Instructions for medical use of the drug Iberogast®


To treat digestive problems, preparations based on natural herbs and their extracts are often used. Iberogast is an effective remedy that helps with irritable bowel syndrome and all types of digestive disorders. It relieves acute symptoms of severe gastrointestinal diseases and improves well-being.

Nosological classification (ICD-10)

  • K25 Stomach ulcer
  • K26 Duodenal ulcer
  • K29.7 Gastritis, unspecified
  • K31.3 Pylorospasm, not elsewhere classified
  • K59.0 Constipation
  • K59.1 Functional diarrhea
  • K59.9 Functional bowel disorder, unspecified
  • R10.1 Pain localized in the upper abdomen
  • R10.4 Other and unspecified abdominal pain
  • R11 Nausea and vomiting
  • R14 Flatulence and related conditions

Indications

Iberogast is prescribed for many diseases and painful conditions:

  • stomach ulcer;
  • gastritis;
  • duodenal ulcer;
  • irritable bowel syndrome;
  • stomach cramps;
  • various digestive disorders (constipation, vomiting, flatulence, belching);
  • feeling of heaviness in the epigastric area;
  • any functional disorders of the gastrointestinal tract.

In most cases, Iberogast is prescribed along with other medications in the treatment of diseases and is not the only prescribed remedy. For radical treatment, the doctor chooses other drugs, and this drug serves as support and consolidation of the achieved result.

Compound

Drops for oral administration100 ml
active substances:
Iberian bitter (Iberis amara L., Cruciferae) whole fresh plant liquid extract (1:1.5–2.5; extractant ethanol 50%)15 ml
angelica officinalis (Angelica archangelica L., Umbelliferae) dry roots liquid extract (1:2.5–3.5; extractant ethanol 30%)10 ml
chamomile (Matricaria chamomilla L., Compositae) dried flowers liquid extract (1:2–4; extractant ethanol 30%)20 ml
caraway seeds (Carum carvi L., Umbelliferae) dried fruit liquid extract (1:2.5–3.5; extractant ethanol 30%)10 ml
milk thistle (Silybum marianum (L.) Gaertn., Compositae) fruits dry liquid extract (1:2.5–3.5; extractant ethanol 30%)10 ml
lemon balm (Melissa officinalis L., Labiatae) dry leaves liquid extract (1:2.5–3.5; extractant ethanol 30%)10 ml
peppermint (Mentha piperita L., Labiatae) dry leaves liquid extract (1:2.5–3.5; extractant ethanol 30%)5 ml
May celandine (Chelidonium majus L., Papaveraceae) herb dry liquid extract (1:2.5–3.5; extractant ethanol 30%)10 ml
licorice (Glycyrrhiza glabra L., Leguminosae) dry roots liquid extract (1:2.5–3.5; extractant ethanol 30%)10 ml
ethanol content: about 31% (v/v)

Iberogast drops for oral administration 20ml No. 1

Description

Drugs for the treatment of functional disorders of the gastrointestinal tract.

Release form

Drops for oral administration

Dosage

20 ml

Indications for use

For the treatment of functional and motility-related gastrointestinal disorders, such as functional dyspepsia and irritable bowel syndrome, as well as in complex therapy for the symptomatic treatment of gastritis. These disorders are mainly manifested by symptoms such as stomach pain, bloating, flatulence, gastrointestinal cramps, nausea and heartburn.

Directions for use and doses

Unless the doctor has prescribed a different dosage, Iberogast is taken 3 times a day before or during meals with a small amount of liquid: adults and adolescents from 13 years old, 20 drops; children from 6 to 12 years old, 15 drops; children from 3 to 5 years old, 10 drops. Patients with impaired liver and kidney function: Prescribe with caution to patients with liver disease. In principle, there are no restrictions regarding the duration of use. The duration of use depends on the type, severity and course of the disease. Shake before use!

Use during pregnancy and lactation

Available data on toxic effects on reproductive function (embryotoxicity, teratogenicity, perinatal and postnatal toxicity) do not contain information that provides grounds from a toxicological point of view to limit the use of the drug during pregnancy and lactation. However, during pregnancy and breastfeeding, Iberogast should only be taken after consulting a doctor.

Precautionary measures

If you have abdominal pain in children under 6 years of age, you should definitely consult a doctor. If after taking this drug for one week the symptoms persist or the expected effect is not achieved, you should consult a doctor to rule out organic causes. If your symptoms worsen or new symptoms appear while taking Iberogast, you should consult your doctor. Iberogast contains 31% (by volume) ethanol, i.e. 240 mg per single dose for adults (20 drops), equal to 6.2 ml of beer or 2.6 ml of wine. Harmful for persons with alcoholism. Pregnant and breastfeeding women, children and high-risk groups such as patients with liver disease and epilepsy should be considered.

