List of choleretic drugs. Choleretic drugs and remedies for stagnation of bile in the gallbladder. Who said that it is impossible to cure severe gallbladder diseases?

Today, quite often, gastroenterologists in practice use means for removing bile in systemic therapy and as a prevention of various diseases of the gallbladder and liver.

This is facilitated by effective choleretic medications, which help to quickly reduce pain, the course of the disease is easier, and they also help to successfully prevent relapses.

To know how to use plants, you first need to know their properties. Each plant can have multiple virtues that overlap each other, making things a little complicated at first. The key is long-term alignment of virtues with imbalances.

The purpose of this article is not to classify all plants, but only to introduce the basic properties because you will hear these terms used many times in articles and books. Adaptogenic plants act on the pituitary-hypothalamus-adrenal axis to calm chronic stress and restore the stressed individual. They are indispensable at the present time, but also present the following trap: they give a person enough energy to approach the edge of the abyss without questioning.

Separately, it is worth saying that taking such drugs stops the formation of pathological processes against the background of existing problems.

To find out the need for these choleretic drugs, you need to clearly understand what bile is, what its purpose is at the physiological level and the process of movement in the digestive tract.

They usually begin to appear after 3-4 weeks of continuous use. There is so much to say about bitter plants. Our ancestors were fond of this. They tone the digestive system: mouth, stomach, pancreas, liver, gall bladder. They act both on smooth muscle tone and on enzymatic secretions. They improve absorption and therefore nutrition of a person suffering from atonic digestion. Bitter herbs are usually taken before meals.

• Gentan, the bitter queen of the Centauri Artichoke, a leaf, not a flower.
• Smelling aroma.
• Chikore Marrube.

Pain-relieving plants soothe pain. In cases of chronic pain, a person looks through these plants for a little respite to find the true causes of the problem. Analgesics often contain salicylates, reducing the production of prostaglandins and therefore pain. These plants do not have the disadvantages of aspirin. Other analgesics are very anti-inflammatory. For severe pain, these plants are usually taken in large doses.

Bile is a biological fluid formed in the liver and located in the gallbladder.

It has a bitter taste, a special smell and, based on the period of its formation, may have a yellow, brownish or green tint. The work of bile is based on the following physiological processes in the human body:

A very broad category used to calm acute or chronic inflammation. These plants are either adopted domestically, used locally, or both. They often calm the chemical cascade responsible for inflammation. The pain-relieving plants presented above are also anti-inflammatory.

During an infection, it is always better to rely on the person's defenses and restore the missing immune system. But sometimes plants need to be used to directly attack viruses, bacteria and other pathogens. Antiseptics can be applied directly to the wound in a poultice, concentrated infusion compress, or diluted alcohol macerate.

• formation of emulsions and absorption of fats that enter the gastrointestinal tract;
• acceleration of chemical reactions in the small intestine and pancreas, which are necessary for the complete absorption of food by the organs;
• absorption of calcium, fat-soluble vitamins, cholesterol.

What are cholagogues?

Bile is a liquid of biological origin that stimulates digestion and improves the absorption of nutrients. Bile helps break down and digest fats from food, and also prevents constipation and protects the body from the effects of pathogens.

Any food product affects the process of bile formation. Some foods inhibit bile production, while others, on the contrary, improve it. If a person experiences prolonged stagnation of bile, he is prescribed choleretic drugs and a special diet.

The patient is prescribed:

• medications;
• Food;
• medicinal herbs.

The purpose of taking such drugs is to increase the secretion of bile. One group of drugs stimulates the production of bile, the other accelerates its movement and relieves spasms from the gallbladder.

Tablets and capsules

Tablets and capsules enter the stomach in a shell, and then begin to decompose. The medicine is completely absorbed into the intestines, which gives maximum effect.

Allohol – Removes toxic substances from the stomach

Allochol is a combination drug that enhances the formation of bile and acid. The effectiveness is due to the reflex effect on the liver.

