Compound
One sachet of Smecta contains 3 g of the active substance dioctahedral smectite ( diosmectite ).
The composition of the drug includes as excipients:
- vanilla flavor 0.05 g and orange flavor 0.01 g, sodium saccharinate 0.021 g, dextrose monohydrate 0.679 g (powder for preparing an orange-flavored suspension);
- strawberry flavor 0.032 g, sodium saccharinate 0.007 g, dextrose monohydrate 0.721 g (powder for preparing a strawberry-flavored suspension);
- vanillin 0.004 g, sodium saccharinate 0.021 g, dextrose monohydrate 0.749 g (powder for preparing a vanilla-flavored suspension).
Pharmacodynamics and pharmacokinetics
What is Smecta?
Dioctahedral smectite is a mixed silicate (or, according to other sources, a mixed oxide) of magnesium and aluminum of natural origin.
The action of the drug is aimed at binding and removing various substances (including toxic) and gases from the digestive tract.
Pharmacodynamics
Diosmectite has a stereometric structure and is a highly plastic viscous substance.
These properties explain the selectivity of the sorption effect of the drug (Smecta selectively adsorbs viruses and bacteria from the lumen of the digestive canal) and the high enveloping ability relative to the mucous membrane of the digestive canal.
By interacting with mucin glycoproteins (mucosal secretion of the gastrointestinal tract) and forming polyvalent bonds with them, diosmectite increases the cytoprotective properties of mucus and, consequently, its resistance to irritants: bile salts, hydrogen ions (hydrochloric acid), pathogenic microorganisms, the toxins they produce and other aggressive factors .
Blinded randomized studies of the drug's effectiveness compared with placebo, which included 602 patients aged 1 month to 3 years with a diagnosis of acute diarrhea , showed that in the group receiving Smecta in combination with oral rehydration solutions, the frequency of bowel movements was significantly reduced during the first 72 hours.
Pharmacokinetics
Aluminum contained in smectite is not absorbed from the gastrointestinal tract, including in diseases of the digestive tract, which are accompanied by symptoms of colonopathy and colitis .
Dioctahedral smectite is characterized by a slight swelling effect, in therapeutic doses does not change the physiological time of passage of food through the intestines, does not stain feces, is not metabolized and is excreted unchanged.
The drug is x-ray transparent.
How to use Smecta
Smecta is a drug that is not absorbed into the blood. It acts directly in the intestinal lumen, getting there through the gastrointestinal tract. After taking a single double dose in case of an acute attack of diarrhea, the patient is prescribed 1 packet or 1 sachet every three to four hours. The best way to make a powder-liquid mixture is an oral rehydration solution.
This is explained by the fact that diarrhea is the cause of pathological loss of fluid from the body. As a result, the patient develops dehydration and electrolyte imbalance, which poses a direct threat to life. By diluting Smecta in a solution to normalize the water-salt balance, it will be possible not only to remove toxins from the intestinal lumen, increasing mucus resistance, but also to replenish fluid losses, restoring electrolyte balance.
Indications for use of Smecta
Indications for use of Smecta are the same for adults and children, including infants over 4 weeks of age.
According to the annotation, the medicine is effective for diarrhea of drug or allergic origin. It helps against diarrhea caused by a violation of the quality of the composition and/or diet, with “travelers’ diarrhea,” as well as with disorders provoked by infectious diseases (for diarrhea of infectious origin, the drug is used as part of complex therapy).
The remedy can be prescribed for heartburn, abdominal discomfort, bloating and other symptoms of dyspepsia , which accompany many diseases of the digestive system.
In case of irritable bowel syndrome, Smecta does not reduce diarrhea, but significantly alleviates the patient’s condition due to the sorption and removal of excess gases in the intestines.
Smecta for poisoning
Does the drug help with poisoning? If toxic substances enter the body through the stomach - absolutely.
