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Silicasorb® (Powder) Instructions for Use

Marketing Authorization Holder

Avva Rus, JSC (Russia)

ATC Code

A07BC (Intestinal adsorbents, other)

Active Substance

Colloidal silicon dioxide (USNF The United States "National Formulary")

Dosage Form

Bottle OTC Icon Silicasorb® Powder for oral suspension: jars 12 g, 25 g or 50 g 1 pc.

Dosage Form, Packaging, and Composition

Powder for the preparation of an oral suspension white or almost white in color; the prepared suspension is white or almost white in color.

1 g
Colloidal silicon dioxide 1 g

12 g – jars (1) with first opening control – cardboard packs.
25 g – jars (1) with first opening control – cardboard packs.
50 g – jars (1) with first opening control – cardboard packs.

Clinical-Pharmacological Group

Enterosorbent

Pharmacotherapeutic Group

Enterosorbent agent

Pharmacological Action

An inorganic non-selective polyfunctional enterosorbent based on highly dispersed silica with particle sizes up to 0.09 mm and with the chemical formula SiO2.

It has pronounced sorption and detoxification properties.

In the gastrointestinal tract lumen, it binds and removes from the body endogenous and exogenous toxic substances of various natures, including pathogenic bacteria and bacterial toxins, antigens, food allergens, drugs and poisons, salts of heavy metals, radionuclides, alcohol.

It also sorbs some products of the body’s metabolism, including an excess of bilirubin, urea, cholesterol, and lipid complexes, as well as metabolites responsible for the development of endogenous toxicosis.

Pharmacokinetics

After oral administration, the active substance is not broken down and is not absorbed in the gastrointestinal tract. It is excreted from the body unchanged.

Indications

Acute and chronic intoxications of various etiologies in children and adults; acute intestinal infections of various etiologies, including foodborne toxic infections, as well as diarrheal syndrome of non-infectious origin, dysbiosis (as part of complex therapy); purulent-septic diseases accompanied by severe intoxication; acute poisonings with potent and poisonous substances, including drugs and alcohol, alkaloids, salts of heavy metals; food and drug allergy; hyperbilirubinemia (viral hepatitis and other jaundices) and hyperazotemia (chronic renal failure); for residents of environmentally unfavorable regions and workers in hazardous industries for preventive purposes.

ICD codes

ICD-10 code Indication
A04.9 Unspecified bacterial intestinal infection
A05.9 Bacterial foodborne intoxication, unspecified
A09 Other and unspecified gastroenteritis and colitis of infectious origin
A40 Streptococcal sepsis
A41 Other sepsis
B15 Acute hepatitis A
B16 Acute hepatitis B
B17.1 Acute hepatitis C
B18.0 Chronic viral hepatitis B with delta-agent
B18.1 Chronic viral hepatitis B without delta-agent
B18.2 Chronic viral hepatitis C
K59.1 Functional diarrhea
K63.8 Other specified diseases of intestine
L27.2 Dermatitis due to food eaten
N18 Chronic kidney disease
R17 Hyperbilirubinemia, with or without jaundice, not elsewhere classified
T50.9 Other and unspecified drugs, medicaments and biological substances
T51 Toxic effect of alcohol
T56 Toxic effect of metals
T65.9 Unspecified substance
T78.4 Allergy, unspecified
T88.7 Unspecified adverse effect of drug or medicament
Z57 Occupational exposure to risk factors
Z58 Problems related to physical environmental factors
ICD-11 code Indication
1A0Z Bacterial intestinal infections, unspecified
1A1Z Bacterial foodborne intoxications, unspecified
1A40.Z Infectious gastroenteritis or colitis, unspecified
1E50.0 Acute hepatitis A
1E50.1 Acute hepatitis B
1E50.2 Acute hepatitis C
1E51.0Z Chronic hepatitis B, unspecified
1E51.1 Chronic viral hepatitis C
1E51.2 Chronic hepatitis D
1G40 Sepsis without septic shock
4A8Z Allergic conditions or hypersensitivity conditions of unspecified type
8D43.1 Cognitive impairments due to toxic effects
8D43.2Y Other specified neuropathy due to toxic effect
8D43.2Z Neuropathy due to toxic effect, unspecified
8D43.3 Myopathy due to toxic effect
8D43.4 Movement disorders due to toxic effect
8D43.Y Other specified neurological disorders due to toxic effect
DA92.1 Pneumatosis intestinalis of the small intestine
DA98.Z Polyps of small intestine, unspecified
DB31.1 Pneumatosis of the colon
DB36.Z Certain infections of the colon, unspecified
DD91.2 Functional diarrhea
DD93.Y Other specified functional gastrointestinal disorders in infants, toddlers and school-age children
DD9Z Functional gastrointestinal disorders, unspecified
DE2Z Diseases of the digestive system, unspecified
EA8Z Dermatitis or eczema, unspecified
EB00.0 Acute urticaria
GB61.Z Chronic kidney disease, unspecified stage
ME10.1 Unspecified jaundice
NE60 Poisoning by drugs, medicaments or biological substances, not elsewhere classified
NE61 Toxic effect of poisonous substances, chiefly nonmedicinal, not elsewhere classified
QD70.Z Problems related to the natural environment or anthropogenic changes in the environment, unspecified
QD7Z Problems related to the environment, unspecified
QD84.Z Exposure to occupational risk factors, unspecified

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 as a suspension.

Prepare the suspension immediately before use by mixing the powder with 50-100 mL of cool, boiled water.

Stir thoroughly until a homogeneous, slightly opalescent suspension is formed.

Determine the individual dose based on the patient’s body weight, age, and severity of intoxication.

For acute poisonings, initiate therapy with a gastric lavage using a 1-2% suspension.

For adults, use 1.0-1.5 g (approximately one heaping teaspoon) of powder three times daily.

For children, calculate the daily dose as 0.1-0.2 g per kg of body weight, divided into 3-4 doses.

Adjust the duration of treatment according to the indication: 3-5 days for acute intoxications and up to 10-15 days for chronic conditions or allergies.

For preventive purposes in hazardous occupational or environmental exposures, use 1.0 g twice daily for prolonged courses.

Maintain an interval of at least 1 hour between the intake of Silicasorb and any other medications or food.

In cases of severe intoxication, the single dose may be doubled under medical supervision.

Adverse Reactions

Rarely allergic reactions, dyspepsia, constipation.

Contraindications

Peptic ulcer of the stomach and duodenum in the acute phase; gastrointestinal bleeding; intestinal atony; individual intolerance to the drug containing Colloidal silicon dioxide.

Use in Pregnancy and Lactation

Use during pregnancy and breastfeeding is not contraindicated.

Use in Hepatic Impairment

Use in impaired liver function is permitted.

Use in Renal Impairment

Use in impaired renal function is permitted.

Pediatric Use

Use according to indications is possible.

Special Precautions

With long-term use (more than 14 days), impaired absorption of vitamins and calcium is possible, in connection with which the prophylactic use of multivitamin preparations and preparations containing calcium is recommended.

Drug Interactions

With simultaneous use with other drugs, a decrease in the therapeutic effect of the latter is possible.

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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