Smekta contraindications. Is it possible to give smecta to children

Registration number: P N015155/01-020211
Trade name: SMEKTA®
International generic name or group name: smectite dioctahedral
Dosage form: powder for suspension for oral administration [orange, vanilla].

Compound.
The composition of the drug for 1 sachet.
Active substances: smectite dioctahedral 3 g
Excipients:
powder for oral suspension [orange]:
orange flavor 0.010 g; vanilla flavor 0.050 g; dextrose monohydrate 0.679 g; sodium saccharinate 0.021 g;
powder for oral suspension [vanilla]:
vanillin 0.004 g; dextrose monohydrate 0.749 g; sodium saccharinate 0.007.

Description
Powder from grayish-white to light grayish-yellow color with a smell from weak non-specific to weak vanilla.

Pharmacotherapeutic group: antidiarrhoeal

ATX code: A07BC05

pharmachologic effect

The drug is an aluminosilicate of natural origin, has an adsorbing effect. Stabilizes the mucus barrier gastrointestinal tract, forms polyvalent bonds with mucus glycoproteins, increases its amount, improves cytoprotective properties (in relation to negative action 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. In therapeutic doses, it does not affect intestinal motility. Diosmectite is radiolucent and does not stain the stool. Aluminum in the composition of smectite is not absorbed from the gastrointestinal tract, including in diseases of the gastrointestinal tract, accompanied by symptoms of colitis and colonopathy.
Pharmacokinetics. Not absorbed, excreted unchanged.

Indications for use

In children (including infants) and adults:
Acute and chronic diarrhea(allergic, medicinal genesis; violation of the diet and qualitative composition of food), diarrhea of ​​​​infectious genesis - as part of complex therapy. Symptomatic treatment of heartburn, bloating, abdominal discomfort and other symptoms of dyspepsia accompanying diseases of the gastrointestinal tract.

Contraindications

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

Use during pregnancy and during breastfeeding.

Smecta is approved for use in pregnant and lactating women. Correction of the dosage and mode of administration is not required.

Dosage and administration

Use in acute diarrhea.

Up to 1 year: 2 sachets per day for 3 days, then 1 sachet per day;
- Over 1 year: 4 sachets per day for 3 days, then 2 sachets per day.

Up to 1 year: 1 sachet per day;
- 1-2 years: 1-2 sachets per day;
- over 2 years: 2-3 sachets per day.

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

For children, the contents of the sachets are dissolved in a baby bottle (50 ml) and divided into several doses throughout the day or mixed with some semi-liquid product (porridge, puree, compote, baby food).

For adults, the contents of the sachets are dissolved in 1/2 cup of water, gradually pouring in the powder and stirring it evenly. The prescribed dose is divided into 3 doses during the day.

Side effect.

AT clinical research rare cases of constipation have been reported. In all cases, this phenomenon was mild and took place after an individual change in the dosing regimen.
In routine practice, in very rare cases, hypersensitivity reactions have been reported, incl. hives, rash, itching or Quincke's edema.

Interaction with other drugs

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

Warnings and Precautions.

It is recommended to observe an interval of 1-2 hours between taking Smecta and other medicines.
Use with caution in patients with severe chronic constipation in history.
In children with acute diarrhea the drug should be used in combination with rehydration measures. If necessary, adults can also be prescribed drug therapy in combination with rehydration measures.
A set of measures for dehydration is prescribed depending on the course of the disease, age and characteristics of the patient.

Impact on driving and operating mechanisms.

"Smekta" - excellent remedy used for food poisoning, bloating, vomiting and diarrhea. How quickly Smekta helps depends on the underlying cause of the disease. For example, with food poisoning, 2-3 doses of medicine will be required to alleviate the patient's condition, and it may take several days to completely stop diarrhea. What are the features of the use of the drug and its difference from similar drugs?

Compound

The main active ingredient of "Smecta" is a natural mineral extracted from shell rock - (Diosmectite). It belongs to the group of adsorbents of mineral origin.

The manufacturer is Beaufour Ipsen International. The substance is a grayish-white or grayish-yellow powder. For improvement palatability the manufacturer adds glucose, saccharin and vanillin to the composition of the product - and a drug is obtained with trade name"Smekta". What does the medicine help? It is mainly used for diarrhea of ​​various etiologies.

Release form

The powder is packaged in paper bags weighing 3 g. In a carton - 10 or 30 bags.

