Espumisan tablets: instructions for use, price, reviews during pregnancy, analogues

Pharmacodynamics and pharmacokinetics

Pharmacodynamics

Simethicone is a chemically inert substance with surface activity and antifoaming effect. In the intestinal lumen it acts as an antifoam: it reduces the tension of gas bubbles. The released gases are absorbed by the intestinal walls, and some are excreted naturally due to intestinal peristalsis.

Simethicone acts on the surface of gas bubbles without affecting the mucous membrane and without being absorbed. By removing bubbles, digestion and absorption of nutrients are normalized. Use before ultrasound and x-ray examinations prevents the occurrence of artifacts that cause gas bubbles. Does not contain sugar, so it can be used for diabetes .

Pharmacokinetics

Not absorbed in the intestines, excreted unchanged.

Indications for use

treatment of flatulence of any origin (including in the postoperative period);
functional dyspepsia ;
aerophagia;
intoxication with surfactants (as an antifoam).

Indications for use also include the use of the drug in preparation for diagnostic studies (ultrasound, X-ray examination of the gastrointestinal tract, gastroscopy).

Espumisan tablets, instructions for use (Method and dosage)

How to take Espumisan? To eliminate flatulence, adults and children over 6 years old - 2 capsules 3-5 times a day after meals with a small amount of liquid.

To prepare for diagnostic tests - 2 capsules three times the day before the test and 2 capsules on the day of the test, without drinking water.

In case of poisoning with detergents with foaming agents - 10-20 capsules in one dose for adults, children over 6 years old - 3-10 capsules.

The instructions for use of Espumisan contain information that the drug can be taken for a long time, since it is chemically inert and does not cause adverse reactions.

For adults, tablets are a more acceptable form of release because they are convenient to take at work or in public places. It is more difficult to give tablets or capsules to children, not to mention the fact that this is generally impossible for newborns. There is an emulsion for them.

Children are given Espumisan 40 - an emulsion in 100 ml bottles with a measuring spoon or Espumisan L in bottles with a dropper. Infants - 25 drops added to a bottle or given from a spoon after breastfeeding three times a day. Children from 1 to 6 years old - 25 drops 3-5 times a day, older children - 30-50 drops 3-5 times. Shake the bottle before use.

How to take Espumisan for adults

In case of flatulence, an adult and a child over 6 years old can take 2 capsules 3-4 times a day after meals. Drink with a small amount of water. Before conducting a diagnostic examination, you should take 3 times 2 capsules the day before the examination and 2 capsules on that day. In this case, you do not need to drink water.

If poisoning with detergents occurs, then an adult needs to take 10-15 capsules at one time, and a child from 6 years old - up to 10 capsules. The instructions say that the drug is suitable for long-term use, since its composition is safe and cannot lead to side effects.

Espumisan's analogs

Level 4 ATC code matches:
Disflatil

Mint tablets

Kuplaton

Espumisan Baby

Espumisan L

Espumisan 40

Bobotik

Dill water

Pepsan-R

Sub Simplex

Infacol

Plantex

Bebinos

Dicetel

Meteospasmil

Romazulan

What can replace this drug if it is temporarily unavailable in the pharmacy? You will be offered similar drugs:

Bobotik
Sub Simplex
Meteospasmil
Disflatil
Simikol
Babykalm

These substitutes, except for Bebicalm, have the same active ingredient, but in different doses.

As you can see, this is not the only drug that eliminates increased gas formation in the intestines. Which drug should you prefer?

Which is better: Espumisan or Bobotik?

The drug Bobotik contains the same active ingredient. The peculiarity of drugs based on simethicone is that they do not affect the functioning of the gastrointestinal tract, are not absorbed and are excreted unchanged. In the case of prolonged colic in children, the best solution is drugs based on this. The above products differ in the content of the active substance in 1 ml - 66 mg (Bobotik) and 40 mg (Espumizan), based on this, the effectiveness of the first is greater. It is also convenient in dosage - 8 drops per dose is enough for a baby. Does not contain sugar. Manufacturer: Medana FARMA, Poland.

