Motilium tablets for children: dosage, instructions for use

Motilium is a remedy to eliminate vomiting and normalize the activity of the digestive tract. The drug is produced by pharmaceutical companies in the UK and Belgium in the form of classic tablets, lozenges and ready-made suspension, which is allowed to be used for the treatment of children with birth. At the same time, depending on the form of release, the dosage of the active substance changes.

Composition and form of release

The main children's form Motilium is produced in the form of a ready-made suspension, but also for the treatment of children, provided that they are over 12 years old and weigh more than 35 kg, it is allowed to use tablet forms.

Motilium in the form of tablets is presented in two varieties:

• classic pills;
• lozenges.

Both dosage forms are made in the form of round and biconvex tablets coated with a white shell (a cream shade is possible). The contents of the tablet are also white. On one surface of the preparation the inscription "Janssen" is applied, on the other "M / 10". Tablets are located in cellular plates in the amount of 10 or 30 pieces. A cardboard box contains 1 blister containing 10 or 30 tablets, or 3 blisters containing 10 tablets.

The main component in tablets (as well as in suspension) is domperidone, which has an antiemetic effect, and also normalizes and stimulates the work of the digestive tract. The auxiliary components of the tableted release forms are:

Dosage form	List of components	Characteristics of elements
Pills	Lactose	The substance is a source of energy, as well as a breeding ground for the beneficial microflora that populates the intestines (necessary for the normal functioning of the organ). In addition, the element gives the tablets a sweet taste, improves the absorption of minerals and restores metabolic processes in the body.
Microcrystalline cellulose	The component is used as a filler; additionally, it makes the tablets strong, smooth and homogeneous.
Polyvidone	The component binds and removes toxins, and prevents the development of dehydration, retaining the necessary moisture in the cells.
Hydrated Cottonseed Oil	The substance has antioxidant, antihistamines and anti-inflammatory properties. It also helps to strengthen the immune system, cardiovascular and nervous systems.
Hypromelose	The element has softening and lubricating properties, protecting the mucous membranes of the digestive tract from harmful effects.
Corn starch	The component activates the removal of toxins and excess bile from the body, lowers the amount of sugar in the blood and has a calming effect on the nervous system.
Gelatinized Potato Starch	The substance is a hypoallergenic filler, which is necessary to combine the components used.
Magnesium stearate	The component is used as a filler and stabilizer. It is also needed to make the tablets easier to swallow.
Sodium lauryl sulfate	The component is a surfactant that is necessary for the normal absorption of the drug and has disinfecting properties
Lozenges	Gelatin	The element gives the tablets a smooth surface, also promotes blood thinning and blood flow activation.
Aspartame	The ingredient is a sugar substitute and gives the tablet a sweet taste
Poloxamer 188	The component improves the absorption of the drug through the oral mucosa.
Mannitol	The element prevents the development of edema and activates the removal of excess fluid from the body.
Mint essence	The substance helps to normalize the functioning of the digestive tract, and also has a choleretic and antispasmodic effect. In addition, the component gives the tablets a mint flavor.

The active ingredient in tablets contains 10 mg.

Terms of sale, storage, prices

Motilium tablets for children (the dosage of the active substance is 10 mg) can be bought or ordered from a pharmacy without a prescription. At home, the medication should be kept in a dark place, away from children and at a temperature of 15-30 degrees with a plus sign. Under these conditions, the shelf life of the tablets is 5 years, and the tablets for resorption are 3 years.

The cost of Motilium tablets depends on their type and quantity in the package:

Type of pills	Number of tablets	Minimum price	Maximum price
Classic pills	10 pieces.	450 RUB	RUB 520
30 pcs.	RUB 910	RUB 1100
Lozenges	10 pieces.	650 RUB	770 RUB
30 pcs.	RUB 990	1220 RUB

The drug containing 30 tablets is more profitable at a price, the additional drug is enough for a longer time or for the whole family.

Pharmacological properties

Motilium belongs to the group of antiemetics and normalizes the activity of the digestive tract.

