliary substances (Fenulis 100).

 

Pharmacokinetics

 

Iron is absorbed, mainly from the 12-finger and jejunum. Maximum absorption is observed with iron on an empty stomach. Absorption varies greatly and depends on iron stores in the body and physiological needs. In iron deficiency states, its absorption increases. The total amount of assimilated iron in the body increases with increasing dose.After absorption, the bulk of iron binds to transferrin and is transported to the bone marrow, where it is captured by bone marrow erythroid cells for hemoglobin synthesis; the rest is contained in the blood and is deposited in organs in the form of ferritin, hemosiderin or myoglobin. A small amount of iron is removed from the body after the cyclic destruction of the hemoglobin molecule.

 

Indications

 

Iron deficiency anemia (treatment and prevention), caused by various causes:

  • increased need for iron during pregnancy and lactation, during the period of intensive growth and convalescence after prolonged serious illnesses;
  • prolonged bleeding (including with peptic ulcer of stomach and duodenum, hyperpolymenorrhea, metrorrhagia);
  • inadequate and unbalanced nutrition.

 

Treatment and prevention of conditions caused by deficiency of iron, zinc and folic acid, incl. before, during and after pregnancy (during lactation) and in children.

 

Group B hypovitaminosis.

 

In the complex treatment of skin diseases (youthful acne, alopecia areata, atopic dermatitis).

 

Forms of release

 

Capsules.

 

Capsules of prolonged retard action (Fenyuls Zinc).

 

Retarded retard tablets coated with a coating (Fenyuls 100).

 

Drops and syrup for oral administration (Fenyuls Complex).

 

Instructions for use and dosage

 

With hidden iron deficiency - 1 capsule 1 time per day. The course of treatment is 1 month.

For the prevention of latent iron deficiency (with abundant and prolonged menstruation) - 1 capsule 1-2 days before, during and 1-2 days after the end of menstruation.

 

Capsules of prolonged action

 

Inside. Dosage and duration of therapy depends on the severity of iron deficiency. The daily dose of the drug can be taken 1 time per day. Take during or immediately after a meal; to wash down with water.

 

Treatment of clinically pronounced iron deficiency of mild and moderate degree (iron deficiency anemia): 2 capsules per day for 3-5 months before the normalization of hemoglobin level in the blood. After normalizing the hemoglobin level in the blood, the maintenance dose is prescribed at the doctor's recommendation.

 

Treatment of combined deficiency of iron, zinc and folic acid - 2 capsules per day. Pregnant women should take 1-2 capsules a day before the normalization of hemoglobin.Then the therapy should be continued at a dosage of 1 capsule per day, at least until the birth to restore iron stores.

 

For therapy and prevention of latent iron deficiency, zinc deficiency and folic acid, patients should take 1 capsule per day as part of a complex treatment of skin diseases (youthful acne, alopecia areata, atopic dermatitis).

 

Pills

 

Fenules 100 tablets should be taken orally, before eating, with a glass of water. The tablet can not be broken or chewed.

 

Adults and teenagers over 12 years of age

 

1 tablet 1-2 times a day, depending on the severity of iron deficiency anemia. If necessary, the dose can be increased to 3-4 tablets per day for two doses (morning and evening) for 3-4 months (before replenishing the iron depot in the body).

 

Iron deficiency anemia of moderate and severe severity in pregnant women

 

2 trimester of pregnancy: 1 tablet once a day.

 

3 trimester of pregnancy: 1 tablet 1-2 times a day.

 

Treatment is long. The duration of treatment depends on the severity of iron deficiency anemia, and it should be carried out before the normalization of serum ferritin, usually at least 3 months.After normalizing the hemoglobin level to restore internal iron reserves, therapy should be continued for several weeks.

 

Prevention of iron deficiency in pregnancy and lactation

 

1 tablet once a day.

 

Side effect

  • nausea, vomiting;
  • constipation;
  • diarrhea;
  • abdominal pain;
  • metallic taste in the mouth;
  • dark staining of the stool caused by the release of unsweetened iron (it has no clinical significance);
  • ulcerative esophagitis;
  • stenosis of the esophagus;
  • allergic reactions (pruritus, rash);
  • hyperemia of the skin;
  • headache;
  • dizziness;
  • weakness.

