Lactofiltrum purpose. A drug with an active sorbing effect without harmful effects on organs and systems - Laktofiltrum: instructions for use, price, reviews, analogues of medication for removing allergens

Lactofiltrum is an original herbal medicine, which is a natural sorbent, immunostimulant and means of normalizing intestinal microflora. Detailed instructions for use of the medicine for patients of any age contain data on rational use. Feedback from doctors who use the medical product (dietary supplement) in practice and from patients will allow us to evaluate the effectiveness. Prices and analogues of Lactofiltrum in Russia will help you choose the optimal means for treatment.

Compound

Active ingredients contained in the drug (dietary supplement) Lactofiltrum (in Latin INN Lactofiltrum) in lozenges and tablets:

• food lignin – 0.355 g;
• lactulose – 0.120 g.

Auxiliary components are cellulose derivatives and Mg stearates.

• food lignin – 0.67 g;
• lactulose – 0.202 g.

Auxiliary ingredients in this release form are starches, fruit polysaccharides, vanilla flavor, Si dioxides.

Release form

The manufacturer Avva (Russia) produces Lactofiltrum in the following forms:

1. Oral tablets 500 mg. In packs of 30 or 60 doses.
2. Lozenges for resorption, 2.75 g, 30 pieces per package.
3. Powders in sachets for oral administration. One sachet contains 2.4 g of powder. Packs contain 10 doses.

The official instructions from the manufacturer are included in the original packaging with the dietary supplement.

pharmachologic effect

The product belongs to the pharmacological group of dietary supplements (sorbents, probiotics) that have the following effects on the body of adults and children:

• binding of toxins produced by bacteria and viruses, decay substances in the intestines;
• removal of pathogens and their toxins formed in the intestines;
• neutralization of excess toxic components - bilirubin, urea, cholesterol, etc.;
• stimulating the reproduction and growth of essential bacteria in the intestines;
• stimulation of peristalsis in the intestines;
• normalization of metabolism;
• optimization of the absorption of microelements and vitamins that come from food;
• activation of the immune system;
• prevention of dysbacteriosis and intestinal dysfunction when using antibacterial agents;
• prevention of allergic reactions, especially to foods.

According to its mechanism of action, lactulose is a natural prebiotic and peristalsis stimulator, while lignin is a sorbent.

Indications for use

Diseases that are considered indications for use:

• dysbiosis (dysbacteriosis), especially after the use of antibiotics;
• combined methods of prevention and therapy in case of irritable bowel syndrome;
• galactosemia;
• liver diseases (as part of combined techniques);
• pathologies of allergic origin, especially atopic dermatitis, various forms of urticaria, food allergies;
• psoriasis and other skin diseases;
• intoxication of a bacterial and viral nature (rotavirus, enterovirus, ARVI pathogens, etc.) to bind toxins, remove them, as well as in case of poisoning;
• ethanol poisoning. Lactofiltrum is effective against hangovers;
• cleansing of toxic substances, accelerating metabolism for weight loss, improving skin condition (Lactofiltrum is good for getting rid of acne on the face and body with complex treatment).

Important! More often, the drug is used in the complex treatment of these diseases.

Contraindications

For Lactofiltrum, the manufacturer has registered the following contraindications for use:

• periods of exacerbation of gastric ulcers;
• intestinal obstruction in any form;
• bleeding from the stomach, intestines;
• allergy to medication components;
• marked decrease in intestinal tone (atony);
• childhood (for children under one year old). The drug is not prescribed to infants due to the lack of safety studies;
• pregnancy;
• lactation. Lactofiltrum is not prescribed for women who are breastfeeding (BF).

Particular attention should be paid to excluding these conditions in patients before prescribing Lactofiltrum.

Instructions for use

Important! Lactofiltrum should be taken an hour before meals or 2 hours after meals in the morning (before lunch) and in the evening (after lunch). Duration of treatment is from 2 to 3 weeks in a row.

Methods of using Lactofiltrum powders

Before use, pour the contents of one sachet into a glass, add 150 ml of warm boiled water and stir. Take orally in accordance with the doses indicated in the manufacturer's descriptions:

• children 1-3 years old - only as prescribed by a doctor;
• children 3-7 years old – ½ sachet (2 times a day);
• children 7-11 years old - ½ - 1 sachet (2 times a day);
• children over 11 years of age, adults – 1 sachet 3 times a day.

