Almagel medicine application. "Almagel" for children: instructions, influence on the child's body

Compound

Active ingredients:

5 ml (1 scoop) suspensions contain aluminum hydroxide gel corresponding to 218 mg of aluminum oxide, magnesium hydroxide paste 350 mg, corresponding to 75 mg of magnesium oxide.

10 ml (1 packet) suspensions contain: aluminum hydroxide gel corresponding to 436 mg of aluminum oxide, magnesium hydroxide paste 700 mg, corresponding to 150 mg of magnesium oxide.

Excipients: hydrogen peroxide solution (30%), sorbitol, hydroxyethyl cellulose, methyl parahydroxybenzoate, propyl ahydroxybenzoate, butyl parahydroxybenzoate, sodium saccharin, propylene glycol, macrogol 4000, lemon oil, ethyl alcohol 96%, purified water.

Description

suspension of white or almost white... During storage, a layer of clear liquid may precipitate on the surface. With vigorous shaking of the contents of the vial, the homogeneity of the suspension is restored.

Pharmacotherapeutic group

ATC code- A02AB10. Antacids, aluminum compounds.

Almagel - a drug that reduces acidity gastric juice... It is a balanced combination of aluminum and magnesium hydroxides, which are insoluble and hardly available to the body. Almagel has a local effect on the gastric mucosa, protects it from the irritating effect of acids and other harmful substances and food, reduces the activity of pepsin. The drug reduces the acidity in the esophagus. It has an anti-inflammatory and astringent effect on the mucous membrane of the esophagus, stomach and duodenum. Excipient sorbitol has a weak carminative and moderate choleretic effect, as well as a moderate laxative effect.

Indications for use

Symptomatic treatment of diseases digestive tract accompanied by increased acidity of gastric juice: esophagitis, hernia esophageal opening diaphragm, gastroesophageal reflux disease (GERD), acute and chronic gastritis, gastroluodenitis, peptic ulcer stomach and duodenum, post-resection gastritis and gastroanastomositis in the presence of gastroesophageal reflux (heartburn). Prophylactically to reduce the irritant and ulcerogenic effects of some medicines on the mucous membrane of the esophagus, stomach and duodenum (for example, corticosteroids, nonsteroidal anti-inflammatory drugs).

Contraindications

The use of Ashiagel is not recommended in case of hypersensitivity to the components of the drug, habitual constipation, Alzheimer's disease, with severe pain in the abdomen unspecified genesis, if you suspect acute appendicitis, availability ulcerative colitis, colostomy or ileostomy ‚with chronic diarrhea, hemorrhoids, severe renal failure, hypophosphatemia, during lactation, children under 10 years of age.

Precautions for use

Keep the following in mind when using this medication:

In patients with severe constipation; with pain in the stomach of unknown origin and with suspicion of acute appendicitis; in the presence of ulcerative colitis, diverticulosis, colostomy or ileostomy (increased risk of developing disorders of water and electrolyte balance); chronic diarrhea; exacerbation of hemorrhoids; when the acid-base balance in the body changes and especially in the presence of metabolic alkalosis; with cirrhosis of the liver; with decompensated congestive heart failure; with toxicosis of pregnant women; with renal failure (the risk of developing hypermagnesemia and aluminum intoxication).

Patients should see a doctor if they lose weight, have difficulty swallowing, or constant feeling discomfort in the abdomen, digestive disorders that appeared for the first time; or when changing the course of existing digestive disorders.

Aluminum hydroxide can lead to constipation and magnesium hydroxide can lead to intestinal hypokinesia. Application of this product in high doses may cause or worsen bowel obstruction and intestinal obstruction, especially in patients with an increased risk of such complications, for example, in patients with renal failure or in elderly patients.

The use of antacids containing aluminum in elderly patients should be limited.

With prolonged use of the drug, it is necessary to ensure that a sufficient amount of phosphorus is supplied to the body, since aluminum hydroxide binds to phosphates and reduces their absorption from the digestive tract. The excretion of calcium in the urine increases, which can lead to disturbances in calcium-phosphate balance and create conditions for the development of osteomalacia (symptoms are complaints of weakness and pain in the bones).

Aluminum hydroxide can be hazardous when used in hemodialysis patients with porphyria.

Since aluminum is concentrated in nervous tissue, the use of aluminum-containing antacids in elderly patients and patients with Alzheimer's disease should be strictly limited. When taken by elderly patients, the course may worsen existing diseases bones and joints.

With prolonged use of the drug (more than 14 days), regular medical supervision and determination of the magnesium content in the blood are required in the treatment of patients with renal failure.

Interaction with other medicinal products and other forms of interaction

Please inform your doctor or pharmacist if you are taking or have recently taken other medicines, even if they have not been prescribed for you.

With simultaneous treatment, other drugs should be taken 1-2 hours before or after taking Almagel.

Almagel reduces the acidity of gastric juice, and this can affect the action a large number medicines while taking.

