Pancreatitis is a serious illness requiring urgent medical attention and treatment, in order to avoid complications, and sometimes even death. Treatment of pancreatitis, as a rule, is performed in the hospital of the surgical department. Drug therapy is primarily aimed at eliminating the primary cause, which served the development of the inflammatory process in the pancreas, as well as:
- cupping of the pain syndrome;
- restoration of digestive function( compensation of enzyme deficiency, restoration of intestinal microflora and its motor-motor function);
- indemnification of endocrine insufficiency;
To achieve these goals, a number of new and well-known drugs for the restoration of the pancreas, well proven. When treating doctors using several groups of medicines.
Spasmolytics and analgesics
This group of medicines includes both pure preparations whose action is directed only at removal of spasms of muscular musculature of the intestine( No-shpa, papaverine) and mixed medications, which, in addition to antispasmodics, include anesthetic( atropine, gastrocepin, platifillin).
When attacks of chronic and acute pancreatitis drugs primarily aimed at removing the pain syndrome - this is one of the first tasks to be solved by doctors. Drugs prescribed in this case are selected taking into account the intensity of the pain syndrome - it can be both analgesics( baralgin, pentazocine) and narcotic analgesics( promedol, tramal).
Enzymes
These drugs designed to restore the pancreas, containing enzymes, can compensate for digestive dysfunction in pancreatitis. The appointment of enzymes should be done by a doctor, based on the indications of the course of the disease. Fermento-containing preparations are different in their composition and action:
- contains bile in addition to digestive enzymes( Enzim Forte, Ferestal, Festal).These drugs, which have a high therapeutic effect, are contraindicated in patients with pancreatitis with concomitant or chronic diseases of the gastrointestinal tract: gastritis, cholelithiasis and ulcer disease.
- the composition of the drug includes only enzymes( Pancreatin, Mezim);When these drugs are taken, a positive therapeutic and recovery effect is observed. But their prolonged use can aggravate the dysfunction of the pancreas, so the medicine and the period of its use is determined by the doctor.
Antacids
In case of pancreatic disease accompanied by exocrine insufficiency, pain and dyspeptic syndrome are observed. In its treatment, in addition to enzymes, antacids are often used - drugs that suppress the release of hydrochloric acid by the stomach.
Phosphalugel, Maalox, Almagel and other alkaline suspensions are able to reduce the acidity of the gastric environment, thereby reducing the number of destroyed enzymes in the stomach. Also, the use of antacids provides functional rest to the gland, which positively affects its recovery.
In addition to antacids in the complex therapy of the treatment of the disease, auxiliary drugs are often prescribed for pancreatitis, which eliminate negative symptoms in the gastrointestinal tract and the body as a whole: diarrhea and dysbacteriosis( Hilak Forte, Smecta), intoxication( activated charcoal, new Enterosgel preparation), violationmotor function of the intestine( Trimedat) In practice, a complex medical therapy selected by a specialist can cure a complex and dangerous disease of pancreatitis, restoring the basic functionsof the pancreas.
What antisecretory drugs to take with pancreatitis?
Currently, as an antisecretory drug for the treatment of pancreatitis, IPPs and H2-receptor blockers of histamine are most often used. In the group of PPI, the most popular drugs are Rabeprazole and Lansoprazole, in the group of H2-histamine agonists - Famotidine. IPP-drugs are considered more sparing and effective in the treatment of various inflammatory processes of the pancreas, which is explained by a special mechanism of their action, which is aimed at suppressing the processes of secretion of hydrochloric acid.
Another important antisecretory drug for the treatment of pancreatitis is omeprazole. This medicine, according to professional gastroenterologists, is very effective in eliminating abdominal syndrome and can significantly reduce pain in the pancreas in patients whose development rate has reached chronic heights.
Proton pump inhibitors are considered to be the optimal choice for the treatment plan for a patient with pancreatitis and are prescribed in almost all cases except for some individual moments.
What are phytopreparations prescribed for pancreatitis?
The most popular phytopreparations for the treatment of pancreatitis are considered to be some drugs from the class of anticholinergics( Pirenzepin or anticholinergic Buscopan) and inhibitors( Rabeprazole, Omeprazole, etc.).Despite some negative side effects, the medical treatment of inflammatory processes of the pancreas with these agents is quite effective.
Cerucalum and Duspatalin are prescribed as medications that eliminate such regularly manifested conditions as nausea and vomiting. Of particular importance is the use of enzyme-class medicines, the action of which is directed to the treatment of exocrine pancreatic insufficiency. These include Enzistal, Festal, Digestal, etc. In addition, recently the medical industry has begun to produce new enzyme drugs - Lycreas, Pancitrat and Creon. These drugs are prescribed to patients with normal acidity and are able to prevent the emergence of many dangerous symptoms of pancreatitis. Phytopreparations are also recommended for use in the prevention of disease.