14 best bowel preparations

* Review of the best according to the editors of ecdfburma.org. About the selection criteria. This material is subjective, is not an advertisement and does not serve as a guide to the purchase. 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 so that it contains medications to improve bowel function? The answer to this question is far from simple. After all, over-the-counter drugs, which are sold in the public domain, are not prescribed by a doctor, but are used independently. And this means that, first of all, they should not harm. Therefore, antibiotics did not enter the rating of drugs for improving bowel function, since they are sold in the Russian Federation by prescription, and painkillers are not included.

Abdominal pain is a fairly common symptom, but the doctor’s first command is to never give pain medication. First of all, it is necessary to suspect a surgical disease, for example, acute appendicitis. And in the event that the severity of pain is reduced, this can lead to the progression of surgical pathology and the development of severe complications in 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 the development of diarrhea. These are eubiotics, or bacterial drugs that normalize the intestines. Eubiotics are the most useful and safe group. They can be used both for adults and children: both healthy and suffering not only intestinal diseases, but also against a background of reduced immunity, with frequent colds and other pathologies.

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

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

Finally, anti-bloating medications 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. But this minimal list of over-the-counter medicines should really be in every medicine cabinet. And in urgent situations associated with foodborne toxicosis, gastroenteritis, with 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. The prices for medicines are average, and they are valid at the beginning of April 2019.

Rating of the best drugs for the intestines

Nomination a place Name of product price
Best intestinal eubiotics 1Bifidumbacterin - monocomponent 89 ₽
2Bifiform - Multicomponent 442 ₽
3Enterol 324 ₽
4Linex 531 ₽
5Maxilac 448 ₽
Best Sorbents for the GUT 1Polysorb MP 471 ₽
2Enterosgel 416 ₽
3Lactofiltrum 378 ₽
Best Laxatives 1Dufalac (Goodluck, Normase, Lactusan) 539 ₽
2Mucofalk 620 ₽
3Senade 507 ₽
The Best Antispasmodics and Defoamers FOR GUT 1NO-Shpa 56 ₽
2Iberogast 349 ₽
3Espumisan 318 ₽

Best intestinal eubiotics

The legendary eubiotics open up the ranking of popular drugs for improving bowel function. If you type in the search engine "the best drugs for the intestines", then almost all sites without exception will give you only drugs from this group. Why is this so? Because eubiotics contains those germ cells 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 short, they protect the intestines and are useful cohabitants of the human body.

You can not be a healthy person who does not have intestinal microflora, and it is populated in the intestines of a person, 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 living 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 type of beneficial microorganism: it is bifidobacteria. The drug is available 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, dysenteric shigella, pathogenic yeast. The fact that we very rarely get acute intestinal infections is a 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.

Bifidumbacterin is indicated for the treatment of various diseases of the gastrointestinal tract and for their prevention, after treatment with antibiotics, for the correction of reduced immunity. Bifidumbacterin should be taken half an hour before meals, or during meals - 5 to 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 drawback, therefore it is not so balanced, and in the presence of chronic infections of the gastrointestinal tract, it is difficult for one bifidobacteria to occupy and maintain a position on the "intestinal bridgehead". In rare cases, allergic reactions can 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 baby can pour the contents of the capsules into a warm mixture. However, only a pediatrician should prescribe the drug to children based on their body weight.

Bifiform - Multicomponent

Rating: 4.8

Unlike Bifidumbacterin, Bifiform, in addition to bifidobacteria, also 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 powder with an orange flavor. Powder with tablets, in addition to microbes, contains vitamins B1 and B6, which help microorganisms gain a foothold in the intestines. The drug is shown, as in the previous case, after taking antibiotics for a variety of purposes, after acute intestinal infections, with chronic diseases of the gastrointestinal tract, and to improve immunity. Standard regimen: adults 2 to 3 capsules daily, 3 times a day. In case of 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 packaging in 30 enteric capsules will cost about 470 rubles.

