What pills can be prescribed for chronic pancreatitis? What pills are best for the treatment of pancreatitis

Pancreatitis is an inflammation of the pancreas. IN Lately The number of people with this diagnosis is growing rapidly. The reason for this situation is poor ecology, quality drinking water increasing susceptibility to allergic reactions and bad habits the patients themselves. If the disease is not treated, the consequences can be very serious, even fatal. Therefore, at the slightest suspicion, you should immediately contact your doctor, and if the diagnosis is confirmed, do not ignore his recommendations.

What is pancreatitis

The pancreas plays a vital role in normal functioning human body. It is responsible for digestion, energy metabolism and other processes.

Pancreas - digesting the components of the food we consume. These are fats, proteins, carbohydrates and other elements. During the normal functioning of the organ, enzymes begin their effect when they enter the duodenum and only there they activate their work.

If the gland has been exposed, the enzymes are activated at an early stage right in the pancreas. Thus, they begin to gradually corrode the body, which leads to cell death. Most running form pancreatitis - pancreatic necrosis, a condition where most of body is incapacitated.

Types of disease

The specialist distinguishes several types of pancreatitis, depending on the stage and nature of the disease:

spicy;
reactive;
chronic.

It is characterized by inflammation of a part of the organ, or the pancreas in full. It is accompanied by suppuration and cell breakdown, sometimes hemorrhage.

It is a consequence of the acute form of the disease. It occurs due to the exacerbation of diseases of 12 duodenal ulcer, stomach, gallbladder or liver.

It proceeds quite slowly, but it can have enough serious consequences with absence proper treatment. With appropriate measures, the disease recedes, but slightest violations in diet and stress can activate it again.

The main causes of pancreatitis

About half of patients diagnosed with pancreatitis abuse alcohol. Therefore, this reason is the most common cause of the disease. When alcohol enters the body, the production of enzymes in the pancreas increases, and they begin their action, not reaching the duodenum.

The second reason is malnutrition. The pancreas simply cannot withstand an overabundance of salty, fatty, smoked and fried foods. Diets are another enemy of the pancreas. Inflammatory processes inside the organ often occur during hunger strikes and malnutrition.

Inflammatory diseases. Pancreatitis can be the result of severe influenza, hepatitis, and other serious illnesses.

Constant consumption of food containing allergens. Increasingly, pancreatitis is diagnosed in children due to the frequent consumption of food with strong dyes and flavor enhancers. IN this case not only the pancreas suffers, but also the liver, skin, organs of the digestive system. Such pancreatitis from an acute form often becomes chronic.

There are many more reasons for the occurrence of the disease, it can be an injury to the abdomen, problems with the biliary system, etc. It is worth noting that in a third of cases, doctors cannot determine the exact cause of the disease.

Symptoms

The acute and reactive form of pancreatitis is characterized by the following features:

a sharp increase in temperature, severe chills;
sharp pain in the abdomen, radiating to the back. Sometimes patients feel girdle pain;
nausea, vomiting, dizziness;
severe diarrhea;
weakness, malaise, loss of strength;
headache;
mushy stools with undigested food particles;
loss of appetite.

These symptoms are especially pronounced after eating fatty, fried and too salty foods, as well as alcohol.

The chronic form of the disease is accompanied by gastric pain in the epigastric region, sometimes radiating to the right and left hypochondrium. The pain is aggravated when the patient lies on his back.

Treatment

The first symptoms of acute or reactive pancreatitis should be the reason for the immediate call for an ambulance. At this stage, you should not ask yourself: what to drink with pancreatitis?

Instead, you should take the following actions while waiting for the ambulance:

and water. They further irritate the pancreas;
you need to take a horizontal position and try to completely relax to minimize pain;
a heating pad should be applied to the sore spot with cold water or ice;
taking any drugs, including painkillers, should be excluded.

What to take with pancreatitis

What to drink in acute pancreatitis, or its chronic form, can only be accurately determined by a qualified specialist. Self-medication in this case is completely contraindicated. Your doctor may prescribe the following medications.

Papaverine for pancreatitis has been prescribed by doctors for many years. This drug is a classic treatment for this disease. It has a pronounced spasmodic effect. In this case, it eliminates the spasm of the sphincter. It also normalizes the normal outflow of pancreatic juice, and also reduces pressure inside the organ. The value of papaverine also lies in the fact that it significantly enhances the effect of other antispasmodics.

