Rating of the best choleretic drugs for 2024

The gallbladder is responsible for the accumulation of bile, which is essential for proper digestion. A disturbance in its functioning leads to problems in the digestive tract, and, accordingly, a deterioration in human health, as well as a decrease in the quality of life. In cases of stagnation of bile, specialists prescribe drugs from the group of choleretic to patients. This ranking will present the best of these drugs as of 2024.

When not to do without choleretic drugs

The gallbladder is located on the lower surface of the liver and serves as a storage and storage facility for a special greenish fluid that is necessary for proper digestion. It is called bile. It also promotes the elimination of harmful substances from the liver. In case of dysfunction of the gallbladder, bile may stagnate in it, as a result of which the ducts become clogged.

If you ignore the violations of the gallbladder, inflammation of the ducts may begin, and stones will begin to form in the organ itself. Typical signs of bile stagnation are:

• bitter taste in the mouth;
• nausea;
• vomiting;
• discomfort in the right abdomen;
• frequent belching;
• enlarged liver;
• the skin gives off yellowness;
• weakness, lethargy, fatigue;
• diarrhea or constipation;
• lack of vitamins A and D.

If several of the above symptoms appear at once, you should contact a specialist who will prescribe a further examination. When the diagnosis is confirmed, the gastroenterologist will prescribe appropriate treatment with choleretic drugs. They are also taken to prevent bile stagnation, but this is done only after consultation with a specialist.

The main types of choleretic agents

In gastroenterology, choleretic drugs are of different types:

1. Choleretics. These drugs are aimed at producing an increased volume of bile. Moreover, such drugs can be of plant, synthetic or true origin.
   Herbal medicines are composed mainly of herbs and their extracts. They help to dilute bile, thereby eliminating stagnation. Also, these drugs improve the functioning of the liver and gastrointestinal tract. Synthetic drugs are made up of artificial chemicals. They have a choleretic effect. Also, these funds have antibacterial and analgesic properties. Drugs of true origin include drugs consisting of animal bile or liver enzymes.
2. Cholekinetics. The drugs have antispasmodic properties, due to which the gallbladder relaxes, contributing to the accelerated excretion of bile.Medicines of this type can be taken for both prophylactic and therapeutic purposes.
3. Medicines can combine choleretics and cholekinetics. Moreover, such a drug helps to increase the volume of bile and accelerate its excretion into the duodenum.
4. Cholespasmolytics are drugs that act to relieve pain and discomfort in the gallbladder.

Principles for choosing choleretic drugs

Due to the fact that all choleretic drugs have different effects, it is not recommended to choose them yourself. It is better to first consult with a specialist who will help you choose the most appropriate drug for your particular case. An incorrectly chosen remedy can aggravate the situation, as well as cause side effects. Before purchasing a particular product, you should first familiarize yourself with the following information:

1. Contraindications. In the presence of many chronic diseases, it is forbidden to use some types of choleretic drugs, as this threatens with dire consequences. Moreover, most of all choleretic drugs, in the list of contraindications, have such diseases as duodenal ulcer or stomach ulcer, pancreatitis, hepatitis, cirrhosis, diarrhea, obstruction of the biliary tract.
2. Side effects. Too large a list of possible side effects of the drug can negate all its positive effects. Taking such medications is sometimes impractical.
3. Age category. If a child needs a choleretic agent, the list of approved drugs is sharply reduced, since most of them are intended for children either from 12 years old or from 18. Children are allowed only plant-based drugs.
4. Release form. Choleretic agents in the form of tablets and capsules have the fastest effective effect. However, for children, preparations in the form of a syrup or herbal decoction are preferable. Also, the latter types may be most suitable for adults with a number of diseases.
5. Indications. The severity of the disease directly affects the choice of the type of choleretic drug. For example, in case of severe, drugs of synthetic origin are most often prescribed, and in case of mild - herbal. For preventive purposes, herbs or preparations based on them are used.
6. Volume. When purchasing a medicine, it is also necessary to compare its amount in the package with the duration of the course. This option is the most cost effective. You will not have to throw away expired surpluses or overpay for the package itself, when purchasing several with a small volume of the drug.

The most effective choleretic tablets and capsules

The most pronounced choleretic effect is possessed by choleretic drugs in the form of tablets and capsules, since after dissolution in the stomach, all active substances are almost completely absorbed by the body. This helps to get rid of diseases such as cholecystitis or dyskinesia as soon as possible. The following choleretic drugs have gained the greatest popularity among gastroenterologists. They also received the most positive feedback from consumers.

