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Almagel - instructions for use, analogs, reviews and release forms (suspension for ingestion of type A and Neo, tablets) for the treatment of heartburn and other symptoms of ulcers, gastritis in adults, children and pregnancy. Composition

Almagel - instructions for use, analogs, reviews and release forms (suspension for ingestion of type A and Neo, tablets) for the treatment of heartburn and other symptoms of ulcers, gastritis in adults, children and pregnancy. Composition

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

 

Almagel - neutralizes free hydrochloric acid in the stomach, which leads to a decrease in the digestive activity of gastric juice. Does not cause secondary hypersecretion of gastric juice. It has an adsorbent and enveloping effect, reduces the effect of damaging factors on the mucous membrane.

 

The therapeutic effect after taking the drug comes in 3-5 minutes and lasts an average of 70 minutes.

 

Almagel provides long-term local neutralization of gastric juice that continuously dissolves and reduces the content of hydrochloric acid in it to optimal limits for treatment. Aluminum hydroxide suppresses the secretion of pepsin, neutralizes hydrochloric acid, forming aluminum chloride, which in the alkaline environment of the intestine is converted to alkali aluminum salts. Magnesium hydroxide also neutralizes hydrochloric acid, turning into magnesium chloride. Thus, the effect of aluminum hydroxide, which causes constipation, is counteracted.Magnesium hydroxide and magnesium chloride are resorbed to an insignificant degree and practically do not affect the concentration of magnesium ions in the blood. The sorbitol, which is part of the preparation, promotes increased bile secretion and has a mild laxative effect, supplementing the action of magnesium hydroxide.

 

Almagel does not dramatically increase the pH of the contents of the stomach, it buffers its value from 4.0-4.5 to 3.5-3.8 (physiological value) in the period between doses. The drug forms a protective layer, ensuring a uniform spread of active substances on the gastric mucosa and has a long-term local effect without the subsequent formation of carbon dioxide in the stomach, which in turn is the cause of flatulence, a feeling of gravity in the epigastric region and a secondary increase in the secretion of hydrochloric acid.

 

The drug for oral use refers to slightly toxic agents and does not have embryotoxic, teratogenic and mutagenic effects. In some cases, marked tendon reflexes were noted in newborns whose mothers took the drug for a long time. In addition, newborns are at risk of developing hypermagnesemia, especially when dehydrated,therefore prolonged use of the drug for pregnant and newborn is not recommended.

 

Benzocaine (part of the preparation Almagel A) has an effective and long-lasting local analgesic effect in severe pain syndrome.

 

Simethicone (included in the preparation of Almagel Neo) makes it difficult to form gas bubbles and contributes to their destruction. The gases released in this way are absorbed by the walls of the intestine and are excreted from the body by peristalsis.

 

Composition

 

Algeldrate (aluminum hydroxide gel) + Magnesium hydroxide paste + auxiliary substances (Almagel in a green package).

 

Algeoldrate (aluminum hydroxide gel) + Magnesium hydroxide paste + Benzocaine + auxiliary substances (Almagel A in a yellow package).

 

Algeldrat (aluminum hydroxide) + Magnesium hydroxide + Simethicone + auxiliary substances (Almagel Neo).

 

Pharmacokinetics

 

Almagel is a nonabsorbable preparation. When the correct dosage regimen and duration of treatment are observed, it is practically not resorbed in the gastrointestinal tract and has a long, uniform action, without disturbing the electrolyte balance and without creating the danger of the occurrence of alkalosis or other metabolic disorders.It does not irritate the urinary system and, with prolonged use, does not cause alkalosis and the formation of concrements in the urinary tract.

 

Indications

  • peptic ulcer of the stomach and duodenum in the phase of exacerbation;
  • acute gastritis and chronic gastritis with increased and normal secretory function in the exacerbation phase;
  • duodenitis;
  • enteritis;
  • hernia of the esophageal opening of the diaphragm;
  • reflux esophagitis;
  • functional bowel disorders;
  • colitis;
  • discomfort and epigastric pain with an error in the diet, after consuming coffee, nicotine, alcohol;
  • gastralgia, heartburn (after excessive consumption of ethanol (alcohol), nicotine, coffee, medication, an incorrect diet, negatively affecting the functioning of the digestive tract);
  • flatulence;
  • fermentation or putrefactive dyspepsia.

 

Forms of release

 

Suspension for oral administration.

 

There are no other forms, be it syrup or tablets.

 

Instructions for use and reception scheme

 

Almagel

The drug is taken orally. Before each intake, 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 of age are prescribed 5-10 ml (1-2 scoops) 3-4 times a day. If necessary, single dose can be increased to 15 ml (3 scoops). Children aged 10 to 15 years are prescribed a dose equal to half the dose for adults.

