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Almagel. 170 ml.

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Almagel. 170 ml.

Almagel. 170 ml

 

 

Almagel oral suspension
White or almost white suspension , which storage units may be a clear layer on the surface and, with vigorous shaking restores its homogeneity .

Drugs in 5 ml suspension ( one scoop ):
Aluminium oxide 218 mg;
Magnesium oxide 75 mg.
Excipients: sorbitol, methylparahydroxybenzoate ( E218 ) , propyl para-hydroxybenzoate ( E216 ) , butyl para-hydroxybenzoate , hydroxyethyl cellulose , ethanol (9b %) , sodium saccharin , lemon oil , purified water .

Almagel oral suspension - in 170 ml and 200 ml in glass bottles or bottles polietilenftalat one piece in package with enclosed scoop of 5 ml.


1. WHAT Almagel AND WHAT IT IS USED
Almagel is a product that reduces excess stomach acid . A balanced gel of aluminum and magnesium hydroxides are insoluble , almost not absorbed in the gut and the amounts received in the body are minimal. Acts locally in the gastric mucosa to protect against irritation of the gastric hydrochloric acid and other harmful substances from food and reduces the activity of pepsin. And increased product reduces acidity in the esophagus . There is a known anti-inflammatory effect and cytoprotective effect on the mucous membrane of the esophagus, stomach and duodenum. Incorporation in sorbitol has little carminative and cholagogue action moderate , and mild laxative effect.

This medicine is used for:
Symptomatic antacid treatment of conditions associated with increased acidity in diseases of the esophagus, stomach and duodenum : esophagitis , hiatusova hernia , GERD ( gastroesophageal reflux disease ) , acute and chronic gastritis and gastroduodenitis , peptic ulcer disease , gastric and duodenal ulcers , gastritis , after surgery of the stomach and gastroanastomozit ;
Prevention of gastric and duodenal disorders / reduce irritation and ulcerative action related medications / .

2 . WHAT YOU NEED TO KNOW BEFORE YOU START Almagel
Almagel not apply to :
Are allergic ( hypersensitive ) to the active substances or to any of the ingredients of Almagel ;
Severe renal impairment (risk of hypermagnesemia and aluminum toxicity ) .
When taking this medicine, you should consider:
Not recommended for the product when you have:
severe constipation , abdominal pain of unknown origin and suspected acute appendicitis , ulcerative colitis, diverticulosis , colostomy or ileostomy ( increased risk of fluid and electrolyte imbalance ), chronic diarrhea, acute hemorrhoids ;
changes in acid-base balance of the body , and in particular metabolic alkalosis ;
hepatic cirrhosis ;
severe congestive heart failure ;
toxemia of pregnancy ;
renal impairment, because of risk of higher levels of magnesium in the blood and aluminum intoxication.
Since aluminum is accumulated in the nerve tissue , the use of aluminum - containing antacids to be extremely limited in elderly patients and in those with Alzheimer's disease.
In very elderly patients for worsening of bone diseases .
During prolonged use ( over 14 days) is needed regular medical supervision and monitoring blood levels of magnesium in patients with renal impairment .
The product contains sorbitol , and may be used by patients with diabetes , but it is not suitable for patients with hereditary fructose intolerance , since it may cause gastrointestinal irritation and diarrhea . The slurry contains parabens, are known that can cause urticaria and allergic less immediate reactions - bronchospasm .
Almagel contains ethanol , which can cause abnormalities in liver and brain disease , epilepsy , alcoholism, pregnant women and children under 14 years of age.
Application of Almagel and intake of food and drink
The product is used undiluted . No special restrictions on the intake of food and beverages during treatment with this product.

Pregnancy and lactation
Ask your doctor or pharmacist before taking any medicine .
Not recommended for use during pregnancy or if necessary , the duration of application should not exceed 5-6 days and should be done under medical supervision. In toxemia of pregnancy, use of the product should be avoided . Possible emission of active substances in breast milk in small amounts , although there is no documented evidence of adverse effects on the newborn. During lactation be applied for no more than 5-6 days under medical supervision.

Driving and using machines
No evidence of adverse effects of the product on the ability to drive and use machines.
Contained in the product ethanol in an amount that is not capable of using the recommended daily doses affect the ability to drive and use machines.

