Preparations and medicines for dysbiosis
Dysbacteriosis is a problem of many people, invisible from the outside, but bringing severe discomfort and making serious changes in everyday life. Means that relieve dysbiosis are advertised everywhere, but in order to choose exactly the medicine that will really help eliminate this disease, you need to understand their varieties and properties.
Content:
- Dysbacteriosis pills
- 7 best drugs for dysbiosis
- Suppositories for dysbiosis
Dysbacteriosis pills
Tablet preparations for the treatment of dysbiosis can be divided into two main groups - antibacterial (eliminate the main cause of the disease - pathogenic microorganisms) and probiotic (promote the reproduction of intestinal normal flora, increase immunity).
The cause of dysbiosis can be Escherichia coli, enterococcal, staphylococcal, candidomycosis and other infections. Common drugs for drug treatment are Levomycetin, Streptomycin, Nystatin, Intetrix, Pifamucin, Furazolin, Enteroseptol.
The doctor can prescribe drugs for the treatment of dysbiosis only after bacterial inoculation and determination of the sensitivity of the causative agent of the disease to the selected agent.
Drugs that increase immunity, normalize microflora and eliminate negative symptoms of dysbiosis:
- Sorbents. Polypefan, activated carbon, Pepidol are sorbent preparations that bind toxic substances and prevent the spread of putrefactive processes in the intestines. They are used at the first stage of dysbiosis treatment.
- BS from live strains. Bifikol, Bactisubtil, Enterol, Colibacterin - used in the first and second stages of dysbiosis, are made on the basis of microorganisms that form the intestinal normal flora.
- Prebiotics. Duphalac, Normaza, Khilak-Forte belong to the group of prebiotics that do not contain strains of microorganisms, but create favorable conditions for the development of beneficial microorganisms, and can be used at any stage of treatment of dysbiosis.
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Probiotics. Bifidumbacterin, Linex, Narine, Lactobacterin, Bifiform are probiotics, which represent an extensive group of agents used to treat dysbiosis of any stage. They contain live strains of beneficial bacteria that normalize the intestinal microflora and inhibit pathological microorganisms.
- Enzymes. Mezim-Forte, Polysim, Digestal, Panzinorm-Forte belong to a group of enzymes that help normalize digestive processes, digest food and absorb useful components in the stomach and intestines.
- Immunomodulators. Levomizole, Dekaris belong to immunomodulators, contribute to the normalization of local immunity of the gastrointestinal tract, are used in the final stages of treatment to consolidate positive results.
- Restorers of motor functions. Duspatalin, Trimedat, Meteospazmil, Immudon - these drugs restore normal intestinal motility, which helps to remove symptoms such as diarrhea, bloating, flatulence.
- Stimulants of the intestinal epithelium. Essentiale and other drugs that stimulate the work of intestinal epithelial cells help get rid of intestinal colic.
7 best drugs for dysbiosis
The emergence of a wide variety of drugs for dysbiosis is due to different criteria for assessing their effectiveness, which is why it is difficult to find the one best medicine.
Consider several well-known drugs according to these criteria:
- Lactobacterin, available in the form of tablets and powder - does not have a capsule shell, is not used for candidiasis or hypersensitivity, allergic reactions are possible as a side effect, can be taken together with an antibiotic, there are no contraindications for pregnant women, storage in the refrigerator is mandatory.
- Acylact (suspension, tablets), contraindicated in candidiasis, possible allergy to the drug, simultaneous administration with antibiotics is allowed, pregnant women are prescribed as directed by a doctor, contraindicated in children under 3 years old, stored in the refrigerator for up to 12 months.
- BioBactone - not available in capsules, prohibited for candidiasis, there is a possibility of an allergic reaction, compatible with antibiotics, suitable for children, stored in the refrigerator.
- Bifidum Bacterin - powder and solution in ampoules, cancellation upon detection of hypersensitivity or candidiasis, incompatible with antibiotics, prescribed for children from 3 years old, for pregnant and lactating mothers - only according to indications, storage is carried out in a refrigerator.
- Probifor - without a capsule shell, without contraindications, without side effects, compatible with antibiotics, it is possible to use the drug regularly during pregnancy and lactation, suitable for children over six months, store in the refrigerator.
- Hilak forte - there is no capsule shell, as well as contraindications and side effects, it can be taken with antibiotics, during pregnancy and during the lactation period, universal for any age, stored at temperatures below 10 ° C.
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Linex - produced in a capsule shell, has no contraindications and any side effects, can act in parallel with antibiotics, without age restrictions, can be stored in a dry room with an air temperature of no more than 25 ° C.
- Fibraxin - contains arabinogalactan dietary fiber, which promotes the growth and reproduction of beneficial microorganisms. Supports local and systemic immunity.
Lactobacillus-based probiotics
Distinguish between tablet and powder form of drugs in this group. The former includes Lactobacterin, while the latter is represented by Biobacton and Acylact. Acylact is also available in the form of suppositories, which is considered safer to use, since it does not inhibit beneficial microorganisms that live in the intestines. The above drugs can be taken together with antibacterial drugs, but they are not suitable as the only treatment for complex dysbiosis, since they are mono-drugs, that is, they contain a therapeutic substance of the same type.
