Smecta. Instructions for use, suspension for diarrhea, vomiting, nausea, poisoning, gastritis, allergies, pregnancy. How to dilute, take, indications. Medicine for the treatment of the gastrointestinal tract Ipsen Smecta ready suspension - “New Smecta, which

homogeneous suspension of yellowish-gray color with a characteristic caramel odor.

Indications

Symptomatic treatment of acute and chronic diarrhea. Symptomatic treatment of heartburn, bloating, abdominal discomfort and other symptoms of dyspepsia accompanying diseases of the gastrointestinal tract.

Directions for use and doses

Use for acute diarrhea. Children, including infants: - Up to 1 year: 2 sachets per day for 3 days, then 1 sachet per day; - 1 year and older: 4 sachets per day for 3 days, then 2 sachets per day. 3 Adults: On average – 3 sachets per day. The daily dose can be doubled at the beginning of treatment. Use for other indications. Children, including infants: - up to 1 year: 1 sachet per day; - 1-2 years: 1-2 sachets per day; - 2 years and older: 2-3 sachets per day. Adults: On average - 3 sachets per day. The bag of suspension must be kneaded between your fingers before opening it, bringing it to a liquid state. The contents of the sachet can be swallowed undiluted or mixed with a small amount of water before use. Preferred time of administration: For esophagitis, take after meals; For other indications between meals. For infants and children, the contents of the packet can be mixed in a baby bottle with a small amount of water (50 ml) or with semi-liquid food such as broth, compote, puree, baby food, etc. For adults: the contents of the sachet can be diluted in half a glass of water.

Compound

Active ingredient: dioctahedral smectite - 3.00 g Excipients: caramel-cocoa flavor - 0.10 g, xanthan gum - 0.03 g, citric acid monohydrate - 0.02 g, ascorbic acid - 0.01 g, potassium sorbate - 0.01 g, sucralose - 0.00375 g, purified water up to 10.00 g 1 Caramel-cocoa flavor consists of natural flavors (2.7%), flavoring substances (1.0%), natural flavoring substances (0 .3%), caffeine (0.04%), caramel coloring E150d (0.06%), caramelized sugar syrup (49.8%), propylene glycol E1520 (22.4%), ethanol (8.6%), water (15.0%).

Contraindications

Hypersensitivity to diosmectite or to one of the excipients, intestinal obstruction.

Use during pregnancy and breastfeeding

Smecta is approved for use in pregnant and lactating women. No dosage or regimen adjustment is required.

Drug interactions

The absorbent properties of Smecta® may affect the time and/or extent of absorption of other substances, therefore it is not recommended to take Smecta simultaneously with other medications.

Storage conditions

At a temperature not higher than 30°C. Keep out of the reach of children.

For 1 sachet:
Active ingredient: dioctahedral smectite - 3.00 g
Excipients: caramel-cocoa flavor 1 - 0.10 g, xanthan gum - 0.03 g, citric acid monohydrate - 0.02 g, ascorbic acid - 0.01 g, potassium sorbate - 0.01 g, sucralose - 0 .00375 g, purified water up to 10.00 g
1 Caramel-cocoa flavor consists of natural flavors (2.7%), natural flavors (1.0%), natural flavors (0.3%), caffeine (0.04%), caramel coloring E150d (0 .06%) caramelized sugar syrup (49.8%), propylene glycol E1520 (22.4%), ethanol (8.6%), water (15.0%).
Description:
A homogeneous suspension of yellowish-gray color, with a characteristic caramel odor.

Pharmacological properties

Smecta® is a double aluminosilicate of natural origin and has an adsorbing effect. Stabilizes the mucous barrier of the gastrointestinal tract (GIT), forms polyvalent bonds with mucus glycoproteins, increases its quantity, and improves cytoprotective properties. It has selective sorption properties, adsorbs bacteria, viruses and toxins located in the lumen of the gastrointestinal tract. In therapeutic doses it does not directly affect intestinal motility. Dioctahedral smectite is radiolucent and does not stain stool.

