Active ingredients
500 mg of hydrotalcite
Auxiliary materials
maltitol
gum arabic
Maltodextrin
ethanol
Caramel flavor
Sodium cyclamate
Paraffin, thin liquid
xanthan gum
Wax, bleached
Sodium saccharin
Indication / application
A medicine to bind excess stomach acid (antacid).
For the symptomatic treatment of diseases in which gastric acid must be bound:
Gastric and duodenal ulcers (gastric ulcer and duodenal ulcer)
Heartburn and stomach problems related to acidity
If gastric or duodenal ulcer is suspected, testing for H. pylori should be considered – and if detected – a recognized combination antibacterial therapy, since ulcer disease usually heals if such therapy is successful.
dosage
Always take your medicine exactly as directed. Ask your doctor or pharmacist if you are not sure.
Unless otherwise prescribed by your doctor, the usual dose is
Adults and adolescents over 12 years
If necessary, take 1-2 chewable tablets several times a day.
The daily dose should not exceed 12 chewable tablets (equivalent to 6000 mg of hydrotalcite).
The medicine is taken several times a day between meals and at bedtime.
Application duration
The duration of treatment depends on the type, severity and course of the disease.
If symptoms persist for more than 2 weeks during treatment, consult a doctor.
Talk to your doctor or pharmacist if you have the impression that the effect is too strong or too weak.
If you take more than you should
Poisoning is unlikely due to the low absorption of aluminum and magnesium.
Overdose may lead to changes in stool behavior such as softening of stools and increased frequency of stools.
Therapeutic measures are generally not required here.
If you forget to take a dose
Do not take a double dose to make up for a forgotten dose, but continue treatment with the prescribed dose.
If you stop taking it
In any case, talk to your doctor before you – e. B. due to the occurrence of side effects – interrupt the treatment without permission or terminate it prematurely.
If you have any further questions about the use of the medicine, ask your doctor or pharmacist.
way
The chewable tablets are easy to chew and are then washed down with a little liquid.
Note
Other medications should always be taken 1 to 2 hours before or after taking the preparation.
Side effects
Like all medicines, the preparation can cause side effects, although not everybody gets them.
Possible side effects:
Gastrointestinal tract
At high doses, loose stools, increased stool frequency, vomiting and diarrhea may occur.
Investigations
Decreased serum phosphorus level, increased magnesium content in the blood (hypermagnesemia)
immune system
allergic reaction
In case of impaired renal function, long-term treatment may lead to aluminum deposits, especially in the nervous and bone tissue (osteomalacia, encephalopathy).
What countermeasures should be taken in case of side effects?
Talk to your doctor if you develop diarrhea during treatment. Reducing the dose will usually improve symptoms.
Tell your doctor or pharmacist if any of the side effects listed becomes serious, or if you notice any side effects not listed.
Interactions
When taking the preparation with other medicines
Please tell your doctor or pharmacist if you are taking/using or have recently taken/used any other medicines, including medicines obtained without a prescription.
The preparation may influence the absorption of other medicines if taken at the same time. Therefore, do not carry the medicine with you at the same time.
some medicines that increase heart strength (glycosides)
some medicines for bacterial infections (e.g. tetracyclines and quinolone derivatives such as ciprofloxacin, ofloxacin and norfloxacin)
some drugs for gastrointestinal disorders (H 2 receptor blockers)
some medicines to prevent blood clotting (coumarin derivatives)
Sodium fluoride
Chenodeoxycholate.
A possible influence on the solubility of drugs that are excreted in the urine, such as. B. salicylate or quinidine.
Therefore, other medications should be taken 1 to 2 hours before or after taking the preparation.
Taking the medicine with food and drinks
Simultaneous use of the drug and acidic drinks (e.g. fruit juices, wine) leads to an undesirable increase in the absorption of aluminum from the intestine. Effervescent tablets also contain fruit acids which can increase the absorption of aluminum.
Contraindications
The preparation should not be taken
if you are allergic (hypersensitive) to hydrotalcite, peppermint oil or any of the other ingredients
with impaired renal function
if the concentration of phosphate in the blood is low (hypophosphatemia)
if you suffer from a neurological disorder called myasthenia gravis.
pregnancy and breastfeeding period
Ask your doctor or pharmacist for advice before taking/using any medicine.
The risk-benefit ratio should be carefully considered before taking hydrotalcite during pregnancy. The drug should only be used for a short time during pregnancy to avoid possible exposure of the unborn child to aluminum.
Substances containing aluminum generally pass into breast milk. There are no data available on the excretion of the drug in breast milk. A risk to the newborn is not to be assumed, since only very small quantities are absorbed.
Patient information
Be especially careful when taking it
Long-lasting and recurring stomach disorders may be signs of a serious illness, such as: B. a stomach or duodenal ulcer. Treatment with the drug should therefore not last more than 14 days without a medical visit.
If you experience tarry stools, blood in your stool, or vomiting blood, seek medical attention immediately, as these can also be signs of a serious illness.
If you have impaired kidney function, especially if you are on haemodialysis, have Alzheimer's disease or other forms of dementia, have low phosphorus levels or are on a low phosphate diet, you should not take the medicine in high doses and for long periods of time.
In patients with impaired renal function and chronic use of high doses, there is a possibility of poisoning such as increased magnesium levels or increased serum aluminum levels.
Long-term intake of high doses and a low-phosphate diet can lead to phosphate depletion with the risk of softening of the bones (osteomalacia).
What should you watch out for with children?
The preparation should not be used to treat children under 12 years of age, as there is insufficient experience in this age group.