Orders on surgery in recent years. Organization of the work of the surgical department and the surgical room of the polyclinic. Surgical department of polyclinic

After a pregnant woman is registered, she will need to regularly take a series of tests. This is necessary to monitor the health status of the expectant mother and baby. Unfortunately, quite often in the results of laboratory studies of a pregnant woman, a low level of hemoglobin is indicated. This indicates the presence of iron deficiency anemia. This condition is very dangerous for both the woman and the fetus. In this case, to normalize the amount of hemoglobin, the doctor will prescribe. Today, the most effective of them is Fenyuls. During pregnancy, this is the best option.

Anemia in pregnancy

110 g/l is the minimum for women. During pregnancy, this indicator can decrease to 90 g / l, and in some cases up to 70 g / l. According to statistics, anemia during pregnancy is diagnosed in 40% of women. The reasons for this condition can be very diverse: early toxicosis, nervous stress, malnutrition. The main reason is absolutely physiological in nature, when in the process of development the fetus takes important substances from the mother's body. Taking the drug "Fenyuls" during pregnancy reduces the risk of developing anemia. As a result, the risk of possible complications during childbearing and during childbirth is reduced several times.

The drug "Fenyuls": indications for use

If you find even one of the following symptoms, you should contact your doctor as soon as possible, these are:

• weakness;
• dizziness;
• drowsiness;
• insomnia;
• constipation;
• noise in ears;
• atrophic changes in the mucous membranes;
• dry lips;
• fragility of nails and hair;
• decrease in immunity.

All of these signs may indicate iron deficiency anemia. The drug "Fenuls" will help to normalize the condition of a woman. During pregnancy, the price of the drug is not the main thing. In the first place should be the health of the expectant mother and child. Moreover, the price of the drug "Fenuls" (how to take the remedy will be described below) is fully consistent with its positive medicinal effect and is in the range of 50-70 rubles per pack (10 capsules per pack).

The drug "Fenyuls": composition and properties

The composition of the drug includes ferrous iron. This component is part of hemoglobin. It is the most important substance in the human body. It is thanks to him that metabolic processes in cells and tissue respiration are possible. Also, the composition of the drug includes vitamins of group B, which are involved in carbohydrate and protein metabolism, and vitamin C, which helps to strengthen the immune system. In addition, the constituent agents contribute to better absorption of iron by the body and reduce its negative effect on the mucous membranes of the stomach and intestines.

The effectiveness of the drug "Fenyuls"

If the doctor diagnoses "anemia" (and this can only be done on the basis of a general blood test, which will take into account the level of hemoglobin, leukocytes, lymphocytes, stab, erythrocyte sedimentation rate), treatment with iron preparations will be required. During the period of bearing a baby, the drug "Fenuls" is considered the most effective. Clinical studies have shown that taking one capsule of the drug once a day, you can achieve not only the normalization of the pregnant woman's well-being, but also a significant improvement in the blood picture. And by the end of the 3rd week of treatment with this remedy, laboratory tests show a normal level of hemoglobin. It has also been found that in most cases, when using Fenyuls during pregnancy, blood circulation in the uterus-placenta system is normalized and the risk of developing certain inflammatory diseases is reduced. In addition, the drug has proven its effectiveness during the preparation period and after caesarean section. In parturient women who use Fenyuls after surgery, the risk of postpartum anemia, endometritis and many wound infections is halved. Therefore, for preventive purposes, the drug is prescribed before and after childbirth, even if they proceed naturally. The tool has a granular structure and in very rare cases causes side effects.

The drug "Fenyuls" during pregnancy: instructions for use

As a rule, the drug is prescribed, starting with Take it one capsule per day. The intake cycle is two weeks, after which a week break is taken. According to this scheme, the drug is taken until the birth itself. For medical reasons, the dose of the drug can be increased to two doses per day.

Often, doctors advise taking multivitamin complexes along with Fenyuls during pregnancy. The instructions for this remedy, however, indicate the inappropriateness of such actions, since other vitamins can interfere with the absorption and absorption of iron. In addition, the drug "Fenuls" is not recommended to be used together with because they weaken the effect of the active ingredients.

Although the drug is included in the group of pharmacological polyminerals and multivitamins, in no case should you self-medicate. This tool is designed to correct specific problems. Therefore, first of all, it is necessary to consult a specialist and a medical examination (in particular, a general blood test), on the basis of which the doctor will be able to confirm or refute the presence of any pathology.

