Festal refers to enzyme preparations. It is produced in dragees, which are covered with an enteric coating. It is prescribed to improve digestion, eliminate heaviness in the stomach. But you need to know not only the indications for the use of Festal, but also its contraindications and undesirable effects.
Festal is a combination drug that normalizes digestion
Description and pharmacological properties
Description
Description of the drug Festal: the drug is available in round, glossy white dragees, on top they are covered with an enteric coating. They have a mild vanilla scent.
What is Festal? This is a combined medication, its action is due to the substances that make up the drug.
The active substances of Festal are:
- pancreatin;
- hemicellulose;
- bile.
Sodium chloride is included as auxiliary components in the preparation.
The shell contains the following components:
- cellacephate;
- gelatin;
- Castor oil;
- arovaniline;
- sucrose;
- nipagin;
- propylparaben;
- liquid grape sugar;
- talc;
- calcium carbonate;
- glycerol;
- gum arabic;
- titanium dioxide.
The drug is produced in 20, 40, 60 and 100 tablets per pack.
Pharmacology
The drug breaks down proteins, lipids and carbohydrates. The active substances are coated with a protective shell, which does not dissolve until the medicine is delivered to the small intestine, which protects the enzymes from destruction by gastric juice. The drug, when taken orally, contributes to the complete and rapid digestion of food. It stops the unpleasant phenomena that appear due to indigestion:
- excessive gas formation;
- feeling of heaviness and fullness of the stomach;
- liquid stool;
- feeling of lack of air;
- dyspnea, which appears due to the accumulation of gases in the intestines.
Festal eliminates heaviness in the stomach
The bile acids that make up the drug help to correct biliary insufficiency, which is usually observed in chronic pancreatitis.
Thanks to the bile extract included in the composition, the drug has a choleretic effect, it helps the absorption of triglycerides and fat-soluble vitamins such as tocopherol, retinol and vitamin K, and helps the pancreas secrete lipase.
The hemicellulose enzyme included in the composition helps to break down plant fiber, which facilitates digestion and reduces signs of flatulence.
Data on the pharmacokinetics of the drug are not presented.
Indications and restrictions for use
Application area
What helps Festal? The drug is prescribed for chronic pancreatitis, in which the pancreas produces an insufficient amount of enzymes and there is a decrease in the flow of bile and bile acids into the intestine. Clinically, this is manifested by indigestion, excessive accumulation of gases, and constipation.
In addition, as part of complex therapy, Festal has the following indications for prescribing:
- extensive liver damage, which occurs with cirrhosis, as a result of exposure to alcohol and toxins;
- after removal of the gallbladder, when there is a lack of bile acids;
- violation of the movement of bile acids, which can develop with dyskinesia of the bile ducts, dysbiosis, chronic disorders of the processes of digestion, transport and absorption of nutrients in the small intestine;
- violation of neurohumoral regulation of the processes of formation and separation of bile in chronic diseases of the digestive tract, such as chronic inflammation of the gastric mucosa, gallbladder, duodenum.
Festal is also prescribed to patients with normal function of the digestive system to improve digestion in case of errors in the diet, as well as in case of forced prolonged immobility, physical inactivity, chewing disorders, for example, after installing braces.
In addition, Festal is prescribed in preparation for x-ray and ultrasound examination of the abdominal organs.
Festal is prescribed before abdominal ultrasound
Contraindications
In addition to indications for the use of Festal, you need to know its contraindications. It is not prescribed if the patient has:
- individual intolerance to the drug;
- inflammation of the liver;
- acute pancreatin or chronic in the acute stage;
- elevated levels of bilirubin in the blood;
- stones in the gallbladder;
- intestinal obstruction;
- liver failure, coma or precoma;
- tendency to indigestion;
- mechanical jaundice;
- accumulation of pus in the gallbladder.
A relative contraindication to the appointment of Festal is cystic fibrosis.
The appointment of Festal during the period of bearing a child and breastfeeding
The use of Festal during pregnancy is possible with caution. The doctor should prescribe the drug in the case when the benefit to the mother outweighs the risk to the fetus. There is no data on the safety of using Festal during lactation.
Admission rules
Dragee should be taken orally, with or immediately after food. They should be swallowed whole with a small amount of water. Do not take the drug at the same time as hot food or drinks, as the protective shell of the dragee will collapse, and the effect of Festal will be worse.
