14 best bowel medications

Review of the best according to the editorial board. On the selection criteria. This material is subjective and does not constitute advertising and does not serve as a purchase guide. Before buying, you need to consult with a specialist.

It would seem that there are many drugs to improve bowel function. But sometimes there is a situation when the necessary funds are not at hand. What do you need to have in a home medicine cabinet to contain medicines to improve bowel function? The answer to this question is far from simple. After all, non-prescription drugs that are sold in the public domain are not prescribed by a doctor, but are used independently. This means that, first of all, they should not harm. Therefore, the rating of drugs for improving bowel function did not include drugs from the group of antibiotics, since they are sold in the Russian Federation by prescription, and pain relievers were not included.

Stomach pain is a fairly common symptom, but the doctor's first commandment is never to give pain relievers. A surgical condition such as acute appendicitis should be suspected first. And if you reduce the severity of pain, this can lead to the progression of surgical pathology and the development of severe complications against the background of the absence of pain, for example, purulent peritonitis.

The minimum list of drugs that improve bowel function includes sorbents that can be used for various intoxications, poisoning, and diarrhea. These are eubiotics, or bacterial drugs that normalize the intestines. Eubiotics are the most useful and safest group. They can be used by both adults and children: both healthy and suffering not only from intestinal diseases, but also against the background of reduced immunity, with frequent colds and other pathologies.

The rating also includes several drugs that mildly combat chronic constipation and improve peristalsis. The fact is that in the 21st century, among all dynamic bowel disorders, most often there is not spastic, but atonic constipation associated with malnutrition, weight gain, and a sedentary lifestyle. Therefore, regular use of these drugs in the event that the stool is delayed for 3 days or more will be beneficial.

Finally, the last group of drugs that improve bowel function included myotropic antispasmodics and drugs to combat bloating. In the event that the pain and discomfort in the abdomen is caused by muscle spasm, then these drugs will help reduce the unpleasant symptoms, and they are not pain relievers. Antispasmodics can be taken even if there is a suspicion of acute appendicitis, cholecystitis, or pancreatitis.

Finally, anti-bloating drugs are used in both adults and children. All other drugs are prescribed only in accordance with strict indications, and of course there are many more of them. But this minimum list of over-the-counter medicines should really be in every medicine cabinet. And in urgent situations associated with food toxicoinfection, gastroenteritis, irritable bowel syndrome, in the presence of habitual constipation – they can significantly alleviate the course of the disease.

This rating of drugs for improving bowel function includes drugs that are freely available in pharmacies of all forms of ownership in the Russian Federation. Prices for medicines are average and are valid as of early April 2019.

Rating of the best drugs for the intestines

Nomination	a place	Name of product	price
Best Eubiotics for the intestines	1	Bifidumbacterin – monocomponent	89 RUB
	2	Bifiform – Multicomponent	442 r
	3	Enterol	324 r
	4	Linex	531 RUB
	5	Maxilak	448 r
The best sorbents for the intestine	1	Polysorb MP	RUB 471
	2	Enterosgel	416 RUB
	3	Lactofiltrum	378 r
Best Laxatives	1	Duphalac (Goodluck, Normase, Lactusan)	RUB 539
	2	Mukofalk	RUB 620
	3	Senade	507 r
The best antispasmodics and antifoams for the intestine	1	NO-Shpa	RUB 56
	2	Iberogast	349 r
	3	Espumisan	RUB 318

The best eubiotics for the intestines

Legendary eubiotics open the rating of popular drugs to improve bowel function. If you search for 'the best bowel preparations', then almost without exception, sites will give you only drugs from this group. Why is this so? Because eubiotics contains those germs of microbial cells that make up the normal microflora of our intestines, take part in the production of certain vitamins, activate immunity, protect the intestinal mucosa from the multiplication of pathogenic bacteria – in a word, they protect the intestines and are useful cohabitants of the human body.

