Bile products are divided into two groups: agents that promote the formation of bile by the liver cells and means to support the promotion of bile and release it into the intestine.Drugs that stimulate bile formation, called choleretic.These include drugs that increase the secretion of bile and stimulates the synthesis of bile acids.Choleretic are agents comprising a bile acid ("Hologon" "Deholin" "Holenzim" "Allohol"), synthetic drugs ("Oksafenamid" "Nicodin") of vegetable origin ("Holosas" "Flamen"flowers immortelle, rose hips).Increase the secretion of bile and "sodium salicylate", mineral water.
Indications for drugs-choleretic is a chronic inflammatory disease of the liver and biliary tract (cholangitis and chronic cholecystitis, biliary dyskinesia).If necessary, they are combined
with antispasmodics, analgesics and antibiotics, with a laxative.Choleretic contraindicated in acute stage of hepatitis, cholangitis, cholecystitis, pancreatitis, gastric and duodenal ulcers, degenerative lesions of the liver, cholelithiasis, passing the blockage excretory ducts, obstructive jaundice.
For drugs that stimulate the secretion of bile, include tools that increase the tone of the biliary tract (holekinetiki) - "Epsom salt", "Pituitrin-P", "Cholecystokinin", as well as drugs, helps to relax the tone of biletract (holespazmolitiki) - "gidrotartrata platifillina" "atropine sulfate," "extract of belladonna", "Metacin."Many of these funds have mixed choleretic action.Holekinetiki raise the tone of the gall bladder and relaxation of the sphincter of Oddi, so they are used in the form of hypotonic biliary dyskinesia.
TO indications for use holekinetiki also include atonic gallbladder passing with the stagnation of bile in chronic cholecystitis, dyskinesia, chronic hepatitis, severe hypoacid and anatsidnyh states.Holekinetiki contraindicated in the appearance of gallstones, acute liver disease, acute exacerbation of gastric ulcers and duodenal ulcers, gastritis hyperacid.Holespazmolitiki used in the form of hyperkinetic biliary dyskinesia, as well as cholelithiasis.They are used for the relief of moderate pain, often accompanied by biliary tract disease.