Emulsion, drops, gel Fenistil: instructions for use, price, reviews for children, analogues

Fenistil is a children's drop that has an antihistamine effect. This remedy is usually prescribed by doctors for allergic reactions in children. The popularity of the drug is due to the fact that it can be given almost from the first days of a baby’s life. The result of use can be observed within 15 minutes. It has a dispenser that allows you to measure the required dose. The drops have a pleasant taste and can be given undiluted.

Compound

The gel also contains dimethindene maleate as an active component, as well as additional components: carbomer , disodium edetate, 30% sodium hydroxide, propylene glycol, benzalkonium chloride, water.
Fenistil drops contain the active component dimethindene maleate and a number of inactive substances: citric acid monohydrate, sodium hydrogen phosphate dodecahydrate, benzoic acid, disodium edetate, propylene glycol, sodium saccharinate, water.

The emulsion contains dimethindene maleate , as well as additional components: benzalkonium chloride, benzyl alcohol, disodium edetate, butylated hydroxytoluene, cocoyl caprylocaprate, cetostearomacrogol, liquid paraffin, 30% sodium hydroxide solution, propylene glycol, carbomer, water.

Release form

You can purchase several different forms of this drug in pharmacies:

Fenistil drops for oral administration are transparent, liquid, colorless and odorless. Contained in 20 ml bottles equipped with a dropper.
Fenistil gel, used externally, has a homogeneous consistency, it is colorless, odorless, transparent or slightly opalescent. May be contained in aluminum tubes of 30 g or 50 g.
Fenistil emulsion for external use has a homogeneous semi-liquid consistency, white color, and has a slight odor of benzyl alcohol. Contained in 8 ml bottles. The bottle resembles a roller pencil.
Fenistil tablets (capsules) are also produced, which are marketed under the name Fenistil 24.

pharmachologic effect

The abstract indicates that Fenistil is a drug that blocks histamine H1 receptors. The active component of the drug is a competitive histamine antagonist. Acts as an antipruritic and antiallergic agent. Its use helps reduce increased capillary permeability, as a result of which a person experiences allergic reactions , therefore Fenistil is widely used for allergies. A weak m-anticholinergic and antibradykinin effect of the drug is also noted. If Fenistil drops are used during the day, a mild sedative effect may be observed.

Fenistil emulsion and ointment, when applied to the skin, reduce the severity of itching and irritation caused by allergic reactions and have a local anesthetic effect. The emulsion moisturizes, cools and softens the skin.

Pharmacokinetics and pharmacodynamics

When taken orally, the active substance is quickly and almost completely absorbed. The highest concentration in the blood is observed 2 hours after administration. Bioavailability level is approximately 70%. The substance penetrates well into body tissues.

metabolic process occurs in the liver through hydroxylation and methoxylation.

Half-life is 6 hours. Excretion occurs in urine and bile. Approximately 90% of the metabolite and 10% of the substance are excreted unchanged.

If the medicine is used externally, it penetrates well through the skin, the degree of systemic bioavailability is 10%. The action begins a few minutes after applying external products to the skin.

Pharmacological properties of the drug Fenistil drops

Dimetindene maleate, a phenindene derivative, is a histamine antagonist at the level of H1 receptors. It has antikinin, weak anticholinergic and sedative effects. It has no antiemetic effect. Reduces increased capillary permeability associated with immediate allergic reactions. In combination with antagonists of histamine H2 receptors, it inhibits almost all types of histamine effects on the circulatory system. The bioavailability of dimethindene in the form of drops is about 70%. After oral administration, the maximum concentration in the blood plasma is reached within 2 hours. The half-life is about 6 hours. At concentrations from 0.09 to 2 μg/ml, the binding of dimethindene to plasma proteins is approximately 90%. Metabolic reactions include hydroxylation and methoxylation. Dimetindene and its metabolites are excreted in bile and urine. 5–10% of the administered dose of the drug is excreted unchanged in the urine.

Indications for use

The drug is taken orally for the following diseases and conditions:

manifestations of an allergic nature - hay fever , urticaria , allergic rhinitis , which occurs all year round, allergies to food and medications, angioedema ;
itching of the skin of various origins - with dermatoses, eczema, atopic dermatitis , measles, rubella, insect bites, as well as chickenpox (gel is also used for chickenpox in children);
in order to prevent the manifestation of allergies during hyposensitizing treatment.

Gel and emulsion are used for the following diseases:

for itching of the skin of various origins (use ointment for insect bites, eczema, urticaria, dermatoses, etc.), except for those associated with cholestasis;
for burns – solar household burns, etc.

However, despite the fact that the gel is currently being actively advertised, the product should be used only according to indications and on the recommendation of a doctor.

What is it used for?

The medicine should be taken in the following cases:

allergies to food or medications;
itching;
seasonal or chronic allergies;
hives;
chicken pox, insect bites;
for the purpose of preventing allergies.

Fenistil is intended for oral administration. The product should be given to children only after consultation with a pediatrician.

Fenistil is an antihistamine that has an antipruritic and antiallergic effect. The active ingredients significantly reduce the increased permeability of capillaries.