Pharmacodynamics and pharmacokinetics

Motilium tablets for children, the dosage of the drug is selected taking into account the severity of the pathology, they have the following effect on the body:

• prevent the appearance of gagging or eliminate vomiting that has already arisen due to a decrease in the receptivity of the receptors responsible for the gag reflex;
• contribute to the narrowing of the sphincter (the valve regulating the passage of food from one organ of the gastrointestinal tract to another) of the esophagus, as a result, the amount of vomit decreases;
• accelerate the release of the stomach from the "harmful" contents ";
• have a light disinfecting effect;
• help maintain energy in a vomiting-depleted body;
• participate in the restoration of the state of microflora in the intestine;
• improve the absorption of nutrients;
• have a mild sedative effect on the cells of the nervous system;
• restore metabolic processes in the body;
• activates the removal of toxins and toxins from the body;
• prevent the development of dehydration of organs and tissues;
• have a mild antihistamine effect;
• eliminate spasms in the digestive tract;
• help to strengthen the immune system;
• prevent the development of inflammation in the mucous membranes of the digestive tract;
• protect the mucous membranes of the gastrointestinal tract from the action of harmful substances;
• eliminate puffiness by activating the withdrawal of urine from the body;
• have a choleretic effect (the effect is weak);
• lower the amount of glucose in the blood;
• normalizes the composition of beneficial microflora in the intestine;
• normalizes the work of the digestive tract.

Relief of the patient's condition occurs within about 30-60 minutes. The effect of the medication lasts up to 9 hours. In patients with renal and hepatic insufficiency, the medication can remain in the body for up to 20 hours. The drug is excreted from the body about 35% with urine and about 65% with feces.

Indications for use

Doctors prescribe Motilium in tablet form for the following pathologies:

• vomiting, with profuse vomiting, it is advisable to use a suspension that should be drunk in small sips;
• a quick feeling of fullness when taking even a small amount of food;
• long-term hiccups;
• heartburn or belching;
• nausea caused by bowel dysfunction or poor-quality food intake;
• absence or decrease in muscle tone in the organs of the digestive tract;
• inflammation of the gallbladder tissue;
• inflammation of the tissues of the esophagus as a result of the release of contents (including acid) from the stomach into the esophagus;
• the development of gastric ulcer or duodenal ulcer;
• accelerating the withdrawal of food from the digestive tract before instrumental examinations of the digestive tract;
• violation of the motility of the biliary tract and intestines;
• inflammation of the bile ducts;
• violation of the outflow of bile;
• abdominal pain caused by cramps;
• in combination therapy for dysbiosis (violation of the state of microflora in the intestine, manifested by constipation or diarrhea);
• poisoning, Motilium accelerates the removal of harmful substances from the body;
• violation of the digestive tract, manifested by impaired appetite, stool, vomiting;
• swelling of the limbs due to a deterioration in metabolism and urine output from the body;
• accumulation of gas in the intestines.

Motilium is also used in combination therapy for exacerbation of ulcers in the stomach or duodenum.

If the listed pathologies (especially vomiting, disruption of the digestive tract) have infectious, then Motilium should be used in combination with antibiotics or antibacterial means.

Contraindications

Motilium in tablet form has the following prohibitions for use:

• bleeding in the digestive tract;
• the presence of through defects in the digestive tract;
• intestinal obstruction;
• the presence of hormonally active tumors;
• negative reaction of the body to the composition of the tablets;
• disruption of the work and condition of the liver in moderate and severe form;
• severe kidney pathology;
• malnutrition of the child;
• the presence of stones in the gallbladder;
• the presence of parasites in the digestive tract;
• severe violation of the water-salt balance;
• violation of the activity of the cardiovascular system in severe form.

In addition, pills are not prescribed if the child is less than 12 years old and weighs less than 35 kg.

Method of administration and dosage

It is undesirable to take Motilium tablets simultaneously with food, as it slows down and impairs the absorption of the drug. In this regard, the agent should be consumed approximately 20-30 minutes before a meal. The following is an approximate dosage of the medication for children, depending on the purpose of the intake.

