Fenules medicine use. Fenyuls - official* instructions for use

The drug contains a set of vitamins and microelements. One capsule of the medicine contains: 45 mg gland , 50 mg , 2 mg monohydrate , 1 mg, 50 mg, 15 mg, 2.5 mg pantothenic acid and additional (auxiliary) components: ethylcellulose, carmoisin supra, Non Pareil granules .

Release form

Green capsules small size, transparent at one end, with white, red and orange granules inside, in blisters of 10 capsules. In cardboard packages of 10 or 30 pieces each.

pharmachologic effect

Vitamin complex. Used to eliminate iron deficiency.

Pharmacodynamics and pharmacokinetics

The iron supplement also contains multivitamins. The therapeutic effect of the drug is due to the successful selection and combination of its components.

The role of divalent iron is very important, taking part in many processes occurring in the human body. The component is part of the composition that directly affects the quality and quantity of blood, supporting the processes tissue respiration and level pH value biological fluid. Iron also takes an active part in redox reactions , occurring in the body, the process of formation in (together with vitamins B6 And AT 2 ).

Combination of iron with ascorbic acid And riboflavin (with other vitamins of this group) reduces negative impact iron on the gastric mucosa. The drug is better absorbed.

Vitamin B1 has a beneficial effect on the structure and functional activity myocardium , actively participates in metabolic processes. Other B vitamins improve vision and nourish cells cornea And retina , intensifies activity Gastrointestinal tract .

Due to the release form of the drug, the release nutrients occurs gradually over 12 hours. Within an hour or two after oral administration, the maximum concentration of the drug is reached.

Indications for use

Any type of deficiency gland And B vitamins :

Side effects are rare. Most common

difficult and painful digestion ;
and headaches;

Instructions for use of Fenyuls (Method and dosage)

According to the instructions for Fenyuls, it is better to swallow the tablets whole, without damaging or chewing the granules. Drink with water.

How to take capsules as a preventive measure?

As a rule, one tablet is prescribed per day. Before the abundant and long periods Start taking the drug 2 days in advance and drink another 2 days after the end.

Overdose

To date, there is no data on cases of overdose. Possible increased side effects.

Interaction

It is better not to combine iron supplements with enveloping the stomach drugs such as almagel And

Fenyuls- a complex antianemic drug, the mechanism of action of which is determined by pharmacological effects its components.
Iron sulfate - iron in hemoglobin ensures the transport of oxygen to tissues. Adequate iron is necessary for effective erythropoiesis.
Vitamin C (ascorbic acid) takes part in biological redox reactions. Necessary for hemoglobin formation, red blood cell maturation, metabolism folic acid, increases the absorption of iron in the digestive tract, regulates carbohydrate metabolism, the process of blood clotting, normalizes capillary permeability.
Riboflavin regulates redox processes, is necessary for the normal functioning of the organ of vision, and takes part in the synthesis of hemoglobin.
Thiamine mononitrate is a precursor of cocarboxylase, which is a coenzyme in many biochemical reactions, participates in carbohydrate, protein and fat metabolism.
Nicotinamide is involved in tissue respiration, fat and carbohydrate metabolism.
Pyridoxine hydrochloride is a coenzyme large quantity enzymes, participates in the synthesis of aminolevulinic acid - the first stage of the synthesis of substances that form heme.
Calcium pantothenate is part of coenzyme A, participates in carbohydrate and fat metabolism, activates metabolic processes, stimulates energy metabolism and regeneration processes.
Iron sulfate is not completely absorbed after oral administration. The main site of iron absorption is the duodenum. In the presence of vitamin C, iron absorption increases. After suction most of iron, binding to transferrin, is transported to the bone marrow, where it is used to form hemoglobin.
Vitamin C is well absorbed after oral administration and is widely distributed in all tissues of the body. Reversibly oxidized to dehydroascorbic acid, a certain amount is converted to ascorbate-2-sulfate and oxalic acid, which is excreted in the urine. Ascorbic acid penetrates into breast milk.
After oral administration, riboflavin is absorbed in the digestive tract and converted into coenzyme-flavin mononucleotide and then into coenzyme-flavin adenine dinucleotide. About 60% of these metabolites bind to blood plasma proteins. Riboflavin is excreted in the urine as metabolites.
Thiamine mononitrate is absorbed in small quantities from the digestive tract after oral administration. Widely distributed in body tissues, penetrates into breast milk. Thiamine is present in cells in the form of diphosphate. Excreted in urine unchanged and in the form of metabolites.
Nicotinamide is well absorbed from the digestive tract after oral administration and is widely distributed in the tissues of the body. The main route of metabolism of nicotinamide is its biotransformation into N-methylnicotinamide and 2- and 4-pyridone derivatives. Only a small amount of nicotinamide is excreted unchanged in the urine.
Pyridoxine hydrochloride is well absorbed from the digestive tract after oral administration and is widely distributed in the tissues of the body. Metabolized to form active metabolites - pyridoxal phosphate and pyridoxamine phosphate. In the liver, these metabolites are oxidized to 4-pyridoxic acid, which is excreted from the body in the urine.
Calcium pantothenate after oral administration is converted into pantothenic acid, which is well absorbed in the digestive tract. Widely distributed in all tissues of the body, penetrates into breast milk. About 70% of pantothenic acid is excreted in the urine, 30% in feces.
Fenyuls Baby contains iron in the form of a polymaltose complex of ferric hydroxide. This macromolecular complex is similar to the natural iron compound ferritin, is stable and does not release iron in the gastrointestinal tract in the form of free ions. Thanks to this similarity, iron (III) from the intestine enters the blood through active absorption. Then it is deposited in the form associated with ferritin, mainly in the liver. Later in the bone marrow it is included in hemoglobin. Iron, which is part of the iron(III)-polymaltose complex, lacks the pro-oxidant properties characteristic of conventional iron(II) salts.
Absorbed predominantly into duodenum. Absorption is improved when taken on an empty stomach, while iron absorption is increased in iron deficiency states. The bioavailability of the iron complex with polymaltose is comparable to that of ferrous sulfate and fumarate salts in physiological and therapeutic doses.