Bile enhances intestinal motility. Garlic is added to the tablets, which normalizes activity in the stomach. Nettle leaves calm inflammation and remove bile. Activated carbon absorbs toxic substances.

Pros:

• allowed for children over 7 years old;
• quickly affects the liver;
• triggers increased acid formation;
• has an anti-inflammatory effect.

Minuses:

• It's addictive, you need to take breaks.

Odeston – Reduces bile stagnation

Odeston is a proven choleretic tablet designed to increase bile secretion. It has a strong antispasmodic effect, simply put, it relaxes the muscles. The formula prevents the development of cholelithiasis.

Doctors prescribe Odeston after gall bladder surgery. You need to be careful with self-medication: loss of appetite, nausea, constipation are possible.

Pros:

• begins to work 15-20 minutes after entering the body;
• normalizes stomach function;
• The effect has been proven by laboratory tests.

Minuses:

• many side effects.

Solgar artichoke leaf extract – Has a powerful choleretic effect

Solgar artichoke leaf extract is the best drug of the group, which increases the secretion of bile. The liquid promotes the absorption of fats and vitamins. Intestinal motility gradually improves.

Artichoke leaf extract is used to prevent gallbladder diseases due to its powerful choleretic effect. Capsules are indicated to prevent the development of cholecystitis. Artichoke helps with nausea, flatulence, alcohol or drug intoxication.

Capsules are intended as a food supplement. Active substances, including cynarin, have a powerful choleretic effect. Solgar protects the liver from toxins and enhances intestinal motility.

The drug is not cheap, the cost is justified by the technology of preserving the effectiveness of the herbs. Vacuum drying retains beneficial substances inside the plants.

Pros:

• proven effectiveness from a trusted brand;
• promotes the absorption of nutrients;
• slows down the development of diseases;
• protects liver cells;
• removes toxins from the body;
• based on natural ingredients.

Minuses:

• price.

Types of choleretic drugs

All choleretic drugs, depending on their therapeutic function, are divided into several groups:

• choleretics;
• Cholinetics;
• hydrocholeretics;
• Cholespasmolytics.

Each of these groups has a different spectrum of action. In general, two main functions can be distinguished. Some activate the production of bile, others affect the contractile function of the gallbladder.

Choleretics

The main effect of choleretics is to increase the secretion of bile. Medicines in this group are made from extracts of animal and plant origin; there are also synthetic drugs.

Preparations based on animal extract are made from:

• bile;
• liver;
• pancreas;
• mucous membrane.

These are the so-called true choleretics. This composition of medications includes: Hologon, Liobil, Cholenzym, Allohol.

Synthetic choleretics: Nicodin, Cyqualon, Holosas.

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Cholekinetics

Medicines included in the group of cholekinetics increase the tone of the gallbladder, as a result of which the bile ducts begin to relax, this promotes the rapid removal of bile. This effect is possessed by: Sorbitol, Mannitol, Xylitol, Magnesia. This also includes natural remedies: coriander and cumin oil, lingonberry and cranberry juices. As well as medicinal herbs: chamomile, calendula, dandelion.

Hydrocholeretics

Hydrocholeretics dilute bile, thereby increasing its volume. The outflow of bile into the duodenum is accelerated, they increase the colloidal stability of bile.

Mineral waters such as Essentuki and Borjomi, as well as medicines made from valerian, have a similar effect.

Cholespasmolytics

Medicines included in the group of cholespasmolytics have a complex effect. They relieve spasms of the gallbladder, dilate the ducts and eliminate pain. Cholespasmolytics will include synthetic drugs and medications made from plant extracts. Synthetic agents include: No-shpu, Papaverine, Euphyllin, Atropine and others. Herbal medicines: tinctures made from arnica, valerian, elecampane, St. John's wort. Made from natural raw materials: Tanacechol, Febichol, Flamin.

The duration of treatment with choleretics can be 90 days. Painkillers are taken for no longer than two weeks.