 

Contraindications

  • stenosis of the esophagus and / or obstructive changes in the digestive tract;
  • increased content of iron in the body (hemochromatosis, hemosiderosis);
  • violation of iron utilization (lead anemia, sideroblastic anemia), hemolytic anemia;
  • non-iron deficiency anemia (hemolytic anemia or megaloblastic anemia, anemia caused by vitamin B12 deficiency);
  • children under 12 years of age (due to lack of clinical data);
  • condition after resection of the stomach;
  • peptic ulcer of the stomach and duodenum in the stage of exacerbation;
  • bleeding;
  • hypersensitivity to any component of the drug.

 

Application in pregnancy and lactation

 

The application is possible according to the dosing regimen.

 

Use in children

 

Contraindicated in children under 12 years.

 

special instructions

 

There may be a darkening of the stool, which has no clinical significance.

 

Fenules tablets can be taken after meals if there are dyspeptic symptoms from the digestive tract (nausea, vomiting, constipation, diarrhea, abdominal pain).

 

The drug should be taken 1 hour before or 2 hours after taking the product or other medications that worsen the absorption of iron. Avoid concomitant administration with other iron-containing drugs (risk of overdose).

 

Fenules is prescribed only with iron deficiency anemia and can not be used for anemia of other etiology.

 

If you miss one dose of the drug, it should be taken at the first opportunity, however, if the time of taking the missed dose coincides with the time taken to receive the next dose, you should take only the next pill without doubling the dose of the drug.

 

Treatment of iron deficiency anemia should be carried out under the control of serum ferritin, the total iron binding capacity of the serum.

 

You should avoid the use of ethanol-containing beverages (alcohol).

 

Drug Interactions

 

Fenules can reduce the absorption of concomitantly used enoxacin, clodronic acid, levodopa, methyldopa, penicillamine, tetracyclines, thyroid hormones and fluoroquinolones, incl. gepafloksatsina, levofloxacin.

 

Antacids and preparations containing calcium, carbonates, bicarbonates, oxalates or phosphates in their composition, reduce iron absorption.

 

Incompatible with iron preparations for parenteral administration.

 

Food products - eggs, whole grain bread, cereals, milk and dairy products, tea, coffee reduce iron absorption.

 

It is not recommended simultaneous use of other multivitamin complexes in order to avoid an overdose.

 

Fenules should not be combined with the following drugs: ciprofloxacin, doxycycline, Norfloxacin and ofloxacin.

 

Analogues of the drug Fenules

 

Structural analogs for the active substance:

  • Iron polymaltose;
  • Maltofer;
  • Sorbifer Durules;
  • Fenyuls Complex;
  • Fenules 100;
  • Ferri;
  • Ferroplex;
  • Ferrum Lek.

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Reviews (22):
Guests
Alla
I am a nursing mother, so I try to eat fully, so that useful substances and vitamins would suffice for me and for the baby. But the results of the blood test disappointed me and my child had hemoglobin 106. Of course, this is a low figure. Our pediatrician ordered me an inexpensive drug Fenyuls. My husband joked that my teeth would turn black. But everything went well - nothing turned black! Like many medications, Fenules is available in capsules. I drank these vitamins (I call the drug so, because it, in addition to iron, it also contains B vitamins) for 30 days. Have handed over analyzes - the hemoglobin became 126. The doctor has told or said, that has made monthly respiration, and then has drunk again Fenjuls. So I recommend drinking these capsules to those who have a low hemoglobin count.
Visitors
Lyudmila Vladimirovna
Hello. To me have registered this preparation and I have spent on drink it or him 10 days. But I have a stomach ulcer, and how can I take it. Can any other analog? Tell me please. Thank you.
Administrators
admin
Lyudmila Vladimirovna, Take as usual. Fenyuls contraindicated in exacerbation of peptic ulcer, and so it can be taken. True, it is necessary to monitor your own condition. The stool can turn black, but this is the effect of all iron preparations and it is not internal bleeding from the ulcer, although it may mask under it.

