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INSTRUCTIONS FOR MEDICAL ADMINISTRATION

Bobotik

Drops for oral administration 66.66 mg/ml

Trade name: Bobotik

PHARMACOLOGICAL PROPERTIES

Pharmacokinetics

Simethicone is chemically inert, after oral administration it is not absorbed from the gastrointestinal tract and acts only in its lumen. Does not interact with microorganisms and enzymes and does not affect the digestion process. It is excreted unchanged by the intestines.

INDICATIONS FOR USE

symptoms of intestinal colic and infants;

symptoms of excessive formation and accumulation of gases in the gastrointestinal tract (including flatulence, increased gas formation in the postoperative period);

symptoms of excessive gas formation caused by functional dyspepsia;

preparation for diagnostic studies of the abdominal and pelvic organs (ultrasound, radiography, esophagogastroduodenoscopy, etc.), incl. as an additive to suspensions and contrast agents for obtaining images using the double contrast method;

acute poisoning with detergents containing foaming agents (tensides) as defoamers.

METHOD OF APPLICATION AND DOSES

Inside, after eating.

1 ml of the drug contains approximately 27 drops.

Before use, shake until a homogeneous emulsion is obtained.

For accurate dosage of the drug, during instillation, the bottle should be held vertically.

Increased gas formation and accumulation of gases in the gastrointestinal tract:

children from 28 days of life to 3 years, 8 drops (20 mg of simethicone) 4 times a day;

children from 3 to 6 years old, 14 drops (35 mg of simethicone) 4 times a day;

children over 6 years of age and adults: 16 drops (40 mg of simethicone) 4 times a day.

For more convenient administration of the drug, in particular for young children, it can be pre-mixed with a small amount of cold boiled water, baby food or non-carbonated liquid.

After the symptoms disappear, the drug should be discontinued.

Preparation for diagnostic procedures:

X-ray examination of the gastrointestinal tract:

One day before the study, the drug is used 2 times a day (morning and evening):

children from 28 days of life to 3 years, 10 drops (25 mg)

children from 3 to 6 years old, 16 drops (40 mg)

children over 6 years old and adults – 20 drops (60 mg).

Sonographic examination of the gastrointestinal tract

One day before the examination, the drug is used 2 times a day (morning and evening) in the dosages recommended in preparation for the x-ray examination. Three hours before the start of the study, the dose should be repeated.

Acute poisoning from detergents containing foaming agents (tensides) as an antifoam agent:

Children: From 1.5 to 6 ml of the drug (40-160 drops or up to 1/5 of the contents of the bottle)

Adults: From 6 to 12 ml of the drug (from 1/5 to 2/5 of the contents of the bottle)

SPECIAL INSTRUCTIONS

The drug does not contain sugar; it can be used by patients with diabetes and digestive disorders.

The drug contains methyl parahydroxybenzoate and propyl parahydroxybenzoate, which can cause allergic reactions (including delayed ones).

During treatment, it is not recommended to drink carbonated drinks.

Taking this medicine may interfere with the results of some diagnostic tests, such as the guaiac test.

Best before date

3 years.

An opened bottle must be used within 2 months.

Do not use after the expiration date stated on the package.

Manufacturer

Medana Pharma Joint Stock Company

98-200 Sieradz, st. Polish Military Organization 57, Poland

Bobotik

Bobotik (active ingredient - simethicone) is a medicine to eliminate increased gas formation, or, in other words, reduce flatulence. By reducing the surface tension in the transition layer between the two phases, the drug prevents the formation and causes the destruction of gas bubbles in the intestinal contents and mucus covering the gastrointestinal tract from the inside. Gases released from burst bubbles can be absorbed by the intestinal walls or excreted from the body through peristalsis. Thus, bobotik prevents the formation of large gas-mucosal conglomerates, which are the cause of painful bloating. In instrumental diagnostics (when carrying out sonography and radiography), the drug is used as an auxiliary agent: it prevents the appearance of image defects, provides better irrigation of the mucous membrane of the final part of the gastrointestinal tract with radiopaque agents, preventing the rupture of the resulting contrast film even in the case of bloating. Due to its chemical inertness, bobotik does not affect bacteria and enzymes of the digestive tract, does not interfere with the absorption of nutrients, and does not change the pH and volume of gastric juice. The drug is extremely popular among parents of infants who are struggling with the problem of abdominal pain in their babies. Intestinal colic in infants is extremely common. Although not considered a serious violation, it nevertheless causes many unpleasant moments, diluting the psychological comfort that has developed in the family with a fly in the ointment. The main cause of intestinal colic is the adaptation of the immature digestive system of the newborn to new conditions of existence outside the mother's womb. Another important etiological factor, according to scientists, should be considered hypoxic damage to the central nervous system, causing disturbances in the regulatory functions of the autonomic centers in relation to the digestive tract, which manifests itself, depending on the affected part of the autonomic nervous system, either as a neuro-reflex intestinal spasm or a decrease in intestinal motility up to the development of atony.

