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Smecta®: Restriction of treatment of acute diarrhoea to children >2 years of age and adults, and recommendation against use in pregnant and breastfeeding women

A Dear Healthcare Professional Letter has been issued by Emerging Pharma to inform healthcare professionals of changes to the use of Smecta® (dioctahedral smectite or diosmectite) in children and in pregnant and breastfeeding women. Elements such as lead occur naturally in soil and trace amounts of these elements can be found in food and water. Naturally occurring diosmectite – the clay from which Smecta® is produced – contains trace amounts of lead too. In compliance with international guideline, the product owner of Smecta® (Ipsen) has conducted a data review and a clinical study which did not find evidence of any actual risk related to lead in adult patients with chronic diarrhoea treated with Smecta® for 5 weeks. Other data developed by Ipsen confirmed the safety profile of Smecta® in the children population with treatment duration of up to 7 days. As a precautionary measure and taking into consideration the lack of data in pregnancy and breastfeeding, Ipsen has decided to restrict the indication of Smecta® for treatment of acute diarrhoea to children 2 years of age and above and in adults, and to recommend against the use of Smecta® in pregnant and breastfeeding women. Please refer to the letter for details.
Healthcare professional, Industry member, Therapeutic Products

Dear Healthcare Professional Letters

20 Mar 2020

Only abstracts of the Dear Healthcare Professional Letters (DHCPL) are provided on this website. Details of the letters can be found on the MOH Alert System, which is accessible via the Health Professionals Portal (HPP). HPP is a one-stop portal for all healthcare professionals in Singapore. Dentists, medical doctors and pharmacists may access HPP at, and follow the procedures below to access the MOH Alert system.

Step 1: On the top navigation ribbon of webpage, select 'For Healthcare Professionals' followed by 'Health Professionals Portal' and click on the choice of profession. User will be redirected to the specific HPP webpage for the selected profession.

Step 2: Click on the Restricted Content icon on the left panel of webpage and login via SingPass.

Step 3: Click on the MOH Alert icon under ‘Applications’ section

Step 4: Click on the Drug Alert tab to view the DHCPLs.