Almagel reduces the absorption of digoxin ‚indomethacin, salicylates, chlorpromazine, phenytoin, reserpine, H2-blockers (cimetidine, ranitidine, famotidine), lansoprazole, β-blockers (for example, atenolol, metoprolol, propranoloniolone, chloroquine ciprofloxacin, norfloxacin, ofloxacin, enoxacin, grepafloxacin), azithromycin, cefpodoxime, pivampicilin, rifampicin, indirect anticoagulants, barbiturates, fexofenadine, sodium fluoride, dipyridamole, zalcitabine, bile acids (chenodeoxycholic and ursodeoxycholic acids), penicillamine, lansoprozole, digitalis glycosides, iron salts, lithium preparations, quinidine, mexaziletine drugs, antibiotics anti-tuberculosis drugs (ethambutol, isoniazid (for oral use), chloroquine, gshococorticoid drugs (known to interact with prednisolone and dexamethasone), kayekselat and ketoconazole.

With the simultaneous administration of enteric drugs, the increased alkalinity of gastric juice can lead to accelerated destruction of their membrane and cause irritation of the stomach and duodenum.

Almagel can affect the results of some laboratory and functional studies and tests: it reduces the level of gastric secretion and thus alters the results of a functional study of its acidity; alters the results of tests using technetium (Tc99) ‚for example, bone scintigraphy and some tests for examining the esophagus, increases serum phosphorus, serum and urine pH values.

The use of the drug and the intake of food and drinks

Application during pregnancy and lactation

Before taking any medicine, ask your doctor or pharmacist for advice.

There is no clinical data on the use of Almagel by pregnant women. The drug is not recommended during pregnancy, but if the drug is needed, then the duration of treatment should not exceed 5-6 days, and the drug should be taken under medical supervision. It is not recommended to prescribe for toxicosis of pregnant women.

There is no data on the intake of active substances of the drug in difficult milk. Almagel can be used during breastfeeding only after a careful assessment of the ratio of benefits to the mother and the potential risk to the newborn.

Impact on management ability vehicles and work with equipment

Almagel does not affect the ability to drive a car and work with equipment. The ethanol included in the preparation is contained in quantities that are not able to affect the ability to drive and use equipment while taking the recommended daily doses.

Information on excipients

The drug contains sorbitol, which allows diabetics to take it, but is not suitable for the treatment of patients with congenital fructose intolerance, as it can cause stomach irritation and diarrhea.

The suspension contains parahydroxybenzoates, which can cause an allergic reaction (possibly of a delayed type) and, very rarely, bronchospasm.

The medicinal product contains 2.5 vol% ethyl alcohol (ethanol), which corresponds to the content of 98.1 mg ethanol in 5 ml and 196.2 mg ethanol in 10 ml of the medicinal product. Due to the presence of ethyl alcohol in Almagel, this drug should be used with caution in pregnant women, lactating women, children and patients with liver disease, epilepsy and alcohol dependence.

Information about correct application

Method of administration and dosage

Always take Almagel exactly as directed in this package insert. If you are unsure about something, ask your doctor or pharmacist.

Symptomatic antacid treatment

Adults and children over 14 years of age

5-10 ml (1-2 scoops or 1 packet) 3-4 times a day. If necessary, a single dose can be increased to 15 ml (3 scoops). After reaching therapeutic effect daily dose reduced to 5 ml (1 scoop) 3-4 times a day or 1-2 bags a day for 2-3 months.

Patients with renal failure

During the treatment of patients with impaired renal function, it is necessary to reduce the daily dose or increase the interval between doses, depending on the severity of renal failure.

Children from 10 to 14 years old

Apply in a dose equal to half the dose for adults - 1 scoop 2-4 times a day or 2 scoops 1-2 times a day or 1 packet 1-2 times a day.

For prevention

5-15 ml (1-3 scoops or 1 packet) 15 minutes before taking medications with irritating effect.

Before each use, the suspension must be thoroughly homogenized by shaking the package!

The drug is taken 45-60 minutes after meals and in the evening before bedtime.

If you have the impression that Almagel is too weak or too strong, consult your doctor or pharmacist.

If you missed your next intake of Almagel, take it when it's time for your next regular dose without increasing your dose.

If you have any further questions regarding the use of this medicine, please ask your doctor or pharmacist.

Overdose

If you have taken a higher dose than you have been prescribed, seek medical help immediately!

With a single overdose, other signs of an overdose are not observed, except for constipation, flatulence, a feeling of a metallic taste.

With prolonged use of high doses, the formation of kidney stones, the appearance of severe constipation, slight drowsiness, and hypermagnesemia are possible. Signs of metabolic alkalosis can also be observed: changes in mood or mental activity, numbness or muscle pain, nervousness and fatigue, slow breathing, unpleasant taste sensations.

In these cases, it is necessary to immediately take measures to quickly remove the drug from the body - gastric lavage, stimulation of vomiting, and intake of activated carbon.

If you experience symptoms of an overdose, consult a doctor immediately!

Adverse reactions

Like any drug, Almagel can cause adverse reactions, although not everyone has them.