Tablet dosage regimen

The dosage of the medicine for the intestines and other diseases of Lactofiltrum differs for patients of different ages:

• children 1-3 years old - only as prescribed by the doctor;
• children 3-6 years old – one tablet three times a day;
• children 6-14 years old – 2 tablets three times a day;
• children over 14 years of age, adults – 3 tablets three times a day.

The duration of use of the drug can be changed by the doctor depending on the severity of the patient’s condition. It is allowed to crush the tablet before use to make it easier to take.

The lozenge form is intended for absorption in the oral cavity. The dosage regimen and frequency of administration are the same as for tablets.

Important! During treatment with Lactofiltrum, you should drink enough clean water to avoid constipation.

Overdose

An overdose of Lactofiltrum can lead to consequences such as constipation and abdominal pain. Helpful measures include inducing vomiting, gastric lavage and drug withdrawal.

Side effects

Lactofiltrum is almost always well tolerated by patients. Rarely, side effects may occur:

• diarrhea;
• pain in the abdomen;
• allergy;
• rumbling in the intestines, stomach.

Prevention of side effects - compliance with dosage regimens and courses of treatment.

Interaction with other tools

Lactofiltrum sorbent has the ability to reduce the effectiveness of drugs. To prevent such violations, an hourly period of time should be observed between the use of medications.

During pregnancy and lactation

There is no evidence of safety for Lactofiltrum when used during pregnancy and breastfeeding (lactation). Therefore, it is not recommended for pregnant and lactating women.

With alcohol

When interacting with alcohol, no negative consequences develop. Lactofiltrum is a sorbent and binds alcohol toxins, which indicates normal compatibility. Since Lactofiltrum is used more often in combination with other drugs, alcohol consumption should be avoided in order to prevent the negative consequences of interaction.

Analogs

Laktofiltrum Eco is an original biologically active food additive, for which only Lacto-Sorbicum is produced from exact analogues (Russian or foreign production) in composition. Partially (due to differences in composition), the following medications can be considered substitutes for Lactofiltrum:

• Duphalac (contains only lactulose);
• Lactuvit;
• Normaze;
• Portalak;
• Depurax;
• Lactulose;
• Bioflorax;
• Polyphepan (contains only lignin);
• Filtrum Eco;
• probiotics – Bifidumbacterin, Linex, etc.;
• sorbents – activated carbon, Smecta, Atoxyl, Microcel.

Important! The indicated synonyms of Lactofiltrum are not a complete replacement for all pharmacological actions.

Best before date

Lactofiltrum Eco is stored for three years from the date of production. If the expiration date has expired or the drug has been stored incorrectly, its use is unacceptable.

Terms of sale and storage

Lactofiltrum can be bought without a doctor's prescription. A patient receiving complex therapy may have a prescription in Latin, in which the doctor indicates the international name of the drug or active ingredients.

When storing the product, you should monitor the humidity in the room, which should not exceed 75% (according to the manufacturer’s instructions). Temperature range – from 0 to 25⁰С. Do not freeze.

special instructions

Taking Lactofiltrum should be separated from the use of other medications. The product does not have any negative impact on the ability to drive vehicles. Elderly patients who use Lactofiltrum do not require dose adjustment.

Lactofiltrum: instructions for use and reviews

A medicine that effectively adsorbs poisoning or helps cope with indigestion should be in every first aid kit. Today, modern pharmacology offers a huge range of such drugs. And one of them is the well-known lactofiltrum tablets, actively prescribed by doctors for complaints about bowel function. Let's try to figure out what lactofiltrum helps with and how to use it correctly for children and adults.

general information

Lactofiltrum is a combination drug. The product contains two active substances: hydrolytic lignin and lactulose. Also in the production of tablets, magnesium stearate and croscarmellose sodium are used as excipients.

Lignin is an enterosorbent of natural origin. The main effect is binding and removing poisons and toxins from the body. A very useful property for the liver, which experiences repeated attacks from the modern pace of life. In addition to the detoxification effect, it exhibits antioxidant and antidiarrheal effects. It also helps normalize intestinal microflora and local immunity.

Lactulose is a substance with a laxative effect, a prebiotic. The product promotes the proliferation of lactic acid bacteria in the intestines to suppress the activity of pathogenic microflora. At the same time, its osmotic effect manifests itself, improving colon peristalsis. Lactulose is the only safe medicine for the intestines with a laxative effect, actively used to treat children and adults.

