Bifilis (Suppositories) Instructions for Use
Marketing Authorization Holder
Ferment Firm, LLC (Russia)
ATC Codes
A07FA (Antidiarrheal microorganisms)
G02CC (Anti-inflammatory preparations for intravaginal use)
Active Substances
Lysozyme (DCF accepted for use in France)
Bifidobacterium bifidum (Group Grouping name)
Dosage Form
| Bifilis | Vaginal and rectal suppositories: 10 pcs. |
Dosage Form, Packaging, and Composition
| Vaginal and rectal suppositories | 1 supp. |
| Bifidobacteria bifidum (Bifidobacterium bifidum) | Not less than 10 million CFU |
| Lysozyme | 10 mg |
5 pcs. – contour cell packs (2) – cardboard packs.
Clinical-Pharmacological Group
Drug regulating the balance of intestinal and vaginal microflora
Pharmacotherapeutic Group
MIBP-eubiotic
Pharmacological Action
The therapeutic effect of Bifilis suppositories is due to the high antagonistic activity of bifidobacteria against opportunistic and a number of pathogenic microorganisms, which, in combination with the antibacterial and anti-inflammatory action of lysozyme, creates favorable conditions for the normalization of the intestinal and vaginal microflora.
Indications
Treatment of dysbiosis and inflammatory processes of the vagina. Increasing the nonspecific resistance of the body in children of all age groups and adults. Used as part of complex therapy.
Rectally for adults and children of all age groups
- In acute intestinal infections of established (bacterial, viral) and unknown etiology during the convalescence period, to prevent bacterial carriage and the transition of the disease to a chronic form;
- After foodborne toxic infections;
- In intestinal dysbiosis of various etiologies;
- To increase the effectiveness of complex treatment of nonspecific inflammatory bowel diseases (chronic colitis, enterocolitis, proctitis, etc.);
- To improve tolerance to antibacterial, cytostatic and other types of therapy.
Vaginally for adults
- In vaginal dysbiosis of various etiologies (bacterial vaginosis, nonspecific vaginitis, etc.). The drug is used to restore normal microflora in combination with or after specific antimicrobial, antiviral and immunomodulatory therapy;
- For the treatment of gynecological diseases complicated by vaginal pathology (chronic salpingo-oophoritis, colpitis of various etiologies);
- For preoperative preparation in planned operations in surgical practice in order to prevent postoperative infectious complications.
ICD codes
| ICD-10 code | Indication |
| A04 | Other bacterial intestinal infections |
| A08 | Viral and other specified intestinal infections |
| A09 | Other and unspecified gastroenteritis and colitis of infectious origin |
| K52 | Other noninfectious gastroenteritis and colitis |
| K62.8 | Other specified diseases of anus and rectum (including proctitis) |
| K63 | Other diseases of intestine |
| N70 | Salpingitis and oophoritis |
| N76 | Other inflammatory diseases of vagina and vulva |
| Z29.8 | Other specified prophylactic measures |
| ICD-11 code | Indication |
| 1A01 | Intestinal infection caused by other Vibrio species |
| 1A03.Z | Intestinal infections caused by Escherichia coli, unspecified |
| 1A0Z | Bacterial intestinal infections, 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 |
| DB31.Z | Other acquired anatomical changes of the colon, unspecified |
| 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 |
| DB70.Z | Infections of anal and rectal regions, unspecified |
| DB72.Z | Some specified diseases of the anal canal, unspecified |
| DE2Z | Diseases of the digestive system, unspecified |
| EG61 | Infections of the anus or perianal skin |
| GA00 | Vulvitis |
| GA02.Z | Unspecified vaginitis |
| GA07.Z | Salpingitis and oophoritis, unspecified |
| GA0Z | Inflammatory diseases of female genital tract, unspecified |
| QC05.Z | Prophylactic measures, unspecified |
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. |
Before use, cut the cell packaging of the suppository. The drug is applied rectally after defecation or after a cleansing enema (if necessary), intravaginally – after performing hygiene procedures.
For intestinal diseases, suppositories are used rectally for adults 3 times a day, 1-2 suppositories per dose. The duration of treatment for acute intestinal infections is 7-10 days, for protracted and chronic forms of the disease, intestinal dysbiosis 10-14 days or more. It is possible to use the drug 1 suppository 2-3 times a day in combination with oral administration of the drug Bifilis lyophilisate 5 doses 2-3 times a day for 10-14 days, if necessary, treatment can be continued for up to 3 weeks. For children, the drug is prescribed 1 suppository 2-3 times a day for 7 days.
In gynecological practice for vaginal dysbiosis and treatment of diseases complicated by vaginal pathology, the drug is prescribed vaginally, 1 suppository 3 times a day for 10-15 days.
For the prevention of postoperative infectious complications during planned operations, 1 suppository is used 1-2 times a day for 5-10 days before the intended operation.
Adverse Reactions
Not identified.
Contraindications
- Childhood (for intravaginal use).
With caution allergy to chicken egg proteins (the drug can be used against the background of desensitizing therapy).
Use in Pregnancy and Lactation
No information available.
Pediatric Use
Contraindicated in children (intravaginal use).
Special Precautions
The drug does not affect the performance of activities requiring special attention and quick reactions (driving vehicles, operating machinery, etc.).
Overdose
Cases of drug overdose have not been observed.
Drug Interactions
Clinically significant interaction of the drug with other drugs has not been established. The drug can be used simultaneously with antibacterial, antiviral and immunomodulatory therapy.
Storage Conditions
The drug is stored in accordance with SP 3.3.2.1248-03 at a temperature of 2 to 10°C (50°F) in a dry place protected from light.
Shelf Life
Shelf life – 1 year.
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
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