From the gastrointestinal tract:

the appearance of constipation is possible, which disappear when the dose is reduced, diarrhea, discoloration of feces; nausea, vomiting, stomach cramps.

Laboratory indicators:

most often in patients with renal failure and in the case of prolonged use or taking high doses of the drug due to hypermagnesemia, hyperapuminemia, intoxication with aluminum and magnesium develops; hypophosphatemia (manifestations of which may be loss of appetite, muscle weakness, weight loss); possible hypocalcemia, hypercalciuria.

From the kidneys and urinary tract:

nephrocalcinosis, impaired renal function;

From the immune system:

allergic reactions local and general type, including pruritus, urticaria, angioedema and anaphylactic reactions, bronchospasm.

From the central nervous system:

with prolonged use of the drug in patients with renal failure and patients on dialysis, manifestations of encephalopathy, neurotoxicity (changes in mood and mental activity), dementia, disorders of the condition in Alzheimer's disease are possible;

From the side of the musculoskeletal system:

osteoporosis with long-term use high doses of the drug with a phosphorus deficiency in food, osteomalacia may occur;

Others:

change in taste.

With prolonged use of the drug in patients with renal failure and patients on dialysis, manifestations of thirst are possible, blood pressure, hyporeflexia, as well as the development of microcytic anemia.

Without recipe.

Package

Suspension of 170 ml in polyethylene terephthalate vials. One bottle in a cardboard box with a 5 ml measuring spoon and package insert.

10 ml in a multilayer foil bag. 10 or 20 bags in a cardboard box, together with an insert leaflet.

Manufacturer

Balkanfarma - Troyan AD, Bulgaria

5600 Troyan, st. "Krairechna" No. 1

Tel .: (+ 359) 0670 68 104

Antacid drug

Active ingredients

Magnesium hydroxide paste
- algeldrate (aluminum hydroxide gel) (algeldrate)

Release form, composition and packaging

◊ Oral suspension white or almost white, with a characteristic lemon scent; during storage, a layer of a transparent liquid may form on the surface; with vigorous shaking of the bottle, the homogeneity of the suspension is restored.

Excipients: sorbitol - 801.15 mg, hyetellose - 10.9 mg, methyl parahydroxybenzoate - 10.9 mg, propyl parahydroxybenzoate - 1.363 mg, butyl parahydroxybenzoate - 1.363 mg, sodium saccharinate dihydrate - 818 μg, lemon oil - 1.635 mg, ethanol 96% - purified water - up to 5 ml.

170 ml - bottles (1) complete with a dosing spoon (5 ml) - cardboard packs.

pharmachologic effect

Antacid preparation, which is a balanced combination of algeldrate (aluminum hydroxide) and magnesium hydroxide. Neutralizes free hydrochloric acid in the stomach, reduces the activity of pepsin, which leads to a decrease in the digestive activity of gastric juice.

It has an enveloping, adsorbing effect. Protects the gastric mucosa by stimulating the synthesis of prostaglandins (cytoprotective effect). Protects the mucous membrane from inflammatory and erosive-hemorrhagic lesions as a result of the use of irritating and ulcerogenic agents such as ethanol, NSAIDs (for example, indomethacin, diclofenac), corticosteroids.

The therapeutic effect after taking the drug occurs in 3-5 minutes. The duration of action depends on the rate of gastric emptying. When taken on an empty stomach, the effect lasts up to 60 minutes. When taken one hour after a meal, the antacid effect can last up to 3 hours. Does not cause secondary hypersecretion of gastric juice.

Pharmacokinetics

Algeldrat

A small amount of the drug is absorbed, which practically does not change the concentration of aluminum salts in the blood. It is excreted through the intestines.

Magnesium hydroxide

Magnesium ions are absorbed in insignificant amounts (about 10% of the dose taken) and do not change the concentration of magnesium in the blood. It is usually distributed locally. Magnesium hydroxide is excreted through the intestines.

Indications

Treatment

— acute gastritis;

- chronic gastritis with increased and normal gastric secretory function (in the acute phase);

— acute duodenitis, enteritis, colitis;

- peptic ulcer of the stomach and duodenum (in the acute phase);

- hernia of the esophageal opening of the diaphragm;

- gastroesophageal reflux, reflux esophagitis, duodenogastric reflux;

- symptomatic gastrointestinal ulcers of various origins;

- erosion of the mucous membrane upper divisions Gastrointestinal tract;

— acute pancreatitis, aggravation chronic pancreatitis;

- heartburn and epigastric pain after errors in nutrition, excessive consumption of ethanol, nicotine, coffee, taking medications that irritate the gastric mucosa.

Prophylaxis

- reduction of irritating and ulcerogenic effects associated with the intake drugs irritating the gastric mucosa.

Contraindications

- severe (due to the risk of developing hypermagnesemia and aluminum intoxication);

- Alzheimer's disease;

- hypophosphatemia;

- pregnancy;

— childhood up to 10 years old;

- congenital fructose intolerance (the drug contains sorbitol);

— hypersensitivity To active substances and auxiliary components drug.

Dosage

The drug is taken orally. Before each dose, the suspension must be thoroughly homogenized by shaking the bottle.

