Structure and principle of action of the drug
Enterosgel - a combination-type drug is available in two popular forms:
- Ready-made pasta, intended for oral administration (thick white solid, with hardly perceptible smell of alcohol). Depending on the volume, it may be packaged in: two-layer package (45 mg), or in the tube (up to 225 mg);
- Gel suspension (jelly is homogeneous mass is packed in a plastic bag, or can. Unlike pastes, it does not have odor).
Both forms enterosorbent preparation have absolutely the same composition, which is based on a single active ingredient from the group of sorbents: polyhydrate polymethylsiloxane. And only purified water can distinguish among the drugs excipients and sweetener that is used only in the finished paste.
When ingested, the active component Enterosgelya not resorbed in the gastrointestinal mucosaAnd through all its bodies and excreted from the body through the intestines. Thus, the active component passing out of the body and toxins, which cause occurrence of patient food or alcohol poisoning (which has a great threat to health in the period pregnancy).
With regard to the properties of the sorbent Enterosgel, it is the absorption of excess products polyhydrates polymethylsiloxane metabolism (urea, cholesterol, lipids, and bilirubin) in the human body, which often will melt cause of endogenous toxicosis. And the intoxication of endogenous type, in turn, can cause the patient (or in the fetus in early pregnancy) serious pathological disorders that are irreversible.
Therefore, during pregnancy to drink Enterosgel not only possible but also necessary, in order to avoid serious problems with the health of mum or baby. In addition, the medicine has the ability to restore the good flora in the stomach and intestine, which is also an important aspect of pregnancy. And the main active component of Enterosgel - polyhydrate polymethylsiloxane, is considered to be completely safe, both for an adult, and for the newborn.
Indications
Among the indications for the use of Enterosgel has a large number of pathologies, which often occur during pregnancy. Namely:
- Pyelonephritis, polycystic, kidney and others who have a chronic nature of the disease (if you do not treat these pathologies arising during pregnancy, they can be transmitted to the fetus);
- Vezikulopustulez, Ritter dermatitis, cellulitis, and other purulent-septic diseases, which are often common in women (before pregnancy, during gestation or after childbirth), and newborns;
- Allergic diseases (including dermatitis, diathesis, and asthma);
- IBS (often occurs during pregnancy, as a result of hormonal failures);
- The food or alcohol poisoning (due to the mild effects of the drug on the body, doctors can recommend pregnant take Enterosgel even with trivial cases of poisoning, characterized by the standard symptoms: nausea, vomiting and diarrhea);
- Toxemia (the most common disease that occurs in women during pregnancy).
In some cases, Enterosgel may be administered during pregnancy, as a cure for SARS banal. After polyhydrate polymethylsiloxane, which is the main active component of the drug can not only output the bacterium from the body, but also to provide the patient with complete protection.
risk group
As previously mentioned, the step of gestation, as well as during early pregnancy, take Enterosgel just needNot only for the treatment of the above pathological conditions, but also as a preventive measure. However, despite the fact that this medicine is no threat to the body (including during pregnancy), are allowed to take it is not everything.
And are the exceptions:
- Patients with acute peptic ulcer, which flows in the duodenum, or stomach;
- People who have morphological and physiological abnormalities in the gastrointestinal tract (a common occurrence during pregnancy);
- Patients who have been (or previously observed) bleeding in the gastrointestinal region (regardless of the cause of bleeding).
Also contraindications to medications Enterosgelya include individual intolerance of the body to polyhydrates polymethylsiloxane. But a similar phenomenon in medical practice is extremely rare.
Instructions for use and dosage
Based on the above information it can be concluded that if a girl is not a risk, she take Enterosgel during pregnancy is permitted. But to drink the medicine should be in strict compliance with regulations, and accurate dosing.
According Enterosgelya instructions to apply a drug (whether it be in the form of a paste or gel suspension) should exclusively orally. However, gel, before taking the inside, be sure to mix with water (just a quarter cup), and mix thoroughly, so he bought a uniform shape. As for the pasta, it is accepted only in its original form.
After Enteroslel fall into the digestive tract, it will need to drink large quantities of water (at least 1 cup). At the same time, we should not forget about the dosage of the drug, which is governed by the patient's age category:
- For infants and children under the age of 1 year, the daily rate Enteroslegya should not exceed one teaspoon spoons (recommended to split at least 3 doses to prevent overdosing daily dose of the drug);
- Children under the age of 2 years should be given a suspension of 2 tablespoons per day (for half a spoon for 1 time);
- For kids between the ages of 2 to 7 years, the RDA Enterosgelya be about 5 grams;
- For children and adolescents, whose age ranges from 7 to 14 years, doctors prescribe no more than 10 grams of slurry per day;
- For adult patients a daily rate may be about 15 grams of the drug, which is equivalent to 1 tablespoon of the slurry.
Proceeding from this it turns out that the recommended dose Enterosgelya pregnancy should not exceed 15 grams. And in cases where the drug is taken as a preventive measure (in early pregnancy or in the first days after birth), the daily dose can be reduced by half.
At the same time, the average course of therapy Enterosgelem for ordinary patients may be about 2-3 weeks. But during pregnancy to take the medication, in an amount of 15 grams per day is recommended for no longer than 10 days.
The substitute drug
As already appears from the article above, Enterosgel with toxemia during pregnancy, it is allowed to use almost all mothers, without fear for their health and the health of their baby. And for those patients who are at risk, get help Enterosgelya analogs having similar pharmacological effects, but with a completely different composition:
- polisorb (Powder intended for preparation of suspensions. Its main active component - colloidal silica, the effect of which is directed to inhibition of toxic substances of different nature. It does not include a list of contraindications in pregnancy);
- laktofiltrum (Preparation sorbent in the form of tablets, having the antibacterial property. In the role of the main active ingredient of this medication acts lignin, and among his auxiliaries only lactulose, which is considered possible to allocate absolutely safe when pregnancy);
- Atoxil (Antimicrobial sorbent based on silicon dioxide, produced in the form of a powder intended for suspension. This drug is allowed to be taken during pregnancy, not only for the treatment of pathological conditions, but also for prevention).
Here we examined the question of whether we can Enterosgel pregnancy, toxemia, or poisoning. In conclusion, it should be added that in the absence of severe symptoms of poisoning or intoxication, Enterosgel is best to replace banal activated carbon. Because of the pharmacological action it practically does not differ from the above-mentioned slurry but its price is considerably lower than is expressed in the unquestionable advantage of activated carbon.
sources:
Vidal: https://www.vidal.ru/drugs/enterosgel__18817
GRLS: https://grls.rosminzdrav.ru/Grls_View_v2.aspx? routingGuid = 93596e2e-72fa-452a-8fd9-5eea65ae956f & t =
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