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DrugsLevel 4 LocalisationS0DRPEML

Simethicone

Silicone compoundAntiflatulant

Indications

Registered South African indications:

  • Flatulence
  • Dyspepsia
  • Colic
  • Post-operative gas accumulation

Cautions

Contraindications

  • Hypersensitivity to the active ingredient or any of its excipients
  • Fructose intolerance
  • Glucose-galactose malabsorption 
  • Sucrase-isomaltase insufficiency

Adult dosage

Not indicated for use in adults

Paediatric dosage

Paed. forms avail. in SA and covered in this monograph: drp

Flatulence
Dyspepsia
- Symptoms caused by excessive accumulation of gas in the gastrointestinal tract
Colic
Post-operative gas accumulation
- Prevention and relief

Birth - 1 year

  • Oral (drp): 8-12 drops with feeds, or in any other liquid

Older than 1 year

  • Oral (drp): 2.5ml as needed; Max: 15ml/24hrs

Special populations

Pregnancy

  • Not indicated for use in adults

Breastfeeding

Renal Impairment

Hepatic Impairment

Elderly            

Porphyria Information

Drugs in Sport

  • Permitted - No warnings

Adverse reactions

No information available

Interactions

  • Levothyroxine 

Monitoring

None routine

Mechanism of action

Simethicone decreases surface tension of the frothy contents of the gastro-intestinal tract, breaks up the froth and allows small gas bubbles to coalesce. These larger bubbles easily rise to the surface and the liberated gas can readily be expelled, without regurgitation of food and with relief of the bloating and discomfort.

Dosage forms

  • Drops, oral

Formulation

Simethicone is available in several formulations. Please note the list below gives examples of products which are available and is not necessarily comprehensive. The listing of a product does not constitute endorsement of the product by EMGuidance; likewise, failure to list a product does not imply that EMGuidance disapproves of the product. This information is put together on the basis of the National Government's Medicines Price Registry at the time of publication

Drops (per ml) 50mg

  • Telament (Adcock)

References

1. SAMF_12th Edition_Page 39 2. SmPC: Dentinox Infant Colic Drops, DDD Limited: Last updated on eMC: 12 Apr 2016; Downloaded online 22 Feb 2019 [https://www.medicines.org.uk/emc/medicine/22148] 3. https://drive.google.com/drive/folders/1miUrJrzAkaFbwKbGG-LUManipeGdVDOK (12/07/2004_Adcock_Telament_Paed drps) 4. https://www.drugbank.ca/drugs/DB11074 5. SmPC: Infacol, Teva UK Limited: Last updated on eMC: 13 Aug 2018; Downloaded online 22 Feb 2019 [https://www.medicines.org.uk/emc/product/9017/smpc] 6. U2D: Simethicone: Drug information; Uptodate; Downloaded online 22 Feb 2019 [https://www.uptodate.com/contents/simethicone-drug-information?search=simethicone&source=panel_search_result&selectedTitle=1~36&usage_type=panel&kp_tab=drug_general&display_rank=1] 7. NAPOS The Drug Database for Acute Porphyria: A03AX13 Silicones; Downloaded online 22 Feb 2019 [http://www.drugs-porphyria.org/languages/UnitedKingdom/s3.php?l=gbr&atc_code=A03AX13] 8. South African Institute for Drug-Free Sport: Telament; Accessed online 22 Feb 2019 [http://www.drugfreesport.org.za/online-medication-check/]

Brands & products

4 products · stale NAPPI snapshot · refreshed 5/29/2026 · 158 days old

suspensionGeneric· 3 products

from R0.16/unit
ProductStrengthPackSchedSEPUnitDisp feeNAPPI
Medigel200 mg/10ml2500S2R398.38R0.16R134.80740683012
Medigel200 mg/10ml200S2R50.41R0.25R29.32740683039
Medigel200 mg/10ml100S2R34.27R0.34R23.74740683020

tabletGeneric· 1 product

from R17.35/unit
ProductStrengthPackSchedSEPUnitDisp feeNAPPI
Imodium Plus125 mg6S2R104.08R17.35R47.89848840003
Trade names (1)
  • Simethicone(syn. Dimethylpolysiloxane) Telament

Medical aid coverage

data not yet integrated
Discovery Health
not yet integrated
  • Comprehensive Series—
  • Executive Plan—
  • KeyCare Series—
  • Priority Series—
  • Saver Series—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

Bonitas Medical Fund
not yet integrated
  • BonClassic—
  • BonComprehensive—
  • BonEssential—
  • BonFit Select—
  • BonSave—
  • BonStart—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

GEMS — Government Employees Medical Scheme
not yet integrated
  • Beryl—
  • Emerald—
  • Onyx—
  • Ruby—
  • Sapphire—
  • Tanzanite One—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

POLMED — Police Medical Aid Scheme
not yet integrated
  • Aquarium Option—
  • Efficiency Option—
  • Marine Option—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

NeoHealth® ID 14683 · updated 10/28/2022