Contraindications

The use of any form of Fenistil is contraindicated in the following cases:

for bronchial asthma ;
for angle-closure glaucoma ;
with prostate hyperplasia;
for a child under 1 month of age;
in the first three months of pregnancy, during lactation;
with high sensitivity to the components of the product.

People with chronic obstructive pulmonary diseases should take the drug with caution. Before taking any form of the remedy in this case, you should consult your doctor.

Contraindications and adverse reactions

You should avoid taking Fenistil in the following cases:

children under 1 month;
women during the 1st trimester of pregnancy and during breastfeeding;
angle-closure glaucoma;
excessive sensitivity to the active and auxiliary components of the product.

It should be taken with caution in case of bronchial asthma and chronic bronchial pathologies.

The drug has a number of adverse reactions, namely:

from the nervous system - in rare cases, anxiety, dizziness, headache are noted, much more often lethargy, drowsiness, and irritability appear;
from the immune system - in rare cases, swelling of the face or throat, shortness of breath, muscle spasms, and rash are noted;
from the gastrointestinal tract - in rare cases, nausea, vomiting, diarrhea.

If any of the symptoms described above worsen, you should stop taking the drug and consult a doctor.

In the first days of use, drowsiness may occur.

Side effects

During the use of the drug Fenistil, the following side effects may develop:

nervous system: manifestations of drowsiness (as a rule, this occurs in the first days of treatment), agitation, dizziness , headaches ;
digestive system: feeling of dry mouth, nausea ;
respiratory system: dry throat, disturbances in external respiration;
other manifestations: swelling , skin rash, muscle spasm.

Instructions for use of Fenistil (Method and dosage)

Fenistil drops, instructions for use

The instructions for Fenistil drops for children and adults stipulate that the drops are taken orally

Drops for children over 12 years of age and adults are prescribed in a daily dose of 3-6 mg, that is, 60-120 drops. This dose must be divided into three times, the drug should be taken in drops in equal doses. Those people who have a tendency to excessive drowsiness are recommended to drink 20 drops. in the morning and 40 drops. before bedtime.

For babies from 1 month. up to 1 year, 3-10 drops are prescribed. three times a day. Patients aged 1 to 3 years should drink children's drops 10-15 drops three times a day. Patients from 3 to 12 years old receive 15-20 drops. three times a day. Fenistil New is used in the same way.

If necessary, you can add the product to a baby formula bottle.

Fenistil gel, instructions for use

For external use only. The gel is applied to areas of the skin affected by the disease 2 to 4 times a day. If the patient suffers from severe itching or irritation, or in case of widespread skin lesions, the doctor may recommend using drops or another oral form of the drug at the same time.

During the period of application of the gel, it is necessary to prevent exposure to ultraviolet radiation on those areas of the skin that were treated with the gel. Therefore, it is not recommended to stay in direct sunlight for a long time.

The gel for children is used in the same way. It is allowed to use this product for newborns, but only after consultation with a doctor and under his supervision.

Emulsion Fenistil, instructions for use

It is applied externally, the roller is used to apply the emulsion to the skin 2 to 4 times a day, depending on the doctor’s recommendations. Like the ointment, the pencil can be used for children.

Instructions for tablets Fenistil 24

This remedy is not prescribed to children under 12 years of age. As a rule, patients are advised to take the capsule once a day, since the duration of action of this drug is 24 hours. It is recommended to take the product in the evening to avoid drowsiness. The capsule should be swallowed whole with water. Treatment can last no more than 25 days.

Fenistil Gel for itching and skin irritation, gel 0.1% 50g

A country

Switzerland
The country of production may vary depending on the batch of goods. Please check with the operator for detailed information when confirming your order.

Active substance

Dimetindene + Phenylephrine

Description

Fenistil Gel reduces itching and irritation caused by allergic skin reactions.* It is used for skin reactions caused by insect bites, mild superficial burns, sunburn, dermatoses, urticaria.* Begins to act in a few minutes and has a slight cooling effect.* Suitable for use from 1 month of life.
* Instructions for medical use, RU No. P N011663/02 dated 04/01/2011

Compound

Active substance: dimethindene maleate. 100 g of gel for external use contain 0.1 g of dimethindene maleate. Excipients: disodium edetate 0.05 g, carbomer about 0.9 g, sodium hydroxide solution 30% about 1.0 g, benzalkonium chloride 0.005 g, propylene glycol 15.0 g, purified water about 82.9 g.

Product description

Homogeneous colorless gel, transparent or slightly opalescent.

pharmachologic effect

Antihistamine, antiallergic and antipruritic agent.
H1-histamine receptor blocker, is a competitive histamine antagonist. The drug reduces increased capillary permeability associated with allergic reactions. When applied to the skin, Fenistil® gel reduces itching and irritation caused by allergic skin reactions. The drug also has a pronounced local anesthetic effect. It also has antikinin and weak anticholinergic effects. When used externally, thanks to the gel base, it has a quick onset of action (within a few minutes) and a slight cooling effect. The maximum effect is after 1 - 4 hours. Pharmacokinetics When used externally, it penetrates well into the skin, systemic bioavailability is 10%.

Indications for use

Skin itching of various origins (except those associated with cholestasis), for example: itchy dermatoses, eczema, urticaria, insect bites. Sunburn, household and industrial burns (mild).

