Hilak forte - official instructions for use of the drug, action, dosage for adults and children

What is Hilak Forte

The drug is intended to normalize the internal microflora of the intestine, maintain normal water and electrolyte balance, and help strengthen the immune system. Contains a complex of active strains - products of internal metabolism:

• Escherichia coli;
• Enterococcus faecalis;
• Lactobacillus acidophilus.

Among the auxiliary compounds: lactose enzyme, lactic and citric acids, potassium phosphate and stabilizing additives.

Hilak Forte is a drop for oral administration: water-based, with a characteristic sour odor and taste, yellowish in color. Produced in bottles of 30–100 ml, the packaging is equipped with dispenser caps.

Composition and release form

Khilakt Forte is a drug for restoring the balance of intestinal microflora. Advantages - can be used simultaneously with antibacterial agents, since the composition does not contain live bacteria.

Contains aqueous germless substrates of metabolic products:

• coli;
• Lactobacillus acidophilus;
• Lactobacillus helveticus;
• fecal enterococcus.

Additional ingredients - potassium phosphate and sodium heptahydrate, phosphoric, lactic, citric acids, potassium sorbate. The drops contain lactose, which should be taken into account by people intolerant to this substance.

Release form: drops for oral use. The solution is transparent, pale yellow in color, with a sour odor. Packaged in dark glass containers with a 30 or 100 ml dispenser.

Shelf life – 4 years. After opening the container with drops – 1.5 months. Store at a temperature of 20-25 degrees, keep away from children.

The components of Hilak and Hilak Forte drops are not identical. Hilak contains only an aqueous concentrate of metabolites of L. helveticus lactobacilli, strain DSM 4183.

Why is Hilak Forte needed?

The drug regulates the acid-base and salt balance of the intestines, accelerates the regeneration of the epithelium of its walls, normalizes digestive processes, and suppresses the proliferation of pathogenic microorganisms.

Hilak Forte is recommended for stabilizing intestinal function after treatment with antibiotics, abdominal surgery, infectious diseases, dietary disorders, exposure to chemicals, and intoxication. The microcultures, acids and salts present in the drops neutralize negative factors, restore the activity of the digestive tract, and improve the absorption of nutrients and electrolytes.

Hilak forte is a drug for intestinal dysbiosis. Official site

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* "Immediately" refers to "ready". It is understood that when taking Hilak Forte, the capsule does not dissolve, since the drug is available in liquid form and already contains ready-made metabolites that are active immediately after administration, unlike dry bacteria in capsules, which require time to produce them. 1 Instructions for use of the medicinal product for medical use Hilak forte P N014917/01 2 Adzhigaitkanova S.K. RMJ. Diseases of the digestive system. 2007(2):73-76. 3 Shcherbakov P.L. RMJ. 2003; 11(3):107-12. 4 Hilak forte, unlike conventional probiotics, does not contain live bacteria, so its effect is not suppressed by simultaneous use of antibiotics. 5 Hilak forte was invented in the 1950s in Munich, Germany. “Hiller E, Schach H. Klinische und experimentelle Erfahrungen uber die Moglichkeit der Beeinflussung einer pathologischen Zusammensetzung der Darmflora durch Joghurt-Stoffwechsel-Konzentrate. 1955;5(10):592-9.” 6 Hilak forte is the leader in sales in terms of money in 2021 among metabiotics according to IMS Health. 7 Rajilić-Stojanović M, de Vos WM. The first 1000 cultured species of the human gastrointestinal microbiota. FEMS Microbiol Rev. 2014;38(5):996–1047 8 Stephen AM, Cummings JH. The microbial contribution to human faecal mass. J Med Microbiol. 1980;13(1):45–56 9 Sender R, et al. Revised estimates for the number of human and bacteria cells in the body. PLoS Biol. 2016;14(8):e1002533.

