Pharmacodynamics and pharmacokinetics
Pharmacodynamics
The mechanism of action of simethicone is based on reducing the surface tension of gas bubbles formed in the intestines, which leads to their rupture. Simethicone acts on the surface of gas bubbles without affecting the mucous membrane and is not absorbed, therefore it is harmless to the child’s body. The released gas is removed from the intestines naturally, while digestion is normalized and nutrients are better absorbed.
The drug does not affect gastric secretion. There is no habituation to it. In terms of pharmacological treatment, colic is considered one of the most effective carminatives. Prescribed during the onset of pain (pain disappears within 10 minutes) or for the purpose of prevention with each feeding.
Pharmacokinetics
After oral administration, it is not absorbed from the intestine and is excreted unchanged.
conclusions
If the drug does not help the child, you should contact your pediatrician.
Many parents experience colic in their newborns. Even if the baby is breastfed, he may be tormented by gases. Espumisan will help cope with the problem. This drug is allowed to be taken from infancy; it is not absorbed into the blood, thereby not harming internal organs. The article presented a regimen for taking the drug. Remember, if the remedy does not work, consult a doctor; there is no point in increasing the dosage, this will lead to poisoning.
Instructions for use of Espumisan Baby drops
Children's Espumisan is a drug in drops in bottles with a dropper, with which you can accurately dose the drops by holding the bottle vertically with the pipette down. Remember that the bottle is shaken before use.
Instructions for Espumisan for newborns
How many drops to give to a newborn? Give 5-10 drops during each feeding or after, but no more than 5 times a day.
How to take Espumisan for newborns? The drug is given from a spoon; if that doesn’t work, you can add it to a bottle of water or formula. To avoid negative consequences, you cannot prescribe the drug to your child on your own, but only on the recommendation of a pediatrician. It can exclude a pathology such as intestinal obstruction, in which the drug is contraindicated. This medicine is effective for increased gas formation that occurs during the period of adaptation of the digestive system, which is still imperfect in infants. Since not enough enzymes are produced, gas formation is inevitable.
Instructions for use for older children: the drug is given to children from 1 to 6 years old, 10 drops up to 5 times a day, over 6 years old - 20 drops up to 5 times. If you do not find Espumisan Baby in the pharmacy, you can use Espumisan 40 or Espumisan L, however, the dose will be higher, since these drugs contain 8 mg and 40 mg of simethicone in 1 ml, respectively, and not 100 mg. Newborns and children up to one year old are given 1 measuring spoon (or 25 drops) during each feeding, children from 6 years old 2 measuring spoons (or 50 drops) up to 5 times a day. Any drug can be taken long-term.
Peculiarities
Like other medications, the product has special instructions. You need to wait more than three hours between uses. Espumisan drops for newborns are contraindicated in hot juices, compote or tea. When heated, the ingredient loses its healing properties. The solution temperature should be no more than 37°C.
Parents ask how to take Espumisan Baby for a newborn. If the child is given sorbents at the same time, then the suspension is treated 1 hour before taking the drops or 60 minutes after completion. Before using the medication, parents should read the instructions carefully.
The tool has the following features:
- the drops do not contain sugar, so they are approved for use by patients with type 1 and type 2 diabetes;
- the ingredient does not impair concentration and does not cause inhibition of the autonomic system;
- the mixture combines well with other remedies;
- taking the medicine does not provoke addiction; the pediatrician will answer the question of how long Espumisan can be given to a newborn, based on the symptoms.
If during the period of therapy a young patient experiences a deterioration in health, it is necessary to immediately stop taking the medication and visit a pediatrician.
Analogs
Level 4 ATC code matches:
Disflatil
Mint tablets
Kuplaton
Espumisan
Espumisan L
Espumisan 40
Bobotik
Dill water
Pepsan-R
Sub Simplex
Infacol
Plantex
Bebinos
Dicetel
Meteospasmil
Romazulan
An analogue for children based on simethicone is Bobotik , Sab Simlex , containing essential oils - Baby Calm and Happy Baby , granules from plant raw materials Plantex .