Smecta effectively removes toxins that have been absorbed into the gastrointestinal mucosa, while helping to restore the natural balance of intestinal microflora and creating a favorable habitat for its beneficial representatives.
Thanks to the unique structure of diosmectite, which is obtained through complex technological processing from specific clay and shell rock, the drug gently lines the mucous membrane of the digestive tube, strengthening its barrier function and giving damaged cells the opportunity to recover.
Smecta for vomiting
The use of the drug for vomiting is permissible in cases where the gag reflex is not a symptom of severe pathology of the digestive organs.
Before taking Smecta, an adult is recommended to perform a gastric lavage, since this procedure helps remove a significant part of toxic substances from the body and speeds up the effect of diosmectite.
When vomiting in children, the use of sorbent is resorted to, as a rule, in situations where food poisoning .
Why does the powder help animals?
Smecta is used in veterinary practice to alleviate the condition of animals with vomiting, stool disorders and poisoning.
During the studies, it was found that in dogs suffering from diarrhea during the convalescence period, when using the drug as an addition to the diet and main therapy, recovery occurred 2-3 days earlier than in the group of animals that did not receive Smecta.
Indications
Smecta is used in cases where the body seeks to overcome the consequences of a toxic influence on it. This can happen under various circumstances, but our body already has a prepared program for removing toxic substances or eliminating the clinical picture. If they were caused by the following pathologies and conditions of the body, then the doctor has the right to prescribe an appropriate course of treatment. The drug is used in the presence of the following types of diarrhea:
- allergic reactions,
- medicinal origin,
- result of non-compliance with dietary intake,
- eating low quality and unusual food,
- intestinal infections.
In addition, Smecta is prescribed for:
- food intoxication,
- intestinal colic,
- eliminating the clinical picture of heartburn, gas incontinence, abdominal pain and other signs of dyspepsia.
The manufacturer states that, although the medicine helps in many cases where the patient suffers from diarrhea, there are a huge number of conditions when you should consult a doctor before prescribing therapeutic actions on your own. In this case, only a doctor will provide assistance:
- the presence of loose stools and high fever, chills, incessant vomiting,
- stool is accompanied by bloody discharge and exhaustion of the body,
- the patient is at risk: damage to the heart valves, therapy that disrupts the protective function of the immune system,
- elderly people,
- even after 2 days of taking the drug, your health remains at a poor level,
- increased thirst, fatigue and severe dehydration,
- diarrhea may reappear after short periods of time or may systematically replace constipation.
Contraindications
The drug has very few contraindications for use. Thus, Smecta is not prescribed for intestinal obstruction , known hypersensitivity to the components of the powder, food intolerance to fructose, deficiency of the sucrase-isomaltase complex, malabsorption syndrome (malabsorption) of glucose and galactose .
It is also not recommended to take the suspension in case of osmotic diarrhea . This is explained by the fact that additional sorption of nutrients can provoke an increase in malabsorption syndrome.
The medicine is prescribed with caution to patients of severe chronic constipation .
Side effects
During clinical trials, it was found that the drug can cause constipation . This phenomenon occurs quite rarely and goes away after an individual change in the dosage regimen.
Some patients may experience vomiting and flatulence .
During the post-registration period, cases of hypersensitivity reactions were recorded, which included the appearance of skin rashes, urticaria , itching , and angioedema . The frequency of these side effects is unknown.
Smecta powder, instructions for use
How to give Smecta to an adult
An adult with acute diarrhea at the beginning of treatment should take up to six sachets of powder per day. After stabilization of the condition, the daily dose is reduced to three sachets.
For other indications, the patient is given three sachets of Smecta per day.
How to dilute Smecta (3 g) for adults and how to take it - before or after meals?
The medicine is available in powder. You should drink it after first dissolving it in liquid.
The method of using Smecta is very simple: the powder is diluted in 100 ml of water to obtain a suspension. This should be done immediately before taking the medicine.