Interaction with other drugs

So far no forms of interaction are known.

Impact on the ability to drive a car and operate machinery

The medicine contains ethyl alcohol. During the treatment period, it is necessary to refrain from driving vehicles and engaging in other potentially dangerous activities that require increased concentration and speed of psychomotor reactions.

Contraindications

Hypersensitivity to active substances. Iberogast should not be taken by children under 3 years of age due to a lack of data on use in this age group.

Compound

1 ml contains 9 herbal extracts: Iberis bitters (whole fresh plant liquid extract) (extractant: 50% ethanol (v/v)); (1: 1.5 - 2.5) 0.15 ml liquid extract: angelica officinalis dried roots (1: 2.5 - 3.5) 0.1 ml chamomile dried flowers (1: 2 - 4)0, 2 ml caraway seeds dry fruits (1: 2.5 - 3.5) 0.1 ml milk thistle dry ripe fruits (1: 2.5-3.5) 0.1 ml lemon balm dry leaves (1: 2.5 - 3.5) 0.1 ml peppermint dry leaves (1: 2.5 - 3.5) 0.05 ml dry celandine may grass (1: 2.5 - 3.5) 0.1 ml licorice naked roots dry (1: 2.5 - 3.5)0.1 ml (extractant for all dry medicinal raw materials: 30% ethanol (v/v)). Alcohol content 31% (v/v).

Overdose

If the patient takes too much of the drug or forgets to take it, the next time the patient should continue taking it as prescribed by the doctor or dosage instructions. So far, no cases of acute overdose have been observed.

Side effect

Very rarely, hypersensitivity reactions such as skin rash, itching or shortness of breath may occur. If side effects occur, you should stop taking the drug and consult a doctor. This applies to all possible side effects, including those not described in this leaflet.

Storage conditions

At a temperature not exceeding 25 °C, out of the reach of children. During storage, cloudiness or precipitation may occur, which does not affect the effectiveness of the drug.

Buy Iberogast drops for oral administration in 20 ml bottle in pack No. 1 in a pharmacy

Price for Iberogast drops for oral administration in 20 ml bottle in pack No. 1

Instructions for use for Iberogast drops for oral administration in 20 ml bottle in pack No. 1

Pharmacodynamics

The drug has a pronounced anti-inflammatory effect, and also normalizes the tone of the smooth muscles of the gastrointestinal tract: it helps eliminate spasms without affecting normal peristalsis, and with decreased tone and motility, it has a tonic, prokinetic effect. In an in vitro experiment, it inhibits the growth of 6 subspecies of Helicobacter pylori. Iberogast® reduces the intensity of ulceration of the gastric mucosa, the secretion of hydrochloric acid, reduces the concentration of LT, enhances the production of mucins, and increases the concentration of mucoprotective PGE2 in the gastric mucosa.

How it affects the body

Iberogast normalizes the tone of smooth muscles of all organs of the digestive system and has an anti-inflammatory effect. It does not affect peristalsis, but effectively relieves spasms. If the gastrointestinal tract has low tone, then the medicine stimulates and tones it.

This drug is able to fight 6 subspecies of the dangerous bacterium Helicobacter pylori: it suppresses their growth. Iberogast has a beneficial effect on the stomach:

  • reduces the intensity and frequency of mucosal ulceration;
  • increases the amount of E2 (mucoprotective prostaglandin) in the mucous membrane;
  • normalizes the secretion of hydrochloric acid;
  • improves reproduction and mucin levels;
  • reduces the number of leukotrienes.

These effects are very useful for patients suffering from gastritis and stomach ulcers. This reduces the risk of complications and the development of more severe diseases.

special instructions

The content of ethyl alcohol in the preparation ranges from 29.5 to 32.6% (by volume). When taking 1 single dose (20 drops), the patient receives up to 0.24 g of absolute ethyl alcohol. The maximum daily dose of the drug (60 drops) contains up to 0.72 g of absolute ethyl alcohol.

During storage, slight turbidity or slight precipitation may occur, which does not affect the therapeutic effectiveness of the drug.

Before use, the contents of the bottle should be shaken.

Impact on the ability to drive vehicles and operate machinery. When used in recommended doses, the drug does not affect the ability to drive vehicles and operate machinery.