In this case, the prescription of drug therapy is indicated. One of the drugs, the effectiveness and favorable safety profile of which have been unconditionally confirmed in clinical trials, is bobotik, produced in the form of an emulsion intended for the treatment of children, starting from infancy. The drug is used at the moment of pain, which in most cases is relieved within 4-5 minutes. Addiction to bobotik does not develop, which makes it possible to effectively use the drug throughout the entire problem period. The dosage form of the drug initially gives it the ability to more effectively “deal” with gas bubbles, ensuring their rapid elimination and removal of their contents from the body. Another advantage of bobotik is the absence of lactose in its composition, which is important for children whose digestive dysfunction is aggravated by hypolactasia. In clinical trials involving infants, the drug has proven itself to be an effective and safe means of correcting digestive disorders. Thus, in the vast majority (94%) of patients taking bobotik, dyspeptic symptoms (bloating and pain in the abdomen, increased gas formation) were eliminated by the 3-5th day of pharmacotherapy, while in the control group this was achieved only in 63% of patients. It should be mentioned that in patients with hypolactasia, bobotik did not cause an increase in diarrhea.

Bobotik is recommended to be taken after meals. Before use, the bottle of emulsion should be shaken to homogenize it. In order to increase dosing accuracy when measuring, the bottle must be held vertically. With increased gas formation and abundant accumulation of gases in the digestive tract, children from 1 month to 2 years are prescribed 8 drops of bobotik 4 times a day, from 2 to 6 years - 14 drops 4 times a day, over 6 years - 16 drops 4 times in a day. To increase the ease of use of the drug by infants, it can be mixed with baby food or cold boiled water.

Can Bobotik cause constipation?

Constipation in a newborn can also occur while taking Bobotik drops. This side effect of the drug is noted by many parents who use the drug as a carminative.

But before you refuse to use these drops, you need to understand in what cases they lead to intestinal consolidation.

Bobotik most often leads to stool consolidation in cases where the medicine is given in an increased dosage.

To reduce the likelihood of constipation when taking drops, you should strictly follow the instructions for their use. Constipation during the use of carminatives may be caused not by the medicine, but by other provoking reasons.

Among the most likely causes of poor bowel movements in babies in the first year of life are:

Malnutrition of a woman who feeds her baby with her milk. In the first weeks of life, it is advisable to adhere to a gentle diet, which does not contain dishes that can increase gas formation in the child.
Transition to artificial feeding. Most formula-fed children experience constipation in the first weeks of their transition to formula, indicating that the body is adapting to new nutritional components.
Insufficient drinking regime. Previously, it was believed that only bottle-fed babies needed to drink clean water between feedings. Now pediatricians recommend supplementing with water for children who are fed breast milk.
Insufficient motor activity. Less often, babies suffer from constipation; they are constantly placed on their tummy and given gymnastics and massage.

If all the above reasons for constipation cannot be attributed to your child, then we can conclude that it was the bobiotic intake that could cause constipation.

In this case, they refuse to take Bobotik and select another carminative. For mild colic, you can reduce the dosage of drops - for some children it is enough to take the medicine in the evening.

This treatment regimen almost completely eliminates the likelihood of constipation.

Does Bobotik help with difficult bowel movements?

Bobitik is a medicine that has a carminative effect. That is, this drug reduces gas formation and eliminates all symptoms associated with increased flatulence.

Can bobotik be useful for constipation in infants?

This question can be answered in the affirmative if constipation is caused by the accumulation of a large amount of gases in the intestines.

In the first three to four months, the baby may experience problems with digestion, which is associated with the adaptation of the digestive and nervous systems to changed conditions. During this period, babies often experience colic - spasmodic pain in the abdominal area.

Discomfortable sensations appear due to the fact that a large amount of gases present in the intestinal lumen provokes distension of the organ. Pressure on the intestinal walls leads to irritation of nerve receptors, which causes pain.

Various provoking factors can cause constipation in a newborn. First of all, this is insufficient production of enzymes in the digestive system, and therefore the process of digesting food is difficult.

Increased gas formation can also cause difficulty in bowel movements. The accumulation of gases in the intestines disrupts the functioning of this organ, which causes constipation.

Bobotik for constipation begins to help after the medicine copes with its main task, that is, eliminates flatulence. The destruction of gas bubbles leads to the normalization of the intestines and stabilizes its peristalsis.

After taking the drops, the baby's colic goes away, appetite and sleep improve, these positive changes also have a beneficial effect on the process of bowel movement. Constipation caused by increased gas formation goes away without the use of other medications.