Espumizan l emulsion instruction. Espumizan L - relieves bloating. Preparations on a natural basis

From the first days of birth, the baby needs very careful care and an immediate solution to all issues related to health. Gases often become a problem, which is natural. side effect digestion, then To facilitate the release of gases and improve the condition of the child, "Espumizan L" is used.

Composition and pharmacological action

pharmachologic effect"Espumizana L" due to its composition. The drug reduces the surface tension of gas bubbles in the intestines. Thus, the gas bubbles (foam) are destroyed.

Under the influence of intestinal peristalsis, the released gas is either absorbed or freely excreted. As a result, spasms and related pain the child passes.

Did you know? Girls suffer from colic less often than boys.

This process occurs due to the components of the drug:

  • simethicone;
  • polyethylene glycol stearate;
  • glycerol monostearate;
  • sorbic acid;
  • sodium citrate, etc.

Release form

The medicine is released in different form: drops (emulsion) for children, capsules for children and. For newborns, a remedy is provided in drops.

Produced in bottles of 30 and 50 ml with a dropper-insert and a screw cap.

Indications for use

Instructions for use "Espumizan L" for newborns says that it is indicated in the following cases:

  • intestinal colic in infants associated with the accumulation of gases;
  • flatulence;
  • intoxication with surfactants (household chemicals);
  • to facilitate the examination of the gastrointestinal tract.

From what age is allowed

Mothers often ask the question, at what age can the drug be given to newborns. "Espumizan" in the form of drops is suitable for use from the first days of a child's life.


For convenience, the bottle is equipped with a dropper. Also, the medicine can be given by adding it to a bottle with food.

Method of application and dosage

If your child has a problem with increased gas formation, then the pediatrician will tell you how many drops of Espumizan to give the newborn from colic. The instructions also indicate that from the first days of a newborn's life and up to a year, the remedy is given 25 drops each time.

If the baby is breastfed, then the medicine is given from a small spoon before or after feeding. For "artists" the medicine is added to a container with baby food.

After how many minutes Espumizan acts, it depends on the individual characteristics of the newborn baby, on the strength of the spasms and even on the mood. When the drug works, the child will stop crying, become calmer, and he will begin to actively release gases. As experience shows, the drug begins to act after 10-30 minutes.

Did you know? Usually problems with gas in children go away by the fourth month.

Reception frequency

How often can you give "Espumizan" to a newborn, the instruction suggests. It says that the medicine is given according to indications at each feeding. To be sure that the drug is really suitable for your child, be sure to consult a pediatrician.

Without exception, all parents know what intestinal colic is in newborns. Eliminate pain the drug Espumizan will help. It is prescribed almost from the first days of life.

Composition and types for newborns

The active ingredient of this German medicine is simethicone, a compound of the siloxane group. It also contains a number of auxiliary substances, including sweeteners, preservatives, flavors, etc.

There are two types of Espumizan for children:

  • Espumizan L in the form of an emulsion;
  • Espumizan Baby in drops.


Both drugs are available in liquid form, but with different levels of simethicone. 1 ml (25 drops) of Espumizan Baby contains 100 mg, and Espumizan L contains 40 mg of simethicone. Since the volume of the medicine is the same for both names, and the content of the active substance is different, this is reflected in the price. Espumizan L is cheaper than Espumizan Baby.

It should be noted that the list of excipients in Espumizan L is much shorter than the similar list in Espumizan Baby, therefore, the child will receive fewer compounds that are alien to his body. There are also differences in the shelf life of drugs after opening the package. In Espumizan L it is 6 weeks, Espumizan Baby is 4 weeks.

Important! Espumizan L has a longer shelf life, fewer excipients and a lower price compared to Espumizan Baby.

For adults and children over 6 years of age, the drug is available in the form of capsules. Such pharmacological form much more convenient to take than an emulsion or drops in large volumes.

The use of the drug according to the instructions

It is a carminative. The drug reduces the amount of gas in the stomach and intestines. Reduces surface tension, helping to collapse gas bubbles, facilitating their absorption by the intestinal walls, as well as excretion in a natural way. When conducting organ studies abdominal cavity Espumizan reduces the likelihood of image defects caused by gas accumulation.

After getting inside the gastrointestinal tract, simethicone is not absorbed, but acts only in the area where it is located, being completely safe and harmless to the body, which cannot be said about auxiliary additives in the composition of the drug.