Contraindications

Hypersensitivity to dimethindene and other components included in the drug, angle-closure glaucoma, prostatic hyperplasia, children under 1 month of age, especially premature infants.

Carefully

Pregnancy 1st trimester, lactation period

Use during pregnancy and lactation

The use of the drug in the first three months of pregnancy is possible only after consultation with a doctor. In the second and third trimesters of pregnancy, as well as during lactation, Fenistil® gel should not be used on large areas of the skin, especially in the presence of inflammation or bleeding. Nursing mothers should not apply the drug to the nipples of the mammary glands.

Directions for use and doses

Externally. The gel is applied to the affected area of the skin 2 - 4 times a day. In cases of severe itching or widespread skin lesions, simultaneous use of oral forms is recommended.

Side effect

Classification of the frequency of occurrence of adverse reactions: very often (≥1/10); often (≥1/100, Overdose If a large amount of the drug is accidentally ingested, symptoms characteristic of an overdose of H1-histamine receptor blocker drugs may occur, including depression of the functions of the central nervous system, drowsiness (mainly in adults), stimulation of the functions of the central nervous system, antimuscarinic effects (especially in children), including irritability, ataxia, hallucinations, tonic-clonic seizures, mydriasis, dry mouth, flushing, urinary retention and fever. This may be followed by a drop in blood pressure. Treatment: Specific antidote is unknown. The usual emergency measures should be taken: if taken orally, take activated charcoal, saline laxatives; if necessary, take measures to maintain the function of the cardiovascular and respiratory systems. Vasoconstrictors can be used to treat arterial hypotension. Do not exceed the recommended dose of the gel Fenistil®. In case of accidental overdose, tell your doctor immediately.

Interaction with other drugs

There are no known drug interactions for Fenistil® gel.

special instructions

In children from 1 month to 2 years, the drug is used after consultation with a doctor. In infants and young children, the drug should not be used on large areas of the skin, especially if there is inflammation or bleeding. In case of severe itching or if large areas of skin are affected, the drug can be used only after consultation with a doctor. When using Fenistil® gel on large areas of the skin, exposure to sunlight should be avoided. If during the period of using Fenistil® gel the severity of the symptoms of the disease does not decrease or, on the contrary, intensifies, you should consult a doctor. Ineffective for itching associated with cholestasis. The drug contains propylene glycol and benzalkonium chloride, which can cause local allergic reactions.

Release form

Gel for external use 0.1%. 50 g in an aluminum tube, closed with a polypropylene cap. The tube along with instructions for use is placed in a cardboard box.

Storage conditions

At a temperature not exceeding 25 C. Out of the reach of children.

Best before date

2 years. Do not use after expiration date.

Overdose

When taking the drug orally, the dosage indicated in the instructions must be strictly followed, as there is a risk of overdose. In this case, depression of the central nervous system may develop, drowsiness (in adults), stimulation of the central nervous system and m-anticholinergic manifestations (more often in children), including tachycardia , agitation, ataxia , convulsions, hallucinations , mydriasis , dry mouth, fever , flushing, urinary retention, low blood pressure , collapse .

If an overdose of Fenistil occurs, the patient is prescribed activated charcoal , and a saline laxative is also indicated. During treatment, measures must be taken to support the functions of the respiratory and cardiovascular systems.

Cases of overdose of external forms of the drug have not been described. If the drug is accidentally ingested, similar measures must be taken. specific antidote .

INSTRUCTIONS

on the use of the medicinal product for medical use FENISTIL® (FENISTIL®)

Registration number: P N011663/02
Trade name: Fenistil®

INN or group name: dimethindene.

Chemical name: (RS)-dimethyl(2-{3-[1-(pyridin-

2-yl)ethyl]-1H-inden-2-yl}ethyl)amine maleate

Dosage form: gel for external use.

Compound:

Active substance: dimethindene maleate. 100 g of gel for external use contain 0.1 g of dimethindene maleate.

Excipients: disodium edetate 0.05 g, carbomer about 0.9 g, sodium hydroxide solution 30% about 1.0 g, benzalkonium chloride 0.005 g, propylene glycol 15.0 g, purified water about 82.9 g.

Description

Homogeneous colorless gel, transparent or slightly opalescent.

Pharmacotherapeutic group

Antiallergic agent - H1-histamine receptor blocker.

ATX code: D04AA13

Pharmacological properties

Pharmacodynamics

When used externally, thanks to the gel base, it has a quick onset of action (within a few minutes) and a slight cooling effect. The maximum effect is after 1 - 4 hours.

Pharmacokinetics

When used externally, it penetrates well into the skin, systemic bioavailability is 10%.

Indications for use

Skin itching of various origins (except those associated with cholestasis), for example: itchy dermatoses, eczema, urticaria, insect bites.

Sunburn, household and industrial burns (mild).

Contraindications

Hypersensitivity to dimethindene and other components included in the drug,

angle-closure glaucoma, prostatic hyperplasia, children under 1 month of age, especially premature infants.

Carefully

Pregnancy I trimester, lactation period.