Odeston

The drug has a directed antispasmodic effect on the gallbladder, while normalizing the volume of bile production. The action of the drug eliminates congestion in the biliary tract, thereby eliminating pain in the right abdomen, nausea and yellowness of the whites of the eyes. The medicine is intended for adults and children. It is excellent for the prevention of gallstone disease, as it contains a large amount of the active ingredient - gimecromone.

The main advantage of the drug is its composition with a mild effect, due to which there is practically no negative effect on the liver. Excipients of the drug are magnesium stearate, sodium lauryl sulfate, starch and gelatin.Due to the presence of the latter ingredient, the preparation is not suitable for vegetarians.

• quickly absorbed;
• a large list of indications for use;
• convenient tablet size;
• allergy to the components of the drug is rare.

• a considerable list of contraindications;
• can only be taken from 7 years old;
• there is no information about the possibility of use during lactation or pregnancy.

Unlike many other choleretic drugs, Odeston can be taken after surgery, with dyskinesia and gallstone disease, as well as with vomiting and constipation.

Allohol

As noted by buyers, the remedy has a positive effect after a week of admission. However, this does not mean that the drug must be stopped drinking - the course must be carried out completely. And it can last from 1 to 2 months. Tablets must be drunk 1 piece 3 times a day. Moreover, after 7 days of use, you can drink the remedy only 2 times a day.

Most often, 1 course of treatment is enough to get rid of health problems, however, there are more serious cases, then it is necessary to repeat the course with an interval of 3 months. The tablets are small for easy swallowing. If necessary, it will not be difficult to divide them into parts. Allohol has a long shelf life, it is 4 years from the date of production. But for this you need to store it in a dry and cool place.

• natural composition;
• small coated tablets;
• there is no need to drink a lot of liquid;
• quick results;
• stimulation of the functioning of the liver and pancreas.

• some ingredients can cause skin rashes in people who are sensitive to them;
• in some cases, mild diarrhea occurs.

As practice shows, Allochol is not only an excellent choleretic agent. The tool also boasts the ability to eliminate fermentation processes in the intestines, so you don't have to worry about the development of colitis and similar diseases.

Hofitol

Plant-based choleretic drug. Available in film-coated tablets. Packaging - blisters or plastic tubes in a cardboard box. A course appointment (2-3 weeks) is recommended. Suitable for both adults and children from 6 years of age.

The maximum daily dosage is 9 tablets for adults, 6 for children.
Sold without a prescription, but a doctor's consultation is required.

The main component of "Hofitol" - an extract of artichoke leaves contribute to the normalization of metabolic processes, have a pronounced choleretic and action. If you stick to a vegetarian diet, please note that the shell contains animal components
origin. It is undesirable to remove the shell.

• acceptable price;
• small size of tablets, convenient reception;
• herbal ingredients;
• pronounced choleretic and hepatoprotective effect.

• contraindicated during exacerbation of liver and kidney diseases;
• reception during pregnancy and lactation is possible only under medical supervision.

Hofitol is prescribed in complex therapy for the treatment of chronic cholecystitis, not associated with the formation of stones in the bladder, hepatitis, nephritis. Eases the condition of patients with liver cirrhosis and chronic renal failure.

Solgar

BAA of American production. The action of the drug is aimed at improving conditions in case of liver problems, enhances the outflow of bile, and normalizes the concentration of cholesterol. In addition to the choleretic effect, it helps to relieve the symptoms of alcohol intoxication. The therapeutic effect is due to the properties and high content of the active ingredient - artichoke leaves (300 mg).

Capsules are easily absorbed, quickly relieve unpleasant symptoms: pain, flatulence, belching, nausea. They have a regenerating effect on mucous membranes, contribute to the restoration of liver cells. To achieve a lasting effect, it is recommended to drink the capsules in a course.In this case, one package is enough for 3 weeks.

According to the instructions, the capsules should be taken 1 pc. three times a day. It is advisable during meals with warm water.

Attention! It is not a drug and is not able to stop degenerative processes in the case of serious liver diseases.

As for contraindications, dietary supplements should not be taken by people with cholelithiasis, since the increased outflow of bile can contribute to the onset of seizures and blockage of the bile ducts. As well as pregnant and lactating women, children.

• small capsules that are easy to swallow;
• there is no pronounced unpleasant taste;
• speeds up metabolism;
• protects the liver from toxins, promotes their elimination from the body.

• high cost - about 1,500 rubles per package.

According to user reviews, Solgar also helps with flatulence, nausea and other gastrointestinal problems.