Famotidine in pancreatitis is prescribed mainly for the removal pain symptom. The drug has the following effect:

decrease in secretory function;
inhibition of acid formation in the stomach.

Numerous studies and experiments have shown that complex treatment, including taking the drug, helps to improve the general condition of the patient, and even completely normalize the function of the thyroid gland.

Diet for pancreatitis of the pancreas

The pancreas during exacerbation is one of the mandatory treatments for pancreatitis. In this case, the patient receives the following recommendations:

steam cooking;
consumption of food in small portions 5-6 times a day;
refusal of hot and cold, dishes should be warm;
in the acute stage of the disease, only a large amount of drinking is allowed, this is water or decoctions of medicinal herbs;
food should be only in ground form;
cereals are boiled only in water with a minimum or total absence salts and oils;
exclusion of spicy, sour and salty foods.

What happens if pancreatitis is not treated

Left untreated, the disease can lead to complete failure from food, as the body simply cannot digest it. Often the consequences of pancreatitis are diabetes cirrhosis of the liver. As well as - serious violations digestive system. most run and severe stages even end in death.

Folk remedies for pancreatitis of the pancreas

The following folk remedies can be used as methods of complex treatment:

infusion of alfalfa;
potato juice;
propolis;

Everyone should understand that pancreatitis is enough serious illness requiring step-by-step treatment prescribed by a specialist

Pancreatitis is a rather serious disease that leads to irreversible changes in the pancreas. In order to avoid the development of serious complications, which sometimes lead to death, it is necessary to contact a specialist as soon as possible and begin treatment. Today, medicine has many means that can not only alleviate the patient's condition, but also prevent the development of consequences. Our article will tell you about how pancreatitis is treated with medicines.

Basic rules of treatment

Before starting treatment, the doctor draws up a scheme that depends on the severity of the disease and general condition sick. It should be understood that there are no classical therapeutic measures for inflammation of the pancreas, the medicine for pancreatitis is selected individually. First of all acute period requires mandatory bed rest. For 3 days, the patient is prescribed therapeutic hunger, only water is allowed, which not only prevents dehydration of the body, but also helps to remove toxic substances from the body.

Therapy of this disease should be carried out only in a hospital, upon admission to which are used medical preparations for the treatment of pancreatitis.

Anti-enzymatic drugs will help to remove the acute stage medications, antispasmodics and painkillers, antibiotics. At chronic pancreatitis appoint enzymatic agents, pills and injections that relieve spasms, anti-inflammatory drugs. In addition, be sure to use drugs that have a choleretic, enveloping effect and vitamin therapy.

Important! For the treatment of diseases of the pancreas, a serious A complex approach, which helps to quickly relieve inflammation and prevent the death of organ cells.

Initial stage of treatment

At the beginning of the disease, the patient is usually recommended to apply a cold heating pad to the area of the diseased organ. Drug treatment of pancreatitis begins with the intake of Omeprazole, Ranitidine, which have a depressing effect on receptors, are responsible for the secretion of hydrochloric acid. This measure is important so that hydrochloric acid does not provoke the functioning of the organ, since in the first days the intake of food is completely excluded. In addition, these drugs relieve the inflammatory process, pain syndrome, normalize digestion, stop unpleasant symptoms. The instruction allows the following administration of drugs:

Ranitidine is injected into the muscle 4 times a day, 50 mg. Also, with special acute condition it is allowed to be administered intravenously, diluted with the help of physical. solution. This tool injected slowly over 2 minutes. In the future, it can be drunk in the form of tablets twice a day for 150 mg. And daily dosage should not exceed 600 mg. For the treatment of pancreatitis in adults, Ranitidine is taken with or without food.
Omeprazole is more convenient to take, unlike Ranitidine, since it is administered by dropper 1 time per day. After the patient feels better, you can use tablets for pancreatitis Omeprazole, twice 20 mg each.

Listed medicines have the same side effects, manifested in the form:

headache;
allergic reactions;
dysfunction of the heart;
hair loss;
violations menstrual cycle among women;
nausea;
constipation.

The instruction states that they are contraindicated during pregnancy, lactation, renal and hepatic insufficiency.

Drugs that have an anti-enzyme effect

Sometimes antienzymatic drugs may be required for pancreatitis, which are used both for the treatment of the acute form and chronic course diseases. They have a suppressive effect on the secretion of enzymes, which, by their excessive activity, can lead to a deterioration in the condition of the pancreas. Anti-enzymatic drugs reduce intoxication of the body, reduce pain, improve general well-being the patient, reduce the risk of lethal development of the disease, inhibit the development of edema, necrosis of the tissues of the organ. This group includes the following drugs:

Gordox;
Contrykal;
Trasilol;
Traskolan;
Ingitril.

