Gastritis pills

People who often suffer from stomach pain often have a variety of gastritis pills in their medicine cabinet – and not all of them are effective. Why?

The thing is that gastritis can be different, and medications are selected depending on this. For the same reason, it is not recommended to treat the stomach on your own: after all, the patient himself cannot know what type of gastritis he has. The type of disease is determined by the doctor based on special tests and studies.

Sometimes inflammation in the stomach walls occurs as a result of nutritional errors, but can also be caused by specific bacteria - Helicobacter, which, in addition to gastritis, can provoke the development of ulcers.

The inflammatory reaction can be accompanied by both increased and decreased acidity of gastric juice, and all these factors largely determine future treatment.

Indications for the use of tablets for gastritis

• Acute or chronic inflammation of the gastric mucosa.
• Exacerbation of gastric ulcer and duodenal ulcer.
• Inflammation of the duodenum.
• Gastroenteritis.
• Reflux esophagitis.
• A feeling of discomfort and pain in the projection area of the stomach.
• Prevention of pathological processes in the digestive system during and after therapy with non-steroidal anti-inflammatory drugs and other agents that negatively affect the mucous membrane of the digestive tract.

Groups and names of pills for gastritis

Tablets and medicines for gastritis	Action	Names of drugs
Astringents	Strengthening, prevents diarrhea	Almagel, Smecta
Antiemetics	Elimination of nausea and vomiting	Motilium, Cerucal
Carminative drugs	Relief from increased gas formation, flatulence	Simethicone (Espumisan, Colikid, etc.)
Dopamine receptor antagonists	They stimulate gastric motility and have an antiemetic effect.	Metoclopramide, Bromoprid, Domperidone
Antispasmodic drugs	Elimination of gastrointestinal spasms	Papaverine, Drotaverine
Enzyme agents	Improves enzyme secretion, aids in digestion	Festal, Pancreatin
Antibacterial drugs	Neutralization of Helicobacter	De-nol
Hypoacid agents	Acidity reducers	Omez, Ranitidine
Enveloping agents	Protect the stomach walls from irritation	Maalox, Phosphalugel
Hepatoprotectors	Restore liver function	Gepabene, Liv-52, Karsil
Probiotics	Restore microflora and improve digestion	Bifiform, Hilak, Bifidumbacterin

If gastritis is caused by a bacterium such as Helicobacter pylori, then antibiotic therapy may be prescribed, using antibiotics such as ampicillin, tetracycline, etc. The treatment lasts from 7 to 10 days, followed by appropriate tests.

Tablets for gastritis with high acidity:

• Omez (Omeprazole) – reduces the production of hydrochloric acid. Taken in a dosage of 20 mg before meals twice a day;
• Pantoprazole – is prescribed in the same way as the previous drug;
• Ranitidine is an inexpensive and effective drug, which, however, is not suitable for long-term use;
• De-nol is a bismuth-based agent that protects the gastric mucosa from the effects of damaging factors;
• enveloping and protective agents – Almagel, Maalox, etc.;
• Rennie is a remedy that eliminates the unpleasant consequences of increased acidity, in particular, heartburn.

Tablets for gastritis with low acidity:

• drugs that replace hydrochloric acid (pancreatin, gastric juice, pepsin, etc.);
• enzyme preparations (Festal, Enzistal, Creon, etc.).

Pharmacodynamics and pharmacokinetics

Each drug for the treatment of the inflammatory process in the stomach has its own conditioned pharmacological action. It is this property that determines the effect of the drug.

• Antacids neutralize or adsorb hydrochloric acid, stimulating tissue regeneration.
• Selective anticholinergics – suppress the secretion of hydrochloric acid.
• Histamine receptor blockers have an antisecretory effect due to the competitive blockade of histamine receptors.
• Proton pump inhibitors – directly affect the production of hydrochloric acid.
• Cytoprotectors – stimulate the production of mucus in the stomach, increase the secretion of bicarbonates.
• Antibacterial agents – destroy Helicobacter Pylori bacteria.

