TumsUP Drops: Evaluation of safety and efficacy in infantile colic.

TumsUP Drops in infantile colic.

  • Siddheshwar Shinde Zuventus Healthcare Limited
  • Bhupesh Dewan Zuventus Healthcare Limited
Keywords: Infantile colic, Simethicone, Dill oil, Fennel oil, Fixed-dose combination

Abstract

Objectives: This study aimed to evaluate the safety and efficacy of TumsUP drops in the treatment of infantile colic in infants and toddlers.

Setting and Design: An active post-marketing surveillance study was conducted in the department of pediatrics of 4 hospitals from August 2020 to February 2021.

Material and Methods: A total of 200 patients aged two weeks to two years, with symptoms of infantile colic for >3 hours/day, occurring >3 days/week were enrolled. TumsUP (A fixed-dose combination of simethicone 40 mg, dill oil 0.005 mL, and fennel oil 0.0007 mL) oral drops were administered for 7 days. The safety of the study drug and its efficacy in infantile colic symptoms were assessed after the end of the treatment.

Results: Among 200 patients, 4 (2%) adverse events (AEs) were reported. They were mild, not related to the study drug, and resolved without sequelae. The mean crying time was reduced from 3.35±1.68 hours/day at baseline to 0.37±0.67 hours/day on day 7 (mean reduction: -2.98; 95%CI: -3.24 to -2.72, p<0.001). The mean number of daily episodes of colic reduced from 3.09±1.90 at baseline to 0.47±0.88 on day 7 (mean difference: -2.61; 95%CI: -2.90 to -2.33; p<0.001). A statistically significant (p<0.001) reduction was observed in excessive crying, fussing, sleep disturbances, clenching of fists, bending of arms and legs towards the belly, bloated tummy, redness of the face, flatulence and milk regurgitation on Day 7 as compared to the baseline. Complete remission of infantile colic was reported in 67.84% of patients after 7 days of treatment.

Conclusion: TumsUP reduced the duration and severity of infantile colic and showed good safety, efficacy and tolerability.

Downloads

Download data is not yet available.

