Some aspects of diagnosis and treatment of excessive bacterial contamination of the small intestine in clinical practice

Hilak Forte is a unique drug for intestinal dysbiosis, based on metabolites of beneficial bacteria. Available in bottles with drops or disposable sachets, convenient for use.

The advantage of the medicine is safety, which is confirmed by the possibility of treating newborns. Before use, read the instructions for use and analogues of Hilak Forte.

pharmachologic effect

Manufacturer: Ratiopharm, Germany Release form: drops in a bottle or sachet Active ingredient: bacterial metabolites
Hilak forte contains metabolites of lactobacilli, E. coli, enterococcus, long-chain fatty acids and lactic acid, which is a substrate for the proliferation of bacteria. As a result, the balance of the intestinal microflora is restored, the vital activity of pathogens is suppressed, and the immune system is strengthened. Additionally, stools in case of constipation or diarrhea are normalized, and symptoms of flatulence disappear.

Hilak forte can be used during and after taking antibiotics.

Indications for use of Hilaka forte

Hilak Forte is used for diarrhea, constipation and during antibiotic therapy. During the course of treatment, the symptoms of dyspepsia, dysbacteriosis and flatulence disappear, and the intestinal microflora is normalized. It is used as an additional remedy for colitis and gastroenteritis, allergic skin diseases, climate and food changes, enterogenic diseases of the gallbladder and liver, and salmonellosis.

The possibility of combined use of Hilak Forte with antibiotics is due to the composition of the drug - the content of non-living bacteria, and metabolites that are more resistant (resistant) to bacteria. Another advantage of this composition is its faster action, since the metabolites immediately after entering the intestines exhibit medicinal properties without transformation. Analogues of Hilak Forte act more slowly - they need to undergo dissolution, activation and survival. These processes take up to 8–10 hours.

Hilak forte - instructions for use

The medicine Hilak forte is a liquid with a caramel-like odor without taste or cherry flavor, packaged in a 30 or 100 ml bottle or disposable sachets.

Dosage depends on age:

• newborns – 15–30 drops;
• children – 20–40 drops;
• adults – 1 sachet or 40–60 drops.

The medication is taken three times a day until the condition improves permanently, then the dosage can be halved.

Hilak forte - before or after meals

The medicine should be taken before or during meals, after dissolving in a small amount of liquid.

Milk is not suitable as a solvent.

Inexpensive foreign substitutes for Hilak Forte

Many patients prefer foreign-made drugs. They are prescribed for similar conditions, normalize CM and help improve the patient’s general condition, but they are cheaper.

The most popular foreign analogues are:

1. Lactobalance.
2. Ecobion.
3. Biolact.
4. Boiosporin.
5. Back set Forte.

To avoid complications and get the desired result from treatment, it is necessary to consult a qualified specialist before starting treatment.

Lactobalance

Lactobalance is a dietary supplement based on six strains of live bifidobacteria, probiotic microorganisms and 3 strains of live lactobacilli.

After penetration into the body it has a probiotic effect. The bacteria contained in dietary supplements have much in common with human microflora. They restore and normalize CM in case of poor nutrition, improve intestinal functionality, reduce the risk of intestinal disorders, and increase the protective functions of the immune system.

Lactobalance is prescribed from 3 years of age. It acts as a biological additive and an additional source of lacto- and bifidobacteria to the main diet to prevent the development of intestinal disorders when changing location or climatic conditions, and increase resistance to the influence of harmful microorganisms. Due to the high degree of safety, dietary supplements do not cause allergic reactions.

The manufacturer's instructions contain a standard dosage regimen, which states that children are prescribed one capsule every 24 hours, and adults - 1 capsule twice a day. The average duration of the therapeutic course is 30-35 days.

Unlike the original drug, the substitute is not a drug. This is a biological supplement that saturates the body with vital bacteria.

Biosporin

The probiotic is developed based on lyophilized bacteria Bacillus licheniformis and Bacillus subtilis. Its main task is to regulate CM. In the body, these bacilli have an effect on pathogenic and relatively pathogenic microorganisms, stimulate and normalize the digestive process, and improve the absorption of vitamins K, E and B in the gastrointestinal tract.

Biosporin is prescribed for:

• acute stages of intestinal infections;
• dysfunctions of the gastrointestinal tract;
• postoperative infectious diseases;
• bacterial form of vaginosis.

  Bacterial vaginosis

It is not recommended to take drugs for patients with intolerance to the components. There is currently no information regarding side effects.

The tablets are taken before meals (35-40 minutes before). The powder for preparing the suspension is first diluted with boiled water (1 tsp = 1 dose). Hot water cannot be used. Adults and children over 7 years of age are recommended to take two doses twice a day. The average duration of the therapeutic course is 7 days. The exact dosage and duration are determined by the doctor, based on the diagnosis.

Despite the fact that the analogue and the original differ in active components, they both belong to potent drugs that quickly return the condition of the brain to normal.

Biolact

Antidiarrheal drugs are based on lyophilized bacilli. The drug is intended to improve the functioning of the digestive system. Accelerates the process of breakdown of proteins, fats and carbohydrates, prevents the proliferation of harmful microorganisms.

The drug is prescribed for acute intestinal infections, long-term use of antibiotics, dysbacteriosis, food allergies and various gastrointestinal pathologies.