Indications for use of the drug Fenyuls

Fenyuls used for the prevention and treatment of iron deficiency anemia of various etiologies(including during pregnancy and lactation, with chronic bleeding, hypermenorrhea, latent iron deficiency), prevention and treatment of group B hypovitaminosis, during the period of convalescence after serious illnesses and operations.
Fenyuls Baby prescribed for iron deficiency anemia (latent and/or clinically pronounced iron deficiency), to prevent deficiency during increased iron requirements (pregnancy, breastfeeding, donation, period of intensive growth).

Use of the drug Fenyuls

Fenyuls. For the treatment of iron deficiency anemia - 2-3 capsules per day, for the prevention of iron deficiency anemia during pregnancy and lactation, for blood loss, prolonged and heavy menstruation - 1 capsule per day. The drug should be taken on an empty stomach, not chewed.
Fenyuls Baby. The dose and duration of treatment depend on the degree of iron deficiency, age and body weight of the patient. Daily dose can be divided into several doses or taken at once.
Clinically significant iron deficiency
Premature babies - 1-2 drops per 1 kg of body weight daily for 3-5 months; children under 1 year of age - 10-20 drops per day; from 1 to 12 years - 20-40 drops per day; children over 12 years old and adults - 40-120 drops per day; pregnant women - 80-120 drops per day. The duration of treatment is at least 2 months. With clinically pronounced iron deficiency, hemoglobin levels normalize within 2-3 months from the start of treatment. To restore iron reserves in the body, taking the drug must be continued for several more months.
Latent iron deficiency
Children under 1 year of age are prescribed 6-10 drops per day; from 1 to 12 years - 10-20 drops per day; over 12 years old and adults - 20-40 drops per day; pregnant women - 20-40 drops per day starting from the 14th week of pregnancy with 2-week breaks in taking.
Prevention of iron deficiency
Children under 1 year of age are prescribed 4-8 drops per day; from 1 to 12 years - 8-15 drops per day; over 12 years old and adults - 8-15 drops per day; pregnant women - 8-15 drops per day.

Contraindications to the use of the drug Fenyuls

Hypersensitivity to the components of the drug, pernicious anemia.

Side effects of the drug Fenyuls

When using the drug Fenyuls Dizziness, dyspeptic symptoms, and allergic reactions were rarely noted.
When using Fenyuls Baby rarely - dyspeptic symptoms.

Special instructions for the use of the drug Fenyuls

Fenyuls should not be used in patients after multiple blood transfusions, as well as in patients with anemia not caused by iron deficiency. Prescribe with caution to patients with impaired iron absorption, hemoglobinopathy and chronic diseases digestive tract. Children under 12 years of age should be prescribed Fenuls only after consulting a pediatrician.
When using Fenyuls Baby adverse influence the drug on the body of the mother and fetus was not detected, including when it was prescribed in the first trimester of pregnancy. Drops can be mixed with fruit and vegetable juices or with artificial food mixtures, since this does not affect the activity of the drug.

Interactions of the drug Fenyuls

At simultaneous use with antacids containing aluminum, magnesium and calcium salts, as well as with tetracycline antibiotics, iron absorption is reduced.

Overdose of the drug Fenyuls, symptoms and treatment

No cases of overdose have been reported.

Storage conditions for the drug Fenyuls

Fenyuls- in a dry place, protected from light, at temperatures up to 25 ° C.
Fenyuls Baby- at a temperature of 0-25 °C.

List of pharmacies where you can buy Fenyuls:

Saint Petersburg

A modern antianemic drug, which is a complex of vitamins and microelements, is the drug “Fenuls”. Instructions for use indicate that capsules are widely used for pathological conditions caused by blood loss and the resulting deficiency of red blood cells. The tool allows you to short time stop manifestations of anemia and asthenia. Why Fenuls is prescribed, prices, reviews from patients and doctors, as well as analogues of the drug will be discussed in the article.

What form of release

On pharmacy shelves, the medicine is presented as pregelatinized oblong capsules “Fenuls” with a greenish cap on one side, as well as a transparent bottom on the other. The complex is located inside active ingredients in the form of microdialysis granules with gradual release of the active components of the drug.

Packaging: 10 pcs. The blister consists of protective cellular contour packaging with capsules. In a consumer pharmacy pack there are from 1 to 10 blisters.

Compound

Each capsule contains the following components:

iron sulfate and ascorbic acid;
riboflavin and thiamine mononitrate;
nicotinamide and pyrodoxine hydrochloride;
pantothenic acid.

It is this carefully selected combination that allows Fenuls to quickly restore iron reserves in tissues, body depots, and the bloodstream.