Important! Despite the fact that Festal is dispensed without a prescription, self-medication is not permissible for them. The dosage and duration of therapy is determined by the doctor individually. The duration of therapy can vary from several days (in violation of the digestive processes developed due to dietary disorders) to several months and even years (in the event that the patient needs constant replacement therapy).
Before an x-ray or ultrasound, Festal is prescribed for 2-3 days before the procedure.
When taking Festal, it should be borne in mind that when administered in parallel with cimetidine, the action of enzymes is enhanced.
Against the background of treatment with Festal, the adsorption of antibiotics, PAS, sulfonamides increases, but the absorption of iron-containing drugs worsens.
When co-administered with antacids active substances, which is magnesium or calcium carbonate, the effect of the use of Festal may decrease.
Important! Do not exceed the dosage recommended by the doctor, otherwise an overdose of the drug is possible. It is manifested by hyperuricemia and hyperuricosuria. In this case, drug withdrawal and symptomatic therapy are required. There is no specific antidote.
The drug should be stored in a place where children cannot get it, at a temperature of a maximum of 25 degrees. The shelf life of the drug is 3 years, after which the drug must be disposed of.
Adverse reactions
Festal may cause the following side effects:
- nausea;
- liquid stool;
- abdominal pain, including intestinal colic;
- allergy, which can be manifested by reddening of the skin, watery eyes and sneezing, in this case, you should stop taking the drug and consult a doctor to prescribe antihistamines and adjust the further treatment regimen.
With prolonged use in high doses, hyperuricemia and hyperuricosuria may occur.
When prescribing Festal to children in high doses, they may experience irritation of the perianal region and the oral mucosa.
Analogues
Substitutes for the drug are commercially available.
A complete analogue of Festal is Enzistal. It contains the same active ingredients. Unlike Festal, Enzistal is available in enteric-coated tablets. In addition, it is allowed to appoint children from 6 years.
Enzistal is one of the analogues of Festal
Creon
A partial analogue of Festal is Creon. The active substance of which is pancreatin. Creon is produced in the form of gelatin capsules, each of which contains mini-microspheres coated with enteric shells. Gelatin capsules dissolve in the stomach, as a result, hundreds of mini-microspheres are released, which are mixed with intestinal contents and enzymes are better distributed. Creon can be used in children from birth. To do this, the capsule is opened, its contents are given to the child with water or milk. It is impossible to chew or grind mini-microspheres, since in these cases the therapeutic effect of the drug is reduced.
Unlike Festal, Creon is contraindicated only in case of individual intolerance, acute pancreatitis and exacerbation of chronic pancreatitis.
Unienzyme with MPS
Festal's analogue in the therapeutic group is Unienzym with MPS. The medicine is produced in black tablets. The active substances are:
- fungal diastase and papain - plant enzymes that facilitate the digestion and absorption of nutrients;
- simethicone - a carminative, prevents the formation of gases and destroys those that are present;
- activated charcoal - an adsorbent that removes toxins from the body, which are formed during indigestion;
- nicotinamide regulates the processes of digestion.
You can replace Festal with an analogue only after consulting a specialist, since each of them has its own indications and contraindications for use.
Festal is able to cope with discomfort in the stomach, the instructions for use will help you figure out how to take the drug for people of different ages. The tool is an effective drug that can quickly overcome discomfort in the gastrointestinal tract, improve digestion and excretion of bile acids.
Festal is included in the group of enzymes and anti-enzymes; only natural ingredients are used for the production of the drug. Festal includes the following components:
- pancreatin;
- hemicellulose;
- bile components.
Additional components are:
- titanium dioxide;
- polyethylene glycol;
- sucrose;
- acacia gum;
- gelatin;
- ethylvanillin;
- talc.
The drug is produced in the form of a dragee, 10 units are placed on a foil plate. The package contains 2, 4, 10, 6 plates, the drug is dispensed without a doctor's prescription.
Dragees differ in white color, the smell is weakly expressed. Experts did not observe unpleasant aftertastes, acid or bitterness after taking the drug.
The manufacturer of the drug is the Indian pharmaceutical company Sanofi India Limited.
pharmachologic effect
Once in the digestive system, the tool stimulates the pancreas, improving the well-being of a person. Additionally, the medication speeds up the work of the gallbladder, food is digested faster, the body receives more nutrients.