Treatment

The drug is taken 45-60 minutes after meals and in the evening before bedtime.

Adults and children over 15 years old appoint 5-10 ml (1-2 scoops) 3-4 times / day. If necessary, a single dose can be increased to 15 ml (3 scoops). Children aged 10 to 15 prescribed in a dose equal to half the adult dose.

After reaching the therapeutic effect, the daily dose is reduced to 5 ml (1 scoop) 3-4 times / day for 15-20 days.

Prophylaxis

5-15 ml 15 minutes before taking medications with irritating effect.

Side effects

From the side digestive system: possibly constipation, which disappears after dose reduction; in rare cases - nausea, vomiting, stomach cramps, changes in taste.

From the nervous system: with prolonged use of the drug in patients with renal failure and patients on dialysis, changes in mood and mental activity are possible.

Others: in rare cases - allergic reactions and hypermagnesemia; with prolonged use in high doses (in combination with a phosphorus deficiency in food), osteomalacia may develop.

Overdose

Symptoms: with a single dose excess - constipation, flatulence, metallic taste in the mouth. With prolonged use in high doses, formation, development of severe constipation, slight drowsiness, hypermagnesemia is possible. Signs of metabolic alkalosis can also be observed: changes in mood or mental activity, numbness or muscle pain, irritability and fatigue, slow breathing, unpleasant taste sensations.

Treatment: it is necessary to immediately take measures for the rapid elimination of the drug from the body - gastric lavage, stimulation of vomiting, intake of activated carbon.

Drug interactions

It can adsorb some drugs, thus reducing their absorption. Therefore, with the simultaneous use of other drugs, it is necessary to observe an interval of 1-2 hours between taking Almagel and other drugs.

Almagel changes the pH of gastric juice to the alkaline side, which can affect the effect of a significant number of drugs when used simultaneously.

Almagel reduces the effect of blockers of histamine H 2 -receptors (, ranitidine, famotidine), cardiac glycosides, iron salts, lithium preparations, quinidine, mexiletine, phenothiazine drugs, tetracycline antibiotics, ciprofloxacin, isoniazid and ketoconazole.

With the simultaneous appointment of enteric forms of drugs, it should be remembered that an increase in the pH of gastric juice caused by the intake of Almagel can lead to accelerated destruction of the enteric membrane and thereby cause irritation of the mucous membrane of the stomach and duodenum.

Almagel can affect the results of some laboratory and functional studies and tests: reduces the level of gastric secretion when determining the acidity of gastric juice; alters the results of tests using technetium (99m Tc), such as bone scintigraphy and some tests for examining the esophagus; increases the concentration of phosphorus in the blood serum, changes the pH values ​​of blood serum and urine.

special instructions

It is not recommended to use the drug in patients with severe constipation, with pain in the stomach of unknown origin and suspicion of ulcerative colitis, diverticulosis, colostomy or ileostomy, chronic diarrhea, acute hemorrhoids, changes in the acid-base balance in the body, as well as the presence of metabolic alkalosis, severe heart failure, toxicosis of pregnant women, impaired renal function ((QC<30 мл/мин) из-за опасности развития гипермагниемии и алюминиевой интоксикации).

The drug does not contain sugar, which allows patients with diabetes mellitus to take it.

The drug contains sorbitol, therefore it is contraindicated in congenital fructose intolerance.

Influence on the ability to drive vehicles and use mechanisms

Almagel does not affect the ability to drive and operate machinery. When taken in the recommended daily dose, the ethanol contained in the preparation does not affect the ability to drive and operate machinery.

Pregnancy and lactation

Experimental research in animals showed no teratogenic potential or other undesirable effects on the embryo and / or fetus.

There is no clinical data on the use of the drug Almagel in pregnant women. The drug is not recommended for use during pregnancy, but if the intended benefit to the mother outweighs the potential risk to the fetus, Almagel should be taken under medical supervision for no more than 5-6 days.

There is no data on the release of active substances of the drug in breast milk. Almagel can be used during breastfeeding only after a careful assessment of the ratio of the expected benefit to the mother and the potential risk to the child. During lactation, the drug is recommended to be used no more than 5-6 days under the supervision of a doctor.

Childhood use

The drug is contraindicated for use in children under 10 years of age.

With impaired renal function

The use of the drug is contraindicated in severe renal failure (due to the risk of developing hypermagnesemia and aluminum intoxication).

In patients with renal insufficiency, with prolonged use of the drug (more than 20 days), regular monitoring of the concentration of magnesium in the blood serum is necessary.

For violations of liver function

Conditions of dispensing from pharmacies

The drug is approved for use as a means of OTC.

Storage conditions and periods

The drug should be stored out of the reach of children, protected from light at a temperature not exceeding 25 ° C; do not freeze. Shelf life is 2 years.