The combined effect of lactofiltrum on the body allows you to actively remove toxins of various origins and at the same time create favorable conditions for the growth of beneficial microflora. Stimulation of local immunity improves the general condition of the body, allowing to shorten the recovery period after an illness. In addition, the action of both substances begins directly in the large intestine without penetrating into the bloodstream.

Dosage, indications, contraindications and possible side effects

Lactofiltrum are oblong-shaped tablets, the color is dark brown with small white inclusions, and they have no odor. The drug is produced in contour packs of 10 tablets. or bottles of 30 and 60 tablets. Lactum gel is not available. If taking tablets is not possible, you need to choose another sorbent, for example, Enterosgel or Eliminal.

According to the instructions, the main indications for taking the drug lactofiltrum are:

Contraindications:

• diseases accompanied by bleeding in parts of the digestive tract;
• intestinal obstruction;
• carbohydrate metabolism disorder;
• hypersensitivity to one of the components of the drug.

The drug lactofiltrum is prescribed with caution for duodenal and gastric ulcers, as well as for intestinal atony (impaired muscle tone).

The use of tablets is not recommended during pregnancy and breastfeeding. To date, there is no scientifically based data regarding the safety of the drug for the fetus and its ability to pass into breast milk. Therefore, Lactofiltrum tablets are not prescribed to patients in this category. But there are exceptions, and we’ll talk about this in more detail later.

Usually Lactofiltrum tablets are well tolerated, but in some cases some side effects are possible:

• stool disorder;
• bloating, flatulence;
• specific allergic reaction.

In case of side effects, symptomatic treatment and drug withdrawal are indicated.

The dosage for adults and children over 12 years of age is 2-3 tablets three times a day. It is correct to take the product one hour before meals or two hours after. For children 8-12 years old, a single dose is 1-2 tablets. In children from 3 to 7 years of age, 1 tablet is prescribed, and from 1 to 3 years - ½ tablet. If necessary, for a young child the tablet can be crushed before administration. The average duration of the course is 2-3 weeks. Longer therapeutic effects are agreed upon with the attending physician. You will also need to consult a specialist about how often you can take the pills. Typically, breaks between courses should be at least three months.

The combined use of lactofiltrum with other medications is acceptable. But at the same time, it is necessary to strictly observe the time intervals between taking these medications.

Lactofiltrum during pregnancy

Clinical trials of lactofiltrum tablets have not been conducted among pregnant patients. Accordingly, without reliable results it is impossible to talk about the effectiveness and safety of the product for the unborn child. So in the instructions for the drug, due to the lack of any scientific evidence, the manufacturer does not recommend lactofiltrum during pregnancy.

But tests regarding the effects on the fetus were carried out on animals. According to these results, the active ingredients of the drug are not absorbed into the systemic bloodstream and are completely eliminated from the body, which has shown complete safety for a pregnant female animal and her future offspring.

Some specialists, at their discretion, prescribe lactofiltrum to patients. In such cases, the expected benefit and harm that may be caused to the child are assessed. But, as medical practice shows, no negative reactions were observed after treatment. But the effectiveness of the drug was excellent. And in addition to traditional indications - poisoning and intestinal infections, during pregnancy lactofiltrum helps to normalize the functioning of the body, relieving the usual symptoms of toxicosis. And the high content of dietary fiber has a beneficial effect on intestinal function, preventing constipation (one of the most common complaints among women during pregnancy).

The dose and methods of using the drug during pregnancy are the same as for adults. But the course of treatment is no more than 7 days. For prevention, lactofiltrum tablets are not prescribed during pregnancy.

The effectiveness of lactofiltrum in the treatment of acne

The advisability of taking Lactofiltrum tablets for acne is considered individually in each specific case. If the problem of rashes on the face is associated with hormonal changes in the body or the action of subcutaneous mites, taking the drug will be ineffective. But if acne on the face is the result of impaired absorption of nutrients or intestinal dysbiosis, it is likely that the condition of the skin will significantly improve after undergoing a course of treatment.