Use during pregnancy and breastfeeding

Directions for use and doses

Externally. The gel is applied to the affected area of the skin 2 - 4 times a day. In cases of severe itching or widespread skin lesions, simultaneous use of oral forms is recommended.

Side effect

Classification of the frequency of occurrence of adverse reactions: very often (≥1/10); often (≥1/100, <1/10); infrequently

(≥ 1/1000, < 1/100); rare (≥1/10000, <1/1000); very rare (< 1/10000), including isolated reports and reactions with unknown frequency (cannot be calculated from available data).

Disorders of the skin and subcutaneous tissues:

Uncommon: dry, burning skin.

Very rare (post-registration data):

allergic dermatitis, including skin rash, itching. If any of the side effects indicated in the instructions get worse, or you notice any other side effects not listed in the instructions, tell your doctor.

Overdose

If a large amount of the drug is accidentally ingested, symptoms characteristic of an overdose of H1-histamine receptor blocker drugs may occur, including depression of the functions of the central nervous system, drowsiness (mainly in adults), stimulation of the functions of the central nervous system, antimuscarinic effects (especially in children) , including increased excitability, ataxia, hallucinations, tonic-clonic seizures, mydriasis, dry mouth, flushing, urinary retention and fever. This may be followed by a drop in blood pressure.

Treatment:

A specific antidote is unknown. The usual emergency measures should be taken: if taken orally, take activated charcoal, saline laxatives; if necessary, take measures to maintain the function of the cardiovascular and respiratory systems. Vasoconstrictors can be used to treat arterial hypotension.

Do not exceed the recommended dose of Fenistil® gel. In case of accidental overdose, tell your doctor immediately.

Interaction with other drugs

There are no known drug interactions for Fenistil® gel.

special instructions

In case of severe itching or if large areas of skin are affected, the drug can be used only after consultation with a doctor. When using Fenistil® gel on large areas of the skin, exposure to sunlight should be avoided.

If during the period of using Fenistil® gel the severity of the symptoms of the disease does not decrease or, on the contrary, intensifies, you should consult a doctor. Ineffective for itching associated with cholestasis. The drug contains propylene glycol and benzalkonium chloride, which can cause local allergic reactions.

Effect on the ability to drive vehicles and operate machinery. No effect.

Release form

Gel for external use 0.1%. 30 g, 50 g or 100 g in an aluminum tube, closed with a polypropylene cap. The tube along with instructions for use are placed in a cardboard box.

Storage conditions

At a temperature not exceeding 25°C. Keep out of the reach of children.

Best before date

2 years. Do not use after expiration date.

Conditions of release Dispensed without a prescription.

Manufacturer : Novartis Consumer Health SA, Rue de Letraz, 1260 Nyon, Switzerland. Novartis Consumer Health SA, Route de l'Etraz, 1260 Nyon, Switzerland.

The legal entity in whose name the registration certificate was issued and the organization accepting claims on the territory of the Russian Federation:

JSC GlaxoSmithKline Healthcare.

123317, Moscow, Presnenskaya embankment, 10.

Tel.; fax Toll free hotline

8 800 2000 775

Interaction

Under the influence of Fenistil, the effect of sleeping pills and anxiolytics on the body increases.

If you take ethanol simultaneously with Fenistil, the speed of psychomotor reactions slows down.

With simultaneous use of MAO inhibitors, the anticholinergic effect, as well as the inhibitory effect on the central nervous system, increases.

When taking m-anticholinergic drugs and tricyclic antidepressants simultaneously, the risk of increased intraocular pressure .

special instructions

The product in the form of drops should not be exposed to high temperatures.

If the drug is prescribed to infants, the dosage of drops must be precisely maintained; the product can be added to a bottle of baby food immediately before feeding. It is noted that the medicine has a pleasant taste, therefore, if possible, the child can be given undiluted drops.

Before giving drugs to an infant, you should consult a doctor to find out how to give the drops and what they are for. Fenistil is used in children under 1 year of age only if indicated.

Fenistil drops, Fenistil New can weaken the severity of the reaction, so during the treatment period you should drive carefully and work with dangerous mechanisms. When applied topically, the medicine does not affect the ability to drive a car.

You should consider what the gel helps with, and do not use Fenistil for infants and children if they have inflammatory manifestations or bleeding.

If the patient has itchy skin or large areas of the skin are affected, the gel can be used only after a doctor’s prescription.

If the drug is used on large areas of the skin, then the patient should not stay in the sun for a long time.

Those who are interested in whether the gel is hormonal or not should take into account that the drug is not hormonal.

Special instructions for the use of the drug Fenistil drops

As with other antihistamines, caution should be exercised when prescribing Fenistil to patients with angle-closure glaucoma; in case of urination disorders, incl. with prostate hypertrophy, as well as in patients with chronic lung diseases. Influence on reaction speed when driving vehicles and working with machinery. When taking Fenistil drops, the reaction rate may slow down, so you should be careful when prescribing to patients who drive a car or work with mechanical means. During pregnancy and breastfeeding. During pregnancy, Fenistil drops can be prescribed only if the expected benefit to the mother outweighs the potential risk to the fetus. It is not recommended to take the drug during breastfeeding; if treatment with the drug is necessary, breastfeeding should be stopped. Children. In young children, antihistamines may cause agitation. Prescribe the drug in the form of drops to children under 1 year of age with caution: the sedative effect may be accompanied by episodes of sleep apnea.