Effective medications for cholestasis

Choleretic drugs for stagnation of bile are divided into several groups, taking into account the active substance and the effect on the body. Classification of means used:

1. Choleretics – increase the production of bile by liver cells. They are divided into true (plant origin), synthetic (chemical substances), medicinal herbs (bitter extracts), hydrocholeretics (substances that increase the volume of bile by diluting and increasing the water content in it).
2. Cholekinetics - increase the tone of the gallbladder and relax the bile ducts.
3. Cholespasmolytics - relax the muscles of the gallbladder and its ducts. They are divided into anticholinergics, synthetic antispasmodics, and herbal antispasmodics.
4. Drugs that reduce the bile lithogenicity index serve as a measure to prevent the formation of gallstones and dissolve existing stones. They last for products based on bile acids (ursodeoxycholic, chenodeoxycholic) and highly reactive lipid solvents (organic methyl tert-butyl ether).

Choleretics

Effective choleretic agents from the group of choleretics reduce the viscosity of bile, which leads to an increase in its quantity. Indications for use include hepatitis, hepatic steatosis, cholangitis, cholecystitis, biliary dyskinesia. Preparations based on natural bile are less well tolerated, while synthetic substitutes are more easily tolerated.

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The drugs exhibit antispasmodic, hypolipidemic, antibacterial and anti-inflammatory effects, suppress putrefaction and fermentation in the intestines. Popular medications:

Name	Active substance	Release form	Mode of application
Allohol	Activated carbon, bile, garlic	Pills	After meals, 1-2 pcs. 3-4 times a day for a course of 3-4 weeks
Hologon	Dehydrocholic acid		1 piece each three times a day after meals
Kholomin	Dekholin	Infusion solution	Intravenously slowly, 5 ml per day
Pequocrine	Voludushka extract	Pills	1 piece 2-3 times a day

Cholekinetics

Indications for the use of cholekinetics include biliary dyskinesia, atony of the gallbladder, cholecystitis, and hepatitis. The drugs increase the tone of the gallbladder and relax its sphincter. Popular drugs of the group:

Name	Active substance	Release form	Mode of application
Flamin	Flavonoids of immortelle sandy	Tablets, granules for suspension	Before meals, 1 tablet three times a day for 10-40 days
Holemaks	Rose hip extract	Syrup	A teaspoon 2-3 times a day half an hour before meals
Berberis plus	Homeopathic composition	Granules	8 granules under the tongue 5 times a day 20 minutes before or an hour after meals for up to 8 weeks
Cormagnesin	Magnesium sulfate	Intravenous solution	Infusions of 2-4 g over 20 minutes

Cholespasmolytics

Drugs from the group of cholespasmolytics are taken for stagnation of bile to eliminate spasms and dilate the bile ducts. Taking medications accelerates the excretion of bile, relieves pain and nausea. Popular medications:

Name	Active substance	Release form	Mode of application
Atropine	Atropine sulfate	Solution for infusion	300 mcg every 3-6 hours
Papaverine	Papaverine	Rectal suppositories, injection solution, tablets	Orally 40-60 mg three times a day
Holagol	Turmeric root pigments	Oral drops	5-10 drops three times a day half an hour before meals on a lump of sugar
No-shpa	Drotaverine	Tablets, injection solution	1-2 pcs. three times a day

Rules for taking choleretic drugs

In order for the medicine to be as effective as possible, you must follow certain rules:

• Each choleretic drug for stagnation of bile in the gallbladder is taken before meals, preferably an hour before meals;
• take the tablets with plain water;
• after some time you need to eat, otherwise your stomach may become upset;
• cholagogues are taken for a long time; the course of treatment lasts at least two weeks.

The course of therapy must be repeated at least twice a year. The break between treatment should be from one to two months, depending on the complexity of the disease.

Medicines for removing bile - list

Classified list of choleretic drugs. First, the international name of the medicine is indicated, then the commercial names under which the medicine is most likely published.