The probiotic is not used if there is hypersensitivity to its components. There have been no recorded cases of negative reactions in medical practice. In this regard, the drug is used to treat children from 5 months.

The standard instructions indicate that adults need to take the drug once every 24 hours, one stick at a time. If the digestive system disorder worsens, the number of doses should be increased to 2 or 3, depending on the severity. The dosage for children is selected by the doctor individually.

The main drug contains a larger number of beneficial bacteria, so it has a wider spectrum of action.

Ecobion

Ecobion refers to biologically active food additives and is an additional source of lacto- and bifidobacteria, which are contained in its composition. The dietary supplement helps increase the secretion of interferon gamma, inhibits pathogenic microflora, increases the functionality of the immune system, and eliminates the feeling of discomfort after eating.

Prescribed in the presence of symptoms of intestinal disorder and provides the body with the necessary bidfidobacteria and lactobacilli. Patients who are allergic to their components should avoid taking capsules. There is no information regarding negative reactions.

Standard instructions include a single dose of 1-2 capsules. It is better to take them during meals with clean water. The duration of the course can be up to two weeks.

Ecobion differs from the original drug not only in its composition, but also in its pharmacological group. Unlike the main drug, it is a biologically active food supplement.

Buck-set Forte

He is another representative of dietary supplements. It contains 14 strains of living microorganisms. Under the influence of a probiotic, symptoms of dysbacteriosis and constipation are eliminated, and CM is restored. Since the components of the supplement are contained in large quantities, they can reach the large intestine without losing vitality and activity.

Conditions for which it is recommended to take the drug:

1. Dysbacteriosis.
2. Constipation/diarrhea.
3. Bloating, cramps.
4. Intestinal poisoning or infections.
5. A course of antibiotic treatment.
6. Changing the regime or diet (when traveling or visiting educational institutions).

Experts do not prescribe the supplement if there is intolerance to its components. Dietary supplements have an increased degree of safety and do not cause side effects.

The product is available in capsule form. For children (up to 5 years old), you can pour the contents of the capsule and mix it with tea, water or juice. Children 3-12 years old take one capsule every 24 hours. Teens and adults can take two capsules 2 to 3 times daily. The average course duration is 14 days.

The original is a medication, and Bak-set Forte is a food supplement. They differ in composition and method of administration.

See also:

Cheap analogues of Helinorm - TOP 8 best drugs

Analogues of Hilaka forte

The cost of the drug depends on the form of release: the price of a small bottle is from 250 rubles, a large one – from 450 rubles, in a sachet – from 500 rubles. If several family members need the drug, it is more profitable to buy at the “2+1” promotion.

Analogues of Hilak Forte drops with prices and manufacturer

Enterol

Manufacturer: Biocodex, France Release form: capsules and powder Active ingredient: Saccharomyces boulardii
Thanks to the active substance, the drug Enterol eliminates diarrhea of ​​various origins, removes pathogens from the body, neutralizes toxins that damage the intestines and restores the digestive function of the organ.

In children's practice, the analogue has been used since one year. When choosing between Enterol or Hilak Forte, consider the patient’s age, indications, and contraindications. Both drugs have been clinically studied and are safe.

Smecta

Manufacturer: Ipsen Pharma, France Release form: powders and suspension Active ingredient: dioctahedral smectite Synonyms: Neosmectin, Diosmectite, Endosorb

Smecta packages are powders for dilution or a ready-made suspension. They are adsorbents - they envelop and protect the gastrointestinal mucosa, stop diarrhea, and prevent nausea and vomiting.

Iberogast

Manufacturer: Steigerwald Artsneimittelwerk/Bayer, Germany Release form: drops Active ingredient: medicinal herbal extracts

The analogue of Iberogast is an alcohol drop with 9 medicinal herbs. The composition of the medicine is unique and relieves the patient from the feeling of fullness and heaviness in the stomach, nausea, bloating, flatulence, pain and spasms.

Due to the alcohol content and insufficient data, it is not used in childhood, chronic alcoholism, head injury, or brain diseases.

Enterofuril

Manufacturer: Bosnalek, Bosnia and Herzegovina Release form: capsules 100 and 200 mg, suspension Active ingredient: nifuroxazide Synonyms: Stopdiar, Ecofuril, Elufor, Contrdiar, Nifuroxazide, Mirofuril, Adisord

The over-the-counter analogue Enterofuril contains an antimicrobial component that has a limited effect in the intestinal lumen. Used to treat bacterial diarrhea in children from 1 month and adults. The advantages of the analogue are rapid action after the first use, preservation of normal intestinal microflora, elimination of infection and safety.

Espumisan

Manufacturer: Berlin-Chemie, Germany Release form: capsules, drops Active ingredient: simethicone Synonyms: Simethicone with fennel (Evalar), Espumisan extra, Sub Simplex, Bobotik

An analogue in capsules is used by adults for flatulence and symptoms (rumbling in the stomach, bloating, internal discomfort). In pediatrics, it is prescribed in drops for colic.

The advantage is the smallest size of the capsules, thanks to which the drug can be taken without drinking water.

Incoming simethicone is not absorbed and is excreted unchanged from the body, is safe, and does not cause addiction.