The enzyme hemicellulase, which is part of the composition, helps the gastrointestinal tract to cope with fiber, reduces the risk of gas formation. And the extract of bovine bile has a choleretic property, thanks to this ability in the human body, the emulsification of fats is accelerated, as well as the process of assimilation of vitamins and trace elements from food.
The composition of Festal includes enzymes of natural origin, this feature accelerates metabolic processes in the human body and helps to accelerate individual processes:
- lipase - breaks down fats;
- amylase - provides carbohydrate processing;
- protease - is engaged in the processing of proteins.
The components of the tablet dissolve in the small intestine, where they carry out their main therapeutic purpose, but Festal tablets and their components are not absorbed into the general bloodstream.
Indications for use
- Dystrophic diseases of the stomach, gallbladder, pancreas, intestines.
- Cystic fibrosis.
- Failure of bile acid excretion.
- Violation of the digestive processes in people leading a sedentary lifestyle, suffering from obesity.
- Diffuse liver disease, cirrhosis, toxic or alcoholic lesions of the digestive system.
- Preparation of the digestive system for x-ray examination.
Sometimes Festal is taken when chronic pancreatitis is diagnosed.
It is appropriate to use Festal as part of complex therapy, especially after resection of the stomach, pancreas, and some other operations on the gastrointestinal tract. The remedy must be used after a long feast, when signs of overeating appear - nausea, heaviness, and also to restore the metabolism of carbohydrates, fats and proteins.
The complex composition of the drug makes it effective in food poisoning.
Instructions for use
The tablet should be taken either after the complete meal, or during meals. Gnawing, rubbing is not necessary, but it is better to drink a few sips of water. Adults can take 1-2 tablets three times a day. If necessary, the dosage is adjusted, but only after consultation with an experienced doctor.
The drug can be given to children, but only if absolutely necessary and after consultation with a specialist.
The course of treatment is determined individually in each case, according to the doctor's recommendations, it lasts no more than a week, and in some cases, the drug is completed in a month.
In case of removal of the pancreas, the patient is required to take Festal tablets for life.
On the eve of an ultrasound or X-ray examination, you need to take 2-3 tablets 3 times a day.
It is not forbidden to use Festal after taking alcohol. The tool is not able to influence the psyche and reaction of the patient, so doctors do not forbid people to drive a vehicle or perform important work in production while undergoing treatment with this drug.
With caution, dragees should be taken by patients with cystic fibrosis. The dosage should exactly match the amount of food used.
Special precautions
Do not use this enzyme preparation for the following disorders
- liver disease;
- acute pancreatitis;
- intestinal obstruction;
- hepatitis;
- jaundice;
- empyema of the gallbladder;
- chronic pancreatitis during an exacerbation;
- hypersensitivity to the agent, its individual components;
- children under three years of age.
Rules for taking the drug during pregnancy
Festal tablets are allowed to be used during pregnancy, but only after consulting a doctor. In the instructions for the drug, the manufacturer indicates that the drug can be taken by nursing mothers in cases where the benefit to the mother is greater than the danger to the baby.
Cases of pathologies of pregnancy or fetus as a result of the use of Festal have not yet been found.
Festal should be combined with other medications with caution. The tool is able to enhance the absorption, the effectiveness of the following drugs:
- sulfonamides;
- PASK;
- antibiotics.
The following medicines can worsen the effect of Festal:
- antacids;
- preparations containing magnesium hydroxide;
- medicines containing calcium carbonate.
Patients should adhere to a two-hour break between medications.
Overdose and adverse reactions
Cases of overdose with Festal are unknown to medicine, but doctors do not deny the likelihood of such a situation. If the dosage of the drug is significantly exceeded, the patient has an excess amount of uric acid.
First aid for drug overdose includes the following actions:
- gastric lavage;
- performing a cleansing enema;
- the use of adsorbents, antiallergic drugs.
In particularly difficult cases, the patient should be treated in a hospital. He was recommended infusion therapy, symptomatic treatment.
Side effects after using Festal are rare, but they may appear if the drug is taken incorrectly or if the doctor's recommendations are not followed:
- Digestive system - often there is nausea, diarrhea, pain in the intestines (colic), increased gas formation, irritation of the oral mucosa.
- Hematopoiesis: an increase in plasma volume of uric acid.
A striking side effect is an allergic reaction.
Skin rashes and itching of the affected areas - they disappear after stopping the use of the drug or after taking antihistamines.