Important information about some of the ingredients of Almagel
The product contains sorbitol , and may be used in patients with diabetes , but it is not suitable for patients with hereditary fructose intolerance , since it may cause gastrointestinal irritation and diarrhea . The slurry contains parabens, are known that can cause urticaria and allergic less immediate reactions - bronchospasm .
Almagel contains ethanol , which can cause abnormalities in liver and brain disease , epilepsy , alcoholism, pregnant women and children under 14 years of age.

Taking other medicines :
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines , even if they have not been prescribed by your doctor.
When concomitant treatment with other drugs , they should be applied 1-2 hours before or after taking Almagel . Almagel lowers the acidity of gastric juice, which affects the operation of a large number of medicinal products administered concomitantly.
Almagel reduces the therapeutic effect of H 2 blockers ( cimetidine, ranitidine, famotidine ) , digitalis , iron salts , lithium , quinidine, mexiletine , phenothiazine products , antibiotics tetracycline , ciprofloxacin, and isoniazid ketoconazole.
When combined with other drugs that are available in the form of enteric coated tablets , the reduced acidity of the gastric juice can result in more rapid degradation of the coating , and to cause irritation to the stomach and duodenum.
Almagel can change the results of some laboratory and function tests and tests : decreased levels of gastric secretion and thus alter the results of the functional assay for the determination of gastric acidity ; changing the results of studies in which the use of technetium (TC99), such as e. bone scintigraphy and some studies of the esophagus ; increasing blood levels of phosphorus , the pH value in the blood and urine.

3 . HOW TO USE Almagel
Always Almagel exactly as stated in this leaflet !
Symptomatic antacid treatment
Adults and children over 14 years :
5-10 ml (1-2 scoops ) 3-4 times daily. If necessary,
a single dose may be increased to 15 ml ( 3 scoops ) .
Children between 10 and 14 years of age:
A dose equal to % of the adult dose.
The product was administered 45-60 minutes after eating, and in classes
before bedtime.
It is recommended to limit your fluid intake in the first 15 minutes after taking the drug. Once a therapeutically effective daily dose should be reduced to 5 ml ( 1 scoop ) 3-4 times a day for 2-3 months.

Prevention in medications :
5-15 ml 15 minutes before each drug administration irritant .
Recommended duration of treatment - 12 days.
Before taking any necessary suspension to be well homogenized by intensive shaking the container .

renal failure
In patients with impaired renal function , the daily dose should be reduced or the interval between doses extended in accordance with the severity of renal impairment.

If you have the impression that the effect of Almagel is strong or too weak, talk to your doctor or pharmacist.

If you take more dose Almagel
When taking a higher dose than prescribed , immediately contact a doctor !
In the once-daily dose exceeding the recommended usually no signs of overdose except constipation , flatulence (excess intestinal gas ) , a metallic taste in the mouth.
With continued use at high doses can be observed formation of kidney stones, severe constipation , mild drowsiness , increased blood levels of magnesium. It is possible that the development of metabolic alkalosis (change in acid-base balance of the body) : changes in mood or mental activity , tingling or muscle pain , nervousness and tiredness, slow breathing , unpleasant taste in the mouth .
In these cases it is necessary to take measures for the rapid elimination from the body by inducing vomiting, gastric lavage and administration of activated charcoal).
If symptoms of overdose , immediately contact a doctor!

If you forget to take Almagel
If you miss a dose, take it at the next regular intake without increasing the dose .
If you have any further questions on the use of this product, ask your doctor or pharmacist.

4 . POSSIBLE SIDE EFFECTS
Like all medicines , Almagel can cause side effects .
Almagel can cause constipation, which is alleviated by reducing the dose. In rare cases it can cause nausea, vomiting , stomach cramps , change in taste , allergic reactions and hypermagnesemia (increased blood levels of magnesium ) .
In patients with renal failure and those on hemodialysis, with prolonged use , the drug can cause changes in mood or mental activity.
Long-term administration at high doses, accompanied by a phosphate deficiency in the diet may cause osteomalacia ( softening of the bones ), therefore decreasing the phosphate content in the blood.
If you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

5 . Storage conditions of Almagel
At temperatures below 25 ° C.
Do not freeze !
Keep out of reach of children.
Do not use after the expiry date stated on the pack .
Shelf life : two (2 ) years from date of manufacture.
Shelf life after first opening 15 days under the same storage conditions.

 

 

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