# Flatulence and bloating

- Category: chronic
- Review status: reviewed (every claim checked against a document named on this page)
- Sources: Egyptian National Drug Formulary - Gastrointestinal Tract 2025 (simethicone monograph) · Zhang L, Sizar O, Higginbotham K. Meteorism. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; last update October 17, 2022.
- Verified date: 2026-08

## Verified against

- Egyptian National Drug Formulary - Gastrointestinal Tract 2025 (simethicone monograph)

## Treatment metadata

- Simethicone — oral.solid

## Complete treatment card

```text
FLATULENCE AND BLOATING
Sources: Egyptian National Drug Formulary - Gastrointestinal Tract 2025 (simethicone monograph) ·
         Zhang L, Sizar O, Higginbotham K. Meteorism. In: StatPearls [Internet]. Treasure Island
         (FL): StatPearls Publishing; last update October 17, 2022.
Review status: REVIEWED against the source listed above  (2026-08)

1. SIMETHICONE                                            [1st line]
   Adult    100-200 mg taken 3 or 4 times daily or as required - As required. If the bloating is
            still there after 4 weeks, look for a cause rather than repeating the prescription
   Peds     The formulary gives one regimen for adults, the elderly and children alike: 100-200 mg 3
            or 4 times daily. In infants it is the 40 mg/0.6 mL oral drops that are sold.
   Source   Egyptian National Drug Formulary - Gastrointestinal Tract 2025 (simethicone monograph)
   Why      The Egyptian formulary lists this exact complaint as the indication - flatulence, wind
            pains, bloating and abdominal distension. It works physically, by collapsing gas
            bubbles, and is not absorbed at all. On pregnancy and lactation the formulary's own
            position is that, being unabsorbed, it is not expected to do harm in either - while
            adding that caution belongs with any drug in those conditions.
   Caution  This relieves a symptom and treats nothing. New or persistent bloating deserves a
            diagnosis, not a repeat prescription.
            New persistent bloating in a woman over 50 is an ovarian cancer red flag until proved
            otherwise - examine the abdomen and pelvis, and consider CA125 and pelvic ultrasound.
            Weight loss, a change in bowel habit, rectal bleeding, vomiting or a palpable mass
            alongside the bloating all need investigating, not an antiflatulent.
            Look for the common treatable causes first: constipation, lactose intolerance, coeliac
            disease and irritable bowel syndrome account for most of it.
            Activated charcoal is widely sold for wind in Egypt and is deliberately not offered
            here. The evidence it helps gas is poor, and it adsorbs other medicines taken at the
            same time - including the oral contraceptive pill.
            Most Egyptian simethicone packs are combined with an antacid. Check what is actually in
            the box before adding it to another antacid.
   Egypt    SIMETHICONE 80MG 30 TAB.U.S.P.XXII AMOUN > PYRAMIDS TRADING         5.75 EGP (0.19/unit)
            DISFLATYL 40 MG 30 CHEW. TABS.   MISR > VALEAN...    54.00 EGP
            FLATIDYL 40MG 30 CHEWABLE TABS.  KAHIRA              54.00 EGP
            GASIFLATYL 40 MG 30 CHEW. TABS.  MISR                54.00 EGP
            BLINCOREST 125 MG 30 CHEW. TABS. P & C LABS          69.00 EGP
            BABY REST 40MG/0.6ML ORAL DROPS 15 ML PHARCO                                   16.00 EGP
                -> ? strength differs, ? different route - not oral solid
            SIMETHICONE 2% (30ML) ORAL DROPS. AMRIYA                                       24.00 EGP
                -> ? strength differs, ? different route - not oral solid

Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy.
```

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Dawaa Reference is a reference for prescribers, not a medical device, and does not replace clinical judgement.

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