Gastal - instructions for use, reviews, analogs and release forms (tablets for resorption) of a medicament for the treatment of heartburn, gastritis and ulcers in adults, children and during pregnancy. Composition

In this article, you can read the instructions for using the drug Gastal. There are reviews of visitors to the site - consumers of this medication, as well as opinions of doctors of specialists on the use of Gastal in their practice. 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 Gastal in the presence of existing structural analogues. Use to treat heartburn, gastritis and ulcers in adults, children, as well as during pregnancy and lactation. Composition of the preparation.

Gastal - Combined antacid preparation for oral administration. Reduces the increased acidity of gastric juice to the physiological level and eliminates dyspeptic disorders by neutralizing the excess of hydrochloric acid in the stomach. The constituent Gastalum magnesium hydroxide and aluminum hydroxide provide a quick and long-lasting neutralization, which determines the antacid effect.

The antacid effect of the drug manifests itself immediately after taking Gastal tablets and lasts about 2 hours. One tablet of Gastal neutralizes about 21.5 mmol of hydrochloric acid. Gastal inhibits the effects of pepsin, lysolecithin and bile acids, thus also eliminating gastric function disorders.

Gastalum in addition to the antacid effect activates protective and regenerative mechanisms in the gastric mucosa. The cytoprotective effect caused by aluminum ions includes stimulation of the secretion of mucus and sodium hydrogen carbonate in the stomach, the accumulation of epidermal growth factor in the lesion focus, an increase in the concentration of phospholipids in the stomach, and other mechanisms.

Composition

Aluminum hydroxide-magnesium carbonate gel + Magnesium hydroxide + auxiliary substances.

Pharmacokinetics

Gastal has no systemic effect in patients with normal renal function.

After interaction with hydrochloric acid of gastric juice, aluminum hydroxide reacts with phosphates and carbonates in the alkaline environment of the intestine and is excreted with feces in the form of insoluble salts. Magnesium hydroxide reacts with hydrochloric acid in gastric juice with the formation of magnesium chloride, which has an osmotic laxative effect in the small intestine. Magnesium is also excreted with feces in the form of insoluble carbonate.

Indications

• heartburn (after taking medication, alcohol, coffee, inaccuracies in the diet, abuse of nicotine, etc.);
• conditions, accompanied by increased acid formation: gastritis, peptic ulcer of the stomach and duodenum;
• symptomatic ulcers of different genesis;
• erosion of the gastric mucosa and upper gastrointestinal tract;
• reflux esophagitis;
• hernia of the esophageal opening of the diaphragm;
• acute pancreatitis, exacerbation of chronic pancreatitis (as part of combination therapy);
• fermentation or putrefactive dyspepsia (as part of a combination therapy).

Forms of release

Tablets for resorption (with different flavors: mint, cherry).

Instructions for use and dosing regimen

Inside. The tablet should be gradually dissolve (do not swallow whole).

Adults are recommended to take 1 hour after eating and at bedtime 1-2 tablets 4-6 times a day, but not more than 8 tablets within 24 hours.

The duration of Gastal should not exceed 2 weeks.

For prophylaxis, Gastal is used before the supposed irritant effect on the gastrointestinal mucosa.

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

For children aged 6-12 years, half the dose taken for adults is recommended.

Side effect

• allergic reactions;
• nausea, vomiting;
• change in taste;
• diarrhea;
• constipation.

Contraindications

• chronic renal failure;
• Alzheimer's disease;
• hypophosphatemia;
• children's age till 6 years;
• hypersensitivity.

Application in pregnancy and lactation

As with the appointment of all other drugs, the use of Gastal during pregnancy is possible only in special cases and only on the advice of a doctor.

Use in children

Use with caution in children under 12 years.For children aged 6-12 years, half the dose taken for adults is recommended. Contraindicated in children under 6 years.

special instructions

Patients with a small body weight and children are treated with lower doses and less durable.

Patients with impaired renal function are not recommended to use Gastal for longer and at higher doses than recommended.

Continuous reception for more than 2 weeks - only after consulting a doctor.

Drug Interactions

The interval between taking Gastal and other medications should be 1-2 hours.

Gastal enhances the activity of levodopa and nalidixic acid; reduces and slows down the absorption of Tetracycline antibiotics, Ciprofloxacin and ofloxacin, salicylates, isoniazid, naproxen, iron preparations, cardiac glycosides, indomethacin, aminazine, phenytoin, H2-histamine receptor blockers, beta adrenoblockers, diflunizal, fat-soluble vitamins, indirect anticoagulants, barbiturates. M-holinoblokatory, slowing the emptying of the stomach, strengthen and lengthen the action of the drug.

Analogues of the drug Gastal

Analogues on the structure and pharmacological group of antacids:

• Adjfluks;
• Aktal;
• Almagel Neo;
• Almagel;
• Almol;
• Alfogel;
• Alugastrin;
• Alumag;
• Anacid forte;
• Antareyt;
• Bicarbon;
• Gasterin;
• Gastricid;
• Gastric;
• Gastromomazole;
• Gaviscon;
• Gaviskon Fort;
• Gelusil;
• Gelusil lacquer;
• Gelusil;
• Gestid;
• Daijin;
• Calcium carbonate;
• Flax seeds;
• Maalox;
• Maalox mini;
• Maghalphil 800;
• Magnatol;
• Magnistad;
• Magnesium oxide;
• Sodium bicarbonate;
• Sodium bicarbonate;
• Relzer;
• Rennie;
• RIVELOX;
• RioFast;
• Rockel;
• Rutatsid;
• Scalaight;
• Talcid;
• Tams;
• Tannakomp;
• Tysacid;
• Topalcan;
• Phosphalugel;
• Andrews antacid;
• Andrews liver salt.

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