Indications for use

Symptomatic treatment of acute and chronic diarrhea. Symptomatic treatment of heartburn, bloating, abdominal discomfort and other symptoms of dyspepsia accompanying diseases of the gastrointestinal tract.

Mode of application

Use for acute diarrhea
Children, including infants:
- Up to 1 year: 2 sachets per day for 3 days, then - 1 sachet per day;
- 1 year and older: 4 sachets per day for 3 days, then 2 sachets per day.
Adults:

The daily dose can be doubled at the beginning of treatment.
Use for other indications
Children, including infants:
- up to 1 year: 1 sachet per day;
- 1-2 years: 1-2 sachets per day;
- 2 years and older: 2-3 sachets per day.
Adults:
On average - 3 sachets per day.
The bag of suspension must be kneaded between your fingers before opening it, bringing it to a liquid state. The contents of the sachet can be swallowed undiluted or mixed with a small amount of water before use.
Preferred appointment time:
- For esophagitis, take after meals;
- For other indications between meals.
For infants and children, the contents of the packet can be mixed in a baby bottle with a small amount of water (50 ml) or with semi-liquid food such as broth, compote, puree, baby food, etc.
For adults: the contents of the sachet can be diluted in half a glass of water.

Interaction

The absorbent properties of Smecta® may affect the time and/or extent of absorption of other substances, therefore it is not recommended to take Smecta® simultaneously with other medications.

Side effect

During clinical trials of the drug in children and adults, the following undesirable effects were noted. As a rule, these undesirable effects were mild, transient and usually related to the digestive system.
The frequency of adverse reactions is classified as follows: very often > 1/10, often from > 1/100 to 1/1000 to 1/100, rarely from > 1/10000 to 1/1000, very rarely from gastrointestinal disorders:
Common: constipation. Constipation usually resolves with dose reduction, but in rare cases, this effect may lead to discontinuation of treatment.
Uncommon: flatulence, vomiting.
During the post-marketing period, there have been several reports of hypersensitivity reactions (frequency unknown), including urticaria, rash, pruritus and angioedema.
Cases of worsening constipation have also been reported.

Contraindications

Hypersensitivity to diosmectite or to one of the excipients, intestinal obstruction.
Carefully:
History of severe chronic constipation.
Pregnancy and lactation:
Smecta is approved for use in pregnant and lactating women. No dosage or regimen adjustment is required.

Overdose

An overdose may cause severe constipation or bezoar.

special instructions

Smecta® should be used with special precautions in patients with a history of severe chronic constipation.
In children, the drug should be used in conjunction with rehydration therapy to prevent dehydration.
In adults, rehydration measures are not carried out unless they are considered necessary.
The amount of oral rehydration solution or the dosage of injectable rehydration solutions should be calculated and adapted according to the severity of diarrhea, the patient's age and the characteristics of his condition.
The patient should be warned of the need:
- Replenish fluid losses associated with diarrhea by consuming large amounts of salty or sweet liquids (the average daily fluid requirement for an adult patient is 2 liters);
- Maintain your diet while diarrhea persists: eliminating certain foods, especially raw vegetables and fruits, green vegetables, spicy foods, and frozen foods or drinks; giving preference to grilled meat and rice.
This medicine contains small amounts of ethanol (alcohol), less than 100 mg per daily dose.

Composition and release form

Powder for the preparation of a suspension for oral administration (orange) - 1 sachet dioctahedral smectite - 3 g excipients: dextrose monohydrate, sodium saccharinate, orange flavor, vanilla flavor in 3.76 g sachets; in a cardboard pack of 10 or 30 pcs. Powder for preparing a suspension for oral administration (vanilla) - 1 sachet dioctahedral smectite - 3 g excipients: dextrose monohydrate; sodium saccharinate; vanillin in sachets of 3.76 g; in a cardboard pack of 10 or 30 pcs.