The last two drugs are widely used for pain shocks, peritonitis. However, they often give allergic reaction, they are not recommended for use with increased blood clotting.

Antibiotics in the treatment of pancreatitis

Not bypassed drug treatment chronic pancreatitis without antibiotic therapy, which will help to significantly reduce the risk of complications in the form of:

death of organ cells;
peritonitis;
cyst formation;
abscess formation;
sepsis.

What group of medicines antibacterial agents help for the treatment of pancreatitis, the attending physician will tell you better, usually specialists prescribe penicillins, macrolides, fluoroquinolones. At acute course diseases, for fast withdrawal inflammatory process, maximum unloading of the body, they are best used in injections. If the treatment is carried out at home under the supervision of a specialist, then tablets are allowed for the treatment of pancreatitis. As a rule, this is:

Doxycycline 0.1 gr. three times within 10 days;
Cefuroxime is administered in 1 gr. for 7 days.

This group of drugs can have the following side effects:

vomiting;
nausea;
skin rashes;
spasms of the bronchi;
decrease in blood pressure.

Enzyme drugs

After the acute stage of the disease is removed, when the patient is allowed to eat food, he is prescribed enzyme agents that are important in the treatment of pancreatitis. They help to ensure the rest of the body, promote better absorption, digestion of food, assimilation of proteins, fats, carbohydrates, and normalize digestion in general. Which medicines are better to choose, only the doctor will tell you, since they are selected individually, taking into account the nutritious diet. If the patient allows himself to take a large number of fat in the diet, then he should drink a drug containing a larger amount of lipase. Medicines in this group include:

Pancreatin;
Creon;
Mezim forte;
Festal;
Enzistal.

Important! It is forbidden to treat the disease exclusively with enzymes, since they only contribute to better processing of food, while not eliminating the cause that caused this pathology.

Painkillers

This disease is accompanied by an intense pain syndrome, if not removed, there is a risk of developing a painful shock. Most often, preference is given to antispasmodics, which relieve spasms of the organ, thereby facilitating enzymatic excretion. These pancreatic drugs facilitate overall well-being not only by eliminating pain, but also by reducing the burden on the organ by improving the excretion of digestive effects. Name of common antispasmodics:

Drotavirin;
Spasmolgon;
No-shpa;
Spasmol;
Riabal.

Sometimes the appointment of analgesics is required, which give a good analgesic effect that improves the patient's condition. However, it should be remembered that the use of this group is prohibited on its own, since they can not only lubricate the symptoms, but can also cause a considerable amount side effects that have a negative effect on the body. Most often it is:

Analgin;
Baralgin.

Drugs - antacids

To make the patient feel better, doctors often prescribe antacids that neutralize hydrochloric acid and eliminate its aggressive effect. Them therapeutic effect can lower hyperacidity stomach, relieves inflammation of the mucous membrane, prevents the formation of ulcers. For these purposes, the appointment is most often required:

Maalox;
Almagel;
Gastracida;
Palmagel.

In order to urgently relieve extremely unpleasant symptoms, these drugs are often recommended in the form of absorbable tablets, suspensions. They instantly begin their action, they are allowed to be used not only simultaneously, to relieve symptoms, but also as a therapeutic course, for at least 2 weeks. With prolonged use, they protect the body from the pathogenic effects of hydrochloric acid.

Treatment of the pancreas involves complex therapy, which will eliminate the inflammatory process.

Acute and chronic pancreatitis are dangerous complications. If you do not react in time, there may be foci of destruction or a massive melting of the gland itself. Against this background, cardiac, renal, respiratory failure. Mortality during the acute phase increases by 30%.

Because of dangerous complications it is important to carry out timely therapy, the basis of which is drug treatment. After reading the article, each of you will receive full information about the drugs used for the pancreas.

If pancreatitis is detected, the treatment of the disease is carried out throughout life. The patient should carefully monitor his condition, strictly follow the recommendations of the attending physician, regularly take prescribed drugs that can eliminate the symptoms of the disease that develop during exacerbations.

Medications by effect

The therapeutic regimen is built in such a way that it helps to relieve pain, compensate for gland deficiency, reduce the inflammatory process, and prevent the development of complications. For this, the following drugs are used.

