Simethicone
Pronunciation
(sye METH i kone)
U.S. Brand Names
Alka-Seltzer® Gas Relief [OTC]; Baby Gasz [OTC]; Flatulex® [OTC]; Gas-X® [OTC]; Gas-X® Extra Strength [OTC]; Genasyme® [OTC]; Mylanta® Gas [OTC]; Mylanta® Gas Maximum Strength [OTC]; Mylicon® Infants [OTC]; Phazyme® Quick Dissolve [OTC]; Phazyme® Ultra Strength [OTC]
Synonyms
Activated Dimethicone; Activated Methylpolysiloxane
Generic Available
Yes: Tablet, suspension
Canadian Brand Names
Ovol®; Phazyme™
Use
Relieves flatulence and functional gastric bloating, and postoperative gas pains
Pregnancy Risk Factor
C
Contraindications
Hypersensitivity to simethicone or any component of the formulation
Adverse Reactions
No data reported
Drug Interactions
No data reported
Ethanol/Nutrition/Herb Interactions
Food: Avoid carbonated beverages and gas-forming foods.
Stability
Protect from light
Mechanism of Action
Decreases the surface tension of gas bubbles thereby disperses and prevents gas pockets in the GI system
Dosage
Oral:
Infants: 20 mg 4 times/day
Children <12 years: 40 mg 4 times/day
Children >12 years and Adults: 40-120 mg after meals and at bedtime as needed, not to exceed 500 mg/day
Administration
Shake oral suspension (drops) before using; mix with water, infant formula, or other liquids.
Dietary Considerations
Should be taken after meals.
Patient Education
Some tablets may be chewed thoroughly before swallowing, follow with a glass of water
Dental Health: Effects on Dental Treatment
No significant effects or complications reported
Dental Health: Vasoconstrictor/Local Anesthetic Precautions
No information available to require special precautions
Mental Health: Effects on Mental Status
None reported
Mental Health: Effects on Psychiatric Treatment
None reported
Dosage Forms
Softgels:
Alka-Seltzer® Gas Relief, Gas-X® Extra Strength, Mylanta® Gas Maximum Strength: 125 mg
Phazyme® Ultra Strength: 180 mg
Suspension, oral drops: 40 mg/0.6 mL (30 mL)
Baby Gasz, Genasyme®: 40 mg/0.6 mL (30 mL)
Flatulex®: 40 mg/0.6 mL (30 mL) [fruit flavor]
Mylicon® Infants: 40 mg/0.6 mL (30 mL) [alcohol free; contains sodium benzoate; available in a non-staining formula]
Tablet, chewable: 80 mg, 125 mg
Gas-X®: 80 mg [peppermint crème or sodium free cherry crème flavor]
Gas-X® Extra Strength: 125 mg [peppermint crème or cherry crème flavor]
Genasyme®: 80 mg
Mylanta® Gas: 80 mg [mint flavor]
Mylanta® Gas Extra Strength: 125 mg [cherry and mint flavors]
Phazyme® Quick Dissolve: 125 mg [contains 0.4 mg phenylalanine (as aspartame)/tablet; mint flavor]
International Brand Names
Ovol® (CA); Phazyme™ (CA)
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