Indications for use

  • acute and chronic diarrhea;
  • diarrhea of ​​infectious origin;
  • symptomatic treatment of heartburn, abdominal discomfort, gastric and duodenal ulcers, colic.

Contraindications for use

  • hypersensitivity;
  • intestinal obstruction;
  • fructose intolerance;
  • glucose-galactose malabsorption;
  • sucrase-isomaltase deficiency.

Use during pregnancy and children

Smecta is used during pregnancy and lactation.

Drug interactions

The drug may reduce the rate and degree of absorption of simultaneously taken drugs. It is not recommended to take Smecta® simultaneously with other drugs.

Dosage

Adults - 3 sachets of the drug Smecta per day. Children: up to 1 year - 1 sachet per day; 1–2 years - 1–2 sachets per day; over 2 years old - 2–3 sachets per day. The course of treatment with Smecta is 3–7 days. For children, the drug is dissolved in a baby bottle (50 ml) and distributed into several doses throughout the day or mixed with a semi-liquid product. For adults, dissolve Smecta in 1/2 glass of water, gradually adding it and stirring evenly.

According to the instructions for use, Smecta in powder form and sachets of ready-made suspension is prescribed to adults and children for the treatment of intestinal diseases. It is used to relieve symptoms caused by overeating, food poisoning and other stomach disorders.

Smecta is available in sachets containing a ready-made suspension or a white dry mixture for preparing a solution.

The composition of the drug is shown in the table:

Smecta is available in different flavors:

  • orange;
  • caramel-cocoa (in the form of a ready-made suspension);
  • vanilla.

Smecta is packaged in packages containing 10 or 30 sachets, each of which contains 3 g of active substance.

The drug has no contraindications for use by children over 3 months and pregnant women.

How does Smecta work?

The main active ingredient of the drug, diosmectite, is used as a sorbent that helps remove harmful toxins and pathogenic microorganisms from the body.

Smecta acts as follows: penetrating the intestinal mucosa, the drug stabilizes its protective function by increasing the amount of mucus. Mucus has a positive effect on the removal of excess bile salts, hydrochloric acid and harmful microorganisms from the intestine, normalizing its microflora.

Smecta also has:

  • Antidiarrheal properties.
  • Antiemetic effect.
  • Restoring properties against lost fluid.
  • Increases blood circulation.
  • Enveloping properties.

Smecta has a wide spectrum of action and helps to cope with diseases of the digestive system.

Indications for use

Smecta (instructions for use in sachets for adults include consultation with a doctor before use) is prescribed for various pathologies.

For example:

  • acute or chronic diarrhea (due to poisoning or malnutrition);
  • vomiting with large loss of fluid;
  • heaviness in the stomach;
  • heartburn;
  • allergies;
  • poisoning;
  • flatulence;
  • treatment of diseases of the intestinal tract (gastritis, enteritis, rotavirus or ulcers).

Smecta is used as part of complex therapy for diseases of the stomach and intestines, providing symptomatic treatment and an adsorbing effect.

Smecta for diarrhea

When acute diarrhea occurs, adults are recommended to take 5-6 sachets per day, without exceeding the recommended daily dosage of diosmectite (18 g).

This amount of active substance regulates the digestive process, preventing its excessive acceleration, which leads to hardening of stool in the colon under the influence of the absorbent components of the drug. As a result, stool becomes less frequent and normalizes.

Smecta for diarrhea is used as follows:

  1. Divide the daily dose into three parts: 2 sachets per 3 glasses of water, drunk after an equal amount of time (at intervals of 3-4 hours).
  2. Pour the contents of 2 packets into water immediately before taking Smecta.
  3. Avoid eating solid food for at least 60 minutes after taking the drug.

An overdose of Smecta increases the risk of constipation.

Medicine for vomiting and nausea

Smecta (instructions for use in sachets for adults do not detail the dosage of the drug for each type of intestinal disorder) has a different pattern of use depending on the intensity of the symptoms. For nausea and subsequent vomiting, the daily dosage of the drug is 9 g for adults and 3-5 g for preschoolers.