Side effects

As a rule, the drug "Fenyuls" during pregnancy does not cause side effects. But in some cases, such undesirable phenomena as vomiting, nausea, rash, itching, constipation, dizziness may appear. This does not require any therapy, since the condition returns to normal within a short time after the drug is discontinued.

Contraindications to taking the drug "Fenyuls"

Indications for the use of the drug in some cases may turn into contraindications. The drug is not recommended for use in diseases such as hemosiderosis and hemochromatosis. These are conditions characterized by the accumulation of iron in some organs, at the same time, the content of iron in the blood may be insufficient. The drug "Fenuls" is not prescribed for allergic reactions to its components. Since iron has an irritating effect, the remedy is used with caution in diseases of the digestive system, as this can provoke an exacerbation of diseases of the gastrointestinal tract. Namely - peptic ulcer of the duodenum or stomach.

Pregnancy is a joyful and at the same time very exciting period in the life of every woman. After all, she is responsible not only for her own, but also for the life that has just begun. While carrying a baby, it is especially important to monitor your health and not miss the slightest signs of malaise.

Thanks

Fenyuls is a common name for three different options iron preparations intended for the treatment and prevention of iron deficiency anemia in women, men and children.

Fenyuls - composition, form of release and names of the drug

Currently, three varieties of the drug Fenyuls are produced - these are:
1. Fenyuls;
2. Fenyuls 100;
3. Fenyuls Complex.

Each type of drug is produced in its dosage form. So, Fenyuls is available in capsules, Fenyuls 100 is in tablets, and Fenyuls Complex is in the form of a syrup. Accordingly, the names "Fenules 100" and "Fenules tablets" often used in everyday speech refer to the variety of the drug that correctly calls Fenules 100. The name "Fenules capsules" refers to the variety that is correctly called simply Fenules. But the Fenyuls Complex, as a rule, is called children's in everyday speech, since the dosage form of the syrup is suitable for taking by young children and therefore is prescribed by pediatricians. However, Fenyuls Complex can also be taken by adults. In the following text, to designate varieties of Fenyuls, we will use an indication of the dosage form. For example, Fenyuls 100 will be called tablets, Fenyuls Complex - drops, and Fenyuls - capsules.

The composition of each variety of Fenyuls necessarily includes an iron compound, which is necessary to compensate for a deficiency or high need for this element. In addition to iron, each variety of Fenyuls includes various additional components that determine the differences between them. Consider the composition of each variety of Fenyuls separately, so as not to create confusion.

So, the composition of Fenyuls capsules includes the following active ingredients:

• Ferrous sulfate - 150 mg;
• Thiamine (vitamin B 1) - 2 mg;
• Riboflavin (vitamin B 2) - 2 mg;
• Ascorbic acid (vitamin C) - 50 mg;
• Pantothenic acid (vitamin B 5) - 2.5 mg;
• Pyridoxine (vitamin B 6) - 1 mg.

Fenyuls 100 tablets contain only 100 mg of ferrous sulfate and 60 mg of ascorbic acid as active ingredients. And in the drops of Fenyuls Complex, only one component is contained as an active substance - iron salt polymaltose hydroxide at a concentration of 50 mg / ml. That is, capsules contain 150 mg of iron, tablets - 100 mg, and drops - 50 mg per 1 ml.

INN Fenyuls and photo

The abbreviation INN means the international non-proprietary name that any drug has. The INN of the drug is the name of the active ingredient (active ingredient), which is indicated in any package insert with instructions for use, so it is not difficult to recognize it.

Fenyuls also has an INN, but it is somewhat more difficult to determine it, since tablets and capsules contain not one active ingredient, but several. In such a situation, the entire list of active components of the drug is usually given, which will be the total INN of the drug.

However, in relation to Fenyuls, one can limit oneself to only one name of the INN, conditionally taking an iron compound as the main active ingredient. And it is the name of the iron that is part of the compound that will be the INN of each variety of Fenyuls. For example, for Fenyuls and Fenyuls 100 INN will be ferrous sulfate anhydrous, and for Fenyuls drops - iron hydroxide polymaltose.

Below is a photograph of the packages of Fenyuls varieties.

