Fenistil( drops for children): instructions for use, analogues
Jul 07, 2018
Various manifestations of allergy are currently diagnosed in almost every third child.Many antiallergic drugs have age limits, that is, they are not suitable for treating babies, but Fenistil in drops is allowed to children already in the second month of life.
Fenistil is a drug belonging to H1-histamine receptor blockers.It is able to cure the clinical manifestations of an allergy or significantly reduce their severity.The drug does not work on the cause of the pathology, i.e. it is intended for symptomatic therapy.Table of contents: Active ingredient and dosage forms When is Fenistil administered?When can not use Fenistil?How to take Fenistil in drops?Probable side effects How does an overdose manifest, and what measures need to be taken?Pharmacological action Interactions of Fenistil with other medicines Additional information Pharmacy dispensing and storage conditions Analogues Fenistila
Active ingredient and dosage forms
The drug is manufactured by the Swiss pharmaceutical company in the form of gel, capsules, emulsions and drops.The active substance Fenistila is dimethindene maleate.
In 1 ml of liquid( corresponding to 20 drops), 1 mg of the biologically active component is present.
The preparation is supplied in dark glass bottles with a volume of 20 ml.Containers are equipped with convenient dispensers.
When is Fenistil administered?
Indications for prescribing the drug are mainly allergic diseases:
- year-round allergic rhinitis and conjunctivitis;
- angioedema( Quincke's edema);
- atopic dermatitis and other dermatoses( manifested including skin pruritus);
- marked reaction to bites of non-poisonous insects.
Important: Fenistil in drops is often prescribed for preventive purposes during hyposensitizing therapy.It is also recommended that the baby be given to remove the itchy skin against the background of some childhood infections( chicken pox, measles and rubella).
For colds drops reduce the severity of certain clinical manifestations( in particular - reduce irritation in the throat).Fenistil is indicated to babies during teething.
When can not use Fenistil?
Fenistil is uniquely contraindicated in patients with hypersensitivity to the active ingredient or auxiliary ingredients.
Other contraindications include:
- bronchial asthma;
- chronic cholecystitis;
- closed angle glaucoma.
Fenistil in drops is not given to children under 1 month, especially - born with light weight.Babies up to 1 year of age are given with great caution, since the sedative effect of the medication can provoke a night apnea( episodes of stopping breathing).
How to take Fenistil in drops?
The drug is intended for oral administration.
For children from 1 month.Up to 12 years, the dosage is determined from the calculation of 100 μg / kg of weight per day, which corresponds to 2 drops per 1 kg of body weight.The total volume is divided into 3 equal doses.
Babies under 1 year of age Fenistil is appointed by the attending physician when there is an unconditional need for blockade of the specific receptors of the mediator of the allergy.
Adolescents aged 12 years and older are given 20-40 drops per reception 3 times a day.
Note: If the drug causes severe drowsiness, it is advisable to drink 40 drops before bedtime + 20 drops in the morning.
This antiallergic agent is intended for course treatment. The duration of the course is the minimum possible for the removal of acute clinical manifestations of allergy( 1-1,5 weeks).If the symptoms can be suppressed earlier, then the use of Fenistil in drops is recommended to stop.
Probable side effects of
Most patients tolerate Fenistil treatment well.
In some cases, the following side effects of the drug are noted:
- drowsiness during the day;
- anxiety and nervousness;
- high fatigue;
- dyspepsia disorder( nausea, diarrhea);
- anaphylactoid reactions( in very rare situations);
- dryness in the oral cavity.
If side effects occur, the doctor should be informed immediately.In such cases, the question of correcting the dose( in the direction of decreasing) or the complete withdrawal of the drug is raised.
How does the overdose manifest, and what measures need to be taken?
In case of accidental exceeding of the recommended dosage in children, the following can be observed:
- nervous excitation;
- movement coordination disorder( ataxia);
- increased heart rate;
- convulsions( clonic or tonic);
- drop in blood pressure;
- hyperemia of the facial region( vascular reaction);
- dilated pupils( mydriasis);
- febrile reaction;
- urinary retention.
Note: In severe situations, collapse is not excluded.
In case of overdosage, gastric lavage is required( if a little time has passed since the time of administration), reception of enterosorbents( for example - ordinary or white activated carbon), and salt laxatives to accelerate the excretion of the substance from the body. It is essential to monitor vital functions and, if necessary, to carry out resuscitation.
If you have symptoms of an overdose, call an ambulance team.
The drug inhibits the release of the main mediator of the allergy from the mast cells.Fenistil reduces the permeability of the capillary walls, which helps to reduce exudation and swelling.The drug is characterized by a slight sedative( soothing) effect.
After oral administration, the active substance is absorbed into the digestive tract rapidly and in its entirety.The therapeutic effect begins to develop after half an hour, and remains on average about 12 hours.
Interaction of Fenistil with other medicines
In parallel administration Fenistil enhances the action of the following groups:
- anxiolytics( tranquilizers);
- tricyclic antidepressants;
- monoamine oxidase inhibitors( MAO);
- narcotic analgesics( opioids);
Spasmolytics and drugs that dilate the bronchi( bronchodilators), increase the risk of urinary retention and increase in intraocular pressure due to m-cholinoblocking action.
It is important to avoid joint use of Fenistil and drugs, which include ethyl alcohol .Otherwise, depression of the central nervous system may occur.
It is important to take special care when prescribing Fenistil to epileptic patients and persons suffering from chronic obstructive pulmonary diseases of the respiratory system.
In young patients up to 6 years of age, the majority of histamine receptor blockers can cause increased nervous excitability.
Breast pads Fenistil in drops is advisable to be added to a bottle with a milky formula or with expressed breast milk;Older children - in juice or compote.Do not heat the drops very much.
If the baby is already fed from a spoon, there is no need to dilute the medicine;It has a rather pleasant taste.
Fenistil is ineffective if itching is caused by stagnation of bile.
Note: Some pediatricians recommend giving Fenistil in drops before the scheduled vaccinations.Thus, it is possible to avoid a pronounced reaction to the administration of the vaccine.Vaccine specialists often hold the opposite opinion.Antihistamines can "blur" the results and cause misinterpretation of the results.In this regard, it is advisable to give the child a drug only after vaccination, if there is severe itching or fever.
Conditions for dispensing from pharmacies and storage
Fenistil in drops for children is allowed for OTC.
Drops must be stored in a factory vial at a temperature not exceeding + 25 ° C.
Shelf life - 2 years from the date of manufacture( it is indicated on the package).
Keep out of the reach of children!
Note: Dimethinden drops are an analog of this drug.They are cheaper, and have the same effect.
Among the analogs also include:
Suprastin is approved for the treatment of babies from 1 month, but it is available only in the form of tablets, which makes it difficult to take.It is undesirable to give Zirtek to young children.It does not affect the central nervous system, but has a number of other side effects.Zodak is assigned only to children who reached the age of one year.
Plisov Vladimir, medical reviewer