How to take Almagel: before or after meals. Instructions for use of almagel a, patient reviews Almagel a includes

Almagel is rightfully considered one of the popular antacid drugs, the indications for use of which are not limited only to relieving heartburn. It is widely used for ulcers, duodenitis, esophagitis and other acid-dependent diseases. It has good enveloping and adsorbing properties.

The drug Almagel also has a variant spelling “Almagel”. This confusion is due to the fact that the name of the original is written in Latin letters “Almagel”.

Composition and release form

Almagel is a combination product produced in the form of a gel that acts as a protective film on the gastric mucosa. Stimulates the flow of bile from the stomach and has a laxative effect on the body. Unlike other drugs, it does not disrupt the electrolytic balance in the gastrointestinal tract.

The suspension contains various components that give the drug certain additional properties.

Almagel suspension (contains only the main components - aluminum and magnesium hydroxide gel);
Almagel A suspension (together with the main components contains the painkiller benzocaine);
Almagel Neo suspension (together with the main components contains the substance simethicone, which eliminates gases).

White suspension intended for oral administration. It has a specific lemon smell. During long-term storage, a transparent layer of liquid forms on the surface. Homogeneity is restored by vigorous shaking of the solution.

pharmachologic effect

Almagel is a medicine that is a balanced combination of algeldrate (aluminum hydroxide) and magnesium hydroxide. It neutralizes free hydrochloric acid in the stomach, reduces the activity of pepsin, which leads to a decrease in the digestive activity of gastric juice. Has an enveloping, adsorbing effect.

In addition, Almagel is capable of providing a local anesthetic effect, which helps overcome the main symptom of gastrointestinal diseases - pain. The medicinal substance is also capable of taking part in the production of bile (accelerates and improves the excretion of bile). Almagel can be classified as a laxative medication due to the content of the D-sorbitol component.

The drug forms a protective film on the walls of the stomach, preventing the formation of carbon dioxide, which causes:

feeling of heaviness in the epigastrium,
increased gas formation,
secondary hypersecretion.

The medication does not have mutagenic, embryotoxic or teratogenic effects.

Pharmacokinetics:

Almagel is a non-absorbable drug. If the correct dosage regimen and duration of treatment are observed, it is practically not resorbed in the gastrointestinal tract and has a long-lasting, uniform effect without disturbing the electrolyte balance and without creating the risk of alkalosis or other metabolic disorders.
Does not irritate the urinary system and, with prolonged use, does not cause alkalosis and the formation of stones in the urinary tract.

What it helps with: indications for use

Classic, Almagel Neo, Almagel A, what is the difference becomes clear after carefully examining the composition. First Almagel for heartburn and other dyspeptic disorders will be the best choice. The second one is more appropriate to prescribe for bloating, flatulence and before various studies. The third is for stomach pain, acute gastritis and other conditions.

acute gastritis with high acidity;
peptic ulcer of the stomach and duodenum (exacerbation period);
enteritis, ;
food poisoning;
abdominal pain or discomfort after excessive intake of nicotine, coffee, alcohol, taking various medications, or dietary disorders.

Instructions for use for adults

Due to the obvious color differences between the packages, they are often called by color: Almagel green - classic. Almagel yellow - with anesthetic. Almagel red (orange)- with simethicone.

It is necessary to take the prescribed dose of the drug strictly 15 minutes before meals. The contents of the medication must be thoroughly shaken well each time before use to achieve uniform distribution of the active substance. Once the dose of Almagel is taken, it is prohibited to take any liquid for another quarter of an hour.

If you want to achieve an antacid effect from using the drug, which means eliminating the symptoms of heartburn, you should drink the selected dosage of the active component 45 minutes after eating and an hour before going to bed.

The instructions for use of Almagel indicate that for the purpose of prevention, the drug should be taken 5-10 ml or 1-2 tablets before possible irritating effects on the gastrointestinal mucosa occur.

How to take Almagel for adults?