Gastritis tablets can be absorbed or not absorbed by the digestive system. Depending on this, the kinetic properties of the drugs are formed.

Tablets for chronic gastritis

Treatment of chronic gastritis involves changes in diet and taking medications that destroy Helicobacter bacteria. Several medications are usually combined to make treatment more effective. These can be hypoacid drugs, antibiotics, and protective agents (for example, bismuth preparations). Antibiotics and De-nol are often combined - this helps prevent the development of Helicobacter resistance to antibacterial tablets, increasing the patient's chances of a speedy recovery. Standard treatment lasts 1-2 weeks, after which the patient takes tests so that the doctor can monitor the positive dynamics of therapy.

After completing antibiotic therapy, De-nol continues to be taken for some time. This is due to the cytoprotective and anti-inflammatory effect of the drug. Thanks to this treatment regimen, signs of gastritis are eliminated, and damaged mucous tissues are completely and qualitatively restored.

Tablets for superficial gastritis

Superficial gastritis is the initial stage of a full-fledged inflammatory process. However, this does not mean that such a disease does not necessarily need to be treated. Quite the opposite: if treatment is ignored, the consequences will be quick and unfavorable, with the destruction of deeper layers of gastric tissue.

Often, with superficial gastritis, diet may be enough. However, tablets for this type of gastritis are also an integral part of therapy.

• To destroy bacteria that cause an inflammatory reaction, a treatment regimen with antibacterial drugs is prescribed. Thus, such schematic options as Clarithromycin + Metronidazole or Clarithromycin + Amoxicillin are popular.
• If you have increased acidity, you can take Omez or Ranitidine. This will stabilize the acidity and protect the mucous membrane from damage.
• It is also possible to use enveloping preparations - Almagel, Phosphalugel, etc.

Tablets for erosive gastritis

Erosive gastritis is characterized by a particularly pronounced course, reminiscent of peptic ulcer disease. The disease is characterized by the appearance of erosions, which is accompanied by significant pain and other unpleasant symptoms.

What should be the treatment of erosive gastritis? The therapeutic regimen should pursue the following goals:

• stabilization of gastric juice production;
• stabilization of the composition and acidity of gastric juice;
• improving the digestion process;
• restoration of digestive system function;
• elimination or prevention of bleeding from erosions;
• destruction of bacteria that caused the development of gastritis.

To normalize digestive processes, it is advisable to take antisecretory drugs: histamine receptor blockers (Quamatel, Ranitidine) or proton pump inhibitors (Omeprazole, Controloc, etc.).

To restore normal acidity, enveloping, antacid and adsorbent agents (Maalox, Gaviscon, Almagel) are widely used.

Digestive processes can be improved with the help of such drugs as enzymes: Creon, Festal, etc.

To restore digestive function and peristalsis, Motilium and Metoclopramide are prescribed.

In case of bleeding, injections of Vikasol or Dicynone will help.

Antibacterial therapy in the presence of Helicobacter pylori can be supplemented with complex agents, for example, Clatinol or Pilobact.

Method of administration and dosage of tablets for gastritis

Medicines that reduce acidity are usually taken 4 times a day, 1-2 tablets whole, 1 hour after meals and before bed.

Selective anticholinergics are taken 50 mg twice a day, 30 minutes before meals.

Histamine receptor blockers are prescribed according to individual regimens, based on the severity of the inflammatory process, the presence of erosive bleeding and the patient's condition.

Proton pump inhibitors are taken according to the following regimens:

• Omez – 20 mg once a day, in the morning, on an empty stomach;
• Lansoprazole – 30-60 mg once a day, in the morning or at night.

The duration of treatment is from 7 days to one and a half months, at the discretion of the attending physician.

Using Gastritis Pills During Pregnancy

Preparations based on bismuth, aluminum and magnesium are strictly contraindicated for pregnant and lactating women.

