Pregnancy is a wonderful but rather whimsical period in a woman’s life: when viewed from the aspect of drug therapy, with a wide range of possible problems, there are only a small number of drugs that are allowed to be used to eliminate them. Digestive upset is one of the most frequent and initial disorders in a woman’s health during pregnancy. One of the most popular and effective means to improve digestive processes today is a drug from the group of enzyme products - Festal. Perhaps the same woman has repeatedly had to resort to this remedy before, but is it possible to take Festal during pregnancy? Are there any restrictions and contraindications and how to dose it?
The state of the digestive system in women during pregnancy
During gestation, the female body undergoes a lot of changes (both external and internal), the main systems rearrange their work, the hormonal and emotional background changes - all this directly affects the digestive processes, manifesting in the form:
Such a symptom complex can be aggravated with a woman already has diseases of the gastrointestinal tract and with improper nutrition.
Violations of the production of digestive enzymes by the pancreas, stomach and intestines lead to a decrease in appetite, nausea, spasms throughout the gastrointestinal tract and an increase in gas formation.
Description and characteristics of the drug
Festal is a multicomponent preparation, which includes pancreatin, hemicellulose and bile components as the main substances. The list of active components determines the main directions of the Festal's action: in addition to filling the lack of digestive enzymes, bile enters, which determines the effectiveness of the drug in violation of the secretory function of the pancreas and bile secretion of the liver.
As a result of the normalization of the work of these basic mechanisms of digestion:
- symptoms that cause uncomfortable symptoms are reduced,
- digestion of incoming food improves
- the number of enzymes increases and, as a result, their ability to break down nutrients into elementary substances — proteins, fats and carbohydrates — is restored, and their absorption is also increased.
Festal: indications for use during pregnancy
Instructions for use warns that the drug in the gestational period must be taken with caution. This category of restrictions carries the meaning that Festal during pregnancy can only be prescribed by a doctor after the ratio of the expected benefits of taking the drug to the possible risks that affect the fetus.
Indications for the appointment of Festal during pregnancy are similar to the general ones:
- pancreatic insufficiency,
- violation of the processes of bile formation and bile secretion, circulation of bile acids,
- unbalanced diet while maintaining normal functions of the gastrointestinal tract, etc.
Side effects and contraindications
Contraindications to the use of Festal:
- intolerance to the components of the drug,
- diseases and disorders of the normal functioning of the liver and pancreas: acute and chronic pancreatitis, liver failure and its coma, hepatitis, jaundice of various etiologies, gallstone disease, etc.,
- frequent occurrence of diarrhea.
Important is the fact that Festal affects the absorption of iron in the body. Iron deficiency anemia is one of the frequent pregnancy events, due to which a woman is forced to take drugs containing it. Due to the fact that Festal will reduce the intake of iron ions, the combined use of these two drugs can also be attributed to contraindications.
When applying, the following side effects of Festal are possible:
- hypersensitivity to the constituent components, manifested in the form of redness of the skin, sneezing, increased lacrimation, itching, the occurrence of urticaria, angioedema,
- dyspeptic disorders: vomiting, nausea, diarrhea, cramps in the muscles of the gastrointestinal tract (colic),
- increased uric acid in the blood.
Pregnancy and digestion
In the first trimester of the term, the female body produces the hormone progesterone, the task of which is to reduce the motor activity of the uterus and prevent miscarriage. But the action of this hormone negatively affects the state of the digestive system. Sometimes this is manifested by a decrease in the level of acidity of the stomach, which leads to bloating, constipation, heartburn, nausea. Women complain of a feeling of heaviness in the stomach, without even overeating. Such problems affect the emotional state. After all, pregnant women worry at the slightest occasion, become irritable, suspicious. In such cases, doctors recommend future mothers to take enzyme preparations. Such medications help break down fats and absorb carbohydrates, proteins. However, not all enzyme medicines are approved for use during pregnancy.
Briefly about Festal
It is a safe drug containing amylase, lipase and protease (enzymes). These substances are involved in the digestion process and catalyze the digestive organs' own production of enzymes.
Indications for taking the medicine are chronic diseases of the digestive system, cystic fibrosis, disruption of the digestive tract as a result of resection or irradiation of the peritoneal organs.
The state of the digestive system during pregnancy
In the first trimester of pregnancy, a huge amount of the hormone progesterone is produced by the ovaries in the body of a woman. The task of this hormone is to smooth out the muscles of the uterus, reducing its motor activity, thereby preventing an arbitrary miscarriage characteristic of this stage of pregnancy.
