Filtrum Tablet

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Group 421 (1)

Filtrum Tablet

Lignin Hydrolyzed 400 mg Tablets

Enterosorbent — Diarrhoea Management

Non-systemic  •  Universal Broad-Spectrum Sorption  •  Natural Wood Origin

Filtrum® is a non-systemic, universal enterosorbent for the management of diarrhoea. It contains Lignin Hydrolyzed — a polymer of wood origin, a polysaccharide with a developed porous structure obtained by acid hydrolysis of wood.

Lignin Hydrolyzed possesses a high sorption spectrum activity and pronounced affinity to pathogenic microorganisms and toxins, without affecting commensal bacteria. Filtrum® provides a unique approach to the management of acute diarrhoea of various causes.

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🌿  Natural Origin

 

Derived from wood by acid hydrolysis. Not metabolised or absorbed by the intestine — purely local action within the GI tract.

✔  Broad-Spectrum Sorption

 

Variable pore size enables sorption of substances ranging from low molecular weight gases and heavy metals to complex microorganisms.

✔  Selective Activity

 

High affinity to pathogenic microorganisms and toxins. Does not affect commensal gut flora — no impact on healthy intestinal microbiome.

✔  Universal Indication

 

Effective across all common causes of acute diarrhoea: bacterial infection, viral gastroenteritis, food poisoning, food allergy, and drug side effects.

Enterosorption & How Filtrum® Works

In 1985, “enterosorption” was defined as the method of enteral sorption detoxification. The sorbents used in this method are called enterosorbents. Filtrum® (Lignin Hydrolyzed) is classified as an associated enterosorbent — it decreases intoxication irrespective of toxin origin, ranging from low molecular substances to bacteria, making it an effective first-aid means in acute disorders of unspecified origin.

 

Sorption Mechanism — Lignin Hydrolyzed vs Activated Charcoal

Sorption Capacity vs Activated Charcoal

Lignin Hydrolyzed (Filtrum®) vs Activated Charcoal across molecular weight spectrum

Low Molecular Weight (gases, heavy metals) Medium Molecular Weight (protein complexes, endotoxins, mycotoxins, alkaloids, bilirubin, cholesterol) High Molecular Weight (bacteria and microorganisms)
Filtrum® (Lignin Hydrolyzed): Variable pore structure — maximum sorption capacity across all molecular weights. Sorbs low-weight substances, protein complexes, endotoxins, mycotoxins AND bacteria.
Activated Charcoal: Micro-pore structure only — effective for low molecular weight substances. Substantially reduced sorption capacity for medium-weight substances; no significant activity against bacteria and microorganisms.
Filtrum® (Lignin Hydrolyzed) is 1,000× more effective than activated charcoal in neutralising pathogenic bacteria in the gastrointestinal tract

 

Selective Action — Safe for Gut Microbiome

Safety confirmed in animal studies (white rats, n=6–10 per group, 10 days administration): 

 

✔  Filtrum®: No visual or morphological changes to mucous coat of stomach or intestine after 10 days.

✔  Activated Charcoal: Inflammatory reaction developed in mucous coat of GI tract after 10 days — edema of submucous layer, chronic jejunitis.

 Composition & Product Specifications

Type Ingredient Mechanism & Role Key Property
ACTIVE SUBSTANCE Lignin Hydrolyzed  400 mg Natural polysaccharide polymer obtained by acid hydrolysis of wood. Developed variable pore structure enables binding and neutralisation of toxins, pathogens, metabolites, and allergens across the full molecular weight spectrum. Not metabolised or systemically absorbed — acts entirely within the intestinal lumen. 1,000× more effective than activated charcoal vs pathogenic bacteria

 

Dosage Form Film-coated tablets, 400 mg
Pack Size  Blister strips of 10 tablets
Storage Store below 300 C ; keep out of reach of children

Indications

Filtrum® is indicated for the management of acute diarrhoea of various causes:

 

·         Intestinal infection (Acute Enteric Infection) — including food poisoning and Traveller’s diarrhoea

·         Food intolerance and food allergy

 

Filtrum® vs Other Diarrhoea Management Options

Filtrum® is the only treatment option effective across all aetiological categories of acute diarrhoea — a unique advantage in a clinical setting where the precise cause is often unknown at the time of first presentation.

 

Cause of Diarrhoea Antibiotics Loperamide S. boulardii Filtrum®
Bacteria + Contraindicated (Salmonella / Shigella) + +
Viruses +
Other (Parasites, Mycotoxins) ± +
+ = Effective  ·  − = Not effective  ·  ± = Partial/limited efficacy  ·  Filtrum® is the only option effective across all aetiological categories

Clinical Evidence

Key Conclusions Across All Studies:

 

Study 1 (Uchaykin et al., 2002): Filtrum® + Furazolidone achieved diarrhoea resolution in 75% of children by Day 3 vs 35% with Furazolidone alone. Complete resolution (100%) by Day 5 in the Filtrum® group vs Day 7–8 with Furazolidone monotherapy. Infectious toxicosis resolved in 90% by Day 3 vs 50% in the control group.

Study 2 (Luchev et al., 2001): Average diarrhoea duration 1.05 ± 0.05 days (SoC + Filtrum®) vs 2.43 ± 0.22 days (SoC alone) — 57% faster resolution (p < 0.01). All four core symptoms — fever, diarrhoea, abdominal pain, atony/anorexia — resolved significantly faster with Filtrum® (p < 0.01 for all).