Lactobacterin

Manufacturer: Microgen, Russia Release form: bottles or suppositories Active ingredient: lactobacilli acidophilus Synonyms: Lactoflor, Laktonorm, Ecofemin, Acylact

The drug is used to normalize the digestive function of the gastrointestinal tract, eliminate constipation or diarrhea, improve metabolic processes, and restore natural immunity. The domestic analogue contains acidophilus lactobacilli, which interfere with the activity of pathogenic microorganisms.

To preserve the properties of the medicine, immediately after purchase the box must be placed on the refrigerator shelf.

Normobakt

Manufacturer: Master Pharm Polska, Poland Release form: sachet Active ingredient: lactobacilli, fructooligosaccharides

The Normobact analogue combines the properties of probiotics and prebiotics. It is used for intestinal infections to reduce the duration of diarrhea and alleviate rotavirus infection, and prevent side effects from taking antibiotics. It is also used to increase natural immunity in acute respiratory infections and acute respiratory viral infections, allergic diseases.

Additionally, an analogue of Hilak Forte is produced in tablets for children in the form of gummy bears under the trade name Normobakt junior.

Duphalac

Manufacturer: Abbott, the Netherlands or Russia Release form: syrup Active ingredient: lactulose Synonyms: Lactulose, Portalac, Normaze

The original drug Duphalac is aimed at eliminating constipation and restoring natural intestinal function. The analogue is safe and can be used in pediatrics.

Creon

Manufacturer: Abbott, the Netherlands or Russia Release form: capsules Active ingredient: pancreatin Synonyms: Pancreatin, Pangrol, Ermital, Enzistal, Mezim, Micrazim, Panzinorm, Penzital

The Creon analogue is used for pancreatitis, pancreatic enzyme deficiency, to improve digestion after poisoning or intestinal infection, climate and food changes, overeating, irregular eating or eating fatty foods. The drug is safe and can be prescribed to babies from birth. As a result, 1–2 minutes after taking it, heaviness in the abdomen, pain, and discomfort are eliminated.

Trimedat

Manufacturer: Valenta Pharm, Korea or Russia Release form: tablets Active ingredient: trimebutine

An analogue of Hilak Forte for children over 3 years of age and adults is the drug Trimedat. The action of the medication is aimed at relieving spasm, pain and heaviness. Additionally, the analogue restores stool, fights constipation or diarrhea, and alternation. As a result, the drug reduces and eliminates the symptoms of functional gastrointestinal disorders and solves the problem.

Buck set

Manufacturer: Probiotic International/Biovid, UK or Russia Release form: capsules, sachets Active ingredient: lacto- and bifidobacteria, oligosaccharides

The English drug Bak-set has been clinically studied and contains 7 or 14 types of strains of beneficial bacteria, depending on the form of release. A distinctive feature is packaging in an acid-resistant capsule, due to which the drug is not destroyed by gastrointestinal juices and restores microflora and digestion, the possibility of using the analogue from birth.

The preparations Actoflor-S and Normospectrum have a similar composition.

Primadophilus

Manufacturer: Harmonium International, Canada Release form: powder, capsules Active ingredient: lactobacilli

Primadophilus is an analogue of Hilak forte on iherb and in Russian pharmacies for adults and children in the form of powder and capsules. Approved from birth and used to eliminate colic in infants, treat atopic dermatitis, intestinal infections and viruses. It is used as an additional agent to restore microflora during antibiotic therapy.

Cheap Russian analogues of Hilak Forte

The most accessible will be domestic substitutes. Russia produces effective drugs that help eliminate digestive problems. Despite their low cost, they are not inferior to expensive drugs.

Many patients trust Russian manufacturers more, so they try to replace the original medicine with them. Having received advice from a specialist, you can purchase Russian analogues of the medicine, only they cost much less, and they will have a similar mechanism of influence.

Acylact

The medicine is available in the form of suppositories, tablets, powder for the preparation of suspensions, developed on the basis of living individuals of lactobacilli acidophilus. Refers to antiparasitic antimicrobial drugs.

The pribiotic is characterized by a high level of antagonistic activity towards opportunistic and pathogenic microorganisms. Under its influence, restoration of bacteriocenosis of the genitals (in women) and improvement of metabolism are observed.

Indications for use include:

• vaginal dysbiosis (for treatment and prevention of development);
• vaginal dysbiosis;
• nonspecific colpitis;
• gynecological pathologies;
• hormone-dependent colpitis.

In the presence of vaginal candidiasis, the use of the medication is prohibited. Contraindications also include hypersensitivity to the components.

Suppositories are intended for intravaginal administration; on average, 1-2 administrations per day are required. Tablets and powder are taken orally. The exact dosage is determined by the doctor, depending on the patient’s condition and the characteristics of the pathology.

The drug is well tolerated and does not cause side effects. In rare cases, if you have an allergy, a rash may form on the skin. The action of Acylact is aimed at restoring the vaginal microflora. The main drug has a wider range of effects.

Acipol

The drug is part of the pharmacotherapeutic group of drugs intended to normalize intestinal function. It is created on the basis of live acidophilus lactobacilli and kefir fungus.

The action of the capsules is aimed at regulating intestinal microflora and maintaining intestinal functionality. Under the influence of the drug, a strengthening of the immune system is observed.