However, such an effect on the uterus cannot but affect the state of the digestive system. Their muscular muscles also come under the influence of hormones, which leads to small changes in their work. Such a large production of progesterone in some cases causes a decrease in the acidity of the stomach, and this directly affects the digestion process.
All this causes constipation, bloating, gas, heartburn, nausea, vomiting, heaviness in the stomach, etc. And in order to avoid such problems, which greatly affect the emotional state of a pregnant woman, doctors recommend periodically taking enzyme preparations that contribute to the rapid breakdown and absorption of proteins, fats and carbohydrates.
But not all such drugs can be taken during pregnancy, since most often this condition is a contraindication to taking medications. But not Festal. It can be taken by pregnant women, and at all stages. But how does it affect the fetus and will the use of this drug affect the development of the child in the future?
Festal is a safe medicine, which contains enzymes (lipase, protease, amylase) that are involved in the digestion process and provoke the digestive system to independently produce the enzymes necessary for digesting food.
But, despite its safety, Festal during pregnancy can be taken only in cases where the benefit of the mother exceeds the potential harm to the fetus.
In other words, its reception is possible only when a pregnant woman feels very ill and cannot cope with this problem in other ways (we establish a diet, proper nutrition and traditional medicine).
However, you can not take Festal on your own without the knowledge of a doctor. Since during pregnancy, the body can unpredictably react to drugs, even those that have previously been successfully taken and have only been beneficial.
And besides, flatulence can occur not only due to an upset digestive system, therefore, consulting a doctor on this subject is a must.
Indications and contraindications
Festal can be taken with diseases and conditions such as:
- chronic pancreatitis in the stage of persistent remission,
- chronic diseases of the digestive system,
- resection or irradiation of the peritoneal organs, which entailed a violation of the functionality of the digestive system,
- cystic fibrosis.
Like any medicine, Festal can not be taken in all cases, since it has a number of contraindications, which include:
- chronic pancreatitis at the stage of exacerbation,
- acute pancreatitis
- severe diseases of the liver and biliary tract,
- bowel obstruction,
- acute diseases of the gastrointestinal tract.
If a pregnant woman suffers from anemia and takes iron-containing drugs, it is better to refuse the use of Festal, since it reduces the body's ability to absorb iron.
Also, do not use drugs that reduce the acidity of the stomach and Festal at the same time, since in this case the effectiveness of the second one decreases and the benefits of taking it will not be observed.
The drug is taken with meals. The dosage is determined by the doctor in each case individually. If suddenly during a meal a woman forgot to take pills, this can be done immediately after a meal.
The benefits of the drug and possible harm
Festal during pregnancy is an excellent wand - a lifesaver. This is a small tablet - dragee coated with a white or pink shell with a sweetish taste. These pills contain a special protein that controls the work of all chemical reactions in the body. It depends on how the digestion process works and how nutrients are absorbed.
In the drug Festal, the main active ingredient is pancreatin, which contains all the pancreatic enzymes. More tablets contain bile extract and hemicellulase. These components help digest beneficial substances and contribute to the course of digestion.
All components of the tablets act on the body in different ways:
- improve digestion,
- amylase promotes the breakdown of carbohydrates,
- protease breaks down proteins, and lipase fats,
- helps to digest excess fat bile extract, it helps the absorption of vitamins that are soluble in fat,
- the hemicellulase enzyme breaks down fiber and prevents the formation of gases.
The Festal tablet dissolves only in the duodenum, it is in this intestine that its action begins. Due to its shell, it is protected from gastric juice.
All components of Festal accelerate the digestion process and help stimulate the production of bile and personal enzymes. Thanks to them, the pancreas works better and its own enzymes are produced faster. All substances are natural, so they can not harm the baby. The components of Festal are not absorbed into the blood and act only in the intestines.
Indications for use and contraindications
Usually, Festal is prescribed to expectant mothers if they do not have enough enzymes in the pancreas, liver and intestines. Festal is a replacement therapy for this problem. You can also drink it in case of overeating and lack of movement.
Festal is prescribed for many violations of the digestive tract. It is prescribed for pregnant women according to the following clinical picture:
- if there is a dysfunction in the chronic form of the pancreas,
- with indigestion and bloating,
- with flatulence,
- during chronic stool disorders,
- for the prevention of diarrhea.
