Simethicone
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 oldsuspensionGeneric· 3 products
from R0.16/unit| Product | Strength | Pack | Sched | SEP | Unit | Disp fee | NAPPI |
|---|---|---|---|---|---|---|---|
| Medigel | 200 mg/10ml | 2500 | S2 | R398.38 | R0.16 | R134.80 | 740683012 |
| Medigel | 200 mg/10ml | 200 | S2 | R50.41 | R0.25 | R29.32 | 740683039 |
| Medigel | 200 mg/10ml | 100 | S2 | R34.27 | R0.34 | R23.74 | 740683020 |
tabletGeneric· 1 product
from R17.35/unit| Product | Strength | Pack | Sched | SEP | Unit | Disp fee | NAPPI |
|---|---|---|---|---|---|---|---|
| Imodium Plus | 125 mg | 6 | S2 | R104.08 | R17.35 | R47.89 | 848840003 |
- Simethicone(syn. Dimethylpolysiloxane) Telament
Medical aid coverage
data 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.
- BonClassic—
- BonComprehensive—
- BonEssential—
- BonFit Select—
- BonSave—
- BonStart—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.
- Beryl—
- Emerald—
- Onyx—
- Ruby—
- Sapphire—
- Tanzanite One—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.
- Aquarium Option—
- Efficiency Option—
- Marine Option—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.