Price and holiday conditions

The average price of Fenuls capsules (Moscow) is 170 rubles. It is difficult to buy medicine in Minsk. The price of the drug in Kyiv is 190 hryvnia, in Kazakhstan – 180 tenge. Available without a prescription.

Pharmacological effects

Since the microelement iron is extremely necessary for people for the full functioning of every cell of the body, chronic blood loss or nutritional deficiency of microelements will contribute to a pronounced deterioration in well-being.

Being a structural component of blood - heme, iron takes an active part directly in hematopoiesis, hematopoiesis. In addition, the additional vitamins present in the composition of the Fenuls medication contribute to the maximum absorption of iron in the bloodstream and its movement to those suffering from oxygen deficiency fabrics.

Pharmacological effects:

subgroup B vitamins – prevent the pro-oxidant effects of iron;
thiamine is a cofactor of carbohydrate metabolism, improves the activity of nerve structures;
nicotinamide – corrects cellular and tissue respiration;
riboflavin is a catalyst not only for the movement of oxygen molecules in tissues, but also for visual perception;
pyridoxine is an important coenzyme that takes an active part in the metabolism of amino acids and the synthesis of neurotransmitters;
calcium pantothenate - participates in the processes of acetylation, as well as the oxidation of fats with carbohydrates.

In general, the remedy eliminates in a short time degenerative disorders caused by iron deficiency due to vitamin deficiency.

What does Fenuls help with?

Allowed to use complex means in women expecting the birth of a baby or breastfeeding a child.

Contraindications

Of course, despite the high safety of the components of the drug, the manufacturer indicates a number of restrictions on its use. Thus, the drug “Fenuls” is not allowed for use by people with the following functional disorders:

hemochromatosis;
hemosiderosis;
individual hyperreaction to the components of the product.

The drug is also not allowed for use in children under 14–16 years of age. If the above limitations to pharmacotherapy with iron-correcting medication are identified, the specialist will select a different scheme for restoring a macronutrient important for health.

The drug "Fenuls": instructions for use (how to take tablets)

In the case of diagnosing severe anemic syndrome - with low iron parameters in the periphery, as well as directly in the depot, the optimal dose of the drug will be 1 pc. 2 r/day. The total duration of therapy is at least three months.

According to detailed instructions from the manufacturer, the medicine "Fenuls" is allowed to be taken even if hidden iron deficiency is detected - 1 pc. 1 r/day. Lasting up to a month. For example, in women suffering from heavy menstrual flow, the product can be used for prophylactic purposes - 1 pc. a couple of days before the start of menstruation, throughout its entire duration, as well as another 2-3 days after the end.

If it is necessary to prevent anemic syndrome in the expectant mother, which will certainly affect the baby’s health, then the drug should be taken 1 pc. per day throughout the last trimester of pregnancy.

Undesirable effects

Since the medication has complex composition, it contains several active components, then against the background of its use in people, the appearance of undesirable effects is allowed:

gastralgia;
dyspeptic disorders;
difficulty in bowel movement;
allergic conditions;
persistent dizziness.

It is recommended to notify your doctor about each case of significant deterioration in health due to taking an iron-reducing agent. They will undergo medication dosage adjustments.

Analogues of the drug "Fenuls"

Complete analogues for the active element:

Ferroplex.
Polymaltose iron.
Ferri.
Ferrum Lek.
Fenyuls Complex.
Maltofer.
Sorbifer Durules.
Fenules 100.

Fenyuls complex antianemic drug, the mechanism of action of which is determined by the pharmacological effects of its components.

Iron sulfate iron in hemoglobin ensures the transport of oxygen to tissues. Adequate iron is necessary for effective erythropoiesis.

Vitamin C (ascorbic acid) takes part in biological redox reactions. Necessary for the formation of hemoglobin, the maturation of red blood cells, the metabolism of folic acid, increases the absorption of iron in the digestive tract, regulates carbohydrate metabolism, the blood clotting process, and normalizes capillary permeability.

Riboflavin regulates redox processes, is necessary for the normal functioning of the organ of vision, and takes part in the synthesis of hemoglobin.

Thiamine mononitrate is a precursor of cocarboxylase, which is a coenzyme in many biochemical reactions and is involved in carbohydrate, protein and fat metabolism.

Nicotinamide is involved in tissue respiration, fat and carbohydrate metabolism.

Pyridoxine hydrochloride is a coenzyme of a large number of enzymes and is involved in the synthesis of aminolevulinic acid, the first stage of the synthesis of substances that form heme.

Calcium pantothenate is part of coenzyme A, participates in carbohydrate and fat metabolism, activates metabolic processes, stimulates energy metabolism and regeneration processes.

Iron sulfate is not completely absorbed after oral administration. The main site of iron absorption is the duodenum. In the presence of vitamin C, iron absorption increases. After absorption, most of the iron, binding to transferrin, is transported to the bone marrow, where it is used to form hemoglobin.

Vitamin C is well absorbed after oral administration and is widely distributed in all tissues of the body. Reversibly oxidized to dehydroascorbic acid, a certain amount is converted to ascorbate-2-sulfate and oxalic acid, which is excreted in the urine. Ascorbic acid passes into breast milk.

After oral administration, riboflavin is absorbed in the digestive tract and converted into coenzyme-flavin mononucleotide and then into coenzyme-flavin adenine dinucleotide. About 60% of these metabolites bind to blood plasma proteins. Riboflavin is excreted in the urine as metabolites.