References

[1] Hjern A, Lindblom K, Reuter A, Silfverdal SA. A systematic review of prevention and treatment of infantile colic. Acta Paediatr. 2020; 109(9):1733–1744.
[2] Sung V. Infantile colic. Aust Prescr. 2018; 41(4):105–110.
[3] Johnson JD, Cocker K, Chang E. Infantile Colic: Recognition and Treatment. Am Fam Physician. 2015; 92(7):577–582.
[4] Sarasu JM, Narang M, Shah D. Infantile Colic: An Update. Indian Pediatr. 2018;55(11):979–987.
[5] Zeevenhooven J, Browne PD, L’Hoir MP, de Weerth C, Benninga MA. Infant colic: mechanisms and management. Nat Rev Gastroenterol Hepatol. 2018;15, 479–496.
[6] Martinelli, M., Ummarino, D., Giugliano, F.P., Sciorio, E., Tortora, C., Bruzzese, D., et al. Efficacy of a standardized extract of Matricariae chamomilla L., Melissa officinalis L. and tyndallized Lactobacillus acidophilus (HA 122) in infantile colic: An open randomized controlled trial. Neurogastroenterology & Motility. 2017;29(12):1-8.
[7] Reijneveld SA, van der Wal MF, Brugman E, Sing RA, Verloove-Vanhorick SP. Infant crying and abuse. Lancet. 2004;364(9442):1340-2. doi: 10.1016/S0140-6736(04)17191-2.
[8] Biagioli E, Tarasco V, Lingua C, Moja L, Savino F. Pain-relieving agents for infantile colic. Cochrane Database Syst Rev. 2016;9:CD009999. doi: 10.1002/14651858.CD009999.pub2
[9] Ong TG, Gordon M, Banks SS, Thomas MR, Akobeng AK. Probiotics to prevent infantile colic. Cochrane Database Syst Rev. 2019; 3(3):CD012473. doi: 10.1002/14651858.CD012473.pub2
[10] Dryl R, Szajewska H. Probiotics for management of infantile colic: a systematic review of randomized controlled trials. Arch Med Sci. 2018; 14(5):1137–1143.
[11] Indrio F, Di Mauro A, Riezzo G, Civardi E, Intini C, Corvaglia L, et al. Prophylactic use of a probiotic in the prevention of colic, regurgitation, and functional constipation: a randomized clinical trial. JAMA Pediatr. 2014; 168(3):228–233.
[12] Ingold CJ, Akhondi H. Simethicone. [Updated 2022 Jul 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan. Available from: https://www.ncbi.nlm.nih.gov/books/NBK555997/
[13] Ignjatović MG, Kitić D, Radenković M, Kostić M, Milutinović M, Ranković GN, et al. The effect of the aqueous and methanol fennel stem extracts (Foeniculum vulgare Miller) on isolated rat ileum contractility. Vojnosanit Pregl 2018; 75(8): 809–814. DOI: 10.2298/VSP161001391G
[14] M.K. Gharib Naseri and A. Heidari, 2007. Antispasmodic Effect of Anethum graveolens Fruit Extract on Rat Ileum. International Journal of Pharmacology, 3: 260-264. DOI: 10.3923/ijp.2007.260.264
[15] National Center for Biotechnology Information. PubChem Compound Summary for CID 6433516, Simethicone. https://pubchem.ncbi.nlm.nih.gov/compound/Simethicone. Accessed Dec. 15, 2022.
[16] Garrison MM, Christakis DA. A systematic review of treatments for infant colic. Pediatrics. 2000;106(1 Pt 2):184-90.
[17] Sethi KS, Sethi JK. Simethicone in the management of infant colic. Practitioner. 1988; 232(1448):508.
[18] Becker N, Lombardi P, Sidoti E, Katkin LS. Mylicon drops in the treatment of infant colic. Clin Ther. 1988;10(4):401-5.
[19] Saini N, Singh GK, Nagori BP. Spasmolytic Potential of Some Medicinal Plants Belonging to Family Umbelliferae: A Review. Int J Ayurvda Pharm. 2014;5(1):74-83.
[20] Kaur GJ, Arora DS. Bioactive potential of Anethum graveolens, Foeniculum vulgare and Trachyspermum ammi belonging to the family Umbelliferae-Current status. Journal of Medicinal Plants Research. 2010 Jan 18;4(2):087-94. doi: 10.5897/JMPR09.018
[21] Mohammadi G, Ghazanfarpour M, Kargarfard L, Babakhanian M. Effectiveness of herbal medicines containing phytoestrogens to treat infantile colic: a meta-analysis review. Journal of Pediatrics Review. 2019;7(1):1-0. doi: 10.32598/jpr.7.1.1
[22] Larijani B, Esfahani MM, Moghimi M, Shams Ardakani MR, Keshavarz M, Kordafshari G, et al. Prevention and Treatment of Flatulence From a Traditional Persian Medicine Perspective. Iran Red Crescent Med J. 2016; 18(4):e23664.
[23] Savino F, Cresi F, Castagno E, Silvestro L, Oggero R. A randomized double-blind placebo-controlled trial of a standardized extract of Matricariae recutita, Foeniculum vulgare and Melissa officinalis (ColiMil) in the treatment of breastfed colicky infants. Phytother Res. 2005;19(4):335-40. doi: 10.1002/ptr.1668.
[24] Alexandrovich I, Rakovitskaya O, Kolmo E, Sidorova T, Shushunov S. The effect of fennel (Foeniculum Vulgare) seed oil emulsion in infantile colic: a randomized, placebo-controlled study. Altern Ther Health Med. 2003; 9(4):58–61
[25] Kaur G, Arora DS. Bioactive potential of Anethum graveolens, Foeniculum vulgare and Trachyspermum ammi belonging to the family Umbelliferae - Current status. Journal of Medicinal Plants Research. 2010; 4:087–094.
[26] Harb T, Matsuyama M, David M, Hill RJ. Infant Colic-What works: A Systematic Review of Interventions for Breast-fed Infants. J Pediatr Gastroenterol Nutr. 2016;62(5):668-86. doi: 10.1097/MPG.0000000000001075.
[27] Saleh-E-In MM, Sultana N, Rahim MM, Ahsan MA, Bhuiyan MN, Hossain MN, et al. Chemical composition and pharmacological significance of Anethum Sowa L. Root. BMC Complement Altern Med. 2017;17(1):127. doi: 10.1186/s12906-017-1601-y.
[28] Attarha M, Rosbahani N, Youssefi P. [Comparison of the effect of fennel essence and gripe water syrup in infantile colic]. Scientific Journal of Kurdistan University of Medical Sciences. 2008;13(1):28-35.
[29] A. Lucas A, St James-Roberts I. Crying, fussing and colic behaviour in breast- and bottle-fed infants. Early Hum Dev. 1998 Nov;53(1):9-18. doi: 10.1016/s0378-3782(98)00032-2. PMID: 10193923.
[30] Zeevenhooven J, Koppen IJ, Benninga MA. The New Rome IV Criteria for Functional Gastrointestinal Disorders in Infants and Toddlers. Pediatr Gastroenterol Hepatol Nutr. 2017 Mar;20(1):1-13. doi: 10.5223/pghn.2017.20.1.1.
[31] Zeevenhooven J, Browne PD, L'Hoir MP, de Weerth C, Benninga MA. Infant colic: mechanisms and management. Nat Rev Gastroenterol Hepatol. 2018 Aug;15(8):479-496. doi: 10.1038/s41575-018-0008-7.
How to Cite
Shinde, S., & Dewan, B. (2023). TumsUP Drops: Evaluation of safety and efficacy in infantile colic. Pediatric Review: International Journal of Pediatric Research, 10(1), 10-17. Retrieved from https://pediatrics.medresearch.in/index.php/ijpr/article/view/735
Section
Original Article