True choleretics

1. Allohol, Cholenzym, Vigeratin, Liobil;
2. Dehydrocholic acid – Hologon;
3. Sodium salt of dehydrocholic acid - Decholin, Biliton, Suprakal, Cholamide, Kholomin.

Synthetic choleretics

• Hydroxymethylnicotinamide
• Hymecromone
• Osalmid
• Cyqualon

Choleretics based on medicinal herbs

1. Immortelle flower extract (Flamin);
2. Corn silk extract (Peridol, Insadol);
3. Tansy extract (Tanacehol, Tanaflon, Sibektan, Solaren);
4. Turmeric extract (Convaflavin, Febichol);
5. Mackerel leaf extract (Flacumin);
6. Extract of leaves and roots of barberry (Berberine sulfate, Berberis-Homaccord, Berberis plus);
7. Rose hip extract (Holosas, Holemaks, Holos);
8. Datiscanna hemp extract (Datiscan);
9. Voludushka extract (Pequocrine);
10. Artichoke extract (Hofitol, Holebil);

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For the body to function properly, many functions are performed by the liver. One of them is bile synthesis.

This function is necessary for the process of digesting food. With each meal, bile should normally flow into the duodenum, but in the presence of certain pathologies in the body, a malfunction occurs, it is called cholestasis. This condition needs to be treated. In medical practice, for this purpose, choleretic drugs are used for stagnation of bile; they are represented by medicines, food and medicinal herbs, this helps to improve the outflow and normalize the functioning of the gastrointestinal tract. We will talk about them later in the article.

Food

There is a whole group of products whose action is aimed at improving the flow of bile. This group includes:

• all vegetable oils (sunflower, olive, corn);
• raw vegetables;
• vegetable broths;
• citrus fruit;
• prunes;
• melon and watermelon;
• greenery;
• turmeric;
• avocado.

Melon and watermelon have a choleretic effect

But there are also foods that, on the contrary, slow down the production of bile. These are meat broths, mushrooms and legumes. It is better not to consume such products.

Odeston

Odeston has an effect on the functioning of the liver and biliary system as a whole in all three directions - increasing the level of bile secretion, facilitating its excretion and relieving spasms from the muscles surrounding the biliary tract. The tablets prevent the development of cholestasis and work effectively against bile stagnation. The active substance in the medicine is hymecromone.

Gimecromone has a selective antispasmodic effect. The drug relieves spasm of smooth muscle muscles and the sphincter of Oddi, which clears the “path” for the unhindered outflow of bile. At the same time, the drug does not affect the muscles of the gallbladder itself, which distinguishes this medicine favorably from products with a herbal component.

Within a few hours after administration, Odeston is absorbed from the gastrointestinal tract, reaching its maximum concentration in the blood. Despite its significant advantages, the drug has a number of strict contraindications:

1. the presence of ulcerative lesions in the stomach;
2. hypersensitivity to coumarins;
3. Crohn's disease;
4. duodenal ulcer;
5. severe kidney or liver damage;
6. hemophilia.

Morphine cannot be used simultaneously with this drug, since the latter spasms the sphincter of Oddi, thereby reducing the effect of taking Odeston.

The best choleretic agents

Among the huge variety of drugs that have a choleretic effect, there are those that are more effective.

One of these drugs includes Allochol. This is an inexpensive, but at the same time effective remedy, part of the group of choleretics. Allochol contains animal bile, as well as garlic and nettle extract. The medicine improves the process of bile movement and eliminates fermentation processes. The drug improves the digestive process.

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Odeston is a synthetic product, the main component is hymecromone. It has antispasmodic and choleretic effects. The medicine normalizes the synthesis of bile and its movement along the ducts, and also prevents cholelithiasis. The medicine is highly effective, but has a number of contraindications that you need to familiarize yourself with before use.

Flamin is a medicine made from herbs. The medicine is made from immortelle and also contains additional biologically active substances. This effective remedy acts in several directions at once: improves bile secretion, increases the tone of the gallbladder, weakens spasms from the ducts, and dilutes bile. The medicine also improves the digestive process and has antibacterial properties. The drug is well tolerated, but there are still some contraindications.