The instructions for use of the drug indicate the following indications:

  • pain in the tummy, resulting from excessive gas formation in the intestines or swallowing air along with food;
  • preparatory process before examination of the intestines and pelvic organs;
  • poisoning, including surfactants, which are part of chemicals.

Important! The drug can be used only after a medical examination and as directed. The doctor will check the absence of contraindications and prescribe the correct dosage.

  • intestinal obstruction;
  • individual intolerance or hypersensitivity to one of the components of the drug.

The remedy is prescribed to patients suffering from diabetes, since there is no sugar in its composition. Espumizan can be taken with other medicines, as well as pregnant women and while breastfeeding.

Can there be an allergy to the drug

Usually children's Espumizan is well tolerated by infants and older children. Sometimes there is an inadequate allergic reaction. More often side effects occur in children under 3 years of age.

They manifest themselves in the form of rapid breathing (deep or shallow). Rashes may appear on the child's skin. If one of the symptoms described above occurs, you should immediately stop taking Espumizan and consult a doctor.


How to give drops and emulsion to a newborn

Shake the bottle before use! Due to the presence of a dropper and a cap equipped with divisions, the drug can be dosed both in drops and in milliliters. 1 ml of emulsion or drops contains 25 drops of the drug. This dosage is convenient to use when determining the desired volume. If for some reason the volume of the drug that the child used was more than expected, it’s not scary. There have been no known cases of Espumizan overdose in the entire practice of its use.

Newborns can be given the drug regardless of the meal or at bedtime. When breastfeeding, it is usually given from a spoon or from a syringe, and when artificial, it is convenient to add directly to the bottle with the mixture. Children after a year and adults should take the remedy 3-5 times a day. Espumizan begins to act 20 minutes after ingestion. The duration of the drug is not standardized and is determined by the time during which the symptoms continue to persist.

Dosage of Espumizan depending on the type and age

The drug is sold in pharmacies without a special prescription.

Are there cheaper alternatives

In case of intolerance to the drug, doctors prescribe other means and methods of dealing with colic. To pharmacological preparations based on simethicone similar action relate:

  • Kolikid (Ukraine);
  • Infacol (Great Britain);
  • (USA);
  • (Poland, Russia).

The cheapest analogues of Espumizan for newborns on the Russian market are Sab Simplex and Bobotic. In terms of effectiveness, they are in no way inferior to Espumizan and have a concentration of simethicone similar to it.

A slightly different composition has another drug with a similar effect - Kuplaton drops (Finland). The active ingredient in it is dimethicone, but this drug costs even more than Espumizan.

Intestinal colic is a rather urgent problem observed in the first months of a child's life. This condition is accompanied by pain in the abdomen and discomfort, which are caused by gas formation.

The appearance of infantile colic is caused by the adaptation of the baby's gastrointestinal tract to new conditions. With them, the child begins to show severe anxiety, ending in uncontrollable and often prolonged crying.

Usually, the first colic in children is observed approximately 2 weeks after birth. But they pass only by 3 months. This condition occurs in 90% of perfectly healthy children with normal development and good appetite.

To improve the condition of the baby, some parents purchase special drugs that help temporarily eliminate colic. One of them is the drug "Espumizan L". Instructions for the use of this tool, indications and contraindications for its use and other features are discussed below.

The composition of the drug, its form of release, packaging

In what form is the drug "Espumizan L" produced? This remedy is sold in the form of oral drops. As an active ingredient, the medicinal emulsion (white in color with a banana flavor) contains simethicone. In addition, the composition of the drug in question includes: sodium saccharinate, sorbic acid, purified water, hyprolose, glycerol monostearate, sodium cyclamate and banana flavor.

The drug "Espumizan L" goes on sale in dark glass bottles with a dropper and a measuring cap (30 ml each, in a cardboard package).

The action of the drug

What is the drug "Espumizan L"? The instruction says that this is a carminative, related to drugs with a surface-active effect. Its essence of work is to loosen the tension of the (surface) gas bubbles in the intestines. Taking the drug contributes to their destruction, as well as free release.

The active active ingredient of the drug in question is inert in physiological and chemical terms.

Pharmacokinetic features

Is the active substance of the drug "Espumizan L" absorbed? According to the instructions, simethicone is excreted unchanged from the patient's body. In the gastrointestinal intestinal tract this component is not absorbed. It acts only in the intestinal lumen. Also, this medication does not have any effect on the intestinal flora and the enzymatic activity of the said organ.