The instructions for use of Smecta indicate that in case of inflammatory lesions of the esophageal mucosa, it is recommended to drink the suspension after meals, for other indications - one hour before or two hours after meals.
How long does it take for the drug to work?
The medicine begins to act from the first dose (for diarrhea, the effect develops after 6-12 hours, for poisoning - after 2-3 hours, for esophagitis - within half an hour).
To consolidate the effect, it is recommended to continue treatment for at least three days.
How to dissolve Smecta for an infant
If it is necessary to use the drug for newborns, it should be diluted in 50 ml of expressed milk or in a similar volume of formula for artificial feeding.
How to breed Smecta for children over one year of age
For older children, the powder can be diluted in milk, compote, vegetable/fruit puree or juice for baby food. Before pouring Smecta into the liquid, the latter must be heated to a temperature slightly above room temperature.
Dissolve 3 g of powder gradually, with stirring. The optimal volume of liquid is 50 ml.
How to take Smecta powder for a child under one year old
Smecta is given to children under one year of age using a bottle. After the baby drinks the mixture, it is recommended to hold him in an upright position for some time. Do not rock or shake.
Instructions for use of Smecta for children
Children's dosage is determined depending on age and indications for use.
The daily dose of Smecta for children under one year of age is usually one sachet per 100 ml of liquid. Children 13-24 months old are given two sachets of powder per 200 ml of liquid per day. Dosage for children from 2 to 12 years old: three sachets per 300 ml of liquid.
How to drink Smecta for diarrhea
For diarrhea, infants aged from 4 weeks to 12 months are given two sachets of Smecta in the first three days, then the child is transferred to taking one sachet per day.
Children over one year of age should be given four sachets per day in the first three days, and then two sachets per day.
For other indications, following the recommendations in the instructions for Smecta for children, during the day a child under one year old is given one sachet per day, children from 12 months to 2 years old - one or two sachets, children over two years of age - 2-3 sachets per day.
Directions for use for vomiting
When vomiting, children under one year of age should be given one sachet of Smecta per day as a one-time dose. To relieve unpleasant symptoms, an adult should take the drug three times a day (one sachet for each dose).
If constipation occurs, children should reduce the dose.
Veterinary use, dosage for dogs and cats
Dosage for a cat with diarrhea is 3-5 ml 3-4 times a day. To prepare the suspension, half the packet is mixed with 25 ml of warm water. The kitten is given 2 ml at a time.
Before giving the kitten or cat the suspension, the animal must be wrapped in a terry towel and its mouth opened. The medicine is drawn up with a disposable syringe (without a needle), released from the syringe into the air, unscrew the upper lip, insert the syringe with the nose in a place where there are no teeth, and gently press the plunger.
If the first attempt to give the cat the medicine was unsuccessful and some of the medicine spilled out, you should additionally give the animal half of the previous dose.
For diarrhea in a dog, the contents of the sachet are dissolved in 10 ml of water. You need to drink one sachet 3 times a day
For persistent diarrhea, the drug is given every 3 hours.
In case of poisoning, the contents of the sachet are diluted in ¼ glass of warm water. The animal should be fed 1 teaspoon per 5 kg of weight.
Treatment is combined with diet. It is optimal not to feed the cat/dog on the first day after the symptoms of poisoning appear. In this case, the animal must receive a sufficient amount of fluid.
If after 2 procedures of administering the drug the condition does not improve, the pet should be shown to a doctor.
Buy Smecta powder for preparing oral suspension Orange 3g No. 10 in pharmacies
Smecta por. d/susp.internal Orange 3g No. 10
Release form, composition and packaging Powder for the preparation of suspension for oral administration (vanilla) from grayish-white to light grayish-yellow color, from a weak non-specific to a weak vanilla odor.
1 pack dioctahedral smectite 3 g Excipients: vanillin - 4 mg, dextrose monohydrate - 749 mg, sodium saccharinate - 7 mg.