It is applied as follows:

  1. Pour the powder from 1 sachet into a clean glass.
  2. Pour 125 ml (half a glass) of warm water into it.
  3. Use between meals until the symptoms disappear completely.

In case of severe vomiting, the drug has a positive effect on the organs of the abdominal wall, reducing their tone and thereby inhibiting the vomiting center, which is responsible for the feeling of nausea. It is recommended to alternate Smecta with frequent drinking of plain water. or with drugs that restore water-salt balance (for example, Regidron) to prevent dehydration.

Use of Smecta for poisoning

In case of intoxication (poisoning) of the body, special complex therapy is used, aimed at immediately improving the condition. For these purposes, sorbents are used, which include Smecta. They have a cleansing effect on the body, removing toxic substances that provoke the appearance of acute symptoms of poisoning.

Smecta in this case is prescribed before other drugs, the maximum daily dosage is:

  • 9 sachets for adults;
  • 4 sachets for children of school and preschool age;
  • 2 sachets for babies under 2 years old.

The powder is diluted in water and drunk throughout the day in equal portions. For the first 2 days, the dose is maximum; on the 3rd and subsequent days, the number of sachets taken per day should be halved.

Smecta for gastritis and stomach ulcers

Gastritis provokes excessive formation of hydrochloric acid, which destroys the intestinal mucosa and its microflora. In this case, Smecta is used, which is aimed at protecting the mucous membrane from excessive exposure to acids, enveloping them and gently removing them from the intestines naturally.

For peptic ulcers, the drug has an enveloping effect, increases the viscosity of bile mucus, which promotes the rapid elimination of toxins and excess bile acids that negatively affect the functioning of the large and small intestines.

The regimen for such diseases for adults includes 3 sachets of Smecta per day. They can be added to drinks or food (porridge, soups and compotes) and drunk immediately.

For children, the dosage should be reduced to 1-2 sachets per day. It is not recommended to delay taking the drug after its preparation, since when in contact with food in the air, there is a high risk of oxidation of the active substance, which leads to a decrease in its therapeutic effect.

Taking a suspension for allergies

Allergies provoke a disruption of the natural environment of the intestines, causing the growth of pathogenic microorganisms and reducing the overall immunity of the body. If allergic reactions occur, doctors recommend taking antihistamines and sorbents, which help immune cells fight the foreign protein (allergen) and remove it from the body as effectively as possible.

Most often, allergies manifest themselves in young children, whose intestinal microflora is at the stage of formation and cannot fully perform protective functions. Smecta prevents the absorption of the allergen into the blood, thereby reducing the intensity of allergic reactions.

If appropriate symptoms occur, Smecta should be taken immediately before an antihistamine, a daily dose of 3 sachets for adults, and 1 sachet for children. It is recommended to discuss the dose for children with a doctor in order to avoid overdose and allergic reactions that are possible due to hypersensitivity to the components of the drug.

Smecta as part of complex therapy of diseases

Smecta (instructions for use in sachets for adults allows for the treatment of chronic and acute diseases of the abdominal organs with the drug) is widely used in modern therapy of intestinal and gastric disorders.

The drug is part of combination therapy for diseases such as:


All diseases are characterized by disruption of the gastrointestinal tract, due to an increase in the content of pathogenic microorganisms that provoke a deterioration in the natural processes of mucus formation and blood circulation. Smecta, thanks to its enveloping and protective functions, facilitates the course of the disease through the timely removal of these same microorganisms.

In complex treatment, the dosage of the drug does not exceed 9 g of the active substance for adults, and 6 g for children over 3 years of age. The course of treatment depends on the severity of the disease and the intensity of the symptoms.

Use of the remedy for heartburn

Heartburn occurs due to irritation of the gastric mucosa by a high concentration of hydrochloric acid. The use of Smecta helps to cope with excess of this acid, quickly removing it naturally and protecting the intestinal walls through the formation of high-quality mucus.