Painkillers

When acute pain prescribe application the following drugs:

Antispasmodics "Nosh-pa", "Spasmalgon" are used if a persistent syndrome occurs due to an increase in pressure inside the pancreatic ducts.
Proton pump blockers "Omeprazole", "Rabeprazole" reduce the activity of the diseased organ.
"Diclofenac" or "Nurofen" are prescribed to suppress inflammation.
"Duspatalin" is used to relieve spasms of the gastrointestinal intestinal tract.

Antiemetics

All stages of the disease can be accompanied by periodic episodes of nausea and cause dyspeptic disorders. If they do not stop on the background of drug treatment, the patient is given Metoclopramide injections, or given oral medications (the names of the tablets are Cerucal, Itopride, Trimebutin).

Antacids

This drug group helps to reduce the production of hydrochloric acid produced in the stomach. It increases the level of enzymes, which, during the process of inflammation of the pancreas, are activated and begin to digest the tissue of the described organ. That is why patients with chronic pancreatitis are prescribed "Maalox" or "Almagel".

Antibiotics

They are an important part of the treatment regimen. Swelling of the gland leads to the formation of an effusion - a fluid that contains biologically active substances. They accumulate in abdominal cavity and mixed with excess enzymes. Such an explosive mixture gradually covers the internal organs located nearby. Peritonitis occurs, which in 70% of cases is fatal.

To combat inflammation of the peritoneum, antibacterial drugs that are active against anaerobic microflora (Penicillins, Celafosporins) are used. In the acute course of the disease, they help prevent the occurrence of dangerous complications. For the treatment of the chronic form, preference is given to the drugs Ampiox or Cefoperazone.

Phytopreparations

Herbal remedies can gently relieve inflammation of the pancreas. They restore patency inside the ducts, contribute to the removal of toxins from the body. Such properties have fees with a choleretic effect. It is advisable to use them during periods of remission, you need to drink for a long time, eight-week courses with interruptions.

Doctors prescribe phytopreparations during the treatment of exacerbations of diseases. Such additional therapy allows you to reduce the dosage of medications and reduce the duration of their intake.

When choosing a remedy, it is important to understand that anti-relapse therapy should be carried out only according to indications. And since the treatment of pancreatitis requires an individual approach, you can take herbal remedies only as directed by a doctor.

Antisecretory drugs

The choice of drug is made taking into account the presence of symptoms of dyspeptic disorders. Suppress the production of hydrochloric acid H2 blockers:

"Ranitidine".
"Famotidine".
"Omez" (his cheap analogues Omeprazole, Gastrozole).

From diseases

IN medical practice There are two forms of pancreatitis. The nature of its course is acute and chronic, the latent phase consists of remissions and relapses. Each stage has its own treatment.

Acute pancreatitis

The process of intense inflammation provokes the retention of enzymes in the ducts of the internal organ. As a result, the pancreas begins to digest itself. An attack occurs, which leads to the development of swelling and an increase in the size of the affected department. Sometimes tissue death occurs.

People experience severe pain when solar plexus, she is given sideways in the back. Belly swells up heat. Facial features become sharp. The skin becomes pale and covered with sticky sweat. Any meal causes nausea and vomiting, while it does not bring relief. Only fasting can improve the patient's well-being.

Pancreatitis causes diarrhea stool have a liquid consistency, it contains particles of undigested food and foam. Constant vomiting and diarrhea dehydrate the body. The loss of electrolytes contributes to the appearance of shortness of breath, leads to malfunctions of cardio-vascular system.

In such a situation, immediate medical intervention otherwise death is possible. Until the ambulance arrives, the patient must be kept calm, apply an ice pack in the upper abdomen and give an anesthetic.

Treatment acute inflammation carried out by drugs according to the effects. First, it is important to stop the main symptoms of the process, so the emergency team that arrived at the scene:

Put the patient on a drip saline.
It will give a remedy to help stop vomiting ("Cerukal").
Will make an anesthetic injection ("Ketanov").
Provides one ampoule of antisecretory medication.

Already in the hospital, the necessary diagnostic procedures. If a destructive form of pancreatitis is suspected, the patient is transferred to surgery department for an operation to remove dead areas of the gland. If symptoms of peritonitis are detected, laparoscopy is performed.