Thiamine mononitrate is absorbed in small quantities from the digestive tract after oral administration. Widely distributed in body tissues, penetrates into breast milk. Thiamine is present in cells in the form of diphosphate. Excreted in urine unchanged and in the form of metabolites.

Nicotinamide is well absorbed from the digestive tract after oral administration and is widely distributed in the tissues of the body. The main metabolic pathway of nicotinamide is its biotransformation into N-methylnicotinamide and 2- and 4-pyridone derivatives. Only a small amount of nicotinamide is excreted unchanged in the urine.

Pyridoxine hydrochloride is well absorbed from the digestive tract after oral administration and is widely distributed in the tissues of the body. Metabolized to form active metabolites: pyridoxal phosphate and pyridoxamine phosphate. In the liver, these metabolites are oxidized to 4-pyridoxic acid, which is excreted from the body in the urine.

Calcium pantothenate after oral administration is converted into pantothenic acid, which is well absorbed in the digestive tract. Widely distributed in all tissues of the body, penetrates into breast milk. About 70% of pantothenic acid is excreted in the urine, 30% in feces.

Fenyuls Baby contains iron in the form of a polymaltose complex of ferric hydroxide. This macromolecular complex is similar to the natural iron compound ferritin, is stable and does not release iron in the gastrointestinal tract in the form of free ions. Thanks to this similarity, iron (III) from the intestine enters the blood through active absorption. Then it is deposited in the form associated with ferritin, mainly in the liver. Later in the bone marrow it is included in hemoglobin. Iron, which is part of the iron(III)-polymaltose complex, lacks the pro-oxidant properties characteristic of conventional iron(II) salts.

Absorbed primarily in the duodenum. Absorption is improved when taken on an empty stomach, while iron absorption is increased in iron deficiency states. The bioavailability of the iron complex with polymaltose is comparable to that of ferrous sulfate and fumarate salts in physiological and therapeutic doses.

Indications

Fenyuls used for the prevention and treatment of iron deficiency anemia of various etiologies (including during pregnancy and lactation, chronic bleeding, hypermenorrhea, latent iron deficiency), prevention and treatment of group B hypovitaminosis, during the period of convalescence after serious illnesses and operations.

Fenyuls Baby prescribed for iron deficiency anemia (latent and/or clinically pronounced iron deficiency), to prevent deficiency during increased iron requirements (pregnancy, breastfeeding, donation, period of intensive growth).

Application

Fenyuls. For the treatment of iron deficiency anemia 23 capsules per day, for the prevention of iron deficiency anemia during pregnancy and lactation, for blood loss, prolonged and heavy menstruation 1 capsule per day. The drug should be taken on an empty stomach, not chewed.

Fenyuls Baby. The dose and duration of treatment depend on the degree of iron deficiency, age and body weight of the patient. The daily dose can be divided into several doses or taken at once.

Clinically significant iron deficiency

Premature babies 12 drops per 1 kg of body weight daily for 35 months; children under 1 year of age 10 20 drops per day; from 1 to 12 years 2040 drops per day; children over 12 years of age and adults 40 120 drops per day; pregnant women: 80120 drops per day. Duration of treatment: at least 2 months. In case of clinically pronounced iron deficiency, the hemoglobin level normalizes after 2-3 months from the start of treatment. To restore iron reserves in the body, taking the drug must be continued for several more months.

Latent iron deficiency

Children under 1 year of age are prescribed 610 drops per day; from 1 to 12 years 1020 drops per day; over 12 years old and adults 2040 drops per day; pregnant women: 2040 drops per day starting from the 14th week of pregnancy with 2-week breaks in use.

Prevention of iron deficiency

Children under 1 year of age are prescribed 48 drops per day; from 1 to 12 years 815 drops per day; over 12 years old and adults 815 drops per day; pregnant women 815 drops per day.

Contraindications

Hypersensitivity to the components of the drug, pernicious anemia.

Side effects

When using the drug Fenyuls Dizziness, dyspeptic symptoms, and allergic reactions were rarely noted.

When using Fenyuls Baby rarely dyspeptic symptoms.

special instructions

When using Fenyuls Baby No adverse effects of the drug on the body of the mother and fetus were detected, including when it was prescribed in the first trimester of pregnancy. Drops can be mixed with fruit and vegetable juices or with artificial food mixtures, as this does not affect the activity of the drug.

Interactions

When used simultaneously with antacids containing aluminum, magnesium and calcium salts, as well as with tetracycline antibiotics, iron absorption decreases.

Overdose

No cases of overdose have been reported.

Storage conditions

Fenyuls in a dry place, protected from light at temperatures up to 25 ° C.

Fenyuls Baby at a temperature of 025 °C.

The drug Fenyuls is a drug from the group of antianemic drugs, which is prescribed to patients to replenish iron deficiency in the body.

Release form and composition of the drug

The drug Fenyuls is available in capsule form. Brown for oral administration. Capsules are packaged in contour cell packs of 10 pieces per cardboard box, the drug is accompanied by an annotation with detailed description characteristics of the drug.

Each capsule contains active ingredients:

iron sulfate 150 mg;
iron 45 mg;
vitamin C (ascorbic acid) 50 mg;
vitamin B1 2 mg;
vitamin B2 2 mg;
vitamin B6 1 mg;
nicotinamide 15 mg;
pantothenic acid 2.5 mg.

In addition, the drug contains a number of additional excipients.

