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A good appetite has always been considered a sign of good health. The correct operation of the mechanism responsible for satisfying the need for nutrients and obtaining pleasure from it indicates that the body functions without any special deviations. However, human appetite is a variable quantity. It depends on the nutritional culture instilled in childhood, taste preferences (which can change more than once during life), weather, mood and many other factors. Therefore, periodic loss of appetite is normal. A complete lack of interest in food, especially when it lasts long enough, can be a sign of serious health problems.
Appetite is regulated by a special food center located in the brain. When toxins enter the body, the functioning of this structure is temporarily blocked, since the main work of all systems at that moment is aimed at trying to get rid of dangerous substances. Intoxication can be caused by:
As a rule, after toxic substances are removed from the body, appetite returns.
Patients suffering from pathologies of the gastrointestinal tract often experience unpleasant symptoms of dyspepsia: abdominal pain, belching, flatulence, nausea. In such cases, the loss of appetite is associated with a reflexive fear of eating.
Of course, such patients should not eat at all: this will only aggravate the painful condition. The way out is a special diet that excludes spicy, salty, sour foods, fried and smoked foods, fast food and canned food. Food should be semi-liquid and have an enveloping effect (for example, slimy porridges and purees are useful).
Fluctuations in hormonal levels greatly affect appetite. This is especially noticeable during pregnancy, when serious changes in a woman’s body can lead to very specific nutritional needs and changes in taste preferences.
Pathological abnormalities in the functioning of the endocrine glands usually cause a decrease in appetite. This process is characterized by gradualness: for example, with a decrease in the function of the thyroid gland (hypothyroidism), the desire to consume food decreases or disappears completely over a long period, in parallel with a general loss of body tone, the development of fatigue, the appearance of drowsiness, tearfulness and other signs of the disease.
Decreased appetite may also be due to psychogenic reasons. So, with depression, food stops giving a person pleasure; Often even the smell of food causes nausea. At the same time, patients complain of a feeling of fullness in the stomach and too rapid saturation. People who are severely depressed sometimes have to be force-fed.
One of the most common psycho-emotional disorders, characterized by a lack of appetite, is anorexia. For young women suffering from an inferiority complex and dissatisfied with their bodies, the desire to lose weight at any cost leads first to following unreasonably strict diets, artificial emptying of the stomach from absorbed food, and then to an absolute rejection of any food. This is a severe neuropsychic disorder that must be treated by specialists; it often requires hospitalization.
In all cases of prolonged lack of interest in food, you should consult your doctor. If no pathologies are detected in a person, but a persistent decrease in appetite threatens his health, the desire to eat can be increased through moderate exercise (for example, swimming) and walking. In some situations, taking decoctions and tinctures of medicinal herbs helps: wormwood, centaury, calamus, mint, elecampane, trifoliate, fenugreek, barberry. Medicinal teas made from strawberry, black currant and raspberry leaves are also useful.
Video from YouTube on the topic of the article:
A good appetite has always been considered a sign of health and normal functioning of the body. The feeling of hunger is a natural phenomenon that signals that a person needs to “recharge” and restore lost energy. Accordingly, a lack of interest in food may indicate a number of diseases or problems in the functioning of internal organs. What does lack of appetite mean in adults, and in what cases should you consult a doctor?
No appetite: reasons for an adult
A signal that the body needs to replenish its reserves of proteins, carbohydrates and other substances is formed in the brain. It is transmitted through neural endings to the digestive organs, as a result of which the secretion of gastric juice is activated, the level of insulin in the blood increases, and the person feels a feeling of hunger.
The mechanisms of our appetite
Lack of appetite indicates disruptions in this process - these could be diseases of the digestive tract, hormonal disorders, oncology and much more.
Causes of loss of appetite may be caused by gastrointestinal diseases
The reasons for loss of interest in food are divided into pathological, that is, those that are the result of malfunctions in the body, and non-pathological - they do not pose a threat to health and do not require medical intervention.
Non-pathological causes can be distinguished from health-threatening conditions by a number of signs. In this case, there is no appetite for 3-5 days (maximum a week), after which the body’s functioning returns to normal on its own. Such episodes are repeated no more than once a month, do not cause serious weight loss and are not accompanied by nausea, weakness, fever and other symptoms. Such reasons include the impact of external factors on the body and some changes in its functioning, which can be corrected without medical intervention.
In hot weather, most people have a decreased appetite
Chronic fatigue and lack of appetite
Lack of appetite due to stress
Dietary disorders
In pregnant women, lack of appetite may be caused by toxicosis
A decrease in appetite is often observed in older people, which can also be considered a variant of the norm - in adulthood, metabolic and digestive processes in the body slow down.
The reasons for loss of interest in food, which are associated with various diseases, pose a serious health hazard. Vitamins, microelements and nutrients stop entering the body, which over time can lead to general exhaustion and even death. These include:
In this case, loss of appetite is usually accompanied by nausea, vomiting, dizziness, abdominal pain, etc. If these symptoms develop, you should consult a doctor as soon as possible, as this condition can have serious consequences.
Of particular concern should be cases when a person becomes sick from one type of food, or begins to experience an aversion to once favorite foods (for example, meat dishes) - this phenomenon often accompanies cancer.
If you feel sick from eating, you need to seriously think about your health
If the lack of appetite is not accompanied by additional symptoms, you can try to restore it by following simple rules. If you have an aversion to food, you should not force your body - it is better to eat when you want, in small portions, but at the same time it is advisable to organize your food intake and eat at approximately the same time. Dishes should be tasty, healthy and beautifully presented - so that interest in food is awakened by just one look.
Garnish dishes with fresh herbs
In addition, if your appetite decreases, you should drink as much water as possible to prevent dehydration, walk in the fresh air more often, engage in physical activity and get proper rest. It is recommended to take vitamin complexes, especially those containing vitamin B12 and ascorbic acid.
Vitamins B and PP
Vitamins C, E, D, K
What should the menu consist of for loss of appetite in adults? The key rule is that the diet should be balanced and contain all the microelements and nutrients necessary for health. In addition, there are a number of products that help increase appetite - primarily herbs, spices, hot and salty foods, as well as marinades. True, it is categorically not recommended to abuse them - in large quantities, such food can cause digestive disorders, gastritis and even ulcers.
Spices improve appetite, but you shouldn’t overuse them
You should also not eat a lot of fatty and heavy foods - after eating you should feel full, not heavy and full in the stomach.
Do not overindulge in foods that are difficult for the stomach.
Before meals, you can drink 50-100 grams of dry red wine or other light alcohol with a bitter aftertaste - aperitifs in reasonable quantities contribute to a good appetite.
Mild alcoholic or non-alcoholic drinks, the purpose of which is to slightly quench thirst and stimulate appetite. Snacks are served with them
Classic Venetian aperitif
Foods that help improve appetite include:
The rule for such treatment is as follows: from potent remedies (horseradish, mustard, onion, radish), you need to choose one, and use it for no more than 20 days in a row.
Medicines that increase appetite should be used only in extreme cases after consultation with a doctor. Each of them has a number of contraindications and side effects, and if used incorrectly and in dosage, they can cause serious harm to the body.
A complete lack of appetite is an alarm bell, signaling malfunctions in the body (endocrine disorders, rheumatic diseases, diseases of the gastrointestinal tract, liver, kidneys, etc.). Let's try to figure out what the causes of poor appetite are, whether it is possible to quickly improve nutrition and restore health.
Decreased appetite or refusal to eat leads to an imbalance in food balance, a decrease in the content of nutrients and glucose in the blood, which is dangerous for the normal functioning of the body. The main functions of food - energy, bioregulatory, plastic, adaptive, protective, signal-motivational - ensure the vital activity of the body and the constancy of the internal environment. Once in the body, food promotes the construction of new cells, participates in the formation of enzymes and hormones, and replenishes the body with proteins, minerals and vitamins.
If there is no appetite for a long time or any other disturbance in the habitual relationship with food appears, this is a signal that the person needs help. A psychotherapist, gastroenterologist, nutritionist, and endocrinologist are specialists who will determine the causes of appetite disorders and help restore it.
Loss or decreased appetite in adults can have a number of causes:
Occurs during acute respiratory viral infections, intestinal infections, hepatitis B and C, and chronic renal failure. Intoxication is accompanied by acute rheumatic diseases (lupus erythematosus, polyarthritis, vasculitis, rheumatoid arthritis), food poisoning, drug poisoning, low-quality alcohol, and carbon monoxide. A person has practically no appetite, weakness appears, as the body has difficulty digesting food. You cannot force feed a patient so as not to harm. It is useful to drink plenty of fluids, which will help get rid of toxins that have arisen as the body fights infection. To find out the cause of the illness, it is recommended to undergo a detailed blood test and stool culture for intestinal pathogens.
Digestive disorders occur with gastritis, enteritis, colitis, gastric ulcers, and liver diseases. Accompanied by nausea, vomiting, heartburn, belching with bitterness, pain in the esophagus and stomach. At the same time, a person is purely reflexively afraid to eat. Frequent split meals are recommended (liquid porridges based on oatmeal, buckwheat, semolina, rice cereals, without salt and seasonings). Such a diet should be supplemented with traditional treatment prescribed by a doctor. It is important to undergo an ultrasound of the abdominal organs, fibrogastroscopy (for gastritis), a general blood test and liver tests. To exclude viral hepatitis, it is recommended to donate blood for hepatitis B and C.
They lead not only to loss of appetite, but also to rapid fatigue, constant drowsiness, decreased blood pressure, and slower speech. Such symptoms appear for many years. Pathologies of the thyroid gland are sometimes associated with improper functioning of the pituitary gland and hypothalamus.
It is necessary to be examined by an endocrinologist, donate blood for thyroid hormones T3, T4 and TSH. If a malfunction of the pituitary gland and hypothalamus is suspected, the doctor will prescribe a computed tomography scan of the brain.
Malignant formations disrupt the metabolism in the body, so taste sensations are distorted and appetite disappears. The person feels nauseous, weakness appears, and intolerance to meat and dairy products often occurs. If a malignant tumor is suspected, an oncologist prescribes examinations in accordance with the clinical manifestations and prescribes treatment based on the results.
Appetite can change both downward and upward. Loss of appetite due to nervousness is characterized by a lack of sensation of the taste of food. Sometimes the very mention of food or its smell causes a negative reaction, including nausea and vomiting. A person eats only to survive, since food itself does not bring pleasure, and even a small portion of food taken causes a feeling of fullness in the stomach.
Anorexia nervosa is one of the mental disorders and is common among young girls. The pathological desire to correct the “flaws” of the figure at any cost, even at normal weight, leads to a refusal to eat. Over time, a persistent aversion to food appears, muscles atrophy, and the functioning of the musculoskeletal system is disrupted. Patients refuse food for so long that it ceases to be absorbed by the body. A change in the psyche occurs, and the person is no longer able to get out of this state on his own. A psychotherapist will help, and in severe cases, inpatient treatment.
If a child has lost his appetite, he does not receive enough vitamins, micro, and macroelements necessary for growth and development. Babies do not want to eat when their baby teeth are cutting in (from 3 months to 3 years), since this process is often accompanied by fever and pain. Infants and older children refuse food when they have stomatitis (rashes and sores on the oral mucosa), which causes pain.
Pregnant women may lose their appetite for a short period of time. Foods that a woman loved before pregnancy often cause disgust at the beginning of pregnancy, morning or daytime nausea appears, which does not contribute to appetite.
There are simple ways to increase your appetite:
Fractional meals are better accepted by the body. It is recommended to eat small meals in 4-5 meals at the same time. A beautiful table setting will help whet your appetite.
Walking in the fresh air and physical activity will give you a boost of energy and stimulate your appetite.
