Almagel oral suspension in sachets of 10 ml, 20 pcs.

10 ml of suspension (1 sachet) contains (active ingredients):

• aluminum hydroxide gel – 4.36 g, calculated as aluminum oxide – 436 mg;
• magnesium hydroxide paste – 700 mg, in terms of magnesium oxide – 150 mg.

Excipients: sorbitol (E 420), hydroxyethyl cellulose, methyl parahydroxybenzoate (E 218), propyl parahydroxybenzoate (E 216), butyl parahydroxybenzoate, sodium saccharin, lemon oil, ethyl alcohol 96%, purified water, hydrogen peroxide solution (30%), propylene glycol, macrogol 4000.

The use of the drug is not recommended in case of hypersensitivity to the components of the drug, habitual constipation, Alzheimer’s disease, severe abdominal pain of unspecified genesis, suspected acute appendicitis, ulcerative colitis, colostomy or ileostomy, chronic diarrhea, hemorrhoids, severe exhaustion of the patient, severe renal failure (due to the risk of hypermagnesemia and aluminum intoxication), hypophosphatemia, during breastfeeding.

Symptomatic treatment of digestive tract diseases accompanied by increased acidity of gastric juice

Adults and children over 14 years old – one sachet 3 times a day. If necessary, a single dose can be increased to 15 ml – 3 measuring (dosing) spoons. After achieving a therapeutic effect, reduce the daily dose to 5 ml 3-4 times a day for 2-3 months.

Do not drink water for 15 minutes after using the medicine.

In order to achieve the symptomatic antacid effect, Almagel is usually used 45-60 minutes after meals and in the evening before bedtime.

For prevention

Adults and children over 14 years old – 1 sachet 15 minutes before taking medications that irritate the mucous membrane of the esophagus, stomach or duodenum.

Children aged 10 to 14 should be given half the recommended adult dose.

The recommended duration of treatment is 12 days.

If the drug is prescribed in a single dose of 5 or 15 ml, it is recommended to use the drug in vials, since this type of packaging includes a dosing spoon, which allows you to accurately measure the required volume of the drug.

Before use, the suspension must be thoroughly homogenized by kneading the sachet. When using the drug in sachets, the following recommendations must be observed: hold the sachet vertically, cut or tear off one of the corners at the marked point. Pour the contents of the sachet through the opening of the sachet into a spoon or directly into the oral cavity.

Pregnant women

There are no clinical studies on the use of the drug in pregnant women, so the drug is not recommended during pregnancy. If necessary, the drug can be used during pregnancy only as prescribed by a doctor, if the expected benefit to the mother outweighs the possible risk to the fetus / child. In this case, the drug is recommended to be used for no more than 5-6 days and only under the supervision of a doctor.

Children

Do not use in children under 10 years of age, due to the impossibility of accurate dosing. In young children, the use of magnesium hydroxide may cause hypermagnesemia, especially if they have impaired renal function or dehydration.

Drivers

“Almagel” does not affect the ability to drive or operate machinery. The ethanol contained in the preparation in such quantities cannot affect the ability to drive or operate machinery when taking the recommended daily doses.

With a single accidental intake of a large dose, no other signs of overdose are observed except constipation, flatulence, and a metallic taste in the mouth.

With prolonged use of high doses, kidney stones may form, severe constipation, abdominal pain, drowsiness, hypermagnesemia may occur. Signs of metabolic alkalosis may also occur – changes in mood or mental activity, numbness or pain in the muscles, nervousness or fatigue, slow breathing, unpleasant taste sensations.

Treatment: it is necessary to immediately take measures for the rapid removal of the drug – apply gastric lavage, induce vomiting, take enterosorbents. In case of magnesium overdose, rehydration, forced diuresis are recommended. Calcium gluconate can be administered intravenously. In case of renal failure, hemodialysis or peritoneal dialysis is necessary.

On the part of the gastrointestinal tract: possible manifestations of constipation, which disappear with a decrease in the dose, diarrhea; change in the color of feces; nausea, vomiting; abdominal pain, stomach cramps.

Metabolism and nutrition: often in patients with renal failure and in case of prolonged use or when taking high doses of the drug due to hypermagnesemia, hyperaluminemia develops aluminum and magnesium intoxication; hypophosphatemia (in case of prolonged use or taking high doses, as well as when taking normal doses in patients with limited phosphate intake), which can lead to increased bone resorption, hypercalciuria, osteomalacia; manifestations of hypophosphatemia may be loss of appetite, muscle weakness, weight loss; hypocalcemia is possible.

Renal and urinary disorders: nephrocalcinosis, renal dysfunction.

On the part of the immune system: local and general hypersensitivity reactions, including itching, urticaria, angioedema and anaphylactic reactions, bronchospasm.

From the nervous system: with prolonged use of the drug in patients with renal failure and patients on hemodialysis, manifestations of encephalopathy, neurotoxicity (changes in mood and mental activity) are possible; dementia, impaired condition in Alzheimer’s disease.

On the part of the musculoskeletal system: osteoporosis; with prolonged use of high doses of the drug with a phosphorus deficiency in the diet, osteomalacia may occur.

Store in the original packaging at a temperature not exceeding 25 °C, out of the reach of children. Do not freeze.

Shelf life – 2 years.