HLKF-RU-00263-Cons, HLKF-RU-00454-Cons, HLKF-RU-00168, HLKF-RU-00459

Dysbacteriosis? Diarrhea? Disturbance of intestinal microflora due to taking antibiotics? Flatulence? Hilak forte helps solve these intestinal problems!

The drug for intestinal dysbiosis contains metabolites of 4 beneficial bacteria, including short-chain fatty acids and natural lactic acid1. Hilak forte helps restore intestinal microflora and inhibits the growth of harmful bacteria.

The drug Hilak forte:

• eliminates dysbiosis and its symptoms,
• helping to restore intestinal microflora;
• remains effective when taking antibiotics4.

Method and indications for use of Hilak forte

The drug is ready for use after dissolving in water or another drink other than milk.

Indications include1:

• disruption of the physiological flora of the small and large intestines (during and after treatment with antibiotics or sulfonamides, radiation therapy);
• diarrhea, flatulence, constipation;
• syndrome of insufficiency of digestion, dyspepsia;
• gastroenteritis, colitis;
• gastrointestinal disorder caused by climate change;
• allergic skin diseases (urticaria, endogenous chronic eczema);
• hypo- and anacid states;
• salmonellosis in the convalescence stage;
• enterogenous diseases of the gallbladder and liver.

Method of application 1:

Orally, before meals or during meals, with a small amount of liquid (except milk).

The drug is prescribed 3 times a day:

• adults: 40-60 drops or 2.2-3.3 ml per dose;
• children: 20-40 drops or 1.1-2.2 ml per dose;
• infants: 15-30 drops per dose.

Infants are recommended to use the drug in bottles. After the condition improves, the daily dose can be reduced by half. It is recommended to read the medical instructions for use of Hilak Forte.

Why Hilak forte?

• Provides the body with active metabolites as quickly as possible - it begins to act immediately* after administration.
• Helps restore up to 500 types of beneficial bacteria in the intestines3.
• Allowed even for children from birth1.
• German quality and technology.
• More than 60 years of application experience.5.

The key advantage of the drug is the speed of onset of action. Compare!

To produce active metabolites, dry probiotics need to go through 3 stages: dissolution, survival, activation (about 8–10 hours).

Hilak forte Begins to act immediately after administration, since it already contains active metabolites.

Hilak forte - convenient use for the whole family!

Easy to dose and mix. Add to water, juice, compote and other non-alcoholic drinks, except milk.

Hilak forte - discover the power of beneficial bacteria!

For what pathologies is Hilak Forte used?

The list of indications for prescribing the drug includes:

• intestinal disorders: flatulence, constipation, diarrhea;
• consequences of radiation treatment, taking sulfonamides and other antimicrobial agents;
• liver dysfunction;
• gastritis with decreased secretory function of the stomach;
• digestive disorders due to climate change (travelers' diarrhea);
• chronic poisoning with symptoms of intestinal disorders;
• allergic manifestations;
• skin inflammatory diseases;
• recovery stage for salmonellosis;
• dysfunction and inflammation of the gallbladder.

The drug is used in combination with other medications, complementing their action and neutralizing the body's negative reactions. Therapy must be supplemented with detoxification measures and a special diet.

Indications and therapeutic effect

Hilak Forte acts immediately after the first dose, since it contains active metabolites. Drops can be taken from the first day of antibacterial therapy. But the medicine can only be used as an adjuvant therapy.

Hilak Forte normalizes the acid-base balance, which leads to the active growth of beneficial intestinal bacteria. In this case, pathogenic microorganisms die. The medicine improves the secretory function of the intestines and the process of assimilation and processing of food. The drug has a beneficial effect on the mucous membranes of the gastrointestinal tract, and the intestinal microflora is gradually restored.