Deprived of the pleasure of nicotine and alcohol, the body will look for it in something else, and most often in food.
Infusion of wormwood, tea with mint, radish juice, onion, garlic, parsnip, chicory, calamus, black currant, plantain, all citrus fruits, green vegetables increase intestinal motility, strengthen the stomach, and increase appetite. A course of vitamins, minerals, ascorbic acid will strengthen the body and stimulate appetite.
In case of poisoning or overeating, clean drinking water is the best medicine. It flushes poisons and toxins from the body. Dehydration disrupts all vital processes at the cellular level.
For gastritis and other gastrointestinal pathologies, kidney diseases, and rheumatic diseases, you need to get qualified medical advice and treatment.
Short-term fasting for 12 or 24 hours helps improve appetite. The body will rest, get rid of the remains of undigested food, poisons and toxins. If you have gastritis, fasting is contraindicated.
Including fermented milk products (kefir, yogurt) and fiber (microcrystalline cellulose, vegetables, fruits, bran) in large quantities in the diet restores the digestive system, normalizes intestinal microflora and stimulates appetite.
To increase the appetite of a child or adult, you need to promptly find out and eliminate the causes of disorders (cure diseases, change lifestyle, adjust diet). A healthy appetite will ensure good health and mood for many years of life.
Thank you
The site provides reference information for informational purposes only. Diagnosis and treatment of diseases must be carried out under the supervision of a specialist. All drugs have contraindications. Consultation with a specialist is required!
Their list includes:
Any appetite disorders are often referred to by one single term, namely dyslexia
. There are certain subgroups of this pathological condition.
These include:
Food products have another important function, namely signaling and motivation. It is with its help that the appetite is stimulated. Experts say that the feeling of hunger occurs at times when there is a decrease in the level of nutritional components in the blood. Simply put, appetite controls the intake of the required amount of vitamins, proteins, carbohydrates, minerals, and fats into the body. It follows that poor appetite can cause nutritional imbalance ( ratio of food components).
Other consequences include:
If you experience loss of appetite during pregnancy, experts recommend using the following tips:
Children often refuse to eat because they consume a certain amount of sweets. These can be cookies, carbonated drinks, candies or juices. All of these foods tend to suppress appetite. If lunch is not ready yet, and the child asks for something to eat, then instead of sweets, offer him a few vegetable sticks for a snack.
Emotional stress is another fairly common cause of loss of appetite. In such cases, the most important thing is to find an approach to the child. Calm him down, caress him and, together, help the baby get rid of the problem that has arisen. If you can’t do anything with your own efforts, then show your baby to a specialist who will definitely help you.
Surgery is performed for patients whose appetite loss is caused by appendicitis. If a person suffers from dementia, then the course of treatment involves the use of special high-calorie nutritional mixtures. In extremely severe cases, artificial nutrition is prescribed directly through the gastrostomy tube.
Deterioration in appetite caused by a decrease in the total amount of thyroid hormones is treated with special medications that tend to replace the missing hormones. If appetite worsens due to an infectious disease, then antibiotic drugs cannot be avoided. And finally, for cancer, chemotherapy, radiation therapy or surgery are performed.
2. Recipe No. 2: mix 1 part calamus roots with 2 parts wormwood, put everything in a bottle and fill it with good vodka. After 10 days, filter the tincture and use it for oral administration, 25 drops three times a day, a quarter of an hour before meals;
3. Recipe No. 3: Yellow gentian also perfectly increases appetite. Take 20 gr. root of this plant, grind it thoroughly, fill it with vodka and leave to infuse. Then we filter the tincture and take it 1 glass 3 times a day. Before use, the required dosage should be diluted with a small amount of water;
4. Recipe No. 4: 1 tsp. Add crushed parsnip roots to 400 ml of water and let simmer for 10 minutes. Then we leave the broth to infuse for another 30 minutes, filter it and take it according to the following scheme: 1st week - 0.25 cups 3 times a day a quarter of an hour before meals; 2nd week - three quarters of a glass immediately before meals;
5. Recipe No. 5: pour 200 ml of boiling water 2 tbsp. l. chopped lemon balm herb. After 4 hours, filter the infusion and take it orally, half a glass, four times a day before meals. Every day we prepare a new infusion;
6. Recipe No. 6: you need to take 1 tsp. anise fruits and pour 200 ml of hot boiled water over them. After 60 minutes, filter the infusion and use it for oral administration, half a glass 2 times a day, 30 minutes before meals;
7. Recipe No. 7: steam 1 tbsp. l. blue cornflower flowers in 2 cups of boiling water. As soon as the infusion is infused, filter it and take it in 3 doses 30 minutes before meals;
8. Recipe No. 8: take 4 tsp. raspberry fruits and pour 400 ml of boiling water over them. After 3 – 4 hours, the infusion is ready for use. It is recommended to take half a glass four times a day. It is very important to use it exclusively warm;
9. Recipe No. 9: carefully chop the rhizomes of calamus, then 1 tsp. pour the resulting raw material with 2 glasses of boiled water and boil over low heat for 15 minutes. All this time the pan must be covered with a lid. Then we filter the broth, add a little sugar to it and take half a glass orally 3 times a day before meals. This remedy is especially effective if appetite has worsened due to the development of some gastrointestinal disease;
10. Recipe No. 10: grind 2 tsp. dandelion roots and pour the raw material with 1 glass of boiled water, after cooling it. After 8 hours, filter the infusion and use it for oral administration, one quarter of a glass four times a day. Using this product will improve the digestion process, and, consequently, restore appetite.
2. Collection No. 2: take 20 grams. herb centaury and leaves of fragrant rue, 10 gr. leaves of sage and the same amount of roots of angelica. To prepare this product, pour 3 cups of boiling water into 3 tbsp. l. received fee. After 30 minutes, filter the infusion and take 1 glass three times a day. It is very important that this infusion is taken before meals;
3. Collection No. 3: Let us immediately note that it can be given even to children. Mix 15 ml of burdock tincture, anise seeds, vegetable glycerin, chamomile root and ginger, then place the resulting mass in a dark, cool place. Before each use, the product must be shaken thoroughly. It is recommended to take it 1 tsp. before each meal;
4. Collection No. 4: it can also be given to a child. Take 7 mg each of sassafras, sarsaparilla, and chamomile roots and mix it all with 1 tbsp. l. grated ginger root and 400 ml boiling water. Place the resulting product on the fire and boil it for a quarter of an hour. Then strain the broth, add a little honey to it and take 1 tsp. before eating.
Signs that indicate the development of anorexia include:
When your appetite is good, you don’t think about your health. Emerging problems with appetite or lack of it, apathy, can be a signal of imbalance, imbalance in the body, and sometimes the development of serious diseases and complications. For some, excess weight is a problem, for others, thinness is a problem. Therefore, it is also important for them to normalize weight, restore appetite and stabilize the process of food digestion.
Overwork causes a decrease in appetite.
Decreased appetite may be caused by the following reasons:
Food should be tasty and healthy.
Loss of appetite in adults for a while is a passing phenomenon and you should not focus on it.
It’s another matter if there is a persistent loss of appetite and lack of need to eat food. When aversion to food, reluctance to eat exceeds the instinct of life.
Older people often live alone and lose the pleasure of eating. Financial problems force pensioners to limit their food intake or eat cheap, low-quality products. With age, problems appear with the deterioration of taste buds, weakened intestinal function, constipation, low acidity, and the inability to properly digest food.
All these reasons affect the loss of appetite. To properly perceive food and relieve problems of low appetite, the following rules must be observed:
To cope with the problem of decreased appetite, it is necessary to identify the causes of this phenomenon.
If you eat irregularly, the risk of gastrointestinal disorders and metabolic disorders increases.
This video will tell you what food increases your appetite:
A variety of dishes will help increase your appetite.
Adults often worry about poor appetite in children. To eliminate these points you need to:
Small meals will increase the appetite of an adult.
Various life situations cause strong feelings and negative thoughts, negatively affect appetite and the state of the body as a whole.
include bitter and sour berries of rowan, cranberry, barberry, blackberry in the diet;
Drink the juice of half a lemon in a glass of water half an hour before meals. If appetite disturbances are persistent, and the above recommendations are ineffective, it is necessary to consult a doctor, undergo an examination, and find out the true causes of loss of appetite. Thanks to selected treatment methods, it is possible to normalize the body’s condition, digestive processes and ensure a healthy lifestyle.
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Sour apples, as well as walks in the fresh air and physical activity, have always helped me develop my appetite. But dealing with stress that discourages the desire to eat is more difficult.
Nothing whets your appetite more than a beautifully set table and the pleasant smell of a well-cooked dish. Therefore, you need to learn cooking, or eat in a good restaurant.
Igor, I cannot but agree with you, beautiful presentation of dishes stimulates the appetite, but this is for a healthy person. But the patient still cannot do without “tricks”. My grandmother often ate something salty before meals.
To increase my appetite, I try to eat something sour or salty before eating. I also try not to eat often, waiting for my appetite to work up and a real feeling of hunger to appear.
I have never had problems with appetite, but I noticed that after chewing gum I always want to have a snack. Chewing obviously produces gastric juice and increases appetite.
Of the two main rules for increasing appetite, I would highlight two important ones. This means eating at a certain, same time and excluding snacks and drinking any liquid an hour before meals.
Symptomatically, the cancer process is manifested by local signs and general symptoms. Among the local manifestations, it is worth noting pain, palpation of a tumor conglomerate, or the presence of visible changes on the skin. As for general symptoms, a person notes severe weakness, fever and poor appetite with cancer.
Appetite regulates the supply of nutrients to the body for its normal functioning. An increase or decrease in appetite can be due to both physiological regulation and pathological processes.
With malignant neoplasms, there is often a decreased desire to eat food, which can ultimately lead to cancer cachexia.
Decreased appetite in cancer patients is caused by cancer intoxication due to the tumor releasing toxic substances into the blood. This is especially true at the stage when the malignant conglomerate disintegrates.
Lack of appetite in cancer patients is also associated with fear, because nausea and vomiting are often bothersome after eating, so a person deliberately prevents their occurrence by refusing to eat.
In addition, with malignant tumors of the stomach, loss of appetite may be associated with rapid satiety. The tumor, gradually increasing, fills the internal lumen of the stomach, as a result of which a small volume remains for food.
Separately, it should be said about the effect of strong chemotherapy drugs that are used in the fight against cancer cells. Often their side effects are nausea and stool upset, especially after eating.
When the organs of the digestive system are affected by cancer, the movement of a food bolus along the tract can also cause pain, which is why the patient refuses to eat, preventing the onset of severe pain.
Decreased appetite can be observed with endocrine dysfunction, for example, with reduced functioning of the thyroid gland, pituitary gland or hypothalamus.
Cancer patients with decreased appetite must adhere to a certain diet, taking into account calories, protein, fat and carbohydrate content.
To increase appetite, the doctor may prescribe Megestrol, which is a hormone - progesterone, and improves appetite and activates the process of weight gain. Steroid drugs (“Dexamethasone”) can also improve well-being, appetite and relieve nausea. Metoclopramide eliminates nausea and prevents early satiety. Pancreatic enzymes can be used to facilitate the digestion process.
Infusions and decoctions based on herbs will help increase the appetite of a seriously ill patient:
You can also increase your appetite with acupressure. It is necessary to apply rhythmic pressure with moderate force for 20 seconds on the area on the sides of the nail on the little finger. Pressure can be applied with the thumb and index finger of the other hand.
Cancer patients may also sometimes experience increased appetite. This may be a consequence of hormonal imbalance, damage to the pituitary gland or hypothalamus. In addition, an increase in appetite may be observed at the initial stage of cancer and during recovery.