Therapeutic action

Despite the vitamins included in Fenyuls capsules, the main effect of all three types of the drug is determined by iron compounds. That is why all varieties of Fenyuls are considered and, accordingly, refer to antianemic drugs that eliminate iron deficiency in the body and normalize the concentration of hemoglobin in the blood. Consider the therapeutic effect of each variety of Fenyuls separately, so that you can evaluate the features of all options.

Capsules Fenyuls

Fenyuls capsules contain ferrous sulfate, B vitamins and ascorbic acid combined into special microdialysis granules that provide a gradual release of these substances.

Due to ferrous sulfate, Fenyuls capsules effectively compensate for the deficiency of this element in the body of children and adults with blood loss, iron deficiency in food or an increased need for it (for example, pregnant women, athletes, etc.). That is, Fenyuls capsules increase the concentration of blood hemoglobin in people in whom it is reduced, and maintain it at a normal level in cases of increased consumption of this element during pregnancy, heavy physical exertion, heavy menstruation, etc. Ascorbic acid improves the absorption of iron from the intestines into the bloodstream.

B vitamins normalize the metabolism of fats, proteins and carbohydrates, disturbed due to dystrophic processes associated with iron and vitamin deficiency. So, thiamine improves the functioning of the nervous system and normalizes the metabolism of carbohydrates. Riboflavin improves vision and cellular respiration. Pyridoxine improves amino acid metabolism and protein synthesis, while pantothenic acid normalizes fat metabolism.

Fenyuls 100 tablets

Fenyuls 100 tablets compensate for iron deficiency in the human body, normalizing the concentration of hemoglobin or maintaining it at a normal level with increased consumption of this element, for example, during pregnancy, breastfeeding, heavy menstruation, heavy physical work, etc.

Fenyuls 100 tablets have a special porous structure, which ensures a slow and gradual release of ferrous sulfate, which reduces stomach irritation and improves the absorption of the element in the intestines. In addition, ascorbic acid, which is part of the tablets, also improves the absorption of iron from the intestines into the bloodstream, converting it from Fe 3+ to Fe 2+.

Drops Fenyuls Complex

Drops Fenyuls Complex contain iron in the form of an active polymaltose complex, which is a dextrin in its chemical structure. This causes a very important advantage of Fenyuls Complex drops over other preparations containing iron in the form of dextrans. The fact is that dextrans often cause allergic reactions, but dextrins do not. That is, Fenyuls Complex drops are hypoallergenic, and therefore can be used in people in whom other iron preparations cause allergic reactions.

The chemical compound of dextrin in Fenules Complex is very similar to the natural bioorganic molecules found in the human body and containing iron atoms. Due to this structure, iron from the Fenules Complex is released in the intestine very slowly, and is absorbed into the bloodstream only by active diffusion, which makes it impossible to overdose. This means that even when taking a large number of drops of Fenyuls Complex, a person will not develop an overdose of iron. Such an important quality makes Fenyuls Complex drops very convenient and safe to use.

The third advantage of Fenyuls complex drops over other iron preparations is that they do not have the ability to activate oxidative processes.

Due to the peculiarities of action and the chemical structure of the active ingredient, Fenyuls Complex drops quickly eliminate iron deficiency in the body and normalize the concentration of hemoglobin in the blood.

Indications for use

Since each variety of Fenyuls has certain features of the therapeutic effect, the range of indications for their use is somewhat different, although all drugs are used to eliminate iron deficiency and treat anemia. This is due precisely to the aspects of the therapeutic effect, which are most effective in various variants of the course of anemia and the initial conditions of the body. Therefore, each variety of Fenyuls is indicated for use in a certain form of anemia and the state of the human body, in which it is most effective. Indications for the use of all three varieties of Fenyuls are shown in the table.

Indications for the use of Fenyuls capsules	Indications for the use of tablets Fenyuls 100	Indications for the use of drops Fenyuls Complex
Treatment and prevention of iron deficiency during heavy menstruation, pregnancy or breastfeeding	Treatment and prevention of iron deficiency anemia caused by an increased need for iron during pregnancy, breastfeeding, during a period of intensive growth or recovery from serious illness	Treatment of iron deficiency anemia of any origin in infants and preschool children
Vitamin B deficiency	Treatment and prevention of iron deficiency anemia caused by chronic blood loss, such as heavy menstruation, uterine bleeding, or bleeding from the stomach and duodenum	Elimination of iron deficiency in infants and preschool children
	Treatment and prevention of iron deficiency anemia caused by an unbalanced diet	Ensuring the need for iron during periods of its intensive consumption during pregnancy, breastfeeding, blood donation, during a period of intensive growth
		Ensuring adequate iron intake in vegetarians and the elderly

The indicated division of indications for the use of various variants of Fenyuls is rather arbitrary, therefore, in principle, if necessary, eliminate iron deficiency in the body or cure anemia, you can use any currently available drug. However, if there is a choice, then it is better to use the variety of Fenyuls that is recommended for the treatment of a person's condition or disease.