Often, in women, the digestive organs are squeezed by the uterus, there is toxicosis, from which the digestive process is disturbed. From these problems, this drug will also help. More on toxicosis in early pregnancy >>>
In addition to the testimony, Festal also has side effects. The drug can increase constipation, is able to accumulate uric acid in the blood and urine. With hepatitis, acute forms of gastritis and pancreatitis, with bowel obstruction and diabetes mellitus, Festal should not be taken.
Festal during pregnancy is contraindicated in women with anemia, it impairs the digestibility of iron.
It can also not be taken with high blood pressure and cholelithiasis and impaired liver function. Side effects, such as an allergic reaction, nausea, abdominal pain, and tearing, are rare.
Dosage and route of administration
Tablets should be taken with food or immediately after it, washed down with warm water. It should be enough for the drug to enter the duodenum. Pregnant women can take one tablet at a time. You cannot chew, crush, or divide it.
The dosage of the drug depends on the symptoms, mainly 3 tablets per day. In acute and severe pain, as well as in case of advanced disease, the dosage is increased at one time to 2 tablets.
In time, treatment takes several days, and sometimes it can be several months, it all depends on the severity of the disease. But for pregnant women, this treatment is not suitable. The doctor may prescribe an individual dosage.
If you have problems with nutrition, it is enough to take a pill once, but sometimes you need to take them in this case for several days. With chronic pathologies of the digestive tract, Festal is taken for a long time.
Festal during pregnancy in the early stages is better not to use. The beginning of pregnancy is the time when the laying of the main organs and systems of the baby takes place and 100% safe drugs do not exist.
Emerging problems with the gastrointestinal tract in the first trimester of pregnancy are best corrected through a change in their diet. This will benefit both you and the baby.
For more information about proper nutrition, see the e-book Secrets of proper nutrition for a future mother >>>
In the second trimester Festal is prescribed for bloating, flatulence and various digestive problems. The dosage of the medicine is selected by your doctor based on the clinical picture.
In the last trimester pregnancy, the drug is prescribed in case of chronic constipation and in case of danger of intoxication in the body. And only if, in addition to Festal, other similar drugs do not help.
Now you know whether it is possible to drink Festal during pregnancy and for yourself you will make a certain conclusion.
It is best to do without medication during pregnancy, or use short courses of treatment.
Features of the state of the digestive organs during pregnancy
Getting under the influence of hormones, the smooth muscles of the gastrointestinal tract are forced to reduce tone, relax, become less active. In this regard, the acidity level of the stomach decreases, food in the intestines begins to move very slowly, a pregnant woman experiences bloating, flatulence, constipation, nausea, heartburn, and vomiting.
To intensify the work of the stomach and intestines, doctors recommend using folk remedies, lead an active lifestyle, monitor your diet, including as many cereals, vegetables and dairy products as possible, or take enzyme preparations.
As for this group of medicines, the most safe for pregnant women is considered Festal. Pregnant women tolerate the drug very well, the drug has a quick and effective effect, breaking down proteins, fats and carbohydrates and facilitating their absorption by the body.
The opinion of doctors
Describing the Festal as one of the optimal means for normalizing and supporting the work of the gastrointestinal tract, medical representatives, however, do not advise pregnant women to take the medicine on their own.
Pregnancy is the period when a woman is deprived of the right to make decisions related to the choice of medicines. Let the instructions say that the product is completely safe, doctors are sure that there are no completely safe pills for pregnant women. The body has changed so much that it may not accept as harmless any medicine that was previously familiar.
Therefore, with all the problems, no matter how insignificant they may seem pregnant, you need to contact your doctor. He will make a decision on the necessity of using Festal only after a detailed analysis of the state of the pregnant woman’s body and taking into account all her complaints.
In the event that it is possible to normalize the digestive tract by adjusting the diet of the pregnant woman, a decision will be made in favor of changing the diet. The doctor may prescribe Festal in case of failure of other methods of treatment.
The composition and effect of the drug
The active substance of Festal is pancreatin.
Excipients - hemicellulase and bile components, necessary for the digestion of coarse food fibers and the absorption of fat-soluble vitamins.
The peculiarity of the constituent components of the Festal is that they contribute to the activation of the body's own enzyme system and acts on two levels:
- provides the body with the missing enzymes
- makes the pancreas work actively and produce its own enzymes.
The components of the drug are not absorbed into the bloodstream and act exclusively in the intestinal lumen.
For the human body, Festal is safe, but it must be taken with great care during pregnancy - there is still a risk of harming the fetus. Therefore, it is recommended to use Festal during pregnancy only under the guidance of the attending physician.
How to take Festal during pregnancy
The form of the drug is tablets, which must be taken with food, washed down with a sufficient amount of warm still water.