Almagel®, suspension for oral administration - a bottle (bottle) polyethylene terephthalate 170 ml with a measuring spoon (spoon), cardboard pack 1- EAN code: 3800009121082- No. P N012742 / 01, 2010-02-26 from Balkanpharma-Troyan (Bulgaria)

Latin name

Almagel®

Active substance

Algeldrate * Magnesium hydroxide

ATX

A02AX Antacids in other combinations

Pharmacological group

Antacids in combinations

Nosological classification (ICD-10)

K21.0 Gastroesophageal reflux with esophagitis K25 Stomach ulcer K26 Duodenal ulcer K29 Gastritis and duodenitis K29.1 Other acute gastritis K29.5 Chronic gastritis, unspecified K44.9 Diaphragmatic hernia without obstruction or non-specific colorectal reactions Y42.9 synthetic analogs Y45 Adverse reactions during the therapeutic use of analgesic, antipyretic and anti-inflammatory drugs Z72.4 Unacceptable diet and bad eating habits

Composition and form of release

5 ml of suspension for oral administration contain aluminum hydroxide 300 mg (equivalent to 200 mg of aluminum oxide), magnesium hydroxide 100 mg - in plastic bottles of 170 ml, complete with a dosage spoon, in a cardboard box 1 bottle.

Characteristic

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

pharmachologic effect

Pharmacological action - antacid, enveloping, absorbent.

It neutralizes hydrochloric acid and reduces the activity of pepsin, gastric juice, protects the gastrointestinal mucosa from damaging effects.

Pharmacodynamics

It is evenly distributed over the gastric mucosa and provides long-term gastroprotection. It has buffering-antacid properties: between doses, the pH of gastric juice is kept from 4-4.5 to 3.5-3.8. Sorbitol has a choleretic and mild laxative effect. The therapeutic effect appears after 3-5 minutes and lasts 70 minutes.

Pharmacokinetics

Practically not absorbed from the gastrointestinal tract.

Indications of the drug Almagel®

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

Contraindications

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

Application during pregnancy and lactation

During pregnancy, use is possible for no longer than 3 days. During treatment, breastfeeding should be discontinued.

Side effects

From the digestive tract: taste disturbance, nausea, vomiting, spasm, pain in the epigastric region, constipation.

From the side of metabolism: hypercalciuria, hypermagnesemia, hypophosphatemia.

Others: drowsiness, osteomalacia, dementia and edema of the extremities (against the background of chronic renal failure).

Interaction

Reduces the effectiveness of tetracyclines, H2-antihistamines, cardiac glycosides, iron salts, ciprofloxacin, phenothiazines, isoniazid, beta-blockers, indomethacin, ketoconazole, etc. (with joint administration, an interval between doses of at least 1-2 hours is recommended).

Method of administration and dosage

Inside, 0.5 hours before meals (with gastric ulcer and duodenal ulcer between main meals) and at night, for adults 1-3 dosage spoons 3-4 times a day. Maintenance dose - 1 dosing spoon 3-4 times a day for 2-3 months. Preventive therapy - 1-2 dosage spoons.

Children strictly according to the doctor's prescription: up to 10 years old - 1/3 dose for adults, 10-15 years old - 1/2 dose.

The maximum daily dose is 16 dosage spoons, with this dose the duration of treatment is no more than 2 weeks.

Shake the suspension before taking it.

In case of a disease accompanied by nausea, vomiting and abdominal pain, treatment begins with Almagel A, and after the disappearance of the listed symptoms, they switch to Almagel.

Overdose

Symptoms: suppression of gastrointestinal motility.

Treatment: the appointment of laxatives.

Precautionary measures

With prolonged use, it is necessary to ensure a sufficient intake of phosphorus from food.

special instructions

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

Storage conditions of the drug Almagel®

In a dry, dark place at a temperature not exceeding 25 ° C. Do not freeze!

Keep out of the reach of children.

Shelf life of the drug Almagel®

2 years.

The last updated description by the manufacturer

15.07.2008

Other packaging options for the drug are Almagel®.

Almagel®, suspension for oral administration - bottle (bottle) 170 ml with a measuring spoon (spoon), cardboard pack 1- EAN code: 3800009120016- No. P N012742 / 01, 2010-02-26 from Balkanpharma-Troyan (Bulgaria) Almagel® , suspension for oral administration - a bottle (bottle) polyethylene terephthalate 170 ml with a measuring spoon (spoon), cardboard pack 1- EAN code: 3800009121082- No. P N012742 / 01, 2010-02-26 from Balkanpharma-Troyan (Bulgaria)

In the article we will consider the instruction for children to "Almagel".

It is an antacid drug for the treatment of diseases of the digestive system. Its active components neutralize hydrochloric acid, which is included in gastric juice. The composition of this drug includes aluminum hydroxide, which is the basis for the manufacture of antacid medicines.

Not everyone knows that Almagel is suitable for children.

Kinds

The release forms of this medication are suspension and tablets. The medication is sold in three versions:

• The usual "Almagel" (it is produced in the form of liquid and tablets). This version of Almagel contains the main constituents such as aluminum hydroxide along with magnesium.
• A drug with the additional designation "A". This type contains benzocaine, which provides pain relief.
• Variety "Almagel Neo", in addition to the main components, may contain simethicone, which removes excess gases.

