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
| 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