Inpatient treatment is carried out according to the following scheme. The patient is assigned:

Diuretics, which reduce the swelling of the inflamed organ and remove digestive enzymes from the blood (Furosemide or Diacarb).
The drug "Omez" (80 mg per day).
Metoclopramide is administered intravenously to eliminate vomiting.
The basis of treatment is drugs for the pancreas, the active substances of which block digestive enzymes ("Gordox" or "Kontrykal").

The first six days of therapy are shown fasting, the patient is only allowed to drink warm water in small sips.

In this video, Dr. Evdokimenko tells everything about the treatment of pancreatitis.

Chronic pancreatitis

The sluggish inflammatory process causes the formation structural changes pancreatic tissues. As a result, exocrine and intrasecretory insufficiency develop. The effectiveness of eliminating such conditions is possible only when applying complex therapy: drugs are used to treat the pancreas, prescriptions traditional medicine.

Much attention is paid to reducing the risk of periods of exacerbation, maintaining the work of the diseased organ. For these purposes, it is proposed medical nutrition. A person will have to follow a diet for the rest of his life.

As therapy, drugs are used according to the effects. These or other drugs are selected taking into account the severity clinical picture and presence of complications. Since chronic inflammation of the pancreas disrupts the production of enzymes necessary for digestion, therapeutic regimens include drugs that can compensate for this deficiency.

All medicines have a special shell that does not dissolve in the stomach. This makes it possible to deliver necessary components straight into the intestines. Such medicines are drunk exclusively during meals, in no case should they be chewed.

The use of such medications leads to the following:

Enzymes coming from outside reduce the load on the inflamed organ.
Thanks to them, the assimilation of the main groups of elements (proteins, carbohydrates and fats) occurs quickly, without complications.
Digestion is normalized.
Symptoms of dyspepsia resolve themselves.

These drugs are divided into two large groups:

Tablets containing only enzymes:

"Mezim".
"Pancreatin".

Their intake normalizes the work of the intestinal tract, improves appetite, suppresses nausea, reduces flatulence, which generally favorably affects the patient's condition.

Medicines, which, in addition to enzymes, also contain bile:

"Enzyme".
"Festal" (other tradename"Pancreatin" or "Creon").

The drugs have a good healing effect, but they should not be taken if the pathology develops against the background of gastritis, stomach ulcers or the presence of bile ducts stones.

Here Elena Malysheva in the program Live Healthy talks about the treatment of chronic pancreatitis.

Exacerbation of pancreatitis

recurrent chronic form characterized by frequent onset of pain attacks. They do not have such vivid symptoms as the acute form, however, the lack of treatment leads to the development of the same complications.

The patient turns to the help of physicians, as a rule, during the next attack. His treatment begins with fasting and taking painkillers. General therapy performed only after the pain subsides. Its basis is:

Antienzymatic drugs that can suppress the activation of components that destroy the protein of the gland itself and cause the development of necrotic processes. The list of such drugs includes the medicine "Pantripin", "Kontrykal" and "Ingitril", "Gordox".

Pharmacy medicines for exacerbation of pancreatitis - this is important, but it is more likely home method therapy.

Which ones to take

Antibiotics

Antibiotics are prescribed if, against the background of inflammation of the gland tissues, the patient has bacterial infection, cyst, duct rupture, bile stasis, or diseases such as cholangitis or necrotizing pancreatitis. The most popular drugs of the group: Cefotaxime, Amoxiclav, Abaktal, Ampiox, Ampicillin, etc.

The doctor will select an effective remedy for pancreatitis depending on the results of the tests. These drugs are taken after meals.

Antacids

Antacids are prescribed to normalize acidity gastric juice. Their action is aimed at neutralizing hydrochloric and bile acid, which reduces the consequences of exacerbation.

It must be remembered that antacids interact with all groups of drugs, weakening their effect, so at least 2-2.5 hours should elapse between medications. In addition, antacids are only a short time can change acid-base balance. To improve the functioning of the digestive organs in the long term, you need to additionally take enzyme and anti-enzyme preparations.

Analgesics

Using analgesics for pancreatitis, it should be remembered that it is not recommended to use them on an ongoing basis. Such drugs are used only for the relief acute symptoms exacerbations. At the same time, it is also forbidden to prescribe and use analgesics on your own, since they will only remove the pain, and not its cause. It is especially dangerous to use an anesthetic before the arrival of a doctor. This will change the symptoms and make the diagnosis more difficult.