Among the indications, doctors note:

1. Acute intestinal infection.
2. Dysbacteriosis.
3. Chronic colitis.
4. Enterocolitis.

This medication has virtually no contraindications, with the exception of hypersensitivity to the components.

Capsules are intended for oral administration. For young children, the contents of the capsule can be dissolved in warm water or milk. Daily dosage – 1 capsule 3-4 times 15-20 minutes before meals. For preventive purposes, take one tablet per day. The medication does not cause adverse reactions.

The original drug contains ready-made metabolic products, while Acipol contains dried living bacteria. The drugs differ in the method of administration and cost. In some cases, they are prescribed for complex treatment.

Bificol

A drug from the group of medications to improve intestinal microflora. The main active ingredients are E. coli and bifidobacteria. The combined drug has antagonistic and antidiarrheal properties. It has a detrimental effect on the bacteria Proteus, Salmonella, Shigella.

Prescribed to eliminate dysbacteriosis, the consequences of intestinal infections, colitis. It is used to improve the digestion process in patients who have undergone chemotherapy.

The drug is characterized by a high degree of safety. It does not cause negative reactions from the body and has no contraindications. The exception is hypersensitivity to the components.

The standard instructions indicate that the medication is taken before meals (30-40 minutes before). The dosage depends on the age and condition of the patient. The treatment plan is drawn up by a specialist.

The range of applications of the main medication is somewhat wider than that of its analogue. Also, dosage forms differ in cost and main active ingredients.

Colibacterin

A suspension from the group of eubiotics is developed based on Escherichia coli. The mechanism of action of the drug is determined by antagonistic activity aimed at pathogenic and opportunistic intestinal microflora.

It is recommended to prescribe drugs to adult patients and children over 6 years of age in the following cases:

1. Dysbacteriosis.
2. Chronic/protracted dysentery.
3. Chronic pathologies of the gastrointestinal tract.

The drug is also used in the convalescent period after intestinal infections (CI). It is not recommended to use the medication to treat newborns with ulcerative colitis or nonspecific ulcerative colitis.

Usually the medicine does not cause negative effects. In rare cases, minor manifestations of dyspeptic disorder are observed that do not require additional therapy.

The suspension for internal use is dissolved in cool water (1 teaspoon of water per 5 ml). Adults can take from 6 to 12 doses per day, children - from 2 to 8. The exact dosage must be determined by the attending physician.

The action of Colibacterin is aimed more at normalizing stool, while Hilak has more indications for use. The properties of the drugs are determined by different components.

Lactofiltrum

The enterosorbing drug is based on lactulose and hydrolytic lignin. Under the influence of drugs, the body binds and eliminates pathogenic bacteria and toxins. Osmotic pressure increases in the lumen of the large intestine. The intensity of endogenous toxic conditions decreases, and the microbiocenosis of the large intestine returns to normal.

Used for irritable bowel syndrome, liver cirrhosis, hepatitis, and intestinal microflora (IM) disorders. Urticaria and atopic dermatitis are also included in the list of indications for use.

Among the contraindications, experts identify:

• galactosemia;
• intestinal obstruction;
• hypersensitivity to drugs;
• gastrointestinal bleeding.

The tablets are taken 3 times in doses of two or three pieces. They need to be washed down with enough water. For children, the dosage is reduced, the number of doses remains unchanged:

• 8-12 years – 1-2 tablets;
• 3-7 years – 1 tablet;
• from one to three years – half a tablet. If necessary, it can be pre-crushed.

The most common side effects are flatulence, allergic rashes, and diarrhea.

Lactofiltrum is a prebiotic, that is, a sorbent obtained from plants. It is also used for CM disorders, but in comparison with the main drug, the drug has a greater number of contraindications.

Sporobacterin

A suspension from the group of drugs that normalize BM was developed based on the biomass of living bacteria Bacillus subtilis. It has an immunomodulatory and antidiarrheal effect. It has a neutralizing effect on harmful bacteria and prevents their proliferation. Leads to increased phagocyte activity.

Suitable for eliminating the following diseases:

• dysbacteriosis;
• acute dysentery;
• salmonellosis;
• osteomyelitis.

The list of contraindications includes allergies to drugs. During pregnancy, you should consult a specialist before use. It extremely rarely causes allergic reactions in the form of pain in the abdomen, chills, and skin rashes.

Take the drug 30-40 minutes before meals. To do this, the drops should be diluted with cool water. The frequency of doses and the exact dosage is determined by the attending physician.

The composition differs from the original drug. Just like the main Hilak, Sporobacterin is highly effective against bacterial infections of the intestine.

Hilak Forte or Linex - which is better for adults and children

Manufacturer: Lek D.D., Slovenia Release form: capsules, sachets, drops Active ingredient: lactobacilli

Linex is an imported effective drug from the group of eubiotics, used for dysbiosis, dyspeptic disorders, to prevent the negative effects of antibiotics on the intestinal tract. Contains lacto- and bifidobacteria, enterococci, which normally populate the intestines. The analogue is compatible with antibiotics and is resistant to their effects, so it can be used together.

The drugs Hilak Forte and Linex are similar in their mechanism of action and medicinal properties, and have approximately the same cost. They differ in dosage and characteristics of administration - the first before meals, the second medication after, by manufacturers. Both are used in pediatrics.