According to patient reviews, the most effective remedies include Allochol and Cholenzym. Patients take No-shpa as an effective pain reliever. Foamin, Gepabene and Nikodin have good reviews.

Mechanism of operation

The group of choleretic drugs can be classified into two subgroups, namely:

• products of natural, plant origin;
• and synthetic drugs, medicines.

Today, any pharmacy can offer several medications with a similar effect to choose from; their range is very wide. If we talk about the mechanism of action, then it is worth distinguishing between choleretics, agents that stimulate excretion processes (cholekinetics) and agents intended to prevent the formation of stones.

The task of the former (choleretics) is to activate the processes of bile production, which often causes problems in the presence of inflammatory processes. They can work differently, depending on the composition. Thus, some influence the secretion of bile, while others activate it by delivering the bile acids they contain. A separate group includes drugs that enhance secretion using the water element - special mineral waters that contain valerian or sodium salicylate act in a similar way.

Choleretics act as follows:

• effects on the intestinal mucosa;
• increasing the volume of water that flows to the bile capillaries;
• and having a direct effect on the secretory function of the liver.

Preparations in this category usually contain dried bile of animal origin.

In ancient times, bile was placed on the same level of importance as blood. It was believed that blood contained the human soul, but bile contained character, so by its appearance they judged the qualities prevailing in a person. Thus, a yellow, lighter liquid gave reason to talk about the person’s imbalance, and brown - that the person was more often in a depressed mood. Over time, it was reliably established that the bile of any of the colors that are considered normal for this liquid has the same composition.

Cholekinetic choleretic drugs have a beneficial effect on the tone of the bladder and promote the normal passage of fluid through the excretory tract. Thanks to their intake, the volume of bile released into the duodenum increases to the required level; when stagnation has formed, the medications also affect its elimination. And the last type of bile ducts are antispasmodics, which relax the bile ducts (or rather the muscles that surround them), which greatly simplifies the passage of bile in the required volumes.

It is worth noting that tablets that would perform only one of the listed functions are rare; most often the drugs have a complex effect, stimulating production, preventing stagnation, and simplifying elimination.

Folk remedies

Treatment of bile stagnation can be carried out using traditional methods. The main treatment method is the use of medicinal plants. St. John's wort is a good remedy for bile stagnation. A choleretic decoction is prepared from it. One tablespoon is poured into a glass of boiling water and simmered over low heat. Drink half a glass of the decoction before meals.

Many medicines are made based on immortelle. It is useful to consume dry immortelle extract daily, one gram per dose. During the day, eat three grams of extract.

Beetroot juice helps well with this disease. The beets will first need to be boiled and then grated on a fine grater. The juice is squeezed and drunk an hour before meals.

Pumpkin seeds have amazing healing properties. With their help, you can cure your gallbladder by consuming them every day.

Before starting treatment with folk remedies, you need to consult a doctor. Some herbs should not be taken if you have any medical conditions.

Cholekinetics

Treatment of bile stagnation with such drugs is carried out when:

• chronic cholecystitis or hepatitis;
• gastritis, but only if the disease is accompanied by reduced secretion of hydrochloric acid or its zero value;
• preparation for duodenal intubation.

This list of indications for use is determined by the fact that medications from this group help increase the tone of the gallbladder and at the same time relax the sphincter of Oddi muscles.

Among this group of medications for bile stagnation, gastroenterologists most often prescribe to patients:

• Mannitol;
• Berberis plus and other substances with extract of leaves and fruits of barberry;
• Xylitol;
• Magnesium sulfate;
• Flamin - based on immortelle flowers;
• Sorbitol;
• Kholosas is a medicine made from rose hips.

Contraindications

If you have certain diseases, you cannot take choleretic drugs. It is better to avoid taking such medications if a person has one of the following ailments:

Cirrhosis

• gallstones;
• hepatitis occurring in acute form;
• cholestasis;
• ulcer;
• biliary pancreatitis;
• obstructive jaundice;
• cirrhosis of the liver.