Features of dosing Motilium tablets for children, taking into account the reason for taking the drug:

Pathology type	Dosing instills	Course and notes
Vomiting due to poisoning	1 tablet every 6 hours	After the normalization of health, you should continue to take 3 tablets per day for 2 weeks.
Vomiting due to infection	1-2 tablets 4 times a day, but not more than 8 tablets a day.	Treatment combined with antibiotics or antiviral agents is required (depending on the type of pathogen). Continue to take Motilium for another 3 weeks, 3 tablets per day for 3 weeks.
Fast filling of the stomach with small portions of food	1 tablet before breakfast, lunch and dinner.	Use Motilium for approximately 20-30 days. Additionally, the use of enzymes may be required to normalize stomach digestion.
Hiccups, heartburn, or belching	1 tablet in the morning or at lunchtime. Or use, both in the morning and at lunch.	The tablets should be taken within 10-14 days. If there is no improvement after 5 days, then the patient needs to undergo an examination to identify the cause of hiccups, heartburn, or belching. Complex therapy may be required.
Nausea	1 tablet before breakfast and before lunch.	The course of taking the drug can be from 3 to 4 weeks.
Decreased muscle tone in the gastrointestinal tract	1 tablet in the morning, afternoon and evening.	When prescribing Motilium, the doctor must find out the cause of the development of the pathology, since complex therapy may be required. Course up to 4 weeks.
Inflammation in the gallbladder and its ducts	1-2 tablets in the morning and afternoon or in the morning, afternoon and evening.	Combination therapy is prescribed with the use of anti-inflammatory and analgesic drugs. The duration of therapy is about 4 weeks.
Inflammation of the esophagus due to the discharge of contents from the stomach	1 tablet in the morning and afternoon or in the morning, afternoon and evening.	The drug can be prescribed in combination with other medicines. In addition, if the pathology leads to severe disruption of the esophageal mucosa, then surgical intervention may be required. The course is not more than 1 month.
Stomach or duodenal ulcer	1 tablet before breakfast, before lunch and before dinner.	The duration of taking Motilium is selected according to the dynamics of therapy. Also, the treating specialist should, in addition, prescribe a gentle diet.
Stomach or duodenal ulcer in the acute stage	1-2 tablets up to 4 times every 24 hours. You cannot take more than 8 tablets per day.	With an exacerbation of the pathology, complex therapy is prescribed with anesthetic medicines and drugs to reduce acidity in the stomach. At the same time, in extremely severe cases, the attending specialist may prescribe a surgical intervention.
Before hardware examination of the digestive tract	1-2 tablets in the morning, afternoon and evening, one day before the manipulation.	The dosage of the tablets depends on which organ of the digestive tract will be examined. Additionally, laxatives and enemas may be prescribed.
Flatulence	1 tablet before breakfast and before dinner.	The course is 10-14 days. Additionally, nutritional adjustments are needed.
Impaired bowel movement	1-2 tablets before dinner.	Motilium should be used for no more than 3 weeks. The course should be combined with a dietary "laxative" food.
Poisoning	2 tablets 3-4 times every 24 hours.	Before taking the drug, you need to wash the stomach.
Cramping abdominal pain	1-2 tablets in the morning, afternoon and evening.	Motilium is used for up to 3 weeks. In case of severe pain, additional use of anesthetic drugs is allowed.
Metabolic disease	1 tablet before breakfast, before lunch and before dinner.	Tablets can be prescribed in combination therapy and accompanied with dietary meals.
Violation of the outflow of bile	2 tablets up to 3 times every 24 hours.	The duration of taking Motilium can be 1 month. Combined treatment.
Disruption of the digestive tract	1 tablet in the morning, afternoon and evening.	The tablets should be taken in accordance with the diet.

The table shows the approximate dosage of tablets, the exact course and dose can only be selected by a specialist, assessing the severity of the pathology and the patient's weight.

The maximum number of tablets that can be taken per day is no more than 8 pcs. It should also be borne in mind that patients with renal and hepatic insufficiency should reduce the standard dosage by 1.5-2 times.