You cannot be a healthy person who does not have intestinal microflora, and it is settled in the human intestine, starting from the first days of his life. In this rating, eubiotics of several classes will be presented: monocomponent, multicomponent, containing several types of various microorganisms. When taking all exceptions, without exception, eubiotics, it should be remembered that these are live microorganisms, even if they are protected by a capsule or tablet. Therefore, it is strictly forbidden to drink them with hot drinks, as well as alcohol.

Bifidumbacterin – monocomponent

Rating: 4.9

Bifidumbacterin contains only one kind of beneficial microorganisms: bifidobacteria. The drug is produced in capsules, and one capsule contains 5 conventional doses. These beneficial microbes, once in the intestines, begin to fight against harmful microorganisms that constantly attack us. Bifidobacteria fight against staphylococcal infection, pathogenic E. coli, dysentery shigella, pathogenic yeast. The fact that we very rarely get sick with acute intestinal infections is the merit of our normal microflora. And only if tens and hundreds of millions of pathogenic microorganisms enter our body, then this line of defense will be broken.

Shown bifidumbacterin for the treatment of various diseases of the gastrointestinal tract and for their prevention, after treatment with antibiotics, for the correction of reduced immunity. Take Bifidumbacterin half an hour before meals, or with meals – 5-10 capsules 1 to 3 times a day for adults. Bifidumbacterin is produced by the domestic pharmaceutical company Ecopolis, and 30 capsules will cost about 270 rubles.

Advantages and disadvantages

Eubiotics generally have few shortcomings. As for Bifidumbacterin, only the presence of one active component can be considered its disadvantage, therefore it is not so balanced, and in the presence of chronic infections of the gastrointestinal tract, it is difficult for bifidobacteria alone to occupy and hold positions on the 'intestinal bridgehead'. In rare cases, allergic reactions may occur, the drug is contraindicated only with increased sensitivity to it. Also, tablets and capsules are not given to children under 3 years old, but in this case, the contents of the capsules can be poured into the warm mixture to the baby. However, only a pediatrician should prescribe the drug to children, taking into account their body weight.

Bifiform – Multicomponent

Rating: 4.8

Unlike Bifidumbacterin, Bifiform, in addition to bifidobacteria, contains the second representative of normal intestinal microflora – fecal enterococcus. In addition to enteric capsules, the product is available in the form of chewable tablets and orange-flavored powder. Powder with tablets, in addition to microbes, contains vitamins B1 and B6, which help microorganisms to gain a foothold in the intestines. The drug is shown, as in the previous case, after taking antibiotics for a wide variety of purposes, after acute intestinal infections, with chronic diseases of the gastrointestinal tract, and to improve immunity. The standard dosage regimen: adults 2 – 3 capsules daily, 3 times a day. In the case of an acute intestinal disorder, Bifiform should be used for two or three days. Bifiform is produced by the Italian division of the international company Pfizer, and a package of 30 enteric capsules will cost about 470 rubles.

Advantages and disadvantages

Bifiform is a more perfect drug due to its dual composition. This makes it easier for the two-component eubiotic to colonize the intestines. The drug has no side effects if the recommended doses are not exceeded. If the patient is taking chewable tablets or powder, then this remedy is an additional source of B vitamins. The price category of Bifiform is average, and in general, this drug can be considered an excellent way to normalize digestion and bowel function.

Enterol

Rating: 4.8

Enterol contains a special type of yeast or saccharomycetes. Enterol is used in the presence of dysbiosis, chronic colitis with a recurrent course, which is caused by clostridia – the so-called pseudomembranous colitis. It is prescribed for chronic diarrhea caused by prolonged use of antibiotics, with irritable bowel syndrome. The tool can be used to prevent diarrhea, especially in the case of a sharp change in the usual diet. Enterol is shown for adults one capsule once or twice a day for a week. Enterol is produced by the pharmaceutical company Biocodex, France, and a package of 30 capsules costs 540 rubles.

Advantages and disadvantages

Enterol has no particular drawbacks, and its advantage is a rare opportunity to treat pseudomembranous colitis. Not all representatives of normal microflora can boast of this. Therefore, Enterol is still considered a therapeutic rather than a prophylactic drug. If it is necessary to improve immunity, then you can take either Bifidumbacterin or Bifiform, and Enterol is designed to come to the rescue in case of severe and severe disorders.