Fenistil's analogs

Level 4 ATC code matches:
Psilo-balm

There are a number of analogues of this product, but the price of gel analogues is slightly different. So, cheap analogues of Fenistil gel are Vibrocil , Cetrin . There are other inexpensive analogues of Fenistil, which in some cases can replace it. These are anti-allergenic drugs Tavegil , Loratadine , Claritin , Diazolin , etc. You should definitely find out from a specialist how you can replace the gel for children or drops for children. For herpes Fenistil Pencivir cream is used .

Which is better: Fenistil or Zodak?

The active component of Zodak is cetirizine. This drug is produced only in oral form. It is used for the same diseases as Fenistil and provokes similar side effects. But Zodak cannot be used in children under 1 year of age.

Which is better: Psilo-balm or Fenistil gel?

Both drugs act similarly and are used for the same diseases. It is used, like Fenistil gel, against mosquito bites and other insects. However, Psilo-balm is not used to treat children under 2 years of age - childhood is a contraindication.

How to distinguish heat rash in a child from allergies and other diseases

When a rash appears on the skin, the most difficult thing for parents is to distinguish prickly heat from other diseases: allergies, chicken pox, measles, etc.

First, you should examine the location of the rash. In the first case, the rashes are located in hard-to-reach places: in the area under the diaper, in the folds of the skin, in the hairline. In this case, the rash almost never appears on open areas of the skin that are well ventilated. But if the rash appears on the face, open parts of the arms and legs, most likely it is an allergy.

A simple home test will also help make a differential diagnosis. You just need to undress the baby and leave him without clothes or a diaper for several hours. If the rash appears as a result of prickly heat, during this time it will decrease and become paler. If it is an allergy, no changes will occur to it.

Additional symptoms will help distinguish the disease from measles, chickenpox and other viral pathologies. With infectious diseases, the temperature always rises, intoxication appears, and the rash quickly spreads throughout the body. In turn, the main symptom of prickly heat is just a rash.

Fenistil for children

The official instructions for Fenistil drops for children stipulate that this drug is contraindicated for the treatment of children under 1 year of age. Reviews of drops for children left by parents indicate that this remedy effectively relieves allergy symptoms. It is important that the dosage of drops for children is followed very precisely. However, the drug is prescribed with caution, as there is a risk of sleep apnea .

Fenistil gel for children is used from birth, but ointment for children should still be used under the supervision of a doctor. If parents choose Zyrtec or Fenistil for children, it should be noted that Zyrtec is not prescribed to children under 1 year of age.

Features of use by pregnant women and children

The drug should not be taken by women in the 1st trimester of pregnancy. You should also refrain from taking it during breastfeeding. You can take the drug in the 2nd and 3rd trimester of pregnancy with great caution and only under the supervision of a doctor. In this case, the expected result for the expectant mother must exceed the possible risk for the developing fetus.

Fenistil is contraindicated for babies under 1 month of age. It should be taken with caution up to 12 months, since the sedative function of a baby at this age can cause episodes of sleep apnea.

Fenistil for newborns

Parents should note that the gel for newborns can be used from the first days of the child’s life, and Fenistil drops for newborns are used when the child is 1 month old. For infants, the drug can be used only according to indications, in the presence of allergic reactions. You need to remember that this drug can cause drowsiness , so recommendations on how to give drops to a baby or how to use the gel should be given by a pediatrician. You should also ask your doctor about how many drops to give your child before vaccination.

Poisoning in children

All over the world, the number of acute poisonings is steadily increasing, this situation is called a “creeping disaster.” Due to the wide distribution of various chemical and pharmacological drugs in the environment, more and more children are admitted to toxicology departments with a diagnosis of acute exogenous poisoning.

Another, even more serious, reason is the mother’s frivolous attitude towards the health of her own child, her inattention and reliance on the Russian “maybe”.

The one-year-old baby woke up early and climbed out of the crib. Mom dressed him and let him “free-graze”, and she went to bed to get some sleep.

You say: this can’t happen? Unfortunately, it can, like all other cases from personal medical practice.

The kid, left unattended, happily ran the kitchen, scattered cereal, spilled oil, and then climbed onto a chair and took out his grandmother’s clonidine from the shelf. An hour later, when the mother woke up, the baby was already asleep, clutching a bottle of pills in his fist.

A friend came to visit her mother, whom she had not seen for a long time. There is so much news that requires immediate discussion over a cup of coffee and a cigarette. But passive smoking is harmful to children. Therefore, they left him in the room, and they retired to the kitchen. It is unknown how long the smoke break lasted. Mom claims that it won’t be long. But the baby had enough time to take birth control pills out of the guest’s bag and feast on them.

A two-year-old girl was playing on the floor with toys and suddenly fell asleep on the floor. Mom carried her to the crib and went about her household chores, happy that the child was not in the way. After some time, the mother noticed that the girl’s sleep was restless, she was crying without waking up, making random movements with her limbs, as if fighting off someone.