According to the instructions for use, Almagel is prescribed to adults 1-2 teaspoons; if the effect is insufficient, the single dose is increased to 3 teaspoons.

The maximum daily dose of the drug should not exceed 16 teaspoons.

Tablets (Almagel T) are prescribed up to 6 times a day, 1-2 pieces. Negative symptoms stop after 30-60 minutes when taking the medication on an empty stomach. The duration of treatment is 10-15 days.

To make the drug more effective, the tablets must be chewed thoroughly or held in the mouth under the tongue for a while until Almagel is completely dissolved.
The gel or suspension must be homogenized before use by shaking the bottle or thoroughly kneading the package between your fingers.

Almagel instructions for children over 10 years old

Children under 10 years of age are prescribed 1/3 of the adult dose, and from 10 to 15 years of age - 1/2 of the adult dose. Almagel should be taken 4 times a day 30 minutes before meals and before bedtime.

The course of treatment with this drug lasts about 14 days.

Contraindications

All variants of Almagel have both general contraindications for use and their own individual ones, characteristic of the specific form of the drug.

The drug should be taken with caution by the following group of people:

women during lactation;
people suffering from long-term constipation;
patients with ulcerative colitis;
patients with chronic diarrhea;
patients with pain of unknown etiology.

Side effects for the body

Almagel can cause constipation, which goes away after reducing the dose. In rare cases, the following are observed:

nausea,
vomit,
stomach spasm,
change in taste sensations,
allergic reactions and hypermagnesemia (increased magnesium levels in the blood).

With prolonged use of the drug by patients with renal failure and on dialysis, changes in mood and mental activity are possible.

Use during pregnancy and lactation

In some cases, during pregnancy, Almagel can be taken, but not more than 3 days. However, during lactation it is better to avoid taking the drug.

Before your appointment, you need mandatory consultation attending physician!

Interaction with other drugs

When used simultaneously, Almagel can reduce the therapeutic effect:

tetracycline antibiotics,
histamine H2 receptor blockers,
digitalis glycosides
iron salts,
ciprofloxacin,
phenothiazines,
isoniazid,
beta blockers,
indomethacin and ketoconazole.

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

Best before date

Shelf life: 2 years.

Do not allow the suspension to freeze (affects efficiency). The optimal temperature for storing bottles is 5-15 degrees

Conditions for dispensing from pharmacies

Over the counter.

Analogs

Among the antacid drugs, the following are also distinguished:

Palmagel and Palmagel A,
Almag Ino,
Gestid,
Gastal and Mailax and others.

Almagel is a medical drug that reduces acidity in the stomach. Its main active ingredient is aluminum hydroxide. Additional components include sorbitol and magnesium hydroxide. Almagel A additionally contains a local anesthetic – anesthesin.

Action of the remedy for gastritis

The gel neutralizes the chemical reaction and softens the aggressive effects of hydrochloric acid on the gastric mucosa. Magnesium and aluminum hydroxides react with hydrochloric acid to form neutral chlorides. At the same time, magnesium chloride has a positive effect on intestinal function, preventing possible constipation.

The drug exhibits the following therapeutic properties:

gastroprotective;
adsorbent;
enveloping;
restorative and wound healing.

Benzocaine, which is part of Almagel A, reduces pain in the epigastrium, which often occurs with gastritis.

Indications for use

The drug is indicated for use in the following cases:

hyperacid gastritis;
esophagitis;
food poisoning;
diaphragmatic hernia;
duodenitis;
stomach or duodenal ulcer;
enteritis;
various errors in nutrition, abuse of coffee and alcohol.

Directions for use for gastritis

It is recommended to take Almagel for gastritis, accompanied by increased acid secretion. Indicated for chronic gastritis and in the acute stage. It is used as a prophylactic agent in drug therapy using corticosteroids and NSAIDs.

The bottle of the drug should be shaken before use. Adult patients are recommended to take Almagel (green packaging) in the amount of 1-2 measuring spoons half an hour before meals. The drug is prescribed for moderate pain and slight gas formation. If necessary, you can take an additional dose of the drug at night.