3.76 g - laminated paper bags (10) - cardboard packs. 3.76 g - laminated paper bags (30) - cardboard packs. Pharmacological action Antidiarrheal drug, is an aluminosilicate of natural origin. Has an adsorbing effect.
Stabilizes the mucous barrier of the gastrointestinal tract, forms polyvalent bonds with mucus glycoproteins, increases the amount of mucus and improves its cytoprotective properties (with respect to the negative effects of hydrogen ions of hydrochloric acid, bile salts, microorganisms and their toxins).
It has selective sorption properties, which are explained by its discoid-crystalline structure; adsorbs bacteria and viruses located in the lumen of the gastrointestinal tract.
Smecta® in therapeutic doses does not affect intestinal motility.
Diosmectite is radiolucent and does not stain stool.
Aluminum in the composition of diosmectite is not absorbed from the gastrointestinal tract, incl. for gastrointestinal diseases accompanied by symptoms of colitis and colonopathy. Pharmacokinetics Smecta® is not absorbed. It is excreted from the body unchanged. Indications: acute and chronic diarrhea (allergic, drug origin; in violation of the diet and quality of food);
— diarrhea of infectious origin (as part of complex therapy);
- symptomatic treatment of heartburn, bloating and abdominal discomfort and other symptoms of dyspepsia accompanying diseases of the gastrointestinal tract. Dosage regimen Acute diarrhea
Adults are recommended to use 6 sachets per day.
Children under 1 year of age - 2 sachets/day for 3 days, then 1 sachet/day; children over 1 year old - 4 sachets/day for 3 days, then 2 sachets/day.
Other indications
Adults are prescribed 3 sachets/day.
Children under the age of 1 year - 1 sachet/day, at the age of 1-2 years - 1-2 sachets/day; over 2 years - 2-3 sachets/day.
A course of treatment of 3-7 days is recommended.
For esophagitis, Smecta® should be taken orally after meals, for other indications - between meals.
Rules for taking the drug
For adults, dissolve the contents of the sachets in 1/2 cup of water, gradually pouring in the powder and stirring it evenly. The prescribed dose is distributed into 3 doses during the day.
For children, the contents of the sachets are dissolved in a baby bottle (50 ml) and distributed into several doses throughout the day or mixed with some semi-liquid product (porridge, puree, compote, baby food). Side effects From the digestive system: in clinical studies, rarely - constipation (mild, went away after adjusting the dose of the drug).
Allergic reactions: in routine practice, very rarely - urticaria, rash, itching, Quincke's edema. Contraindications for use: intestinal obstruction;
- fructose intolerance, glucose-galactose malabsorption syndrome;
- sucrase-isomaltase deficiency;
- hypersensitivity to the components of the drug. Use during pregnancy and lactation The drug Smecta® is approved for use during pregnancy and lactation according to indications. No dosage adjustment is required. Use in children Use in children is possible according to the dosage regimen. Special instructions Use with caution in patients with a history of severe chronic constipation.
For adults, therapy with Smecta® in combination with rehydration measures is prescribed if necessary.
A set of rehydration measures is prescribed depending on the course of the disease, age and characteristics of the patient.
The interval between taking Smecta and other medications should be 1-2 hours.
Use in pediatrics
In children with acute diarrhea, the drug should be used in conjunction with rehydration measures.
Impact on the ability to drive vehicles and operate machinery
No information available. Overdose Possible severe constipation or bezoar. Drug interactions When used simultaneously, Smecta® may reduce the rate and extent of absorption of other drugs. It is not recommended to take the drug simultaneously with other medications. Conditions and periods of storage The drug should be stored out of the reach of children at a temperature not exceeding 25°C. Shelf life: 3 years. Conditions for dispensing from pharmacies The drug is approved for use as an over-the-counter product.
special instructions
Diarrhea (especially in children) increases the risk of electrolyte imbalance and dehydration. To avoid this, the child is usually prescribed Regidron and Smecta together. Instead of Regidron, you can use the following drugs: Citraglucosolan , Disol , Trisol , Reosolan , Gidrovit , etc.
