Drugs for pancreatitis pancreas during exacerbation assigned to amelioration of symptoms and manifestations incidental quick relief of the inflammatory process. Any medications can be prescribed only doctor on the basis of the patient's medical tests. Aggravation of pancreatitis is always in aggravated form, and medication without the consent of a specialist may worsen the patient's condition.
Types of drugs
During exacerbation of pancreatitis prescribers, which are aimed at fast relief of pain and reduce inflammation. The main types of drugs prescribed for the treatment of acute pancreatitis in the steps of:
- antispasmodics;
- H2 blockers;
- antacids;
- sedating medications;
- drugs with a high calcium content;
- means a choleretic effect
- hormonal preparations.
It is mandatory for all patients prescribed vitamin complexes. The emphasis is on groups of vitamins A, D, K and E, which help to restore the insufficient concentration of nutrients in the body, help to normalize the process of digestion and the outflow of bile.
When severe pain as quickly as possible to stop the unpleasant symptoms of pancreatic disease prescribers analgesic spectrum, such as No-spa. Aggravation of pancreatitis - a serious illness, which quickly cure is impossible.
Medications should be taken regularly, even several years to restore the functioning of the pancreas, and the digestive system. Drug treatment should be combined with diet. Without proper nutrition and diet, taking medicines does not give a positive dynamics.
With extreme caution should be taken hormones. They are appointed only physician, accurately calculating the dose and duration of reception. Improper use of drugs can cause the development of adverse symptoms and aggravate during acute pancreatitis.
Medicines for relieving symptoms
Depending on the degree of clinical intensity occurring in the period of exacerbation of chronic pancreatitis, are appointed by a general painkillers, or drugs, which composition, besides substances having an analgesic effect, are spasmolytics - Atropine, Platifillin, Gastrotsepin.
In the acute phase of pancreatitis are appointed, in addition to muscle relaxants, analgesics - pentazocine, Baralgin. If the pain is severe and prolonged, the patient is prescribed analgesics, narcotic components in the composition - Tramal, Promedol.
The essence of the action of drugs with analgesic effect is that they relax the sphincter pancreas, allowing the accumulated body of the enzyme leaves, the intensity of pain decreases. Such tablets are forbidden to take a long time.
If pain, nausea and vomiting did not break after consumption antispasmodics or analgesics, patients are placed in hospital hospital where analgesic drugs are administered intravenously. Vomiting drugs in tablet form have no time to be absorbed in the gastric mucosa and out of the body along with vomitus.
Action analgesic injections beginning 10 minutes after drug administration. Antispasmodics with a sharp exacerbation of pancreatitis kolyat intravenously after removing heavy spasms, later assigned the administration of drugs in tablet form.
Antacids and antibiotics
Treat exacerbation of pancreatitis must be comprehensive, medicines selects the physician depending on the cause of the pancreas malfunctions. Antibiotics to relieve acute pancreatitis attack is prescribed in the following cases:
- the presence of pathogenic bacterial flora;
- tear ducts in the pancreas;
- infringement of the liver that often occurs with chronic pancreatitis.
Antibiotics are drugs for symptomatic relief of emergency picture because they are administered intravenously. After removal of attack they are assigned in tablet form.
Treatment of pancreatitis in acute antibiotics requires patient passing medical tests. Medications are selected individually depending on the type of pathogenic organisms, the general condition of the body, individual circumstances. It is strictly forbidden to independently extend the reception of medicines or to cancel it without the consent of the attending physician.
Antacids - medications that are mandatory are appointed by the attending physician at the time of exacerbation of chronic pancreatitis. These formulations are aimed at the normalization of the concentration of acid in gastric juice. Tablets included in a dosage group neutralized in the organism concentration of pepsin, hydrochloric acid, bile.
The most common antacids - Maalox, Alyumag, Gastracid, Almagel. They provide a quick, but short-term effect on the normalization of gastric acidity. To prolong their action should be taken antacids in combination with enzymes and drugs - antienzymes. Treatment is adjusted individually.
The use of enzymes
Enzymes - a group of drugs that are predominant in the treatment of acute exacerbations of chronic pancreatitis. They contribute to the normalization of the functioning of the pancreas. Prescribe medication a doctor, self-consumption can harm the organs of the gastrointestinal tract and significantly exacerbate the intensity of symptomatic picture.
The structure of enzymes preparations include bile. The most common drugs of this group - Festal, Enzyme Forte. Contraindications - pancreatitis flowing together with the accompanying digestive diseases having a chronic stage; gastritis; ulcer; the presence of gallstones.
The enzymes should not take long, since this can cause the pancreas malfunctions. Duration and dosage is determined only by a physician.
Take enzymes needed during or after a meal.
A prerequisite for a positive therapeutic effect - compliance with the medical regime of diet and food intake. Selection of a particular group of enzymes drug based on the results of medical examination of a patient.
If there is poor transmission biliary assigned medicament Pankurmen, which is present in the composition of turmeric, possessing good choleretic effect. When exacerbation pancreatitis accompanied by disturbance of gastric secretion, a patient prescribed Panzinorm forte. In the composition of the drug and bile predominate hydrochloric acid.
Supplements
Treatment of exacerbations in chronic pancreatitis is complex. In addition to drugs for symptomatic relief of painful pattern and medicaments normalizing the functioning of the pancreas, are appointed by NSAIDs - diclofenac, Mesulid, Celebrex, piroxicam.
Most often they are taken in combination with antibiotics. Independent use without a doctor's prescription is excluded.
Antihistamine drugs (H2 blockers) are prescribed for the purpose of inhibition of gastric juice making process. receiving a short course. At the start of treatment patient is prescribed the dosage, the maximum allowable for each clinical case.
Abruptly stop taking antihistamines, you should not. The received amount of the drug gradually decreases. If you stop taking, there is a high risk of re-exacerbation of chronic pancreatitis with severe symptomatic picture. Means, included in the group H2 - blockers - famotidine, cimetidine, ranitidine.
In the complex treatment of acute exacerbations of chronic pancreatic disease include drugs aimed to the relief of symptomatic picture, regulating and normalizing the work of the gastrointestinal tract.
In case of violation of a chair, frequent diarrhea and signs of dysbiosis in the gut appointed Smecta, Hilak Forte.
After contact with bile in the blood of the further spread of the organism it comes severe intoxication, which is manifested severe symptoms: prolonged vomiting, diarrhea, loss of consciousness. In such cases, sorbents are assigned for relief of clinical poisoning - activated carbon, Enterosgel. If chronic pancreatitis at the time of an exacerbation accompanied by a violation of the motor function of the digestive tract, is accepted Trimedat.
When pronounced symptomatic picture when the patient severe pain, vomiting, indigestion total, the treatment is conducted under conditions Hospital Hospital, in which for quick relief of symptoms and normalization of internal organs medicinal drugs administered intravenously. After removing the acute attack treatment can continue at home. It is extremely important to observe the dosage of drugs that are prescribed by a doctor.
During treatment, a mandatory need to follow a diet that excludes the consumption of fatty and fried foods, smoked meats, baked goods and sweets. Under the ban alcoholic drinks, tea and coffee, soft drinks. During the entire treatment the patient should undergo regular medical examinations to monitor the positive dynamics of the prescribed treatment.
