Aluminium Oxide + Magnesium Trisilicate

Indications

Heartburn, Indigestion, Gastric Hyperacidity, Peptic ulcer disease, Gastroesophageal reflux disorder (GERD)

Adult Dose

Take 2-4 tsf after meals and at bedtime as needed (up to 4 times a day).

Administration

After meals and at bedtime as needed.

Contra Indications

Hypophosphataemia.

Precautions

Renal dysfunction, low phosphate diet, prolonged use.

Pregnancy-Lactation

Not Classi

Interactions

Aluminium Hydroxide: Enhanced absorption with citrates or ascorbic acid. Decreases absorption of allopurinol, tetracyclines, quinolones, cephalosporins, biphosphonate derivatives, corticosteroids, cyclosporin, delavirdine, Fe salts, imidazole antifungals, isoniazid, mycophenolate, penicillamine, phosphate supplements, phenytoin, phenothiazines, trientine. Magnesium Trisilicate: None well documented.

Adverse Effects

Diarrhoea, constipation, nausea, vomiting.

Mechanism of Action

Aluminum hydroxide: Neutralizes stomach hydrocloride to form AlCl3 salt plus water; increases gastric pH. Magnesium Trisilicate neutralizes gastric acidity by increasing gastric pH