Anacidic gastritis, is it possible to use omez and phosphalugel? How to take “Phosphalugel” and “De-nol” together: instructions for use, diagram and recommendations. Can I take it at the same time?


Indications and contraindications

De Nol and Phosphalugel belong to different groups of pharmacological action.

Thus, De Nol has astringent properties and has an anti-inflammatory and antiseptic effect on the gastrointestinal tract. By covering the surface of the mucous membrane of the stomach and duodenum with a thin protective membrane, the drug neutralizes the destructive effect of stomach acids on the walls of organs. This action helps restore the damaged integrity of the ulcerated walls of the digestive system, as well as reduce the inflammatory process until it stops completely.

Phosphalugel, enveloping the inner surface of the digestive organs, additionally neutralizes the irritating effect of gastric acids on the walls of the organs, adsorbing them on itself and normalizing the pH of the stomach and intestines.

Both the astringent antiseptic De Nol and the antacid drug Phospholugel are used for the same pathologies:

  • treatment of exacerbations of gastritis against the background of increased or normal acidity;
  • ulcerative damage to the walls of the duodenum and stomach;
  • heartburn accompanying pathological reflux of stomach contents into the esophagus;
  • digestive disorders of non-ulcerative etiology;
  • irritation of the walls of the stomach and duodenum with medications, alcohol or poor-quality food.

The instructions for use of both drugs also indicate contraindications for taking these medications. So, De Nol and Phosphalugel should not be used in case of pathology of the urinary system and individual intolerance to the components of both drugs. The drugs are also contraindicated for diabetes mellitus. Women should also avoid treatment with De Nol during pregnancy and lactation.

Description of drugs

De-Nol is a gastroprotector (special drug) that protects the mucous membrane of the gastrointestinal tract (GIT) and is bactericidal (destroys bacteria) against Helicobacter pylori.

Phosphalugel is a non-absorbable antacid (a medicine that neutralizes stomach acid), neutralizing hydrochloric acid to an optimal level of 3.0–4.0 pH (acid-base balance).

  • De-Nol contains the main active ingredient - bismuth tripotassium dicitrate.
  • Phosphalugel is an antacid consisting of aluminum phosphate, pectin gel and agar-agar.

Insoluble bismuth oxide and citrate form a protective layer on the ulcerations, which protects the mucous membrane from the aggressive influence of pepsin (a digestive enzyme produced by the cells of the inner lining of the stomach), hydrochloric and bile acids. Selectively penetrates the bottom of eroded (damaged) areas and has a direct effect on bacteria.

Once in the gastric tract, it immediately begins to interact with hydrochloric acid, resulting in its neutralization and absorption (absorption, dissolution). Due to pectin and agar-agar (active ingredients), it participates in the formation of a protective layer in the gastrointestinal tract. The resulting food lump passes through the tract more easily, without pain. Does not cause a re-increase in acid release.

  • acid-dependent pathologies (diseases) during the period of exacerbation (peptic ulcer of the stomach and duodenum, chronic gastritis and gastroduodenitis associated with H. pylori);
  • irritable bowel syndrome with a predominance of diarrhea;
  • inorganic dyspepsia (impaired functioning of the digestive organs), not associated with gastrointestinal diseases, characterized by gastralgia (stomach pain), a feeling of discomfort in the epigastric zone.
  • gastritis with different secretory functions;
  • peptic ulcer of the stomach and duodenum;
  • gastric and intestinal disorders caused by intoxication (poisoning);
  • reflux esophagitis (reflux of stomach contents into the esophagus);
  • hiatal hernia.
  • serious pathologies of the excretory system;
  • pregnancy;
  • lactation period;
  • individual intolerance to components.
  • renal failure;
  • Alzheimer's disease (nervous system disease);
  • hypersensitivity to components.

Drug compatibility

To treat inflammatory processes and ulcerations of the walls of the stomach and duodenum, the doctor most often prescribes several drugs that complement or enhance the effects of each other. The combination of Phosphalugel and De Nola gives a high effect. Such joint therapy will also be effective in cases of ulcerative processes in the stomach and duodenum caused by the bacterium Helicobacter pylori.