On the contrary, my dad’s appetite has grown. He has even more than he had before stage 4 prostate cancer. But I can’t figure out why. And the doctors don’t really say anything. I’m looking for all the information on the Internet... my legs began to swell.. I don’t know how to help. Our cancer hospital refused to accept him. Dad for treatment. They stupidly prescribed painkillers. Tromadol - it doesn’t help at all. We buy ketonal ourselves. They prescribed ketotop for free, the result relieves the pain a little. That’s it.
Probably the legs began to swell due to poor lymph drainage. Massage your legs, starting from the feet and above, as if driving the lymph upward. Look online for mushroom extracts. they say they help. our dad didn’t want to drink 🙁 he drinks fly agaric.
How is your dad?? Our father is also very sick, the pain is terrible, we were injected with Tramodol, but it stopped giving pain relief, now we have been prescribed a Fendivia patch, it helps a lot, relieves all pain for 72 hours after the time has elapsed, we need to apply a new one! Ask your doctor for a prescription!
Good afternoon My husband has prostate cancer, they prescribed a Fentanyl patch (like Fendivia), but a dose of 25 does not take effect, and a dose of 50 causes nausea and constipation, but provides good pain relief. Do you have these side effects? How are you fighting?
The information on the site is presented for informational purposes only! It is not recommended to use the described methods and recipes for treating cancer on your own and without consulting a doctor!
How to increase appetite in an adult - as an answer to this question, appropriate practical recommendations may appear, some of which are given below.
In terms of promoting a better appetite, great importance is attached, first of all, of course, to diet and menu. It is advisable to take meals every day at the same hours, if possible with minimal deviation from the set time. Thanks to this, the body will be able to tune in to certain regular, stable rhythms. Spontaneous snacks between main meals, dry food and on the go are negative factors for appetite, as they can “interrupt” it. Because of this, it is better to refrain from all such things. It is also very important to create a menu in such a way that the main nutrients are balanced in the content of the dishes eaten throughout the day, and the required amount of proteins, fats, and carbohydrates is present.
It is very important for the normal functioning of the entire human body, including optimization of the mechanism of appetite, to follow a properly organized daily routine. The alternation of periods of wakefulness and time periods intended for night rest should be such that there is no less than an 8-hour period of sleep. In order to get enough sleep, get quality rest and recuperate as best as possible, it is recommended to go to bed no later than 23:00 and before that ventilate the room, in which the necessary peace and quiet should also be ensured.
There is no particular need to once again remind you of the importance of physical activity in a person’s life. In this case, the benefit of frequent and long walks in the fresh air and playing sports is that during them there is a considerable expenditure of strength and energy. And as a result, the body signals the need to restore and replenish them with a feeling of hunger and an increased appetite.
In the most remarkable way, giving up such a bad habit as smoking can be a positive factor for stimulating appetite. This solution can bring double benefits. On the one hand, the negative impact of inhaled tobacco smoke on the body will stop, and on the other hand, in the first months the former smoker experiences constant hunger, and as a result, his body weight increases.
Various life situations and stress factors that can negatively affect changes in psycho-emotional state often lead to the fact that a person seeks to “eat up” existing troubles by consuming large amounts of food. However, in most cases, the opposite happens - severe nervous tension causes a loss of interest in food and a significant decrease in appetite. Therefore, it is advisable to avoid negative emotions as much as possible.
To summarize everything we have discussed, we can say that an increase in appetite in adults is achieved largely due to proper nutrition, maintaining a healthy lifestyle with a sufficient level of physical activity, getting rid of bad habits, and combating stress.
Products that increase appetite in adults are primarily those whose consumption activates digestive processes and the production of gastric and intestinal juices. In this regard, it is indicative to eat pickles and pickled vegetables, pickled cucumbers and tomatoes, black radish, horseradish, onions and garlic. Food prepared with the addition of large amounts of salt and a variety of herbs and spices, in particular coriander and chicory, also promotes digestion and stimulates appetite.
A number of fruits have a stimulating effect on appetite. Of the citrus fruits, this statement is true mainly for orange, grapefruit and lemon. Appetite can also increase thanks to apricots, sour peaches, sour apples, pomegranates, and olives.
When there is a need to increase appetite, eating the fruits of rowan, cranberry, blackberry and barberry can help. Dandelion honey and coriander honey can also contribute to this.
Stimulation of appetite occurs when chewing chewing gum. The explanation for this is that during prolonged movement of the jaws, saliva is produced in large quantities - a phenomenon that is directly related to the process of eating and precedes it. A similar effect of actualizing appetite is produced by toffee candy. Candies in general, sweets and other confectionery products are distinguished by a high content of sugar, which also plays an important role in stimulating appetite.
Among the drinks that can be involved in the fact that they increase appetite, it is necessary to note highly carbonated soft drinks, for example Coca-Cola, lemon and pomegranate juices, fresh carrot and apple juice. An increase in appetite is observed after drinking sunflower tea, coffee, and drinks containing alcohol, including beer and wine.
As becomes obvious from all of the above, there are a wide variety of foods that can have a remarkable effect on appetite. Including them in the diet along with all other therapeutic measures if there is a problem of reduced or absent appetite will be another positive factor in its successful overcoming.
First of all, those vitamins that belong to group B can help increase appetite to the greatest extent.
Of these, we will first mention vitamin B1 - thiamine. With sufficient content in the human body, general well-being is maintained, digestive processes and gastric activity are regulated. Thanks to this vitamin, it becomes possible to prevent excessive fatigue and loss of strength; it promotes a positive mood in the psycho-emotional sphere of a person and a good healthy appetite.
Next, let's call vitamin B 3 or nicotinic acid, which is vital for the functioning of the human body. Nicotinic acid is synthesized from tryptophan entering the intestines as part of food in processes that also involve vitamins B 2 and B 6. The effect produced by nicotinic acid is to promote the breakdown of proteins, fats and carbohydrates, it is also involved in bile and gastric secretory activity, due to which and is a factor in increasing appetite.
Vitamin B 5 - calcium pantothenate or pantothenic acid is important for converting fats, carbohydrates, starch and sugar into the energy the body needs. This occurs mainly in mitochondria. Forming coenzyme A as a result of its transformation, vitamin B 5 is necessary in the processes of creating cholesterol and fatty acids.
Biotin, what is another name for vitamin B 7, is produced by intestinal microflora, but this happens in small quantities, so it is necessary to ensure its entry into the body from the outside. The function of this vitamin is to regulate blood sugar levels, control the production of glucose and its participation in carbohydrate metabolic processes. It also promotes fat burning and protein absorption, and is also involved in the synthesis of beneficial intestinal microflora. The beneficial effect of this vitamin also lies in the fact that with its participation some biologically active substances and fatty acids are formed.
Vitamin B 12, also known as cyanocobalamin, ensures normal fat and carbohydrate metabolism by joining enzymes and is an important component of myelin and nucleic acid production, amino acid biosynthesis and transformation. It helps to increase the energy potential of the human body, helps restore vitality, and can prevent the occurrence of depression.
An important role, both for the normal functioning of the whole body and in stimulating appetite in particular, is assigned to vitamin C and ascorbic acid. It takes an active part in redox processes and in carbohydrate metabolism. With the involvement of ascorbic acid, some important neurotransmitters and hormones are synthesized, and folic acid is metabolized. Thanks to vitamin C, iron is better absorbed from food entering the body; ascorbic acid is also of great importance for the production of bile acids.
Vitamins that increase appetite in adults, therefore, are most effective in this matter, mainly those that are most directly involved in the metabolic processes and energy synthesis occurring in the human body.
Portnov Alexey Alexandrovich
Education: Kyiv National Medical University named after. A.A. Bogomolets, specialty - “General Medicine”
To make information easier to perceive, these instructions for use of the drug “How to increase appetite in an adult?” translated and presented in a special form based on the official instructions for medical use of the drug. Before use, read the leaflet included directly with the medication.
The description is provided for informational purposes and is not a guide to self-medication. The need to use this drug, the prescription of the treatment regimen, methods and doses of the drug are determined solely by the attending physician. Self-medication is dangerous for your health.
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Deterioration of appetite or aversion to food can lead to a deficiency of nutrients in the body that are needed for its full functioning. Tablets to increase appetite in the form of dietary supplements (dietary supplements), vitamins and medications can help with this. It is worth noting that it is not always the case that when a patient loses his appetite, his weight increases. The help of an endocrinologist is required if the patient’s weight gain is the root cause. If the reason lies in psychological trauma or stress, then the help of psychologists is needed. In all other cases, special pills that improve appetite will help. This will be discussed in more detail in this article.
Pills to increase appetite
A doctor cannot prescribe a particular drug based solely on the patient’s description of the symptoms of the disease. It is necessary to conduct a diagnostic examination, the results of which can confirm the development of the following pathologies:
There are many reasons for loss of appetite
On a note! To determine the exact cause of loss of appetite, you need to consult a doctor. Only he is able to distinguish a problem caused by dysbiosis from a lack of appetite caused by cancer or diabetes.
How dangerous is loss of appetite?
Compared to these diseases, a common cold or flu does not seem so dangerous, but in this case, you most likely will not need to take appetite pills. An unbalanced diet is perhaps one of the most common reasons. In this case, the doctor will make adjustments to the menu, eliminating fatty, fried, spicy foods and other unhealthy foods. During pregnancy, the body can also go on a hunger strike. The same can be said for older people or professional athletes who have only recently switched to a new training regimen. But for athletes, there is no provision for prescribing medications to increase interest in food, since after the body adapts to new physical activity, it will recover on its own. Of course, this cannot be done without the supervision of a trainer and a doctor.
What causes lack of appetite in children
If loss of appetite is associated with destructive causes, such as drug addiction or alcoholism, then therapy should be carried out using completely different drugs. The dosage and duration of the treatment course is determined by the doctor.
You should start worrying if problems with appetite accompany you for 10 days or more. Due to the fact that various diseases can be the cause, doctors often prescribe medications, various dietary supplements and vitamin complexes. Time-tested folk remedies can also increase food cravings. Let's consider each of these methods separately.
Remedies for poor appetite
Adjusting your diet may not always help; sometimes you need to take medications. Below are the most common and, accordingly, effective of them.
Table. Review of drugs to increase appetite.
On a note! Anabolic steroids can also be used to quickly and effectively increase appetite. The most common of them is Primobolan, but it, like most anabolic steroids, can cause adverse reactions. We are talking about attacks of nausea and vomiting.
Using dietary supplements can also help if you have lost your appetite. They have a stabilizing effect on the digestive system, thereby eliminating the consequences of forced fasting. It is worth noting that such supplements do not replace medications, but only enhance their effect.
Stimuvit is a food supplement produced in the form of gelatin capsules, colored yellow or orange. The action of the drug is to stimulate the central nervous system. In this regard, doctors strongly recommend not to drive a car during the treatment period.
Limontar is a dietary supplement with metabolic properties. It begins to act within 20 minutes after use, having a positive effect on the patient’s body, in particular on his digestive system. The product has virtually no contraindications, so it can be taken by both older people and pregnant women. Release form: tablets, which must be dissolved in warm water before use.
If you don’t want to stuff yourself with potent drugs or steroids, you can choose an alternative option – vitamins. To increase appetite, you need to take ascorbic acid and B vitamins. Doctors find a connection between poor appetite and a deficiency of these components in the body.
The use of vitamin complexes
The most effective vitamins in terms of increasing food cravings include the following:
When choosing the right drug, you need to remember that not all of them combine well with each other. For example, vitamin C is incompatible with Dodex.