Which is better: Espumisan or Sub Simplex?

Sab Simplex is also a product based on simethicone. Judging by the dosage (1 ml of this drug contains 69.19 mg of simethicone), it can be assumed that the effectiveness will be higher. A convenient bottle with a dropper allows you to accurately count 1 dose for an infant - 15 drops. What does Sub Simplex help with? Eliminates infant colic during the period of adaptation to new food. To achieve the effect, it is better to use it at the time of pain. Since the drug does not cause side effects, it can be used almost constantly as long as it is needed. Does not contain dyes, can be used during pregnancy. From a well-known manufacturer - Pfizer Inc., USA.

Meteospasmil or Espumisan - which is better?

Meteospasmil is a combination drug containing not only simethicone, but also the myotropic antispasmodic alverine , which reduces the tone of the intestinal muscles. Therefore, it eliminates belching, nausea, colic and abdominal pain associated with increased gas formation. Taking this into account, and also taking into account that the content of simethicone in 1 capsule is much higher (300 mg), we can conclude that this drug is more effective. However, it can only be used by adults and for no more than 4 weeks; allergic reactions are possible; it is not recommended for use during pregnancy. Manufacturer: Laboratoires MAYOLY-SPINDLER (France).

Which is better: Espumisan or Bebicalm?

Babycalm is a dietary supplement consisting of essential oils: anise, dill, mint. Designed for children from the first days of life. It has a carminative, antispasmodic, sedative, and antibacterial effect. As you can see, the composition is different. The emulsion should be prepared by yourself by adding boiled water to 15 ml of a mixture of essential oils up to the mark indicated on the bottle, and store it in the refrigerator. The kit includes a pipette dispenser. Children of the first year of life are given 10 drops from a spoon before each feeding (even if there are 10 or more). The emulsion should not be added to a bottle with the formula, as the child may refuse to eat due to the pronounced odor. You should start with 2-3 drops and monitor the child’s condition. The summary contains warnings that rash and itching may occur. Reviews about this dietary supplement are different: some help, others consider it useless. From the reviews we can conclude that the drug must be given for a long time (a month), even if the colic and bloating have stopped. In this case, drops are not given at every feeding.

