Maalox - instructions for use, analogs, testimonials and release forms (suspension, tablets, mini) for the treatment of gastritis and ulcers in adults, children, and in pregnancy

In this article, you can read the instructions for using the drug Maalox. Comments of visitors of the site - consumers of this medication, as well as opinions of doctors of specialists on the use of Maalox in their practice are presented. A big request is to actively add their feedback on the drug: the medicine helped or did not help get rid of the disease, which were observed complications and side effects, possibly not declared by the manufacturer in the annotation. Analogues of Maalox in the presence of existing structural analogues. Use to treat gastritis and ulcers of the gastrointestinal tract in adults, children, as well as during pregnancy and breast-feeding.

Maalox antacid preparation.Neutralizes free hydrochloric acid (hydrochloric acid), which leads to a decrease in the peptic activity of gastric juice. Does not cause secondary hypersecretion. It also has an adsorbent and enveloping effect, reducing the effect of damaging factors on the mucous membrane.

Composition

Algeoldrate (aluminum hydroxide) + Magnesium hydroxide (in the form of a gel) + auxiliary substances.

Pharmacokinetics

Magnesium and aluminum hydroxides are considered local action antacids, which are practically not absorbed when administered orally at the recommended doses.

Indications

• peptic ulcer of the stomach and duodenum in the phase of exacerbation;
• acute gastroduodenitis;
• chronic gastroduodenitis with normal or increased secretory function in the exacerbation phase;
• hernia of the esophageal opening of the diaphragm;
• reflux esophagitis;
• the phenomena of dyspepsia (and their prevention) arising from the use of certain medicines (including non-steroidal anti-inflammatory drugs, glucocorticosteroids);
• discomfort or pain in epigastrium, heartburn with inaccuracies in the diet, excessive use of coffee, alcohol, nicotine.

Forms of release

Tablets are chewable.

Suspension for oral administration (including Maalox mini).

Instructions for use and reception scheme

Suspension

Maalox is usually taken 1-1.5 hours after a meal or when pain occurs. Maalox in the form of a suspension take 15 ml (1 packet). Before use, the suspension should be homogenized, carefully stretching the bag between the fingers. Package contents squeeze into a spoon or into the mouth.

The dosage is determined by the attending physician.

If necessary, you can take an additional dose of the drug 2 hours after the previous intake, but no more than 6 meals per day.

Pills

Adults prescribe 1-2 tablets or 15 ml (1 tablespoon) of the suspension 3-4 times a day 1-2 hours after meals and at night.

With reflux-esophagitis, the drug is taken after a shorter period of time after eating. Duration of reception should not exceed 2-3 months.

With occasional use (for example, with discomfort after errors in the diet) take 1-2 tablets or 15 ml of the suspension once.

Maalox mini

The contents of 1-2 mini-packs are taken inside 1-1.5 hours after a meal or when heartburn occurs. If necessary, you can take an additional dose of the drug 2 hours after the previous reception. The maximum daily dose is 12 mini-packs. The course of treatment - no more than 2-3 months.

With occasional use, for example, with discomfort after the errors in the diet, take 1-2 mini-packs once.

Before opening the mini-package, you should carefully mix its contents, carefully stretching the bag between the fingers. Package contents squeezed into a spoon or into the mouth (take the suspension without first diluting).

Side effect

• diarrhea;
• constipation;
• nausea, vomiting;
• change in taste;
• hypophosphatemia (especially with low phosphate levels in food);
• hypercalciuria;
• nephrocalcinosis;
• hypocalcemia;
• osteoporosis;
• development of thirst;
• a decrease in blood pressure;
• encephalopathy;
• dementia;
• microcytic anemia.

Contraindications

• severe renal failure;
• hypophosphatemia;
• sugarase / isomaltase deficiency, fructose intolerance, glucose-galactose malabsorption (due to the presence of sorbitol and sucrose in the formulation);
• children and adolescence (up to 15 years);
• hypersensitivity to the components of the drug.

Application in pregnancy and lactation

To date, no specific teratogenic effects have been identified with Maalox during pregnancy, however,in connection with the lack of clinical experience, its use in pregnancy is possible only in low doses, for a short time and in cases when the potential benefit of therapy for the mother justifies the potential risk to the fetus.

If it is necessary to use Maalox during the lactation period, it is not necessary to stop breastfeeding.

In experimental animal studies, no clear data were available for the teratogenic effect of aluminum hydroxide and magnesium hydroxide.

special instructions

If, during treatment, symptoms from the GI tract persist for more than 10 days or if the condition worsens, then the diagnosis should be clarified and treatment adjusted.

It should be observed a 2-hour interval between the use of Maalox and other drugs and a 4-hour interval between taking Maalox and fluoroquinolones.

It should be avoided the long-term administration of Maalox in cases of impaired renal function. When Maalox is prescribed for patients with mild to moderate renal insufficiency, plasma concentrations of aluminum and magnesium must be carefully monitored, and in the case of their increase, the drug should be discontinued immediately.

Algeldrate with a low phosphate content in food can lead to the development of phosphorus deficiency in the body. Therefore, when it is used, especially long-term, it is necessary to ensure sufficient supply of phosphates with food.

One mini-package contains 3.15 g of sucrose and 0.2 g of sorbitol, respectively, the maximum daily dose contains 37.80 g of sucrose and 2.4 g of sorbitol.

Despite the fact that the drug is dispensed without a prescription, it is recommended to consult a doctor before using the drug during pregnancy and lactation (breastfeeding), as well as in adolescents over 15 and patients with renal insufficiency of mild and moderate severity.

Impact on the ability to drive vehicles and manage mechanisms

The drug does not affect the ability to drive vehicles and work with mechanisms.

Drug Interactions

With simultaneous application with quinidine, it is possible to increase the serum concentrations of quinidine and the development of an overdose of quinidine.

With the simultaneous administration of Maalox, the absorption of the following medicines from the digestive tract decreases: Acetylsalicylic acid (and other salicylates),blockers of histamine H2 receptors, propranolol, atenolol, metoprolol, chloroquine, diflunizal, digoxin, bisphosphonates, ethambutol, isoniazid, fluoroquinolone, sodium fluoride, GCS (described for Prednisolone and dexamethasone), indomethacin, lansoprazole, lincosamides, levothyroxine sodium, ketoconazole, sodium polystyrene sulfate, penicillamine, iron salts, tetracyclines, phenothiazine neuroleptics, phosphorus-containing food additives, fexofenadine. In the case of a 2-hour interval between taking these preparations and the Maalox preparation and a 4-hour interval between taking fluoroquinolones and Maalox, in most cases, undesired interactions can be avoided.

With simultaneous administration of salicylates and Maalox preparation, excretion of salicylates with urine as a result of alkalinization of urine under the influence of Maalox preparation increases.

When aluminum hydroxide is combined with citrates, it is possible to increase plasma concentrations of aluminum, especially in patients with renal insufficiency.

Analogues of Maalox drug

Structural analogs for the active substance:

• Adjfluks;
• Almagel;
• Almol;
• Alumag;
• Anacid forte;
• Gastricid;
• Maalox mini;
• RIVELOX.

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