Indications for taking the drug

In what cases is this used? medicine like "Espumizan L"? Instructions for use informs about the following indications for taking the drug:

  • preparation for ultrasound, radiography and fluoroscopy of the digestive tract;
  • functional disorders or diseases of the gastrointestinal tract of various origins, which are accompanied by excessive accumulation and production of gases in the intestinal lumen (for example, with flatulence, including postoperative);
  • intestinal colic in children;
  • acute tenside poisoning (one of the components of detergents);
  • dyspepsia and aerophagia.

Prohibitions to prescribing

In what cases can not use the drug "Espumizan L"? The instruction attached to the medication reports the following contraindications:

Instructions for use "Espumizan L"

For children, this drug is prescribed more often than others. What is it connected with? Experts say that the amount of simethicone that is present in this remedy allows you to quickly and permanently get rid of infantile colic. Using the drug at the very first whims of the child, you can significantly alleviate his condition and avoid unrestrained crying.

How should I use the medication "Espumizan L"? To dispense the emulsion, the bottle should be kept strictly in an upright position, that is, with the hole down. In this case, the drops must be shaken well before use.

Most often, the drug "Espumizan L" is used in relation to newborns (with infantile colic). However, in some cases, adults can also use it. The dosage in this case is taken from the attached instructions.

With flatulence in adults and children over 14 years old, 2 ml of the emulsion (that is, 50 drops) should be taken, up to 5 r / d. Children 6-14 years old are usually prescribed 1-2 ml (that is, 25-50 drops), up to 5 r / d. Babies 1-6 years old are recommended to give 1 ml (or 25 drops), three or five times a day. As for infants, they are also prescribed 1 ml of the drug (that is, 25 drops), as needed.

Reception features

For young children, the Espumizan L emulsion should be added to a bottle of baby food. If the child is breastfed (breastfeeding), then the drug is given with a small spoon, before or after feeding.

When prescribing a medicine at an older age, it is taken orally after a meal or during a meal. In case of urgent need, the medication can be used before bedtime.

The duration of use of the drug depends on the condition of the person and the severity of the symptoms of gas formation. If required, the drug "Espumizan L" can be taken for a long period.

In order to prepare the patient for ultrasound or radiography, the agent in question is prescribed 2 ml (or 50 drops) three times a day. The drug is taken exactly one day before the proposed study, as well as in the morning, before the study (in the amount of 2 ml or 50 drops).

If it is necessary to obtain a double contrast image, then the emulsion in the amount of 4-8 ml (ie 100-200 drops) is added to one liter of contrast suspension.

In case of poisoning detergents the medication in question is prescribed to adult patients in the amount of 10-20 ml (that is, 1/3 or 2/3 of the contents of one vial). Babies in such cases are given 2.5-10 ml of the drug "Espumizan L" (that is, 63 drops or 1/3 of the contents of one bottle), depending on the severity of the symptoms of poisoning.

Side actions

Many parents of young children fear that, like all drugs, the Espumizan L drug may cause side reactions in their child. However, experts say that side effects such a remedy does not cause, since its active and excipients are not absorbed into the systemic circulation. They act only in the lumen of the digestive tract.

Cases of overdose

What are the consequences of taking higher doses of the drug in question? To date, information on cases of overdose with the drug "Espumizan L" has not been reported. However, this fact does not mean that such a drug can be taken uncontrollably, in any quantities. To achieve the desired effect, it must be taken strictly according to the instructions or as directed by a specialist.

Carminative drug interactions with other drugs

Is it possible to take Espumizan L medication with other drugs? In the instructions attached to the emulsion, clinically significant interactions of this agent with other drugs are not described. However, experts do not recommend combining the mentioned medication with similar carminative drugs, including those containing simethicone (in order to avoid cases of overdose).

It is important to know!

Carminative emulsion "Espumizan L" does not contain sugar, so it can be used in people suffering from diabetes. Also, the drug in question is safe to use after surgical interventions on the gastrointestinal tract (in particular, the intestines).

The period of lactation and pregnancy, the child's age of the patient

Information about the safety and possibility of using the drug for increased gas formation ("Espumizan L") during pregnancy, as well as during breastfeeding currently not.

This drug is widely used in childhood(including in infancy). In children, this remedy is used according to the indications and according to the dosing regimen.

Vacation conditions, shelf life, cost of the drug

The carminative drug "Espumizan L" is approved for use as an over-the-counter drug. Its cost is approximately 370 Russian rubles (for one bottle).

