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Simethicone

GAS-X

Pronunciation: sye-METH-i-koen

Simethicone ballicule: receptor binding, kinetics and half-life diagram
Mechanism of action: Simethicone ballicule

What it isNonabsorbed silicone antifoaming agent that coalesces gas bubbles; symptomatic bloating and flatulence.

Why this oneBecause it stays in the gut, systemic toxicity and drug interactions are negligible.

What limits itDiscontinue if symptoms do not improve; evidence is weak, and it changes bubble dispersion rather than gas production.

Simethicone molecular structure (skeletal formula)
Molecular structure: Simethicone

FDA-approved for

FDA label

FDA dosingPopulationStartTargetMax
Gas / bloating reliefAdults1-2 tablets PRN after meals & QHS4 tablets/24 h

Renal Undefined

Hepatic Undefined

Instructions

Available strengths

Pregnancy Undefined

Lactation Undefined

Cost

Simethicone (GAS-X)
Strength#/mogeneric $/unitCostPlus
80 mgchew tabper unitnot offered
125 mgchew tabper unitnot offered
NADAC is a voluntary CMS survey of what retail community pharmacies pay for the drugs they stock. Simethicone is dispensed outside retail pharmacies, so it rarely appears on surveyed invoices.

NO BOXED WARNINGS

Principal riskLittle; not absorbed

Classes and tags

Clinical profile

Therapeutic safety burden0 / 4
Overdose danger0 / 4
Weight-gain liability0 / 4
Sedation liability0 / 4
QT / Torsades0 / 4
Direct muscarinic antagonism0 / 4

Defining liabilityLow toxicity; persistent GI symptoms need evaluation

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