Be careful when choosing a drug
Many people prefer to use traditional medicine instead of chemical drugs. The use of herbal extracts helps increase appetite by irritating the lining of the digestive tract and the oral cavity. As a result of this effect on the body, the secretion of gastric juice increases at the reflex level. Most of these products are absolutely safe for health, unlike anabolic steroids. In addition, in addition to increasing appetite, folk remedies have a choleretic and anti-inflammatory effect on the patient’s body.
We use folk remedies
Regular use of bitter medicinal plants stimulates the digestive system, thereby improving appetite. With the acceleration of metabolic processes, hunger appears much earlier. Such herbs include tarragon, cetraria, trifolium, dandelion, centaury and wormwood. Most of the herbs mentioned above can help restore appetite in adult patients, but their use is strictly not recommended when treating children.
We have sorted out the medications, vitamins and dietary supplements - they are prescribed by the attending physician. But are there ways to increase your appetite without using pills? To do this, you need to follow the following recommendations:
Where to look for vitamins
When digestive problems arise, many people immediately run to the pharmacy. But you should understand that not all drugs can help you specifically, since you do not yet know the true cause of loss of appetite. Therefore, before use, you should definitely consult a doctor. This will not only increase the effectiveness of therapy, but also prevent the development of complications caused by taking the “wrong medications.”
See also apilak, hepaliv, juval, carngin chloride, liv-52, limoitar, chilibukha tincture.
Calamus rhizome (RhizomaCalami)
Contains essential oil (in unrefined raw materials 2%, in purified raw materials 1.5%), bitter substance acorin, tannins.
Centaury GRASS (HerbaCentaurii)
Contraindications. Hyperacid gastritis (inflammation of the stomach due to a persistent increase in acidity), gastric ulcer with high acidity.
MONTANA HOME DROPS (Montanahomedrops)
Method of administration and dose. In the form of an infusion (a teaspoon per glass of boiling water) ½ cup half an hour before meals 3-4 times a day.
Contraindications. Hyperacid gastritis (inflammation of the stomach due to a persistent increase in acidity), gastric ulcer with high acidity.
Storage conditions. In a cool, dry place.
Contraindications. Hyperacid gastritis (inflammation of the stomach due to a persistent increase in acidity), gastric ulcer with high acidity.
Storage conditions. In a dry, cool place.
BITTER TINCTURE (Tinctura amara)
Contraindications. Hyperacid gastritis (inflammation of the stomach due to a persistent increase in acidity), gastric ulcer with high acidity.
Storage conditions. In a place protected from light.
APPETITE COLLECTION (Species amarae)
Contraindications. Hyperacid gastritis (inflammation of the stomach due to a persistent increase in acidity), gastric ulcer with high acidity.
Storage conditions. In a dry, cool place.
Contraindications. Hyperacid gastritis (inflammation of the stomach due to a persistent increase in acidity), gastric ulcer with high acidity.
Release form. Packaged in 100 g.
Storage conditions. In a dry, cool place.
Medicines of various groups
A combined preparation containing liver extract, cyanocobalamin (vitamin Bp), thiamine hydrochloride (vitamin B), riboflavin (vitamin B3), pyridoxine hydrochloride (vitamin Bb), nicotinamide (vitamin PP), calcium pantothenate, sodium glycerophosphate, iron gluconate.
Method of administration and dose. The drug is prescribed to adults and children over 3 years of age, 1 teaspoon (5 ml) 3 times a day, preferably with meals. Children from 1 to 3 years old - 1/2 teaspoon 3 times a day. The drug is well tolerated allowing adults and children to take it for a long time.
Release form. Bottles of 100 ml of elixir. 100 ml contains: liver extract - 3 g, cyanocobalamin - 0.04 mg, thiamine hydrochloride - 15 mg, riboflavin - 10 mg, pyridoxine hydrochloride - 5 mg, nicotinamide 160 mg, calcium pantothenate - 12 mg, sodium glycerophosphate, iron gluconate.
Storage conditions. List B. In a dry place, protected from light.
A doctor's consultation is required.
Save our souls, or where to find a psychotherapist?
Limoitar, chilibukha tincture.
Herbal medicines that increase appetite (bitters)
Calamus rhizome (Rhizoma Calami)
Contains essential oil (in unrefined raw materials) 2%, in purified 1.5%), bitter substance acorin, tannins.
Indications for use. As a means of increasing appetite and improving digestion.
Method of administration and dose. As an infusion (10.0:200.0) 1/4 cup 3 times a day half an hour before meals.
Contraindications. Hyperacid gastritis (inflammation of the stomach due to a persistent increase in acidity), gastric ulcer with high acidity.
Release form. Cut rhizome in a package of 100 g.
Storage conditions. In a dry, cool place.
Centaury GRASS (Herba Centaurii)
Contains bitter glycosides (gentiopicrin, eritaurine, erythrocentaurine), alkaloids (erythricin, gentiamine), flavone glycoside centaurein.
Indications for use. To stimulate appetite and improve digestion with reduced function of the gastrointestinal tract.
Method of administration and dose. In the form of an infusion (10.0:200.0), a tablespoon 3-4 times a day, half an hour before meals.
Contraindications. Hyperacid gastritis (inflammation of the stomach due to a persistent increase in acidity), gastric ulcer with high acidity.
Release form. Packaged in 100 g.
Storage conditions. In a cool, dry place.
Centaury herb is also included in the drug depuraflux.
MONTANA HOME DROPS (Montana home drops)
Pharmachologic effect. Stimulates the secretion of digestive juices, enhances the motility of the gastrointestinal tract. It has a choleretic, laxative and antimicrobial effect.
Indications for use. Decreased appetite, flatulence (accumulation of gases in the intestines), discomfort in the gastrointestinal tract, hypoacid gastritis (inflammation of the stomach, accompanied by reduced secretion of hydrochloric acid).
Method of administration and dose. Orally with a small amount of water, 1-2 teaspoons after meals; if you have a decreased appetite, wait before meals. For constipation, dilute 2 teaspoons in a glass of slightly warmed water and take on an empty stomach before breakfast.
Release form. Drops in bottles of 50, 200 and 500 ml. 100 ml of solution is a 48% alcoholic extract of the following herbs: hop cones - 1 g, gentian root - 2 g, Ceylon cinnamon roots - 1 g, bitter orange peel extract - 2 g, caraway seeds - 1 g, dandelion root - 3 g , mint oil - 0.06 g, red sandalwood bark - 1 g.
Storage conditions. In a place protected from light.
DANDELION ROOT (Radix Taraxaci)
Contains bitter glycoside (taraxacin), resins, inulin (up to 40%) and other substances.
Indications for use. As a bitterness to stimulate appetite, as a choleretic for constipation.
Method of administration and dose. In the form of an infusion (a teaspoon per glass of boiling water) / 4 glasses half an hour before meals 3-4 times a day.
Contraindications. Hyperacid gastritis (inflammation of the stomach due to a persistent increase in acidity), gastric ulcer with high acidity.
Release form. Dandelion root whole and cut.
Storage conditions. In a cool, dry place.
Dandelion root is also included in the composition of the Montana homemade drops.
MORGUM BITTER HERB (Herba Absinthii)
Contains bitter substances (absintin and anabsintin), essential oil (0.5-2%), tannins, flavonoid artemisetin, etc.
Indications for use. As a means of increasing appetite and improving digestion, with decreased function of the gastrointestinal tract.
Method of administration and dose. Half an hour before meals, 3 times a day, infusion (10.0:200.0) in a tablespoon or tincture drops.
Contraindications. Hyperacid gastritis (inflammation of the stomach due to a persistent increase in acidity), gastric ulcer with high acidity.
Release form. Cut grass in packages of 100 g; tincture in 25 ml bottles; thick extract.
Storage conditions. In a dry, cool place.
BITTER TINCTURE (Tinctura amara)
Indications for use. Prescribed as a bitterness to stimulate appetite, for hypacidal (inflammation of the stomach, accompanied by reduced secretion of hydrochloric acid) and chronic atrophic (inflammation of the stomach with thinning of the mucous membrane) gastritis, for anorexia (lack of appetite) associated with diseases of the nervous system, etc.
Method of administration and dose. Apply drops orally 30 minutes before meals.
Contraindications. Hyperacid gastritis (inflammation of the stomach due to a persistent increase in acidity), gastric ulcer with high acidity.
Release form. In dark glass bottles of 25 ml. Obtained from centaury herb (60 g), trefoil leaves (60 g), calamus rhizome (30 g), wormwood herb (30 g), coriander fruit (15 g) and ethyl alcohol 40% in the amount required to obtain 1 l tinctures.
Storage conditions. In a place protected from light.
Indications for use. Like bitterness to stimulate appetite.
Method of administration and dose. In the form of an infusion (a tablespoon per glass of boiling water), a tablespoon 3-4 times a day half an hour before meals.
Contraindications. Hyperacid gastritis (inflammation of the stomach due to a persistent increase in acidity), gastric ulcer with high acidity.
Release form. Packaged in 100 g. Ingredients: wormwood herbs - 8 parts, yarrow herbs - 2 parts.
Storage conditions. In a dry, cool place.
Wormwood grass is also included in the preparations Ari-stochol, Vitaon, tincture of valerian, wormwood, belladonna, tincture of valerian, wormwood, belladonna and peppermint, stomach tablets with belladonna extract.
WATER LEAF TREFOLUM (Folium Menyanthidis)
Synonyms: Trifolia Leaf, Trifolia Leaf.
Contains glycosides, flavonoids (rutin) and tannins.
Indications for use. As a means of stimulating appetite, with decreased function of the gastrointestinal tract and as a choleretic agent.
Method of administration and dose. In the form of an infusion (2 teaspoons per glass of boiling water), 1/4 cup 2-3 times a day, half an hour before meals.
Contraindications. Hyperacid gastritis (inflammation of the stomach due to a persistent increase in acidity), gastric ulcer with high acidity.
Release form. Packaged in 100 g.
Storage conditions. In a dry, cool place.
FERROVIN CHINA WINE WITH IRON (Ferrovin)
Pharmachologic effect. Increases appetite. Stimulates hematopoiesis (blood formation).
Indications for use. Lack of appetite (in weakened patients), anemia (decreased red blood cell content in the blood), increased need for iron.
Method of administration and dose. Orally 1 hour before meals or during meals, 1 tablespoon 2-3 times a day, for adolescents - 1 time a day.
Side effect. Unpleasant sensations in the epigastrium (the area of the abdomen located directly below the convergence of the costal arches and the sternum), a feeling of fullness in the stomach, constipation, diarrhea, black stool.
Contraindications. Diabetes mellitus, alcoholism, pregnancy, breastfeeding. Prescribe with caution to patients with diabetes, since 15 ml contains about 2.1 g of sugar.
Release form. In bottles of 700 ml. 100 g of solution contains nitrogen-containing iron citrate 500 mg, magnesium hypophosphate 5 mg, liquid quinna extract 500 mg, orange peel infusion (Auranti amari) 200 mg, sugar 200 mg, wine up to 100 g.
Storage conditions. In a cool place, protected from light.
Medicines of various groups
Synonyms: Peritol, Cyproheptadine hydrochloride, Adekin, Apetigen, Astonin, Cypraktin, Cyprodin, Istabin, Pariaktin, Supersan, Vieldrin, Vinorex, etc.
Pharmachologic effect. It is an antagonist of serotonin and histamine, and has the ability to stimulate appetite (see also Cyproheptadine).
Indications for use. To increase appetite (see also Cyproheptadine).
Method of administration and dose. To increase appetite, adults are prescribed 1/2-1 tablet 3-4 times a day or 1-2 teaspoons of syrup 3-4 times a day; children from 2 to 6 years old - no more than 2 tablets or 4 teaspoons of syrup per day; children from 6 to 14 years old - no more than 3 tablets or 6 teaspoons of syrup per day.
