'Simethicone,' is an
anti-foaming agent used to reduce
bloating, discomfort and pain caused by excess gas in the stomach or intestinal tract. It is a mixture of
polydimethylsiloxane and
silica gel.
Chemical action
Simethicone is an anti-foaming agent that reduces the
surface tension of gas
bubbles, causing them to combine into larger bubbles in the
stomach that can be passed more easily by
burping. Simethicone does not reduce the quantity of gas in the
digestive tract, it only increases the rate at which it exits the body, and is ineffective in the
intestine.
[1] Simethicone is not absorbed by the body into the bloodstream, and is therefore considered relatively safe, with sources reporting the worst side effects as bloating, constipation, diarrhea, gas and heartburn. Simethicone solutions of differing concentration also have industrial applications for reducing foaming in certain chemical processes.
Dosage
Simethicone comes in many different oral forms, which have differing usual
dosages. Though there are standard dosages for adults and teens, dosages for children should be determined by a doctor.
★ Capsules or tablets:
:: Adults and teenagers: 60 to 125 milligrams (mg) four times a day, after meals and at bedtime. No more than 500 mg should be taken in twenty-four hours.
★ Chewable tablets:
::Adults and teenagers: 40 to 125 mg four times a day, after meals and at bedtime or the dose may be 150 mg three times a day, after meals. No more than 500 mg should be taken in twenty-four hours.
★ Suspension:
::Adults and teenagers: 40 to 95 mg four times a day, after meals and at bedtime. No more than 500 mg should be taken in twenty-four hours.
★ Dissolving membrane:
::A thin dissolving membrane dose that is placed on the tongue and dissolves with
saliva
Availability
'Simethicone' is generally available over the counter under many trade names in varying dosage sizes, including:
★ Air-X (Thailand)
★ Baby's Own Infant Drops
★ Espumisan
★ Flatulex
★ Gas Relief
★ Gas-X
★ GasAid
★ Genasyme
★ Imodium Advanced
★ lnfacol
★ lnfacon
★ Lefax (Germany)
★
Maalox Anti-Gas
★ Maalox Max
★ Minifom (Norway, Sweden)
★ My Baby Gas Relief Drops
★
Mylanta Gas
★ Mylanta Gas Relief
★ Mylicon Drops
★ Ovol
★ Phazyme
★ Triaerom (Peru)
★ WindEze (UK)
Other uses
While not indicated on the label, it has been reported that Simethicone is sometimes used by patients before a
gastroscopy or a
radiography of the bowel. Simethicone is also used in some
detergents when foaming is unwanted.
Despite being useful in the treatment of gas, simethicone does not appear to be useful in the treatment of infant
colic.
[2]
References
1.
2. University of Michigan clinical trial for simethicone used for colic
★
Jackson Gastroenterology - Patient Education - Simethicone
★
Medline Plus - Simethicone