Angioedema - treated only permanently.
Anaphylactic shock is the most difficult variant of an allergic reaction and requires emergency care. There have been no cases of anaphylactic shock after using Festal.
The cost of the drug and its analogues
The cost of the drug depends on the number of pills in the package and the pricing policy of the pharmacy itself. A package with pills will cost about 125-140 rubles for a pack of 20 pills, 210-234 rubles for a pack of 40 pills, 600-616 rubles for 100 pills.
Drugs similar in composition, which are also available in pharmacies today, are:
- Mezim forte is a German version of an enzyme preparation, it costs about 210 rubles per pack.
- Pancreatin - produced in Ukraine, costs about 50 rubles per plate of 10 pieces.
- Microzim - manufactured in Russia, its cost is 140 rubles.
Other drugs that can replace Festal are:
| A drug | A photo | Price |
|---|---|---|
| Specify | ||
| From 145 rubles. | ||
| From 71 rub. | ||
| From 303 rub. |
Storage conditions of the drug
It is necessary to store dragee Festal in a dry and dark place. The temperature should not exceed 25 degrees. Shelf life - 3 years from the date of production. The product should not be used after its expiration date.
If the pills have changed color, do not take the drug. The reaction of the body in this situation is unknown to physicians. In addition, it is necessary to pay attention to the integrity of the packaging. It must not be damaged, the color of the packaging must be even, without streaks.
Video: Gastrointestinal diseases
Festal belongs to a series of enzyme (enzymatic) medicines, which include substances that help speed up and improve the digestive process. Instructions for the use of Festal dragees contain information for patients, medical personnel, which needs to be read before starting therapy.
The instructions include information about the price of the medicine, customer feedback, comparative characteristics with one of the analogues, a description of the rules for the use and use of the drug Festal.
Release form and composition
Contraindications
According to the instructions, Festal is contraindicated for treatment in the presence of the following factors and pathologies:
- Children's age less than three years;
- Excessive susceptibility to the constituent elements of the drug;
- Liver failure, encephalopathy;
- Increased content of bile pigment in the blood, Gospel disease;
- Acute form of pancreatitis;
- In the presence of stones in the gallbladder, its ducts;
- Intestinal obstruction;
- Acute inflammatory process in the gallbladder;
- Predisposition to diarrhea;
- Hepatitis;
If there are indications, as prescribed and under the supervision of a doctor, Festal is used by women during pregnancy and breastfeeding (lactation), as well as patients with hereditary pathology - cystic fibrosis.
Method of application and dosage
Despite the fact that both drugs belong to the enzymatic group of drugs and have the same therapeutic effect, they still have some differences. The choice should be made in favor of the one that is more suitable for its intended purpose, to which there are no contraindications.
You should carefully study the instructions for both drugs, in order to avoid the manifestation of unwanted reactions from the body. The OTC status of Festal and Mezim does not mean that you can self-medicate, especially for children. Before taking enzyme preparations, a doctor's consultation is required.
| Similar properties | ||
|---|---|---|
| The active element of both enzyme medicines is pancreatin, which has a positive effect on the functioning of the digestive system. | ||
| Taking enzyme preparations Festal and Mezim is contraindicated for children under three years of age, with an acute form of pancreatitis. | ||
| Future mothers and those with HB can drink enzyme medicines as directed by a specialist and only under circumstances where the perceived danger to the child (fetus) outweighs the benefit provided to the mother. | ||
| For a child, the dosage, the course of treatment with Festal, Mezim is calculated and prescribed by the attending physician. | ||
| Festal and Mezim have the same therapeutic effect - aimed at improving the processes of digestion. | ||
| Differences | ||
| The secondary components of Festal (hemicellulase, bile acids), which are absent in Mezim, have an additional active effect in the digestion of fats and fiber. | ||
| According to the instructions, Mezim is prohibited for patients with glucose-galactose malabsorption. | ||
| Even with prolonged use of Mezim, the development of undesirable effects in people with pancreatic dysfunction has not been identified. There may be single cases of allergy manifestations while taking pancreatin. Rarely: - Constipation; - Diarrhea; - Nausea. |
||
| In patients with cystic fibrosis, after the use of the drug, an increase in trioxypurine in the blood plasma, stenosis in the ileocycal region, and the large intestine may occur. | ||
| A drug | Festal | Mezim |
| The form | Rounded dragees with a light vanilla aroma. | Pinkish, flat-cylindrical tablets with a characteristic aroma of pancreatin. |
| How to use? | Adults drink one or two tablets three times a day during or after meals. | For adults, a single serving is two to four tablets per meal. It is recommended to drink a couple of tablets at the beginning, the rest in the process of eating. |
| Price | From 50 hryvnia. From 100 -600 rubles. (the cost of Festal is determined by the form of release). | From 50 -90 hryvnia. From 80-300 rubles. (the price depends on the number of tablets in the package). |
| Manufacturer | India (Festal Neo - Ukraine). | Germany. |
| Festal's analogues, Mezima. | Ipental, Enzistal, Panstal, Pankral, Menzim, Digestal. | Ermital, Zimet, Mikrazim, Pancreon 10000, Triferment, Festal N, Enzibene. |
All chronic diseases of the stomach disrupt the functioning of the gastrointestinal tract. Medicines with enzymes will help to eliminate this problem and restore bowel function. The drug Festal refers to enzymatic agents. Instructions for use Festal contains complete information on the composition and dosage of the product.