Contraindications. Glaucoma (increased intraocular pressure), stomach ulcer, bronchial asthma attack, old age. The drug is not prescribed to children under 2 years of age.
Release form. Tablets 4 mg; syrup in 100 ml bottles containing 2 mg per teaspoon (5 ml).
Storage conditions. List B. In a cool, dark place.
PERNEXIN ELIXIR (Pernexin elixir)
A combined preparation containing liver extract, cyanocobalamin (vitamin Bp), thiamine hydrochloride (vitamin B), riboflavin (vitamin B3), pyridoxine hydrochloride (vitamin Bb), nicotinamide (vitamin PP), calcium pantothenate, sodium glycerophosphate, iron gluconate.
Pharmachologic effect. It has a hepatoprotective (protecting liver tissue) effect, stimulates hematopoiesis in case of deficiency of vitamin Bp and iron, and increases the tone of the body.
Indications for use. Lack of appetite, exhaustion, poor concentration, symptoms of B vitamin deficiency, recovery period, pregnancy and lactation, anemia (decreased hemoglobin in the blood).
Method of administration and dose. The drug is prescribed to adults and children over 3 years of age, 1 teaspoon (5 ml) 3 times a day, preferably with meals. Children from 1 to 3 years old - ‘/2 teaspoon 3 times a day. The drug is well tolerated and can be taken by adults and children for a long time.
Contraindications. Increased iron content in the blood and tissues, impaired iron absorption, cardiac decompensation, recent myocardial infarction, acute bleeding.
Release form. Bottles of 100 ml of elixir. 100 ml contains: liver extract - 3 g, cyanocobalamin - 0.04 mg, thiamine hydrochloride - 15 mg, riboflavin - 10 mg, pyridoxine hydrochloride - 5 mg, nicotinamide 160 mg, calcium pantothenate - 12 mg, sodium glycerophosphate, iron gluconate .
Storage conditions. List B. In a dry place, protected from light.
PRIMOBOLAN-DEPO (Primobolan Depot)
Pharmachologic effect. Increases physical activity and appetite, increases body weight, stimulates the synthesis of endogenous (formed in the body) protein, improves general condition, reduces urea excretion.
Indications for use. To increase physical activity and appetite, increase body weight, after severe operations and severe chronic infectious diseases; cachexia (extreme degree of exhaustion), condition after radiation and cytostatic (suppressing cell division in cancerous tumors) therapy, breast and genital cancer in women, disorders of hematopoiesis (blood formation), long-term treatment with corticosteroids, osteoporosis
(malnutrition of bone tissue, accompanied by an increase in its fragility), slow formation of callus, chronic hepatitis, cirrhosis, muscular dystrophy (decreased muscle volume and strength), impaired growth and development of children.
Method of administration and dose. Adults are prescribed 1 ampoule intramuscularly once every 2 weeks, then 1 ampoule once every 3 weeks, children - 1 mg/kg body weight
Once every 14 days, which corresponds to 0.07 mg/kg body weight per day.
Contraindications. Pregnancy, prostate cancer.
Release form. Ampoules of 1 ml (100 mg); ampoules for children, 1 ml (20 mg).
Storage conditions. List B. In a dry place, protected from light.
ANOREXIGEN (APPETITE SUPPRESSANT) MEDICINES
Synonyms: Chlorphenterphine hydrochloride, Aderan, Apsedon, Avikol, Avipron, Lukofen, Rebal, Teramin, etc.
Pharmachologic effect. The chemical structure and pharmacological properties are similar to phenamine and fepranon. Like fepranon, it has an anorexigenic (appetite suppressant) effect without causing significant stimulation of the central nervous system and only slightly increasing blood pressure.
Indications for use. As an anorectic agent mainly for exogenous nutritional obesity (obesity associated with overeating); can also be used for adiposogenital dystrophy (obesity associated with metabolic disorders) (in combination with hormonal therapy), hypothyroidism (thyroid disease) (in combination with thyroidin) and other forms of obesity. Treatment is carried out in combination with a low-calorie diet, and, if necessary, with fasting days.
Method of administration and dose. Prescribed orally in tablets of 0.025 g (25 mg) once a day with meals in combination with a low-calorie diet.
Side effects and contraindications. Possible complications, precautions and contraindications are the same as when using fepranon.
Release form. Tablets 0.025 g.
Pharmachologic effect. Anorexigenic (appetite suppressant), serotonin-mimetic agent (inhibits reuptake and increases serotonin release). Unlike amphetamine anorexigenic drugs, it does not have a psychostimulating effect and does not cause an increase in blood pressure.
Indications for use. Obesity, including resistant (resistant) to treatment with other drugs.
Method of administration and dose. Orally in the morning and evening, 1 capsule, preferably with meals, for 3 months.
Side effect. Dry mouth, nausea, constipation, diarrhea, frequent urination, dizziness, headache, asthenia (weakness), mood disorders, reactive depression (depressed, melancholy state in response to mental trauma), drowsiness or insomnia, irritability.
Contraindications. Glaucoma (increased intraocular pressure), depression (a state of depression) and psychogenic anorexia (loss of appetite caused by mental illness) even in history (previous), pharmacomania (painful attraction to taking a drug), alcoholism. You should avoid taking the drug during the first 3 months. pregnancy. Prescribe with caution to patients with disorders
heart rate, liver and kidney failure.
Incompatible with centrally acting anorexigenic drugs (see Desopimon, Mazindol, Mirapront, Fepranon) and MAO inhibitors. Potentiates (strengthens) the effect of sedative (calming) and hypotensive (lowering blood pressure) drugs, the hypotensive effect of tricyclic antidepressants and the hypoglycemic (lowering blood sugar) effect of sulfonamides.
Synonyms: Terenak, Teronak, Afilan, Dimagrir, Magrilan, Samonter, Sanorex.
Pharmachologic effect. It has an anorexigenic (appetite suppressant) effect. Makes it easier to follow a low-calorie diet.
The main factors in the mechanism of the anorexigenic action of mazindol are an increase in the activity of the saturation center in the hypothalamus (part of the brain) and a decrease in stimuli for the need for food, which is associated with the effect of the drug on the adrenergic systems of the brain.
Indications for use. Used in the complex treatment of obesity in adults and children over 12 years of age.
Method of administration and dose. Administered orally during meals, initially l/i tablets (0.5 mg) per day (in the first 4-5 days), then 1 tablet 1 or 2 times a day (during breakfast and lunch). The maximum daily dose is 3 tablets. The course of treatment usually lasts from 4 to 12 weeks.
Side effect. When taking the drug, dry mouth, nausea, headache, sleep disturbances, urinary retention, sweating, allergic skin rash, and increased blood pressure are possible. In these cases, the dose of the drug is reduced or stopped. During treatment (8-10 weeks), some addiction to the drug and a decrease in its anorexigenic effect may develop.
Contraindications. The drug is contraindicated in glaucoma (increased intraocular pressure), renal, liver and heart failure, cardiac arrhythmia, and increased excitability. Mazindol should not be prescribed concomitantly with MAO inhibitors (see Nialamid).
Release form. Tablets of 1 mg in packages of 20 and 100 pieces.
Storage conditions. List A. In a dry place.
Pharmachologic effect. Affects the centers of the hypothalamic region (part of the brain) that regulate the feeling of satiety. Suppresses excessive appetite; action continues
Indications for use. Exogenous (nutritional - associated with overeating) obesity.
Method of administration and dose. Prescribe 1 capsule after breakfast.
Side effect. Dry mouth, sweating, increased excitability, insomnia.
Release form. Capsules 15 mg.
Storage conditions. List B. In a dry place, protected from light.
Pharmachologic effect. Reduces lipogenesis (the process of fat formation) by increasing peripheral glucose consumption; increases the breakdown of fats. The result of treatment is a progressive reduction in reserve fat deposits in the subcutaneous fat. It has the ability to reduce appetite without stimulating the central nervous system.
Indications for use. Obesity in adults and children; obesity due to hypertension (persistent increase in blood pressure) and diseases of the cardiovascular system, mental illness; obesity, difficult to treat; obesity during menopause (the menopausal phase that occurs after the last menstrual bleeding) and diabetes.
Method of administration and dose. For class I obesity, adults are prescribed 1 tablet in the morning and 2 tablets in the evening; for second degree obesity - 2 tablets in the morning and 2 tablets in the evening; for grade III obesity - 2 tablets 3 times a day.
Children from 6 to 10 years old are prescribed 1 tablet per day; from 10 to 12 years - 2 tablets per day. The dose for children may be increased to 3 tablets per day if significant obesity occurs. A decrease in body weight as a result of treatment usually occurs from the 2-3rd week from the start of treatment.
Side effect. Dyspeptic disorders (digestive disorders), dizziness.
Contraindications. First 3 months pregnancy. The drug should not be prescribed together with MAO inhibitors, as well as in patients with depressive syndrome (in a state of depression).
Release form. Tablets 20 mg.
Storage conditions. List B. In a dry place, protected from light.
Pharmachologic effect. Anorexigenic (appetite suppressant), serotonergic agent.
Indications for use. Obesity.
Method of administration and dose. Take 1 capsule per day orally; after 3-4 weeks - up to 2 capsules at a time. The course of treatment is from 6 weeks to 3-9 months.
Side effect. Dizziness, headache, asthenia (weakness), depression (state of depression), irritability, insomnia, drowsiness, nightmares, dry mouth, nausea, diarrhea, frequent urination.
Contraindications. Glaucoma (increased intraocular pressure), mental anorexia (loss of appetite caused by mental illness), depressive states (states of depression), pharmacomania (painful craving for taking a drug), alcoholism. It is not recommended to take the drug during pregnancy and breastfeeding.
Incompatible with neuroleptics, antidepressants; potentiates (strengthens) the hypoglycemic (lowering blood sugar) effect of sulfonamides.
Release form. Retard capsules (long-acting), containing 60 mg of fenfluramine hydrochloride, in a package of 30 pieces.
Storage conditions. List B. In a dry place.
Synonyms: Amfepramon, Abulemin, Anorex “Ortho”, Danulen, Diethylpropion, Dobezin, Keramm, Natorexic, Parabolin, Regenon, Tenuate, Tepanil, etc.
Pharmachologic effect. The drug has anorexigenic (appetite suppressant) activity.
Indications for use. The indication for the use of fepranon is mainly nutritional obesity (transmission-related obesity); it can also be used for adiposogenital dystrophy (obesity associated with metabolic disorders) - in combination with hormonal therapy, for hypothyroidism (thyroid disease) - in combination with thyroidin and other forms of obesity. Treatment is carried out in combination with a low-calorie diet, and, if necessary, with fasting days.
Method of administration and dose. Prescribed orally in the form of tablets of 0.025 g (25 mg) 2-3 times a day, half an hour or an hour before meals (breakfast and lunch). If well tolerated and the effect is insufficient, you can increase the dose to 4 tablets per day. The course of treatment is 1.5-2.5 months. If necessary, repeat courses are carried out at intervals of 3 months.
Side effect. Fepranon is usually well tolerated. However, in persons with hypersensitivity and in case of overdose, irritability, insomnia, dry mouth, nausea, constipation or diarrhea and other side effects may occur. When prescribing the drug to persons with diseases of the cardiovascular system and hyperthyroidism (thyroid disease), caution is required.
Treatment should be carried out under close medical supervision.