Bobotik is approved for children from 28 days of age, contains raspberry flavor and citric acid, and does not contain milk sugar.
Simplex suspension is used from birth. The suspension is not viscous, separates and requires careful shaking. Should be used with caution in children prone to allergic reactions. Espumisan for children is also used from birth, but the emulsion is more viscous in consistency compared to the suspension.
What is better Plantex or Espumisan for newborns?
These are drugs with different active ingredients. Plantex are granules for making tea, containing fennel fruit extract. It has a carminative effect (prevents the formation of gases), improves digestion, eliminates spasms. It can be given to newborns from 2 weeks of age as a drink. Diluted tea does not change its properties during the day. The drug contains lactose, so tea should not be given to children with lactase deficiency. Pediatricians note that children are often allergic to the drug. Parents also report this in their reviews.
What is better than Espumisan for children? First of all, it is physiologically inert, not absorbed, and does not contain lactose. It can be used for a long time without fear of addiction and the appearance of any side effects.
Contraindications and adverse reactions
A rash may appear in an infant as a side reaction to the drug.
Espumisan is a practically safe drug . But you still need to know about its contraindications:
- Intestinal obstruction. In this case, it simply will not work;
- Individual intolerance to the drug;
- The presence of allergic reactions to the components included in the product.
You also need to be aware of the adverse reactions that may occur:
- Rash all over the body . It is necessary to take an antihistamine immediately;
- Itching;
- Dysbacteriosis . Happens extremely rarely. You need to start a course of taking prebiotics;
- Constipation . Quite a common occurrence. If a child, after taking Espumisan, cannot go to the toilet at all, then its use should be discontinued.
Reviews
Infantile colic begins to bother the child at 2–3 weeks of life and continues until 3–6 months. To eliminate them, there is children's Espumisan. Questions often arise: can it be given to a newborn and how to give it to an infant? Let's look at these questions. A child under 28 days of age is considered a newborn. Espumisan L and Espumisan 40 are approved for use in children from birth. They do not contain lactose. For ease of dosing, they have a measuring spoon or pipette. These drugs can be given to a newborn without fear, and the dosage is the same as for infants (from 1 month to a year). For newborns and infants, the drug is prescribed 1 scoop or 25 drops. Give directly from a spoon, mixed with a small amount of milk, added to milk mixture or water.
How often can Espumisan be given to newborns? The drug is given after each feeding. How many times can you give to an infant? In the same way - after each feeding, up to 5 times a day. This drug intake is preventive. Can only be given during colic. Some pediatricians believe that these drugs are best given during colic, and not for the purpose of preventing it. It has been reliably proven that this drug does not cause side effects and long-term use is possible without harm.
Reviews about Espumisan for newborns are varied. There are reviews that parents tried all the drugs, and only Espumisan helped. Some people are helped by this drug, others by Plantex, and some by dill water, massage, a warm heating pad on the tummy and removal of gases using a gas tube. Sometimes children refuse to drink Espumisan (they spit out the medicine), but Baby Calm and Sub Simplex are taken with pleasure. You need to choose the drug that brings relief to your child. You can try everything together. For example, any drug based on simethicone and Baby Calm. Consult your pediatrician about taking bifidumbacterin . In addition, a nursing woman needs to exclude from her diet foods that cause gas (kvass, legumes, cabbage in any form, apples, grapes, sweets, baked goods) and take a decoction of chamomile with dill and fennel seeds.
Dosage: how many times and how often can the drug be given to infants?
Babies are supposed to dilute the mixture no more than five times a day. Women are interested in how many drops of Espumisan to give to a newborn. The doctor prescribes up to 10 if the patient is under 1 year of age. The last use of the product is at night. The baby will fall asleep without problems and sleep well.
One of the main rules is to observe the interval. Between each use of the suspension you need to pause for at least 3 hours. If an ultrasound or x-ray is required, pediatricians recommend giving the infant Espumisan Baby during the day.