Instructions for use

Fenyuls - how to take pills, capsules and drops

Any form of the drug should be taken orally with a small amount of water (at least half a glass). The total daily dosage of the drug can be taken at one time (for example, in the morning or evening) or divided into several doses (for example, 2 to 3 times a day).

Continuous administration of the drug should be carried out up to the normalization of the concentration of ferritin, even if the pregnancy or the period of breastfeeding has already ended. If the concentration of ferritin cannot be monitored, then treatment is continued for a month after the normalization of the hemoglobin level in the blood. This is necessary to create a supply of iron in the body, which guarantees the absence of relapses of anemia for several years.

Dosages and duration of treatment with Fenyuls Complex drops

For the treatment of anemia in children of different ages, Fenyuls Complex drops must be taken in the following dosages:

• Premature newborns - the dosage is calculated individually according to body weight, based on the ratio of 1 - 2 drops per 1 kg of weight. The calculated daily dosage is dissolved in milk or baby food, and given to the child at a time. Dose adjustment by weight is made every 1-2 weeks, and Fenyuls Complex is continued for 3-5 months.
• Children from birth to 1 year of age take Fenyuls Complex 10-20 drops per day until the hemoglobin level normalizes.
• Children 1-12 years old take Fenyuls Complex 20-40 drops per day. Moreover, the drug must be taken until the normalization of hemoglobin concentration and plus another month.

For the treatment of anemia, adults and adolescents over 12 years of age take 40-120 drops per day, and pregnant women - 80-120 drops per day. The duration of therapy is at least two months and is determined by the rate of normalization of hemoglobin concentration. After hemoglobin rises to normal values, it is recommended to take Fenyuls Complex for at least one more month to create a reserve.

For the treatment of latent iron deficiency, in which anemia is still absent, but the ferritin level is already below normal, it is necessary to take Fenyuls Complex in the following dosages, depending on age:

• Children from birth to 1 year - take 6 - 10 drops per day;
• Children 1 - 12 years old - take 10 - 20 drops per day;
• Children over 12 years old and adults - take 20 - 40 drops per day;
• Pregnant women - take 40 drops per day.

The duration of treatment for latent iron deficiency depends on the rate of normalization of blood ferritin concentration. That is, Fenyuls continue to be taken until the level of ferritin reaches normal limits.

For the prevention of iron deficiency, Fenyuls Complex drops can be taken in courses lasting 1 to 2 months in the following dosages:

• Children from birth to 1 year - 2 - 4 drops per day;
• Children 1 - 12 years old - 4 - 6 drops per day;
• Children over 12 years old and adults - 4 - 6 drops per day;
• Pregnant women - 6 drops per day.

Between prophylactic courses of taking Fenyuls, it is necessary to take breaks of 1-2 months.

special instructions

All varieties of Fenules can stain black feces, which is normal. Fenyuls capsules may color urine bright yellow or orange due to the presence of riboflavin, which is also normal.

The drug should not be taken together with other means containing iron, as an overdose may develop. Fenyuls must be taken 1 hour before or 2 hours after taking drugs that impair iron absorption, such as antacids (Almagel, Maalox, Rennie, etc.) or sorbents (Polifepan, Polysorb, Enterodez, etc.).

If one dose of Fenyuls was missed, then you should drink a tablet, capsule or drops as soon as possible. However, if the missed dose of Fenyuls coincides in time with the moment of taking the next tablet or capsule of the drug, then you should drink only one dose of the drug, without doubling it.

It is optimal to treat anemia and latent iron deficiency under the control of hemoglobin and ferritin concentrations in the blood, as well as the total iron-binding capacity of serum.