Children under 10 years of age should drink one third of the full dosage. Adolescents from 10 to 15 years old need half the dose of the drug.

Almagel A (available in a yellow box). The drug is prescribed for severe pain syndrome, due to the presence of benzocaine in its composition. This drug is prescribed to adult patients in an amount of 1-3 mL. depending on the severity of the disease. Frequency of administration up to 4 times a day 10 minutes before meals. As with the previous drug, the dosage for patients under 10 years of age is one third of the dosage recommended for adult patients. Adolescents from 10 to 15 years old need half the full dose.

Almagel Neo (red box) is prescribed to adult patients 1-2 ml 1 hour after eating. The drug is indicated for flatulence and increased gas formation. In severe cases, you can increase the dosage to 4 liters. drug. The daily amount of the drug should not exceed 12 liters. in a day. Children over 10 years old are given the drug at half the dosage. The average duration of treatment is about 1 month.

Contraindications and side effects

The drug is not prescribed for epigastric pain of unknown origin, severe constipation, toxicosis of pregnancy, heart and kidney dysfunction, ulcerative colitis, acute hemorrhoids and symptoms of appendicitis. Patients with kidney failure need monitoring of magnesium levels in the blood.

early age;
individual intolerance;
lactation;
Alzheimer's disease;
severe kidney failure.

When taking the drug, sometimes undesirable effects occur:

nausea and vomiting;
constipation;
cramps and pain in the stomach;
flatulence and bloating;
drowsiness and mood swings;
swelling of the limbs;
metabolic disorders;
change in taste.

The medicine does not contain sugar, so it can be used for diabetes. If you are intolerant to fructose, this product should not be used because it contains sorbitol.

During treatment with Almagel, you can work with machinery and drive moving vehicles. It does not affect the ability to concentrate and maintain attention.

Drug analogues

Analogues of the drug are such drugs as:

Release form and features

The drug is used in complex therapy for gastritis. It comes in gel form. The substances in the drug almost do not penetrate from the digestive tract into the blood and do not have a significant effect on other internal organs. The product retains its effect for 4-6 hours.

There are three types of products on the pharmaceutical market:

Almagel. The therapeutic effect of the use of the gel is to protect the gastric mucosa from the aggressive effects of acid. The active ingredients of the gel reduce high acidity and alleviate the unpleasant symptoms of inflammation of the gastric mucosa.
Almagel A. The composition is similar to traditional Almagel. But among the active ingredients there is also a local anesthetic. The list of diseases for which the drug is used is the same as for regular Almagel. The product is recommended for patients with symptoms such as nausea, severe pain and vomiting. The duration of taking the drug is 15–20 days. When the pain goes away, you can switch to taking Almagel without anesthetic.
Almagel Neo. This type of medicine, the effectiveness of which has been verified by many years of research. Prescribed for gastritis and other gastrointestinal pathologies accompanied by bloating and flatulence. Simethicone in the gel prevents increased gas formation.

Research has proven that Almagel for gastritis is the safest, most accessible and effective symptomatic remedy. It quickly relieves the symptoms of gastritis and is often used as part of complex therapy. Only a doctor can tell which drug the patient needs.

Drug overdose

Unlike other varieties, an overdose of Almagel Neo is quite possible. If the dosage is exceeded at one time, constipation, a specific taste in the mouth and flatulence are possible. Long-term use of the gel in high dosages can lead to the development of the following symptoms:

gastric lavage;
stimulation of the gag reflex;
taking sorbents and laxatives.

Interaction with other drugs

The product can adsorb and impede the absorption of certain medications and requires a two-hour interval between doses of Almagel and other medications. In addition, it shifts the pH of the juice to the alkaline side and thus affects the effect of drugs when consumed simultaneously.

The use of Almagel together with tablet forms of drugs coated with an enteric coating causes its premature destruction and damage to the vulnerable mucous membranes of the stomach and duodenum.