The daily dosage of the drug in this case is standard:

  • 3 sachets for adults.
  • 2 sachets for children from 3-5 years old.
  • 1 sachet for children under 2 years old.

For chronic heartburn, it is important to remember that Smecta treats the consequences and symptoms, and not the cause of the pathology itself. For effective therapy, the diet and intestinal microflora should be adjusted.

Is Smecta safe for pregnant women?

Due to its harmless composition, Smecta is freely used for intestinal disorders in pregnant women and children. The drug does not affect most processes in the body; it has only a local effect. Smecta is not absorbed into the blood, thereby ensuring the safety of the fetus. The dosage of the drug and the treatment regimen for pregnant women do not change.

How to take Smecta in the form of a ready-made suspension

The finished suspension is highly convenient to use. When the first symptoms of a gastrointestinal disorder (diarrhea, vomiting and others) occur, it is necessary to take Smecta in a special way.

Instructions:

  1. Shake thoroughly and smooth the bag.
  2. Drink the suspension as is or dilute it with 125 ml of water.
  3. Do not eat food for half an hour.

How to take the suspension in powder form

Smecta (instructions for use in sachets for adults include careful study of the recommendations before preparing the solution) requires complete dissolution of the powder.

It is advisable to use warm and cool water, as the use of hot water may reduce the effectiveness of the drug.

1 sachet is diluted in 125 ml of water. Exceeding the specified volume of liquid reduces the concentration of beneficial substances of the drug necessary for a therapeutic effect.

When to take Smecta - before or after meals

The regimen for using Smecta depends on the cause of gastrointestinal symptoms:


How long does it take for Smecta to work?

Smecta has a quick effect on the intestines. Due to its liquid consistency, the substances penetrate inside and begin to perform their functions within 10 minutes after taking the drug. The effect of one dose lasts about 3-4 hours.

Duration of treatment

The duration of taking the drug depends on the cause of vomiting or diarrhea. On average, treatment is 5-7 days for acute intestinal diseases. In case of acute diarrhea due to a single poisoning or allergy, the course of therapy reaches 3 days.

Contraindications

According to the instructions for use by adults, Smecta suspension in sachets contains a minimum number of contraindications.


There are also a number of nuances that you should know before use:

  • Smecta is prescribed with caution for chronic constipation.
  • The drug should not be used simultaneously with alcohol.
  • The interval between doses of the suspension should be at least 1-2 hours.

In the treatment of chronic gastrointestinal diseases, Smecta is prescribed only as part of complex therapy.

Side effects

In medical practice, the following side effects were observed when taking Smecta:


According to practical studies, such effects occur extremely rarely, mainly with independent and uncontrolled use of the drug.

Overdose of Smecta

If the drug is abused, the following undesirable consequences may occur:

  • the occurrence of fecal obstruction in the colon and rectum;
  • the appearance of such a gastric disorder as a bezoar (stomach stone);
  • dysfunction of the intestinal mucosa.

Therefore, before use, it is necessary to discuss in detail with your doctor the dosage and treatment regimen individually.

How much does Smecta cost?

Depending on the form of release, as well as the location of pharmacy chains and their marketing position, the price of the drug varies from 30 to 160 rubles.

Analogues

Smecta is part of the pharmacological group of sorbents and antidiarrheals, which are characterized by a large list of drugs with similar effects.

The most popular analogues of Smecta sorbents are:


The following drugs can be considered analogues of Smecta in terms of antidiarrheal effect:

  • Diosmectite. The name of the drug fully corresponds to the name of the active substance. It is a Russian analogue of Smecta and has similar sorbing pharmacological properties and a mechanism of action aimed at improving the condition of diarrhea and intoxication. The price of the drug is on average 100 rubles.
  • Activated carbon. An adsorbent that has an antidiarrheal effect. The drug is available in the form of black tablets. Indications for use are completely the same as Smecta, the only difference is in the number of contraindications, which include: ulcerative lesions of the gastrointestinal tract, internal bleeding, duodenal disorders. It is worth paying attention that the development of hypovitaminosis is possible. When using the drug, the feces turn black. The cost of activated carbon varies from 2 to 124 rubles.
  • Diara. The product is available in tablet form and has a pronounced antidiarrheal effect. Diara slows down intestinal motility and increases the time it takes for feces to pass through the colon. The action comes quickly. However, the drug cannot be used during pregnancy, children under 6 years of age, during lactation and in the presence of intestinal obstruction.

