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Diosmectite

From Wikipedia, the free encyclopedia
Silicate of aluminium and magnesium
Pharmaceutical compound
Diosmectite
Diosmectite powder
Clinical data
AHFS/Drugs.comInternational Drug Names
ATC code
Identifiers
CAS Number
UNII
Chemical and physical data
Formula(Na-Ca)0.33-(Al-Mg)2-Si4-O10-(O-H)2·(H2O)2
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Diosmectite (brand namesSmecta,Smecdral) is a naturalsilicate ofaluminium andmagnesium used as anintestinaladsorbent in the treatment of severalgastrointestinal diseases, including infectious and non-infectious acute and chronicdiarrhoea, includingirritable bowel syndrome diarrhea subtype. Other uses include: chronic diarrhea caused by radiation-induced, chemotherapy-induced, andHIV/AIDS-associated chronic diarrhea.[1]

It isinsoluble in water. It is usually taken orally as a suspension in warm water. In the field of geology, it is more commonly known asmontmorillonite. Diosmectite is a contraction of "dioctahedralsmectite".

Mechanism of action

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Its effectiveness in improving stool consistency is the result of its alleged ability to absorb bacteria, viruses and toxins as well as strengthening the intestinal mucus barrier to reduceluminalantigens passing through the mucus barrier which in turn helps to reduce inflammation.[1]

Diosmectite may be a useful additive in the treatment of acute childhood diarrhoea. As evidence is of ‘low quality’, future research is needed with higher quality designs before any firm recommendations can be made.[2]

See also

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References

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  1. ^abLee KJ (October 2015)."Pharmacologic Agents for Chronic Diarrhea".Intestinal Research.13 (4):306–312.doi:10.5217/ir.2015.13.4.306.PMC 4641856.PMID 26576135.
  2. ^Das RR, Sankar J, Naik SS (July 2015). "Efficacy and safety of diosmectite in acute childhood diarrhoea: a meta-analysis".Archives of Disease in Childhood.100 (7):704–712.doi:10.1136/archdischild-2014-307632.PMID 25784748.S2CID 20092600.

Further reading

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  • Santantonio M, Colella M, Fiorica F, Pratissoli S, Stefanelli A, Falchi AM, et al. (December 2000). "Diosmectite (DIOSMECTAL) in preventive anti-diarrheic therapy in patients subjected to pelvic radiation".Minerva Gastroenterologica e Dietologica.46 (4):225–230.PMID 16501441.
Rehydration
Intestinal anti-infectives
Intestinaladsorbents
Antipropulsives (opioids)
Intestinal anti-inflammatory agents
Antidiarrheal micro-organisms
Other antidiarrheals
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