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Endosorb® (Powder) Instructions for Use

Marketing Authorization Holder

Aliym, JSC (Russia)

Manufactured By

Aliym, JSC (Russia)

Or

Pharmproekt, JSC (Russia)

Packaging and Quality Control Release

ALIUM, JSC (Russia)

Or

PHARMPROEKT, JSC (Russia)

ATC Code

A07BC05 (Diosmectite)

Active Substance

Diosmectite (Ph.Eur. European Pharmacopoeia)

Dosage Forms

Bottle OTC Icon Endosorb® Powder for oral suspension (orange) 3 g/1 sachet: 3.76 g sachet 10 or 30 pcs.
Powder for oral suspension (vanilla) 3 g/1 sachet: 3.76 g sachet 10 or 30 pcs.

Dosage Form, Packaging, and Composition

Powder for oral suspension (orange) from almost white or white-gray or white-yellow to yellow-gray or yellow-brown in color, with an odor ranging from weak nonspecific to weak vanilla.

1 sachet
Diosmectite (dioctahedral smectite) 3 g

Excipients: dextrose monohydrate – 0.679 g, sodium saccharin dihydrate – 0.021 g, orange flavor – 0.01 g, vanilla flavor – 0.05 g.

3.76 g – sachets made of combined multilayer material (10) – cardboard packs.
3.76 g – sachets made of combined multilayer material (30) – cardboard packs.


Powder for oral suspension (vanilla) from almost white or white-gray or white-yellow to yellow-gray or yellow-brown in color, with an odor ranging from weak nonspecific to weak vanilla.

1 sachet
Diosmectite (dioctahedral smectite) 3 g

Excipients: dextrose monohydrate – 0.749 g, sodium saccharin dihydrate – 0.007 g, vanillin – 0.004 g.

3.76 g – sachets made of combined multilayer material (10) – cardboard packs.
3.76 g – sachets made of combined multilayer material (30) – cardboard packs.

Clinical-Pharmacological Group

Antidiarrheal drug with adsorbent action

Pharmacotherapeutic Group

Antidiarrheal agent

Pharmacological Action

An adsorbent and antidiarrheal agent of natural origin. It has a protective effect on the intestinal mucosa, has a pronounced adsorbent and a mild enveloping effect.

It is a stabilizer of the mucous barrier, penetrates into the mucus and increases its lifespan, forming a physical barrier that protects the mucous membrane of the digestive tract from the negative effects of H+ ions, intestinal microorganisms and their toxins.

Pharmacokinetics

Not absorbed, excreted unchanged.

Indications

Acute and chronic diarrhea (of allergic, drug-induced origin; due to dietary regimen violations and qualitative composition of food), diarrhea of infectious origin – as part of complex therapy.

Treatment of symptoms associated with gastric and intestinal diseases: heartburn, feeling of heaviness, bloating, abdominal discomfort and other dyspepsia symptoms.

ICD codes

ICD-10 code Indication
A09 Other and unspecified gastroenteritis and colitis of infectious origin
K30 Functional dyspepsia (digestive disorder)
K59.1 Functional diarrhea
R12 Heartburn
R14 Flatulence and related conditions (including abdominal bloating, belching)
ICD-11 code Indication
1A40.Z Infectious gastroenteritis or colitis, unspecified
DD90.0 Globus sensation
DD90.1 Functional dysphagia
DD90.3 Functional dyspepsia
DD90.Z Functional disorders of esophagus or gastroduodenal system, unspecified
DD91.2 Functional diarrhea
DD93.Y Other specified functional gastrointestinal disorders in infants, toddlers and school-age children
DD9Z Functional gastrointestinal disorders, unspecified
MD95 Heartburn
ME08 Flatulence and related conditions

Dosage Regimen

The method of application and dosage regimen for a specific drug depend on its form of release and other factors. The optimal dosage regimen is determined by the doctor. It is necessary to strictly adhere to the compliance of the dosage form of a specific drug with the indications for use and dosage regimen.

Administer orally. Determine the dose and frequency individually based on indication and patient age.

For acute diarrhea in adults, use 3 sachets daily. For other indications in adults, use 2-3 sachets daily.

For children under one year of age, administer 1 sachet daily.

For children aged 1 to 2 years, administer 1-2 sachets daily.

For children aged 2 years and older, administer 2-3 sachets daily.

Divide the total daily dose into two or three separate administrations.

Prepare the suspension immediately before use. Pour the powder from one sachet into a glass. Add approximately 100 ml (half a glass) of warm water. Stir thoroughly until a uniform suspension is formed.

For children under 12 years, the prepared suspension can be mixed with a semi-liquid food such as porridge, puree, or baby food.

In cases of acute diarrhea, initiate rehydration therapy simultaneously with the first dose to correct fluid and electrolyte losses.

Maintain a time interval of 1 to 2 hours between the administration of diosmectite and any other medicinal products.

Adverse Reactions

From the digestive system: common – constipation; uncommon – flatulence, vomiting.

Allergic reactions frequency unknown – urticaria, rash, itching and angioedema.

Contraindications

Hypersensitivity to diosmectite; intestinal obstruction.

With caution in patients with severe chronic constipation.

Use in Pregnancy and Lactation

Can be used during pregnancy and breastfeeding according to indications, in recommended doses.

Pediatric Use

Used in children according to indications, in recommended doses, in appropriate dosage forms.

When used in children under 12 years of age, the drug in the appropriate dosage form can be dissolved in liquid or mixed with any semi-liquid product (porridge, puree, baby food).

Special Precautions

The interval between taking diosmectite and other medicinal products should be 1-2 hours.

In children with acute diarrhea, Diosmectite should be used in combination with rehydration measures. If necessary, adults may also be prescribed diosmectite therapy in combination with rehydration measures. A set of rehydration measures is prescribed depending on the course of the disease, age and characteristics of the patient.

Drug Interactions

When taken orally concomitantly, Diosmectite reduces the rate and/or extent of absorption of other drugs.

Storage Conditions

Store at 2°C (36°F) to 25°C (77°F). Keep in original packaging, protected from light. Keep out of reach of children.

Dispensing Status

Over-the-Counter

Important Safety Information

This information is for educational purposes only and does not replace professional medical advice. Always consult your doctor before use. Dosage and side effects may vary. Use only as prescribed.

Medical Disclaimer

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