H2 blockers

Drugs in this group are used to reduce the production of digestive enzymes. This is important, since inflammation causes narrowing of the ducts, and gastric juice cannot be completely thrown into the intestines. Accumulating, it gradually destroys the cells of the gland.

Such drugs are prescribed for pancreatitis only for the duration of the attack, so as not to disrupt the functioning of the digestive organs. A sharp rejection of blockers can provoke an exacerbation of pancreatitis, so the dosage of drugs prescribed by doctors must be reduced gradually.

proton pump inhibitors

Medicines in this group are prescribed for pancreatitis in order to reduce the production of hydrochloric acid, which will stop the development of the disease.

Despite the positive therapeutic effect, they can provoke adverse reactions therefore, in combination with them, antihistamines are often prescribed.

Hormonal

Exacerbation of pancreatitis leads to malfunctions of the pancreas. Because of this, the amount of hormones secreted by it decreases, and all metabolic processes in the body are disrupted. To prevent pathological changes, it is important to start treatment at the first suspicion of an exacerbation. Well hormonal drugs should be prescribed only by a doctor after thorough examination. If you take the wrong hormones, you can harm your health even more.

Antienzymatic drugs

With exacerbation of pancreatitis, anti-enzymatic agents are prescribed in the first 24 hours. Their action is aimed at stopping inflammatory processes and preventing further development diseases. Medicines are prescribed only for inpatient treatment. Available in the form of solutions for droppers and injections. The most popular representatives of the group: Gordoks, Pantripin, Trasilol, Traskolan, etc.

What enzyme preparations are prescribed

The choice will depend on associated disorders in the gastrointestinal tract.

To obtain an extract of the main component - the pancreas of the animal is used.

It provides complete digestion of food, due to which everything enters the body. necessary substances. Via enzyme preparations can partially compensate for pancreatic dysfunction.

Such drugs are prescribed after the relief of the attack and pain syndrome. Take enzymes during or after meals for a long period.

Auxiliaries

Disorders in the work of the pancreas provoke the development of various pathological processes Therefore, during an exacerbation of the disease, it is important to carry out symptomatic and replacement therapy.

Often used drugs enveloping and choleretic action. , for example, reduces the secretory load on the pancreas, eliminates bile stasis, and normalizes digestion.

For prevention

To prevent exacerbations, it is important to adhere to a diet, give up alcohol and smoking, avoid stressful situations, as well as taking drugs that slow down the work of enzymes.

Chronic and acute pancreatitis. pancreatitis and calculous cholecystitis safe treatment.

Tablet. Pancreatitis. Aired on February 24, 2016. HD version.

Pancreatitis: treatment + diet. Effective treatment pancreas without drugs or drugs.

To prevent the exacerbation from returning, it is necessary to follow all the recommendations of the gastroenterologist and treat diseases that can provoke an attack.

Treatment of pancreatitis with medicines is necessary when acute form disease or exacerbation of a chronic

Pancreatitis is a pathology of the pancreas that develops due to violations of the outflow of pancreatic enzymes from it. Congestion can be caused by gallstones blocking the pancreatic duct, malignant or benign tumor, cyst, trauma of the abdominal cavity. As a result, pancreatic juices begin to digest pancreatic tissue, which leads to their necrosis, which can cause bleeding or abscess.

If you don't make it on time adequate treatment pancreatitis, the death of the patient occurs.

If there is an acute inflammatory process of the pancreas, the patient should be urgently hospitalized. This is a prerequisite for treatment, since lesions of the gland can lead to a violation of vital important functions person and death.

The treatment regimen for pancreatitis of the pancreas is based on three principles:

hunger;
cold;
peace.

In parallel, it is necessary to take medications that will help relieve inflammation of the pancreas. What medications to take for pancreatitis in the acute stage, the gastroenterologist determines, taking into account the patient's condition, his physiological features and degree of injury internal organs.

You should immediately make a reservation: you need to treat pancreatitis in a complex way, any one remedy for pancreatitis will not help relieve inflammation and restore pancreatic function.

Medicines of such groups are used in various combinations:

Means of antispasmodic and analgesic action in tablets or injections.
Antacids in similar pharmaceutical forms.
Enzyme preparations for pancreatitis, and in some cases - anti-enzymatic.
H2 blockers of histamine receptors.
Sedative drugs.

If during inflammation of the pancreas cells that are responsible for the production of the hormone insulin were affected, then the combination of standard drugs for pancreatitis should be supplemented with insulin drugs. In this case, the endocrinologist selects the optimal medicine.