Espumisan L for children 30 ml drops for oral administration

Instructions for medical use of the drug Espumisan® L drops for children Trade name Espumisan® L drops for children International nonproprietary name Simethicone Dosage form Oral drops (emulsion) 30 ml Composition 1 ml (25 drops) contains the active substance simethicone 40 mg excipients : macrogol stearate, glycerol monostearate 40-55, carbomers, banana flavor, acesulfame potassium, liquid sorbitol (non-crystallizing), sodium chloride, sodium citrate, sodium hydroxide, sorbic acid, purified water. Description Milky white emulsion with low viscosity, with a fruity banana aroma. Pharmacotherapeutic group Drugs for the treatment of functional gastrointestinal disorders. Other drugs for the treatment of functional bowel disorders. Silicones. ATC code A03AX13 Pharmacological properties Pharmacokinetics Simethicone is not absorbed after oral administration, and after passing through the gastrointestinal tract it is again excreted unchanged. Pharmacodynamics The drug Espumisan® L drops for children contains simethicone, a stable surfactant polydimethylsiloxane, as an active ingredient. It changes the surface tension of gas bubbles found in the chyme and mucus of the digestive tract, causing them to break apart. The released gases can then be absorbed by the intestinal wall and also excreted by intestinal peristalsis. The action of simethicone is purely physical; it does not participate in chemical reactions and is not pharmacologically or physiologically active. Indications for use - symptomatic treatment of gastrointestinal disorders caused by increased gas formation, for example, flatulence, colic in infants - as an aid in diagnostic studies of the abdominal organs, for example, during X-ray examination, ultrasound of the abdominal organs and gastroscopy - as an antifoaming agent for intoxication with surfactants. Method of administration and dosage: Shake before use; To dispense drops, the bottle is held upside down. A cap with milliliter graduations is attached to the screw cap of the bottle with a dropper. If necessary, it can be used to measure the dose instead of a dropper. Do not allow the measuring cap to fall into the hands of children (risk of swallowing). If gastrointestinal disorders reoccur and/or if they are prolonged, a clinical examination should be performed. 25 drops correspond to 40 mg (1 ml). For the symptomatic treatment of gastrointestinal disorders caused by increased gas production, for example, with flatulence, colic in infants Age Dosage in drops Dosage in ml Frequency of administration Children 0 - 1 year 25 drops (40 mg) 1 ml added to a bottle of baby food or give before or after each breastfeeding Children aged 1 - 6 years 25 drops (40 mg) 1 ml 3 - 5 times a day Children aged 6 - 14 years 25 - 50 drops (40 - 80 mg) 1 - 2 ml 3 – 5 times a day Adolescents over 14 years of age and adults 50 drops (80 mg) 2 ml 3 – 5 times a day Espumisan® L drops for children can also be used after operations. Espumisan® L drops for children are used during or after meals, and, if necessary, also before going to bed. The duration of therapeutic use depends on the dynamics of the disorders. If necessary, Espumisan® L drops for children can be taken for a long time. As an aid in diagnostic studies of the abdominal organs · X-ray examination, ultrasound The day before the examination In the morning on the day of the examination, 2 ml 3 times a day (50 drops 3 times a day) 2 ml (50 drops) · as additives to suspensions of contrast agents 4 – 8 ml (100 – 200 drops) per 1 liter of suspension of contrast agent for obtaining images with double contrast for preparation for gastroscopy Before endoscopy 4 – 8 ml (100 – 200 drops) During endoscopy you can - in if necessary, inject a few milliliters of emulsion through the endoscope channel to eliminate gas bubbles that interfere with the study. As an antifoam in case of intoxication with surfactants Depending on the severity of poisoning Age Dosage Children 2.5 – 10 ml Adults 10 – 20 ml Side effects To date, no side effects have been observed as a result of using “Espumisan® L drops for children”. Contraindications - hypersensitivity to the active substance simethicone or to any other components of the drug Drug interactions Unknown Special instructions This drug contains sorbitol. The drug should not be used in cases of a rare hereditary pathology - fructose intolerance. Pregnancy and lactation There are no restrictions for taking Espumisan® L drops for children during pregnancy and lactation. Peculiarities of the drug's influence on the ability to drive a vehicle or potentially dangerous machinery "Espumisan® L drops for children" does not affect the ability to drive vehicles or maintain machinery. Overdose No cases of overdose have been reported. Since simethicone is completely inert in chemical and physiological terms, intoxication is practically excluded. In large quantities, Espumisan® L drops for children are also tolerated asymptomatically. Release form and packaging 30 ml in brown glass bottles with tamper-evident protection, consisting of a polypropylene screw cap with a tear-off ring and a drip nozzle. A cap with milliliter graduations is attached to the screw cap of the bottle with a dropper. If necessary, it can be used to measure the dose instead of a dropper. The bottle, together with instructions for medical use in the state and Russian languages, is placed in a cardboard pack. Storage conditions Store at a temperature not exceeding 30 °C. Keep out of the reach of children! Shelf life: 3 years After opening the bottle, the drug is used for 6 months. After the expiration date, this medicine should not be used. Conditions for dispensing from pharmacies Without a prescription Manufacturer Berlin-Chemie AG (Menarini Group) Glinker Veg 125 D-12489 Berlin, Germany Registration certificate holder Berlin-Chemie AG (Menarini Group), Germany Organization - packer Berlin-Chemie AG (Menarini Group), Germany Address of the organization receiving complaints from consumers regarding the quality of products (products) in the Republic of Kazakhstan: Representative office of JSC Berlin-Chemie AG in the Republic of Kazakhstan Tel.: +7 727 2446183, 2446184, 2446185 Fax: +7 727 2446180 Email address