The compatibility of the astringent antiseptic De Nola with Phosphalugel, which protects the internal mucous membranes of the digestive organs, has been reliably proven and is successfully practiced in the treatment of gastritis, duodenitis and peptic ulcers. Taking into account the different mechanisms of action on the walls of the hollow organs of the digestive system, there are certain rules for simultaneous treatment with these drugs. Combination therapy regimens with De Nol and Phosphalugel should be drawn up by a doctor in each case individually. Attempts to independently treat inflammatory and ulcerative processes in the gastrointestinal tract are fraught with the development of complications.

Simultaneous dosage regimen

To restore the normal anatomical structure and functioning of the stomach and duodenum, you should not take De Nol and Fofalugel at the same time. The time interval must be observed not only between taking these two drugs, but also taking into account food intake.

An approximate scheme for the simultaneous treatment of gastritis, duodenitis and peptic ulcer:

  1. At least half an hour before meals, take the dose of De Nol selected by your attending physician. During this time, drinking water, juices and other drinks is also prohibited.
  2. After eating, you should wait at least 2 hours and only after that take Phosphalugel in the dosage prescribed by the doctor.

During the treatment of pathology, it is imperative to ensure that the interval between doses of these drugs is at least two hours.

In cases of concomitant pathology of the heart, blood system, as well as when treating with drugs of the tetracycline group, the same time interval should be maintained between doses of De Nol, Phosphalugel and drugs prescribed by a doctor for the treatment of other diseases.

It should also be borne in mind that in the process of treating pathologies of the gastrointestinal tract, a protective film is created on the mucous membranes of the stomach and duodenum; the therapeutic effect of drugs used to treat concomitant pathologies may decrease.

Trimedat and Pancreatin

One has to think about the compatibility of Trimedat and Pancreatin if damage to the pancreas is accompanied by constipation, bursting pain in the abdomen, not only due to swelling of the pancreas, but also due to impaired transportation of the contents of the stomach and intestines. Stagnation leads to increased rotting and gas formation.

The main effect of Trimedat is to restore the tone of the smooth muscles of the stomach and intestines. The active substance, trimebutine, is a myotropic antispasmodic. Helps eliminate pain, eliminates stagnation of bile and pancreatic juice.

Trimedat is produced by Russian and Korean companies in the form of tablets, powder for preparing a suspension (for children) and ampoules for intramuscular administration. It is prescribed orally before meals. If Pancreatin is taken with food, then by this time the myolytic will already be absorbed into the bloodstream.

Side effects from concomitant use

Treatment of pathologies of the gastrointestinal tract with De Nol and Phosphalugel should be carried out in strict accordance with the instructions of the attending physician. You should not use these two drugs at the same time. After such joint use of drugs, side effects may develop:

  • from the gastrointestinal tract, stool disorders in the form of constipation or diarrhea, nausea, vomiting may be observed;
  • on the part of the immune system, reactions are possible in the form of the appearance of various rashes, itching, and red spots on the skin;
  • with prolonged co-administration, pathology in the form of encephalopathy may develop on the part of the nervous system.

De-Nol

De Nol is an antiulcer agent with bactericidal activity, which is effective in the treatment of diseases of the gastrointestinal tract caused by Helicobacter pylori. The effect of the medicine is due to the active component, which is bismuth. Once in the acidic environment of the stomach, the active substance contributes to the following pharmacological effects:

  • the formation of compounds localized as a protective layer on the surface of ulcerative and erosive lesions;
  • increased mucus production;
  • stimulation of defense mechanisms;
  • increasing the resistance of the mucous membranes of the gastrointestinal tract to the effects of irritating factors (pepsin, hydrochloric acid, salts and bile acid enzymes).

The price for De-Nol in December 2020 is formed as follows:

  • Tablets 120 mg, 56 pcs. – 540-560 rub.
  • Tablets 120 mg, 112 pcs. – 920-970 rub.

You can buy medicine without presenting a prescription from a doctor.

Indications, method of application

Indications for the use of tablets include diagnosing:

  • ulcers of the stomach and duodenum;
  • gastritis in chronic form and aggravated gastroduodenitis (including those caused by exposure to Helicobacter);
  • irritable bowel syndrome accompanied by stool disorders;
  • functional dipeptic disorders.

Contraindications

Taking the drug is contraindicated in nursing mothers and pregnant women, with hypersensitivity reactions to the components of the drug, as well as with kidney dysfunction.