Is it true that Almagel is allowed for children? This is a common question.

How do they differ?

All types of the drug are sold in boxes that differ in color. For example, the usual "Almagel" is sold in green packaging, "Neo" is sold in red, and with the designation "A" - in yellow. The name "Almagel T" is used for the pills. The drug with a special additive "Neo" is produced in sachets of 10 milliliters, it contains orange flavor in its composition.

How does Almagel work for children?

The action of the medication

The presented medicine produces an enveloping and antacid effect. All its types contain the same basic active active ingredient. The mechanism of action is as follows: the drug neutralizes hydrochloric acid, protecting the gastric mucosa, which effectively prevents the formation of ulcers.

At the same time, components that can negatively affect the mucous membrane of the digestive system are neutralized. The composition of this medicine envelops the stomach, creating a protective barrier. The active components of the drug are distributed evenly, thereby achieving a long-lasting effect.

Sodium hydroxide eliminates and prevents constipation. Sorbitol, which is part of the composition, increases the secretion of bile. Both components contribute to the rapid regulation of the stool. The protective layer protects the stomach from the accumulation of gases, a feeling of heaviness and excessive production of hydrochloric acid.

The presented remedy eliminates pain in the digestive organs. It is also possible to use "Almagel" for heartburn. The effect of the drug begins three to five minutes after ingestion. The duration of the effect is from one to two hours.

"Almagel A" has a longer and stronger analgesic effect. It can be taken in case of poisoning. The medicine with the postscript "Neo" eliminates and prevents gas formation. Gas bubbles are absorbed into the intestines, and then completely removed from the body. This medication can cause some side effects and has a number of contraindications. For pregnant women, it is prescribed only in short courses.

In what cases is Almagel prescribed for children?

Indications for use for children

This drug is a non-absorbable agent and does not cause any metabolic disturbances. "Almagel" in the presence of heartburn is used even during pregnancy. This medication does not irritate the genitourinary system, even with prolonged use. The indications for use in children are as follows:

• If you have bowel disorders.
• Against the background of a peptic ulcer.
• In the presence of duodenitis.
• Against the background of intestinal diseases.
• In the presence of flatulence.
• With enteritis, colitis and gastritis.
• Against the background of reflux esophagitis.
• Against the background of the consequences of an improper diet.

It is allowed to take "Almagel" for children as an aid in the treatment of diabetes, but only on the recommendation of a doctor. This drug can be given together with other medicines or immediately after taking non-steroidal drugs and glucocorticosteroids.

Is it always possible to give Almagel to children?

Contraindications to use

This drug can cause side effects such as short-term nausea and numbness of the tongue. Relative contraindications for the treatment of children with this medication include:

• The child has liver disease or epilepsy.
• In childhood from ten to eighteen years old.
• Against the background of breastfeeding.
• With alcoholism and brain diseases.

Additional contraindications include individual intolerance to the components. Children are prohibited from taking this medication with sulfonamides at the same time and if the kidneys are not working properly.

Instructions for the use of "Almagel" for children

Green "Almagel", as well as its other form in the form of yellow "Almagel A" are suitable for the treatment of children from one month of age. Immediately before use, the medicinal bottle should be shaken in order to obtain a homogeneous composition. The suspension is given to children half an hour before meals. In the evenings, babies are given this medicine before going to bed, it should not be washed down with water. You can give your child the drug between meals. Between the use of "Almagel" and other drugs, an interval of one to two hours must be observed.

"Almagel A"

In the event that at the time of initiation of therapy the disease is accompanied by the occurrence of nausea, vomiting and abdominal pain, then the child's treatment should be started with taking "Almagel A". As soon as the indicated symptoms disappear, it will be rational to switch to the use of green "Almagel". The child is 4 years old, how much medicine can you give him?

Children under ten years of age use the drug in an amount of one third of the adult dose. Children from ten to fifteen years old receive a suspension in the amount of half of the adult dosage. Teenagers who are over fifteen years old are already taking this drug in adult dosages.

Children who are under ten years of age take the medication for therapy in one scoop. In the event that there is no measuring spoon, then you can use a regular teaspoon. Children aged ten to fifteen years old take one and a half scoops containing 5 milliliters of medicine, four times a day. And adolescents who are over fifteen years old, three spoons four times.

In general, how much can you give the children of "Almagel" per day?

The maximum daily dose for children under ten years of age is 5 scoops (that is, 25 milliliters of medicine). At the age of ten to fifteen years, take eight measuring spoons (40 milliliters of medicine). Those children who are over fifteen years old can take sixteen spoons (80 milliliters of the drug) maximum per day. In the event that a child is taking a medication in such high dosages, the maximum allowable course duration is two weeks.

Can Almagel be given to children with maintenance therapy?

Supportive care dosages

Immediately after elimination of symptoms and normalization of general health, you can continue treatment with "Almagel" in maintenance doses for three months. The maintenance and prophylactic dosage for children of various ages is the following:

• For the treatment of children under ten years of age, 3.5 milliliters of the drug are prescribed.
• Children aged ten to fifteen years take 5 milliliters of the drug.
• Teenagers who are over fifteen years old take 10 milliliters.