Linex is also produced in the form of a strengthened formula with the Forte prefix and is used by adults 1-2 times a day.

Foreign analogues

In addition to Russian-made drugs, a list of foreign substitutes for the main drug is highlighted, which have a similar effect on CM. They are produced by well-known manufacturing companies, and therefore are characterized by a high degree of efficiency.

Bactisubtil

A medication from a group of drugs intended to eliminate intestinal dysfunction. The combined product contains:

1. Kaolin.
2. Spores of Bacillus cereus IP 5832.
3. Calcium carbonate.

The eubiotic helps suppress the proliferation of pathogenic bacteria and has antidiarrheal and antimicrobial properties.

Prescribed for the following diseases:

• dysbacteriosis;
• enterocolitis;
• enteritis;
• chronic or acute diarrhea;
• carrying out preventive methods aimed at normalizing the functioning of the gastrointestinal tract after a course of chemotherapy.

It is prescribed for children and adults because it does not cause side effects and has virtually no contraindications. In case of individual intolerance to the components, an allergic rash, anaphylactic shock, and Quincke's edema may occur.

The instructions from the manufacturer indicate that adult patients need to take two capsules 2 to 4 times a day. The exact dosage should be based on the characteristics of the pathology and determined by the attending physician.

Baktisubtil and the original drug have similar indications for use and are well tolerated by patients. They differ in composition.

Lacidophilus

Lacidophil is a medicinal product, the main substance of which is lyophilized cells of lactic acid bacteria. Helps normalize CM, increase local immunity, and improve the digestion process. Under its influence, the degree of tolerance to lactose increases and allergization of the entire body decreases.

Lacidofil is used to treat newborns and adults with the following conditions:

• gastroenteritis;
• diarrhea;
• intestinal dysfunction;
• atopic dermatitis;
• constipation;
• dyspepsia.

The advantage of this medication is the absence of contraindications and adverse reactions.

Capsules are taken with meals. As a preventative measure, take one capsule once a day. To eliminate unpleasant symptoms of intestinal dysfunction, 1-2 capsules are prescribed once a day.

Dosage forms belong to the same pharmacological group. This means that they have a similar effect and can act as substitutes for each other. The main medication has a wider spectrum of action and list of indications.

Linex

One of the most popular substitutes for Hilak. The active component of this eubiotic is viable lyophilized fermented milk bacteria (Enterococcus faecium, Lactobacillus acidophilus, Bifidobacterium infantis).

It has antidiarrheal properties and normalizes the functioning of the gastrointestinal tract. Under the influence of the drug, an increase in the protective functions of the body, inhibition and growth of pathogenic bacilli, synthesis of antibacterial active substances, and breakdown of complex carbohydrates, proteins and fats are observed.

Drugs are prescribed in the following cases:

1. Long-term use of antibiotics.
2. Bacterial or viral infection of the digestive tract.
3. Dysbacteriosis.

Should not be taken by patients with individual intolerance to components or lactose.

Take the drug immediately after meals. Children - 1 capsule three times a day, adolescents are prescribed an adult dose - two capsules. There should be three doses per day. To date, there is no information regarding the side effects of the drug.

Medicines differ in their active substances. At the same time, they have a positive effect on digestion and intestines.

Narine

The dietary supplement consists of acidophilic lactic acid bacteria. The main action is aimed at eliminating bacteriosis and its consequences. The drug is also effective for infectious pathologies of the vagina.

The supplement is prescribed for the following diseases:

• eczema;
• dysentery;
• staphylococcal infection;
• neurodermatitis;
• diabetes;
• salmonellosis;
• exudative diathesis;
• atopic dermatitis;
• enterocolitis.

Before you start taking the medication, you must make sure that the patient is not allergic to its components.

Well tolerated. In rare cases, newborns may have more frequent stools. This phenomenon does not require treatment and goes away on its own.

Capsules and tablets are prescribed to patients from 3 years of age. Children are recommended to take one capsule three times a day. The adult dose is 200-300 mg three times every 24 hours.

Narine is a dietary supplement that is taken with meals. Just like Hilak, the drug has a positive effect on the gastrointestinal tract and digestive process, despite the different components.

Enterol

Lyophilized Saccharomyces boulardii is used as the main active ingredient in this antimicrobial and antidiarrheal drug. The substance acts as an antagonist of pathogenic/opportunistic bacteria. Helps increase sucrase, lactase, maltase. Due to the action of the medication, the enzymatic functions of the intestines also increase.

Prescribed for diarrhea, regardless of its etiology, irritable bowel syndrome, rotavirus infections. This drug should not be used by pregnant women, people with allergies, or used to treat babies under one year of age. The most common adverse reactions include an allergic rash and pain in the stomach. The adult single dose is 1-2 capsules twice a day.

The original medicine is based on other components, but has a similar effect on the body, so the choice depends on personal preference.

Hilak forte or Bifiform - which is better?

Manufacturer: Pfizer, Italy Release form: capsules, drops Active ingredient: enterococcus, bifidobacteria

Hilak Forte and Bifiform are high-quality foreign analogues used in children, infancy and adulthood. The first drug has one release form - drops packaged in a sachet or bottle. The second is capsules and drops for children.

