Ermytal (Ermital) caps 25000 #50

Ermytal instruction

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Composition

As an active component acts pancreatin, which corresponds to the action of elements of lipase, amylase and protease. Depending on the type of release, the activity of these elements will be respectively: 10000 units, 9000 units, 500 units; 25,000 units, 22500 units, 1250 units; 36000 units, 18000 units, 1200 units according to the European Pharmacopoeia.
Auxiliary components are: microcrystalline cellulose, talc, crospovidone, magnesium stearate, triethyl citrate, silicon dioxide, simethicone, montane glycol wax, methacrylate copolymer dispersion, gelatin, titanium dioxide, sodium lauryl sulfate, iron oxides.

Form of issue

The drug is issued in the form of gastroresistant capsules with a dose of 10,000, 25,000, 36,000 units.

pharmachologic effect

Digestive. Replenishes the deficiency of pancreatic enzymes.

Pharmacodynamics and pharmacokinetics

The active ingredient is pancreatin. The mechanism of action is based on the replacement of the deficiency of pancreatic enzymes. The drug has lipolytic, amylolytic and proteolytic effects. In addition to pancreatin, the medicament includes such pancreatic enzymes as alpha-amylase, chymotrypsin, trypsin and lipase that stimulate the dissolution of starch to monosaccharides and dextrins, fats to acids and glycerin, proteins to amino acids.
The drug normalizes digestion, improves the functional state of the gastrointestinal system. Trypsin has an analgesic effect and suppresses the production of its own pancreatic juice. The enzymes of the drug are released only in the lumen of the small intestine, in an alkaline medium. The protective coating protects active substances from the effects of gastric juice. The drug reduces the load on the pancreas, provides a full digestion of food and eliminates pathological flatulence due to the normalization of digestion. 30 minutes after taking the capsule, the maximum enzyme activity of the drug is recorded.

Indications for use

With exocrine insufficiency of the pancreas, the preparation Ermytal is prescribed for reconstructive and replacement therapy. Instructions for use recommend the use of medicines for diarrhea of ​​non-infectious origin, with chronic pancreatitis, with dyspeptic disorders, severe flatulence, cystic fibrosis, after chemotherapy and radiation, after pancreatectomy. Ermytal 10000 is prescribed for digestive disorders after operations in the small intestine and resection of the stomach.
The drug is recommended for use in a sedentary lifestyle, with a pronounced pathology of masticatory function, with prolonged immobilization, inaccuracies in nutrition (irregularity, eating large amounts of food, eating fatty foods).
The medication is prescribed before the ultrasound examination of the abdominal organs, before the radiographic examination, with gastrocardial syndrome.

Contraindications

Ermytal 10000, 25000, 36000 is not prescribed for intolerance to pancreatin, with exacerbation of chronic pancreatitis. Medication is strictly contraindicated in acute pancreatitis.

Side effects

The drug can cause constipation, hyperuricemia, diarrhea syndrome, irritation in the perianal region, discomfort in the epigastric region, irritation of the oral mucosa, the formation of various strictures in the lumen of the colon (in patients suffering from cystic fibrosis).
Long-term use of enzymes in cystic fibrosis can lead to fibrous colonopathy.

Ermital, instructions for use (Method and dosage)

According to the instructions for use, Ermytal 10000, Ermytal 25000, Ermytal 36000 are taken orally, washed down with fruit juice or water.
Dosage of the medication is carried out individually, depending on the degree of pancreatic insufficiency and the patient's age. Adults appoint 150 thousand units per day. The amount of the drug can be increased to 400 thousand units with total exocrine pancreatic insufficiency. It is this amount of active substance that corresponds to the daily requirement of a person in lipase.
The duration of administration of preparations Ermytal 10,000, Ermytal 25000, Ermytal 36000 varies from several days (inaccuracies in nutrition, digestive disorders) to several years (with a constant need for substitution therapy).
The maximum daily amount of the medication is 20,000 units per kilogram of weight.

Overdose

High doses of pancreatin cause hyperuricosis, constipation, hyperuricemia.
It is recommended to wash the intestines, stomach, conduct symptomatic therapy to stabilize the condition.

Interaction

The drug enhances the anticholinergic effect when taking m-holinoblokatorov.
The drug reduces the effectiveness of antithrombotic medications.
Antacids reduce the absorption of pancreatin.
Ermytal partially blocks the absorption of iron.
Alkaline liquors disrupt the pharmacodynamics of the drug.

Terms of sale

To buy Ermytal online the prescription is not requered.

Storage conditions

In a place inaccessible to children at a temperature of no more than 25 degrees Celsius.
Shelf life - not more than three years.

special instructions

With prolonged therapy, parallel administration of iron preparations is recommended.

Reviews about the Ermytal

Reviews on Ermytal 10000, Ermytal 25000, Ermytal 36000 indicate their good portability.
Excellent preparations for improving the digestive system. Discomfort from eating, as well as heaviness in the stomach quickly disappear.
Possible heartburn after taking medication.