In the event that the pregnant woman for some reason did not take the pill with food, this should be done immediately after eating, while the digestive process lasts.
The number of tablets per dose is 1-2, the number of doses per day is no more than three. The need for more frequent use of the drug is discussed by the pregnant woman with her doctor on an individual basis.
Isolated cases of errors in nutrition (overeating) require a single dose of the drug.
To correct the effects of hormones or a violation of the diet, Festal is taken within a few days.
But when it comes to chronic diseases, the use of the drug can be very long, or even life-long.
Indications for appointment
The main problem of pregnant women is overeating. At a certain stage of pregnancy, the appetite rises so much that the woman is ready not to crawl out from the table. And in this case, you must be able to limit yourself, despite the stereotype that a pregnant woman should eat for two.
It does not work out, so the first reason for appointing Festal to pregnant women is the failure of the stomach due to the excessive amount of food consumed.
Other important indications:
- bloating, digestion disorders in chronic pancreatitis and insufficient pancreatic enzymatic function,
- chronic diseases of the digestive system,
- violation of the processes of formation and separation of bile,
- violation of chewing function,
- sedentary lifestyle.
- Acute pancreatitis
- hypersensitivity to the components of the drug,
- diarrhea or tendency to it,
- obstruction of the stomach.
Pregnant women should also take Festal with caution because of the risk of allergic reactions. A banal rash on the skin can only be considered in a non-pregnant state, and that is not always the case. The pregnant body does not easily tolerate allergic reactions, in addition, they cannot but affect the condition of the fetus.
Modern medicine knows a lot of cases of congenital allergies, and a considerable part of them occurred due to the rash taking of medicines by mothers during pregnancy.
Appointment is possible, but undesirable, since contractile activity of the stomach can harm the fetus and provoke a miscarriage. For digestive disorders, a pregnant woman is advised to change the diet and use folk remedies. Festal is prescribed if other methods have been ineffective. The use of the drug should be very careful and be accompanied by medical advice and supervision.
Can I take the festival during pregnancy?
It is necessary to warn you that although the festival is allowed for use during pregnancy, do not get carried away very much. Festal may cause some allergic reactions. The body of a pregnant woman is already very susceptible to allergies. In addition, the use of festa can cause inflammation of the oral mucosa. And in general it is difficult to predict what reactions a pregnant woman can have even to a proven drug that she took many times before pregnancy. Be careful. Just in case, consult about your festival with your doctor.
Mode of application
Drink dragee fest with ordinary water. Keep in mind that the dragee dragee is coated with a special coating that prevents the dragee from dissolving in the mouth or stomach. The festival shell dissolves only in the intestine. This is where enzymes should work. If you blow up the pill of the festival or crush it, then the enzymes will be inactivated in the stomach, there will be no sense from taking it.
To improve digestion, be aware that food should not be cold. Digestive enzymes, both your own and those that are in the pill of the festival, work only at body temperature. Therefore, if the food is cold, the enzymes will not process it until it is warmed up. Enzymes are destroyed at temperatures above fifty degrees. Therefore, do not eat too hot food. Following these simple rules will help you ease the work of your stomach. Indeed, during pregnancy, he is not so sweet anyway.
Festal: possible or not
If dietary fractional nutrition, compliance with the regimen, and folk remedies do not help, the doctor may advise taking medications containing enzymes necessary for establishing digestion.
“Festal” is produced in enteric-coated tablets. The main active ingredient of the drug is pancreatin. The structure of "Festal" includes such enzymes:
The use of a medicine leads to an improvement in the breakdown and assimilation of foods that contain fats, proteins, carbohydrates and plant substances.
"Festal" can be prescribed for problems with digestion, with the work of the pancreas, flatulence, irritable bowel syndrome, diarrhea, and heaviness in the stomach.
"Festal" in the early stages
As you know, you should exclude the use of any medications in the first trimester. Indeed, it is at this time that the formation of vital organs and systems of the unborn baby takes place. Therefore, any intervention in this process and the penetration of unwanted substances through the placenta can lead to the development of anomalies and defects.
It is forbidden to use a medicinal product if a woman has:
- individual intolerance to enzymes of animal origin,
- acute hepatitis
- acute pancreatitis, as well as exacerbation of chronic,
- bowel obstruction,
- liver failure.
A pregnant woman should refuse to take Festal if she has anemia and drinks iron-containing drugs. The effect of the latter in such cases will be significantly reduced, and most likely, it will not be possible to raise the amount of hemoglobin in the blood.