Overdose

An overdose of Fenyuls is possible and proceeds in four stages:
1. Early symptoms appear within 6 hours after an overdose. A person is concerned about nausea, vomiting, diarrhea with blood, abdominal pain, pallor of the skin, cold sticky sweat, weak pulse, hypotension, tachycardia, depression of the central nervous system, convulsions, impaired blood clotting;
2. The asymptomatic period occurs 6 to 12 hours after an overdose. At this time, the person feels normal;
3. Delayed symptoms appear 12 to 48 hours after an overdose. A person develops kidney and liver failure and collapse, and body temperature rises;
4. Late symptoms occur several weeks after the overdose. A person develops liver damage and intestinal stricture is formed.

If any symptoms of an overdose appear, you should immediately stop taking Fenyuls, wash the stomach and intestines, give a raw egg and milk to eat, which will bind excess iron ions. After that, carry out symptomatic treatment aimed at maintaining the functioning of vital organs and systems. In severe poisoning that threatens death, deferoxamine is administered.

Interaction with other drugs

Fenyuls capsules should not be taken with other multivitamin complexes, so as not to provoke an overdose of vitamins.

All varieties of Fenyuls should not be taken simultaneously with antacids and sorbents, as they reduce its absorption. It is necessary to take Fenyuls 1 hour before or 2 hours after antacids or sorbents.

Fenyuls reduces the absorption of tetracycline antibiotics, so these drugs should not be taken at the same time. It is optimal to take antibiotics one hour before or 2 hours after Fenyuls.

Fenyuls capsules and tablets reduce the therapeutic effect of Levodopa, Methyldopa, Penicillamine, fluoroquinolones and thyroid hormones, therefore it is recommended to spread their intake in time by 1 to 2 hours.

All varieties of Fenyuls cannot be taken simultaneously with Ciprofloxacin, Doxycycline, Normfloxacin and Ofloxacin.

It is also necessary to remember that eggs, milk and dairy products, whole grain cereals, tea and coffee reduce the absorption of iron. Therefore, when eating these products, it should be borne in mind that the course of treatment may be lengthened.

Fenyuls during pregnancy and breastfeeding

General provisions

Fenyuls can be taken by pregnant women at any gestational age, both for the treatment and prevention of iron deficiency and anemia. Due to the increased consumption of iron, pregnant women often develop anemia, which must be prevented or treated by regular use of Fenyuls or another similar drug.

Pregnant women can take any kind of Fenyuls - capsules, tablets or drops, choosing the option that they like best for any subjective reasons. However, if a woman takes a multivitamin complex for pregnant women, then it is recommended to choose Fenyuls drops or tablets, since the capsules contain vitamins in addition to iron. And the simultaneous intake of both a multivitamin complex and vitamins in the composition of Fenyuls can provoke their overdose.

Pregnant women are advised to take Fenyuls only after meals, as this minimizes the risk of irritation of the gastric mucosa and, accordingly, the appearance of unpleasant symptoms or increased toxicosis.

Fenyuls during pregnancy - instructions for use

Pregnant women can take Fenyuls in three possible cases:
1. Anemia;
2. Hidden deficiency of iron in the body;
3. Prevention of anemia.

For the prevention of anemia in pregnant women, it is recommended to take 1 capsule, 1 tablet or 6 drops once a day until childbirth. If a woman plans to breastfeed her baby, then Fenyuls prophylactic treatment can be continued after childbirth in the same dosages. The drug is taken continuously until the baby is weaned from the breast.

The latent iron deficiency in the body must be replenished, otherwise it will lead to anemia after a certain period of time. In principle, hidden iron deficiency can be conditionally attributed to the initial stage of anemia, when hemoglobin is still normal, but if nothing is done, then after a while its concentration will definitely decrease. To detect hidden iron deficiency, it is necessary to determine the concentration of ferritin in the blood. If it is reduced, then the woman suffers from a latent iron deficiency. While this deficiency is compensated, and hemoglobin is kept within the normal range, but after a while, when the reserves are completely depleted, anemia will also develop.

For the treatment of latent iron deficiency during pregnancy, it is necessary to take Fenyuls 1 capsule, 1 tablet or 40 drops per day until the concentration of ferritin in the blood returns to normal. After normalization of ferritin levels, you can continue to take Fenyuls until the end of pregnancy or breastfeeding in prophylactic dosages.