The use of phosphalugel for gastritis

The drug phosphalugel is an antacid gel. Externally thick, white liquid. It is recommended to take it before meals, preferably on an empty stomach, so that food does not create an obstacle to the effect. The gel is considered effective for a diverse range of diseases. The number of diseases includes gastritis.

The active ingredient is aluminum phosphate. Additionally, the composition includes substances pectin and agar-agar, which have adsorbing properties. As the medicine moves through the intestines, gas formations are collected and unnecessary microorganisms are cleansed. Prevention of the painful condition is noted.

Phosphalugel has many advantages. The drug is compactly packaged, making it easy to carry. The dosing is conveniently thought out: each portion is enclosed in a special bag. The gel has a pleasant citrus taste, making it easy to take. Available in pharmacies without a prescription at an inexpensive price.

Important: phosphalugel cannot be used together with other types of medications. You need to wait several hours between doses.

A pleasant advantage is the sweetish taste, thanks to which even children can easily take the medicine.

Phosphalugel envelops the walls of the stomach, protecting against the destructive effects of digestive juice, and reduces acidity. Its antacid effect occurs due to the combination of hydrochloric acid with aluminum phosphate present in the drug. The drug acts quickly. Within 10 minutes it is able to eliminate heartburn; later the neutralization process is inhibited and an acceptable level of acidity is maintained for a long period of time.

The next action is enveloping. It is carried out due to the colloid of aluminum phosphate: a mucoid layer is formed on the mucous membrane, thanks to which toxins cannot have a negative effect. The mucous membrane is protected from the influence of hydrochloric acid. The effect promotes the movement of food through the intestines.

Phosphalugel is a universal medicine used for a wide variety of digestive diseases. Due to its mild action, the drug is not absorbed into the blood and does not destroy stomach acid. It acts as long as it is required, then it only maintains the achieved state.

Main indications:

  • Acute and chronic gastritis;
  • Heartburn;
  • Stomach ulcer;
  • Dyspepsia;
  • Gastrointestinal disorders;
  • Pancreatitis;
  • Gastralgia;
  • Various types of poisoning.

Phosphalugel

Phosphalugel is a medicine from the group of antacids, which is available in the form of a gel with a sweet taste. The drug helps to provide an acid-neutralizing, enveloping, adsorbing effect. Under the influence of the active component (aluminum phosphate), a protective layer is formed on the mucous membrane of the gastrointestinal tract.

The cost of the medicine in December 2020 is:

  • Gel for internal use 20%, 6 pcs. – 150-170 rub.
  • Gel for internal use 20%, 20 pcs. – 330-370 rub.

You can buy the drug without a prescription from a doctor.

Indications

For adults, the gel is indicated for use when:

  • ulcerative lesions of the gastrointestinal tract;
  • gastritis with normal or increased secretory functions;
  • dyspepsia of non-ulcer origin;
  • reflux esophagitis;
  • diaphragmatic hernia;
  • development of diarrhea.
  • dysfunctions of the gastrointestinal tract caused by intoxication, the use of medications, alcoholic beverages, and exposure to irritating substances.

For children, the gel is prescribed for gastritis, ulcerative lesions of the gastrointestinal tract, esophagitis, and gastroesophageal reflux.

If necessary, the medicine should be used by women expecting a baby and nursing mothers.

Contraindications

The use of the gel is not recommended in case of severe renal dysfunction and individual intolerance to the active or auxiliary substances.

Increased care is required when using the medication when treating patients with liver cirrhosis, kidney dysfunction and heart problems. In patients of older age groups with a history of kidney dysfunction, an increase in the concentration of aluminum in the blood may be observed.

Mode of application

You can take the gel either in its pure form or pre-dilute it in 0.5 glasses of water.

The method of administration and dosage of the drug are prescribed depending on the age of the patient and the indications for use of the drug.

  1. For gastroesophageal reflux and diaphragmatic hernia, the drug is recommended to be used after the patient has eaten, and also before going to bed.
  2. For stomach ulcers, the gel is recommended to be used 60-120 minutes after the main meal, and also as needed if a feeling of pain occurs.
  3. For patients with gastritis and dyspepsia, the gel is indicated before the main meal.
  4. During the treatment of pathological conditions affecting the colon, the medicine is used in the morning, on an empty stomach, and also before bedtime.

The gel can be used in cases where pain occurs in the intervals between the use of Phosphalugel.

For young children, it is recommended to take the gel after feeding.