The medication should be stored only out of the reach of small children. The temperature of the content of such a drug should not be higher than 30 degrees.

The shelf life of Espumizan L drops is three years. After opening the container with the emulsion, the specified storage period is reduced to four weeks. After this time, the drug should not be used (especially for newborn babies).

Instructions for use

Espumizan L instructions for use

Dosage form

emulsion for oral administration

Compound

1 ml (25 drops) of the drug contains: Active substance: simethicone* - 40.00 mg Excipients: macrogol stearate - 6.560 mg, glyceryl monostearate 40-55 - 4.020 mg, carbomer -6.350 mg, banana flavor -4.233 mg, acesulfame potassium - 0.318 mg, liquid sorbitol (non-crystallizing) - 211.655 mg, sodium chloride -0.708 mg, sodium citrate - 4.445 mg, sodium hydroxide - 0.708 mg, sorbic acid - 1.060 mg, purified water - 778.245 mg.

* Simethicone consists of dimethicone (polydimethylsiloxane (PDMS)) and silicon dioxide in a ratio of 96:4

Pharmacodynamics

The active substance - simethicone, reduces the amount of gases in the gastrointestinal tract (GIT): it has surface-active properties and the ability to reduce surface tension at the liquid / gas interface, which makes it difficult for the formation of gas bubbles, and also contributes to their merging and destruction of foam in intestines, as a result of which the released gas is absorbed and excreted naturally under the influence of intestinal motility. The use of simenticone in preparation for diagnostic studies prevents the occurrence of image defects caused by gas bubbles.

Pharmacokinetics

Simethicone is chemically inert, after oral administration it is not absorbed from the gastrointestinal tract and acts only in its lumen. Does not interact with microorganisms and enzymes and does not affect the digestion process. Excreted by the intestines unchanged.

Side effects

Side effects when using the drug Espumizan® L were not observed.

Possible development allergic reactions on the auxiliary components of the drug

Selling Features

Released without a prescription

Special conditions

If excessive gas formation and / or intestinal colic persists for a long time, it is necessary to consult a doctor for a medical examination.

Espumisan® L contains sorbitol (sorbitol), so its use in patients with hereditary fructose intolerance is contraindicated.

Information for patients with diabetes: 1 ml (25 drops) contains 211.655 mg of sorbitol, which corresponds to 0.018 bread units (XE).

The effect of the drug on the ability to drive vehicles and control mechanisms

The drug Espumizan® L does not affect the ability to drive vehicles and work that requires increased concentration.

Indications

Symptoms of flatulence: bloating, a feeling of fullness and fullness in the epigastric region, increased gas formation (including in the postoperative period, as well as in newborns and infants;

intestinal colic;

Preparing for diagnostic studies organs of the abdominal cavity and small pelvis (ultrasound, radiography, etc.), incl. as an additive to suspensions of contrast agents for imaging by the double contrast method;

Tenside poisoning (including surfactants that are part of detergents) as a defoamer.

Contraindications

Hypersensitivity to the components of the drug, intestinal obstruction, hereditary fructose intolerance.

drug interaction

Clinically meaningful interaction Espumisan® L with other medicines not installed

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Mode of application

Dosage

inside. Shake the emulsion bottle before use. You can dose the drug in drops or in milliliters using a measuring cap. For drip dosing, the bottle must be held vertically with the opening down.

The drug is taken during or after meals, and if necessary - at bedtime.

The frequency of administration and duration of use depend on the severity of the symptoms. If necessary, Espumizan® L can be taken for a long time

With complaints associated with excessive gas formation and intestinal colic

Children from birth to 1 year: 1 ml (25 drops) of Espumizan® L at each feeding of the child (added to a bottle of baby food or given with a small spoon during or after feeding).

Children from 1 to 6 years of age: 1 ml (25 drops) of Espumizan® L 3-5 times a day.

Children from 6 to 14 years of age: 1-2 ml (25-50 drops) of Espumizan® L 3-5 times a day.

Children from 14 years of age and adults: 2 ml (50 drops) of Espumizan® L 3-5 times a day.

In preparation for radiography and ultrasound

Apply 2 ml (50 drops) of Espumizan® L 3 times a day the day before the study and 2 ml (50 drops) of Espumizan® L in the morning on the day of the study.

To obtain a double contrast image

Add 4-8 ml of Espumizan® L per 1 liter of contrast suspension.