For the treatment of anemia during pregnancy, it is necessary to take 2-3 tablets, 2-3 capsules or 80-120 drops of Fenyuls per day until the hemoglobin concentration reaches normal values. Then Fenyuls is continued in lower dosages - 1 tablet, 1 capsule or 40 - 80 drops per day, which is necessary to saturate the body with iron and create a small depot. In fact, the second stage of anemia treatment, starting from the moment of normalization of hemoglobin levels, is the elimination of hidden iron deficiency. Usually this stage lasts at least 1 month, and optimally - up to the normalization of the concentration of ferritin in the blood. After completing the treatment of anemia, pregnant women can switch to Fenyuls in prophylactic dosages, and continue to do so until childbirth or the end of breastfeeding.

Fenyuls for children

In children, iron deficiency usually occurs during periods of active growth, after serious illnesses, or with an unbalanced diet. To eliminate iron deficiency and treat anemia in children under 12 years old, only Fenyuls Complex drops can be used. The recommended dosages of Fenyuls for children of different ages are shown in the table.

Bright yellow color of urine (only for Fenyuls capsules);

Ulcerative lesion or stenosis of the esophagus;

redness of the skin;

General weakness.

Contraindications for use

Various forms of Fenyuls are contraindicated for use in the presence of the following diseases and conditions:

• Hypersensitivity to drug components;
• Hemosiderosis;
• Lead, sideroblastic or hemolytic anemia;
• Thalassemia;
• Postponed resection of the stomach;
• Exacerbation of peptic ulcer of the stomach or duodenum;
• Acute bleeding from the stomach or intestines;
• Age under 12 years (for tablets and capsules);
• Narrowing of the esophagus or other organs of the digestive tract (for tablets and capsules).

In the presence of intestinal diseases, Fenyuls should be taken with caution and under the supervision of a physician.

Fenyuls - analogues

Synonyms of Fenyuls are preparations containing the same active ingredients. Analogues include drugs containing other active substances, but having the most similar therapeutic effects. Synonyms and analogues of the three varieties of Fenyuls are shown in the table.

Child's age	Prevention of anemia	Treatment of hidden iron deficiency	Anemia treatment
premature babies	2 - 4 drops per day	6 - 10 drops per day	The dosage is calculated by weight - 1 - 2 drops per 1 kg of weight
From birth to 1 year	2 - 4 drops per day	6 - 10 drops per day	10 - 20 drops per day
1 – 12 years old	4 - 6 drops per day	10 - 20 drops per day

Fenyuls form	Synonyms	Analogues
Capsules Fenyuls	Ferrovit tablets	Aktiferrin drops, capsules and syrup
	Ferrovit forte tablets	Totem mortar
		Ferlatum Fall solution
		Ferro-vital tablets
		Ferro-Foilgamma capsules
		Ferroplex dragee
Fenyuls 100 tablets	Sorbifer Durules tablets	Hemofer drops
		Hemofer prolongatum dragee
		Tardiferon tablets
		Feramide tablets
		Ferrogradomet tablets
Drops Fenyuls Complex	Maltofer drops, solution, tablets or syrup	Ferlatum solution
	ferry syrup
	Ferrum Lek syrup and tablets

Manufacturer: Ranbaxy Laboratories Ltd, Ind. Area (Ranbaxy Laboratories Ltd, Ind Area) India

ATC code: B03AE03

Farm group:

Release form: Solid dosage forms. Capsules.

General characteristics. Composition:

One capsule with microdialysis granules contains: Ferrous sulfate br.f 150 mg
Ascorbic acid br.f 50 mg
Riboflavin br.f 2 mg
Thiamine mononitrate br.f 2 mg
Nicotinamide br.f 15 mg
Pyridoxine hydrochloride br.f 1 mg
Pantothenic acid br.f 2.5 mg

The FENYULS capsule contains a strictly defined amount of microdialysis granules. The granules are created using a technology that guarantees prolonged release and protects the gastrointestinal mucosa from irritation.

Pharmacological properties:

An iron preparation with a complex of vitamins, for oral administration, located in a capsule that contains microdialysis granules and provides a gradual release of the components.
The drug is used for chronic blood loss, alimentary iron deficiency, increased need for iron.
Iron is necessary for the normal functioning of hemoglobin, myoglobin, cytochromes, peroxidases and catalases. Being a structural component of heme, it takes part in hematopoiesis.
The presence of ascorbic acid and B vitamins in microdialysis granules in combination with iron improves iron absorption and prevents the prooxidant effect of iron.
Thiamine is involved as a cofactor of enzymes in carbohydrate metabolism, the functioning of the nervous system.
Nicotinamide is involved in cellular respiration.
Riboflavin is the most important catalyst for cellular respiration and visual perception.
Pyridoxine as a coenzyme is involved in the metabolism of amino acids, proteins, and the synthesis of neurotransmitters.
Calcium pantothenate is an integral part of coenzyme A, is involved in the processes of acetylation and oxidation of fats and carbohydrates.
Vitamins restore the disturbed metabolism of carbohydrates, proteins and fats in the development of dystrophic disorders in the body caused by latent iron deficiency and beriberi.