Most of the drugs for pancreatitis for adults are dispensed in pharmacies completely free, without a doctor's prescription. But it is strictly forbidden to take (even, at first glance, harmless) drugs on your own. This can lead to unpredictable consequences. If the pancreas is inflamed, only drugs cannot cure it. It is necessary to follow a diet and lead a correct lifestyle.

And the main thing here is not to make any adjustments to the medical treatment of pancreatitis.

How to relieve pain in pancreatitis

If the pancreas begins to become inflamed, the patient experiences very severe pain in the left hypochondrium. The sensation can be simply unbearable, to the point that a person cannot stand, sit, talk and even breathe calmly. Sometimes the pain radiates to the back between the shoulder blades or the lower back - it depends on which part of the pancreas is affected.

What is the best way to relieve pain in the treatment of pancreatitis?

Drugs from the group of non-steroidal anti-inflammatory drugs - Paracetamol, Ibuprofen, etc.
Potent analgesics - Baralgin, Analgin, etc.

Any drugs for pancreatitis should be taken with great care so as not to further irritate the stomach, pancreas and intestines.

Following after pain typical symptoms pancreatitis is nausea intestinal disorders and vomiting. The drug taken may simply not have time to be absorbed. Therefore, if a patient is admitted to the hospital in serious condition, with uncontrollable vomiting or diarrhea, all medicines, including painkillers, are administered intravenously.

With very severe pain in a hospital, the patient may be given intramuscular anesthetic narcotic drugs to treat exacerbated pancreatitis, which cannot be purchased at a pharmacy without a doctor's prescription.

This:

Promedol;
their counterparts.

Any means that relieve pain in pancreatitis are forbidden to be taken on a regular basis, even if they are not narcotic and not addictive, as indicated by the instructions for use.

The patient should always understand that even the best and highest quality drug that effectively relieves pain does not solve the problem. Pain is caused by the fact that the pancreas begins to digest itself. Her enzymes, which were supposed to get first into the duct, and from there into the duodenum, instead accumulate in it itself, corrode its tissues and, together with the bloodstream, are carried throughout the body. This means the strongest intoxication of all internal organs - kidneys, liver, lungs. Therefore, with inflammation of the pancreas, the treatment is not to relieve pain, but to eliminate its cause and prevent possible complications. This can only be done qualified doctors in a hospital setting.

Antispasmodics are medicines that act on smooth muscles and thereby promote the outflow of pancreatic enzymes. With an exacerbation of the disease, they are administered intravenously or intramuscularly. In the future, in the treatment of chronic pancreatitis, these drugs can be taken in tablets. Papaverine, No-shpa, Atropine are commonly used.

What effect do these drugs have in pancreatitis?

They relax the obturator muscles of the pancreas, and the pancreatic juice gets out into the duct. Thus, antispasmodics not only relieve pain, but partially eliminate the cause of pain. A person taking these medicines will quickly feel how the pain goes away, nausea and heartburn decrease. After a while, vomiting stops, and the patient's well-being improves significantly.

If the pain is very pronounced, then the combined administration of analgesics and antispasmodics is practiced. Usually it is Analgin and No-shpa, or Baralgin and Papaverine. The ambulance team can introduce Platifillin. This is a very serious medicine that can be purchased at a pharmacy only by presenting a doctor's prescription. Platifillin is dangerous in a whole range side effects, one of which is disorder mental nature. Therefore, it is better to prefer intramuscular injection But shpy.

Antispasmodic drugs, like analgesics, do not treat pancreatitis as such, but only eliminate its unpleasant manifestations. The drug drunk or injected into the muscle begins to act after 7-10 minutes, but its effectiveness does not last long. And then the pain will return again and think about something serious, complex treatment still have to.

Antacids and enzymatic agents

What are antacids? These are medicines, the main action of which is the normalization of the level of acidity of gastric juice. They are recommended to drink with pancreatitis to neutralize stomach acids. This will reduce the load on the pancreas and improve the patient's well-being.

The most popular means:

Maalox;
gastracid;
Alumag.

Unfortunately, all these drugs do not have a long-term effect. They do change the level of acidity in the stomach, but not for long. And they practically do not affect the work of the pancreas directly.

A lasting effect can only be achieved with the help of enzyme or anti-enzyme agents. Both the drug and their dosage are selected only by the doctor. The order in which medications are taken is very important. various action with pancreatitis. Antacids actively interact with almost all drugs, reducing their effect. Therefore, the interval between taking antacids and other drugs should be at least 2-2.5 hours.