Advantages and disadvantages

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


Rating: 4.8

Enterol contains a special type of yeast or saccharomycetes. Enterol is used in the presence of dysbiosis, chronic colitis with a relapsing 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 to adults in one capsule once or twice a day for a week. Enterol is produced by the Biocodex pharmaceutical company, France, and a package of 30 capsules costs 540 rubles.

Advantages and disadvantages

Enterol has no particular drawbacks, but the 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 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.


Rating: 4.7

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

As a result of taking Linex and the beginning of the life of these microorganisms, acidification of the intestinal environment occurs, and pathogenic microflora really does not like this. Reception Lineks improves the course of chronic diseases of the liver and biliary tract, reduces the unpleasant symptoms of chronic colitis and enteritis, eliminates dysbiosis. Linex is prescribed to adults and children over 12 years of age in a daily dosage of 6 capsules, 2 capsules 3 times a day. Linex is produced by Lek from Slovenia, and a pack of 32 capsules costs, on average, 560 rubles.

Advantages and disadvantages

The great advantage of Linex is the triple microbial composition, which is resistant to many harmful factors that are found in beneficial microbes during colonization of the intestine. The only drawback will be the presence of lactose in capsules. This is a substrate for the primary life of lactobacilli, and therefore, if a person is diagnosed with lactase deficiency, then this eubiotic will be contraindicated. You will need to look for another drug that does not contain lactose. In general, Linex is very well tolerated, and in addition to intolerance to dairy products or hypersensitivity, there are no contraindications to taking. It can be used even in pregnant and lactating mothers, as well as in children from the neonatal period.


Rating: 4.7

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

Three types of bifidobacteria, four types of lactobacilli, and additionally two more types of lactic acid microorganisms very important for intestinal health, a total of 9 representatives of normal microflora, were provided in Maksilak. 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 intestine, which contributes to the high efficiency of this drug.

Maxilak is shown as a biologically active food supplement, as a means after taking antibiotics, as a drug to increase general immunity with a tendency to frequent infections, including ENT organs, acute respiratory viral infections, and functional bowel disorders. Maxilac in adults is taken - one capsule per day with meals. The course of treatment is 1 month. Remedy is produced in Poland. A package of 10 capsules costs 440 rubles. Thus, a monthly course of the drug will cost 1300 rubles.

Advantages and disadvantages

Maxilak has only one drawback: perhaps, for some, the price will seem quite large. However, it is extremely convenient to take it: one capsule once a day, and this with meals. Thus, patient adherence to treatment will be best. Compare with other medicines that you need to take three to four capsules after meals and an additional glass of water. None of this is required here. And yet: for the price of 1300 rubles, the patient receives not one, not two, or even three types of normal bacteria of intestinal microflora, but three times as much, as many as 9 species.

The best sorbents for the intestines

Everyone knows that sorbents are a first aid for poisoning, for acute intestinal infections, of course, if the patient does not have irrepressible repeated vomiting. Sorbents have a huge active surface, which is many times greater than the volume of particles of the sorbent 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, you must remember that they absorb literally everything. Therefore, if you take them with food - there will be no result. If they are taken in an hour along with other drugs, they will simply take all the medicines onto themselves, and there will be no result from the drugs or from the sorbents. Therefore, you need to take them separately from taking medications and from eating - about 2 to 2.5 hours after eating 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 no matter what it consists of. An example of such an sorbent that is under our feet is Polysorb MP. It consists of silicon dioxide. This is ordinary sand that strewn all the beaches of the planet. There is only one difference: through production processing, silicon dioxide acquired colloidal properties, that is, it became like a gel. As a result of creating 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 necessary for a single dose, and it can effectively collect all pathogenic compounds, bind bacteria toxin molecules, various allergens, viruses and heavy metal compounds.

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

Advantages and disadvantages

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


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 dilute a small amount of paste in half a glass of water, and then drink. For children, Enterosgel comes with a strawberry flavor, which is much easier to swallow than a tasteless mass.

Enterosgel has a large absorbent, or adsorbing ability. It is indicated for all acute intestinal infections: with dysentery and salmonellosis, with colitis - 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, alcohol poisoning, and various intoxications in the workplace. This is chronic poisoning with lead, mercury, cadmium, carbon monoxide, arsenic.