Combined use of Phosphalugel and De-Nol in the treatment of gastrointestinal diseases

Phosphalugel and De-Nol are used in complex treatment regimens for diseases of the gastrointestinal tract. Medicines are used in the treatment of patients with metabolic disorders, pain, a feeling of heaviness and discomfort in the abdomen. Medicines belong to different pharmacological groups and can be used together in the treatment of gastritis, ulcerative lesions of the stomach and duodenum.

De-Nol does not belong to the group of antibacterial agents, but it increases the effectiveness of anti-Helicobacter treatment and regenerates the gastric mucosa. Phosphalugel neutralizes high acidity, coats the intestinal walls, and exhibits protective properties. Both agents accelerate the regeneration of the mucous membrane and improve the patient’s quality of life.

Rules for treating gastritis with De-Nol and Phosphalugel

Patients with gastritis complain of pain in the epigastric region, dyspeptic disorders, and deterioration in general health. The general treatment regimen involves taking antibiotics, antisecretory and gastroprotective agents, and medications for symptomatic treatment. During the treatment of gastritis, it is recommended to adhere to the doctor’s recommendations regarding the use of De-Nol and Phosphalugel.

Patients ask gastroenterologists the question: How should De-Nol and Phosphalugel be taken at the same time? For 30 minutes before and after using bismuth preparations, including De-Nol, you should not use other medications, eat or drink. Otherwise, De-Nol may not have a therapeutic effect.

De-Nol
  • Patients over 12 years of age are advised to take 1 tablet. up to 4 times a day;
  • the drug is used half an hour before meals;
  • take the medicine with a small amount of water;
  • the doctor may decide to increase or decrease the dose;
  • in childhood, the treatment regimen is selected individually.
Phosphalugel
  • used from birth;
  • the contents of the sachet are taken pure or dissolved in water;
  • when treating gastritis, the drug is used before meals;
  • Depending on the symptoms that appear, the gel can be used 2-3 times a day.
Sharing
  • for gastritis, De-Nol and Phosphalugel are used together with prior agreement with a gastroenterologist;
  • It is recommended to maintain an interval of at least 120 minutes between taking medications;
  • the drugs are well compatible and do not affect each other’s pharmacological activity.

The attending physician can adjust the treatment regimen, dosage and duration of drug use. The treatment protocol may include the use of other groups of drugs. Patients are advised to refrain from self-medication and seek medical help at the first symptoms of gastritis.

Composition of the drug

The active substance of De-Nol, bismuth subcitrate, normalizes stomach acidity. According to the instructions, the drug is recommended for patients with the following diseases:

  • gastritis;
  • gastric ulcer in acute and chronic stages;
  • gastroduodenitis;
  • functional dyspepsia;
  • irritable bowel syndrome, accompanied by profuse diarrhea.

The active component coats the intestinal walls, has an astringent effect, and protects the mucous membrane of the gastrointestinal tract. This prevents the progression of ulcerative lesions and reduces the symptoms of the disease. The medicine neutralizes the aggressive effect of gastric juice, reduces pain and the likelihood of re-exacerbation of the disease.

Phosphalugel is a medicine based on aluminum phosphate, agar, purified water and other excipients.

Under the influence of the gel, the negative effects of acidic salt are neutralized, the activity of substances that provoke gastritis and gastric ulcers is leveled.

Excipients normalize the functioning of the gastrointestinal tract. The drug is recommended for patients with the following diseases:

  • gastritis;
  • ulcerative lesions of the gastrointestinal tract;
  • diarrhea;
  • lesions of the rectum;
  • cracks;
  • hernias;
  • pain in the abdominal area.

The drug has an astringent effect and helps to cope with pain in the abdomen.

What is the beneficial effect of combined treatment with these drugs?

Simultaneous treatment with the described medications speeds up the healing process, reduces pain and heartburn. In this case, it is necessary to correctly distribute the use of funds throughout the day. Active substances De-Nol and Phosphalugel:

  • envelop the intestinal walls;
  • reduce symptoms of the disease;
  • exhibit anti-inflammatory properties;
  • do not alkalize gastric juice;
  • form a protective film on ulcerative formations and erosions;
  • make the gastric mucosa more resistant to the action of hydrochloric acid and gastric juice;
  • remove toxic substances and gases;
  • increase mucus synthesis.