Before use, the contents of 1 sachet are diluted in half a glass of water, gradually pouring the powder into the water and stirring. It turns out an opaque suspension, which is drunk before or after meals, observing an interval of 1-2 hours. Also do not allow mixing "Smecta" with other drugs. Otherwise, there will be no effect from them - Smekta will absorb them. Store the drug at a temperature not exceeding + 25 ° C.

Mechanism of action

“Smecta” refers to drugs for symptomatic action. Its action is based on the ability of the smectite crystal lattice to selectively attract and fix viruses, bacteria, toxins, gases and others on its surface. harmful substances.

This process is called adsorption. In addition, "Smecta" improves the production of mucus and together with it forms a glycoprotein layer that protects the intestinal wall from irritating effects of chemical and physical factors, and viruses. This is the main advantage of the drug over other drugs with adsorption properties. In the complex therapy of enteritis, including infectious origin, "Smekta" is always assigned. What does the drug help with, besides inflammation of the intestines? Here is a list of indications for the use of "Smecta":

"Smecta" can be used for children of any age, pregnant and lactating women. Let's take a closer look at the usage of various symptoms digestive disorders.

loose stool

Does Smekta help with diarrhea? Of course, because this is the main purpose of the drug. Diarrhea stops due to the removal of harmful and irritating substances from the intestines, the creation of a high-quality protective mucous layer on its inner shell. In case of poisoning and irritable bowel syndrome, Smekta is one of the best adsorbents. If diarrhea is caused infectious causes, then, in addition to "Smecta", the doctor will prescribe antibacterial drugs. Recall that the interval between taking any medication and "Smecta" should be 1-2 hours, otherwise their effectiveness will be significantly reduced. Adults with diarrhea are prescribed 1 sachet three times a day until the stool normalizes. In this way, daily dose the drug is 9 g.

Does "Smekta" help with vomiting?

"Smecta" refers to antidiarrheal drugs, but can it be used for vomiting? It depends on the reason that caused it. As a rule, infectious diseases of the gastrointestinal tract and food poisoning are accompanied by vomiting. In these cases, it is recommended to take "Smecta" as an adsorbent that removes harmful substances from the stomach and intestines. The dose is the same as for diarrhea - 1 sachet per reception. If immediately after taking the medicine, the patient vomited again, then it is necessary to drink the drug again.

"Smekta" helps with vomiting only if the process was caused by low-quality food entering the stomach, or an infectious disease of the gastrointestinal tract. In all other cases, such as vomiting due to high temperature, head injury, nervous disorders, the intake of adsorbents is useless.

"Smecta" helps with nausea if it is caused by the accumulation of toxic products in the stomach or intestines associated with the development of a viral or bacterial infection in the intestines, ingestion of poor-quality food. By removing harmful substances, the adsorbent removes the cause of nausea.

Use in children

Not all drugs are suitable for small patients. One of the medicines allowed for children of any age is Smekta. How does she help kids? From problems such as:

  • liquid stool;
  • gases in the intestines;
  • rotavirus infections;
  • food poisoning;
  • heartburn;
  • dysbacteriosis.

Newborns can take "Smecta" already on the second or third day as prescribed by a pediatrician for jaundice.

Doses for babies differ from those recommended for adults. Up to a year, the daily dose is 3 g - 1 sachet. Up to two years - 6 g (2 sachets). Older than two years - as in adults, up to 9 g, i.e. up to 3 sachets per day. It is better to divide the daily dose into two or three doses. You can mix the drug not only with water, but also with baby formulas, purees, compotes. For small children, the contents of the sachet are diluted in 50 ml of liquid. If "Smecta" is given in puree or milk formula, then you need to divide the daily dose of the powder into three parts and dilute before use so that the food does not spoil. Give the child a teaspoonful of water for 1-2 hours, the next dose of medication can be given after 2 hours.

Advantages of "Smecta" over other adsorbents:

  • does not affect the motility of the gastrointestinal tract;
  • does not injure the intestinal wall with microparticles;
  • selective adsorption - does not remove vitamins and microelements from the body;
  • has a covering effect.

For children, Smekta is produced with an orange flavor.

Contraindications for use

You can not take the drug with caution. It is also prescribed with a tendency to chronic constipation, individually selecting the dose. Very rarely there are cases of individual intolerance to the components of the drug.

Side effects

Cases of an overdose of "Smecta" have not been recorded. Of the side effects are possible:

It is undesirable to use the drug "Smecta" for more than 7 days.

What helps and how effective is the remedy, according to consumers? Most of them agree that it is the most effective remedy for diarrhea and vomiting due to food poisoning in children and adults. Also, many mothers give Smecta to babies with colic, combining it with Espumizan. There are reviews that in some children this adsorbent may, due to its consistency, or constipation, which disappears when the drug is discontinued or the dose is reduced. As for the taste of the medicine, adults do not experience any problems. But children often refuse to take it because of the not very pleasant taste.

In general, Smecta is an affordable and high-quality drug for the symptomatic treatment of diarrhea and, in some cases, vomiting in children and adults. Subject to the instructions for use, the medication is harmless and has practically no contraindications and side effects.

Often modern man experiences "indigestion" conditions, which may be accompanied by a slight feeling of nausea or be associated with the consequences of food poisoning from poor-quality food. In such cases, Smecta comes to the rescue - a powder already familiar to many with its ability to put the state of the stomach in order. Learn about its instructions for use.

What is Smekta

The drug Smecta is a medicine from the category of sorbents. The tool has natural origin and has a pronounced protective action regarding the gastrointestinal tract. The drug has proven itself very well in the treatment of chronic and acute diarrhea, with other conditions of discomfort in the gastrointestinal tract.

Composition and form of release

The drug is a powder for the manufacture of suspensions (with orange or vanilla flavor) intended for oral use. The powder has a light yellow-gray or white-gray color, packed in 3.76 g in laminated paper bags, which are placed in cardboard packs. The smell is nonspecific, weak or vanilla. Powder composition:

Powder (orange)

smectite dioctahedral

Auxiliary components:

sodium saccharinate

dextrose monohydrate

orange flavor

vanilla flavor

Powder (vanilla)

smectite dioctahedral

sodium saccharinate, hydrochloric acid

dextrose monohydrate

Pharmacological properties

Instructions for use Smecta contains a section of pharmacodynamics and pharmacokinetics of the drug. This antidiarrheal medicine contains aluminosilicate, which has absorbent, coating and gastroprotective effects. The drug stabilizes the mucosal barrier digestive tract, forms polyvalent bonds with mucus glycoproteins.

The drug increases the volume and cytoprotective properties of mucus, does not bind vitamins, minerals, normal microflora and nutrients removing only pathogens. The suspension has a high fluidity, therefore it covers the entire surface of the mucous membrane thin layer. Due to this, the medication eliminates poisoning without a gag reflex.

The drug has selective sorption properties, which, due to its discoid-crystalline structure, absorb bacteria and viruses from the lumen of the stomach and intestines, hold them and bring them out with stool. Therapeutic doses do not affect intestinal motility. Diosmectite is radiolucent and does not stain the stool. The drug is excreted from the body unchanged.

Indications for use Smecta

The drug is used for therapeutic purposes as an enterosorbent. Indications for use are equivalent for all ages, including infants from 4 months. According to the instructions indications are:

  • peptic ulcer duodenum and stomach;
  • gastritis;
  • colitis;
  • infectious diarrhea;
  • flatulence;
  • relief of heartburn;
  • vomit;
  • diarrhea, diarrhoea;
  • the period of convalescence (recovery) after colonopathy;
  • poisoning.

Smekta with diarrhea

The drug has proven to be excellent tool with diarrhea and diarrhea of ​​​​drug and allergic origin, the costs of diet and food quality. The drug is prescribed for diarrhea characteristic of the difficulties of travelers, for disorders due to infectious infections(depending on complex therapy). When the diagnosis of "irritable bowel syndrome" is established, the remedy can bring significant relief to the patient due to the removal of gases and the absorption of excess irritating biomass.

When vomiting

The drug is acceptable and recommended for use in vomiting, when it is not a sign of severe pathology of the gastrointestinal tract. If Smecta is used for an adult, then gastroenterologists recommend performing a gastric lavage procedure, such manipulation will help free the body from most of the toxic substances. In childhood manifestations of vomiting, the drug is prescribed if the cause of the problem was food poisoning.

Smekta in case of poisoning

According to the instructions, Smecta is recommended if toxic toxic substances have entered the body through the stomach. Active substance the drug well expels toxins that have not been absorbed into the mucosa of the gastrointestinal tract. The drug helps to balance intestinal microflora creating an enabling environment for beneficial microorganisms. This substance reliably envelops the lining of the stomach, allowing epithelial cells to recover.

Application for animals

Poisoning, vomiting, stool disorder is the reason for the use of Smecta in veterinary practice. Studies have shown that in dogs, the recovery period after diarrhea is reduced by two to three days if a medication is used as part of complex therapy. The data was obtained with comparative analysis indicators from two groups of dogs and cats: treated with the drug and recovering without its help. The medicine is given with a syringe without a needle.

Method of application and dosage

For children, who can drink 100 ml of suspension, and adults, the powder is diluted boiled water(half a glass). Smecta dissolves immediately before use and is immediately given within 5-10 minutes. Dosage for an adult patient - up to 6 sachets per day. The duration of the medication is 3-7 days, determined by the course of recovery. At acute diarrhea the application lasts at least 3 days according to the instructions.

How to breed Smecta

Before use, the product must be brought to the state of a homogeneous substance.. For stabilization, a small amount of water or other liquid is poured into a container (bowl, glass, baby bottle). Next, the powder from the bag is slowly poured while stirring the resulting mixture. The suspension is ready for use after it reaches a homogeneous consistency without the presence of lumps and inclusions.

How to breed Smecta for a child

For infants, the daily amount of the product is diluted in 50 ml of semi-liquid or liquid baby food (milk, puree, milk mixture) and distributed over several doses. For older children, the powder is diluted in compote, milk, juice for baby food, fruit puree. For children under one year old, the dosage is 1 sachet per 100 ml. For babies from one to two years old, the daily dose is two sachets (200 ml), from two to twelve years old - three sachets (300 ml).

How long does it take for the drug to work

The drug begins to benefit after the first dose. In case of poisoning, the effect begins to be felt after 2-3 hours, with diarrhea after 6-12 hours, with esophagitis, relief occurs within half an hour. A confident effect develops as a result of a three-day therapy with a diet for a sparing gallbladder operation.

How to take Smecta

At symptomatic therapy esophagitis the drug is taken immediately after a meal. In all other cases Smecta is taken one hour before meals or two hours after. For infants, the drug is given simultaneously with drinking or food, or, if possible, between feedings. For older children, the daily dosage is divided into two or three doses. The prescribed six sachets per day are drunk several times during the day. You also need to take 2-3 doses.

special instructions

Smecta is used with caution in patients with severe chronic constipation, including their presence in history. Adults receiving drug therapy in comprehensive measure with rehydration, when an increased volume of secretion is detected. Taking the powder does not have a special effect on the concentration of attention and the speed of psychophysical reactions, therefore, during treatment, it is possible to control vehicles.

During pregnancy

Smecta for adults can be used during pregnancy and during breastfeeding by doctor's prescription. Dosage adjustment is not required. For acute diarrhea, in the first three days, take two sachets three times / day, then another 2-4 days, one sachet three times / day. According to the instructions for use, for other diseases and irritants, take one sachet three times / day for a course of 3-7 days.

drug interaction

Between taking Smecta and other medicines, at least 1-2 hours should pass. If childhood diarrhea is accompanied by electrolyte imbalance and dehydration, you need to combine the medication with Regidron, Citraglucosolan, Hydrovit, Trisol or Reosolan. Instructions for use do not recommend combining Smecta with aluminum or magnesium-based products.

Alcohol compatibility

The instruction indicates such a composition of Smecta, which is incompatible with alcohol. The drug has an absorbent property, which entails a decrease in the negative effects of ethanol. Better take this medicine with a hangover - it will remove toxins, eliminate pain in the esophagus. You can also use the remedy before a feast to reduce the effect of intoxication - take 2-3 sachets 10-15 minutes before drinking alcohol.

Side effects and overdose

Smecta for children and adults is given in accordance with the instructions for use. It is well tolerated, but sometimes side effects:

  • constipation, diarrhea, nausea, vomiting;
  • allergic reactions: urticaria, skin rash, itching, anaphylactic reactions, angioedema, angioedema;
  • dizziness, headaches;
  • flatulence of the intestine;
  • frequent emptying intestines;
  • digestive difficulties;
  • darkening of tooth enamel;
  • pain in the abdomen, a feeling of heaviness in the stomach.

According to the instructions, side effects pass quickly, do not need to cancel the drug or prescribe symptomatic therapy. An overdose of the drug is unlikely, because its main components are not absorbed into the systemic circulation, but are immediately excreted from the body. Possible signs Exceeding the dose are pronounced constipation, the formation of bezoars (foreign bodies in the stomach).

Smecta is a drug from the group of sorbents, which has a natural origin and has an additional protective (protective) property in relation to the organs of the digestive tract. Smekta is applied when pain syndrome accompanying diseases of the esophagus, stomach or duodenum, as well as intestinal colic. However, the most widespread use of Smekta as universal remedy with acute and chronic diarrhea any origin.

Forms of release and composition

Currently, Smecta is produced in the only dosage form- this is powder for suspension for oral administration with orange or vanilla flavor. The powder is colored grayish-white or grayish- yellow and packed in sealed bags of 3.76 g, which, in turn, are placed in carton boxes 10 or 30 pieces.

As active component the drug contains smectite dioctahedral in the amount of 3 g per sachet of powder. The following substances are included in the Smecta powder as auxiliary components:

  • Flavoring orange or vanilla;
  • Dextrose monohydrate;
  • sodium saccharin.
Flavorings are necessary to give the finished suspension a pleasant smell. The remaining auxiliary components improve the homogeneity of the suspension and contribute to a better manifestation of the therapeutic effects of Smecta.

What helps Smecta (therapeutic effects)

Smecta is a natural aluminosilicate, which has pronounced adsorbing, enveloping and gastroprotective properties.

The adsorbing effect means that the drug is able to bind various pathogenic bacteria (including staphylococci), viruses, fungi and toxic substances in the intestinal lumen, hold them on its surface and remove them from the body along with feces. Thanks to this main adsorbing effect, Smecta effectively cures poisoning (including food poisoning) and diarrhea caused by intestinal infections or other causes, and also reduces the effects of intoxication in chronic diseases of internal organs.

Due to selective sorption, Smecta binds, neutralizes and removes only toxic substances and pathogenic microorganisms. At the same time, the drug does not bind vitamins, minerals, nutrients and representatives of the normal intestinal microflora. That is, Smecta removes only pathogenic microbes and substances from the intestines, without affecting the beneficial and necessary for the body.

The enveloping and gastroprotective action of Smecta is ensured by the high fluidity of the suspension, due to which it is able to cover the entire surface of the mucous membrane with a thin layer. The enveloping and gastroprotective effect of the drug provides the following therapeutic effects:
1. Stabilizes the condition of the mucous membrane of the stomach and intestines, filling existing defects, as well as forming bonds with glycoproteins, which, in turn, improves the quality of mucus and its life expectancy. Thus, Smecta on the surface of the mucous membrane of the stomach and intestines forms a thin physical barrier that protects them from damage.
2. Neutralizes the negative impact on the mucous membrane of the stomach and intestines of hydrochloric acid, hydrogen ions, bile acids, microbes and toxins produced by them, thereby preventing exacerbations and accelerating the cure chronic diseases and reducing the severity of pain.

In therapeutic dosages, Smecta is not able to disrupt normal intestinal motility, and therefore does not provoke constipation or diarrhea.

When taken orally, Smecta is not absorbed (even when serious illnesses intestines) and is completely excreted from the body without staining the stool in any color.

Summing up the therapeutic effects of Smecta, we can say that it helps with the following conditions and diseases:

  • Diarrhea caused by any cause (food poisoning, intestinal infection, etc.);
  • Severe intoxication (for example, with infectious diseases after heavy drinking, poisoning various substances etc.);
  • Pain syndrome in diseases of the esophagus, stomach and intestines;
  • Intestinal colic.

Indications for use Smecta

Smecta is indicated for use in people of any age for the treatment of the following conditions:
  • Diarrhea of ​​allergic origin;
  • Diarrhea medicinal origin(diarrhea in response to medication, for example, antibiotic-associated diarrhea);
  • Diarrhea due to violation of the diet;
  • Diarrhea after eating low-quality or unusual food;
  • Diarrhea provoked by intestinal infections (rotavirus infection, cholera, etc.);
  • intestinal colic;
  • Relief of heartburn, flatulence, abdominal pain and other symptoms of indigestion in diseases of the esophagus, stomach and intestines (gastritis, ulcers, esophagitis, duodenitis, etc.).

Instructions for use

Dosage of Smecta

In acute diarrhea, Smecta should be taken in the following dosages, depending on age:
  • Children under one year old- Take 2 sachets per day for 3 days. Then for another 2-4 days, take 1 sachet per day.
  • Adolescents over 12 years of age and adults - take 6 sachets per day for 3 days. Then for another 2-4 days, take 3 sachets per day.
  • Children 2 - 12 years old - take 2 - 3 sachets per day;
  • Adolescents over 12 years old and adults - take 3 sachets per day.

How to take Smecta?

If the child is not an infant, then a general daily dosage Smekty divided into 2 - 3 doses. For example, if the doctor has prescribed to take 6 sachets per day, then it is optimal to drink the drug three times a day, two sachets. Accordingly, at a dosage of 2 or 3 sachets per day, the drug is recommended to take one sachet 2 or 3 times a day. If one sachet per day is prescribed, then it is taken at a time at any time of the day. At the same time, it is recommended that the required number of Smecta sachets be diluted each time in water immediately before taking, and not in advance. That is, when taking one sachet three times a day, each time the contents of one sachet should be diluted in half a glass of water immediately before use.

