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Bificol (Lyophilisate) Instructions for Use

ATC Code

A07FA (Antidiarrheal microorganisms)

Clinical-Pharmacological Group

Drug regulating the balance of intestinal microflora (probiotic)

Pharmacotherapeutic Group

MIBP-eubiotic

Pharmacological Action

It possesses antagonistic activity against many pathogenic and opportunistic microorganisms.

Indications

Gastrointestinal dysbiosis, including against the background of: intestinal infections (dysentery, salmonellosis, viral diarrhea); inflammatory gastrointestinal diseases (colitis, enterocolitis, nonspecific ulcerative colitis); during the convalescence period after chemotherapy.

ICD codes

ICD-10 code Indication
A02 Other salmonella infections
A03 Shigellosis
A04 Other bacterial intestinal infections
A05 Other bacterial food poisonings, not elsewhere classified
A08 Viral and other specified intestinal infections
A09 Other and unspecified gastroenteritis and colitis of infectious origin
K51 Ulcerative colitis
K52 Other noninfectious gastroenteritis and colitis
K63.8 Other specified diseases of intestine
Z54.2 Convalescence following chemotherapy
ICD-11 code Indication
1A01 Intestinal infection caused by other Vibrio species
1A02 Intestinal infections due to Shigella
1A03.Z Intestinal infections caused by Escherichia coli, unspecified
1A09.Z Salmonella infection, unspecified
1A0Z Bacterial intestinal infections, unspecified
1A1Z Bacterial foodborne intoxications, unspecified
1A2Z Viral intestinal infections, unspecified
1A40.Z Infectious gastroenteritis or colitis, unspecified
DA42.81 Radiation gastritis
DA42.8Z Gastritis due to external causes, unspecified
DA51.53 Radiation duodenitis
DA51.5Z Duodenitis due to external causes, unspecified
DA92.1 Pneumatosis intestinalis of the small intestine
DA98.Z Polyps of small intestine, unspecified
DB31.1 Pneumatosis of the colon
DB33.2Z Allergic or alimentary colitis, unspecified
DB33.4Y Other specified colitis or proctitis caused by external agents
DB33.4Z Colitis or proctitis caused by external agents, unspecified
DB36.Z Certain infections of the colon, unspecified
DD71.Z Ulcerative colitis, unspecified
DE2Z Diseases of the digestive system, unspecified
QB70 Convalescence following chemotherapy

Dosage Regimen

The method of application and dosage regimen for a specific drug depend on its form of release and other factors. The optimal dosage regimen is determined by the doctor. It is necessary to strictly adhere to the compliance of the dosage form of a specific drug with the indications for use and dosage regimen.

Lyophilisate

Orally, 20-30 minutes before meals: children from 6 months to 1 year — 1 dose 2 times/day, from 1 year to 3 years – 2-5 doses 2 times/day, over 3 years and adults – 3-5 doses 2 times/day. The course of treatment for acute forms is at least 2 weeks, depending on clinical and laboratory parameters — 3-4 weeks; for convalescence — 21-30 days, for post-dysenteric colitis and prolonged intestinal dysfunction — at least 4-6 weeks, for chronic colitis, enterocolitis and nonspecific ulcerative colitis up to 45-60 days. If necessary, repeated courses of treatment or maintenance doses (half the daily dose) can be prescribed for 1-1.5 months.

The drug is dissolved with boiled water at room temperature immediately before use at the rate of 1 teaspoon of water per 1 dose. Persons with high acidity are recommended to drink 1/2 glass of mineral water (Borjomi, Essentuki No. 4 or No. 17) or a sodium bicarbonate solution (1/2 teaspoon per 1 glass of water) 5-10 minutes before taking the drug.

Adverse Reactions

Not described.

Contraindications

Concomitant antibiotic therapy.

Pediatric Use

Use is possible according to the dosing regimen.

Storage Conditions

Store at 2°C (36°F) to 25°C (77°F). Keep in original packaging, protected from light. Keep out of reach of children.

Dispensing Status

Over-the-Counter

Important Safety Information

This information is for educational purposes only and does not replace professional medical advice. Always consult your doctor before use. Dosage and side effects may vary. Use only as prescribed.

Medical Disclaimer

Brand (or Active Substance), Marketing Authorisation Holder, Dosage Form

Marketing Authorization Holder

Biomed named after I.I.Mechnikov, PJSC (Russia)

Dosage Form

Bottle OTC Icon Bificol Lyophilizate for preparation of oral suspension 5 doses: pkg. 10, 20, 30, 40 or 50 pcs.

Dosage Form, Packaging, and Composition

Lyophilizate for preparation of suspension for oral administration 1 dose
Bifidobacterium bifidum Not less than 10 million CFU
Escherichia coli Not less than 10 million CFU

5 doses – multilayer sachets (10) – cardboard packs.
5 doses – multilayer sachets (20) – cardboard packs.
5 doses – multilayer sachets (30) – cardboard packs.
5 doses – multilayer sachets (40) – cardboard packs.
5 doses – multilayer sachets (50) – cardboard packs.

Marketing Authorization Holder

Biomed named after I.I.Mechnikov, PJSC (Russia)

Dosage Form

Bottle OTC Icon Bificol Lyophilizate for preparation of oral suspension 5 doses: fl. 10 pcs.

Dosage Form, Packaging, and Composition

Lyophilizate for preparation of suspension for oral administration 1 dose
Bifidobacterium bifidum Not less than 10 million CFU
Escherichia coli Not less than 10 million CFU

5 doses – vials (10) – cardboard packs.

Marketing Authorization Holder

Microgen NPO, JSC (Russia)

Dosage Form

Bottle OTC Icon Bificol Lyophilizate for the preparation of suspension for oral administration: fl. 5 doses 10 pcs.

Dosage Form, Packaging, and Composition

Lyophilizate for preparation of suspension for oral administration in the form of a crystalline or porous mass of beige or whitish-gray color of varying intensity, with a specific odor.

1 dose
Live bifidobacteria strain B. bifidum 1 Not less than 107
Live bacteria of Escherichia coli strain E. coli M-17 Not less than 107

The drug is a microbial mass of live antagonistically active strains of bifidobacteria (Bifidobacterium bifidum 1) and Escherichia coli (Escherichia coli M-17), lyophilized in the cultivation medium with the addition of a protective sucrose-gelatin-milk drying medium.

Excipients: components of the protective drying medium (gelatin, sucrose (sugar), milk).

5 doses – vials (10) – cardboard packs.

Marketing Authorization Holder

Biocom, JSC (Russia)

Dosage Form

Bottle OTC Icon Bificol siccum Lyophilisate for preparation of solution for oral administration: vial 2, 3, 5 or 10 doses 10 pcs.

Dosage Form, Packaging, and Composition

Lyophilisate for preparation of solution for oral administration 1 dose
Bifidobacterium bifidum Not less than 10 million CFU
Escherichia coli Not less than 10 million CFU

2 doses – ampoules (10) – cardboard packs.
3 doses – ampoules (10) – cardboard packs.
5 doses – ampoules (10) – cardboard packs.
10 doses – vials (10) – cardboard packs.

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