Almagel 170ml bottle

Characteristic

Suspension of white or slightly grayish color with a characteristic sweetish taste and smell of lemon.

pharmachologic effect
Antacid, enveloping, adsorbing. Neutralizes hydrochloric acid and reduces the activity of pepsin, gastric juice, protects the gastrointestinal mucosa from damaging effects.

Pharmacokinetics
Practically not absorbed from the digestive tract.

Pharmacodynamics
It is evenly distributed throughout the mucous membrane of the stomach and provides a prolonged gastroprotection. It has buffer-antacid properties: between doses of the pH of gastric juice is maintained from 4-4.5 to 3.5-3.8. Sorbitol has a choleretic and easy laxative effect. The therapeutic effect manifests itself in 3-5 minutes and lasts 70 minutes.

Indications
Peptic ulcer of the stomach and duodenum (acute phase), acute or chronic gastritis on the background of normal or increased secretion (acute phase), reflux esophagitis, diaphragmatic hernia, duodenitis, enteritis, gastrointestinal disorders due to poor diet, taking medications ( NSAIDs, glucocorticoids), drinking coffee or alcohol, smoking.

Contraindications
Hypersensitivity, marked renal dysfunction, Alzheimer's disease, neonatal period, breastfeeding.

Pregnancy and lactation
When pregnancy is possible to use no longer than 3 days.At the time of treatment should stop breastfeeding.

Dosage and administration
Inside, for 0.5 h before meals (with gastric ulcer and duodenal ulcer between the main meals) and at night, for adults 1-3 dosing spoons 3-4 times a day. Maintenance dose - 1 dose spoon 3-4 times a day for 2-3 months. Preventive therapy - 1-2 dosing spoons.
Children strictly prescribed by a doctor: up to 10 years - 1/3 doses for adults, 10-15 years - 1/2 doses. The maximum daily dose is 16 dosing spoons, with such a dose, the duration of treatment is no more than 2 weeks. Before taking the suspension should be shaken. nausea, vomiting and pain in the abdomen, treatment begins with Almagel A, and after the disappearance of these symptoms, they switch to Almagel.

Side effect
On the part of the digestive tract: taste disturbance, nausea, vomiting, spasm, epigastric pain, constipation.Metabolism: hypercalciuria, hypermagnesemia, hypophosphatemia.Other: drowsiness, osteomalacia, dementia and edema of the extremities (against the background of chronic renal failure).

special instructions
For functional disorders accompanied by nausea, vomiting, abdominal pain, treatment begins with Almagel A.

Drug interaction
Lowers the effectiveness of tetracyclines, H_2-antihistamines, cardiac glycosides, iron salts, Ciprofloxacin, phenothiazines, isoniazid, beta-blockers, Indomethacin, Ketoconazole, etc.(in case of joint appointment, the interval between doses of at least 1-2 hours is recommended).

Overdose
Symptoms: depression of motility of the gastrointestinal tract.
Treatment: the appointment of laxatives.

Precautionary measures
With long-term intake, it is necessary to ensure adequate intake of phosphorus from food.

Storage conditions
In a dry, dark place at a temperature of no higher than 25 ° C. Prevent freezing.