Side effects

Taking Motilium tablets can cause the development of the following symptoms of a negative reaction:

• violation of the menstrual cycle or complete absence of menstruation;
• an increase in the concentration of the hormone prolactin;
• enlargement of the mammary glands in size, including in men. Soreness of this organ;
• the appearance or intensification of spasms in the intestines;
• hives, skin redness, trouble breathing, and other signs of allergies;
• motor disorders provoked, developing as a result of deterioration in the work of nerve cells;
• abdominal discomfort;
• increased stool;
• the development of depression or increased anxiety;
• increased drowsiness and weakness;
• headache of moderate severity;
• change in the rhythm of the heart;
• an increase in the number of heartbeats;
• decrease in the amount of daily urine;
• dry mouth;
• the appearance of seizures;
• movement of stones in the gallbladder, if the patient has them;
• exacerbation of kidney or liver disease.

Subject to the dosage and course of therapy, side effects are extremely rare.

Overdose

Motilium tablets for children (the dosage of the drug is set by the doctor) should be taken strictly according to the instructions.

If the dose is exceeded, the patient may experience the following symptoms:

• constant desire to sleep;
• severe movement disorders;
• violation of orientation in space;
• a sharp increase in the amount of the hormone prolactin;
• severe pain in the mammary glands;
• severe allergies;
• frequent and loose stools;
• severe irritation, anxiety, or depression;
• complete lack of strength;
• Strong headache;
• severe disturbances in the work of the heart (arrhythmia and tachycardia), liver (yellowing of the skin) and kidneys (swelling, lack of urine);
• severe cramps;
• severe pain and cramps in the abdomen.

In the event of the development of poisoning, the patient's stomach is washed, after which they are given to take activated charcoal. Further therapeutic measures are carried out according to the symptoms that arise.

special instructions

Motilium tablets must be taken in compliance with the following conditions:

• the agent is not used to prevent the development of vomiting or nausea, which manifests itself after anesthesia;
• when undergoing a long course, regular monitoring of the patient's condition is required;
• pills should not be taken with food, it significantly reduces the effectiveness of the drug;
• tablets affect the activity of the heart, therefore, in the presence of pathologies in this organ, an individual dosage of the medication is required.

  

Motilium can provoke the development of headaches and cause severe abdominal pain, therefore, it is required to drive vehicles and perform hazardous work with extreme caution.

Drug interactions

Motilium tablets for children, the dosage of which can only be changed by a doctor, must be used with caution with the following medicines:

• Motilium enhances the effectiveness of antipsychotics (drugs are used to normalize the condition of a patient suffering from mental disorders);
• narcotic drugs reduce the effectiveness of the tablets;
• antifungal medicines, drugs prescribed for HIV and antibiotics, increase the concentration of the active substance Motilium in the blood, as a result, the likelihood of side effects increases;
• medicines that provoke a malfunction of the heart, when taken simultaneously with Motilium, can cause the development of serious pathologies in the cardiovascular system.

If complex treatment is required, then the selection of medicines can only be made by the attending physician.

Analogs

Analogs of Motilium are more often selected due to its high price, less often due to the appearance of side effects or contraindications.

If it is necessary to choose a substitute, doctors recommend the following medicines:

• Passages. Chewable tablets are allowed for children from 5 years old and weighing more than 20 kg. Available without a prescription. The average price for 30 tablets is about 350 rubles;
• Motorinorm. Tablets and syrup. Syrup is allowed from a year, tablets from 5 years and with a weight of more than 20 kg. You need a prescription to buy. The estimated cost for 30 tablets is 250 rubles;
• Domrid. Pills are allowed from 12 years old. The drug stands out for its large list of side effects. An analogue is on sale without a prescription. The approximate cost for 30 tablets is 150 rubles;
• Cerucalus. Tablets are allowed to be taken from 1 year. Sold by prescription. The approximate price for 50 tablets is 150 rubles;
• Motilak. Tablets and lozenges. The drug is approved if the patient weighs more than 20 kg. The product is dispensed freely. The approximate price for 30 tablets is 350 rubles.

The choice of a substitute can only be made by the attending physician, especially if combination therapy is prescribed.

Motilium tablets are considered a highly effective quick-acting remedy. The drug is convenient in dosing and during the course of the course, side effects occur in extremely rare cases. At the same time, it is important that the agent (in tablet form) can be used to treat children, only if the patient weighs more than 35 kg.

Author: Kotlyachkova Svetlana

Video about the drug Motilium

Motilium - instructions for use: