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Espumisan

Espumisan

Ask a doctor about a prescription for Espumisan

5.0(38)
Doctor

Yevgen Yakovenko

General surgery11 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Espumisan

Package Leaflet: Information for the Patient

Espumisan

40 mg/ml, oral drops, emulsion
Simeticone

Read the package leaflet carefully before using the medicine, as it contains important information for the patient.

This medicine should always be used exactly as described in this package leaflet or as directed by your doctor or pharmacist.

  • Keep this package leaflet, you may need to read it again.
  • If you need advice or further information, consult your doctor.
  • If you experience any side effects, including those not listed in this package leaflet, tell your doctor or pharmacist. See section 4.
  • If you do not feel better or if you feel worse, you should contact your doctor.

Table of Contents of the Package Leaflet

  • 1. What is Espumisan and what is it used for
  • 2. Important information before using Espumisan
  • 3. How to use Espumisan
  • 4. Possible side effects
  • 5. How to store Espumisan
  • 6. Contents of the package and other information

1. What is Espumisan and what is it used for

Espumisan contains the active substance simeticone, which is used to treat gastrointestinal disorders, reducing foaming of the gastrointestinal contents and as an auxiliary in diagnostic tests.
It can be used in all age groups.
The active substance of the medicine, simeticone, causes the disappearance of gas bubbles contained in the gastrointestinal masses and in the mucus of the gastrointestinal tract. This allows the released gases to be absorbed by the intestinal wall or removed from the gastrointestinal tract as a result of intestinal peristalsis.

Espumisan is used:

  • For symptomatic treatment of gastrointestinal disorders associated with excessive gas accumulation, such as, for example: bloating, infantile colic in infants over 1 month of age.
  • As an auxiliary in preparing for abdominal cavity tests, such as radiological and ultrasonographic examinations and gastroscopy.
  • As a defoaming agent in poisonings with surfactants (detergents).

If you do not feel better or if you feel worse, you should contact your doctor.

2. Important information before using Espumisan

When not to use Espumisan

Warnings and precautions

Before starting to use Espumisan, you should discuss it with your doctor or pharmacist.
Espumisan should not be used in infants under 1 month of age.
In case of new and/or persistent abdominal complaints, you should consult a doctor to determine the cause of the complaints and diagnose any underlying disease that may require treatment.

Espumisan and other medicines

No interactions with other medicines are known.

Pregnancy, breastfeeding, and fertility

There are no restrictions on the use of Espumisan in pregnant and breastfeeding women.

Driving and using machines

No special precautions are required.

Espumisan contains sodium

The medicine contains less than 1 mmol (23 mg) of sodium per ml, which means that the medicine is considered "sodium-free".

3. How to use Espumisan

This medicine should always be used in accordance with the package leaflet or as directed by your doctor or pharmacist.
In case of doubt, you should consult your doctor or pharmacist.

Dosage

Recommended dose:
Symptomatic treatment of gastrointestinal disorders associated with excessive gas accumulation

  • e.g., bloating, infantile colic:
AgeDosage in drops (ml)Frequency of administration
Infants over 1 month of age
  • 13 - 25 drops (corresponding to 0.5 - 1 ml) into a bottle with milk or before breastfeeding or after breastfeeding. The recommended maximum dose should not exceed 480 mg (i.e., 12 times a day).
Children from 1 to 6 years25 drops (corresponding to 1 ml)3 to 5 times a day
Children from 6 to 14 years
  • 25 - 50 drops (corresponding to 1 - 2 ml)
3 to 5 times a day
Adolescents over 14 years and adults50 drops (corresponding to 2 ml)3 to 5 times a day

Note: Espumisan can also be given to patients in the postoperative period.
Espumisan can be taken directly before a meal, during, or after a meal, and if necessary, also before bedtime.
Treatment should be continued until symptoms disappear. If necessary, Espumisan can be administered for a longer period.
In preparation for diagnostic tests of the abdominal cavity

  • Radiological and ultrasonographic examination:
The day before the examinationIn the morning on the day of the examination
3 times a day 2 ml (≈ 3 times 50 drops)2 ml (≈ 50 drops)
  • As an auxiliary substance administered together with the contrast agent suspension:
    • 4 - 8 ml (≈ 100 - 200 drops) per 1 liter of contrast agent used during the double-contrast examination.
  • In preparing patients for upper gastrointestinal endoscopy (gastroscopy):

Before endoscopy, 4 - 8 ml (≈ 100 - 200 drops).
If necessary, a few milliliters of the emulsion can be instilled through the instrumental channel of the endoscope during the examination to reduce foaming of the gastrointestinal contents.
As an antidote in poisonings with detergents (surfactants):
Depending on the severity of poisoning:
Note: If Espumisan is used as a first-aid measure after ingestion of a detergent, you should immediatelyconsult a doctor!

Method of administration

Shake before use.
To measure the correct number of drops, the bottle should be held vertically, with the opening facing downwards.
25 drops (1 ml of oral drops, emulsion) contain 40 mg of simeticone.
Since Espumisan does not contain sugar, it can also be administered to diabetic patients and patients with dietary disorders.

Use of a higher than recommended dose of Espumisan

No cases of poisoning have been reported after using Espumisan.
The active substance of Espumisan, simeticone, causes the disappearance of foam in the gastrointestinal tract in a purely physical way and is biologically and chemically completely inactive.
Therefore, the possibility of poisoning can be practically excluded. Even large doses of Espumisan are well tolerated.

Missing a dose of Espumisan

In such a case, the missed dose can be taken at any time.

Stopping the use of Espumisan

In such a case, the symptoms may recur.
In case of any further doubts regarding the use of this medicine, you should consult your doctor or pharmacist.

AgeDosage
Children2.5 - 10 ml (≈ 63 drops to 1/3 of the bottle contents)
Adults
  • 10 - 20 ml (≈ 1/3 to 2/3 of the bottle contents)

4. Possible side effects

In the case of medicines containing simeticone, hypersensitivity reactions, including urticaria, rash, skin redness, itching, allergic skin inflammation, and other skin reactions have been reported. The frequency cannot be estimated from the available data (frequency unknown).
Other side effects have also been reported, but since the medicinal product is practically not absorbed from the gastrointestinal tract, side effects are very rare.

Reporting side effects

If you experience any side effects, including those not listed in this package leaflet, you should tell your doctor or pharmacist. Side effects can be reported directly to the Department of Monitoring of Adverse Reactions to Medicinal Products of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products
Al. Jerozolimskie 181C
02-222 Warsaw
Phone: +48 22 49 21 301
Fax: +48 22 49 21 309
Website: https://smz.ezdrowie.gov.pl
Side effects can also be reported to the marketing authorization holder.
By reporting side effects, you can help provide more information on the safety of this medicine.

5. How to store Espumisan

The medicine should be stored out of sight and reach of children.
Do not use this medicine after the expiry date stated on the label and packaging after the abbreviation EXP. The expiry date refers to the last day of the given month.
Note regarding shelf life after first opening: after the first opening of the package, Espumisan retains its shelf life for a period of 6 months.
This medicine does not require special storage conditions.
Medicines should not be disposed of via wastewater or household waste. You should ask your pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.

6. Contents of the package and other information

What Espumisan contains

The active substance of the medicine is simeticone.
25 drops (1 ml of oral drops, emulsion) contain 40 mg of simeticone.
The other ingredients are: macrogol stearate, glycerol monostearate 40-55, sodium hydroxide, sodium chloride, carbomer, sodium citrate, sucralose, potassium sorbate, purified water.

What Espumisan looks like and what the package contains

Milky white to yellowish emulsion, slightly viscous. Oral drops, emulsion.
Package: 30 ml glass bottle with a child-resistant closure, with a screw cap and dropper, in a cardboard box, containing 30 ml of oral drops, emulsion.

Marketing authorization holder and manufacturer

BERLIN-CHEMIE AG
Glienicker Weg 125
12489 Berlin, Germany
To obtain more detailed information about this medicine, you should contact the local representative of the marketing authorization holder:
Berlin-Chemie / Menarini Polska Sp. z o.o.
Phone: +48 22 566 21 00
Fax: +48 22 566 21 01

Date of the last update of the package leaflet:

Alternatives to Espumisan in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to Espumisan in Ukraine

Dosage form: capsules, 120 mg
Active substance: silicones
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Manufacturer: BERLIN-HEMI AG
Prescription not required
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Dosage form: drops, 15 ml or 30 ml in a bottle
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Manufacturer: Indoko Remedis Limited
Prescription not required

Alternative to Espumisan in Spain

Dosage form: CHEWABLE TABLET, 40 mg
Active substance: silicones
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Prescription not required
Dosage form: CAPSULE, 240 mg
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Online doctors for Espumisan

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Espumisan – subject to medical assessment and local rules.

5.0(38)
Doctor

Yevgen Yakovenko

General surgery11 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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Dr Antonio Cayatte is a physician in General and Acute Medicine with over 30 years of experience across clinical care, medical research, and education. He offers online consultations for adults with a wide range of symptoms, both acute and chronic.

His clinical background includes:

  • assessment of sudden or unclear symptoms
  • ongoing care for chronic conditions
  • follow-up after hospital discharge
  • interpretation of test results
  • medical support while abroad
Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association.

Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

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  • Chronic pain lasting more than 3 months.
  • Migraines and recurring headaches.
  • Neck, back, lower back, and joint pain.
  • Post-traumatic pain following injury or surgery.
  • Nerve-related pain, fibromyalgia, and neuralgia.
In addition to pain management, Dr. Popov helps patients with:
  • Respiratory infections (colds, bronchitis, pneumonia).
  • High blood pressure and metabolic conditions such as diabetes.
  • Preventive care and routine health check-ups.

Online consultations last up to 30 minutes and include a detailed symptom review, personalised treatment planning, and medical follow-up when needed.

Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

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  • Early detection and treatment of type 1 and type 2 diabetes, with personalised therapy plans
  • Obesity treatment: identifying underlying causes of weight gain, combining medication and non-pharmacological strategies, and long-term support
  • Diagnosis and treatment of endocrine-related skin, hair, and nail issues
  • Ongoing care for patients with osteoporosis, pituitary, and adrenal gland disorders
Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.
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  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
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  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
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  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
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  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
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  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
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  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
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  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

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Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
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  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
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  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
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Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

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Dr. Ben Harbi offers reliable, accessible medical support through online consultations, helping patients make informed decisions about their health with a clear, structured, and compassionate approach.

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