SIMI-SPAS DROP

SIMI-SPAS DROP

SIMI-SPAS Drops, a liquid medicine containing Dicyclomine Hydrochloride + Simethicone. It appears to be a pediatric oral suspension/drop formulation.

What I can read from the package

• Brand: SIMI-SPAS
• Form: Drops / oral suspension
• Active ingredients shown on the box:
  • Dicyclomine Hydrochloride
  • Simethicone
• Manufacturer/brand marking visible: Acme? / Acocert-type logo on the lower right; the exact company name is difficult to read from this photograph.
• The bottle is a brown/amber glass bottle with a child-oriented elephant illustration.
• A dropper/dispensing device is included in the package.
• The bottle appears to contain 8 mL (the small print near the bottom looks like “8 ml,” although the photograph isn't sharp enough for me to guarantee this).

What the two medicines do

1. Dicyclomine hydrochloride

• It is an antispasmodic/anticholinergic medicine.
• It relaxes intestinal smooth muscle and can reduce intestinal cramping/spasm.

2. Simethicone

• It is an anti-foaming agent used for symptoms associated with gas and abdominal bloating.
• It works locally in the gastrointestinal tract by helping gas bubbles combine and pass more easily.

So, in general, this combination is intended to relieve symptoms such as abdominal cramps/spasm, gas and bloating.

⚠️ Important point if this is for a baby

The presence of dicyclomine is particularly important. Current U.S. prescribing information states that dicyclomine is contraindicated in infants younger than 6 months. Safety and effectiveness in pediatric patients have not been established, and serious reactions have been reported following infant exposure. DailyMed

Therefore, don't give these drops to a child under 6 months unless a qualified pediatrician has specifically prescribed them and confirmed the dose. The fact that the packaging has an elephant/children's design does not by itself mean the medicine is appropriate for every infant.

About the dose

I would not determine the dose from this photograph alone. The concentration (for example, how many mg of dicyclomine and simethicone per mL/drop) isn't sufficiently readable, and dosing depends on the patient's age and clinical situation.

If you tell me the patient's age (and weight, if it's a child), I can explain what this medicine is generally used for, the important safety issues, and how to interpret the prescription/label.