In case of acute diarrhea, in addition to taking Smecta, it is imperative to replenish the loss of fluid in the body, that is, to carry out rehydration therapy. This is especially important in infants under one year of age. Rehydration therapy consists in drinking a special solution (Regidron, Trisol, Disol, Hydrovit, Reosolan, Citraglucosolan, etc.), tea, compote, mineral water, fruit drink or any other liquid in the amount of 0.5 liters for each episode of loose stools. Drink the liquid should be in small sips, so as not to provoke vomiting.

People suffering from chronic constipation should take Smecta with caution, limiting the course of its use to the minimum effective interval. That is, it is necessary to stop taking the powder as soon as the symptoms pass, for which the use of Smecta was started. For example, if the symptoms disappeared after 2 days, then the drug should not be taken longer.

Smekta - before or after meals?

At symptomatic treatment esophagitis Smecta should be taken immediately after meals. In all other cases, the drug should be taken either one hour before or 2 hours after a meal. Newborn babies take Smecta with food or drink, or between feedings, if possible.

How to breed Smecta?

For adults or children who are able to drink 100 ml of suspension, it is necessary to dissolve the powder from one sachet in half a glass of warm boiled water. You should always dissolve the required amount of the drug immediately before each dose and drink the suspension for 5 to 10 minutes, and do not immediately prepare the daily dosage of Smecta, store it in the refrigerator and take it in portions.

For infants, the contents of the number of sachets required per day are dissolved or thoroughly mixed in 50 ml of any liquid or semi-liquid product, for example, milk, cereal, puree, compote, milk formula, etc. Then total the product with Smecta is distributed into several doses (optimally three, but more is possible) within one day. The next day, if necessary, prepare a new portion of a liquid or semi-liquid product with Smecta.

To obtain a homogeneous suspension, you must first pour the required amount of water or liquid product into the preparation container (glass, deep bowl, baby bottle, etc.). Then slowly pour the powder from the bag into it, constantly stirring the liquid. The suspension is considered ready for use when it acquires a homogeneous consistency without inclusions and lumps.

Influence on the ability to control mechanisms

Smecta does not affect the ability to control mechanisms, therefore the drug can be used without fear when performing any type of activity, including those associated with the need high speed reactions and concentration.

Overdose

An overdose of Smecta is not possible, since the drug is not absorbed into the systemic circulation. However, when taking a large dose of the drug, persistent constipation or bezoar (dense hard stone, formed from sticky particles of Smecta and feces).

Interaction with other drugs

Smecta reduces the absorption of any other medicines. Therefore, it is necessary to spread in time for 1 - 2 hours the intake of Smecta and other drugs. That is, medicines can be taken 1 to 2 hours before or 1 to 2 hours after Smecta.

Smecta for children and newborns (for babies)

General provisions

Smecta is approved for use in children from birth, so the drug can be safely given to babies of any age, including infants. The complete safety of the powder for babies is due to the fact that it is not absorbed into the bloodstream, does not affect the functioning of the organs and systems of the child, is not addictive, is completely excreted from the body with feces and does not damage the mucous membranes of the esophagus, stomach and intestines.

The drug binds and neutralizes various toxic substances and pathogenic bacteria in the intestine, including staphylococcus, which is common cause colic and loose stools in infants. In principle, Smecta works in the same way as activated charcoal, however, its action is much milder, since its particles do not scratch or damage the mucous membranes of the children's stomach and intestines.

In children, including newborns, Smecta is used to eliminate the following conditions:

  • Increased flatulence with flatulence and bloating;
  • intestinal colic;
  • Diarrhea of ​​any origin (including due to an intestinal infection, an allergic reaction, eating unusual or poor-quality food, etc.);
  • Food or drug poisoning;
  • Heartburn;
  • Vomit.
Since the above conditions develop quite often in children, Smekta is also prescribed and used in pediatric practice quite widely.

In addition, Smektu is prescribed to newborn children for 2-3 days with the appearance of postpartum physiological or pathological jaundice. The fact is that the cause of jaundice is bilirubin, which is formed from decaying embryonic hemoglobin, and which does not have time to be neutralized by the immature liver of a newborn. As a result, bilirubin does not have time to be removed from the body, penetrates into the tissues and stains the baby's skin yellow. To speed up the excretion of bilirubin and, accordingly, the convergence of jaundice in a newborn, it is recommended to give the baby 1 sachet of Smecta per day for 3 to 5 days.

