What is the recommended dosage of Simethicone (Dimethicone), an anti-foaming agent?

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Last updated: April 19, 2025View editorial policy

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From the FDA Drug Label

Directions adults: swallow with water 1 or 2 softgels as needed after meals and at bedtime do not exceed 2 softgels in 24 hours except under the advice and supervision of a physician Active ingredient (per softgel) Simethicone 180 mg The recommended dosage of simethicone is:

  • 1 or 2 softgels as needed after meals and at bedtime
  • Do not exceed 2 softgels in 24 hours, except under the advice and supervision of a physician
  • Each softgel contains 180 mg of simethicone 1 1

From the Research

Simethicone is typically dosed at 40-125 mg for adults, taken orally after meals and at bedtime as needed for gas relief, with a maximum of 500 mg daily, as supported by the most recent and highest quality study available 2.

Key Considerations

  • For infants and children, the dosage ranges from 20-40 mg up to four times daily, adjusted based on age and weight.
  • Liquid infant formulations usually contain 40 mg per 0.6 mL.
  • Simethicone works by breaking up gas bubbles in the digestive tract, making them easier to eliminate through belching or passing gas.
  • It's generally considered safe with minimal side effects or drug interactions since it isn't absorbed into the bloodstream.

Administration and Efficacy

  • For best results, take simethicone when experiencing gas discomfort, and consider addressing underlying causes of excessive gas such as dietary triggers or swallowed air.
  • If gas symptoms persist despite simethicone use, consult a healthcare provider to rule out other digestive conditions.
  • The use of simethicone with or without N-acetylcysteine before gastroscopy has been shown to improve mucosal visibility and procedure time 2.

Safety and Interactions

  • Simethicone is well-tolerated and has a good safety profile, with no significant adverse effects reported in the majority of studies 3, 4, 5, 6, 2.
  • However, it is essential to follow the recommended dosage and consult a healthcare provider if symptoms persist or worsen.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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