Significant difference - Bifiform contains live bifidobacteria and enterococci. Hilak forte is a metabiotic, contains waste products of beneficial bacteria and lactic acid.

No studies have been conducted to compare the effectiveness of these drugs. However, according to guidelines for doctors, metabiotics (Hilak forte) are more effective than probiotics (Bifiform). The choice of analogue is made based on indications, financial capabilities, preferences regarding time and frequency of administration, and even taste.

Advice from a nutritionist for lactose and milk intolerance

“Why do I have such a reaction to milk?” — it is with this question that patients very often come to visit a gastroenterologist. Let's find out!

Milk is an emulsion, and therefore, due to its physical properties, it is a very favorable product for the digestive tract. It has viscosity and enveloping properties, which often has a good effect on the digestive system and the body as a whole.

Milk is a multicomponent product: proteins, fats, carbohydrates. There are as many sides to a product as there are so many possible problems. Complaints about fat content are usually rare, but the carbohydrate composition most often causes complaints, mainly due to the main sugar of milk - lactose!

Lactose intolerance (lactase deficiency) in adults is a fairly common phenomenon and depends both on hereditary predisposition and on the place of residence and tradition of drinking milk. For example, in the northern regions of Europe, lactose intolerance in adults occurs in 25% of the population, and among the indigenous peoples of Africa, Southeast Asia, North and South America, living closer to the equator, its frequency reaches 95%.

Lactase deficiency in adults is divided into secondary and primary. Primary lactase deficiency can manifest itself in childhood and can develop with age. Secondary occurs under the influence of intestinal infections and other causes that cause damage to cells of the small intestine of various origins.

According to the degree of severity, it is divided into hypolactasia - partial enzyme deficiency, and alactasia - complete enzyme deficiency.

What is the difference between lactose and lactase?

Lactose (milk sugar) is a carbohydrate of organic origin, which consists of two molecules of glucose and galactose and is one of the main components of mammalian and human milk. In its undigested form, lactose cannot be absorbed by intestinal cells. Therefore, to assimilate it, a reaction is carried out in the small intestine that separates lactose into its components - glucose and galactose, which, penetrating the cells of the small intestine, enter the general bloodstream and then the liver. In the liver, they are used to synthesize and store glycogen, which is fuel for the processes occurring in our body.

Beneficial properties of lactose

• plays the role of a prebiotic, improving the composition of microflora;
• participates in the synthesis of B vitamins;
• affects the absorption of calcium, magnesium and other microelements and its own enzymatic activity;
• is a source of energy.

Lactase is a special enzyme that is produced by the cells of the small intestine and controls the reaction of lactose breakdown. When the production of this enzyme decreases or stops, undigested lactose enters the large intestine, where a fermentation reaction occurs with the participation of bacteria, which produces an abundance of gases. In addition, if the consumption of dairy products regularly causes loose stools or pain, cramps, then an inflammatory reaction is triggered, which in the future can lead to prolonged duodenitis or functional disorders of the gastrointestinal tract, changes in the intestinal microflora.

Symptoms of lactose intolerance

The main clinical symptoms are loose stools (diarrhea), bloating, as well as disturbances in the gastrointestinal tract that occur immediately or within 24 hours after drinking milk or dairy products.

In addition, in the presence of intestinal dysbiosis, substances formed during the microbial breakdown of lactose in the large intestine have a toxic effect and can cause general malaise, headaches and, according to some reports, even mental disorders.

People with lactose intolerance are concerned

• diarrhea and loose stools;
• rumbling in the intestines;
• flatulence;
• cramps and pain in the abdomen;
• nausea and vomiting;
• increased fatigue;
• weakness.

The intensity of symptoms depends on the quantity and amount of lactose obtained from food and lactase produced by the cells of the small intestine.

What foods contain lactose?

Milk and animal milk products naturally contain lactose, and many industrially manufactured products may contain added lactose. Any product containing milk, lactose, whey, cottage cheese, or milk powder contains lactose, so before purchasing products, you must familiarize yourself with the ingredients listed on its packaging.

Prepared foods that typically contain lactose include:

• cakes, cookies and pastries;
• cheese sauce;
• puree soups;
• custard;
• milk chocolate;
• pancakes;
• omelette;
• some types of mashed potatoes.

Some products may contain “hidden lactose” and its content may not be declared on the packaging. Examples of products with hidden lactose:

• granola bars;
• bread;
• breakfast cereals;
• margarine;
• some instant soups;
• lollipops, chocolates and chocolates;
• ham or sausage;
• sauce or salad dressing and mayonnaise.

About 20% of prescription drugs, such as birth control pills, and about 6% of over-the-counter drugs, such as those for heartburn, contain lactose. Therefore, people with lactose intolerance (especially alactasia) should tell their doctor about it when prescribing new medications.

How to replace milk if you are lactose intolerant?

Dairy products are a good and affordable source of calcium, proteins and vitamins. Therefore, people with lactose intolerance need to use alternative sources.

Some people with reduced lactase production retain some lactase activity and can include varying amounts of lactose in their diet without experiencing symptoms. For example, they have difficulty digesting fresh milk but eat certain dairy products, such as cheese or yogurt, without discomfort. These products are made using fermentation processes that break down most of the lactose in milk. In this case, yoghurts with live cultures, cheeses in which lactose has already been fermented by bacteria, or low-lactose dairy products are recommended.