Contraindications. The drug is contraindicated in pregnancy, advanced forms of hypertension (persistent increase in blood pressure), severe disorders of cerebral and coronary (cardiac) circulation, myocardial infarction, thyrotoxicosis (thyroid disease), glaucoma (increased intraocular pressure), tumors of the pituitary gland and adrenal glands, diabetes diabetes, increased nervous excitability, epilepsy, psychosis, severe sleep disturbances. The drug should not be prescribed to patients taking MAO inhibitors (see Nialamid).
Release form. Tablets of 0.025 g (25 mg) in a package of 50 pieces.
Storage conditions. List A. In a dry place, protected from light.
EMITIC MEDICINES
See also bromocriptine, medisulfate, zinc sulfate.
Pharmachologic effect. Apomorphine retains some of the pharmacological properties of morphine. He
has weak analgesic analgesic activity and has a depressant effect on the respiratory center. The effect of apomorphine on the chemoreceptor trigger zone of the medulla oblongata is especially pronounced,
the excitement of which causes its strong emetic effect. Apomorphine, like morphine, directly depresses the vomiting center. If the first dose of apomorphine does not have an emetic effect, then repeated administration is ineffective. The use of apomorphine also has no effect if the excitability of the vomiting center (for example, during deep anesthesia) or the chemoreceptor trigger zone is suppressed (for example, under the influence of neuroleptic substances).
Indications for use. As an emetic, apomorphine hydrochloride is used when it is necessary to quickly remove toxic substances and poor-quality food products from the stomach, especially when it is impossible to perform gastric lavage.
Method of administration and dose. The action occurs a few minutes after the subcutaneous injection. Administer 0.002-0.005 g (0.2-0.5 ml of 1% solution) under the skin for adults, and 0.001-0.003 g for children (from 2 years of age).
Higher doses for adults: single dose under the skin - 0.005 g, daily dose under the skin - 0.01 g.
Side effect. Apomorphine should be used with caution; Some patients may develop collapse (a sharp drop in blood pressure), and visual hallucinations (visions that acquire the character of reality) may occur, especially in people who have suffered delirium tremens in the past; People with traumatic encephalopathy (a complication of traumatic brain injury) may have neurological disorders. Allergic reactions are possible (skin rash, itching, etc.).
If there is a sharp decrease in blood pressure, it is necessary to prescribe cardiovascular medications and place the patient in a horizontal position.
Contraindications. Apomorphine is contraindicated in severe heart disease, atherosclerosis, open forms
pulmonary tuberculosis and other diseases with a tendency to pulmonary bleeding, peptic ulcer of the stomach and duodenum, burns of the stomach with strong acids and alkalis, organic diseases of the central nervous system, and in old age.
Apomorphine is not prescribed to children under 2 years of age.
When using apomorphine, you should be careful not to get vomit into the respiratory tract.
Release form. 1% solution in ampoules of 1 ml in packs of 5 or 10 pieces.
Storage conditions. List A. In a place protected from light.
AMMONIA SOLUTION (Solutio Ammonii caustici)
Synonyms: Ammonia.
Pharmachologic effect. When inhaled, it reflexively has a stimulating effect on the respiratory center. When taken orally it has an emetic effect.
Indications for use. Emetic.
Method of administration and dose. Prescribed orally, 5-10 drops per 100 ml of water.
Attention! Use only diluted! Taking the undiluted drug causes burns to the esophagus and stomach. When using an ammonia solution, you should be careful not to get vomit into the respiratory tract.
Side effect. In large doses, it can cause a reflex cessation of breathing.
Release form. 10% solution in bottles (with ground-in stoppers) of 10; 40 and 100 ml and in ampoules of 1 ml (with braid) in a package of 10 pieces.
Storage conditions. In a cool place. S
ANTIEMETITIVE MEDICINES
See also aminazine, anesthesin, haloperidol, droperidol, peppermint tincture, neuleptil, prifinium bromide, mint tablets,
Synonyms: Bimaral, Albex, Antemex, Bromil, Digezan, Emepride, Lemetic, Mepramid, Modulan, Opridan, Predicil, Viaben, Viadil, Anauzin, Emedian, Pridecil, etc.
Soothes hiccups and improves the tone of the digestive organs.
Indications for use. As an antiemetic.
Prescribed mainly for nausea and vomiting associated with disorders of the gastrointestinal tract (decreased tone of the stomach and intestines, belching, flatulence - accumulation of gases in the intestines, etc.), for gastritis, dyskinesia (impaired mobility) of the biliary tract, etc.
Method of administration and dose. Take 1 capsule (10 mg) orally 3 times a day before meals; in more severe cases - 2 capsules 3 times a day.
Can be used in the form of suppositories (suppositories) 20 mg 1-2 times a day, as well as intramuscularly or intravenously 1 ampoule (10 mg) 1-2 times a day.
Side effect. In rare cases, headache, dizziness, weakness, and dry mouth are possible.
Release form. Capsules of 0.01 g (10 mg) in a package of 60 pieces; suppositories for children, 0.01 g (10 mg) and for adults, 0.02 g (20 mg); 0.5% solution in ampoules of 2 mg (10 mg per ampoule).
Storage conditions. In a place protected from light.
Pharmachologic effect. Antiemetic. By acting on the vomiting center, it prevents nausea and vomiting of various origins.
Indications for use. Vomiting and nausea of any origin in adults, children and newborns.
Method of administration and dose. Adults are usually prescribed 5 to 20 mg (2-8 tablets) per day; for children, depending on age, in drops from 5 to 15 mg (50 or 150 drops) per day; for newborns - from 0.5 to 1 mg (5 or 6 drops) per day per 1 kg of body weight. It is recommended to use the drops before meals.
Release form. Tablets 2.5 mg; ampoules of 10 mg.
Storage conditions. List B.
Synonyms: Daedalon, Daedalon, Adrazin, Anautin, Andramin, Antemin, Antivomit, Aviomarin, Chloranautin, Daldalone, Diphenhydramine teoclate, Dramamine, Dramil, Emedil, Marevit, Menhydrinate, Nauseal, Permigal, Teodramin, Travelin, Vertirozan, Vomidrin and others
Pharmachologic effect. Hi-receptor blocker. Shows pronounced antiemetic activity.
Indications for use. To prevent and relieve (relieve) the manifestations of seasickness and air sickness, with nausea and vomiting of various origins, with Meniere’s disease, etc.
Method of administration and dose. Prescribed orally (before meals), depending on the patient’s condition, 0.05-0.1 g (1-2 tablets) 4-6 times a day. To prevent air and sea sickness, 1-2 tablets are prescribed half an hour before boarding a plane or ship.
Side effect. Dry mouth, drowsiness, impaired accommodation (impaired visual perception). These phenomena are eliminated by reducing the dose.
Release form. Tablets of 0.05 g (50 mg) in a package of 10 pieces.
Storage conditions. List B. In a dry place.
Pharmachologic effect. Has an antiemetic effect.
Indications for use. For the prevention and relief (relief) of nausea and vomiting in the postoperative period, during radiation treatment and chemotherapy of cancer patients, etc.
Method of administration and dose. Prescribed orally (before meals) 0.02 g 2-3 times a day; intramuscularly - 1 ml of 2% solution 2-3 times a day.
Higher doses: when taken orally - 0.1 g per day, when administered intramuscularly - 5 ml of a 2% solution (0.1 g) per day.
Side effect. Allergic reactions are possible.
Contraindications. Hypersensitivity to the drug, pregnancy, breastfeeding.
Release form. Tablets 0.02 g (20 mg); 2% solution in ampoules of 1 ml (20 mg).
Storage conditions. List B. In a dark place at a temperature not exceeding +20 °C.
Pharmachologic effect. Has an antiemetic effect and stimulates the cardiovascular system.
Indications for use. As an antiemetic.
Method of administration and dose. Administer 1 ml intramuscularly 1-2 times a day before meals.
Release form. An aqueous solution (bright orange) containing dimetpramide, caffeine and ephedrine in ampoules.
Pharmachologic effect. Has an antiemetic effect.
Indications for use. Used as an antiemetic to prevent and relieve (relieve) nausea and vomiting.
Method of administration and dose. 1 tablet 3-4 times a day before meals.
Side effects and contraindications are the same as for dimetpramide.
Release form. Film-coated tablets containing dimetpramide and sydnocarb.
Storage conditions. List B. In a place protected from light.
Synonyms: Motilium, Cilroton, Euciton, Nauselin, Peridal, Peridon, etc.
Pharmachologic effect. It has an antiemetic effect, soothes hiccups and eliminates nausea in some cases. Has a regulating and normalizing effect on the motor activity of the gastrointestinal tract, which is associated with a blocking effect
on dopamine receptors (D2) of the gastrointestinal tract. The action is similar to metoclopramide. Unlike metoclopramide, it does not penetrate the blood-brain barrier (the barrier between blood and brain tissue) and does not cause extrapyramidal disorders (impaired coordination of movements with a decrease in their volume and tremors).
Indications for use. Domperidone is used for functional disorders of the gastroduodenal region (the junction of the stomach into the duodenum), hypotension (decreased smooth muscle tone) of the stomach, reflux esophagitis (inflammation of the esophagus due to reflux of gastric contents). The drug alleviates dyspeptic symptoms (digestive disorders) associated with decreased gastric emptying. It is also used for vomiting caused by various reasons.
Method of administration and dose. Adults are prescribed 10 mg 3-4 times a day before meals. For severe nausea and vomiting, prescribe 20 mg 3-4 times a day. Children weighing telak are given ‘/2 tablets 2 times a day, over 30 kg - 1 tablet 2 times a day. Children can be prescribed a 1% solution orally, 1 drop per 1 kg of body weight 3-4 times a day or 2.5 ml of suspension for oral administration (by mouth) per 10 kg of body weight 3 times a day. It is recommended to take the drug before meals. If necessary, the dose of the drug can be doubled. Rectally (into the rectum) adults are prescribed 2-4 suppositories of 60 mg each; for children over 2 years old, 30 mg suppositories; for children under 2 years of age, 10 mg suppositories.
Side effect. Possible dry mouth, headache, diarrhea (diarrhea), allergic reactions (skin rash, itching), spasms of the smooth muscles of the stomach.
Contraindications. Bleeding from the gastrointestinal tract, mechanical intestinal obstruction, perforation (through defect) of the stomach or intestines, pregnancy, breastfeeding, hypersensitivity to the drug. The drug is not prescribed to newborns, infants and children weighing up to 20 kg. Domperidone should not be prescribed with anticholinergics (atropine, antispasmodic, platyphylline, etc.) due to the fact that the latter inhibit intestinal tone.
Release form. Tablets of 0.01 g (10 mg), film-coated, in a package of 50 pieces. Granules. Solution for oral use. Suspension in bottles. Suppositories of 60, 30 and 10 mg.
Storage conditions. List B. In a place protected from light.
Synonyms: Meclozine hydrochloride, Bonin.
Pharmachologic effect. Meclozine has antihistamine and anticholinergic properties. The place and mechanism of action of meclozine for dizziness of various natures are not clearly defined. Pharmacological studies of other antihistamines have shown that a possible site of action is peripheral labyrinthine structures (formations of the inner ear containing receptors of the auditory and vestibular apparatus); it can be assumed that they are also the site of action of meclozine.
Indications for use. Prevention and symptomatic (alleviating the condition, but not eliminating the cause) treatment of nausea, vomiting and dizziness.
Method of administration and dose. For adults and children over 12 years of age, for the prevention and symptomatic treatment of nausea, vomiting and dizziness, it is prescribed in several doses daily depending on the clinical effect.
A single dose of mg of the drug prevents the symptoms of motion sickness for about
24 hours. The initial dose should be taken at least 1 hour before travel to ensure absorption of the drug. Subsequently, the drug can be taken repeatedly every 24 hours if indicated during the trip.
For nausea and vomiting in pregnant women, the drug is usually effective per day.