Espumisan during pregnancy

Can pregnant women use this drug? The instructions provide for the use of the drug by pregnant and lactating women. The drug is non-toxic, safe and can be used at any stage of pregnancy, since the active substance does not have a systemic effect. The dosage and frequency of administration do not differ from the general recommendations for administration - to combat flatulence, take 2 capsules 4-5 times a day.

Practice shows that the drug is well tolerated and no negative effects are noted. If you are still concerned about the presence of dyes in the capsules, and you are prone to allergic reactions, use traditional medicine (decoction of dill and fennel seeds).

Can I take Espumisan during pregnancy?

The instructions say that the medicine is approved for use during pregnancy and lactation. The product has no toxic effects, is absolutely harmless and can be used during any month of pregnancy, since the active component does not have a systemic effect. The dose and frequency of use do not differ from general recommendations.

Practice confirms that the medicine is well tolerated by the body of a pregnant woman and does not have any effect on the developing fetus. But if there is a tendency to allergic reactions, then it is better to limit yourself to traditional medicine.

Reviews about Espumisan

The well-known drug Espumisan helps with bloating, since it is constantly advertised. Reviews about Espumisan are mostly positive and this is justified.

First of all, it is used to treat flatulence of any etiology, it acts only in the intestines and is not absorbed, it can be used for a long time, can be combined with other drugs and is suitable for the whole family. For some it helps more, for others less, but this depends on the severity of flatulence and its causes (dysbiosis and chronic gastrointestinal diseases or simply flatulence of alimentary origin after eating grapes or cabbage).

If taking the drug does not help, you need to be examined by a gastroenterologist to find out the cause of flatulence. Some claim that the drug is effective for the first two weeks from the start of treatment.

Contraindications

Taking the drug is contraindicated in the following cases:

complete intestinal obstruction;
obstructive pathologies of the gastrointestinal tract;
individual intolerance to the components included in the composition.

It is not recommended to use the medication in parallel with other medications, since the drug interferes with the absorption of other substances, as a result of which their effectiveness is practically reduced to zero.

Espumisan price, where to buy

You can buy the drug in Russian cities at any pharmacy. The cost of the drug in capsules and drops differs slightly. The price of Espumisan in capsules 40 mg No. 50 ranges from 550 rubles. Considering that the recommended dose is 6-8 capsules per day, then one package will last on average for a week.

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

ZdravCity

Espumisan capsules 40 mg 50 pcs. Catalent Germany Eberbach GmbH/Berlin-Chemie AG.
RUR 574 order
Espumisan capsules 40 mg 25 pcs. Catalent Germany Eberbach GmbH/Berlin-Chemie AG.
RUB 355 order
Espumisan Extra granules 125 mg sachet 14 pcs. Hermes Pharma Ges.m.b.H.
RUB 462 order

Pharmacy Dialogue

Espumisan (caps. 40 mg No. 25)Berlin-Chemie AG/Menarini
RUB 333 order
Espumisan Extra granules 125ml No. 14Hermes
436 rub. order
Espumisan (caps. 40 mg No. 50)Berlin-Chemie AG/Menarini
RUR 547 order

Pharmacy24

Espumisan N50 capsules R.P.Scherer GmbH & Co. KG/Berlin Chemie AG (Menarini Group), Nimecchina/Nimecchina
150 UAH.order
Espumisan No. 25 capsules Berlin Chemi AG, Nimechchina
88 UAH order

PaniPharmacy

Espumisan capsule Espumisan caps. 40 mg No. 25 Germany, Berlin-Chemie
98 UAH order
Espumisan capsule Espumisan caps. 40 mg No. 50 Germany, Berlin-Chemie
171 UAH order