After achieving the therapeutic effect, the daily dose is reduced to 5 ml (1 measuring spoon) 3-4 times a day for 15-20 days.

It is not recommended to take liquids within 15 minutes after taking Almagel.

Prevention

For 5-15 ml 15 minutes before taking medication with irritant effect.

Almagel A

Inside. According to the doctor's prescription, 1-3 dosage (tea) spoons, depending on the severity of the case, 3-4 times a day for half an hour before meals and in the evening before bedtime.

In children, the drug is used strictly according to the doctor's prescription: children under 10 years of age are prescribed 1/3 of the dose for adults, and children from 10 to 15 years - 1/2 dose for adults.

In diseases accompanied by nausea, vomiting and pain in the abdomen, treatment begins with Almagel A, and on the disappearance of these symptoms go to the reception Almagel.

Before taking the vial should be shaken.

 

Almagel Neo

 

Adults

 

Inside, 2 measuring spoons of the suspension with orange flavor 4 times a day 1 hour after eating and in the evening before bedtime.If necessary, single dose can be increased to 4 measuring spoons, but the maximum daily dose should not exceed 12 measuring spoons.

 

Children over 10 years old

 

Dosage is determined by the attending physician - usually 1/2 dose for adults.

 

The course of treatment - no more than 4 weeks. Before taking the suspension must be homogenized by shaking the bottle. It is advisable to take Almagel Neo in undiluted form. It is not recommended to take liquid for half an hour after taking the drug.

 

Side effect

  • change in taste;
  • nausea, vomiting;
  • gastric spasm;
  • pain in the epigastric region;
  • constipation;
  • drowsiness.

 

Contraindications

  • hypersensitivity to the components of the drug;
  • severe renal dysfunction;
  • Alzheimer's disease;
  • early childhood (up to 1 month), up to 10 years (for Almagel Neo).

 

Application in pregnancy and lactation

 

It is not recommended to appoint Almagel longer than 3 days during pregnancy.

 

Avoid prescribing to nursing mothers.

 

Use in children

 

Contraindication: early childhood (up to 1 month) and up to 10 years in Almagel Neo.

 

In older children, the drug is used strictly according to the doctor's prescription: children under 10 years of age are prescribed one-third of the dose for adults,and children from 10 to 15 years - 1/2 dose for adults.

 

special instructions

 

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

 

It is not recommended to take the drug at doses exceeding 16 spoons per day, or, if such a dose is used, the course of treatment should not last more than 2 weeks.

 

Long-term treatment with high doses of the drug and phosphorus-poor food can lead predisposed patients to develop phosphorus deficiency in the body, increased resorption and excretion of calcium in the urine and the occurrence of osteomalacia. Therefore, with prolonged intake of the drug should ensure sufficient intake of food from phosphorus. In patients with chronic kidney failure, except for osteomalacia, edema of the limbs, dementia and hypermagnesemia can be observed.

 

Before taking the vial should be shaken.

 

Drug Interactions

 

With simultaneous application Almagel can reduce the therapeutic effect of Tetracycline antibiotics, histamine H2 receptor blockers, digitalis glycosides, iron salts, ciprofloxacin, phenothiazines, isoniazid, beta-adrenoblockers, Indomethacin and ketoconazole.

 

Analogues of Almagel

 

Structural analogs for the active substance:

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

 

Analogues for the pharmacological group (antacids):

  • Additive of calcium;
  • Aktal;
  • Alfogel;
  • Alugastrin;
  • Anacid forte;
  • Antareyt;
  • Bicarbon;
  • Gastal;
  • Gasterin;
  • Gastric;
  • Gastromomazole;
  • Gaviscon;
  • Gaviskon Fort;
  • Gelusil;
  • Gelusil lacquer;
  • Gelusil;
  • Gestid;
  • Daijin;
  • Calcium carbonate;
  • Maghalphil 800;
  • Magnatol;
  • Magnistad;
  • Magnesium oxide;
  • Milk of magnesia;
  • Sodium bicarbonate;
  • Sodium bicarbonate;
  • Relzer;
  • Rennie;
  • RioFast;
  • Rockel;
  • Rutatsid;
  • Simalgel VM;
  • Scalaight;
  • Talcid;
  • Tams;
  • Tannakomp;
  • Tysacid;
  • Topalcan;
  • Phosphalugel;
  • Andrews antacid.