Linex

Rating: 4.7

Linex belongs to modern eubiotics, and each capsule contains, in addition to bifidobacteria and enterococci, already known to us from the preparations Bifidumbacterin and Bifiform, also lactobacilli. Thus, Linex is landing a 'triple trooper' to restore the disturbed flora of the intestinal mucosa. One capsule contains at least 12 million live microorganisms, each of which can be the ancestor of an entire colony.

As a result of taking Linex and the beginning of the vital activity of these microorganisms, acidification of the intestinal environment occurs, and this is very disliked by the pathogenic microflora. Taking Linex improves the course of chronic liver and biliary tract diseases, reduces the unpleasant symptoms of chronic colitis and enteritis, and eliminates dysbiosis. Linex is prescribed for adults and children over 12 years old in a daily dosage of 6 capsules, 2 capsules 3 times a day. Linex is produced by Lek from Slovenia, and a package of 32 capsules costs, on average, 560 rubles.

Advantages and disadvantages

The big plus of Linex is the triple microbial composition, which is resistant to many harmful factors that are found by beneficial microbes during intestinal colonization. The only drawback would be the presence of lactose in the capsules. This is a substrate for the primary vital functions of lactobacilli, and therefore, if a person is diagnosed with lactase deficiency, then this eubiotic will be contraindicated for him. You will need to look for another lactose-free product. In general, Linex is very well tolerated, and apart from intolerance to dairy products or hypersensitivity, there are no contraindications to taking it. It can even be used by pregnant and lactating mothers, as well as children from the neonatal period.

Maxilak

Rating: 4.7

Maxilac is also a modern eubiotic, which contains a lot of colony-forming units (CFU) in one capsule, almost as many as there are people living on our planet – several billion. In addition, for the purpose of primary nutrition of young microbial colonies, the capsule contains fructose in the form of small oligopolymer chains.

In Maksilak there are three types of bifidobacteria, four types of lactobacilli, and additionally – two more types of lactic acid microorganisms that are very important for intestinal health, in total – 9 representatives of normal microflora. The capsule with prebiotic microorganisms is very well protected from the harmful effects of gastric juice, pancreatic enzymes, as well as from the effects of bile acids. The capsule dissolves directly in the intestines, which contributes to the high efficiency of this drug.

Maxilac is shown as a biologically active food supplement, as a remedy after taking antibiotics, as a drug to increase general immunity with a tendency to frequent infections, including ENT organs, ARVI, and with functional intestinal disorders. Maxilac is taken in adults – one capsule per day with meals. The course of treatment is 1 month. The product is produced in Poland. A package of 10 capsules costs 440 rubles. Thus, a monthly course of the drug will cost 1,300 rubles.

Advantages and disadvantages

Maxilak has only one drawback: perhaps the price will seem high enough to someone. However, it is extremely convenient to take: one capsule once a day, and this with meals. Thus, patient adherence to treatment will be the best. Compare with other medications that you need to take three to four capsules after meals with an additional glass of water. None of this is required here. And one more thing: for a price of 1,300 rubles, the patient receives not one, not two, and not even three types of normal bacteria of the intestinal microflora, but three times more, as many as 9 species.

The best sorbents for the intestines

Everyone knows that sorbents are first aid for poisoning, for acute intestinal infections, of course, if the patient does not have repeated uncontrollable vomiting. Sorbents have a huge active surface, which is many times larger than the volume of particles of the sorbing material. The ratio of area to volume determines the activity of the material, and the amount of absorbed substance relative to its own weight.

When taking sorbents, it must be remembered that they absorb literally everything. Therefore, if you take them with meals, there will be no result. If they are taken in an hour along with other drugs, they will simply suck in all the drugs, and there will be no result either from drugs or from sorbents. Therefore, they need to be taken separately from taking medications and from taking food – about 2 – 2.5 hours after a meal and for the same time before, that is, in the interval between meals.