Oral rehydration salt solution helps replenish electrolytes lost during vomiting and diarrhea, the glucose it contains improves salt absorption, and citrates help correct the balance in metabolic acidosis .
For adults, rehydration agents are prescribed if necessary. The amount of rehydration depends on the course of the disease, the age of the patient and the intensity of diarrhea.
Analogues of Smecta
Level 4 ATC code matches:
Polyvinylpyrrolidone
Polysorb
Polyphepan
Enterosgel
Atoxyl
Neosmectin
Filtrum-STI
Lactofiltrum
Enterodesis
Synonyms for Smecta are Diosmectite and Neosmectin . When choosing an analogue for children, preference is given to the drug Neosmectin.
The following mechanisms of action have a similar mechanism of action: Activated carbon , Microcel , Laktofiltrum , Lignosorb , Polysorb MP , Filtrum-STI , Polyphepan , Enterodes , Entegnin , Enterosorb Enterosgel , Enterumin , - 1 .
Which is better, Neosmectin or Smecta?
Neosmectin is a complete analogue of the drug Smecta. The difference between these products is that the first is produced by the Russian company Pharmstandard-Leksredstva OJSC, while Smecta is produced by the French company Ipsen Pharma.
Smecta or Activated Carbon - which is better?
Smecta and Activated Carbon are preparations with sorption properties.
However, Smecta has a number of advantages in comparison with the latter. Firstly, this drug is distinguished by its selectivity of action: it removes toxic substances, hydrochloric acid, excess bile acids and viruses, but does not take the substances it needs from the body.
Activated carbon, along with pathogenic microorganisms and poisons of biological origin, also removes beneficial bacteria, without which the stomach and intestines subsequently cannot function normally. Diosmectite helps create the most optimal conditions in the body for the development of beneficial microflora.
Secondly, acting very gently, the drug envelops the walls of the digestive canal, protecting them from aggressive factors, while Activated Carbon, which has a rigid structure, can further injure them.
Smecta for children, instructions for newborns
Smecta for newborns is often an indispensable drug, since most digestive problems arise in the first weeks of a baby’s life.
The manufacturer's instructions do not contain instructions on how to give Smecta to infants under 4 weeks of age, so most young mothers naturally have questions about whether Smecta can be given to newborns and whether this drug will harm the baby.
The answer is clear - you can (after all, diosmectite is nothing more than well-purified clay, which is not absorbed or metabolized in the body), but only under the supervision of the attending physician and with his approval.
The drug is prescribed for eating disorders accompanied by bloating and abdominal pain, the development of diarrhea and vomiting syndrome. It is also recommended to be given for jaundice .
The dosage of Smecta for newborns is selected by the doctor.
There is no difference in how to dilute Smecta for a newborn baby and an older child. The dose recommended by the doctor is slowly, stirring constantly, poured into 50 ml of warm milk, water or formula for artificial nutrition and stirred until smooth.
The specified volume of liquid must be given to the child in several doses.
Most mothers leave positive reviews about the use of the drug in newborns, but note that children prone to constipation should be given Smecta with caution.
Reception by children
Smecta can be given to children from infancy. Often, babies have problems with the digestive system in the first days of life.
The instructions say that you can give the medicine from 4 weeks. The remedy can be given for malnutrition, which leads to abdominal pain and bloating, vomiting and diarrhea. Also effective for jaundice.
The optimal dose is determined only by a doctor. You need to dilute the powder in warm milk or water (50 ml), stirring until you get a homogeneous consistency. The specified volume must be divided into several doses.