How to drink the remedy?

As part of the prophylaxis, "Almagel" is taken by children half an hour before meals. The presented drug is required to be drunk immediately before each meal. When using the drug for a long time, it is required to give the child phosphorus preparations and include in the diet foods that are rich in a high content of this microelement.

What to give "Almagel" to children with pain in the abdomen?

"Almagel Neo"

"Almagel Neo" is allowed for use only by those children who are over ten years old. Children ten to fifteen years of age receive half the dose of this drug. And adolescents who are over fifteen take the medication exclusively in the adult dosage.

Immediately before use, the bottle with the suspension is shaken well. Children are not recommended to dilute Almagel Neo. After using the suspension, it is forbidden to give the child any drink for half an hour. The use of "Almagel Neo" and other drugs must be distributed over time. The suspension itself is taken one hour after a meal. The use of the drug for a long time must necessarily be accompanied by the inclusion in the diet of foods that are rich in high phosphorus content.

Children who are between the ages of ten and fifteen years, take the suspension one measuring spoon (that is, 5 milliliters of medicine) four times. The last dose is given to the child to drink in the evening, just before bedtime. In the event that the baby's condition is severe, and the symptoms are excessively pronounced, then a one-time intake can be increased to two measuring spoons, which will correspond to 10 milliliters of medicine. The maximum allowable rate of "Almagel", which is allowed to be taken by children aged ten to fifteen years during the day, is six measuring spoons. The duration of the course of therapy should not exceed four weeks.

What else can you give children with stomach pains?

"Almagel T" for children

Such tablets are allowed for use by children if they are over twelve years old. In this case, the dosage, as well as the rules of use, will be the same as for adult patients.

Side effects and effects on the child's body

This drug works differently on the child's body. Some kids easily tolerate treatment with Almagel, while others may experience some side effects while using it. Thus, as a result of taking this medication, children can sometimes experience various side effects, but most often this happens due to an overdose and improper adherence to the amount of the drug prescribed by the doctor. So, the drug "Almagel" in green and yellow packaging can cause undesirable reactions in children in the form of nausea, vomiting, stomach cramps, drowsiness, changes in the action of taste buds and constipation.

It is also worth noting that prolonged use of this medication leads to phosphorus deficiency and bone destruction. In the event that the drug is used for renal failure, this drug can provoke swelling of the hands and feet along with the appearance of dementia and an increase in the concentration of magnesium in the blood. The form of "Almagel" called "Neo" sometimes provokes allergic reactions in children, as well as a violation of the stool.

Special instructions for use

It should be borne in mind that immediately before taking the medicinal suspension should be shaken well to a homogeneous composition. It is not recommended to use "Almagel" in excess of the amount established by the doctor, otherwise the child may experience undesirable side reactions. And the onset of an overdose can cause an increase in the amount of magnesium and aluminum in the blood.

Phosphorus deficiency due to overdose can cause osteoporosis, and if the child does not have enough calcium, then frequent fractures are possible. In the kidneys, against the background of excessive intake of this medication, salt deposits appear, and at the same time the normal activity of various organs is disrupted. Sometimes an overdose can cause encephalopathy. Children with kidney failure may have thirst along with low blood pressure.

The presented drug is a slightly toxic medication, thanks to which it is allowed in small quantities even for pregnant women. Thus, this remedy, provided that the dosage is observed, does not pose any threat to the health of the child and prevents relapses of diseases of the digestive system.

Almagel is rightfully considered one of the popular antacid drugs, the indications for the use of which are not limited only to relieve heartburn. It is widely used for ulcers, duodenitis, esophagitis and other acid-related diseases. Possesses good enveloping and absorbent properties.

The drug Almagel also has the spelling "Almagel". This confusion is due to the fact that the name of the original is written in Latin letters "Almagel".

Composition and form of release

Almagel is a combined agent produced in the form of a gel that acts as a protective film on the gastric mucosa. Stimulates the outflow of bile from the stomach and has a laxative effect on the body. Unlike other drugs, it does not disturb the electrolyte balance in the gastrointestinal tract.

The suspension contains various components that give the drug certain additional properties.

1. Suspension Almagel (contains only the main components - gel of aluminum and magnesium hydroxide);
2. Suspension Almagel A (together with the main components contains anesthetic benzocaine);
3. Suspension Almagel Neo (together with the main components contains the substance simethicone, which removes gases).

White suspension intended for oral administration. Has a specific lemon scent. During long-term storage, a transparent layer of liquid forms on the surface. Homogeneity is restored with vigorous agitation of the solution.

pharmachologic effect

Almagel is a drug that is a balanced combination of algeldrate (aluminum hydroxide) and magnesium hydroxide. It neutralizes free hydrochloric acid in the stomach, reduces the activity of pepsin, which leads to a decrease in the digestive activity of gastric juice. It has an enveloping, adsorbing effect.