Enzyme preparations are approved for use for short-term treatment.

Any medication, including tablets for gastritis, should be prescribed only by a doctor, with a careful comparison of the possible risks and benefits of each specific drug.

Contraindications for use

Tablets for gastritis are not prescribed:

• in case of possible hypersensitivity reactions to any ingredient of the drug;
• in most cases during pregnancy and breastfeeding;
• in childhood (under 12 years old).

Caution is required in prescribing:

• in case of kidney problems;
• in case of severe liver dysfunction;
• in acute porphyria.

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Side effects

Antacids:

• constipation or diarrhea;
• hypophosphatemia;
• osteomalacia.

Selective anticholinergics:

• dry mouth;
• accommodation disorders;
• dyspepsia;
• headaches;
• increased heart rate.

Histamine receptor blockers:

• gynecomastia, impotence;
• increased transaminases;
• neutropenia, thrombocytopenia;
• headache, anxiety, fatigue, depression.

Proton pump inhibitors:

• headache;
• fatigue;
• dizziness;
• dyspepsia.

Cytoprotectors:

• spastic pain in the epigastrium;
• skin rashes;
• increased intestinal peristalsis.

Antibacterial drugs:

• diarrhea, nausea, vomiting;
• change in the color of feces.

Symptoms of overdose

When using dosages that are obviously higher than those prescribed by the doctor, some undesirable symptoms may occur. Most often, they are manifested by an increase in side effects. To eliminate the signs of overdose, the doctor cancels the drug and prescribes appropriate treatment, since antidotes to gastritis tablets, as a rule, do not exist.

In most cases, overdosing does not result in life-threatening conditions for patients.

Interactions with other drugs

Antacids significantly impair the absorption of most medications in the digestive system, which in turn reduces their bioavailability when taken orally. This applies to a greater extent to nonsteroidal anti-inflammatory drugs, antibiotics, benzodiazepines and anti-tuberculosis drugs.

The combined use of selective anticholinergics and histamine receptor blockers enhances the antisecretory effect of the drugs.

Histamine receptor blockers impair the absorption of ketoconazole.

Omez is able to slow down the elimination of some drugs, in particular, diazepam, phenotoin.

When taking other medications along with treatment with gastritis tablets, it is recommended to consult a doctor. Simultaneous use of certain medications can worsen the course of the inflammatory process and delay recovery.

Storage conditions and shelf life

Any pills, including those for gastritis, are stored in specially designated places, inaccessible to children. If a child finds the medicine and takes it unnecessarily, this can lead to unpredictable consequences.

It is advisable to store all medications in dark and cool places, at a temperature of +18-24°C, away from direct sunlight and heating devices.

The expiration date of gastritis tablets should be specified in the instructions for each specific drug. It can range from 2 to 3 years, provided that all storage rules are observed.

And yet, which pills are better to choose - the most expensive ones, which are widely advertised in the media, or cheap pills for gastritis?

It is no secret that many advertised products are the same inexpensive drugs, but under a different, brand name. For example:

• domestic Omeprazole is an analogue of the well-known and more expensive tablets Omez and Losek;
• Famotidine is a cheap representative of histamine receptor blockers, which is equivalent to such drugs as Blokacid, Gastrogen or Quamatel;
• Ranitidine is a medicine similar to Ranigast, Zantac, Aciloc, etc.;
• Gastro-norm is a remedy that is several times cheaper than the popular drugs De-nol and Bismofalk.

However, the best pills for gastritis are those prescribed by a doctor based on the results of tests and examinations of the patient. You cannot diagnose gastritis on your own, just as you should not prescribe treatment for yourself.

Gastritis pills are sold without a prescription, but this does not mean that they can be taken independently and chaotically. The best solution to this issue is to consult a doctor in a timely manner. After all, an advanced disease will require longer and more expensive treatment in the future.