It is important to remember that lactofiltrum itself is an adjuvant and cannot in any way act as the main drug. The treatment of acne requires an integrated approach, including, in addition to drug therapy, daily skin care, correction of the daily routine and change of diet. In this scheme, lactofiltrum tablets are assigned the role of a means of cleansing toxins and normalizing the functioning of the entire body.

The course of taking lactofiltrum as an adjuvant for acne is 2 weeks. The dosage remains standard - 2-3 tablets three times a day, an hour after meals. In agreement with the dermatologist, it is possible to increase the duration of the course to 4 weeks. If it is necessary to take it again, you must take a break between courses of at least 3 months.

Lactofiltrum tablets as a means for weight loss

In the fight against extra pounds, lactofiltrum can act exclusively as an assistant. The sorbent does not work as an independent means for weight loss, since it does not have the ability to break down fat cells. And the effect of losing weight is primarily due to the removal from the body of all accumulated toxins and undigested food residues. In addition, lactofiltrum tablets are needed to improve intestinal motility, normalize stools and prevent the development of intestinal dysbiosis, which is a common side effect of all kinds of diets.

If you have chosen a diet with lactofiltrum, at first it is not recommended to overdo physical activity due to possible discomfort in the abdominal area.

Together with the diet, the sorbent is taken three times a day, 3 tablets. The duration of treatment is 2 weeks. To consolidate the results obtained after completing the course, you should continue to adhere to proper nutrition plans. It is recommended that people with diseases such as diabetes, gastritis and constipation avoid taking the drug.

Tablets Lactofiltrum and dietary supplement Lactofiltrum-eco: what is the difference

Many people are interested in the question of how sorbent tablets differ from Lactofiltrum-eco powder. We will immediately answer that there are no fundamental differences, except for the release form and the difference in the dosage of active ingredients.

The fact that the latter belongs not to drugs, but to dietary supplements is explained by the nuances of legislative acts that do not allow the registration of identical products with identical names. Indications for use and therapeutic effect remain exactly the same as in the case of taking the drug in tablet form. So in this situation we are talking about a regular marketing step designed to attract new customers. By the way, this can be judged by the presence of flavorings in the powder. Thus, lactofiltrum-eco can have the taste of wild berries, peach or raspberry.

Lactofiltrum tablets as a prophylactic agent

The prescription of any drug must always be justified from a medical point of view. Sometimes even a preventive effect is an obligatory component of complex treatment of the disease. Yes and Lactofiltrum tablets are usually used for prevention as part of general therapy. Most often, the drug is prescribed when treatment with antibiotics is necessary or to prevent the development of allergic reactions.

Antibiotics are the only way to treat a bacterial infection. But along with pathogenic microflora, “magic” pills and suppositories also destroy all beneficial microorganisms that live on the intestinal mucosa. This imbalance leads to the development of dysbiosis. This results in stool upset, increased gas production, abdominal pain and loss of appetite. Against the background of dysbiosis, vitamin deficiency can also develop, which leads to the appearance of other inflammatory diseases. These unwanted side effects can be prevented by using lactofiltrum or another prebiotic.

As for allergic reactions, the cumulative effect of allergens has long been known. The more substances in the body that the immune system reacts with hostility, the higher the risk of an allergic reaction. Cleansing the body of poisons and toxins is one of the main measures in the complex treatment of allergies.. And in this situation, the use of a sorbent for prevention will be useful and completely justified. How much lactofiltrum to take should be decided by your doctor.

Lactofiltrum analogues

Lactofiltrum tablets are the only pharmaceutical product that contains both a sorbent and a prebiotic. Similar preparations combining lignin and lactulose are not produced today. Therefore, as an analogue, a simple sorbent with exclusively detoxifying properties can be offered.

All sorbents - analogues of lactofiltrum are divided into two groups:

• preparations containing lignin (polyphepan, lignosorb, entegnin, filrum-sti and others);
• products with other active ingredients, but with a similar therapeutic effect (smecta, polysorb, enterosgel, ultrafiltrum, enterumin and others).

Analogs are available in the form of tablets, powder or gel. The most suitable replacement option is selected depending on the clinical indications and the patient’s age.

Name:

Lactofiltrum

Pharmachologic effect:

Lactofiltrum refers to sorbents of plant origin, used to normalize intestinal microflora and detoxify the body (toxins, drugs, metabolic products). The drug has immunomodulatory properties. Lactofiltrum contains two active components: the prebiotic lactulose and lignin (a natural enterosorbent).