Enterosgel helps not only with intestinal disorders. In the event that the patient, especially the child, has a food allergy, which is manifested by urticaria, skin itching, allergic dermatitis, then Enterosgel helps to reduce the symptoms of allergic damage. Enterosgel must be taken 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, no symptoms of overdose exist. Enterosgel produces a domestic enterprise Silma, and a large 225 g plastic tube costs 400 rubles.

Advantages and disadvantages

Perhaps, only cases of individual intolerance should be attributed to the shortcomings 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 low bowel tone, as this can also lead to constipation.


Rating: 4.8

Lactofiltrum can be attributed to complex sorbents. It consists of two separate components: it is lactulose, which is a good nutrient medium for the development of normal intestinal microflora. The second component is the plant enterosorbent lignin. The combined effect of these two components allows you to enhance immunity, remove various microbial toxins, antigens and pathogenicity factors released, especially when destroying a large number of microbial cells.

Lactofiltrum is indicated for use in case 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 medicines. Adults 2 to 3 tablets 3 times a day. The average course of treatment is from 2 to 3 weeks. Lactofiltrum 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 him not only to capture and bind harmful substances, but also 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 in cases of suspected intestinal obstruction, in case of exacerbation of gastric ulcer, with a risk of developing atonic constipation.

The best laxatives

Turning to the category of over-the-counter laxatives, it must be remembered that they should only be used when there is no stool on your own for more than 3 days. Do not wait for a longer period of time. But, in addition to taking laxatives, it is necessary to apply non-drug methods of combating atonic constipation. This is a massage of the abdomen, physical activity, exercises, 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, quite often the cause of chronic constipation is hemorrhoids, in which defecation is artificially delayed due to fear of pain and bleeding. In this case, laxatives should not be used uncontrollably, but try to be treated by a proctologist and eliminate inflamed and bleeding hemorrhoidal nodes: either with the help of conservative therapy in the initial stages, or with the help of simple minimally invasive interventions, which are now referred to as outpatient surgery.

Dufalac (Goodluck, Normase, Lactusan)

Rating: 4.9

Dufalac is a modern laxative. It consists of lactulose, and is a syrup that has a straw yellow color. The goal of lactulose is to cause osmotic diarrhea, stimulate bowel movements, and also have a detoxifying effect, eliminating nitrogen compounds in the intestine. That is why lactulose is prescribed to patients with chronic liver failure, in which the amount of nitrogen compounds increases in the blood.

Lactulose contributes to the disappearance of atonic constipation, and most importantly, after its administration, 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.

Lactulose should be used to treat the usual 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 a laxative effect will develop. Dufalac does not act immediately. The Abbot laboratory produces lactulose, 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, a rare intolerance, as well as the ability to take the drug for a long time, more than 6 months. However, in the first days after the appointment of Dufalac, 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 its decrease, the stool is normalized, and side effects disappear. It is also important that Duphalac is successfully used during breastfeeding, as well as in pregnant women. Among the contraindications are acute intestinal obstruction, hypersensitivity and lactose intolerance. With special precautions, Dufalac can be used in patients with diabetes.


Rating: 4.8

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

During the use of Mukofalk, you need to drink as much water as possible: as a result of moving a large elastic mass down the intestine, the defecation reflex is stimulated, and physiological bowel movement occurs. In some cases, Mukofalk is effective only after two to three days, but sometimes even after 12 hours. Among the indications for use, in addition to constipation in Mukofalk, are hemorrhoids, irritable bowel syndrome, as well as the postoperative period in proctology, when it is necessary to completely eliminate the risk of constipation. The German company Dr. Falk produces Mukofalk, and the cost of one package of granular 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 Mukofalk. 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 movement.