It is also possible to replace sulfate-based iron preparations such as Fenulis or Sorbifer, where iron is represented as lactate (Ferronal) or fumarate (Ferretab).
Guests
serenga
Fenules as a preparation of iron is not bad, helped to raise hemoglobin from 80 to 120, which in my case is just fabulous figures. True, his stomach ached from him, as well as from other iron preparations and doctors spread their hands, as no one came up with to protect the stomach from this effect. But it is necessary to be reconciled, as only he somehow could affect or influence my hemoglobin, and before there were a sorbee, a maltofer and still any medicine already and I shall not recollect its name.
Guests
Uvarova I.
serenga, the preparation of the drug was different, the phenyuls took a month, the effect was practically zero, hemoglobin rose by three units, but with the sorbiomer things were better, for a month of taking hemoglobin reached the norm, so that's where someone will come up.
Guests
Vesta
My grandmother Fenyuls helps, but I do not take a crack. Month has spent on drink, from 91 up to 93 hemoglobin has grown.
Visitors
Lyudmila Vladimirovna
Hello. Is it possible to simultaneously take fenules, folic acid, omeprazole, and six other drugs, including an antibiotic? Thank you.
Administrators
admin
Lyudmila Vladimirovna, Omeprazole can slow the absorption of iron preparations. Fenulas is not recommended for use with tetracycline antibiotics and fluoroquinolones. If drugs are much better to consult a doctor for clarification and clarification of the treatment regimen.
Guests
Irina
Hello. Tell me, can I take phenyuls simultaneously with kanefron?
Administrators
admin
Irina, Can. According to the instructions, when combined use of these drugs, adverse reactions should not occur.
Guests
Dilara
Hello! Can I take Fenulas with Femibion-2 in the second trimester of pregnancy? Thank you in advance for your response.
Administrators
admin
DilaraIf the deficiency of iron and vitamins is determined, it is necessary. There are no special conditions for using the medicines mentioned in the question during pregnancy. The admission should be coordinated with the gynecologist who observes you.
Guests
Inga
I've always been helped by phenyuls, it's better than sorbee and hemoglobin for a month. Only the stomach aches a bit, but otherwise it does not work.
Guests
Alivia
Hello! The doctor prescribed me folic acid 3 r per day, vitamin E 1 capsule 2 r per day, phenyuls 1 tab. per day and iodomarine daily. Can I drink them in one day?
Administrators
admin
Alivia, Of course you can. All the vitamins and trace elements mentioned in the question are contained in multicomponent additives and multivitamin complexes, so they can be used together. There should not be any negative consequences or a reduction in the action when used together. The main thing is not to add any more multivitamin complexes, so as not to cause an overdose of vitamins and microelements, which you already take separately and indicated them in the question.
Guests
AnnaBor
Hello. Fenyuls was prescribed, but he caused constipation. Earlier I had already taken other iron preparations - the same story.
Guests
Antonina2
Fenyuls was my wand-rescue. With the end of winter, he always took it, so well "puts" on his feet, clears his head, raises his spirits. I am very grateful to this drug. But - I forgot for several years. Now again the anticipation - remembered. I called - nowhere in the pharmacies it is not, only in a single and SO expensive! He was quite accessible. I'm looking for analogues, but ...it's unlikely that for me it will match my favorite Fenyuls. Have to pay dearly.
Guests
Liuba
Hello. I've got large pimples from my fenulis, my neck and body, and my head is spinning? So he does not suit me? Than to replace? Tell me please.
Administrators
admin
Liuba, According to the description is not suitable, most importantly, that other problems are not layered, that is, there was no coincidence and unreasonable claims to the drug. And so you can replace the drug Fenulas with many drugs or their combinations (you will have to combine it to replace all the elements that are contained in the drug before the comma). The main thing to start from the problem for which you were appointed Fenyuls and select the appropriate replacement. Address to the attending physician who has appointed or nominated to you this agent for the decision of a question with replacement.
Visitors
Iraidda
From reception Fenjulsa at me a hemoglobin for the first month rises on 40 units approximately, for the second - on 20 units.I take him for three months every 1.5-2 years. No iron preparation produced such an effect. The only negative - when I start taking it, during the first days I feel discomfort in the epigastric region (not pain, namely discomfort and heaviness), but it's a trifle for me, given the high effectiveness of the drug. Also pleases the absence of constipation.

Pros - it really helps. Cons - not all fit.
Guests
VICTOR OF THE FOOTPRINTS
How can I take phenyuls if I have also been given a phenybut preparation in the presence of contact dermatitis?
Administrators
admin
VICTOR OF THE FOOTPRINTS, No special regimens for taking or additional side effects with the joint use of drugs Fenyuls and Phenibut according to the instructions should not be.

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