If it is necessary to completely eliminate milk, you can use lactose-free milk, in which lactose has already been broken down into glucose and galactose, as well as its plant alternatives - nuts (almond, cashew, etc.), flaxseed, cereals (oatmeal, rice, buckwheat, etc.), coconut or soy milk. Grocery stores often offer a wide selection of lactose-free alternatives to various foods.

Instead of milk, you can add calcium sources of plant and animal origin to your diet:

• sesame;
• nuts and seeds;
• soy milk and cottage cheese;
• legumes;
• greens - dill, parsley;
• fatty fish such as salmon, tuna and mackerel;
• eggs.

Alternative sources of vitamin A include:

• carrots, broccoli, sweet potatoes, pumpkin,
• melon, apricot, papaya, mango;
• legumes;
• liver, eggs.

Vitamin D levels can be increased through exposure to natural sunlight, fatty fish, eggs, fish oil and some fortified foods.

Basic principles of a lactose-free diet

For both primary and secondary lactose intolerance, a lactose-free diet is the mainstay of treatment. Successful adherence to it ensures recovery and cessation of disturbing symptoms.

The diet is selected individually depending on the severity of symptoms and involves limiting or excluding foods containing lactose from the diet. The duration of the diet also depends on the cause of the disorder and the severity of the symptoms. The amount of lactose that can be consumed without harm to health depends on the nature of the disorder. Many people have residual lactase enzyme activity, so everyone needs to determine their individual lactose tolerance threshold after consultation with their doctor.

When using a product with lactose, two factors are taken into account - the amount of milk sugar in it and its volume. To create a diet, it is convenient to use tables with lactose content per 100 g of product.

The basis of the diet for a lactose-free diet is products that do not contain lactose. Lactose-free dairy products are a good replacement for conventional products.

low-lactose dairy products :

• fatty foods - butter, cream;
• fermented foods - cheeses, yoghurts, fatty cottage cheese.

The higher the fat content, the lower the milk sugar content.

When preparing dishes, almond, soy, oat milk and any other plant-based drinks will help replace regular milk. Using alternative milk, you can make not only drinks, such as smoothies or cocktails, but also pancakes, omelettes, waffles and baked goods.

The diet of a person with lactose intolerance should be balanced and replenish the protein, vitamins and calcium that he is deprived of, excluding dairy products.

If you are concerned about symptoms of lactose intolerance, do not switch to a lactose-free diet without consulting your doctor. It is possible that these symptoms may be caused by other causes, and in particular inflammatory bowel disease. Food additives (enzymes containing lactase) can be an addition to the diet; they are taken in capsules or added to milk, or used in the home production of lactose-free fermented milk products.

Cow's milk protein food intolerance in adults

It remains to discuss the last facet of milk - protein . We will mainly discuss cow's milk protein as the most common protein consumed in our country.

Most often, it, as a “foreign” protein for our body, can trigger allergic reactions that are detected in childhood due to the brightness of the manifestations - rashes, skin itching, vomiting or Quincke's edema after consuming cow's milk or products made from it.

In adulthood, food intolerance to cow's milk protein is more common - this is a slow reaction of the immune system with sluggish, but no less inconvenient symptoms: bloating, unstable stool, cramps, pain, belching, mild periodic incomprehensible skin itching, general weakness, aching pain in the joints. In the case of this reaction, the main thing is that against the background of the symptom, local inflammation does not start - the gastrointestinal tract or systemic.

For these purposes, elimination diets or restriction in the consumption of certain food groups are used. The timing should be determined by a doctor; it is also important to prevent a lack of protein, vitamins D, calcium in the diet and to select the best available replacement for all components of cow's milk and fermented milk products made from it.

You can get advice from a nutritionist-gastroenterologist specializing in the management of patients with milk intolerance (lactase deficiency and milk protein food intolerance) at the Expert Gastroenterological Center. For express diagnostics of the above conditions, we suggest using the comprehensive LactoCheck program developed by the center’s specialists.

Hilak forte or Acipol

Manufacturer: Pharmstandard, Russia Release form: capsules, drops Active ingredient: lactobacilli, kefir fungi

A cheap analogue of Hilak Forte in drops and capsules is the domestic drug Acipol. Can be used in children's practice from birth, contains lactobacilli and kefir grains to quickly eliminate dysbiosis, restore balance in the intestines and better colonize the lumen with bacteria.

A significant drawback of the Russian analogue is the need for storage in the refrigerator.

For children, the drug can be used in capsules dissolved in liquid or drops. For adults, the capsule form is preferable.

The inexpensive analogue of Hilaka Forte is produced according to GMP standards and meets quality standards. The medication is not inferior in effectiveness. Differences - release form, composition, mechanism of action, pharmacological group.

Hilak forte or Maxilak – which is better?

Manufacturer: Danisco, France Release form: capsules, sachets Active ingredient: bifidobacteria, lactobacilli, streptococci, lactococci

Maxilak is a modern analogue of Hilak Forte with positive reviews from doctors and patients. Intended for adults and children, available in capsules and sachets. Thanks to its complex composition, the drug suppresses the activity of pathogenic microorganisms, eliminates diarrhea, constipation and other stool disorders, flatulence and dysbacteriosis.