The dosage of Espumisan for newborns remains the same. Only the number of applications is reduced - up to 3 times. The last time was in the morning before the examination.
If a baby is poisoned by detergents, the dosage will be 20 drops. The maximum volume to be taken for therapy of a newborn is 23-25 drops.
Analogues: what can be replaced?
At network points there are similar compositions. The same pharmacological classification includes:
- Baby cadm;
- Bobotik;
- Plantex;
- SubSimplex.
It’s worth finding out which is more effective, Bobotik or Espumisan for newborns.
Bobotik
An analogue of Espumisan for newborns was produced by a Polish pharmaceutical company. The main difference between the medications is reflected in the fact that Bobotik is prohibited from treating an infant who is under 28 days old. Also, the 2 medications differ in the list of auxiliary ingredients and shelf life. Bobotik must be kept in the first aid kit at a temperature of 15 to 25°C. For 30 ml the buyer will pay 250 rubles. Prices are for 2021.
Plantex
Plantex contains completely harmless ingredients:
- fennel ether;
- dry fennel extract;
- acacia gum;
- dextrose;
- lactose.
The drug relieves increased gas formation and accompanying symptoms. It helps to improve the process of bowel movement and relieves the baby from pain. A contraindication to use was found - the presence of galactosemia, glucose absorption and individual perception of the components.
Two drugs provide good relief from increased gas levels and abdominal pain. They belong to different pharmacological groups and include different active ingredients. Plantex contains many natural ingredients, fruits and extracts of fennel. It is described as relieving spasms. Espumisan is a carminative drug.
Despite the fact that two medications are prescribed for the same diseases, their action and indications are slightly different. Plantex is prescribed for colic, constipation and flatulence, and the second drug is aimed at reducing the increased concentration of gases. If an infant is allergic to Espumisan, it is recommended to replace it with Plantex.
You can give Plantex and Espumisan to your baby at the same time. But the main thing is to follow the recommended dosage.
IMPORTANT: When deciding whether to give preference to Plantex or Espumisan, you need to remember that the first medication is made using plant extracts and extracts, and the active substance of Espumisan is a synthetic compound.
Sub simplex
The medicine comes from the USA. The drug is based on simethicone, which bursts blisters accumulated in the intestines. Prescribing a mixture is relevant for flatulence, colic, and intoxication with household chemicals.
Doses of Espumisan are selected based on the age category. The cost at pharmacy outlets for 30 ml of suspension is about 280 rubles.
Dill water
Some mothers and fathers are perplexed what to do if Espumisan does not help the newborn, what to replace it with. Doctors advise taking a closer look at dill liquid. It has useful qualities, namely:
- removes decay and putrefaction products from the body, often leading to colic;
- makes blood vessels wider, improves blood circulation;
- increases appetite.
Dill liquid is recommended for use by nursing women. Medicinal elements are absorbed into milk, which makes it useful and irreplaceable. Water can reduce inflammation through its antimicrobial effects.
Experienced mothers share a secret. They use compresses - a warm diaper is soaked in dill water. Apply to the baby's stomach and hold for several minutes.
IMPORTANT: In addition to its effect on the stomach, water has a beneficial effect on the child’s nervous system, improves the quality and duration of sleep.
You can determine that a baby has colic by the following signs:
- strong and prolonged crying after eating food, lasting 1 or more hours;
- the baby pulls his legs towards his stomach;
- the face turns red, the baby groans;
- the tummy is inflated.
Cheap analogues of Espumisan baby for newborns:
- Kolikod helps eliminate flatulence, is prescribed before checking the abdominal cavity;
- Pepphysis consists of digestive enzymes that improve the functioning of the gastrointestinal tract;
- Dinolak is a combination product that has a laxative effect.
You can combine the drug and bifidumbacterin. It will populate the intestines with beneficial organisms.
IMPORTANT: the use of cheap analogues does not always give the desired effect; before use, you must consult a doctor.