The gel can distort the results of tests and clinical studies: reduce the acidity level in the study of gastric juice, the results of tests using technetium, change the pH values of urine and blood, as well as phosphorus in the blood serum.

In addition, the drug reduces the effect of cardiac glycosides, tetracycline antibiotics, ketoconazole and ciprofloxacin.

Use during pregnancy

During pregnancy, women are not prohibited from using all therapeutic forms of Almagel to eliminate the unpleasant symptoms of gastritis and other gastrointestinal pathologies. During this period, you can take the medicine in normal dosages for adult patients for no more than three days.

Almagel can be drunk occasionally for painful sensations in the epigastrium, to relieve heartburn, after overeating or eating excessively sour, fatty and smoked foods. In this case, 1-3 tablespoons of the suspension are enough when unpleasant symptoms occur. Pregnant women should not drink the product systematically, but only once if discomfort occurs.

During lactation, Almagel NEO and the tablet form can be used only after prior consultation with a doctor, if the risk from taking the gel does not exceed the expected benefit.

There are no studies on the effect of these dosage forms on the fetus, so it is undesirable to use them during pregnancy and lactation.

Almagel is a safe, inexpensive and effective drug used for gastritis and some gastrointestinal pathologies. The drug eliminates pain, heartburn, bloating and other unpleasant symptoms quickly and reliably. Like any other drug, Almagel should be used only after examination and diagnosis.

Almagel A: instructions for use, analogues, reviews

Release form and composition

Almegel A is produced in the form of a white suspension with a characteristic lemon smell. During long-term storage, a layer of transparent liquid may form on the surface of the suspension, which disappears when the bottle is shaken (the homogeneity of the drug is restored).

The main active ingredients of Almagel A are aluminum hydroxide, magnesium hydroxide and benzocaine. Excipients: sorbitol, hydroxyethylcellulose, methyl parahydroxybenzoate, propyl parahydroxybenzoate, butyl parahydroxybenzoate, sodium saccharin, lemon oil, ethanol 96%, purified water.

pharmachologic effect

Almagel A reduces the production of hydrochloric acid with a simultaneous increase in pH and a decrease in pepsin activity. In addition, it has an adsorbent (absorbs excess gases and acids), enveloping, analgesic effect, binds phosphates and disrupts their absorption from the digestive tract. Induces protective mechanisms in the mucous membranes of the digestive tract, thereby protecting them from various lesions that may occur as a result of exposure to hydrochloric acid, etc.

Almagel A is characterized by the rapid development of a therapeutic effect.

The therapeutic effect after taking the drug occurs within 3-5 minutes. Its duration depends on the rate of gastric emptying. When taking Almagel A before meals, the therapeutic effect will last about 1 hour, after meals - up to 3 hours. Almagel A refers to drugs that are not absorbed but are excreted unchanged.

Once in the stomach, the suspension envelops the mucous membrane and has a uniform therapeutic effect for a long time, without creating preconditions for disruption of electrolyte balance and metabolism. Almagel does not have an irritating effect on the organs of the urinary system and, with long-term use, does not cause the formation of stones in the urinary tract.

Indications for use

The purpose of Almagel A, as well as other types of Almagel, is indicated for ulcerative and inflammatory diseases of the gastrointestinal tract. However, due to the fact that one of the main pharmacological actions of the drug is an anesthetic effect, its use is advisable for:

exacerbations of gastric and duodenal ulcers,
gastritis with high acidity (acute form),
chronic gastritis in the acute stage,
acute duodenitis,
enteritis,
colitis,
reflux esophagitis,
functional disorders of the stomach and intestines,
discomfort and pain in the stomach after errors in the diet, as well as after drinking strong tea or coffee, alcohol, smoking,
as a prophylaxis during treatment with other drugs.
Almagel A is also prescribed for diabetes mellitus as an auxiliary therapeutic agent.