The emergency doctor suspected drug poisoning, and a bottle of amitriptyline (used for depression) was found on the floor among the toys. The child's restless behavior was explained by the occurrence of hallucinations.

Mom poured “Antinakipin” into the kettle and left it overnight so that all the sediment dissolved. When early in the morning the baby demanded a legitimate bottle, the half-asleep mother diluted the milk formula with water from the ill-fated kettle and gave it to the child. She came to her senses only after noticing that the mixture in the bottle had curled up into flakes. And during this time the baby had already taken a sip of a hefty dose.

Thousands of similar examples can be given.

But there are other cases when the mother exceeds the dose of the medicine with her own hands or mistakenly gives the child another medicine.

Every family has a first aid kit with a set of the most necessary and seemingly harmless medicines. But are they so harmless?

Back in the XYI century, the physician and naturalist Paracelsus said: “Only the dose distinguishes poison from medicine.”

Do you know that Calpol, Panadol, Tylenol and other paracetamol-based drugs, widely advertised and loved by parents, have a toxic effect on the liver even in a dose only twice as high as a single dose, and a tenfold excess of a single dose causes kidney failure? Isn't the penalty for uncontrolled consumption of “strawberry-flavored syrup” too heavy?

The familiar drugs diphenhydramine, suprastin, pipolfen, in addition to allergic ones, have a calming and hypnotic effect, which makes them very popular with some parents.

Wanting the child to sleep longer on a weekend or holiday, the mother gives the baby diphenhydramine in an increased dose.

Contrary to the expected result, the child does not fall asleep and receives another tablet. After this, the child not only does not calm down, but, on the contrary, becomes agitated, does not find a place for himself in the crib, fights off someone invisible with his hands, squirms, and cries. His skin turned red and dry, his pupils dilated, his heart beat faster. And the culprit was an overdose of diphenhydramine.

The baby has a runny nose. He cannot breastfeed and sleeps poorly. The doctor prescribed vasoconstrictor nasal drops for the baby: naphthyzin, galazolin or sanorin. After the first procedure, the baby breathed freely through his nose, ate well and fell asleep peacefully. The satisfied mother began to instill drops in him before each feeding, and then again before putting him to bed. By evening, the child seemed to have been replaced: he became lethargic, drowsy, refused to eat and asked to go to bed. The skin became pale, cold, and sweating increased. Having measured the temperature, the mother was horrified: 34.7 C. So intensive treatment of a runny nose led to poisoning of the baby.

Increasingly, vasoconstrictor drops are produced in plastic bottles equipped with a dropper spout. This is done for the convenience of consumers: remove the cap, press on the pliable walls, drop the medicine into the nose, and no fuss with the pipette. This method is not suitable for small children, since by applying force, you can inject the medicine in a stream, significantly exceeding the dose. Use a regular pipette, putting in as many drops as the doctor prescribed.

The child vomits repeatedly, and the mother, instead of inviting a doctor, gives him cerucal for two days in a row (“I know that it stops the vomiting”). And she has no idea about the side effects of this drug, as well as the undesirability of its use in children under 14 years of age. Therefore, when on the 3rd day the child began to experience violent movements in the limbs and neck muscles (hyperextension of the arms, involuntary turns of the head to the side) and convulsive twitching (grimaces) of the facial muscles, the mother was very surprised and called an ambulance. Having barely looked at the boy, the emergency doctor asked: “Did you give Cerucal?”, and, having received an affirmative answer, began to lavage the stomach through a tube.

Unfortunately, poisoning in children is not limited to drugs. In everyday life, we are surrounded by chemicals designed to improve and make our lives easier. How many troubles and misfortunes the vinegar essence, used in every family for home canning, has brought and will continue to bring to children! No country in the world produces acetic acid of such concentration for household purposes, but here, please drink, I don’t want it.

Neither a pedantic German woman, nor a frivolous French woman, nor a disciplined American woman would think of pouring a toxic substance into a Pepsi or Fanta bottle, and in our country, the cause of poisoning of children is often the neglect of the basic rules for storing detergents and disinfectants and household chemicals.

“How did this happen? - Mom laments, “after all, I wrote on the bottle that there is gasoline.”

But the baby doesn’t know how to read, but he remembers well that yesterday, during a walk, dad poured him some delicious water from such a bottle.

In children under one year of age, motor activity and field of activity are limited to a crib or playpen. They cannot obtain and swallow medications or toxic substances on their own. Therefore, the cause of poisoning in children in the first year of life is the inattention and carelessness of parents, when, having mixed up the dishes, they give the child alcoholic drinks or other toxic substances instead of water; instead of nasal drops, eye drops with clonidine are instilled; following doctor's prescriptions, they exceed the dose of medications, and often treat the child on their own, without consulting a doctor, relying on their own knowledge or the advice of friends.

The baby’s ability to move independently increases the risk of accidents, including poisoning. There are fewer and fewer inaccessible places for a child, and more and more attractive-looking objects and substances. Is it possible to pass by a bottle with such beautiful multi-colored tablets? You need to get them out and try them immediately. Oh, and they are also in a sweet shell, real candies!

Always remember that a child “learns the world through his mouth.” This circumstance explains the largest number of poisonings in the group of children 2 and 3 years of age.

