Dioctahedral smectite: Indication, Dosage, Side Effect, Precaution

Generic Medicine Info Patient Medicine Information

This information is not country-specific. Please refer to the Malaysia prescribing information.

Generic Medicine Info

Indications and Dosage

Oral
Acute diarrhoea

Adult: 9 g daily in divided doses for up to a Max of 7 days; daily dose may be doubled at the start of treatment. Treatment recommendations may vary among countries and individual products (refer to specific product guidelines).
Child: ≥2 years In addition to oral rehydration salts: 12 g daily in divided doses for 3 days, then 6 g daily in divided doses for 4 days. Max treatment duration: 7 days. Treatment recommendations may vary among countries and individual products (refer to specific product guidelines).

Oral
Chronic diarrhoea, Pain associated with functional bowel disease

Adult: 9 g daily in divided doses. Treatment recommendations may vary among countries and individual products (refer to specific product guidelines).

Reconstitution

Powder for oral susp: Stir thoroughly in half glass of water. For children, add 50 mL of water and stir thoroughly in the feeding bottle, or mixed with semi-liquid food (e.g. broth, stewed fruit, mashed vegetables, baby food).

Contraindications

Infants and children <2 years.

Special Precautions

Patient with possible bowel obstruction or history of severe chronic constipation. Avoid chronic use. Children ≥2 years. Pregnancy and lactation.

Adverse Reactions

Significant: Constipation.
Gastrointestinal disorders: Vomiting.
Skin and subcutaneous tissue disorders: Rash.

Drug Interactions

May interfere with the absorption of other substances when administered simultaneously.

Action

Description:
Mechanism of Action: Dioctahedral smectite has a powerful coating property on the gastrointestinal mucosa. It protects the gastrointestinal mucosa by interacting with the glycoprotein of mucus, thus increasing the resistance of the mucosal gel in response to aggressive agents.
Synonym: diosmectite.
Pharmacokinetics:
Absorption: Not absorbed.
Metabolism: Not metabolised.
Excretion: Via faeces.

Storage

Store below 30°C.

MIMS Class

Antidiarrheals

ATC Classification

A07BC05 - diosmectite ; Belongs to the class of other intestinal adsorbents.

References

Buckingham R (ed). Smectites. Martindale: The Complete Drug Reference [online]. London. Pharmaceutical Press. https://www.medicinescomplete.com. Accessed 10/02/2023.

Dehecta Suspension (Daewoong Pharmaceutical [Thailand] Co., Ltd.). MIMS Thailand. http://www.mims.com/thailand. Accessed 10/02/2023.

Dimectal Powder for Oral Suspension 3 g (Pahang Pharmacy Sdn Bhd.). National Pharmaceutical Regulatory Agency - Ministry of Health Malaysia. https://www.npra.gov.my. Accessed 10/02/2023.

Dioctahedral Smectite (Diosmectite). Lexicomp Online. Hudson, Ohio. Wolters Kluwer Clinical Drug Information, Inc. https://online.lexi.com. Accessed 10/02/2023.

Smecta (Dioctahedral Smectite): Not Recommended for Use in Children Aged Below 2 Years and Pregnant or Breastfeeding Women. National Pharmaceutical Regulatory Agency - Ministry of Health Malaysia. https://www.npra.gov.my. Accessed 10/02/2023.

Smecta Orange Vanilla Powder for Oral Suspension 3 g (EP Plus Group Sdn. Bhd.). National Pharmaceutical Regulatory Agency - Ministry of Health Malaysia. https://www.npra.gov.my. Accessed 10/02/2023.

Smectago Oral Suspension 3 g (Ipsen Pharma [Hong Kong]). MIMS Hong Kong. http://www.mims.com/hongkong. Accessed 10/02/2023.

Disclaimer: This information is independently developed by MIMS based on Dioctahedral smectite from various references and is provided for your reference only. Therapeutic uses, prescribing information and product availability may vary between countries. Please refer to MIMS Product Monographs for specific and locally approved prescribing information. Although great effort has been made to ensure content accuracy, MIMS shall not be held responsible or liable for any claims or damages arising from the use or misuse of the information contained herein, its contents or omissions, or otherwise. Copyright © 2024 MIMS. All rights reserved. Powered by MIMS.com