For diarrhea
If a baby has diarrhea at the age of 1-12 months, then in the first 72 hours you need to give 2 sachets, after which you can give 1 sachet per day. Children from 1 year old can be given 4 sachets in the first 3 days, and after that - 2 sachets per day.
When vomiting
For vomiting in children under 1 year of age, give 1 sachet per day. A child over one year old can be given 3 sachets per day. If constipation occurs, the dose should be reduced.
Use with alcohol
Diosmectite reduces the rate of absorption of alcohol.
To reduce the effect of intoxication, immediately before the feast you should take 2-3 sachets of the drug.
To prevent the development of hangover syndrome , Smecta is taken after drinking alcohol.
If there is vomiting within 30 minutes after taking the suspension, the drug is repeated in a double dose. In case of poisoning with alcohol surrogates, it is necessary to induce vomiting, then take three sachets of Smecta and call an ambulance.
Which is better for poisoning: Smecta or activated carbon
Coal tablets, like Smecta, are a sorbent. However, they remove toxins not only from the intestinal lumen, but also those that have managed to be absorbed into the blood. In addition, charcoal blocks the absorption of toxic substances into the blood from the gastrointestinal tract.
There is no doubt about the effectiveness of activated carbon. But an important distinguishing feature of filter tablets is one undeniable disadvantage - a single dose for administration is calculated based on the patient’s weight using the formula: 1 g of coal per 1 kg of weight. If we take into account that 1 tablet contains a quarter of a gram, it turns out that there are 4 tablets per 1 kg of the patient’s weight. If the patient is an adult who weighs 50 kg, then a single dose for him should be 200 tablets. Not everyone can drink such an amount of activated carbon.
Small doses, which are practiced by the average citizen, are not able to save in case of serious poisoning and stop diarrhea.
Smecta during pregnancy and breastfeeding
Can pregnant women use Smecta?
The drug can be used in pregnant women. According to the instructions for Smecta, during pregnancy there is no need to adjust the regimen and dosage of the drug.
In pregnant women, the drug is used to reduce the severity of heartburn, normalize digestion, prevent the development of intestinal candidiasis against the background of reduced immunity , and also to prevent toxicosis .
It has been scientifically and practically proven that diosmectite does not have a negative effect on the process of prenatal development and is completely safe for the fetus.
If necessary, unless the doctor gives other instructions, you can take Smecta one sachet three times a day. Five days are usually enough to reduce the acidity of gastric juice and normalize the production of digestive enzymes.
Can a nursing mother take Smecta powder?
The drug is approved for use during lactation and can be used in standard doses.
Smecta: how to dilute and take
Taking the drug released in a sachet does not require special preparation. Simply tear the edge of the package and squeeze the contents into your mouth. If desired, you can drink it with water or another drink.
The powder is usually diluted in the following proportion: 1 sachet per 100 ml of liquid. Mix the contents of the sachet with the drink immediately before taking it, shaking it thoroughly.
Eating does not have a significant effect on the effect of the drug. However, it should be understood that any digestive upset due to poisoning must be accompanied by fasting.
Reviews about Smecta
Smecta is an original medicine containing a naturally occurring substance, diosmectite, as an active substance. The latter, being a silicate of Mg and Al, differs favorably from other silicon compounds in its structure and properties.
The diosmectite molecule has a stereometric configuration and is characterized by increased plastic viscosity, due to which the drug not only effectively adsorbs harmful substances, but also has a protective effect on the mucous membrane of the digestive tube.
Most of the reviews are reviews of Smecta for children, and, in particular, for infants and newborns. Acting quickly and gently, the drug relieves symptoms of poisoning, relieves heartburn, and eliminates infectious digestive problems. Therefore, according to most mothers, in families with children, it must be in first aid kits.
The main advantages of Smecta are:
- “children’s” dosage form and pleasant taste;
- the ability to significantly reduce the duration of the disease and, accordingly, the costs of treatment (this fact is confirmed by numerous studies and, in particular, studies conducted by SIGEP specialists);
- good tolerance;
- few restrictions on use.