For labyrinthine and vestibular disorders (in this case, diseases characterized by nausea, vomiting, dizziness, imbalance due to diseases of the receptor apparatus of the inner ear), the optimal dose is usually mg per day, depending on the clinical effect.
Side effect. Drowsiness, dry mouth, fatigue, vomiting and, in rare cases, blurred vision may occur. Like all antihistamines, it can cause increased excitability in children.
Contraindications. Hypersensitivity to the drug. Patients with glaucoma (an eye disease accompanied by increased intraocular pressure) and with an enlarged prostate gland should take meclozine only as prescribed by a doctor. When prescribing meclozine to pregnant women, the possible risks and potential benefits of the drug should be weighed. Extensive and long-term experience with the use of meclozine in women experiencing nausea and vomiting during pregnancy has not revealed any teratogenic (causing disturbances in fetal development) effects associated with taking the drug.
Due to the possibility of developing drowsiness, you should take the drug with caution when driving a car or driving dangerous machinery.
Release form. Tablets containing 25 mg of meclosine hydrochloride, in a package of 10 pieces.
Storage conditions. In a dry, cool place.
Synonyms: Metoclopramide hydrochloride, Raglan, Cerucal, Perinorm, Clometol, Bimaral, Compan, Gastrobids, Imperial, Maxolon, Regastrol, Rimetin, Terperan, Viscal, Klopan, Emetizan, Legir, Maxeran, Metoclol, Moriperan, Nauzifar, Paspertin, Peraprin, Plastil , Pramin, Primperan, Primperil, Reliverin, etc.
Pharmachologic effect. Metoclopramide is a specific blocker of dopamine receptors, as well as serotonin receptors.
The drug has an antiemetic effect, soothes hiccups and, in addition, has a regulating effect on the functions of the gastrointestinal tract. The tone and motor activity of the digestive organs increases. Gastric secretion does not change. There are indications that the drug promotes the healing of stomach and duodenal ulcers.
Indications for use. Metoclopramide is used as an antiemetic for nausea, vomiting associated with anesthesia, radiation therapy, side effects of drugs (digitalis preparations, cytostatics /substances that inhibit cell division/, antibiotics, etc.), dietary disorders, etc.
It has no effect on vomiting of vestibular origin (caused by motion sickness).
In gastroenterological practice, the drug is also used in the complex treatment of gastric and duodenal ulcers, gastritis, dyskinesia (impaired mobility) of the abdominal organs, postoperative paresis (decreased strength and/or range of motion) of the intestines, flatulence (accumulation of gases) and other diseases.
The therapeutic effect is associated with increased tone of the stomach and intestines, accelerated gastric emptying and
pylorus (the narrowed part of the stomach at the point of its transition to the duodenum), reducing hyperacid stasis (stopping the movement of food in the stomach due to acidification).
There is evidence of the effectiveness of metoclopramide in the treatment of dyspepsia (repeated vomiting, nausea) in severe cardiac patients (myocardial infarction, heart failure) and vomiting during pregnancy.
The drug has also found use as a means of facilitating and improving X-ray diagnosis of diseases of the stomach and small intestine.
There is evidence of the high effectiveness of metoclopramide for migraine and the successful use of the drug for Tourette's syndrome (generalized tics - involuntary twitching of the face - in children).
Method of administration and dose. Metoclopramide is used orally, and in severe cases parenterally (intramuscular or intravenous).
Adults are usually given 10 mg (1 tablet) orally 3 times a day (before meals). 1 ampoule (2 ml = 10 mg of the drug) is administered intramuscularly (or intravenously) 1-3 times a day. Children are prescribed in smaller doses according to age (children over 6 years old, 2-1 tablets 3 times a day).
The tablets are swallowed without chewing, washed down with a small amount of water.
For X-ray examination, adults are administered 1-2 ampoules (10-20 mg) intravenously or given orally (5-15 minutes before the start of the study) mg.
Side effect. The drug is usually well tolerated. In rare cases, extrapyramidal disorders (impaired coordination of movements with a decrease in their volume and tremors), characteristic of parkinsonism, are possible. The antagonistic effect of metoclopramide on dopamine receptors in the brain appears to play a role in the mechanism of these side effects. To relieve these phenomena, caffeine is administered parenterally (see page 73).
Children under the age of 14 should prescribe the drug with caution due to possible side effects.
When taking the drug, drowsiness, tinnitus, and dry mouth are also possible. To reduce these phenomena, the drug is sometimes prescribed after meals.
Contraindications. When using the drug in the form of injections, the ability to drive cars and perform work that requires special concentration may be impaired.
Release form. Tablets of 10 mg in a package of 50 pieces; in ampoules of 2 ml (10 mg per ampoule) in a package of 10 pieces.
Storage conditions. In a place protected from light.
A combination drug containing chlorphenoxamine hydrochloride, 8-chlorotheophylline and caffeine.
Pharmachologic effect. It has an antiemetic effect, affecting the vomiting center.
Indications for use. Prevention and treatment of nausea and vomiting during seasickness, air sickness, pregnancy, radiation sickness and chemotherapy; after anesthesia.
Method of administration and dose. For the prevention of seasickness and air sickness, adults are prescribed 1-2 tablets or 1 suppository 2 hours before departure. This dose can be repeated immediately after departure.
For treatment, 1 suppository into the rectum 3-4 times a day or 1-2 tablets 2-3 times a day.
Side effect. Dry mouth, dizziness, poor coordination. Possible decreased response.
Release form. Tablets composition: chlorphenoxamine hydrochloride - 20 mg, 8 chlortheophylline - 20 mg, caffeine -50 mg; suppositories for adults composition: chlorphenoxamine hydrochloride - 80 mg, 8-chlorotheophylline - 40 mg, caffeine mg; suppositories for children composition: chlorphenoxamine hydrochloride - 24 mg, 8-chlorotheophylline - 16 mg, caffeine - 20 mg.
Storage conditions. List B. In a place protected from light.
Synonyms: Torekan, Thiethylperazine maleate, “Goresten, Tresten.
Pharmachologic effect. The drug is effective against vomiting of various origins. Under experimental conditions, it suppresses vomiting caused by stimulation of the vomiting center (apomorphine) and irritation of gastrointestinal tract receptors (copper sulfate). The mechanism of the antiemetic effect of thiethylperazine consists of a calming effect on the vomiting center and a simultaneous effect on the chemoreceptor trigger zone of the medulla oblongata.
Indications for use. Thiethylperazine is used to prevent and stop vomiting of various origins, including during radiation therapy and chemotherapy of malignant neoplasms, during surgical interventions, diseases of the gastrointestinal tract, sea and air sickness, migraines, and vomiting of pregnant women. Positive results (cessation of nausea and vomiting, reduction or cessation of dizziness, nystagmus of involuntary movements of the eyeballs, gait disturbances) were noted in vestibulatory and coordination disorders associated with cerebrovascular disorders, vegetative-vascular dystonia, Meniere's disease.
Method of administration and dose. Thiethylperazine is prescribed orally, 1 tablet (6.5 mg) 1-3 times a day or 1 suppository (6.5 mg) is administered 2 times a day (morning and evening), in acute cases, 1-2 ml is used intramuscularly ( 6.5-13 mg) per day. The course of treatment continues if necessary for 2-4 weeks. To prevent postoperative vomiting, 1 ml (6.5 mg) is administered intramuscularly approximately half an hour before the end of the operation.
Side effect. The drug is usually well tolerated. Sometimes there is dry mouth and drowsiness. In rare cases (usually in children), extrapyramidal disorders (impaired coordination of movements with a decrease in their volume and tremors) may develop; therefore, it is not recommended to prescribe the drug to children under the age of 15 years.
Contraindications. The drug is contraindicated in cases of severe depression of the central nervous system, in a comatose (unconscious) state.
Release form. Dragee (6.5 mg each); suppositories (6.5 mg each); ampoules of 1 ml (6.5 mg).
Storage conditions. List B. In a place protected from light.
Pharmachologic effect. An antiemetic agent effective for vomiting caused by chemotherapy with anticancer drugs. The mechanism of action is associated with selective blocking of peripheral and central serotonin receptors.
Indications for use. Tropisterone is used to prevent nausea and vomiting during tumor chemotherapy.
Method of administration and dose. Prescribed to adults in the form of six-day courses at a daily dose of 0.005 g (5 mg). On day 1, it is administered intravenously shortly before the start of chemotherapy. From the 2nd to the 6th day, take the drug orally.
For intravenous infusion, the contents of one ampoule (5 ml containing 5 mg of tropisetron are equal to 5.64 mg of tropisetron hydrochloride) are diluted in 100 ml of isotonic sodium chloride solution or 5% glucose solution; inject slowly. Orally administered in the form of capsules containing 5 mg of tropisetron.
Capsules are taken on an empty stomach (1 hour before breakfast) with water.
Side effect. The drug is usually well tolerated. Possible side effects: headache, dizziness, feeling tired, constipation or diarrhea; in patients with arterial hypertension (high blood pressure), blood pressure may increase; in rare cases, visual hallucinations (delusions, visions that acquire the character of reality) are possible.
Contraindications. Pregnancy, breastfeeding.
It should be taken into account that rifampicin, phenobarbital and other drugs that induce (increase) the activity of liver enzymes reduce the concentration of tropisetron in the blood plasma.
Release form. 0.1% solution in ampoules of 5 ml (5 mg of the drug in an ampoule) in a package of 5 pieces; capsules containing 5 mg of tropisetron.
Storage conditions. List B. In a place protected from light.
Appetite is an emotional expression of the body's needs and a person's desire for certain food. Decreased appetite is a partial or complete refusal to eat.
In medicine, there are concepts of hunger and appetite. These are different things! The feeling of hunger is a reflex that occurs when there is no food entering the body. It manifests itself by stimulating hunger centers located both in the cerebral cortex and in subcortical structures. The signal to excite the hunger centers is a decrease in the amount of glucose in the blood, as well as other nutrients. A sign of hunger is an increase in saliva secretion, heightened sense of smell, pulling, sucking sensations under the “spoon” (under the tongue and in the projection of the stomach). Appetite is more of a selective manifestation of the feeling of hunger, arising through preference for certain foods, depending on the time of day, emotional state, religious and national habits.
Changes in appetite may include:
Decreased general appetite (you don’t want anything).
Changes in appetite (taste needs for any group of foods are disrupted).
Complete lack of appetite (anorexia).
The following reasons can be identified for lack or loss of appetite.
1. Intoxication of the body as a result of inflammatory processes or poisoning. In this case, during the height of illness or poisoning, the body has no time to digest food, all efforts are devoted to removing toxins and decay products.
2. Pain, discomfort, with exacerbation of diseases of the gastrointestinal tract.
3. Endocrine disorders - with a decrease in the functions of the thyroid gland, pituitary gland, hypothalamus (subcortical structures of the brain).
4. Metabolic disorders in the body (primarily in oncological conditions)
5. Neuropsychiatric disorders (neuroses, depression).
Addison's disease (Bronze disease)
- Still's disease (Chronic polyarthritis in children)
- Still-Choffard disease (Juvenile rheumatoid arthritis)
- Typhoid fever
- Gastroesophageal reflux disease (Gastroesophageal reflux)
- Dementia (Dementia)
- Depression
- Depression and stress during the holidays
- Peptic ulcer (stomach and duodenal ulcer)
- Cancer
- Seasonal affective disorder
- Schizoaffective disorder
- Anorexia
This cause of decreased appetite includes the onset and height of acute respiratory viral diseases and influenza.