Contraindications

Iberogast has many contraindications. With these diagnoses you cannot take drops:

  • allergy to medication components;
  • calculous cholecystitis (gallbladder stones in combination with its inflammation);
  • period of pregnancy and lactation;
  • age under 12 years.

For other conditions and diseases, drops should be taken with great caution:

  • brain injuries and diseases;
  • liver diseases;
  • alcoholism.

The patient must strictly follow the doctor's recommendations and prescriptions. If the condition worsens, you should consult a doctor.

Important to remember

If your condition has not improved within 14 days of taking the medicine, you should consult a doctor.

The product contains ethanol, which can affect the reaction speed and ability to concentrate. This substance increases blood alcohol levels. During the course of treatment, you must be very careful when handling complex machinery (construction, repair, industrial) and driving a car. It is better to temporarily stop driving altogether.

This product has no complete analogues. Partial analogues include “Zakofalk”, “Salofalk”, “Kolofort”, “Pentasa”, “Befungin”, “Gastrarex”, “Mesakol”, “Gastroguttal”, “Itomed”, etc.

Iberogast

Iberogast is a unique combination of nine herbal ingredients for the treatment of gastrointestinal disorders. Available in the form of drops for oral use. Originally from Germany, where it has been successfully used for more than 40 years. Normalizes muscle tone of the digestive tract, prevents excess gas formation, neutralizes the aggressive effect of free radicals, has an anti-inflammatory effect, relieves pain and bloating. The name of the drug comes from one of its active ingredients - Iberian bitter, which tones the smooth muscle framework of the gastrointestinal tract. Angelica root stimulates digestion and promotes the secretion of gastric juice, relieves intestinal spasms. Chamomile flowers and caraway fruits have antimicrobial, anti-inflammatory and reparative effects (and the latter also improve food absorption). Milk thistle fruits act as a cytoprotector against stomach and intestinal cells, and also stimulate the restoration of hepatocytes. Melissa leaves are an effective carminative, choleretic, sedative and antimicrobial agent. Peppermint leaves have a similar effect. Celandine herb relieves spasms of smooth muscles of the gastrointestinal tract and stimulates the motor function of the stomach. Licorice root has a wound-healing and antispasmodic effect. The collection and procurement of medicinal plant materials is carried out in strict accordance with the rules of good agricultural practice.

Iberogast is distinguished by a large amount of information proving its effectiveness and safety: more than 20 large clinical studies have been conducted, incl. with the participation of children. The drug eliminates functional dyspepsia (epigastric discomfort, nausea, vomiting, bloating, diarrhea), improves appetite. It contains ethyl alcohol in minimal quantities (less than 100 ml of kefir), which do not affect concentration and attention, so the drug can be used by people whose work involves operating potentially dangerous mechanisms. Loss of transparency or a slight sediment during long-term storage of the drug does not in any way affect its therapeutic effectiveness: before use, just shake the bottle to homogenize the solution. If after two weeks of taking Iberogast the symptoms of the disease do not go away or worsen, you should seek medical advice. Frequency of application: 3 times a day. The optimal time to take it is before meals or with food. Duration of treatment is 1 month with the possibility of extending the drug or repeating the course in consultation with the doctor. The drug has a favorable safety profile and a minimum of adverse reactions (allergy, increased dyspeptic symptoms).

Overdose and side effects

Cases of overdose of the herbal medicine "Iberogast" are still unknown, but exceeding the dose is not recommended, otherwise complications and other unpleasant symptoms may occur.

Iberogast may cause some side effects:

  • digestive disorders (diarrhea, nausea, vomiting);
  • dyspnea;
  • skin allergies.

If side symptoms occur, you need to visit a doctor and stop taking the drug.

Side effect

The frequency of occurrence of adverse reactions according to the MedDRA classification is determined as follows: very often (≥ 1/10); often (≥ 1/100, ˂ 1/10); uncommon (≥ 1/1000, ˂ 1/100); rare (≥ 1/10000, ˂ 1/1000); very rare (˂ 1/10000) and the frequency is unknown (the frequency cannot be determined from the available data). Immune system disorders Very rare: allergic reactions (itching, skin rash, shortness of breath). Liver and biliary tract disorders Frequency unknown: isolated reports of liver damage, acute liver failure, hepatitis, elevated transaminase and bilirubin levels have been received. If you experience the side effects listed in the instructions, or they get worse, or you notice any other side effects not listed in the instructions, stop taking the drug and tell your doctor.

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