Hydrotaltsyt magnesium hydroxide – Gastal tablets for resorption of mint 48 pcs

$22.00

Description

Latin name

Gastal

release form

resorption tablets

packaging 48 pcs

Pharmacological action

Pharmacological group: antacid

ATX code: A02AX

Pharmacological properties

Pharmacodynamics. Gastal ® is a combined antacid that reduces the increased acidity of gastric juice and does not have a stimulating effect on the secretion of gastric juice.

Aluminum hydroxide-magnesium carbonate gel and magnesium hydroxide provide immediate (immediately after administration) and long-term (about 2 hours) neutralization of hydrochloric acid in gastric juice, while maintaining acidity in the stomach at a physiological level (pH 3-5). One tablet of Gastal ® neutralizes 21.5 mmol of hydrochloric acid.

Gastal ® suppresses the effects of pepsin, lysolecithin and bile acids, which neutralizes the fixing effect of aluminum hydroxide in the small intestine. Magnesium ions are excreted in the feces as an insoluble carbonate.

Indications

Dyspeptic symptoms such as discomfort or pain in the epigastrium, heartburn, sour belching after errors in diet, excessive consumption of ethanol, coffee, nicotine, etc.

dyspeptic symptoms, such as discomfort or epigastric pain, heartburn, acidic belching (and their prevention) resulting from the use of certain drugs (non-steroidal anti-inflammatory drugs, glucocorticosteroids, etc.)

conditions accompanied by increased acid formation: gastric ulcer, gastritis, reflux esophagitis hernia of the esophageal opening of the diaphragm.

Contraindications

Hypersensitivity to aluminum salts, magnesium or other components of the drug severe renal failure Alzheimer’s disease hypophosphatemia lactose intolerance, lactase deficiency or glucose-galactose malabsorption children under 6 years of age.

Caution

In case of chronic renal failure (CRF), pregnancy and breastfeeding, adults and children over 12 years old with body weight less than 50 kg, children from 6 to 12 years old, old age.

Use during pregnancy and lactation

Gastal ® is not excreted in breast milk. When used during pregnancy and during breastfeeding, it is necessary to assess the ratio of benefits for the mother and risk for the fetus and baby.

Composition of

1 tablet contains: active substances: aluminum hydroxide-magnesium carbonate gel 450.0 mg, magnesium hydroxide 300.0 mg auxiliary substances: lactose monohydrate 111.5 / 112.0 / 112.0 mg, mannitol 110.0 / 112.0 / 112.0 mg, pregelatinized starch 32.0 / 32.0 / 32.0 mg, colloidal silicon dioxide 2.0 / 2.0 / 2.0 mg, croscarmellose sodium (type A) 50.0 / 50.0 / 50.0 mg, aspartame 2.5 / 2.0 / 2.0 mg, magnesium stearate 6.0 / 6.0 / 6.0 mg, mint flavor 11890-71 (mint tablets) 6.0 mg or cherry flavor E 9407963 (cherry tablets) 4.0 mg or orange flavor 1013042 (orange tablets) 4.0 mg.

Dosage and administration

Inside, gradually dissolving in the mouth.

Adults and children over 12 years old with a body weight of at least 50 kg

1-2 tablets 4-6 times a day, approximately 1 hour after eating and at bedtime, but not more than 8 tablets per day. Duration of admission is no more than 2 weeks.

Similar doses are recommended for treating heartburn regardless of food intake.

Adults and children over 12 years old with a body weight of less than 50 kg, children aged 6 to 12 years

The dose is half the recommended dose for adults and children over 12 years of age with a body weight of at least 50 kg. Duration of admission is no more than 2 weeks.

Patients with chronic renal failure

Dose adjustment not required. Duration of admission is no more than 2 weeks. p10roduc

Similar doses are recommended for treating heartburn regardless of food intake.

Adults and children over 12 years old with a body weight of less than 50 kg, children aged 6 to 12 years

The dose is half the recommended dose for adults and children over 12 years of age with a body weight of at least 50 kg. Duration of admission is no more than 2 weeks.

Patients with chronic renal failure

Dose adjustment not required. Duration of admission is no more than 2 weeks. p10roduc

Similar doses are recommended for treating heartburn regardless of food intake.

Adults and children over 12 years old with a body weight of less than 50 kg, children aged 6 to 12 years

The dose is half the recommended dose for adults and children over 12 years of age with a body weight of at least 50 kg. Duration of admission is no more than 2 weeks.

Patients with chronic renal failure

Dose adjustment not required. Duration of admission is no more than 2 weeks. p10roduc Duration of admission is no more than 2 weeks. p10roduc Duration of admission is no more than 2 weeks.

Side effects of

When using the drug in recommended doses, adverse reactions are rare (not less than 0.01%, but less than 0.1%): nausea, constipation, diarrhea, change in taste. In exceptional cases, allergic reactions are possible.

Drug interaction

Gastal ® preparation at the same time enhances the activity of levodopa and nalidoxin indirect anticoagulants, barbiturates.

Tetracyclines form insoluble chelate complexes by reacting with metal ions that are part of antacids as a result of this interaction, the absorption of tetracyclines is reduced by more than 90%. Simultaneous administration of these drugs is impossible. When combined, tetracycline should be taken at least 2 hours before the antacid is taken.

In the presence of the aluminum and magnesium hydroxides contained in the antacid, the absorption of ciprofloxacin and ofloxacin is reduced by 50-90%.

In the presence of antacids, the bioavailability of captopril is significantly reduced, and the combined use of antacids and metoprolol leads to a decrease in the plasma metoprolol concentration.

Concomitant use of high doses of antacids can reduce ranitidine absorption by 10-33%.

The use of antacids does not affect the bioavailability of amoxicillin, cephalexin, and a combination of amoxicillin and clavulanic acid, but may significantly reduce the absorption of doxycycline from the gastrointestinal tract.

Increasing the urine pH against antacid therapy can help to increase tubular reabsorption of essential (alkaline) drugs and reduce reabsorption of acidic compounds. Antacids can reduce and slow the absorption of salicylates, including acetylsalicylic acid, and, by increasing the urine pH, promote faster elimination of salicylates with urine from the body, with a concomitant decrease in their serum concentration by 30-70%.

The absorption of cardiac glycosides, including digoxin and digitoxin, is not significantly reduced when used with antacids.

M-cholin blockers, by slowing the motility of the stomach, increase the duration of the drug Gastal ®.

In order to prevent the possible interaction of Gastal ® with other drugs, it is recommended that it be administered 1 hour before or 1 hour after use.

Overdose

Symptoms of acute overdose are not described.

With prolonged use of high doses of preparations containing aluminum and magnesium, the development of hypophosphatemia, hypocalcemia, hypercalciuria, osteomalacia, osteoporosis, hypermagnesemia, hyperaluminiemia, encephalopathy, nephrocalcinosis, and renal dysfunction. It is possible to develop more pronounced undesirable reactions from the gastrointestinal tract (gastrointestinal tract) (constipation, diarrhea), in patients with renal insufficiency – thirst, a decrease in blood pressure, and hyporeflexia.

Treatment: symptomatic therapy.

Storage conditions

Keep out of the reach of children at a temperature not exceeding 25 ° C.

Expiration

3 years.

Active ingredient

hydrotalcite, Magnesium hydroxide

Dispensing conditions from

pharmacies No prescription

Dosage Form Drug

form

lozenges

Teva Pharmaceutical Enterprise Co., Ltd., Israel