To date, there is encouraging data on the effectiveness of the drug in the treatment of gastroesophageal reflux in children in the first 4 weeks of newborn life, as well as on its use for prophylactic purposes to prevent the development of chronic diarrhea during radiation therapy in patients with cancer .
Which is better: Smecta or Imodium
Imodium, unlike Smecta, is not a sorbent. The direct purpose of Imodium is to paralyze the intestinal muscles so that it stops the evacuation of food. Imodium stops diarrhea by shutting down the motility of the rectum. The rapid movement of feces stops, but the cause of the disorder does not disappear. Therefore, it makes sense to take Imodium when loose stools are caused not by poisoning, but by increased excitability or neurological reasons.
Important! Imodium is contraindicated for children under 6 years of age, since decreased peristalsis can lead to intestinal rupture at this age, and, as a consequence, the death of the child.
It makes no sense to compare the benefits of taking two drugs, since the direction of their actions is completely different. Smecta is indicated for use in cases of poisoning, intestinal infections, and toxic damage to the mucous membranes of the rectum. While Immodium does not fight the pathogen in any way, but only corrects the mechanical activity of the digestive organ.
How much does it cost at Smecta pharmacy?
The price of Smecta in a pharmacy may vary depending on the number of portioned sachets in the package.
The price of Smecta in Russian pharmacies is about 130 rubles. for package No. 10. The cost of package No. 30 is about 280 rubles. One portioned bag can be purchased for an average of 15 rubles.
The cost of package No. 12 in Ukraine is about 110 UAH; you can buy a package of 30 sachets for about 230 UAH. The price for 1 sachet is about 10 UAH.
If it is necessary to use the drug for children (in particular, for newborns), take into account the likelihood of constipation. In predisposed children, the drug is used in a reduced dose, so it is advisable to buy it not in packaging, but individually.
- Online pharmacies in RussiaRussia
- Online pharmacies in UkraineUkraine
- Online pharmacies in KazakhstanKazakhstan
ZdravCity
- Smecta powder for Prig Susp.
for internal approx. orange 3g 10 pcs Beaufour Ipsen RUB 143 order - Smecta powder for Prig Susp. for internal approx. vanilla 3g 10 pcs Beaufour Ipsen
148 RUR order
- Smecta por. ready susp. d/in. reception strawberry 3g 30pcs Bofur Ipsen Industry
280 rub. order
- Smecta suspension for oral administration (caramel-cocoa) pack. 3g 8 pcs PHARMATIS/Bofur Ipsen Industry FR
RUB 274 order
Pharmacy Dialogue
- Smecta bags No. 10 orangeBeaufour Ipsen Industrie
RUB 142 order
- Smecta bags No. 10 strawberryBeaufour Ipsen Industrie
RUB 137 order
- Smecta bags No. 30 strawberryBofur Ipsen Industry
RUB 273 order
- Smecta bags No. 8 caramel-cocoaBeaufour Ipsen Industrie
RUB 288 order
- Smecta bags No. 10 vanillaBofur Ipsen Industry
146 RUR order
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Pharmacy24
- Smecta 3g N12 orange-vanilla powder for oral suspension Beaufour-Ipsen Industrie, France
111 UAH.order - Smecta strawberry 3 g N12 powder Beaufour-Ipsen Industrie, France
111 UAH order
- Smecta 3 g N12 vanilla powder Beaufour-Ipsen Industrie, France
111 UAH order
PaniPharmacy
- Smecta Orange-Vanilla por. d/p susp. 3g No. 12
124 UAH order
- Smecta Vanilla por. d/p susp. 3g No. 12
118 UAH order
- Smecta Strawberry por. d/p susp. 3g No. 12
121 UAH order
- Smecta Smecta por. d/p susp. 3g No. 10 France, Beaufour Ipsen Industrie
96 UAH order
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