Indications for use:

Latent iron deficiency
-Iron deficiency
- Hypoxic conditions
-Hypo- and avitaminosis of group B
- Menstrual cycle, pregnancy, lactation

Important! Get to know the treatment

Dosage and administration:

With hidden iron deficiency - 1 caps. 1 time / course of treatment - 1 month.
For the prevention of latent iron deficiency (with heavy and prolonged menstruation) - 1 caps. 1-2 days before the start, during and 1-2 days after the end of menstruation.

Application Features:

It is possible to stain urine in a bright yellow color, which has no clinical significance and is explained by the presence of riboflavin in the preparation.

Interaction with other drugs:

It should not be administered simultaneously with antacids containing salts of aluminum, magnesium, calcium, because. iron absorption decreases.

Iron reduces the absorption of tetracycline drugs.

Pyridoxine reduces the therapeutic effect of levodopa.

Contraindications:

- hypersensitivity to the components of the drug;
— ;
- hemosiderosis;
- childhood.

Use during pregnancy and lactation. Apply according to indications.

Application in children. Contraindicated in childhood.

Storage conditions:

Store in a dry, dark place, out of the reach of children, at a temperature not exceeding 25°C. Shelf life 3 years. Do not use after the expiry date stated on the packaging.

Leave conditions:

Without recipe

Package:

One package contains 10 capsules.

Instructions for use:

Fenyuls is an anti-anemic drug containing iron and a multivitamin complex.

pharmachologic effect

Iron, which is part of Fenyuls, is necessary for the normal synthesis of hemoglobin, cytochromes, myoglobin, catalases and peroxidases. B vitamins and ascorbic acid prevent the development of the pro-oxidant effect of iron and improve its absorption from the intestine. Thiamine takes an active part in the functioning of the nervous system and in carbohydrate metabolism. Nicotinamide riboflavin is necessary for the normal course of cellular respiration processes. In addition, riboflavin regulates the process of visual perception. Pyrodoxine is involved in the synthesis of neurotransmitters and protein metabolism. Calcium pantothenate is involved in the oxidation of fats and carbohydrates.

According to reviews, Fenyuls rarely leads to irritation of the mucous membrane of the gastrointestinal tract, because. all active ingredients of this drug are part of microdialysis granules, which dissolve rather slowly.

Indications for the use of Fenyuls

The purpose of the drug is indicated in the following cases:

• Treatment and prevention of iron deficiency anemia caused by various causes;
• Iron deficiency in the diet;
• During the period of preparation for planned operations;
• Hookworm;
• Treatment and prevention of hypovitaminosis group B.

How to use Fenyuls

For the treatment of iron deficiency anemia, a capsule is prescribed twice a day. The course of treatment is at least three months.

According to the instructions, Fenyuls can be used to correct latent iron deficiency. In this case, the drug is prescribed in a capsule per day for a month.

According to reviews, Fenyuls helps prevent the development of iron deficiency anemia in women with heavy menstrual bleeding. The drug is started taking a capsule per day a couple of days before the onset of menstruation and ends on the second day after its completion.

For the prevention of iron deficiency anemia in pregnant women, Fenyuls is prescribed one capsule per day during the third trimester.

Contraindications

According to the instructions, Fenyuls is contraindicated in hemosiderosis, hemochromatosis and hypersensitivity to the components of this drug.

Side effects

• Pain in the epigastric region;
• diarrhea or constipation;
• Nausea, vomiting;
• Dizziness.

The instructions for Fenyuls note that at present there are no reports of cases of overdose with this drug.

special instructions

The use of Fenyuls for the treatment of iron deficiency anemia should be carried out under the control of the content of iron and hemoglobin in the blood.

Interaction of Fenyuls with other drugs

Iron, which is part of Fenyuls, impairs the absorption of tetracycline antibiotics. Pyrodoxine reduces the therapeutic activity of Levodopa. Fenyuls should not be taken simultaneously with antacids, because. the latter impede the absorption of iron. Between taking these drugs should be an interval of at least two hours.