What pathological conditions will Hilak Forte help with:

• imbalance of intestinal microflora due to antibacterial or radiation therapy, when taking sulfonamides, after surgical interventions on the gastrointestinal tract;
• dyspeptic disorders - diarrhea, nausea, bloating, heartburn, constipation;
• maldigestion syndrome – disruption of the process of breakdown of food components in the gastrointestinal tract due to enzymatic deficiency;
• non-ulcer dyspepsia;
• chronic, atrophic gastroenteritis;
• hypoacid and anacid gastritis;
• colitis, age-related changes in the intestines;
• intestinal disorders that occur when climate conditions change;
• intestinal intoxication in chronic form;
• energogenic pathologies of the liver and gall bladder;
• dermatological pathologies - chronic eczema, atopic dermatitis, urticaria.

Hilak Forte can be taken if you have salmonellosis during the recovery stage. The drug is safe even for infants, pregnant and lactating women.

The active components of the drug are not absorbed into the blood and act exclusively in the intestinal lumen.

How to give Hilak Forte to children

In pediatrics, the medicine is used for children over 2 years of age. In practice, it is possible to prescribe Hilak Forte to infants and newborns: to eliminate pathological regurgitation and prevent its dangerous consequences - aspiration pneumonia. In some cases, drops help eliminate increased gas formation, persistent constipation, bloating and intestinal colic.

• A single volume of the drug for infants should not exceed 15 drops;
• a single dose for children from 2 to 12 years old is 20–30 drops;
• Teenagers can take the medicine in an adult dosage.

In the first days, a three-time dose is recommended. As the symptoms of intestinal disorders decrease, you can reduce the frequency to 2 per day or reduce the dose of drops.

Contraindications and adverse reactions

Hilak Forte is well tolerated by children and adults. During treatment, allergic reactions to the skin and mucous membranes rarely occur. Isolated cases of diarrhea and nausea were recorded.

The instructions indicate that the medicine can be given to children over 2 years of age. But doctors often prescribe the drug to infants. No negative reactions were recorded.

Drops should not be taken by people with hypersensitivity to the ingredients of the drug, acute diarrhea, or the presence of blood in the stool. The metabiotic is contraindicated if there is a history of lactose intolerance, Lapp lactase deficiency, or glucose-galactose malabsorption.

Hilak should not be used simultaneously with antacid medications. Antacids destroy lactic acid, which is a component of the drops.

Foreign analogues

In addition to Russian-made drugs, a list of foreign substitutes for the main drug is highlighted, which have a similar effect on CM. They are produced by well-known manufacturing companies, and therefore are characterized by a high degree of efficiency.

Bactisubtil

A medication from a group of drugs intended to eliminate intestinal dysfunction. The combined product contains:

1. Kaolin.
2. Spores of Bacillus cereus IP 5832.
3. Calcium carbonate.

The eubiotic helps suppress the proliferation of pathogenic bacteria and has antidiarrheal and antimicrobial properties.

Prescribed for the following diseases:

• dysbacteriosis;
• enterocolitis;
• enteritis;
• chronic or acute diarrhea;
• carrying out preventive methods aimed at normalizing the functioning of the gastrointestinal tract after a course of chemotherapy.

It is prescribed for children and adults because it does not cause side effects and has virtually no contraindications. In case of individual intolerance to the components, an allergic rash, anaphylactic shock, and Quincke's edema may occur.

The instructions from the manufacturer indicate that adult patients need to take two capsules 2 to 4 times a day. The exact dosage should be based on the characteristics of the pathology and determined by the attending physician.

Baktisubtil and the original drug have similar indications for use and are well tolerated by patients. They differ in composition.

Lacidophilus

Lacidophil is a medicinal product, the main substance of which is lyophilized cells of lactic acid bacteria. Helps normalize CM, increase local immunity, and improve the digestion process. Under its influence, the degree of tolerance to lactose increases and allergization of the entire body decreases.

Lacidofil is used to treat newborns and adults with the following conditions:

• gastroenteritis;
• diarrhea;
• intestinal dysfunction;
• atopic dermatitis;
• constipation;
• dyspepsia.

The advantage of this medication is the absence of contraindications and adverse reactions.