Add here the mother’s carelessness in everyday life, the carelessness of adults when storing medicines and chemicals, and the picture will be complete.

The fate of a child with acute poisoning often depends on the correct behavior of the mother or others. What should a mother do if her child has taken a drug or chemical?

If the fact of ingestion of a toxic substance is established, immediately call an ambulance, and before the brigade arrives, free the child’s mouth from tablets that he did not have time to swallow, try to rinse his mouth and give him a large amount of water (up to 200 ml) with two crushed tablets of activated carbon or other adsorbent, for example, polyphepan (1-2 teaspoons).

Do not give milk to your child, as some poisons are fat-soluble, and the fat contained in milk will speed up the absorption of the poison.

Try to collect and count the remaining tablets, estimate how many tablets the baby managed to swallow. It is clear to everyone that the larger the dose, the more severe the poisoning, the more serious the prognosis.

But you shouldn’t calm down if you’re missing “just one” tablet. Some medications have such a strong and rapid effect that even one tablet can lead to severe impairment of vital functions. Such drugs include nitroglycerin, chlorpromazine, digoxin, gemiton, clonidine, amitriptyline.

Never induce vomiting in a child if poisoning occurs with concentrated acid or caustic alkali, which causes burns to the mouth, pharynx and esophagus. A caustic substance, when passing in the opposite direction, will inevitably increase the area and depth of the burn, and may also enter the respiratory tract. Try to give your child water (1.5 - 2 glasses) to reduce the concentration of the caustic substance in the stomach.

The popular opinion that in case of acid poisoning one should drink alkaline drinks, and in case of alkali poisoning - weakly acidic solutions, is incorrect, since the carbon dioxide formed as a result of such a reaction causes overdistension of the stomach and deterioration of the child’s condition.

If poisoning occurs due to gas or fumes of a toxic substance, the child should be urgently removed from the gas-polluted room, freed from restrictive clothing, and cleared of mucus and vomit from the airways.

If a toxic substance gets into the eyes, it is necessary to rinse the eyes with a stream of warm water using a syringe (without a needle) or a rubber bulb for 5 minutes.

If a toxic substance gets on the skin, the child should be undressed and the skin should be thoroughly washed with warm running water and soap, first treating the contaminated areas and then the entire surface of the body.

Sometimes the fact that a child is taking medications or chemicals remains unknown to the mother or other adult family members, which significantly complicates diagnosis, leads to untimely provision of assistance, and worsens the prognosis.

An alarming moment that makes a mother think about poisoning is a change in the child’s behavior: usually active and cheerful, he suddenly becomes lethargic, drowsy, and falls asleep at inopportune times. The sleep is so deep and sound that it is impossible to wake him up. Or, conversely, in a dream, a child makes active movements, crawls on the bed, fights off someone with his arms and legs, cries, screams, without waking up. This behavior indicates hallucinations. Convulsions and loss of consciousness may occur.

Consider poisoning if...

- your baby has a runny nose, and you, sparing no medication, instill vasoconstrictor drops into his nose, and the child becomes lethargic, refuses to eat and asks to sleep;

- the child suddenly becomes silly, funny for no reason, he is “stormy”, i.e. staggers to the sides when walking, he bumps into objects, stumbles out of the blue;

- in the midst of complete health, the child’s condition suddenly worsens, consciousness is impaired, convulsions appear, and there are no signs of an acute inflammatory disease.

Call an ambulance and tell your doctor about your observations and suspicions. The sooner you do this, the better for the child.

Is there really nothing that can be done to protect children from exposure to toxic substances? It is possible and even necessary!

Prevention of poisoning is extremely simple and does not require any moral or material costs from parents.

Medicines should be stored out of the reach of children. Periodically audit your home medicine cabinet and get rid of unnecessary, expired, or worn-out medications. Do not keep medications “on hand” in your cosmetic bag, pocket, or purse. Your young explorer will find them everywhere and try them out.

If you give your child pills or vitamins during illness, never call them “candy.”

Store cleaning agents and detergents, insect repellent aerosols, stain removers and solvents, and technical fluids indoors or in a locked cabinet.

Pouring potentially toxic substances into food containers is not permitted.

Nail polish remover, deodorants, and cosmetic lotions should be stored on a high shelf where a child cannot reach even from a chair.

Do not leave unfinished alcoholic drinks in glasses. While you are seeing off the guests, the children can continue the festive feast, following your example.

Do not keep poisonous plants in the house, and on a walk do not allow your child to try the “beautiful berries” from trees and bushes.

All of the above applies to a greater extent to children, whose poisoning is mainly accidental.

Reviews about Fenistil

In most reviews, users write that the drug is very effective in helping to get rid of allergies. Often positive reviews about Fenistil drops are left by parents who have used drops for children or drops for newborns. They note that with the help of drops they easily eliminated itching, irritation, and rashes. Many reviews of Fenistil gel indicate that the gel for children is an effective remedy for insect bites, rashes and other manifestations. Reviews of Fenistil gel for newborns inform that the ointment quickly eliminates irritation from abrasions and redness of the skin. Judging by the reviews, the product for infants is used very often. Reviews about Fenistil emulsion are less common; they say that this drug is convenient to use and is also effective.