Instructions for use Smecta for children

In acute diarrhea, Smecta should be given in the following dosages, depending on age:
  • Children under one year old - take 2 sachets per day for 3 days. Then for another 2-4 days, take 1 sachet per day;
  • Children 1 - 12 years old - take 4 sachets per day for 3 days. Then for another 2-4 days, take 2 sachets per day.
For any other conditions, Smecta should be taken in the following dosages depending on age:
  • Children under one year - take 1 sachet per day;
  • Children 1 - 2 years - take 1 - 2 sachets per day;
  • Children 2 - 12 years old - take 2 - 3 sachets per day.
The duration of the course of application of Smecta is 3 to 7 days. For acute diarrhea, be sure to take the powder for at least three days, even if the diarrhea stopped earlier. In other cases (with the exception of acute diarrhea), Smektu can be given to a child only until the symptoms disappear, that is, less than 3 days, but not longer than 7 days.

How to give Smecta?

How to give Smecta? Children over 3 years of age should be given Smektu between meals. You can do this either an hour before or 2 hours after eating. Children under 3 years of age can be given Smecta with food or drink, as it is quite difficult to get them to take the medicine in isolation.

Before taking, dissolve a sachet of Smecta in half a glass warm water if the child is able to drink this amount of suspension at a time. If the child is small and cannot drink half a glass of suspension at a time, then the daily amount of Smecta sachets (for example, 1, 2 or 3) should be diluted in 50 ml of milk, compote, milk formula or mixed into porridge, puree and other semi-liquid food. Then drink or food with Smecta should be given to the child at least three times a day in approximately equal portions, making sure that he eats everything during the day.

The daily dosage of Smecta for children must be divided into at least three doses per day. If necessary, it can be divided into 4 doses per day. For example, if a child is assigned to take 2 sachets of Smecta per day, then it is optimal to give him half a sachet of powder diluted in 100 ml of water 4 times a day.

If the child is already able to drink the entire volume of the finished suspension, then the required amount of powder should be diluted with water each time before taking. If the baby cannot drink the entire suspension at a time, then the total daily dosage of Smecta is diluted in liquid (milk, milk formula, water, compote, etc.) and given to the child 3-5 times a day. In this case, it is necessary to ensure that the baby drinks all the liquid with Smecta during the day. If it is difficult for a child to give the drug both in the form of a suspension for taking at a time, and as part of a liquid for gradual drinking during the day, then the powder can be mixed into semi-liquid food (for example, mashed potatoes, porridge, etc.). At the same time, the number of sachets to be taken at a time is mixed into the food, as if the powder were diluted in water.

Application during pregnancy

Smecta is approved for use throughout pregnancy and is taken according to the same indications as for children, non-pregnant women or men. Dosages of Smecta for pregnant women correspond to those for adults, that is, for acute diarrhea in the first three days, you should take 2 sachets 3 times a day, and then for another 2 to 4 days, reduce the dosage by half (that is, 1 sachet for 3 times a day). For all other indications, Smecta is taken 1 sachet 3 times a day for 3 to 7 days.

Smecta - use in various conditions

With diarrhea

Smekta with diarrhea is effective tool, since it is able to normalize loose stools of any origin. So, Smecta is effective for diarrhea of ​​​​any origin caused by intestinal infection, and with allergic reaction, and poisoning, and taking medications, and consuming low-quality food, etc. Therefore, the drug can be taken when diarrhea occurs, without wasting time trying to find out its causes.

With diarrhea, Smektu must be taken for at least three days, even if the stool has returned to normal earlier. Dosages of the drug are determined by age:

  • Children under one year old - Take 2 sachets per day for 3 days. Then for another 2-4 days, take 1 sachet per day.
  • Children 1 – 12 years old- take 4 sachets per day for 3 days. Then for another 2-4 days, take 2 sachets per day.
  • - take 6 sachets per day for 3 days. Then for another 2-4 days, take 3 sachets per day.

When vomiting

Smecta during vomiting can be effective, because it is able to absorb (bind) various toxic substances that cause given state. Therefore, when vomiting occurs, you can take 0.5 - 1 sachet of Smecta, diluting it in half a glass of warm water, and then observe your own condition. If within 10 - 30 minutes the person's well-being improved, and vomiting did not recur, then the treatment can be considered successful and continue it for 2 - 3 days in the following dosages, depending on age:
  • Children under one year old - 1 sachet per day;
  • Children 1 – 2 years old- 1 - 2 sachets per day;
  • Children 2 – 12 years old- 1 sachet 2-3 times a day;
  • Teenagers over 12 and adults - 1 sachet 3 times a day.
If, after 30-45 minutes after taking Smecta, the person's condition has not improved, or vomiting with blood has appeared, then therapy should be stopped and an urgent visit to a doctor should be made.