How to take Almagel A

Almagel A is intended for internal use. Before use, it is recommended to shake the suspension well to obtain a homogeneous composition. The suspension is taken 3-4 times a day 30 minutes before meals; there is no need to drink it with water. The dose depends on the patient's age and severity of the disease.

Adult patients and adolescents from 15 years of age are prescribed 1-3 scoops per dose, children under 10 years old - 0.3-1.0 scoops, from 10 to 15 years - 0.5-1.5 scoops . For children, Almagel A should be taken strictly as prescribed by the doctor.

When carrying out simultaneous therapy with Almagel A and another drug, the interval between their doses should be at least 1 hour. The duration of suspension therapy is determined by the doctor; as a rule, it should not exceed 7 days. After 7 days, it is advisable to switch to treatment with regular Almagel. It is not recommended to take the drug in very large doses (more than 16 scoops per day). If such a need exists, then the course of therapy should not exceed 14 days.

During drug therapy, it is necessary to avoid drinking alcohol-containing drinks and acids (vinegar, lemon juice, etc.), as this can lead to a weakening of the local anesthetic effect. Almagel A does not contain sugar, so it can be used by patients with diabetes. The sorbitol contained in it makes the drug contraindicated in patients who have congenital fructose intolerance.

Almagel A and pregnancy

Taking Almagel during pregnancy is allowed, but not more than 3 days. It is not recommended to take the suspension during breastfeeding; lactation should be stopped during the period of therapy.

Side effects

In some cases, taking Almagel A is accompanied by changes in taste sensations, nausea, vomiting, stomach cramps, pain in the epigastric region, and constipation. To quickly eliminate these side effects, it is enough to reduce the daily dose of the drug. High doses of the suspension may cause drowsiness. In patients with dysfunction of the urinary system, swelling of the extremities and hypermagnesemia may be observed during therapy with Almagel A.

A long course of treatment with a suspension using high doses can cause phosphorus deficiency in the blood and calcium excretion in the urine, which, if not treated appropriately, can lead to bone destruction (osteomalacia).

Therefore, if you plan to take the drug for a long time, you should enrich your diet with foods containing sufficient amounts of phosphorus and calcium. When taking the drug, you may experience a feeling of numbness in the mucous membranes of the mouth and tongue. This is a temporary phenomenon that goes away on its own after some time and does not require therapeutic measures.

Contraindications for taking Almagel A

Almagel A, like any other medications, has its own individual contraindications. Contraindications to suspension therapy are:

Individual intolerance to any of the components of the suspension
Severe renal failure
Alzheimer's disease
Children's age up to 4 weeks

Due to the fact that the drug contains benzocaine, Almagel A cannot be taken simultaneously with sulfonamides (Berlocid, Groseptol, Bactrim, etc.).

Interaction with other drugs

Almagel A significantly reduces the absorption and reduces the therapeutic effects of salicylates, clopromazine, enoxacin, tetracycline antibiotics, quinols, bile acids, indirect anticoagulants, lithium and iron preparations, cardiac glycosides, valproic acid, sodium fluoride.

M-anticholinergic blockers, which slow down gastric emptying, enhance the effect of Almagel A and make its effect longer.

Storage conditions

Almagel A should be stored in a cool, dark place at an air temperature of 0°C to +25°C. The optimal temperature is considered to be from +5o to +15oC. The suspension must not be allowed to freeze. In a closed bottle, the drug can be stored for 5 years if all storage conditions specified by the manufacturer are observed.

Reviews about Almagel A

This drug has been produced for many years, so there are many reviews about it. As a rule, these are positive reviews; patients note the high effectiveness of the suspension, long-lasting and mild action and relatively low price. The effectiveness of the drug in eliminating heartburn and feelings of heaviness in the stomach is most often noted. In this case, the syrup is taken not only for any pathologies of the gastrointestinal tract, but also with the aim of simply eliminating heaviness in the stomach, feelings of discomfort that appeared after overeating, eating fatty foods, caffeine-containing drinks, and excessive smoking.

Heartburn? Almagel will solve the problem!