Composition and dosage form of Fenyuls

Fenyuls is available in capsules, packed in blister packs of 10. The cardboard box contains 1, 3, 9 or 10 blisters.

Each capsule of this medicinal product contains:

• Ferrous sulfate - 150 mg, which in terms of pure iron is 45 mg;
• Riboflavin (vitamin B2) - 2 mg;
• Ascorbic acid (vitamin C) - 50 mg;
• Thiamine mononitrate (vitamin B1) - 2 mg;
• Pyrodoxine hydrochloride (vitamin B6) - 1 mg;
• Pantothenic acid - 2.5 mg.

Fenyuls' analogs

Currently, the pharmacy network widely presents medicines that have a similar effect to Fenyuls: Complivit, Vitrum, Materna, Selmevit, Elevit, Vitaspectrum and many others. However, Fenyuls analogues may contain vitamins and microelements in other doses, so it is advisable to take exactly the drug that your doctor has prescribed for you.

Fenyuls storage conditions

Fenyuls stored in a cool and dry place. Its shelf life is three years.

From the moment a pregnant woman is registered, she will have to take regular tests. Control of laboratory parameters of urine and blood is carried out for diagnostic purposes. This is the simplest and most effective way to conduct medical monitoring of the condition of the expectant mother and child.

Among many biochemical indicators, the gynecologist will certainly control the level of hemoglobin in the blood during pregnancy. And at the slightest drop below the norm or very close to this limit, and even more so during development, he will certainly prescribe an iron preparation 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 for its composition: in addition to iron 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 the rest: 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 can be prescribed to a future mother, it would seem, for no good reason: with hemoglobin above the lower limit of normal. Most likely, this is done for a preventive purpose, 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 can be different.

Fenyuls is affordable, which may please some women. But pharmacists are not very flattering about this “cheap”, as they say, drug (in particular, they claim that it has a negative effect on blood cells). However, any of the expensive analogues is 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 a woman and the fetus.

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

Therefore, from the first weeks of pregnancy, you should take up its prevention. In addition to following a complete balanced diet with the obligatory presence of iron-containing vitamins, you definitely need to take daily walks in the fresh air! Otherwise, a normal hemoglobin level is nothing to expect.

Fenyuls during pregnancy: features of the application

If you are taking Fenyuls during pregnancy, then always pay attention to your well-being. Not all women are suitable for the same drugs. Fenyuls can cause nausea, vomiting, constipation and diarrhea, epigastric pain, dizziness and other adverse reactions, in the event of which it is necessary to notify your doctor about this. A change in the color of urine (to bright yellow) is a normal reaction of the body to the drug and should not cause concern.

Fenyuls during pregnancy, as a rule, is prescribed 1 capsule per day during or immediately after meals, best in the morning (often in combination with a multivitamin complex for pregnant women and, although such appointments are not recommended in the instructions). At your own discretion, it is forbidden to take these vitamins during the period of bearing a child! And keep in mind that Fenyuls during pregnancy is allowed only from 14 weeks. The schedule and duration of admission should be prescribed by the attending physician, but usually Fenyuls is prescribed cyclically: 2 weeks of admission - then 1 week off, and in this mode can be used until the end of the term.

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

Be healthy!

Especially forElena Kichak

From the guest

Not a bad drug, my hemoglobin dropped very much during pregnancy, given that I should have a CS, my doctor prescribed it 2 tablets a day. According to blood control, hemoglobin increased from 103 to 114 in 2 weeks. Considering that I have always suffered from constipation , then excuse me, everything comes out without tension)))) But sometimes my stomach twists, and in the last stages, I’m 36 weeks somehow not very pleasant.

From the guest

Yesterday I started drinking this drug, after some time after taking the first pill, I felt weak, I really wanted to sleep, in the evening, unfortunately, I took the second pill, I really regret it. In the morning I even got up to warm up food because of weakness, I could not + terrible diarrhea, nausea and abdominal pain. I lie all day in plastic, and this is at 15 weeks of pregnancy. But I know pregnant girls who drank it absolutely normally. So it's very individual.

From the guest

I had low hemoglobin due to heavy periods, I take it for 2 cycles, 2 days before menstruation, during menstruation and 3 days after menstruation, I passed the hemoglobin - normal!