Chronic viral hepatitis during exacerbations, kidney disease with manifestations of renal failure, intestinal infections during the acute period, rheumatic diseases during exacerbations. (rheumatoid arthritis, lupus erythematosus, vasculitis). Any external poisoning includes food toxins (spoiled, expired food) and chemicals, primarily alcohol substitutes, carbon monoxide poisoning, and medications
During this period, the body simply cannot cope with digesting food. There is no need to force feed the patient during the acute period. We will only do harm by adding toxins to the body as a result of incomplete digestion of food. But the introduction of fluid in a larger volume, under conditions of normal urination and the absence of a tendency to edema, will help the body cleanse itself of toxins and decay products formed during the fight against the infectious agent. Here you can use any fruit drinks; cranberries, lingonberries, and currants are especially good at removing toxins. Low-mineralized alkaline mineral water and simply boiled water are also suitable for these purposes. As soon as the patient’s body is freed from toxins, the appetite will be restored.
In the diagnosis of these diseases, anamnesis is of great importance, has there been contact with an infected person? Eliminate the possibility of poisoning.
Complete blood count - allows you to exclude inflammatory diseases; CRP and rheumatoid factor are prescribed if autoimmune inflammatory diseases (rheumatism) are suspected. In cases where there is a possibility of infectious enterocolitis (dysentery, salmonellosis, etc.), it is important to take a bacteriological stool culture test to identify the causative agent of the disease.
When pain or dyspeptic symptoms occur (nausea, vomiting, heartburn, belching, bitterness in the mouth), which manifest themselves during exacerbation of diseases of the gastrointestinal tract, a purely reflexive fear of eating occurs. These diseases include: esophagitis (inflammation of the esophagus), gastritis, gastric ulcer, duodenal ulcer, chronic hepatitis, liver cirrhosis, pancreatitis, chronic enteritis, colitis. Help for these diseases is frequent, small portions, gentle enveloping nutrition. For example, cereals such as oatmeal, buckwheat, semolina, rice, prepared in the form of liquid porridges, with a minimum amount of salt, without adding spices. Naturally, the diet should be accompanied by traditional drug therapy prescribed in courses. To prescribe appropriate therapy, you need to promptly consult a doctor at the first manifestations of symptoms of these diseases. As the exacerbation stops, appetite is restored. But you need to stick to the diet for a long time.
Possible studies and tests for this suspected cause of lack or decrease in appetite:
A complete blood count, liver tests (transaminases AST and ALT, GGTG, bilirubin, amylase, cholesterol, PTI) allow you to check liver function; to exclude viral hepatitis, you will have to be tested for markers of hepatitis B and C. It is possible to undergo an ultrasound examination of the liver and gallbladder , pancreas if liver and pancreas diseases are suspected. FGS (fibrogastroscopy), a rather unpleasant procedure for examining the stomach using a fibrogastroscope inserted through the mouth (done exclusively on an empty stomach), is prescribed to exclude gastritis, gastric ulcers and duodenal ulcers. If it is impossible to clarify the diagnosis using simple methods, computer or magnetic resonance imaging of internal organs is prescribed.
First of all, these include a decrease in the hormonal function of the thyroid gland. Hypothyroidism (myxidema, Gall's disease) is characterized by a decrease in overall vitality.
Not only appetite decreases, but also blood pressure, fatigue, drowsiness, slow speech appear, all symptoms of this disease occur gradually over the course of perhaps several years. Sometimes hypothyroidism is secondary and is associated with dysfunction of the pituitary gland and hypothalamus, which affects the function of the thyroid gland.
Possible studies and tests for this suspected cause of lack or decrease in appetite:
Analysis of thyroid hormones - T3 and T4, as well as TSH (thyroid-stimulating hormone), ultrasound of the thyroid gland. To exclude diseases of the pituitary gland and hypothalamus, a computed tomography scan of the brain may be prescribed.
This section primarily deals with oncological diseases. Malignant neoplasms in any organ secondarily rearrange the metabolism in the body. As a result, even in the primary stages of the disease, a decrease in appetite or a disturbance in taste occurs. A very alarming sign in terms of cancer is refusal and intolerance to meat products (if the early attitude towards meat was normal). Examinations for suspected cancer are prescribed by a doctor in accordance with the clinical manifestations accompanying changes in appetite.
Disorders in the psychoemotional sphere - depression. One of the leading signs of the manifestation of this disease is a change in appetite, either towards a decrease or complete absence (more common), or an increase in appetite. Lack of appetite during depression has a slightly different manifestation than for other reasons. Food seems tasteless and bland to patients; often even the smell of food or the mention of it is accompanied by a negative reaction and can cause nausea and even vomiting. Eating is not enjoyable; patients eat only because they need to eat; sometimes patients have to be forced to eat. Deterioration of appetite during depression is accompanied by a feeling of rapid satiety; with small portions of food taken, a feeling of stomach fullness, unpleasant heaviness, and nausea appears. “Anorexia nervosa” occupies a special place among neuropsychiatric disorders.
In most cases, this disease affects young girls. The disease is based on a pathological desire to lose weight in any way, even with an initial normal or low body weight. In the process of refusing food, a persistent aversion to it is formed; as a result of changes in the psyche, patients in some cases simply cannot get out of this state on their own. A visit to a psychotherapist and sometimes inpatient treatment are required. The attention of relatives is very important for the early diagnosis of this disease. In addition to refusing food, exhausting physical exercise, taking various means for weight loss, using enemas, and inducing an artificial gag reflex after eating are usually possible. And finally, noticeable, significant weight loss.
The basis for diagnosing these diseases is attention from relatives or people close to the patient. In a tactful form, persuasion to seek help from a psychotherapist.
Lack of appetite in young children can be associated with teething; this occurs in each child individually in the period from three months to three years.
Refusal to eat may also occur when stomatitis (an infectious disease of the oral cavity) manifests itself, expressed in the form of painful rashes and ulcers on the inner surface of the mouth. An ear infection in infants can also cause a decrease in appetite, since the movement of the jaws during sucking or chewing can cause pain and, accordingly, refusal to eat. In most cases, the cause of poor appetite in a child is conscientious, forced feeding by parents. The problem is that children become stubborn if they are forced and develop an aversion to food with which they have unpleasant associations. In addition, there is another difficulty: the child’s appetite changes almost every minute. For a while, a child may like purees or a new porridge, but soon this food may disgust him. The reason is the child’s rapid growth and weight gain, especially in the first year of life, and constant variability in the need for certain nutrients. The task of parents is not to force the child to eat, but to ensure that his own appetite works. Every effort should be made not to talk to your child about food in the form of threats or rewards. Naturally, to exclude diseases manifested by lack or loss of appetite, you should consult a pediatrician.
Herbs and herbs used in parallel with traditional methods of treating diseases accompanied by decreased or lack of appetite.
To increase appetite, the following preparations are used:
1 One teaspoon of crushed calamus is poured into two glasses of hot water and boiled for ten to twenty minutes. Take two glasses, three times a day before meals. Used to stimulate appetite in gastrointestinal diseases.
2 One teaspoon of wormwood is poured into one glass of boiling water and left for thirty minutes. Take one tablespoon three times a day 20-30 minutes before meals.
3 Two teaspoons of crushed dandelion root are poured into one glass of cold water and left for eight to ten hours. Take a quarter glass three to four times a day before meals, half an hour before meals.
4 Pour two teaspoons of raspberries into one glass of boiling water and leave for 15-30 minutes. Take warm, half a glass four times a day.
5 Pour half a tablespoon of blue cornflower flowers into one glass of boiling water. Take half an hour before meals.
6 One teaspoon of mashed anise fruit is poured into one glass of boiled water, infused for half an hour, and half a glass is taken half an hour before meals.
7 Pour half a teaspoon of parsley seeds into one glass of cold water, heat without boiling for thirty minutes, filter and take one tablespoon four to five times a day.
8 Brew one teaspoon of meadow clover (red) inflorescences with one glass of boiling water, leave for five to ten minutes, filter and take one tablespoon three to four times a day before meals, 15 to 30 minutes.
10 Pour one tablespoon of red clover inflorescences with one glass of vodka or diluted medical alcohol. Infuse for ten to fifteen days. Take one teaspoon 15-30 minutes before meals (contraindicated for patients with alcoholism).
To increase appetite, you can use acupressure techniques.
We press the thumb and index finger of the opposite hand on the points near the nail of the little finger (the outer lateral surfaces of the little finger), periodically changing hands. Massage is performed several times during the day before meals. Press the points with moderate force, rhythmically, for twenty to thirty seconds.
Depending on the accompanying symptoms, these are:
Nutritionist
- Gastroenterologist
- Psychologist
- Neurologist
- Endocrinologist
Therapist Shutov A.I.
The term appetite means the desire to eat. This is a signal to the body that it needs to replenish nutrients. To maintain health and provide necessary microelements, nutrition must be balanced and timely. This becomes difficult if a person suddenly loses the desire to eat, and the thought of food, like food, causes unpleasant sensations. This indicates a painful condition. If you feel well, when a person is cheerful and energetic, eating is a pleasant and joyful ritual.
A person needs medical support if there is no appetite for more than 2 weeks. The doctor will determine why your appetite has disappeared and prescribe appropriate treatment. Appetite cannot disappear for no reason; any healthy body experiences positive emotions while eating.
To realize that your appetite has really decreased and find the root cause, determine what the phenomenon is expressed in:
Lack of appetite is a factor in various types of diseases or a logical pattern in the functioning of the human body. In adults, there are different preconditions for eating disorders.
Non-pathological:
Caused by the presence of diseases, these include the following reasons:
If the condition is not critical and does not require medical intervention, it is suggested to use the following methods to increase appetite:
You cannot force yourself to eat, this will make the situation even worse. Only food that is eaten with pleasure is healthy; a meal should bring only pleasant sensations.
You should not self-medicate if poor appetite is observed for a long time, for more than 2 weeks. You need to seek help from a therapist. After testing, it is possible to identify and eliminate the cause of the disease. If pathologies requiring more highly specialized treatment are identified, the doctor will refer you to the appropriate specialist.
Often complaints of decreased appetite require the help of a psychologist, psychotherapist, or neurologist. Appetite may disappear due to disorders of the human psyche, which determines conscious and unconscious behavior. Clinical depression requires medication.
Modern methods of treatment for difficulties in eating normalize the condition, restore appetite, give satisfaction from food, which improves a person’s quality of life. Health automatically significantly improves the standard of living, a person becomes more efficient, and solving current problems is much easier for him than for someone exhausted by starvation.
To understand the dangers and possible harm to the body that prolonged hunger causes, it is important to understand why meals are so important. Food is the connecting element of the human body with the outside world. It performs vital functions. Firstly, it provides energy for body processes. Secondly, it reproduces new cells that help cover energy expenditure, increase the body’s resistance to diseases, and assist in the formation of enzymes and hormones. And finally, they contribute to the coordinated functioning of the body’s internal processes. A decrease in appetite upsets the harmonious ratio of essential nutrients in the body, leading to dehydration. If sugar does not enter the body, then an excess of ketone bodies is formed in the human body, which become toxic. Constant refusal of food leads to anorexia, a disorder that leads people to death.
An interesting fact is that during hunting, during hunting, the level of substances necessary for life in the body of our ancestors decreased, so that in the process of obtaining food, the need for food became critical. Now people have no longer the need to obtain food through hunting; the time and frequency of meals now depends on the appearance of appetite.
Loss of appetite is not a harmless manifestation, as it sometimes seems. If, along with a reluctance to eat, you experience nausea, stool upset, heartburn, flatulence, or bad breath, immediately consult a doctor. If you notice at least two of the listed symptoms, this may indicate gastritis or an ulcer. Ignoring the signs leads to serious complications, which can result in irreversible consequences. Delaying treatment is extremely dangerous.
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