Polysorb MP

Rating: 4.9

If the sorbent has a very high activity, then it doesn't matter what it consists of. An example of such a sorbent that is under our feet is Polysorb MP. It is composed of silicon dioxide. This is the usual sand that dot all the beaches of the planet. There is only one difference: through industrial processing, silicon dioxide acquired colloidal properties, that is, it became like a gel. As a result of the creation of such a unique structure, each gram of Polysorb can 'absorb' about 300 mg, that is, up to 1/3 of its own weight, of various toxins, radionuclides, pathogenic proteins and other harmful substances. As a result, a small amount of Polysorb MP is needed for a single dose, and it can effectively collect all pathogenic compounds, bind the molecules of bacteria toxins, various allergens, viruses and heavy metal compounds.

Polysorb MP can be used for acute food poisoning, chronic intoxications, viral hepatitis, including in young children, in pregnant and lactating women. It is necessary to prescribe Polysorb MP according to the scheme, in teaspoons and tablespoons, in accordance with the patient's body weight, instructions are given on the package. Polysorb MP is a very light powder, and when a person in a pharmacy buys a large jar that weighs only 50 grams, it seems to him that this jar is empty until he comes home and opens it. Such a large can costs 409 rubles, and Polysorb MP is produced by an enterprise of the same name.

Advantages and disadvantages

This sorbent has practically no drawbacks, except for one thing: first, the powder must be thoroughly mixed in half a glass of water and a suspended suspension must be created. At the same time, her taste is not very pleasant. More precisely, there is absolutely no taste, and this is what many cannot bear. Also, Polysorb MP, like other sorbents, is not recommended for exacerbation of chronic diseases of the gastrointestinal tract, such as erosive gastritis, peptic ulcer disease, the threat of ulcerative bleeding, and in other similar conditions. It is undesirable to use sorbents for a long time, including Polysorb MP, in persons with a tendency to chronic constipation, bedridden patients, and very elderly people. In the elderly, any change in diet very often leads to the development of constipation, and in this case, the use of a highly active sorbent is a risk of constipation.

Enterosgel

Rating: 4.8

Enterosgel, produced by the domestic company Silma, is a ready-to-use sorbent, more precisely, a translucent paste, consisting of organic silicon compounds – polymethylsiloxane. To use it, you need to dissolve a small amount of paste in half a glass of water, and then drink. For children, Enterosgel is available with a strawberry flavor, which is much easier to swallow than a tasteless mass.

Enterosgel has a high absorbency, or adsorption capacity. It is indicated for all acute intestinal infections: with dysentery and salmonellosis, with coli – enteritis. It is prescribed in long-term therapy for acute and chronic viral hepatitis B and C with severe intoxication and arthralgic syndrome. But most often it is used for functional diarrhea, for alcohol poisoning, for various intoxications at work. This is a chronic poisoning with lead, mercury, cadmium, carbon monoxide, arsenic.

Enterosgel helps not only with intestinal disorders. In the event that a patient, especially a child, has a food allergy, which is manifested by urticaria, itchy skin, allergic dermatitis, then Enterosgel helps to reduce the symptoms of allergic lesions. It is necessary to take Enterosgel between meals – one and a half tablespoons three times a day, while it is necessary to dilute Enterosgel in half a glass of water, or take the paste inside, and then drink it with water. Enteros-gel is well tolerated, there are no symptoms of overdose. Enterosgel is produced by the domestic enterprise Silma, and a large plastic tube of 225 g costs 400 rubles.

Advantages and disadvantages

Perhaps, only cases of individual intolerance should be attributed to the disadvantages of Enterosgel, with prolonged use of high doses, constipation may occur. Some people have an instinctive feeling of nausea when trying to swallow a completely tasteless mass, but this symptom is neurotic in nature, and has nothing to do with the composition of the sorbent. The gel is successfully used in pregnant women and in the mother during breastfeeding, and it is contraindicated, perhaps, in the case of a low intestinal tone, since this can also lead to constipation.