In case of poisoning

Smecta in case of poisoning is effective drug, since it is able to absorb numerous toxic substances in the lumen of the stomach and intestines, causing clinical manifestations poisoning. As a result of sorption in the intestine, toxins are no longer absorbed into the bloodstream, and the symptoms of intoxication are reduced. In case of poisoning with any substance, Smecta should be taken according to the rules for the treatment of diarrhea.

Side effects and contraindications for use

Smecta in people of any age and gender can provoke the following side effects:
  • Constipation;
  • Bloating of the intestines;
  • Vomit;
  • Allergic reactions (urticaria, rash, skin itching, Quincke's edema).
Constipation and bloating usually disappear quickly on their own after discontinuation of the use of Smecta or after reducing the dosage.

Application of Smecta powder contraindicated if a person has the following diseases or states:

  • fructose intolerance;
  • Glucose-galactose malabsorption syndrome;
  • Insufficiency of sucrase-isomaltase;
  • Individual hypersensitivity to the components of the drug.

Smecta - analogues

There are synonyms and analogues of Smecta on the pharmaceutical market. Synonyms include drugs that, like Smecta, contain as active substance smectite is dioctahedral. And analogues include drugs that are also intestinal sorbents and have the most similar therapeutic activity with Smecta, but containing another active substance.
  • Enterodez powder for solution preparation;
  • Enterosgel gel for suspension preparation and oral paste;
  • Enterosorb powder for solution preparation;
  • Enterumin powder for suspension.
  • Smekta: manufacturer, composition, pharmacological action, indications, method of administration and doses, side effects and contraindications, analogues - video

    Smecta is available as a powder or suspension. In addition to the main substance, the composition of smecta includes flavors and special sweeteners. That is why it will not be difficult to give a child a drink with smecta.

    The main component is dioctahedral smectite, which is of natural origin. This gives an additional plus to smecta when choosing an antidiarrheal medicine for a child. Diosmectite is able to react with mucus on the walls of the stomach and intestines, which leads to more strong defense organism. Another undoubted advantage of smecta is the impossibility of penetration of the main component into blood vessels, and the baby's body does not experience systemic effects of the drug.

    As a result, to the question “Is it possible to give smect to children?” it is easy to give an affirmative answer. But it is important to consider possible contraindications. If at least one of them is present in a child, then the advisability of taking the drug is in question. That is why children can take smecta only as directed by a doctor.

    When is smecta appointed

    It's just not worth giving a child a smect. First, the baby should be examined by a specialist and identify the root cause negative state. The appearance of vomiting in a child does not always indicate the presence of an illness. Sometimes this condition can talk about:

    • Full stomach in a child.
    • hit foreign body into the baby's esophagus.
    • Reflex vomiting for sharp and unpleasant odors.
    • Swallowing air while breastfeeding.

    In such cases, the meaning of taking smecta is completely lost.

    Also, smecta is not assigned to a child in the following cases:

    • Diseases of the thyroid gland.
    • diabetes mellitus.
    • Concussion.
    • Increased intracranial pressure.
    • Head injury.
    • Appendicitis.

    The drug is prescribed in the following cases:

    • Vomiting due to intestinal infection.
    • The presence of heartburn during vomiting.
    • Food poisoning.
    • Availability increased gas formation which leads to flatulence and diarrhea.

    What are the contraindications for smecta

    If the indications for taking smecta are suitable, then you need to pay attention to whether the following contraindications The child has:

    • Intestinal obstruction.
    • Allergic reaction (hypersensitivity) to one of the components of the drug.
    • Deficiency of isomaltase and phosphofructaldolase.

    If there are no contraindications, then smect can be given even month old baby provided that it was prescribed by a doctor.

    How to take smecta for children

    The instructions for the smectite indicate that it should be taken after meals. The duration of use is from 3 days to a week, depending on the degree of the disease.

    Frequency of reception different categories different:

    From birth to 1 year, smect can take no more than 1 packet per day.

    1-2 years - no more than 2 packages per day.

    From 3 years - 2-3 packs per day.

    From 6 years old - 3-4 sachets.

    Senior childhood in acute cases, the number of doses can be increased to 6 sachets. But in more smect should not be used.

    The powder from the sachet can be dissolved in 100 ml of water, breast milk, compote, juice or puree.

    There are the following analogues of smecta:

    • Neomectin.
    • Diosmectin.

    Do not self-medicate. Especially for a child. Is it possible to give smecta to a child with vomiting, only a doctor can accurately answer.