The medicine is produced in the form of a white dragee, with a shiny protective film and a slightly vanilla smell. The main components of the tool are:
The excipient in tablets is physiological saline. The shell of the drug in its composition has:
- cellulose;
- ethylvanillin;
- Castor oil;
- methylparaben;
- sucrose;
- titanium dioxide;
- glycerol;
- macrogol.
The product is available in aluminum foil strips of 10 tablets each. Before buying a medicine, pay attention to the expiration date of the drug. Also, for the presence of instructions for use in the middle of the package and check the integrity of the strips where the tablets are packed.
If possible, ask the pharmacist for a certificate for the right to sell the medicine in Russia. Festal medicine is manufactured in India and passes more than one customs check and control. Only the original drug, which contains in its composition all the components necessary for treatment, will help improve digestion and normalize the functioning of the pancreas.
It helps to normalize the work of the pancreas, which produces a special secretion for the normal digestion of food. It also compensates for the insufficiency of the biliary function of the liver. The substances that are part of the drug accelerate the process of digestion of carbohydrates and proteins, and also help them to be completely absorbed in the small intestine.
The hemicellulase enzyme found in the tablets speeds up the process of digestion of vegetable fiber and thus increases the digestive action, reduces the formation of gases in the intestines.
Also, a unique enzyme in the drug Festal is an extract of bovine bile. It has a choleretic property, increases the emulsification of fats and the absorption of fat-soluble vitamins, increases the active processes of lipase. It is this substance that is part of the tablets that distinguishes Festal from all its analogues.
Indications
What helps Festal? The medical device is shown:
- For the treatment of insufficient production of pancreatic secretion.
- It is prescribed for diseases such as chronic pancreatitis and cystic fibrosis.
- Also, tablets are prescribed for chronic and degenerative diseases of the stomach, liver, gallbladder and intestines.
- Dragees are considered quite effective in complex use with other drugs after resection or irradiation of the stomach, gallbladder, intestines, which are accompanied by digestive pathology, diarrhea, and bloating.
- In addition, the medicine can be used after a heavy meal, where symptoms of overeating are present. Then in an hour you will feel an improvement in your condition, the food will begin to digest quickly and you will be able to continue the banquet in a good mood.
- Due to its complex composition, Festal helps to eliminate poisoning problems.
- The medicine will be able to restore the metabolism of proteins, fats and carbohydrates.
Contraindications
There are several diseases in which Festal is contraindicated. List of those:
Instructions for use
The tablet should be taken with meals or at the end of a meal. You need to drink the product with a small amount of water, without chewing. For the adult population, dragees are prescribed in a dosage of 1 or 2 tablets three times a day. If necessary, the dose can be increased, but only on the advice of a doctor. In childhood, the medicine is prescribed only on an individual basis and as needed.
The course of treatment with tablets lasts from several days to several months. It all depends on the course of the treatment process and its positive therapeutic effect. There are patients who are prescribed the drug for life as a replacement therapy. Often, the medicine is used in preparation for an x-ray of the stomach or intestines, as well as before an ultrasound examination.
The dose of the drug is 2 tablets 3 times a day. The course takes two or three days. After such careful preparation for the procedure, the doctor will be able to clearly examine the internal organs in the absence of bloating. If in a few days the medicine does not bring the desired therapeutic effect, then you need to contact a doctor who will conduct a thorough examination and prescribe an additional group of drugs.