Lactofiltrum

Rating: 4.8

Lactofiltrum can be classified as a complex sorbent. It consists of two separate components: lactulose, which is a good breeding ground for the development of normal intestinal microflora. The second component is the plant enterosorbent lignin. The combined effect of these two components makes it possible to strengthen immunity, remove various microbial toxins, antigens and pathogenic factors released outward, especially when a large number of microbial cells are destroyed.

Lactofiltrum is indicated for use in cases of intestinal microflora disorder – dysbiosis, after antibiotic treatment, irritable bowel syndrome, chronic hepatitis, and various types of drug and food allergies.

It should be used 3 times a day, as in previous cases, between meals and separately from other medications. Adults 2 – 3 tablets 3 times a day. The average course of treatment is 2 to 3 weeks. Laktofiltrum is produced by the domestic company ABBA Rus. A pack of 30 tablets costs about 270 rubles.

Advantages and disadvantages

By its nature, Lactofiltrum is a cross between a sorbent and an eubiotic. This allows it not only to capture and bind harmful substances, but also to have a beneficial effect on the normal intestinal microflora without harming it. The price of Lactofiltrum is low, but on the other hand, the drug can very rarely cause allergic reactions, and will be contraindicated if intestinal obstruction is suspected, in case of exacerbation of gastric ulcer, with the risk of developing atonic constipation.

Best laxatives

Moving on to the category of over-the-counter laxatives, you need to remember that they should be used only if there was no stool on your own for more than 3 days. You should not wait for a longer period of time. But, in addition to taking laxatives, it is necessary to use non-drug methods of dealing with atonic constipation. These are abdominal massage, physical activity, exercise, the use of dried fruits, fiber, dishes from boiled beets and raw vegetables, the addition of vegetable oils to the diet. All these measures will allow, in most uncomplicated cases, to eliminate atonic constipation.

Unfortunately, hemorrhoids are often the cause of chronic constipation, in which bowel movements are artificially delayed due to fear of pain and bleeding. In this case, you do not need to use laxatives uncontrollably, but try to be treated by a proctologist, and eliminate the inflamed and bleeding hemorrhoids: either with the help of conservative therapy in the initial stages, or with the help of simple minimally invasive interventions, which now already belong to the category of outpatient surgery.

Duphalac (Goodluck, Normase, Lactusan)

Rating: 4.9

Duphalac is a modern laxative. It consists of lactulose, and is a straw-yellow syrup. The task of lactulose is to induce osmotic diarrhea, stimulate bowel movements, and also have a detoxifying effect by removing nitrogen compounds in the intestine. That is why lactulose is prescribed to patients with chronic hepatic insufficiency, in which the amount of nitrogenous compounds in the blood increases.

Lactulose contributes to the disappearance of atonic constipation, and what is especially important, after its intake, the normal physiological rhythm of defecation is restored. Lactulose is also prescribed for intestinal dysbiosis, and is especially effective when it is prescribed together with enterosorbents.

The use of lactulose is necessary for the treatment of habitual constipation in adults according to a special scheme. So, the daily dose is taken immediately in the morning, with meals. For adults, it ranges from 15 to 50 ml on the first day, and from 10 to 30 ml on subsequent days as a maintenance dose. The transition to a maintenance dose occurs after 2 days, and it is after 2 days that the laxative effect will develop. Duphalac does not act immediately. Lactulose is produced by the Abbott laboratory, and a 500 ml syrup will cost about 540 rubles.

Advantages and disadvantages

A very big plus of lactulose is the ability to alleviate the condition in patients with hepatic encephalopathy, since it removes residual nitrogen from the intestine. It should also be noted the mild clinical effect of Duphalac, rare intolerance, and the ability to take the drug for a long time, more than 6 months. However, in the first days after the appointment of Duphalac, flatulence may develop, and the opposite effect may occur: loose stools and abdominal pain will appear. This is most often associated with a high initial dose, and after lowering it, the stool is normalized, and the side effects disappear. It is also important that Duphalac is successfully used during breastfeeding, as well as in pregnant women. Contraindications include acute intestinal obstruction, hypersensitivity and lactose intolerance. With special precautions, Duphalac can be used in patients with diabetes mellitus.