Indications for use

Fenyuls capsules are prescribed to patients for oral administration in the composition complex therapy or as prophylactic at following states:

iron deficiency in the body during periods of increased need (pregnancy, breastfeeding, puberty)
prolonged heavy menstruation, as a result of which the color index of the blood and hemoglobin level decrease;
hypovitaminosis of group B, accompanied by constant fatigue, drowsiness, lethargy, tearfulness, increased irritability.

The drug Fenyuls is also prescribed to patients after abdominal operations in order to restore iron reserves in the body.

Contraindications

The drug Fenyuls is approved for use only after consultation with a doctor and blood tests that determine the level of hemoglobin in the body. Before you start taking the capsules orally, carefully read the attached leaflet, since the drug has a number of the following contraindications:

individual intolerance to the drug;
age of children under 14 years old;
hemochromatosis;
hemosiderosis.

Method of administration and dosage regimen of the drug

The drug Fenyuls is taken orally after meals (after 1-2 hours). The capsule should be swallowed whole with a drink big amount water, preferably acidified.

For preventive purposes, the drug is taken 1 capsule 1 time per day for a month.

For therapeutic purposes, patients are prescribed 1 capsule of the drug 2 times a day for 1-2 months.

In order to avoid nausea after taking the drug, the capsule should not be taken on an empty stomach.

Use of the drug during pregnancy and breastfeeding

Fenyuls can be taken during pregnancy, but before starting therapy, the woman must undergo a blood test to evaluate her clinical picture. In order to prevent iron deficiency anemia in pregnant women, the drug should be taken from 15-6 weeks, when intensive fetal growth begins, and continue to take 1 capsule throughout pregnancy.

During breastfeeding, mothers are prescribed 1 capsule of Fenuls per day to prevent anemia. Taking the drug can be continued until the end of lactation.

Adverse reactions

The drug is usually well tolerated by patients, but in persons with increased individual sensitivity, adverse reactions may develop while taking capsules:

from the digestive tract - increased salivation, severe nausea, heartburn, vomiting, stomach pain, constipation, bloating;
from the outside nervous system– dizziness;
from the cardiovascular system - tachycardia;
allergic reactions - urticaria, skin rash, skin itching, dermatitis.

If side effects occur, treatment with the drug should be stopped and consult a doctor.

Overdose

In case of an overdose of Fenyuls capsules, the patient develops symptoms toxic damage liver, namely vomiting, metallic taste in the mouth, nausea, impaired respiratory function, increase blood pressure, headaches, swelling of the extremities.

If symptoms of an overdose of iron preparations develop, the patient is prescribed gastric lavage alkaline solutions, reception activated carbon and conducting symptomatic treatment if necessary.

Drug interactions

The drug Fenyuls is not recommended to be prescribed to patients simultaneously with poly vitamin complexes, since this drug interaction may increase the likelihood of developing overdose symptoms and unwanted side effects.

Preparations containing magnesium, aluminum or calcium salts reduce the absorption of iron into small intestine. If necessary, this drug interactions You should maintain a time interval of at least 4 hours between medications.

Iron reduces the absorption of drugs from the tetracycline group, resulting in therapeutic effect antibiotics may be reduced.

special instructions

During drug therapy, the patient's stool may turn black, which is normal and indicates incomplete absorption of iron in the small intestine. The urine of a patient taking Fenuls is brightly colored. yellow, which is the result of the content of riboflavin in the capsule. This reaction is normal and does not require discontinuation of drug treatment.

There is no or limited experience with the use of drug capsules among people under 14 years of age, therefore it is not recommended to prescribe Fenyuls for the treatment and prevention of anemia in children.

If while taking the drug the patient develops discomfort in the area of the right hypochondrium, a metallic taste in the mouth, indomitable vomiting, then stop treatment with capsules immediately and consult a doctor.

The effectiveness of drug therapy should be monitored by blood counts and hemoglobin growth.

The drug Fenyuls does not inhibit the speed of psychomotor reactions and does not disrupt the functioning of the central nervous system.

Before starting a course of treatment with the drug, you should make sure that anemia is caused precisely by iron deficiency in the body.

Analogs of the drug Fenyuls

Analogs of the drug Fenyuls are:

Tardiferon;
Gyno-tardiferon;
Feroplex;
Ferrum lek;
Sorbifer durules;
Totema;
Maltofer.

Before replacing a drug prescribed by a doctor with one of its analogues, carefully read the attached instructions, since the listed drugs have different composition and dosage. Self-medication can be dangerous to health.

Conditions of release and storage

The drug Fenyuls is dispensed from pharmacies without a prescription. Capsules with the drug should be stored in a cool, dark place out of reach of children.

The shelf life of the drug is 4 years from the date of manufacture; after this period, the capsules cannot be taken orally.

Fenyuls price

The average cost of Fenyuls in Moscow pharmacies is 35 rubles for 10 capsules.

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"Fenuls" or "Sorbifer": which is better, instructions for use, reviews

Among chemical elements, vital for our body, iron is not in last place. Iron is the main element that makes up hemoglobin. Hemoglobin in the blood carries oxygen to all cells human body, ensuring the normal functioning of the body. This is why iron deficiency has an extremely detrimental effect on health.