In addition, Almagel is able to provide a local anesthetic effect, which helps to overcome the main symptom of gastrointestinal diseases - pain. The medicinal substance is also capable of taking part in the production of bile (accelerates and improves the excretion of bile). Almagel can be attributed to the group of laxative medicines due to the content of the D-sorbitol component.

The drug forms a protective film on the walls of the stomach, preventing the formation of carbon dioxide, which is the cause of:

• feelings of heaviness in the epigastrium,
• increased gassing,
• secondary hypersecretion.

The drug has no mutagenic, embryotoxic and teratogenic effects.

Pharmacokinetics:

1. Almagel is a non-absorbable drug. Subject to the correct dosage regimen and the duration of treatment, it is practically not resorbed in the gastrointestinal tract and has a long-term uniform effect without disturbing the electrolyte balance and without creating the risk of alkalosis or other metabolic disorders.
2. Does not irritate the urinary system and, with prolonged use, does not cause alkalosis and the formation of calculi in the urinary tract.

What helps: indications for use

Classic, Almagel Neo, Almagel A, what is the difference, it becomes clear after carefully examining the composition. The first Almagel for heartburn and other dyspeptic disorders will be the best choice. The second is more advisable to appoint for bloating, flatulence and before various studies. The third from pain in the stomach, with acute gastritis and other conditions.

• acute gastritis with high acidity;
• peptic ulcer of the stomach and duodenum (exacerbation period);
• enteritis;
• foodborne diseases;
• abdominal pain or discomfort after excessive intake of nicotine, coffee, alcohol, taking various medications, diet irregularities.

Instructions for use for adults

Due to the obvious color differences between packages, they are often called by color: Almagel green is a classic one. Almagel yellow - with anesthetic. Almagel red (orange)- with simethicone.

It is required to take the prescribed dose of the drug strictly 15 minutes before meals. Before use, the contents of the medication must be thoroughly shaken well each time in order to achieve a uniform distribution of the active substance. As soon as the dose of Almagel is taken, it is forbidden to take any liquid for another quarter of an hour.

If you want to achieve an antacid effect from the use of a drug, which implies the elimination of symptoms of heartburn, you should drink the selected dosage of the active ingredient 45 minutes after a meal and an hour before going to bed.

The instructions for the use of Almagel indicate that for the purpose of prophylaxis, the agent must be taken 5-10 ml or 1-2 tablets before a possible irritant effect on the gastrointestinal mucosa occurs.

How to take Almagel for adults?

According to the instructions for use, Almagel is prescribed for adults in 1-2 teaspoons, with insufficient effect, a single dose is increased to 3 teaspoons.

The maximum daily dose of the drug should not exceed 16 teaspoons.

Tablets (Almagel T) are prescribed up to 6 times a day, 1-2 pieces. Negative symptoms stop after 30-60 minutes when taking the medication on an empty stomach. The duration of treatment is 10-15 days.

• In order to make the drug more effective, the tablets must be chewed thoroughly or held for some time in the mouth under the tongue until Almagel is completely dissolved.
• The gel or suspension must be homogenized before use by shaking the bottle or kneading the bag thoroughly between the fingers.

Almagel's instruction for children from 10 years old

Children under 10 years old are prescribed 1/3 of the adult dose, and from 10 to 15 years old - 1/2 of the adult dose. Almagel should be taken 4 times a day 30 minutes before meals and before bedtime.

The course of treatment with this drug lasts about 14 days.

Contraindications

All versions of Almagel have both general contraindications for use and their own individual ones, characteristic of a particular form of the drug.

The drug should be taken with caution by the following group of people:

• women during lactation;
• people suffering from prolonged constipation;
• patients with ulcerative colitis;
• patients with chronic diarrhea;
• patients with pain syndrome of unclear etiology.

Side effects for the body

Almagel can cause constipation, which disappears after dose reduction. In rare cases, the following are observed:

• nausea,
• vomit,
• stomach cramps
• change in taste,
• allergic reactions and hypermagnesemia (increased levels of magnesium in the blood).

With prolonged use of the drug in patients with renal failure and on dialysis, changes in mood and mental activity are possible.

Application during pregnancy and lactation

In some cases, during pregnancy, Almagel can be taken, but not more than 3 days. However, during lactation it is better to refuse taking the drug.

Before the appointment, you need obligatory consultation attending physician!

Interaction with other drugs

With the simultaneous use of Almagel can reduce the therapeutic effect:

• antibiotics of the tetracycline series,
• blockers of histamine H2-receptors,
• digitalis glycosides,
• iron salts
• ciprofloxacin,
• phenothiazines,
• isoniazid,
• beta-blockers,
• indomethacin and ketoconazole.

The interval between taking Almagel and other medicines should be 1-2 hours.

Best before date

Shelf life 2 years.

Prevent suspension from freezing (affects efficiency). The optimal temperature regime for storing vials is 5-15 degrees

Conditions of dispensing from pharmacies

Without recipe.

Analogs

Among antacid drugs, the following are also distinguished:

• Palmagel and Palmagel A,
• Almag Ino,
• Gestide,
• Gastal and Mailax and others.