Mukofalk

Rating: 4.8

Mucofalk is another mildly acting drug for chronic and atonic constipation, which contains entirely plant components: namely, the shell of plantain seeds. Why such an unusual choice of active ingredient? It is due to the fact that the seed coat is able to absorb water so well that it becomes 40 times heavier than its own dry weight. Accordingly, the volume of these dried shells grows many times over. As a result of a significant increase in the active substance in volume, the intestinal wall is irritated, massaged from the inside, and its contents become less viscous and more plastic.

During the application of Mucofalk, you need to drink as much water as possible: as a result of the movement of a large elastic mass down the intestines, the defecation reflex is stimulated, and physiological bowel movement occurs. In some cases, Mucofalk acts only after two to three days, but sometimes even after 12 hours. Among the indications for use, besides constipation in Mucofalk, are hemorrhoids, irritable bowel syndrome, as well as the postoperative period in proctology, when it is necessary to completely eliminate the risk of constipation. Mucofalk is produced by the German company Doctor Falk, and the cost of one package of granulated plantain weighing 5 g No. 20 costs 530 rubles. This is an expensive pleasure.

Advantages and disadvantages

Do not think that treatment with swelling plantain seeds is completely harmless. There are a significant number of contraindications, ranging from individual intolerance, and ending with intestinal bleeding, intestinal diverticulosis, postoperative scars that worsen patency, paresis, paralytic ileus or intestinal obstruction. Therefore, ideally, a doctor should prescribe Mucofalk. On the other hand, the drug in patients without risk factors is well tolerated, practically does not cause side effects and contributes to the physiological establishment of the rhythm of bowel emptying.

Senade

Rating: 4.7

Senade is a budget-friendly treatment for chronic constipation and is popularly known as senna extract. Most often it is used in the elderly, and also as a drug for the treatment of intestinal atony after a long stay in an immobilized state, that is, in bedridden patients. This usually happens after injuries, plaster casts, pneumonia. Senade is used with a minimum dose, one tablet in the evening. It is possible that in the morning the effect will be strong enough, up to diarrhea, therefore, taking several pills at once is prohibited. In the event that within three days the daily intake of 1 – 2 tablets Senade did not cause a laxative effect, then you cannot independently exceed the indicated dosage, you should consult a doctor. Senade is produced by the Ukrainian company Zdorov'e, and one package of tablets, designed for 10 days of administration, with an average therapeutic dosage of two tablets daily costs only 23 rubles.

Advantages and disadvantages

The indisputable advantage of Senade has always been and will be its cheapness, therefore this drug is in every first-aid kit of a poor elderly person. Also, you can not discount and sufficiently high efficiency. The drug has a laxative effect quickly enough, and at the same time, a person does not experience practically any discomfort at night. However, senna extract is contraindicated for spastic constipation, and only a specialist can figure out which form of constipation is atonic or spastic. The drug should not be prescribed for acute inflammatory processes in the intestine, such as ulcerative colitis and Crohn's disease, with exacerbation of gastric ulcer and duodenal ulcer, it should not be used during pregnancy.

The best antispasmodics and defoamers for the intestines

In conclusion, it remains to consider a few drugs that improve the quality of life of patients with chronic intestinal cramps, avoid the dangerous pitfalls associated with the use of pain medications, especially for acute abdominal pain. These are antispasmodics, which are sold in a large assortment without a prescription, and act on the smooth muscles of the intestines and internal organs, relaxing it. This drug is closely related to the so-called defoamers, which fight an increased amount of air in the intestines or flatulence syndrome. And the most famous drug used for adults is Espumisan.