Hydrolytic lignin, being a complex organic compound resulting from the hydrolysis of wood components, is characterized by the ability to bind on its surface and retain various inorganic and organic compounds, endotoxins, exotoxins and pathogenic microflora, heavy metal salts, allergens, alcohol, drugs, as well as some metabolic products contained in excess: serotonin, bilirubin, histamine, cholesterol, urea, which can cause the development of endogenous toxicosis. Lignin is not toxic, is not absorbed into the general bloodstream, is completely excreted from the intestine within 24 hours and does not disrupt the motility and secretion of the intestinal tract.

Lactulose refers to prebiotics of synthetic origin, synthetic disaccharides, the molecule of which contains residues of galactose and fructose. Lactulose is released in the large intestine and is not absorbed in its upper sections and in the stomach. In the colon, lactulose functions as a substrate that is fermented by normal intestinal microflora, while stimulating the growth of lactobacilli and bifidobacteria. Hydrolyzing in the large intestine, lactulose forms organic acids (acetic, formic and lactic), which inhibit the growth and reproduction of pathogenic microorganisms and suppress the synthesis of nitrogen-containing toxins by pathogenic flora. By reducing the amount of nitrogen-containing metabolic products in the intestinal lumen, osmotic pressure increases, peristalsis improves, and intestinal motility is stimulated.

Utilization of pathogenic microflora and the active development of bifidobacteria and lactobacilli ensures the restoration of colon microbiocenosis, normalization of fat, protein and carbohydrate metabolism, improvement of the absorption of vitamins and microelements from the large intestine, and also reduces the intensity of the endogenous toxic state.

The use of Lactofiltrum increases local immunity, reduces the severity of symptoms of intoxication and allergic reactions.

Indications for use:

Lactofiltrum is used:

To restore normal intestinal microflora (including conditions after antibiotic therapy),

In the complex therapy of irritable bowel syndrome,

In the complex therapy of hepatitis and liver cirrhosis,

In the complex therapy of allergic diseases (urticaria, atopic dermatitis),

In the treatment of various digestive disorders caused by dysbiosis, incl. for flatulence, bloating, constipation, diarrhea, epigastric pain,

In complex therapy of chronic colitis,

In the treatment of infectious diseases of the digestive tract (salmonellosis, dysentery),

In complex therapy of hair loss, acne and other cosmetic problems,

To strengthen the immune system during seasonal illnesses.

Lactofiltrum is also prescribed for poisoning and intoxication with various substances, for infectious and viral diseases in order to accelerate the elimination of waste products of bacteria and viruses.

Method of application:

Lactofiltrum tablets are taken orally, an hour before meals or medications, washed down with water. Preliminary crushing of the tablet is allowed.

Lactofiltrum is recommended for children over 12 years of age and adults to take 2-3 tablets three times a day, children 8-12 years old - three times a day, 1-2 tablets, children 3-7 years old - three times a day, 1 tablet, children 1-3 years - three times a day, ½ tablet.

The duration of the course of therapy is on average 2-3 weeks. It is possible to prescribe repeated courses of treatment.

Adverse events:

When using Lactofiltrum, in rare cases, it is possible to develop diarrhea, flatulence, and allergic reactions to individual components of the drug.

Contraindications:

Lactofiltrum is contraindicated for use in patients with intestinal obstruction, gastrointestinal bleeding, galactosemia, or hypersensitivity to the components of the drug.

Lactofiltrum should be prescribed with caution for intestinal atony, duodenal and gastric ulcers in the acute stage.

During pregnancy:

There is insufficient data on the safety and effectiveness of using the drug Lactofiltrum during pregnancy.

Interaction with other drugs:

When taken simultaneously, the enterosorbent included in the drug Lactofiltrum can bind drugs and reduce their effectiveness, and therefore in complex therapy it is recommended to maintain an interval between taking Lactofiltrum and other drugs of at least 1 hour.

Overdose:

An overdose of Lactofiltrum may cause abdominal pain and constipation.

Treatment of overdose: drug withdrawal.

Release form of the drug:

Lactofiltrum tablets in contour packaging of 10 pcs.

In polymer bottles of 30, 60 pcs.

In polymer cans of 30, 60 pcs.

Storage conditions:

The drug is stored at a temperature not exceeding 30 °C in a dry place.