Low hemoglobin: how to deal with it

What exactly threatens iron deficiency in the body? There can be many reasons, let’s name the main ones. Iron deficiency often occurs in children under four years of age, as due to rapid growth the body requires more and more of this element. Poor nutrition may also be a factor causing acute shortages important element. During pregnancy and breastfeeding, the need for iron also increases very strongly, because it is necessary for both the growing fetus and subsequently the born child. With large blood losses, the hemoglobin level also drops, which can lead to very unpleasant consequences.

What are the dangers of iron deficiency?

All of the above factors can cause diseases of cardio-vascular system, muscles, immune system, digestive tract organs. The upper layer of the epidermis (skin), hair, and nails are also affected.
Iron deficiency is especially harmful to pregnant and breastfeeding women. To avoid problems associated with it, you need to eat right and take medications containing this element. Very often doctors recommend such popular pharmaceutical products, like "Fenuls" or "Sorbifer". What is better to take? You will find the answer to this and many other questions in this article.

"Fenuls": description

"Fenuls" - capsules containing 15 milligrams of ferrous sulfate, ascorbic acid and various auxiliary components that promote the absorption of the active substance. Thanks to the composition of the capsules, iron enters the body gradually, replenishing the daily requirement over time. The drug is used for chronic blood loss (which is why it is so popular among donors) and acute shortage iron in the human body. In addition, the indication for use is a deficiency of B vitamins.
The ascorbic acid included in Fenuls prevents the oxidation of ferrous sulfate when taken. Vitamins help with metabolic disorders and improve general state patient during therapy.

"Fenuls": instructions, reviews

The dosage of the drug is one capsule once a day for general course treatment for a month, but the dosage may be different, in accordance with the recommendations of the attending physician. Fenuls is also used for iron deficiency in women with heavy menstruation. In this case, the medicine is taken by the patient a couple of days before critical days and a couple of days after (you can do it one day before and after if the iron deficiency is too severe). The drug is not recommended to be used together with other vitamin complexes. Also, Fenuls should not be taken together with drugs that increase the acidity of the gastrointestinal tract. The drug is contraindicated for children, patients suffering from hemochromatosis and hemosiderosis, as well as people with individual intolerance to the components of the drug. Reception may cause allergic reaction for some components, constipation, diarrhea, vomiting, dizziness.

The medicine is dispensed at the pharmacy without a prescription. When using Fenuls, the urine may be colored bright yellow color, which is explained by the presence of riboflavin in the composition. After reading the instructions for the drug "Fenuls", it's time to find out how doctors and patients respond to it. Based on the opinion of doctors and patients, we can conclude that Fenuls is well tolerated during pregnancy (if the drug is prescribed by a specialist), fully performs its function of replenishing iron, but sometimes causes the side effects described above. However, many who have taken this drug are ready to take them for granted, since Fenuls really helps. Reviews from doctors regarding this drug, also mostly positive. Doctors praise Fenuls for fast action, good tolerance and a very reasonable price.

How to take the drug "Fenuls"?

Before or after meals? A question of questions for any medicine. This is drunk either during or after a meal, but not before it. Taking the medicine before meals will not in any way affect the clinical effect, but may cause stomach problems accompanied by the side effects described above. How much does Fenuls cost? The price in Russia ranges from 115 to 144 rubles for 30 capsules (which is full course). If there is no need to complete a full monthly course, you can purchase the medicine in a package containing only ten capsules. In this case, the purchase will cost from 54 to 78 rubles. As you can see, the cost of the medication in question is quite acceptable and affordable for all segments of the population. However, before purchasing, in any case, you must consult a specialist and take only as prescribed by a doctor.

"Sorbifer": description

After reading the instructions for Fenuls and reading reviews from patients and doctors, we have some idea about it. But to answer the question: “Fenuls” or “Sorbifer” - which is better?” it is necessary to consider both drugs, and then compare them pharmachologic effect on the body. So, let's take a closer look at such a medicine as Sorbifer. It is also a drug used for iron deficiency, anemia (also caused by deficiency). The drug can also be taken by pregnant and lactating women to prevent such diseases. "Sorbifer" is available in the form of tablets from thirty to fifty pieces per package. The tablets are yellow in color; a gray core is found at the break. One Sorbifer tablet contains 32 milligrams of ferrous sulfate, 6 milligrams of ascorbic acid and various substances, helping the drug to be absorbed. The medication has an effect that reduces the symptoms of anemia.

How to take Sorbifer?

The tablet must be swallowed whole, without breaking into pieces, and washed down with water. Daily norm Take two tablets, they should be taken after meals. Pregnant and lactating women are prescribed one tablet per day as a prophylactic measure. "Sorbifer" is taken either until full recovery iron level in the blood, or within 3-4 months. After this period, if the drug does not help, you must stop taking it. Thanks to special dosage form, in which Sorbifer is released, the use of the drug ensures the supply of iron to the body, which minimizes the harm caused to the stomach. Medicine contraindicated in case of allergies to substances included in the composition, with other types of anemia, with diabetes mellitus, kidney diseases, thrombosis and similar diseases, as well as children under twelve years of age.

Side effects, overdose

Basic side effects"Sorbifer" associated with problems gastrointestinal tract in the form of constipation and diarrhea. Redness or itching may also occur, headache, tachycardia, general state of weakness. In addition, "Sorbifer" can contribute to the formation of kidney stones. In case of an overdose of the drug, all of the above-described effects are possible; in especially severe cases, vomiting of blood may occur. When providing first aid, the patient must undergo gastric lavage. It is not recommended to take the drug in question with drugs containing sodium chloride, magnesium, calcium. You should not use ascorbic acid separately (it is already contained in the product, and taking it additionally will cause an overdose, which is also undesirable).