Both drugs exhibit good compatibility, protect the gastric mucosa, and act locally without penetrating into the systemic bloodstream. De-Nol is a representative of gastroprotectors in the form of tablets, Phosphalugel is an antacid.

Schemes and doses of Phosphalugel and De-Nol for treatment

The doctor selects the dosage and treatment regimen individually for each patient. If no other treatment protocol is prescribed, you can use the manufacturer's recommendations.

Phosphalugel can be taken in its original form or diluted with water in a ratio of 1 part gel to 2 parts liquid. The dosage depends on the indications for use:

  • gastroesophageal reflux: before going to bed, after each meal;
  • functional disorders of the large intestine: before meals, on an empty stomach, and also before going to bed;
  • stomach ulcer: symptomatically with each attack of pain, as well as after a meal;
  • gastritis, dyspeptic disorders: before meals;
  • Infants are given the gel after each feeding.

The dosage of De-Nol is selected depending on the age of the patient. The medicine is used before meals.

The doctor can adjust the treatment regimen, change doses, and add other medications.

special instructions

It is important to know how much you can take. The maximum duration of therapy with De-Nol is 2 months. Long-term use of the medicine may negatively affect the functioning of the kidneys. The active ingredient may turn the tongue and stool dark. When diagnosing Helicobacter pylori, bismuth is used with anti-Helicobacter treatment.

If Phosphalugel causes constipation, it is recommended to drink more liquid, which softens the stool. The active substance interacts with other components, reducing the effectiveness of drugs. Therefore, in combination treatment, it is necessary to obtain prior consultation with a doctor and take Phosphalugel separately.

When drugs are contraindicated for use

Before starting therapy, it is recommended to familiarize yourself with contraindications to the use of the products. Taking De-Nol is contraindicated in patients with the following pathologies:

  • individual intolerance to the active or auxiliary components;
  • renal failure in the acute stage;
  • allergy to bismuth derivatives and substances with antibacterial properties;
  • internal bleeding;
  • micronutrient deficiency;
  • during pregnancy and breastfeeding.

It is recommended to refrain from using Phosphalugel in case of hypersensitivity reactions or impaired renal function.

Side effects when taking these drugs

Taking De-Nol may cause undesirable reactions: nausea, constipation, allergies. Long-term use of bismuth is fraught with encephalopathy.

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Phosphalugel is well tolerated. In rare cases, it can cause constipation in people with a sedentary lifestyle.

After stopping the medication, the side effects disappear on their own. To avoid overdose and increase unwanted side reactions, De-Nol is not taken together with other medications that contain bismuth.

Drug compatibility of De-Nol and Phosphalugel

The drugs Phosphalugel and De-Nol are compatible and can be used on the recommendation of a doctor as part of a complex treatment of diseases of the gastrointestinal tract.

Patients who are wondering which is better: De Nol or Phosphalugel should take into account the indications for use of the drug and remember the dangers of self-medication. Both drugs have different mechanisms of action. The best results can be achieved using multicomponent treatment regimens.

Reviews about the drug

Many patients receiving treatment, the regimen of which includes the listed medications, leave positive feedback about De-nol (De nol) and Phosphalugel. They have long proven themselves in the fight against inflammatory diseases of the digestive system. The drugs are prescribed by a gastroenterologist, and many patients who take them together according to the regimen already notice an improvement in their well-being in the near future. The specialist will explain how to take “Phosphalugel” and “De-Nol” together,” because the regimen is selected for each individual. A month after the start of treatment, discomfort, pain, heartburn and other unpleasant symptoms of exacerbation of peptic ulcer or gastritis disappear.

Admission rules

De-Nol and Phosphalugel are compatible medications that help fight heartburn, pain, and also protect the mucous membranes of the gastrointestinal tract from ulcerative lesions and exposure to toxic substances. The earlier treatment begins, the better the results for patients who have identified dysfunction of the gastrointestinal tract.

If it is necessary to use medications, it is recommended to observe the interval: Phosphalugel can be used no earlier than half an hour after using De-Nol. This allows you to achieve the best therapeutic result and reduces the risk of complications. Particular attention should be paid to the instructions and the “Method of application” section. Depending on the indications, the medicine may be recommended before or after the main meal, as well as before bed.