Capsules are taken with meals. As a preventative measure, take one capsule once a day. To eliminate unpleasant symptoms of intestinal dysfunction, 1-2 capsules are prescribed once a day.

Dosage forms belong to the same pharmacological group. This means that they have a similar effect and can act as substitutes for each other. The main medication has a wider spectrum of action and list of indications.

Linex

One of the most popular substitutes for Hilak. The active component of this eubiotic is viable lyophilized fermented milk bacteria (Enterococcus faecium, Lactobacillus acidophilus, Bifidobacterium infantis).

It has antidiarrheal properties and normalizes the functioning of the gastrointestinal tract. Under the influence of the drug, an increase in the protective functions of the body, inhibition and growth of pathogenic bacilli, synthesis of antibacterial active substances, and breakdown of complex carbohydrates, proteins and fats are observed.

Drugs are prescribed in the following cases:

1. Long-term use of antibiotics.
2. Bacterial or viral infection of the digestive tract.
3. Dysbacteriosis.

Should not be taken by patients with individual intolerance to components or lactose.

Take the drug immediately after meals. Children - 1 capsule three times a day, adolescents are prescribed an adult dose - two capsules. There should be three doses per day. To date, there is no information regarding the side effects of the drug.

Medicines differ in their active substances. At the same time, they have a positive effect on digestion and intestines.

Narine

The dietary supplement consists of acidophilic lactic acid bacteria. The main action is aimed at eliminating bacteriosis and its consequences. The drug is also effective for infectious pathologies of the vagina.

The supplement is prescribed for the following diseases:

• eczema;
• dysentery;
• staphylococcal infection;
• neurodermatitis;
• diabetes;
• salmonellosis;
• exudative diathesis;
• atopic dermatitis;
• enterocolitis.

Before you start taking the medication, you must make sure that the patient is not allergic to its components.

Well tolerated. In rare cases, newborns may have more frequent stools. This phenomenon does not require treatment and goes away on its own.

Capsules and tablets are prescribed to patients from 3 years of age. Children are recommended to take one capsule three times a day. The adult dose is 200-300 mg three times every 24 hours.

Narine is a dietary supplement that is taken with meals. Just like Hilak, the drug has a positive effect on the gastrointestinal tract and digestive process, despite the different components.

Enterol

Lyophilized Saccharomyces boulardii is used as the main active ingredient in this antimicrobial and antidiarrheal drug. The substance acts as an antagonist of pathogenic/opportunistic bacteria. Helps increase sucrase, lactase, maltase. Due to the action of the medication, the enzymatic functions of the intestines also increase.

Prescribed for diarrhea, regardless of its etiology, irritable bowel syndrome, rotavirus infections. This drug should not be used by pregnant women, people with allergies, or used to treat babies under one year of age. The most common adverse reactions include an allergic rash and pain in the stomach. The adult single dose is 1-2 capsules twice a day.

The original medicine is based on other components, but has a similar effect on the body, so the choice depends on personal preference.

Rules of application

Before each dose, the bottle of medicine should be shaken. Drops can be diluted in any liquid except milk. Take the drug before or during meals three times a day. The drops cannot be taken in their pure form.

Single dosages:

• children from birth to 2 years – 5-10 drops/kg;
• children 2-12 years old – 20-40 drops;
• children over 12 years old, adults – 40-60 drops.

If you feel better, you can reduce the dosage by 2 times. For heartburn, increased secretion of hydrochloric acid in the stomach, divide the daily dose into 5-6 doses. The average duration of therapy is 4 weeks.

Cost of medicines

The medicine is marketed in the form of oral drops. The average cost of a bottle (30 ml) is 270 rubles, and 100 ml – 550 rubles. Today you can buy an equally high-quality analogue of Hilak Forte much cheaper.

The cost of medications depends on the dosage and country of origin. Imported drugs will cost slightly more. If there is a need to replace the main product, you should consult a doctor. The selection of analogues can only be carried out by a qualified specialist.