Women should not take choleretic medicine during pregnancy. Each drug has specific contraindications, so before you start taking this or that drug, you should carefully read the instructions for use.

Allohol

Allochol is one of the most commonly used choleretic agents. It belongs to the group of choleretics, that is, it activates the secretion function of the liver. Its composition is dominated by components of plant origin (in particular, nettle leaves, dried garlic). An important component is dry bile extract - this component temporarily, for the period of treatment and restoration of natural volumes of bile production, replaces human bile, partially taking over its functions. Thus, the patient gets rid of increased gas formation, which is a consequence of incomplete digestion of food and its rotting. The form in which the drug is produced is yellow tablets.

It is allochol that is often one of the main components of complex treatment of diseases associated with the gallbladder and liver.

The drug has a number of contraindications:

• increased individual sensitivity to any of the components of the product;
• stomach ulcer;
• jaundice of obstructive type;
• hepatitis and pancreatitis in acute form.

Despite the fact that the components of the drug allohol are of natural origin, it has a very powerful effect, which sometimes leads to unpleasant consequences (diarrhea, allergic skin reactions, etc.).

The drug has no effect on reaction speed, concentration and attention, which makes it possible to use it when driving vehicles.

Treatment plan

In order to completely improve the biliary system, the course of treatment must be planned in stages. The treatment plan includes the following mandatory items:

• organization of proper nutrition, the diet is prepared taking into account the recommendations of the attending physician;
• taking medications;
• active lifestyle;
• drinking non-carbonated mineral water and herbal teas;
• avoid overeating.

One of the main reasons why bile stagnates in the gallbladder is poor nutrition. That is why a very important point in the treatment of the disease is the organization of proper nutrition. Only in this case will the treatment bring the desired effect.

Holenzym

The composition of the drug Cholenzym is complex; among the constituent elements it is worth highlighting cattle bile and powder from the mucous membrane of the pancreas of animals. This combination allows not only to have a positive effect on the processes of production and excretion of bile, but also on the digestive processes in general. This medicine is presented in a convenient form - tablets packed in blisters.

The use of Cholenzyme is wider due to the content of digestive enzymes. It is used not only for cholecystitis and pancreatitis, but also for the treatment of non-infectious diarrhea, gastritis and chronic colitis. The product shows excellent results in the fight against flatulence. As for restrictions on use, the list is also short: exacerbation of pancreatitis and individual intolerance to individual components of the drug.

Clinical studies have shown that the drug adapts very quickly after entering the body and almost never exhibits side effects. Adverse reactions that occur when using Cholenzym are associated exclusively with neglect of contraindications (allergic reaction, heartburn, nausea).

What choleretic drugs can be used for children

If you can experiment with yourself on your own - at your own peril and risk, then choleretic drugs for children should be prescribed by a doctor, based on the disease and the type of contraction of the biliary tract.

The following choleretic drugs are used for children:

• “Papaverine” and “Atropine” in the form of injections, in strict dosages and only under medical supervision - from 6 months;
• “Holosas” - from 3 years;
• "Urolesan" - from 7 years;
• "Hofitol" - from 6 years;
• "Eufillin" - from 6 years;
• "Duspatalin" - from 10 years;
• "Flamin" - from 6 years old.

Choleretic for children and pregnancy

Choleretic drugs are used extremely limitedly in childhood and during pregnancy. Thus, many of the drugs are contraindicated for children under 12 years of age. Only a doctor can allow a child at a young age to take medications of this kind if he considers that the harm from such a decision will be less than the benefit. When prescribing choleretic drugs to children, the dosage is calculated individually, taking into account the current condition of the patient and his body weight. Until the age of 12, the use of herbal preparations is prohibited.