Taking enzymes has the following effect:

promotes the breakdown of proteins, fats and carbohydrates;
reduces pain in the stomach, flatulence and bloating;
stimulates absorption and assimilation useful substances from the food you eat;
unloads the pancreas and thereby improve the patient's well-being.

Enzymes are effective in a long course of treatment. The doctor observes how effective the drug is being taken, or leaves it in the therapy program, or replaces it with an analogue. Very important: the tablet must be taken with food or immediately after. If you take enzymes on an empty stomach, the pancreas can become even more inflamed.

High-quality, good enzymatic preparations contain an extract from the pancreas of a large cattle, identical to the substance that the human pancreas produces - pancreatin. Pancreatin promotes the breakdown of products to those components that are easily absorbed by the intestines and stomach and are maximally absorbed by the human body.

The composition of pancreatin includes:

Lipase - this element helps to break down fats.
Amylase - stimulates the absorption of carbohydrates of any kind.
Protease - promotes the absorption of proteins.

Getting pancreatin in enough, the body can compensate for pancreatic insufficiency. All substances supplied with food are well digested, and the patient does not suffer from malnutrition or beriberi. In the list of prescriptions for pancreatitis, you can find drugs Festal, Mezim, Creon, Pancreatin, Panzinorm, Digestal.

All these medicines are enzymatic, but have various formulations and mechanisms of action, so only a doctor can say how it will be better to treat pancreatitis in each individual case. First of all, the degree of damage to the pancreas and disruption of the work of other organs - the gallbladder, liver, and intestines are assessed.

As for antienzymatic drugs, they are administered in a hospital intramuscularly or intravenously on the first day after acute attack illness. These funds are needed to prevent even more inflammation of the tissues during the release of pancreatitis secret.

Other medicines for inflammation of the pancreas

When pancreatitis worsens, it is necessary to temporarily slow down the production of gastric juice. But only temporarily, then, on the contrary, you need to stimulate it in order to digestive system was able to work fine.

The following drugs are prescribed for a short time:

Cimetidine;
Nizatidine.

With acute inflammatory process drugs from the group of non-steroidal anti-inflammatory drugs can be used. However, their reception is undesirable, since you can miss the true dynamics of the disease. In addition, these drugs have a number of side effects and are not prescribed for more than 7-10 days. These are Diclofenac, Nise, Nimesulide, Ibuprofen.

Antibiotics are prescribed for pancreatitis very rarely, only after receiving the results of all tests and studies.

Indications for admission antibacterial drugs are:

Stagnation of bile.
Identification of a bacterial infection.
Damage to the pancreatic duct.
Cholangitis, pancreatic necrosis or cyst formation.

In the hospital, antibiotics may be given by injection if the doctor considers the patient's condition to be critical and needed. urgent help. During treatment chronic infections and pathologies are possible oral administration. As a rule, Amoxiclav, Cefotaxime, Ampicillin, Abaktal, Vancomycin are prescribed.

If the pancreatic tissue begins to necrotize, then a bacterial infection is often accompanied by a fungal infection. Treatment in this case is complex and lengthy, since it is necessary to simultaneously suppress the pathogenic microflora, but not affect the beneficial one, so that the body can fight the fungus.

How to take medication correctly

With pancreatitis, it is important not only to choose the right medicines, but also to take them according to a certain scheme.

There are some peculiarities of taking drugs for acute or chronic inflammation pancreas.

The rules are:

So, pain relievers can be drunk at any time, if the patient's condition requires it.
Enzymes can only be administered during a meal.
It is advisable to take antibiotics after it.

Tablets are taken only clean water no gas, no milk, no tea and juice. Moreover, you can not combine medicines with alcohol. This is generally a taboo not only during treatment, but also during remission.

The duration of the course is set by the doctor - interrupt drug treatment for pancreatitis ahead of schedule it is forbidden. Only then will the treatment be successful and there will be no relapse. Special responsibility should be given to drug therapy pregnant women and those patients who have a combination of a number of chronic diseases.

Pills and injections are selected so that one remedy does not suppress the action of another, while at the same time it does not cause great harm to other organs.

If, despite taking medications and following all recommendations, the patient's condition worsens, the temperature rises, abdominal distention, severe vomiting or diarrhea, blue skin abdomen, you should immediately call " ambulance". No hospitalization and emergency medical care the patient may die.