Compound:

1 tablet of Lactofiltrum contains:

Hydrolytic lignin – 355 mg, lactulose – 120 mg.

Excipients: magnesium stearate, croscarmellose sodium.

Additionally:

The use of the drug Lactofiltrum as part of complex therapy is possible subject to the rules of separate administration (the interval between taking Lactofiltrum and other drugs is at least 1 hour).

Drugs with similar effects:

Carbolongum Enterosorbentum SCN Sorbex Activated carbon tablets Tabulettae Carbonis activati ​​Atoxil

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MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION
INSTRUCTIONS
on the use of a medicinal product for medical use
LACTOFILTRUM®

Registration number: LSR-008904/08

Trade name of the drug: Lactofiltrum®

International nonproprietary name:

Dosage form: tablets

Composition per tablet:

Hydrolytic lignin (in terms of dry matter) - 355 mg

Lactulose (calculated as 100% substance) - 120 mg

Excipients:

Croscarmellose sodium - 20 mg

Magnesium stearate - 5 mg

Microcrystalline cellulose - to obtain a tablet weighing 550 mg

Description: Tablets are dark brown with white-gray inclusions, capsule-shaped, biconvex, scored.

Pharmacotherapeutic group: enterosorbent.

ATX code: A07BC.

Pharmacological properties:

The pharmacological effect of the drug is due to the properties of the active components included in the composition - lignin and lactulose.

Hydrolytic lignin is a natural enterosorbent, consisting of hydrolysis products of wood components, has high sorbing activity and a nonspecific detoxification effect. Binds in the intestines and removes from the body pathogenic bacteria and bacterial toxins, medications, salts of heavy metals, alcohol, allergens, as well as an excess of certain metabolic products, including bilirubin, cholesterol, histamine, serotonin, urea, and other metabolites responsible for development of endogenous toxicosis. Non-toxic, not absorbed, completely eliminated from the intestines within 24 hours.

Lactulose is a synthetic disaccharide, the molecule of which consists of galactose and fructose residues. Lactulose is not absorbed or hydrolyzed in the stomach and upper intestines. Lactulose released from the tablets in the large intestine as a substrate is fermented by normal intestinal microflora, stimulating the growth of bifidobacteria and lactobacilli. As a result of the hydrolysis of lactulose in the large intestine, organic acids are formed - lactic, acetic and formic, which suppress the growth of pathogenic microorganisms and consequently reduce the production of nitrogen-containing toxic substances. The described process leads to an increase in osmotic pressure in the lumen of the large intestine and stimulation of peristalsis. The complex effect of the drug is aimed at normalizing the microbiocenosis of the large intestine and reducing the intensity of endogenous toxic conditions.

The use of the drug in complex therapy of bacterial vaginosis (vaginal dysbiosis) leads to an increase in the effectiveness of therapy, including an increase in the number of lactobacilli in the vagina, as well as effective suppression of the growth of opportunistic flora.

Indications for use:

Disorders of the intestinal microflora (intestinal dysbiosis), including as a result of antibiotic therapy; in complex therapy of irritable bowel syndrome, hepatitis and liver cirrhosis; allergic diseases (atopic dermatitis, urticaria), bacterial vaginosis (vaginal dysbiosis).

Contraindications

Individual intolerance to the drug, intestinal obstruction, gastrointestinal bleeding, galactosemia. It is undesirable to use the drug during exacerbation of gastric and duodenal ulcers, intestinal atony.

Orally, if necessary, after preliminary crushing, with water, an hour before meals and taking other medications.
For intestinal dysbiosis:

Adults and children over 12 years old - 2-3 tablets 3 times a day; - children from 8 to 12 years old - 1-2 tablets 3 times a day;

Children from 3 to 7 years old - 1 tablet 3 times a day;

Children from 1 to 3 years old - 1/2 tablet 3 times a day.
For bacterial vaginosis (vaginal dysbiosis):

2 tablets 3 times a day.

The average duration of treatment is 2-3 weeks.

Long-term use of the drug and repeated courses of treatment should be carried out only on the recommendation of a doctor.

Side effect

Allergic reactions to the components of the drug are possible, rarely - flatulence, diarrhea.

Overdose

Symptoms: constipation, abdominal pain. Treatment: stop taking the drug.

Interaction with other drugs

The therapeutic effect of some drugs taken orally may be reduced.