A significant disadvantage of the analogue, compared to Hilak Forte, is the course lasts from 10 days to a month. A package starting from 400 rubles is designed for 10 days, which makes the drug inaccessible to all segments of the population.

The medicines are similar in quality, effectiveness and mechanism of action.

Cost of medicines

The medicine is marketed in the form of oral drops. The average cost of a bottle (30 ml) is 270 rubles, and 100 ml – 550 rubles. Today you can buy an equally high-quality analogue of Hilak Forte much cheaper.

The cost of medications depends on the dosage and country of origin. Imported drugs will cost slightly more. If there is a need to replace the main product, you should consult a doctor. The selection of analogues can only be carried out by a qualified specialist.

Lactofiltrum or Hilak Forte – which is better?

Manufacturer: Avva Rus, Russia Release form: tablets Active ingredients: lignin and lactulose
Tablets Lactofiltrum is a cheaper substitute for Hilaka forte, used for acne, poisoning, and to restore and cleanse the intestines. The drug is prescribed for antibiotic therapy, vaginal dysbiosis, irritable bowel syndrome, hepatitis, cirrhosis, and allergic diseases.

Hilak forte and Lactofiltrum differ in composition and mechanism of action. The choice is individual depending on the patient’s complaints and indications.

Baktistatin has a similar effect - a combination of sorbent, pro- and prebiotic. As an analogue sorbent, it binds and removes toxins, their waste products, allergens and waste. Additionally restores intestinal microflora.

Analogs of Hilak Forte differ in their mechanism of action, composition, and pharmacological group. The drugs are dispensed without a doctor's prescription. When taking antibiotics, read the instructions for use, in particular, whether simultaneous use is possible.

The best analogues of Hilak Forte for children

To eliminate problems associated with the functioning of the digestive system in children, Hilak or its substitutes are used. There is a separate group of medications that are completely safe for a fragile child’s body.

Lactobacterin

The drug contains live lactobacilli. For maximum convenience, the product is available in several forms: suppositories, suspension, tablets and ampoules. It has immunomodulatory and antibacterial properties.

Under the influence of active components, pathogenic bacteria die. Metabolic processes, gastrointestinal tract functions and the immune system are restored.

The list of indications includes:

1. Dysbacteriosis.
2. Dysentery.
3. Salmonellosis.
4. Atopic dermatitis.
5. Chronic colitis.
6. Infectious enteritis.

It is not recommended to use the drug if you are allergic to its components. Also, vaginal suppositories are not used in childhood. The medicine does not cause negative reactions provided there is no individual intolerance.

In childhood, the medication is taken as a preventive measure. Its main task is to populate the intestines with beneficial microflora. The instructions indicate that the product should be diluted with cool boiled water (1 ml per dose). Reception is carried out 2-3 times every 24 hours.

Despite the fact that both drugs have a similar principle of action, the second Lactobacterin is more suitable for children.

Rela-life

Medicines from the group of biologically active additives. The main component is live lactobacilli. Available in the form of drops and chewable tablets. Normalizes CM, improves immunity, eliminates the effects of dysbiosis, maintains the balance of intestinal microflora normally. Prevents the development and eliminates signs of gastrointestinal disorders.

The dietary supplement acts as an additional source of lactobacilli for newborns. It can also be given to babies with colic. Not used only if there is an individual intolerance to the components. Well tolerated by patients, regardless of age group.

You should take one dose per day. Drops can be diluted with a small amount of boiled water or tea.

The composition of dietary supplements differs from the main drug. It also does not have such a large list of indications.

Bifidumbacterin

Bifidumbacterin also represents a group of drugs that have a positive effect on CM. It contains bifidobacteria bifidum, which determine the mechanism of action. Under the influence of the medication, the protective functions of the intestines, the performance of the digestive system and the nonspecific resistance of the whole organism increase.

Main indications:

• dysbacteriosis;
• inflammatory processes in the intestines;
• intestinal dysfunction over a long period;
• acute intestinal infections;
• transition to artificial feeding.

Do not use the drug if you are highly sensitive to its components. In childhood, the medicine is well tolerated by the body and does not provoke the development of adverse reactions.

The treatment regimen is drawn up by a qualified specialist depending on the child’s condition and the severity of the disease. Self-treatment can negatively affect the baby’s well-being.

Bifiform

The main components of antidiarrheal drugs are lactic acid bacteria. Their main task is to control and maintain the physiological balance of the intestinal flora. Prescribed for diarrhea and dysbacteriosis. It has no contraindications, but before taking it you should make sure that the child is not allergic to the components of the drug.

If the treatment regimen is correctly selected and the doctor’s recommendations are followed, the drug does not cause negative reactions from internal organs or systems.

Patients over two years of age are prescribed 2-3 capsules 3 times a day. When treating small children, the contents of the capsule can be poured out and mixed with a teaspoon of boiled water.

Hilak and Bifiform contain different types of microorganisms, so their effects are slightly different. In this case, dosage forms are prescribed for similar conditions. Another difference is the release form. Bifiform is produced in the form of capsules, powder, drops and chewable tablets.