Hepachol

Contains flavonoids, tannins, which have an antiseptic effect and prevent the development of the inflammatory process on the gastric mucosa.

The drug is used to normalize the digestive processes. Helps get rid of heartburn, feelings of heaviness, eliminates bitterness in the mouth. Reduces the risk of developing gallstone disease, improves liver function, has a choleretic effect. Helps to increase immunity and improve overall well-being.

The preparation contains components of only plant origin: rose hips, roots of calamus, burdock, dandelion, coriander seeds.

Not suitable for patients with type 1 and 2 diabetes due to the sugar content in the syrup. For the same reason, it is worthwhile to use Hepachol with caution in persons with impaired carbohydrate metabolism.
Also, a contraindication to taking the drug is pregnancy, breastfeeding, allergy to the components of the drug.

The drug is taken 3 times a day with meals. Dosage - 1 tbsp. the spoon. Shake the syrup before use. The course of admission is 1 month.

• convenient format, ease of use;
• natural composition;
• acceptable price.

• to complete the course of treatment, you will need 4 packs.

Hepahol, judging by the reviews, is an effective remedy that helps relieve the feeling of heaviness and discomfort after eating fatty foods.

Healing gift of Altai (rosehip)

Another budget syrup in the ranking, which has a choleretic effect. Thanks to the rosehip in the composition, it contains vitamins and minerals. It has a general strengthening effect on the body, improves health.

The natural composition is suitable for use at any age, including children. Especially in winter, to improve immunity, in the treatment of colds.
Ingredients: rosehip extract and infusion, sugar syrup, citric acid. The taste is specific, but if necessary, you can drink it with a little warm water.

Syrup color - light pink, packing - glass, transparent bottles of 100 ml. This amount is enough for 2 weeks of admission.
Use with caution in patients with gastritis and diabetes mellitus (due to the content of citric acid and sugar).

• low cost;
• availability;
• you can drink constantly (does not require course reception and breaks);
• shelf life - 18 months;
• enhances immunity;
• does not form sediment.

• small volume;
• specific, bitter taste.

Unlike other additives in the rating "Healing Gift of Altai Rosehip" can be used both independently and as a useful additive in tea, ice cream, desserts.

The best powders with choleretic action

Magnesium sulfate

A medicinal product of a wide spectrum of action, including choleretic. Sold in pharmacies with a doctor's prescription. The taste of the solution is pronounced, bitter, unpleasant. If necessary, you can drink it with water.

Before use, 1 sachet of powder is dissolved in a glass of warm water. Take three times daily before meals. The choleretic effect of the drug occurs in about an hour and lasts up to 6 hours.
Attention: has a strong laxative effect. Since the drug is poorly absorbed, osmotic pressure is created in the intestine, which leads to the accumulation of fluid and the dilution of the intestinal contents. As a result, peristalsis increases.

It is used for constipation, cholangitis, cholecystitis. With caution - during pregnancy, breastfeeding, respiratory diseases. The drug is contraindicated in acute renal failure and intestinal obstruction.

The medicine is produced in Russia, by the Moscow pharmaceutical factory. The cost of a bag of magnesium sulfate (25 g) is on average 30-35 rubles.

Judging by user reviews, magnesium sulfate really helps with liver problems, cleanses the intestines. At the same time, it is not recommended to self-medicate and take the drug only as directed by a doctor.

• available at any pharmacy;
• low cost;
• efficiency.

• many contraindications;
• possible side effects: dizziness, nausea, vomiting;
• reduces the effectiveness of tetracycline antibiotics when taken together;
• incompatible with alcohol, therefore, during treatment, you should refuse to drink alcohol.

Sorbitol

Sorbitol is a hexahydric alcohol with a sweetish taste. Available in the form of white crystals. The drug is used as a choleretic, antispasmodic agent for chronic colitis, accompanied by constipation, cholecystitis.

Sorbitol is produced by the Russian company Sladky Mir. The cost of a large package weighing 500 g is 125 rubles on average.

As a choleretic agent, take a solution (5 g of sorbitol in half a glass of warm water) twice a day before meals. To obtain a lasting result, you must drink the drug within 1 month.

Sorbitol should not be used as a laxative, since an increased dosage causes flatulence, stomach pain, and exacerbation of irritable bowel syndrome.

• low cost;
• relative harmlessness subject to dosage.

• can not be taken with exacerbation of gastrointestinal diseases;
• not suitable for fructose intolerance.

Attention! All drugs, descriptions of use are presented for informational purposes, are not advertising and do not call for a purchase. Before buying, you must consult with your doctor.