Study 3 (Novokshenov et al., 2009): Stool normalisation by Day 3 in 80% of patients (SoC + Filtrum®) vs 33.3% (SoC alone) in viral AEI in children aged 3–13. No adverse events occurred.

Filtrum® is the only treatment effective across all AEI causes (bacterial, viral, and other including parasites and mycotoxins) — can be used as monotherapy in mild forms or in combination with antibiotics for moderate forms.

 

Study 1 — Uchaykin et al., Moscow 2002

Patients 40 children, ages 1–14
Group 1 20 patients — Furazolidone
Group 2 20 patients — Furazolidone + Filtrum®
Condition Acute Enteric Infections (AEI)

 

Dynamics of Clinical Symptoms — Number of patients whose symptoms disappeared:

 

Symptom Day 1 Day 2 Day 3 Day 4 Day 5 Day 7–8 Group
Infectious Toxicosis 4 (20%) 10 (50%) 17 (65%) 20 (100%) Gr 1 (Furazolidone)
  1 (5%) 10 (50%) 18 (90%) 19 (95%) 20 (100%) Gr 2 (+ Filtrum®)
Fever 9 (45%) 15 (75%) 18 (90%) 18 (90%) 20 (100%) Gr 1
  10 (50%) 19 (95%) 20 (100%) Gr 2
Diarrhoea 1 (5%) 7 (35%) 8 (40%) 13 (65%) 20 (100%) Gr 1
  2 (10%) 7 (35%) 15 (75%) 18 (90%) 20 (100%) Gr 2

 

Conclusions (Uchaykin et al., 2002):

 

1.    Filtrum® provides a fast and pronounced anti-diarrhoeal effect and significantly reduces the duration of the acute period of the disease in comparison with conventional Furazolidone therapy of AEIs.

2.    Enterosorption with Filtrum® can be administered as monotherapy in mild forms and in combination with Furazolidone for moderate forms of AEIs in children.

Study 2 — Luchev et al., Moscow 2001

Patients 60 patients, ages 17–80
Group 1 45 patients — Standard of Care + Filtrum®
Group 2 15 patients — Standard of Care alone
Conditions Acute dysentery, gastrointestinal salmonellosis, gastroenteritis form of food poisoning

 

Average Duration of Symptoms (days):

 

Symptom Group 1: SoC + Filtrum® (n = 45)  —  Average days Group 2: SoC alone (n = 15)  —  Average days p-value
Fever 1.22 ± 0.1 3.26 ± 0.45 < 0.01
Diarrhoea 1.05 ± 0.05 2.43 ± 0.22 < 0.01
Abdominal pain 2.00 ± 0.20 2.50 ± 0.28 < 0.01
Atony / Anorexia 1.52 ± 0.11 3.13 ± 0.24 < 0.01

 

Conclusions (Luchev et al., 2001):

 

·         Administered with standard of care, Filtrum® showed high clinical efficacy in the treatment of acute enteric infections accompanied by diarrhoea: acute dysentery, gastrointestinal form of salmonellosis, and gastroenteritis form of food poisoning; characterised by reduction in duration of core clinical signs.

·         Filtrum® can be recommended as a drug of choice in mild and moderate forms of AEIs.

 

Study 3 — Novokshenov et al., Moscow 2009

Patients 45 children, ages 3–13
Group 1 15 patients — Standard of Care alone
Group 2 30 patients — Standard of Care + Filtrum®
Condition Acute intestinal infections of viral aetiology (gastroenteritis) — moderate forms

 

Dynamics of Clinical Symptoms — Number of patients whose symptoms disappeared:

 

Symptom Day 1 Day 2 Day 3 Day 4 Day 5 Group Result
Infectious Toxicosis 0 3 (20%) 13 (86.7%) 15 (100%) SoC (Gr 1)  
  4 (13.3%) 18 (60%) 30 (100%) SoC + Filtrum® (Gr 2) Resolved by Day 3
Anorexia 0 6 (40%) 14 (93.3%) 15 (100%) SoC  
  9 (30%) 29 (96.7%) 30 (100%) SoC + Filtrum® Resolved by Day 3
Flatulence 1 (6.7%) 5 (33.3%) 11 (73.3%) SoC  
  4 (13.3%) 23 (76.7%) 30 (100%) SoC + Filtrum® Resolved by Day 3
Fever 1 (6.7%) 8 (53.3%) 13 (86.7%) 15 (100%) SoC  
  18 (60%) 29 (96.7%) 30 (100%) SoC + Filtrum® Resolved by Day 3
Diarrhoea (stool norm.) 0 2 (13.3%) 5 (33.3%) 12 (80%) 15 (100%) SoC  
  5 (16.7%) 14 (46.7%) 24 (80%) 28 (93.3%) 30 (100%) SoC + Filtrum® 80% on Day 3
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Conclusions (Novokshenov et al., 2009):

 

  1. Administration of Filtrum® during standard therapy of gastroenteritis of viral aetiology significantly increased clinical efficacy of the therapy. Stool frequency and consistency normalisation on Day 3 occurred in 80% of patients in the SoC + Filtrum® group, while in those on standard of care only it was normalised in only 33.3% of patients.

No adverse events occurred. On Day 2, 5 patients (16.6%), and on Day 3/4, 10 patients (33.3%) had not passed stool for 1 or 2 days.