Side effects

It is important not only to know how to take De Nol and Phosphalugel at the same time, but also to take into account that the combined use of drugs can cause the development of unwanted side reactions. The most frequently reported side effects when using De-Nol were:

  • nausea, vomiting, defecation disorders;
  • allergic manifestations: skin rash, itching;
  • Long-term use of the drug may cause the development of encephalopathy.

According to reviews, the use of Phosphalugel in rare cases can provoke constipation, mainly in bedridden patients of older age groups. If the medicine contributes to the development of defecation difficulties, it is recommended to increase the volume of daily fluid consumed by the patient.

Diseases of the gastrointestinal tract are punishments for an incorrect lifestyle.

Frequent stressful situations, poor nutrition, eating on the go, conflicts in the kitchen - all this gradually leads to disruption of the functioning of the digestive system.

In recent years, these diseases have become significantly younger and are found even in children. Timely intervention can make a person’s life much easier. This is best done under the supervision of a doctor.

It is best to use medications such as De-Nol and Phosphalugel together.

These two drugs are the most common. They are prescribed for various diseases of the gastrointestinal tract. These may be the components of a rehabilitation therapy complex.

You can determine how best to combine them only after you have carefully read the instructions for use.

How to take Phosphalugel

This drug is intended for oral use. It is able to protect the stomach and reduce acidity levels. The action of the drug is aimed at restoration in three stages.

Phosphalugel helps form a protective layer that can protect against further damage and facilitate the entry of food into the body.

Additionally, it helps cleanse the body of toxins, as well as eliminate bacteria and microorganisms. The acidity level is also normalized, and the result lasts for a long time.

The drug is produced in the form of a gel. This preparation contains active substances such as pectin, agar-agar, aluminum phosphate, Sorbitol.

The drug does not lead to disruption of the functioning of the gastrointestinal tract.

When treating Phosphalugel with De-Nol for recovery in the presence of gastritis or stomach ulcers.

The drugs are also taken in the treatment of irritable bowel syndrome, dyspepsia, and other disorders of the gastrointestinal tract. Sometimes you can replace Phosphalugel with Maalox.

Effect of the drug

Phosphalugel has three actions:

  1. Antacid effect. Phosphalugel binds hydrochloric acid of gastric juice and neutralizes it. This allows you to reduce the acidity in the stomach to normal levels. After this, the effect of the gel stops, and the unspent substances of the drug maintain normal acidity.
  2. Enveloping effect. The drug, due to the content of aluminum phosphate, creates a mucoid layer on the gastric mucosa. It protects the shells from the aggressive effects of hydrochloric acid, as well as toxic substances supplied with food. Creating protection makes it possible to normalize the process of food movement through the intestines.
  3. Sorbent action. Another action of Phosphalugel is aimed at binding pathogenic microorganisms and harmful substances that are in the intestinal lumen and then removing them. The drug allows you to get rid of viruses, bacteria and toxic substances formed as a result of the vital activity of microorganisms and introduced from the outside.

How to take De-Nol

First of all, you need to look at the instructions for use. There are certain diseases for which you need to drink De-Nol.

For example, acute or chronic gastritis, heartburn, functional disorders of the gastrointestinal tract, gastric or duodenal ulcers.

How long it takes to completely cure diseases of the digestive system is a very complex question. It all depends on the degree of neglect, application patterns and age categories.

Two drugs are used together - De-Nol and Phosphalugel for a faster recovery process.

De-Nol itself is a cytoprotector. It is this that helps protect the stomach from hydrochloric acid and other destructive processes.

Indications for prescribing the drug "De-nol"

There are a certain number of indications for prescribing the drug for damage to the digestive tract. These include:

  • ulcers of the stomach and intestinal mucosa;
  • gastritis in exacerbation with varying acidity;
  • heartburn;
  • dyspeptic condition;
  • dyspepsia not associated with ulcers;
  • reflux gastritis;
  • functional lesions of the digestive tract.

The course of treatment is individual for each patient. It is allowed to combine De-Nol and Phosphalugel (the drugs and regimen are determined depending on the indications and the degree of damage to the digestive tract).

How to take De-Nol and Phosphalugel together

It is these two drugs that help restore the functioning of the gastrointestinal tract. Phosphalugel should be taken 2 hours after eating, and De-Nol should be taken 20-30 minutes before meals.

Treatment of acute or chronic gastritis, gastroduodenitis, and stomach ulcers must be carried out with the help of these drugs, but it is advisable to first consult a doctor.

