Maalox tabs #20

Maalox instruction for use

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Composition

    The composition of one Maalox tablets for chewing includes 400 mg of an algebra and 400 mg of magnesium hydroxide. Additional substances: sorbitol, starch with sucrose, magnesium stearate, mannitol, sodium saccharinate, mint flavor, sucrose.
    In the composition of 1 bag with a suspension (15 ml) of the preparation Maalox contains 525 mg of the algebra and 600 mg of magnesium hydroxide. Additional substances: citric acid monohydrate, hydrochloric acid, mannitol, peppermint oil, propyl parahydroxybenzoate, methyl parahydroxybenzoate, hydrogen peroxide, sorbitol, sodium saccharinate, water.
    In the 250 ml suspension of Maalox (vial) contains 3.5 grams of the algebra and 4 grams of magnesium hydroxide. Additional substances: citric acid monohydrate, hydrochloric acid, mannitol, peppermint oil, propyl parahydroxybenzoate, methyl parahydroxybenzoate, hydrogen peroxide, sorbitol, sodium saccharinate, water.

Form of issue

    White flat-cylindrical tablets for chewing a round shape with engraving "Mx".
    10 tablets in a blister pack. 1, 2 or 4 blisters in a pack of cardboard.
    Suspension is a white liquid with the smell of mint, reminiscent of milk. 15 ml of suspension in a bag - 30 bags in a pack of cardboard. 250 ml in a glass bottle - one bottle in a pack of cardboard.

pharmachologic effect

Antacid action.

Pharmacodynamics and pharmacokinetics

Pharmacodynamics

Antacid, neutralizing unbound hydrochloric acid in the stomach, does not provoke its secondary hypersecretion. Due to a decrease in the acidity of gastric juice with the use of Maalox, the peptic activity of the secreted gastric juice decreases. Has adsorbing and enveloping properties, weakening the effect of damaging agents on the gastric mucosa and esophagus.

Pharmacokinetics

Active substances of the drug are considered local antacids, almost not absorbed by oral administration in the doses listed below and not having general effects.

Indications for use of Maalox

Indications for use of Maalox (from which tablets and Maalox suspension):
    exacerbation of peptic ulcer;
    acute and chronic gastroduodenitis in an exacerbation phase with normal or strengthened secretory function;
    diaphragmatic hernia, reflux esophagitis;
    dyspeptic phenomena, including, with excessive intake of coffee, nicotine, ethanol, medicines, inaccuracies in the diet (for suspension);
    pain or discomfort in the upper third of the abdomen, including, with excessive intake of coffee, nicotine, ethanol, drugs, inaccuracies in the diet (for suspension).

Contraindications

    severe renal insufficiency;
    hypersensitivity to the components of the drug;
    intolerance to fructose;
    hypophosphatemia;
    glucose-galactose malabsorption syndrome, a deficiency of sugar or isomaltase (tablets for chewing);
    intolerance to maltitol (tablets for chewing);
    age less than 15 years.
It is necessary to use the medicine with caution in patients on hemodialysis with porphyria, in pregnancy, Alzheimer's disease, diabetes mellitus (tablets for chewing).

Side effects

    Reactions from the immune system: anaphylactic reactions, hives, itching, angioedema.
    Reactions of the digestive system: diarrhea, constipation.
    Metabolic reactions: hyperaluminia, hypermagnesia, hypophosphatemia (with prolonged therapy or taking in high doses, at low phosphate concentrations in food), which can lead to increased bone resorption, osteomalacia, hypercalciuria.

Instructions for using Maalox (Method and dosage)

Maalox tablets, instructions for use

It is recommended to dissolve or chew tablets. People over 15 years of age are prescribed to take 1-2 tablets three to four times a day at intervals of 1-2 hours after meals and at bedtime.
In the treatment of reflux esophagitis, the medication is taken after a short interval after eating. The maximum permitted frequency of reception is 6 times a day. It is strictly forbidden to take more than 12 tablets a day.
Duration of treatment should not last more than 3 months. With a single application (after errors in the diet) apply 1-2 tablets.

Overdose

Signs of an overdose: diarrhea, abdominal pain and vomiting.
Treatment of overdose: forced diuresis, replacement of lost fluid, persons with renal insufficiency are shown hemodialysis.

Interaction

When combined with quinidine, it is possible to increase its content in the blood and even an overdose of quinidine.
When combined with the Maalox drug, the absorption of the following drugs is reduced from the intestine: Propranolol, H2-histamine receptor blockers, Atenolol, Tsefdinir, Metoprolol, Ceppodoxim, prostacyclin, Chloroquine, Digoxin, Diflunizal, Etambutol, bisphosphonates, Isoniazid, sodium fluoride, Fluoroquinolones, Prednisolone, Indomethacin, dexamethasone, ketoconazole, phenothiazine neuroleptics, lincosamides, penicillamine, iron salts, rosuvastatin, levothyroxine sodium. Observing a 2-hour interval between the use of these drugs and Maalox and a 4-hour interval between the use of fluoroquinolones and Maalox, undesirable interactions between these drugs can be avoided.
When taking Maalox with polystyrene sulfonate, there is a risk of metabolic alkalosis (in individuals with kidney failure) and intestinal obstruction.

Terms of sale

Without recipe.

Storage conditions

Store in a dark and dry place at room temperature. Keep away from children.
Shelf life - Three years.

special instructions

If during the period of therapy with the drug the symptoms on the part of the digestive organs are not stopped within 10 days, it is necessary to clarify the diagnosis and change the treatment regimen.
The drug is sold without a prescription, but before taking it during pregnancy, lactation, as well as in adolescents and patients with kidney failure, it is recommended that you consult with your doctor.
Algeldrate with a small amount of phosphate in food can lead to the appearance of phosphorus deficiency in the body.

Maalox analogues

Almagel, Phosphalugel.
The price of Maalox analogs in identical forms of release is generally lower than the price of the described preparation.

Which is better: Almagel or Maalox?

The drugs belong to the same pharmacological group and are analogues. The active substances in these preparations are contained in different ratios. Almagel in this regard has a greater ability to provoke constipation, and the action of Maalox is almost twice as long.

Which is better: Maalox or Phosphalugel?

Of the two drugs, it is preferable to choose Phosphalugel (especially for the elderly and pregnant), because it does not contribute to the excessive evacuation of phosphates from the body (mainly from bones).

For children

The drug is contraindicated for children under 15 years.

Maalox during pregnancy and lactation

It is permitted to use Maalox during pregnancy in the presence of strict indications. Reception in the lactation period is also possible.

Reviews of Maalox

Reviews of Maalox indicate high effectiveness of the drug for heartburn, discomfort or pain in the stomach. Cases of ineffectiveness or occurrence of side effects are rare.