Bifidobacteria-based probiotics
Probiotic preparations based on bifidobacteria have various forms of release and are among the very first drugs for the treatment of dysbiosis. So, distinguish between the tablet form (Bifidobacterin forte) and the powder form (Probifor) of drugs. There are contraindications for the use of suppositories and tablets with bifidobacteria for children under the age of three, and drugs in this group are not combined with antibiotics.
Probiotics - a combination of bifidobacteria and lactobacilli
This type includes the Florin Forte probiotic powder, suitable for infants and adults. For babies, the drug is mixed in the proportion indicated by the doctor with a formula for feeding or breast milk, older children and adults take the drug along with food. Florin Forte requires special storage conditions that can be easily observed in the refrigerator: 0 - 10 ° C. Some antibiotics can impair or change the work of Florin, therefore, for the simultaneous use of these drugs, you need to consult a doctor who will help you choose an effective combination of drugs.
Linex is an analogue of Florin Forte in terms of the composition of bacteria.
Compared with the first drug, it has undeniable advantages:
- Additional enterococcus in the composition of the drug enhances the complex effect;
- There are no special requirements for storage conditions;
- It is easily combined with other antibiotics;
- It has no contraindications for use by pregnant and lactating mothers.
- It has no contraindications for age - babies do not need to mix the product in milk, but you can simply dissolve the contents of the capsule in warm water.
Probiotics with bifidobacteria and lactobacilli can be dangerous for patients with an immunodeficiency state or excessive allergic sensitivity. In the presence of these health defects, you need to consult a doctor for the correct dose calculation and the ability to take probiotics.
Probiotics based on bifidobacteria in combination with other bacteria
An interesting combination is the drug Bifikol, which contains, in addition to the standard set of bifidobacteria, opportunistic E. coli, which is also normally found in the intestinal microflora and is capable of suppressing microbes with greater pathogenicity. Unfortunately, the simultaneous intake of a course of antibiotics and Bifikol can be harmful to the body, which cannot be said about its analogue "Bifiform" with enterococci.
Lactulose based prebiotics
It is known that simple, rapidly digestible carbohydrates are the main resource for the development of pathogenic intestinal microflora. Lactulose prebiotics contain a special enzyme that breaks down carbohydrates into organic acids, which inhibit the development of microbes and reduce blood pressure.
Known drugs from this group:
- Duphalac;
- Normase;
- Portalak;
- Romfalak.
Prebiotic preparations
To maintain and restore the balance of the intestinal microflora, drugs with light acid and fatty acids have been invented, which contribute to the regeneration of the natural microflora. Hilak forte, for example, helps to strictly maintain the balance of electrolytes and restore the epithelial cells of the intestinal mucosa. Lactobacilli in its composition secrete lactic acid, which regulates acidity, favorable for the development of beneficial microflora.
Suppositories for dysbiosis
Drug treatment of dysbiosis is carried out not only with preparations in the form of capsules and tablets, but also in the form of suppositories, which differ in composition (antibiotics, probiotics) and in the method of use (vaginal, rectal). The advantages of this dosage form of drugs include local effects, which allows you to normalize the microflora locally, without affecting the entire body in general.
Vaginal
Vaginal suppositories are used to treat bacterial vaginosis in women, to restore normal vaginal microflora.
Polygynax, Terzhinan, Betadine - antibacterial suppositories inhibit the development of pathogenic microorganisms (bacteria and fungi), prevent trichomoniasis and other infections. Contraindication for use is pregnancy, especially in the later stages.
Labilakt, Atsilakt, Vagilakt, Gynoflor - candles with a probiotic complex, which are lactobacilli, bifidobacteria, as well as estriol, lactose and other ingredients. These drugs restore normal vaginal microflora after antibiotic treatment, with excessive reproduction of pathogenic microorganisms due to hormonal imbalance, with weakened immunity, diabetes mellitus and thrush.
Rectal
Rectal suppositories restore the normal intestinal microflora in adults and children, there are two groups of agents - antibacterial and probiotic.
Apis, Kipferon, Prostopin, Anuzol, Nilegan, Genferon, Levomycetin, Procto, Viferon - antibacterial, antimycotic rectal suppositories contain local antibiotics, antiviral and antifungal agents, glucocorticosteroids may be included in their composition, which prevents inflammation of the intestinal walls. The local method of using suppositories eliminates side effects, while maintaining the maximum effectiveness of the agent for dysbiosis of any complexity. However, rectal antibacterial suppositories should not be used during pregnancy.
Bifinorm, Lactonorm, Lactobacterin, Bifidumbacterin - suppositories with a probiotic complex that supply the intestines with beneficial microorganisms, restoring its normal microflora. The use of probiotics in the form of suppositories is more effective than in the form of tablets or capsules, since lacto- and bifidobacteria are not destroyed during the passage of the gastrointestinal tract, but are immediately delivered to their usual habitat.
The author of the article: Gorshenina Elena Ivanovna | Gastroenterologist
Education: Diploma in the specialty "General Medicine" received at the Russian State Medical University named after N. I. Pirogova (2005). Postgraduate studies in the specialty "Gastroenterology" - educational and scientific medical center.