If the disease is not too advanced, then a specialist can prescribe treatment with one drug.

An important nuance is that at least two hours should pass between doses of drugs.

List of drugs with which Pancreatin is prohibited to be combined or taken with caution

Not all antacids reduce the effect of Pancreatin. It is not recommended to combine use only with drugs that contain calcium carbonate and magnesium hydroxide. These medications include absorbable drugs: Vikair, Vikalin.

Non-absorbable antacids (neutralize acid) should be used with caution: aluminum-magnesium preparations: Maalox, Almagel.

Proper use of antacid agents - they are recommended to be taken 1.5-2 hours after meals and at night. It is not advisable to drink them at the same time as Pancreatin, since the drugs will not allow them to mix with food and will delay the dissolution of the shell and the release of enzymes. The break between drugs should be observed at 1.5-2 hours.

To enhance the effect of Pancreatin, analogues (Creon, Micrasim, Pangrol) cannot be added to treatment. The dosage becomes prohibitive and will lead to unwanted side effects.

You should carefully check the indications when combined with choleretic drugs (Festal, Allochol, Cholenzym). By supplementing pancreatic enzymes, it is possible to stimulate bile synthesis and increase the mobility of small stones in the bile ducts and bladder. Therefore, patients are always recommended to undergo an ultrasound examination first.

A big mistake is made by those who, while taking one medicine, prescribe themselves another. Over-the-counter products cannot be considered harmless. Each drug has its own negative properties. At best, they can block the action, and at worst, they can aggravate negative manifestations and cause poisoning.

Source: pankreatit03.ru

Treatment of chronic gastritis

In many ways, the duration of treatment depends on the cause of its occurrence and the type of disease.

The most dangerous thing a person can do in this case in relation to his health is to self-medicate for a long time.

If you experience pain in the stomach area, it is not advisable to take any painkillers.

In the presence of gastritis, which is not associated with the presence of infection, it is recommended to use drugs that have a cytoprotective effect.

An ideal option would be De-Nol. Instructions for use are included in the kit.

Phosphalugel can also be used both in combination and as an independent product. It can be taken pure or dissolved in water.

Take Phosphalugel only after eating two hours later or if pain occurs. It is recommended to take De-Nol before eating.

Rules for the use of medications

If there are disturbances in the functioning of the gastrointestinal tract and there are recommendations, the gastroenterologist may recommend treatment with drugs such as De Nol and Phosphalugel.

It is advisable to take them separately from other medications. These two medicines are perfectly compatible, so they can be taken throughout the day, but at a certain time interval.

Each medication has its own relationship to the restoration of the body. They do not enhance each other's effects, but they do not reduce each other either.

Side effect

Medicines can restore the body and treat various diseases of the gastrointestinal tract. But there are certain violations that can occur in parallel.

For example, the use of Phosphalugel can lead to constipation, and De-Nola can lead to diarrhea.

In some cases, nausea or vomiting was observed. Sometimes an allergic reaction or rash on the skin may appear.

If the above symptoms occur, it is advisable to stop taking medications completely.

You should consult a doctor as soon as possible.

It is also important to see if there are instructions for use and to familiarize yourself in detail with the restrictions of drugs for certain diseases.

Contraindications

There are certain restrictions on the use of drugs such as Phosphalugel and De-Nol. These can be either temporary restrictions or a complete ban.

The instructions for use will tell you what violations they include. For example:

  1. Diabetes.
  2. Individual intolerance to the ingredients found in these drugs.
  3. Acute or chronic renal failure.

It is also recommended to avoid using De-Nol during pregnancy and while breastfeeding.

But if these conditions are present in the body, you should consult a doctor. He may recommend restrictions on the drug or replacing the drug with Maalox.

With the help of De-nol and Phosphalugel, gastritis with high acidity, stomach or duodenal ulcers, and irritable bowel syndrome are treated.

special instructions

According to the instructions for use of medications, Phosphalugel and De-Nol should be taken with caution in certain conditions.

The use of Phosphalugel during pregnancy and breastfeeding is allowed. De-Nol is undesirable in such cases.

Childhood

The drugs are not prescribed to patients under 4 years of age.

Elderly age

In the presence of concomitant chronic diseases, older patients may be prescribed lower doses of drugs. Taking medications together in this case increases the risk of constipation.

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