Photo: Pregnancy and breastfeeding
The drug Festal is prescribed during gestation and breastfeeding only in special cases, when the intended benefit to the mother outweighs the potential risk to the fetus.
Interaction with other tools
When Festal is taken together with the drug PAS, sulfonamides, antibiotics, their absorption increases. The absorption of iron-based products may also be impaired.
Simultaneous administration with antacids, which contain calcium carbonate or magnesium hydroxide, reduces the effectiveness of Festal.
drug overdose
Science does not know cases of drug overdose. Only in exceptional cases, when the remedy falls into the hands of a child and a high dose of the medicine has been drunk, in this case poisoning may occur. Here it is necessary to provide the victim with first aid.
First of all, you need to rinse the stomach and put a few cleansing enemas. Then - give the adsorbent a drink. In more severe cases of poisoning, the child should be hospitalized in the department and treatment should be continued there under the supervision of specialists.
In a hospital setting, infusion therapy and other groups of drugs are connected to help cope with the symptoms of poisoning. Therefore, it must be remembered that all medical supplies must be stored away from children in a specially closed first-aid kit or box.
Festal tablets, when taken, can cause some side effects:
- On the part of the digestive system: epigastric pain, diarrhea, nausea, vomiting, decreased synthesis of bile acids.
- Increased levels of uric acid in blood plasma.
- Hyperuricosuria.
- The occurrence of an allergic reaction.
Allergy is a very serious condition that requires immediate attention. Otherwise, the reaction can lead to serious complications and even death. If allergy symptoms occur, an antiallergic agent should be taken. In more extensive forms of allergy, an antiallergic agent is administered intravenously under the supervision of a specialist.
Rash and itching on the skin are not all manifestations of a reaction to the drug. In rare cases, Quincke's edema or anaphylactic shock may begin. The patient is immediately transported to the hospital and provided with emergency care in this condition. After carrying out all measures to eliminate the allergic reaction, the patient remains under the supervision of medical personnel for several more days.
Many allergies are fraught with relapse, which can cost a person their life. Before starting treatment, you should always carefully study the instructions for using the medication, where all contraindications and side effects are clearly indicated. Sometimes allergies can be cumulative and appear after a few days of treatment.
The patient must remember that he had an allergic reaction to Festal's reception and inform the local therapist about this, who will record these data in the patient's individual outpatient card. Only by the joint efforts of the patient and the doctor can a serious complication be avoided, which causes an allergic reaction.
If the patient has a history of cystic fibrosis, the dosage should correspond to the quantity and quality of the food that he took. The medicine is sold in a pharmacy without a prescription. Store the tablets in a dark and dry place, at a temperature not exceeding 25 degrees.
Application in childhood
For children, the drug is prescribed only on an individual basis and only strictly according to the doctor's prescription.
There are several analogues of the drug that have an identical composition and purpose. One of the popular substitutes is Mezim. What is better Festal or Mezim - the doctor will tell in detail, taking into account the individual characteristics and diagnosis of the patient. Both are pancreatic.
They also have the same composition and both of them are involved in the digestion of food. The composition of Festal and Mezim includes three main components that help in the metabolism of carbohydrates, fats and proteins. The difference between Festal and Mezim is that it still contains bile, which can cause allergies in the patient. There is no such substance in Mezima.
More drugs differ in the form of release. Festal is produced in the form of a white dragee, protected by a special shell. It does not dissolve until it reaches the small intestine, that is, the active ingredients of the drug are not destroyed by exposure to an acidic environment.
Mezim is available in pink tablets, without a special shell, so it can begin its therapeutic effect right in the intestines, which may not alleviate the patient's condition later.
Also, the difference between Mezim and Festal is in price. Mezim costs more than Festal. This is due to the constant advertising of the drug on TV, and not its medicinal data.
- Festal in a dragee - 137 rubles;
- - 210 rubles;
- Pancreatin - 50 rubles;
- Microzim - 140 rubles;
- Gastenorm forte - 60 rubles.
All these analogues have the same active ingredients and indications for use as Festal. They eliminate discomfort in the stomach in a short period and contribute to the rapid digestion of food. It is impossible to switch from one medicine to another without consulting a specialist. All this can lead to serious complications.