Smecta is an effective drug that helps eliminate the symptoms of gastrointestinal disorders. The product has simple instructions for use and a convenient release form in the form of bags with a ready-made suspension or granules for dissolution.

The variety of pleasant tastes of the drug makes it easier for both adults and children to take the drug. To avoid complications of the disease and adverse reactions, it is recommended to consult a doctor before taking Smecta.

Article format: Lozinsky Oleg

Video about Smecta

Description of the drug, action and instructions for use:

Smecta susp. internal 3g pack Caramel-cocoa No. 8

Compound
1 sachet contains dioctahedral smectite 3 g

Release form
Oral suspension with a characteristic caramel odor in a sachet of 10.27 g - 8 sachets in a cardboard pack

pharmachologic effect
Antidiarrheal drug, is an aluminosilicate of natural origin. Has an adsorbing effect.

Stabilizes the mucous barrier of the gastrointestinal tract, forms polyvalent bonds with mucus glycoproteins, increases the amount of mucus and improves its cytoprotective properties (with respect to the negative effects of hydrogen ions of hydrochloric acid, bile salts, microorganisms and their toxins).

It has selective sorption properties, which are explained by its discoid-crystalline structure; adsorbs bacteria and viruses located in the lumen of the gastrointestinal tract.

Smecta in therapeutic doses does not affect intestinal motility.

Diosmectite is radiolucent and does not stain stool.

Aluminum in the composition of diosmectite is not absorbed from the gastrointestinal tract, incl. for gastrointestinal diseases accompanied by symptoms of colitis and colonopathy.

Smecta is not absorbed. It is excreted from the body unchanged.

Indications for use
symptomatic treatment of acute and chronic diarrhea
symptomatic treatment of heartburn, bloating and abdominal discomfort and other symptoms of dyspepsia accompanying diseases of the gastrointestinal tract.
Smecta is approved for use in pregnant and lactating women. No dose adjustment is required.

Directions for use and doses
Acute diarrhea
Adults are recommended to use 3 sachets per day; if necessary, at the beginning of treatment the daily dose can be doubled

Children under 1 year of age - 2 sachets/day for 3 days, then 1 sachet/day;

children over 1 year old - 4 sachets/day for 3 days, then 2 sachets/day.

Other indications
Adults are prescribed 3 sachets/day.

Children under 1 year of age - 1 sachet/day

Children aged 1-2 years - 1-2 sachets/day;

Children over 2 years old - 2-3 sachets/day.

For esophagitis, Smecta should be taken orally after meals, for other indications - between meals.

Rules for taking the drug
The bag of suspension must be kneaded between your fingers before opening it. The contents of the sachet can be swallowed undiluted or mixed with a small amount of water (half a glass) before use. For infants and children, the contents of the sachet can be mixed in a bottle with a small amount of water (50 ml), or with semi-liquid food: broth, compote, puree, baby food.

Contraindications
intestinal obstruction
hypersensitivity to the components of the drug.
special instructions
Use with caution in patients with a history of severe chronic constipation.

For adults, therapy with Smecta in combination with rehydration measures is prescribed if necessary.

A set of rehydration measures is prescribed depending on the course of the disease, age and characteristics of the patient.

The interval between taking Smecta and other medications should be 1-2 hours.

In children with acute diarrhea, the drug should be used in conjunction with rehydration measures.

Storage conditions
The drug should be stored out of the reach of children at a temperature not exceeding 30°C.



Random articles

Up