"Sorbifer": price, reviews

Doctors speak of Sorbifer as a high-quality medicine that gradually restores iron levels in the body. As for reviews from pregnant women about the use of Sorbifer, they are mostly positive. Side effects appear extremely rarely, and the active ingredients of the drug quickly restore hemoglobin levels to physiological norm. The medicine can be stored for up to three years at a temperature of no more than 25 degrees. The price of "Sorbifer" ranges from 320 to 390 rubles, depending on the region and pharmacy chain. This medicine is sold in pharmacies only with a doctor's prescription.

What to choose?

So, "Fenuls" or "Sorbifer"? What's better? The answer to this question is purely individual for each person. In "Sorbifer" the iron content is almost three times higher than in "Fenuls". From this we can conclude that in case of acute iron deficiency, the drug "Sorbifer" will be more effective. In case of latent iron deficiency, it is worth taking Fenuls, as it will prevent an overdose of the main active substance and is better absorbed by the body. Also, when preventing iron deficiency, it is recommended to take Fenuls. As for side effects, they are observed only in rare cases when taking both drugs, which is confirmed by many reviews from patients and doctors. The composition of both drugs is almost identical. The base is ferrous sulfate and ascorbic acid. The only difference is in the proportions and quantities of excipients. The course of Fenuls is shorter and is one month, versus three to four months of mandatory use of Sorbifer. "Fenuls" acts on the body more quickly than its competitor, but it is less effective in severe forms anemia. The average cost of Fenuls is 125 rubles, while Sorbifer has a higher price - 350 rubles. In addition, it should be taken into account that when long-term treatment You will have to buy a second medicine more than once. Both drugs are well tolerated during pregnancy and lactation, are contraindicated in children and are not recommended for people with kidney disease. "Sorbifer" is absorbed not in the stomach, but in the duodenum, which causes less harm to the stomach.

Conclusion

Having considered both medicines, we can conclude that both effectively help restore hemoglobin levels to normal. Which of these drugs should be taken depends entirely on individual characteristics a person and his reactions to various ingredients of the drugs in question. Before making a choice, it is recommended that you first consult with a specialist. However, we can confidently say that for preventive purposes it is best to take Fenuls; its price is also more reasonable. We hope our article was useful to you and answered the question: “Fenuls” or “Sorbifer” - which is better to take for certain iron deficiency conditions.”

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Fenules during pregnancy

From the moment a pregnant woman is registered, she will have to undergo regular tests. Monitoring of laboratory parameters of urine and blood is carried out with diagnostic purpose. This is the simplest and most effective method conduct medical supervision over the condition of the expectant mother and child.

Among many biochemical parameters The gynecologist will certainly monitor the level of hemoglobin in the blood during pregnancy. And if it drops at the slightest level below normal or very close to this limit, and even more so if anemia develops during pregnancy, he will certainly prescribe an iron supplement to his ward. It could be Fenules.

Is Fenyuls necessary during pregnancy?

Fenyuls does not differ in anything special from a huge variety of similar drugs, except in its composition: in addition to ferrous sulfate itself, it also contains other chemical compounds: thiamine mononitrate, riboflavin, ascorbic acid, nicotinamide, calcium pantothenate, pyridoxine hydrochloride. This is a synthetic vitamin preparation in capsules, which has indications similar to others: iron deficiency in the body (mainly during periods of menstruation, pregnancy, breastfeeding), as well as a lack of B vitamins.

By the way, in some cases Fenyuls or similar drugs may be assigned to the expectant mother, seemingly for no good reason: with hemoglobin above the lower limit of normal. Most likely, this is done for preventive purposes if a woman is expecting a large baby. But always keep in mind that with the same level of hemoglobin in the blood, the concentration of iron may be different.

Fenules is affordable, which may please some women. But pharmacists do not speak very flatteringly about this “cheap,” as they put it, drug (in particular, they claim that it has a negative effect on blood cells). However, any of expensive analogues not much better. All of them can cause side effects, have contraindications and, in addition to dubious benefits, cause a lot of harm to the body of the woman and the fetus.

In general, it is simply amazing how many chemicals are offered to expectant mothers under the guise of vitamins during the entire period of bearing a baby. But the problem is that not all doctors and mothers are aware of natural analogues synthetic vitamins, A Iron-deficiency anemia definitely dangerous both for the pregnant woman herself and for her unborn baby.

Therefore, from the first weeks of pregnancy you should start preventing it. In addition to observing full balanced diet with the obligatory presence of iron-containing vitamins, you definitely need to perform daily hiking on fresh air! Otherwise normal level hemoglobin is nothing to expect.

If you take Fenuls during pregnancy, always pay attention to how you feel. Not all women are suitable for the same medications. Fenules can cause nausea, vomiting, constipation and diarrhea, epigastric pain, dizziness and others adverse reactions, in the event of which you must notify your doctor. A change in urine color (to bright yellow) is a normal reaction of the body to the drug and should not cause concern.

Fenyuls during pregnancy is usually prescribed 1 capsule per day during or immediately after meals, best in the first half of the day (often in combination with multivitamin complex for pregnant women and Iodomarin, although the instructions do not recommend such prescriptions). At your own discretion, taking these vitamins while pregnant is prohibited! And keep in mind that Fenules during pregnancy is allowed only from the 14th week. The regimen and duration of use must be prescribed by the attending physician, but usually Fenyuls is prescribed cyclically: 2 weeks of use - then 1 week of break, and in this regimen it can be used until the end of the term.