For pregnant women, choleretic tablets are also selected individually. The main requirement is the absence of stimulation of the contractile activity of the uterus and the absence of contact with the fetus. There are a number of drugs, the use of which during pregnancy is carried out under the strict supervision of a doctor due to the fact that there is no direct contraindication of this kind only due to the impossibility of conducting clinical trials.

For children and during pregnancy, the most relevant and safe remedy would be special mineral waters (Borjomi, Essentuki, Jermuk and others).

Drug treatment of dyskinesia

After making a diagnosis, the doctor individually calculates a treatment regimen, selecting appropriate medications. All treatment must be carried out under the supervision of a doctor.

All choleretic drugs used for bile stagnation can be divided into the following categories:

1. Drugs that promote the movement of bile and its release into the intestines.
2. Medicines that enhance bile synthesis.

Let's look at common medications for bile.

Use of choleretics

These medications stimulate the synthesis of bile acids and also increase the secretion of bile.

The main indications for taking choleretics are:

• liver diseases;
• a bend or no gallbladder at all;
• digestive pathologies that provoke a significant loss of bile acids.

Choleretics are classified into groups:

1. Natural. These medications contain bile acids. Representatives of this group: Allohol, Hologon, Biliton, Dekholin.
2. Synthetic drugs: Odeston, Oxafenamide, Nikodin, Cyclovalon. These remedies relieve pain, strengthen the gallbladder, destroy bacteria, eliminate putrefaction and gas formation.
3. Herbal preparations: Holosas and Flamin, Datiscan and Pequocrine, Travochol or Berberine. These medications improve bile synthesis and fluid composition.
4. Hydrocholeretics. This group should include alkaline mineral waters (Narzan, Naftusya, Borjomi) and sodium salicylate.

With pathologies of liver functioning, there is a decrease in bile acids and an increase in the amount of cholesterol in bile. As a result, the bile thickens. Choleretics are prescribed to treat this condition. These bile-thinning drugs can change the composition of bile.

Treatment with cholespasmolytics

These drugs are prescribed to relax the smooth muscles of the sphincter of Oddi, as well as the bile ducts.

The following groups of cholespasmolytics are distinguished:

1. Myotropic: Drotaverine or No-shpa.
2. Anticholinergics: Atropine and Besalol, Platiphylline and Bellasthesi.
3. Herbal preparations: Cholagol, Urolesan or Gepabene.
4. Other means: Odeston.

Myotropic antispasmodics relax muscles. In a short time, they relieve pain that occurs after eating spicy, fatty foods or anxiety. The therapeutic effect occurs in approximately 30 minutes. Available in tablet form and injection form.

Chonolytics affect the functioning of the nervous system. Their action is aimed at turning off impulses transmitted to the muscle fibers of the bile duct. Effective for exacerbations of cholelithiasis. However, the use of chonolitics can provoke tachycardia, as well as dry mouth.

Herbal antispasmodics, as well as other drugs, are prescribed to relieve sphincter spasm. In addition, herbal medicines containing bitterness stimulate cholekinesis.

Use of cholekinetics

These drugs activate contractions of the gallbladder and are effective in cases of weak tone. This condition can be caused by stress, lack of fat in the food consumed, depression, a sedentary lifestyle, hormonal changes during pregnancy or premenstrual syndrome.

To normalize the flow of bile, the following drugs are prescribed:

1. Hofitol. Medicine with artichoke extract. Prescribed during pregnancy. The tablets are characterized by a diuretic effect. If there is sand in the bile, taking the drug may cause pain.
2. Polyhydric alcohols: Mannitol, Sorbitol and Xylitol. These agents stimulate secretory processes and are prescribed for tubage. Side effects include colic or loose stools.
3. Magnesium sulfate. A warm magnesium solution activates contractions of the gallbladder. This relaxes the sphincter of Oddi.
4. Mineral waters, for example, Essentuki. These drinks have a laxative effect and are effectively used for tubage.
5. Berberine.

After diagnosis, it is necessary to undergo a course of drug treatment. In addition, it is important to stick to your diet. Meals for dyskinesia should be fractional.