Sometimes there are negative opinions in which users write that the drug did not work. As a rule, this happens if the symptoms did not appear due to an allergy.

Symptoms

The main and most obvious symptom of the pathology is a rash. Most often, rashes appear on the head, chest, back, groin, armpits, and buttocks. The rash appears as scattered blisters with clear, white or yellow contents, or as small grains with an inflammatory outline.

During the day, the rash may intensify or decrease, and the severity of its manifestation depends on changes in temperature and care for the baby’s skin. In some cases, the child does not show concern, but sometimes may experience itching, pain and demonstrate discomfort with whims, unstable sleep, and lack of appetite.

In mild forms of the disease, other symptoms may not occur. But in more advanced cases, which are accompanied by complications and infection, clinical manifestations may be supplemented by:

elevated temperature up to 38 degrees;
the appearance of light plaque, ulcers, ulcers;
the formation of weeping cracks with an unpleasant odor;
general deterioration of condition.

When assessing symptoms, it is important to prevent the development of advanced forms of prickly heat and consult a doctor promptly, without waiting for complications to develop. Source: Skin care for a newborn. Solntseva O.A. Medical Council, 2014. p. 35-39.

Fenistil price, where to buy

The price of Fenistil in drops is approximately 350 rubles per pack. 20 ml. Drops for children can be bought at a pharmacy without a prescription.

The price of Fenistil Emulsion is on average 350 rubles per 1 bottle. How much Fenistil gel costs depends on the volume of the tube. Gel for children in a 30 g package can be bought for an average of 330 rubles. Gel for newborns in pack. 50 g can be purchased at a price of 390 rubles. The ointment can be bought at any pharmacy.

The price of Fenistil 24 tablets in Ukraine is approximately 600 UAH. per pack 20 pcs.

The price of Fenistil gel in Ukraine starts from 100 UAH. per tube 30 g. The cost of the gel in Kharkov is 90 – 110 UAH. You can buy the gel without a prescription.

Online pharmacies in RussiaRussia
Online pharmacies in UkraineUkraine
Online pharmacies in KazakhstanKazakhstan

LuxPharma* special offer

Fenistil/Pentsivir (for the European Union called Fenivir) 1% cream 2g
RUB 2,390 order

ZdravCity

Fenistil Gel gel d/nar. approx. 0.1% 30gNovartis Consumer Health
450 rub. order
Fenistil gel d/nar. approx. 0.1% 100gNovartis Consumer Health SA
RUR 782 order
Fenistil gel d/nar. approx. 0.1% 50gNovartis Consumer Health
RUR 578 order
Fenistil emulsion external 0.1% 8ml n1Novartis Consumer Health S. CH
RUR 456 order
Fenistil drops for oral administration 0.1% 20mlNovartis Consumer Health
RUR 509 order

Pharmacy Dialogue

Fenistil anti-allergy drops for oral administration, 0.1% 20mlNovartis
440 rub. order
Fenistil (vial 0.1% 20ml)Novartis/GSK Consumer Health Inc
RUR 469 order
Fenistil Gel for itching and skin irritation, gel 0.1% 30gNovartis
RUB 404 order
Fenistil Gel for itching and skin irritation, gel 0.1% 50gNovartis
RUR 546 order
Fenistil Gel for itching and skin irritation, gel 0.1% 100gNovartis
RUR 713 order

Pharmacy24

Fenistil 20 ml drops Novartis Consumer Health S.A., Switzerland
126 UAH order
Fenistil Gel 30 g Novartis Consumer Health S.A., Switzerland
85 UAH order
Fenistil 0.1% 8 ml emulsion Novartis Consumer Health S.A., Switzerland
87 UAH order

PaniPharmacy

Fenistil liquid Fenistil drops 0.1% 20ml Switzerland, Novartis Consumer Health
150 UAH order
Fenistil liquid Fenistil emulsion for skin. 0.1% fl. 8ml Switzerland, Novartis Consumer Health
95 UAH order
Fenistil Pencivir Tinting Cream 1% 2g Australia, Novartis Consumer Health S.A.
148 UAH order
Fenistil pencivir cream Fenistil pencivir cream 1% tube 2g Germany, Novartis Pharma Production
151 UAH order
Fenistil gel Fenistil gel 0.1% tube 30g Switzerland, Novartis Consumer Health
98 UAH order

Analogues and prices

Fenistil can be purchased at a pharmacy for 200-340 rubles (depending on the form of release). Gel with a volume of 30 g is sold for 200-270 rubles. Drops of 20 ml cost 280-340 rubles.

The drug has many analogues, which may differ in price. Budget options - Cetrin, Vibrocil. You can also find other inexpensive anti-allergy analogues, for example, Loratadine, Diazolin. Analogs for children should be purchased only after consultation with a doctor.

Fenistil should be stored at a temperature no higher than 25 degrees in a place where children do not have access and where sunlight does not penetrate. Once opened, the bottle can be stored for no longer than 2 years. Shelf life – 36 months. After the expiration date, the medicine cannot be used.

To purchase from a pharmacy, you do not need a doctor's prescription.