And finally: if you suffer from heartburn and are taking any antacids, then Fenyuls should be taken separately from these drugs: they interfere with the absorption of iron.

Be healthy!

Especially for beremennost.net Elena Kichak

beremennost.net

Application of "Finuls": instructions and reviews

"Fenuls" refers to vitamin preparations with a pronounced anti-anemic effect.

The drug involves the gradual absorption of iron, which is an integral part of hemoglobin.
Iron is indirectly involved in the processes of respiration and oxygen transport.
Vitamins of group B and C increase the efficiency of iron absorption, participate in carbohydrate metabolism, and reduce Negative influence iron in the gastrointestinal tract.

Iron is one of the main elements of hemoglobin, a protein that carries out the task of gas exchange in tissues through the generation of red blood cells (erythrocytes).

The drug goes through 3 stages:

Absorption occurs mainly in the duodenum and small intestine;
Distribution – iron is transported from the intestines to bone marrow, from where it goes to generate hemoglobin, the trace element residues settle in internal organs in the form of connections.
Excretion - a small part of the element is excreted due to the destruction of hemoglobin molecules.
Active therapeutic effect effect on the body is carried out due to the harmonious composition of correctly selected components.

Compound

Release form, price, shelf life and storage conditions

"Fenuls" is available in capsules or tablets, packaged in blisters of 10 pieces (1 or 3 blisters in a cardboard package). Previously, a syrup form was released, but now it is not sold in the Russian Federation.

The shelf life is 2 years for all forms of the drug.
Store at temperatures from +3 to +25 degrees and humidity no more than 80%.
Buy morzhno in pharmacies without a prescription.
The price of the drug "Fenuls" ranges from 60-130 rubles. depending on the number of capsules in the package.

Interaction with other drugs

Others vitamin preparations to avoid overdose of vitamins;
Sorbents and antacids, as they reduce the absorption of iron (if it is necessary to take medications, the interval between them should be 2-3 hours);
Methyldopa, Levodopa, since the drug reduces their therapeutic effect;
Medicines containing hormones thyroid gland and antibiotics based on tetracycline, since Fenuls reduces the degree of their absorption (if it is necessary to take drugs, the interval between them should be 2-3 hours).

Indications

Formally, the drug is declared as a vitamin-mineral complex, but in fact its composition is aimed at treating and preventing only anemia caused by iron deficiency. "Fenuls" is used only on early stages anemia. In severe forms of the disease, the drug is not used.

Pregnant women (recommended due to a specific diet, more details here);
Nursing;
Teenagers;
People with large blood loss;
People with low level hemoglobin.

Iron mainly enters the human body through food. This microelement is very poorly accepted by the body - out of 100 milligrams received, only 20 will be absorbed.

Contraindications

The drug should not be used for diseases such as:

Diseases of the stomach and intestines (ulcers, acute gastritis);
Anemia caused by reasons other than iron deficiency;
Gastric resection;
Impaired gastric absorption;
Allergy or increased sensitivity to the contents of the drug.

Reception and dosage

How to take Fenuls tablets correctly? When taking the drug you should remember that:

It is recommended to take the drug once or twice a day after meals with water.
If taken before meals, nausea and dizziness may occur.
The dosage depends on the severity of iron deficiency - from one tablet per day for a month in case of prevention or light form anemia and up to 3-4 tablets at a time for four to six months for treatment medium degree iron deficiency.
As recommended, the course can be repeated 2 times a year.
Dosage and intake are indicated for adults, adolescents over 12, pregnant and nursing mothers.

Overdose, side effects and effects

Nausea;
Abdominal pain;
Cold sweat;
Stool liquefaction;
Decreased heart rate and blood pressure.
Side effects similar to overdose symptoms

Symptoms of iron deficiency in the body were identified back in the 17th century. Iron filings were then used for treatment. In the 19th century, drops were invented for these purposes - a solution of iron trichloride with ethanol and ethyl.

If these symptoms appear, you must stop taking the medications. It is recommended to consume dairy products and eggs, as they slow down the absorption of iron in the gastrointestinal tract.

Special instructions during pregnancy

It is recommended to take the medicine during pregnancy and lactation. Taking Fenuls in the second trimester is especially important - the dose can reach 3 tablets at a time. In the first and third trimester, as well as during feeding, one or two capsules per day are prescribed. Moreover:

Use before meals, if no gastrointestinal diseases are detected.
Not recommended for use with others iron-containing drugs to avoid the risk of overdose.
A minimum of 2 hours should pass between taking Fenuls and other medications.
If you miss a pill, do not take a double dose the next time.
During the course, do not consume foods and medications that reduce the effectiveness of iron absorption.
Children under 12 years of age are strictly not recommended to take this drug. For adolescents over 12 years of age, the usual dosage is prescribed.

Analogs

Existing analogues drug "Fenuls":

“Maltofer” - price 250 rubles for 30 pieces, used to prevent anemia caused by iron deficiency. Practically not used in medicinal purposes, since the iron content in one tablet is 20 mg.
“Ferrumlek” - price 310 rubles for 30 pieces, used to increase hemoglobin levels. Available in chewable tablets, which reduces the efficiency of iron absorption, but reduces the load on the gastrointestinal tract.