NO-Shpa

Rating: 4.9

No-shpa, or drotaverine hydrochloride, is perhaps the most famous antispasmodic. It is indicated for spasms of the stomach and intestines, with various forms of gastritis, with gallstone disease, with cholangitis and spasm of the sphincter of Oddi. It is prescribed for non-infectious gastroenteritis and non-infectious colitis, and from other pathologies it is indicated for renal colic, urolithiasis, cystitis, and for many other diseases when muscles need to be relaxed. No-Shpa is available both in the form of 40 mg tablets and in ampouled form for parenteral administration. No-Shpa is used 1 – 2 tablets 3 times a day, the maximum daily dosage for adults is 6 tablets. No-Shpu is produced by the famous Hungarian pharmaceutical company Hinoin, and a package of 60 tablets costs, on average, 205 rubles.

Advantages and disadvantages

The advantages of No-Shpa include its rather high efficiency, No-Shpa is well tolerated, and side effects rarely develop. However, there are contraindications. These are severe hepatic or renal failure, pregnancy, lactation, and childhood.

Iberogast

Rating: 4.8

Iberogast is a complex herbal preparation, in drops, consisting of 10 herbal extracts. It includes licorice, Iberian, which gave the name to the medicine, celandine, angelica, mint, chamomile, caraway seeds, lemon balm and milk thistle. This drug is able to regulate the tone of intestinal smooth muscles, improve motor skills, and has an anti-inflammatory effect. This remedy has been shown in complex therapy for the so-called irritable bowel syndrome. In this condition, patients often have intestinal spasms, nausea, belching, bloating, flatulence and habitual constipation. Iberogast must be used 3 times a day before meals, 20 drops. The course of treatment is a month. Iberogast is produced by the Steigerwald company, Germany, and a 50 ml bottle costs 507 rubles.

Advantages and disadvantages

The advantage of this complex phytopreparation will be the mild action inherent in all plant extracts. Iberogast has no overdose and its symptoms. However, if within two weeks the previous symptoms persist, then you need to stop treatment and consult a doctor. This prescription of medicinal plants can have a harmful effect on the body of a pregnant woman and a future baby, therefore, the drug should not be used by pregnant women and during breastfeeding. Since the remedy is an alcoholic tincture, this drug is not used in children under 18 years old, as well as in the case of the patient's alcohol dependence.

Espumisan

Rating: 4.7

Finally, the last drug that can be classified as widely used in outpatient practice is Espumisan, or simethicone. This substance works physically, and its job is to eliminate bloating and remove excess gas. Simethicone does not act chemically but physically. It prevents the fusion of small gas bubbles in the intestine into large bubbles, reduces the force of surface tension. As a result, the gas is not condensed, but is removed from the intestine without the formation of large bubbles.

The patient does not feel a feeling of bloating, intestinal gases do not overwhelm him. Simethicone itself is excreted from the body unchanged. It is shown in various variants of the development of flatulence, as well as as a preparation for the study of the abdominal cavity to reduce the contrast of gas bubbles.

Prescribing Espumisan is desirable during meals or at night. Adults are prescribed 1 – 2 capsules of the drug three times a day. Another curious indication for the use of Espumisan is poisoning with detergents that children can swallow by mistake. These substances in the intestines are whipped into a foam, and cause painful bloating, belching, hiccups, and simethicone, and especially taken in the form of an emulsion, is able to remove this unpleasant symptomatology. Espumisan is produced by Berlin Chemie, a package of 25 capsules costs about 280 rubles.

Advantages and disadvantages

The advantage of Espumisan is the ability to use it for diagnostic purposes, as well as the physical principle of its action. Since it does not enter into any chemical reactions and does not undergo metabolism, it has no side effects. Of the contraindications, perhaps only intestinal obstruction can be noted, when neither stool nor gases leave.

Since the feeling of flatulence, and especially chronic, is painful and significantly worsens the quality of life, the use of simethicone and its analogues allows you to cope not only with flatulence, but also to normalize intestinal motility and blood circulation in its individual areas. After all, gas bubbles exert excessive pressure on the mucous membrane, which can lead to increased ischemia in the vessels due to insufficient blood supply, for example, with atherosclerosis of the intestinal vessels in old age.

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Attention! This rating is subjective and does not constitute an advertisement and does not serve as a purchase guide. Before buying, you need to consult with a specialist.