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Reviews (19):
Guests
Sveta
I tried to use the medicine Almagel on the advice of a gastroenterologist during pain and burning in the area of ​​the stomach with my antral gastritis, but he somehow did not fit me: these unpleasant symptoms do not pass from him somehow.
But they are successfully used by my sister when experiencing something like this, as well as heartburn, but she has a reflux-esophagitis diagnosis. According to her, he very effectively helps, enough that only a few minutes have passed. She always keeps it close at hand, and sometimes even gives her four-year-old daughter when her stomach hurts. As for side effects, she says she never felt them.
Also, this medication saved our 85-year-old grandmother from pains, when she suddenly became aggravated with a stomach ulcer, about which she had no idea before. Only she was assigned to the hospital by Almagel A.
Guests
Paveb
Hello! The doctor prescribed Almagel and Omeprazole. As part of Almagel there is ethanol, and in Omeprazole - sodium luarilulfate and for this reason I can not take them. Do not tell me whether there are similar drugs on the effect of the exposure, in which these substances were absent. Thank you.
Administrators
admin
Paveb, Omeprazole in your situation can be replaced with the drug Ortanol, it also contains in its composition the active substance Omeprazole, but does not contain sodium lauryl sulfate. Almagel can be replaced with Maalox - it does not contain ethanol in its composition.
Guests
tamara
To the child 11 years the doctor has appointed or nominated de-nol, hofitol, Almagel And, enterosgel. Is it possible to combine all this together?
Administrators
admin
tamara, All the drugs you mentioned are combined. I would only disperse in time the reception of De Nol and Hofitol with Almagel and Enterosgel, so that the last two do not interfere with the absorption of the first two (sorbent and Almagel can disrupt the absorption of certain drugs). Otherwise, there are no indications in the instructions for negative side effects in mutual use.
Visitors
Victoria11
Appointed for the stomach omeprazole, Almagel, pancreatin.And for vegetative-vascular dystonia magnesia, kombilipen, angiovit. Is this all possible at the same time?
Administrators
admin
Victoria11, All the medications you mentioned are combined and according to the instructions there should not be any negative side effects when taken together.

The only thing that confuses the appointment of Kombilipen and Angiovit is all preparations from one group and contain vitamins of group B, intersecting (there are, for example, vitamins B6 and B12, which are contained in both preparations). Therefore it is doubtful that they could simultaneously appoint two of these drugs. If this is the case, then you should contact your doctor for an explanation and correction of treatment (for example, the cancellation of one of these drugs).
Visitors
Victoria11
Excuse me. Not the drug I wrote. Have registered: Magnesia in / in, Piracetam IV, Komlipen in / m. And the therapist for the stomach appointed Almagel + omeprozole + pancreatin. Is it possible to combine all this? In addition to Pyracetam, I was given it today, an allergic reaction appeared.Caused a doctor to put on an allergy and if the headache that you can drink? For example, Andipal is possible?
Administrators
admin
Victoria11, The first combination is exotic, but everything is permissible, except for those drugs that, like Piracetam, caused you an allergy. Such drugs should be canceled or replaced with analogues. Andipal can be added to the treatment regimen briefly, in the instruction to this drug there are no indications of negative side effects when taken together with the previously indicated medications.
Guests
Fanil
Whether it is possible to accept Almagel * And if at the same time I take tablets from pressure (Indapamid and Perineva)?
Administrators
admin
Fanil, Almagel A is well combined with the drugs indicated in the question and there should not be any negative side effects during joint admission. I note that Almagel can adsorb drugs, so it is necessary to observe an interval of 1-2 hours between taking this medication and others.
Visitors
anna89
Hello! Daughters 4 years. Six months ago, my stomach began to hurt, in the navel area, according to the results of ultrasound with the pancreas is not all right, after the exercise I gave a slight reaction and the bile is pinched. The pediatrician appointed Almagel, Creon, Allochol, but he said you can drink a normal dog-rose, and will try a consultation with the gastroenterologist.
Administrators
admin
anna89, Almagel can not use the meaning before the child makes an EFGDS or a probe and examines the mucous membrane of the stomach and duodenum. Creon and Allochol can be, but it is better after a clear diagnosis is made and it is necessary to do this during a recommended consultation with a gastroenterologist.
Guests
Anna B.
And why is it written here that it is necessary to take before meals, if the paper instruction says "45-60 minutes after eating"?
Administrators
admin
Anna B.Apparently it was not clear what was written in the instructions and this recommendation was applied to the drug Almagel A, not to Almagel. I want to believe now it became clearer.
Visitors
Elked
Hello. My mom finished the third course of chemotherapy, now diarrhea and stomach pain. Can I take an Almagel?
Administrators
admin
Elked, Diarrhea is unlikely to help Almagel, well, can only from pains in the stomach. After chemotherapy, the gastrointestinal tract is sometimes colonized by pathogenic bacteria and drugs are needed stronger than Almagel, but this should be asked by your mother's attending physician.
Guests
naya h.
My dad drinks ibuprofen. Can he drink Almagel and how, so that the stomach does not get sick?
Administrators
admin
naya h.Better instead Almagel in the morning on an empty stomach to take drugs blockers of the proton pump (omeprazole, esomeprazole and their trading counterparts). This will help in the protection of the mucous membrane of the gastrointestinal tract.

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