In preparation for esophagogastroduodenoscopy

Inside 4-8 ml of the drug Espumizan® L before the study. During endoscopy, if necessary, you can inject a few milliliters of emulsion through the channel of the endoscope to eliminate gas bubbles that interfere with the study.

At acute poisoning detergents containing tensides.

Children - 2.5-10 ml of Espumizan® L, adults - 10-20 ml of Espumizan® L, depending on the severity of poisoning

Registration number:P N013354/01

Trade proprietary name drug: Espumizan ® L

International generic name : simethicone

Dosage form: oral emulsion

Compound:

1 ml (= 25 drops) contains:

Active ingredient: simethicone - 40 mg

Excipients: giprolose (MZ=3.0), sorbic acid, sodium cyclamate, sodium saccharinate, banana flavor No. 516060, purified water.

Description:

Slightly viscous milky white emulsion with a banana odour.


Pharmacotherapeutic group:

Carminative.

ATX code: A02DA

Pharmacological properties:

A drug that reduces gas formation in the intestines. The active ingredient simethicone is a surfactant that reduces the surface tension of those in gastrointestinal path of gas bubbles, which then decay. The use of Espumizan ® L for the preparation and conduct of diagnostic studies prevents the occurrence of image defects caused by gas bubbles. Simethicone is not absorbed from the gastrointestinal tract. It is excreted from the body unchanged.


Indications for use:

Symptoms of flatulence: bloating, a feeling of fullness and fullness in the epigastric region, increased gas formation (including in the postoperative period, as well as in newborns and infants;

intestinal colic,

Preparation for diagnostic studies of the abdominal cavity and small pelvis (ultrasound, radiography, etc.), incl. as an additive to suspensions of contrast agents for double-contrast imaging.

Tenside poisoning (including surfactants that are part of detergents) as a defoamer.

Dosage and administration:

For dosing drops, the bottle must be held vertically with the opening down.

Shake the emulsion bottle before use.

For flatulence:

Children over 14 years old and adults: 2 ml (50 drops) of Espumizan ® L 3-5 times a day.

Children aged 6 to 14 years: 1-2 ml (25-50 drops) of Espumizan ® L 3-5 times a day.

Children aged 1 to 6 years: 1 ml (25 drops) of Espumizan ® L 3-5 times a day.

children infancy: 1 ml (25 drops) of the drug is added to a bottle of baby food or given with a small spoon before or after breastfeeding.

The drug is taken orally during meals or after meals, if necessary, also at bedtime.

The duration of use depends on the severity of the symptoms. If necessary, Espumizan ® L can be taken for a long time.

To prepare for radiography and ultrasound examination of the abdominal cavity:

Assign 2 ml (50 drops) of Espumizan ® L 3 times a day the day before the study and 2 ml (50 drops) of Espumizan ® L in the morning on the day of the study.

To obtain a double contrast image add 4-8 ml (100-200 drops) of emulsion per 1 liter of contrast suspension.

In case of poisoning with detergents the drug is prescribed for adults at 10-20 ml (1/3 - 2/3 of the contents of the bottle), for children - at 2.5-10 ml (65 drops - 1/3 of the contents of the bottle) Espumizan® L 40, depending on the severity of poisoning.


Side effect:

Side effects associated with the use of the drug were not observed.

Contraindications:

Hypersensitivity to the components of the drug, intestinal obstruction.


Interaction with other drugs:

Clinically significant interaction of the drug Espumizan ® L with other drugs has not been established.

Special instructions:

Espumizan ® L can also be taken after surgery.

The emulsion does not contain sugar and can be used in diabetic patients.


Release form:

Emulsion for oral administration, 40 mg/ml. 30 ml in dark glass bottles with dropper cap, screw cap and measuring cap. 1 bottle in a carton box along with instructions for use medical use drug.

Storage conditions:

Store at a temperature not exceeding 30 ° C.

Keep out of the reach of children.

Shelf life:

After opening the vial, use the drug within 4 weeks.

Do not use after the expiration date of the drug!


Conditions for dispensing from pharmacies:

Over the counter.

Company name and address:

Berlin-Chemie AG Berlin-Chemie AG

Glienicker Weg , 125

12489 Berlin, Germany 12489 Berlin, Germany

Address of the Moscow Representative Office of the company:

123317 Moscow, Presnenskaya embankment, 10, BC "Tower on Naberezhnaya", Block B