Rating: 4.7

Senade is a budget option for treating chronic constipation, and popularly known as Senna extract. Most often it is used in the elderly, as well as 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. Senada is applied with the minimum dose, one tablet in the evening. It is possible that in the morning the effect will be quite strong, up to diarrhea, so taking several tablets at once is prohibited. In the event that within three days a daily intake of 1-2 tablets of Senade did not cause a laxative effect, then you can not independently exceed the indicated dosage, you should consult a doctor. The Ukrainian company Health issues the Senade, and one pack of tablets, designed for 10 days of admission, with an average therapeutic dosage of two tablets, costs only 23 rubles a day.

Advantages and disadvantages

The indisputable advantage of Senada, has always been and will be its cheapness, so this drug is in every medicine cabinet of a poor elderly person. Also, you can not discount the sufficiently high efficiency. The drug has a laxative effect quickly enough, and at the same time, the person does not experience almost any discomfort at night. However, senna extract is contraindicated in case of spastic constipation, and only a specialist can figure out which form of constipation is atonic or spastic. The drug can 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 can not be used during pregnancy.

The best antispasmodics and antifoam agents 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 dangerous traps 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. The so-called defoamers, which fight with an increased amount of air in the intestines or flatulence syndrome, are adjacent to this drug. And the most famous drug used for adults is Espumisan.


Rating: 4.9

No-shpa, or drotaverine hydrochloride, is perhaps the most famous antispasmodic. It is indicated for spasms of the stomach and intestines, for various forms of gastritis, for gallstone disease, for cholangitis and spasm of the sphincter of Oddi. It is prescribed for non-infectious gastroenteritis, and non-infectious colitis, and from another pathology it is indicated for renal colic, urolithiasis, cystitis, and many other diseases when muscle relaxation is required. No-Shpa is available both in the form of tablets of 40 mg, and in an ampoule form for parenteral administration. No-Shpa is used, 1 to 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. This is severe hepatic or renal failure, pregnancy, lactation, as well as childhood.


Rating: 4.8

Iberogast is a complex herbal preparation, in drops, consisting of 10 extracts of medicinal plants. 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 the smooth muscles of the intestines, improves motility, and has an anti-inflammatory effect. This remedy is shown in complex therapy with the so-called irritable bowel syndrome. In this condition, patients often have intestinal cramps, nausea, belching, bloating, flatulence and habitual constipation. Iberogast should be used 3 times a day before meals, 20 drops. The course of treatment is a month. Issues Iberogast company Steigerwald, Germany, and a 50 ml bottle costs 507 rubles.

Advantages and disadvantages

The advantage of this complex herbal remedy will be the mild effect inherent in all plant extracts. Iberogast does not have an overdose and its symptoms.However, if within two weeks the previous symptomatology persists, then you need to stop treatment and consult a doctor. This prescription of medicinal plants can adversely affect the body of a pregnant woman and an unborn baby, therefore, the drug can not be used by pregnant women during breastfeeding. Since the product is an alcohol tincture, this drug is not used in children under 18 years of age, as well as in the case of the patient having alcohol dependence.


Rating: 4.7

Finally, the last drug that can be attributed to widely used in outpatient practice is Espumisan, or simethicone. This substance acts physically, and its task 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 does not condense, but is removed from the intestine without the formation of large blisters.

The patient does not feel a feeling of bloating, he is not overwhelmed by intestinal gas. Simethicone itself is excreted unchanged from the body. It is shown for various options for the development of flatulence, as well as as a preparation for studying the abdominal cavity to reduce the contrast of gas bubbles.

Prescribe Espumisan preferably with food or at night. Adults are prescribed 1 to 2 capsules of the drug three times a day. Another curious indication for the use of Espumisan is poisoning with detergents, which children can mistakenly swallow. These substances in the intestines are whipped into foam, and cause painful bloating, belching, hiccups, and simethicone, and especially taken in the form of an emulsion, can remove this unpleasant symptomatology. The Berlin Hemi company produces Espumisan, 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 is not metabolized, it has no side effects. Of the contraindications, perhaps one can only note intestinal obstruction, when neither the stool nor the gases go away.

Since the feeling of flatulence, and especially chronic, is painful and significantly worsens the quality of life, the use of simethicone and its analogues can 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.

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

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