However, there are patients who speak negatively about Almagel. As a rule, their dissatisfaction is associated with the lack of the expected therapeutic effect after taking the drug, or dissatisfaction with the duration of the therapeutic effect. Some patients note that symptoms of gastritis, peptic ulcer, colitis, etc. disappeared after taking Almagel A. appear after some time.

It should be noted that Almagel A effectively eliminates the clinical manifestations of diseases and improves well-being, but does not cure diseases. Pathologies should be treated with other medications.

Olga, 36 years old: Almagel A saves me from heartburn and discomfort in the stomach. It is always in the first aid kit. I don’t want to say that I am a supporter of self-medication, but sometimes it “presses” so much that you break any rule. I bought it during pregnancy. In the last weeks of the term, the fetus put so much pressure on the internal organs that I simply could not find a place for myself from the heartburn that tormented me. That’s when I started taking Almagel, although it is contraindicated for pregnant women. But there was no way out; soda and activated carbon did not help me. I took 0.5 teaspoon, which was enough for me. So Almagel helped me a lot then. And now, if necessary, I drink it. So I recommend it. But, of course, it is advisable to take it only after consulting a doctor.
Nikita, 23 years old: Modern lifestyle and eating on the go often cause heartburn and bloating. Painful sensations in the stomach can ruin your mood for a long time. My comrades and I tried many medications to eliminate such symptoms, including the famous Almagel A. I admit, the first impression of taking the suspension was extremely unpleasant. I barely managed to hold back the urge to gag, I barely forced myself to swallow the medicine. But then I realized that the difficulties at the beginning of the reception were worth the result. The effectiveness of the drug appeared almost immediately, the discomfort in the stomach disappeared. The price is also attractive, and it is available in almost every pharmacy.
Svetlana, 52 years old: I am a supporter of treatment with folk remedies and do not approve of using medications for every reason. But sometimes they come in very handy. Not long ago I had terrible poisoning, the temperature rose, nausea and vomiting appeared. I tried to rinse my stomach with a solution of potassium permanganate. The vomiting stopped, but my stomach hurt a lot. My husband was very scared, ran to the pharmacy and brought Almagel A. I didn’t want to drink it, but I had no choice. Having taken one measuring spoon, I almost immediately felt relief, the syrup pleasantly enveloped my stomach, the pain disappeared. A very good and affordable medicine. Now it will always be in my medicine cabinet.

Almagel A is a well-known and widely used drug that eliminates the clinical manifestations of gastritis, gastric ulcer, duodenal ulcer, and duodenitis. It is also characterized by a pronounced analgesic effect, and therefore is prescribed to eliminate pain in pathologies of the gastrointestinal tract.

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How to drink almagel correctly

How to use Almagel

"Almagel" is indicated for the treatment of peptic ulcers, gastritis in acute and chronic forms, enteritis, colitis, esophagitis, hiatal hernia. The remedy is also used for pain in the gastrointestinal tract caused by eating disorders or taking medications. For prophylactic purposes, Almagel is prescribed to prevent ulcerative lesions during therapy with non-steroidal anti-inflammatory and corticosteroid drugs.

Almagel should be taken 30 minutes before meals and at night. The drug should be consumed 3-4 times a day. For peptic ulcers, the medicine can be taken between meals. Before use, the bottle with Almagel suspension must be shaken.

The product is measured with a dosage spoon or a teaspoon. Adults take the drug 1-3 spoons at a time. In order to prevent the disease, you should drink 1-2 tablespoons of Almagel per dose. During maintenance therapy, it is necessary to consume 1 spoon of the drug for a course of 2-3 months.

Children take Almagel with the same frequency as adults. Children under 10 years old are given 0.3-1 spoon per dose. A single dosage for children is 0.5-1.5 tablespoons of the drug. Pregnant women can use the drug for no more than 3 days.

The maximum daily dosage of Almagel for adults is 16 spoons. If the drug is used in large quantities, treatment should last no more than 14 days. Almagel can be given to children only as prescribed by a doctor.

In some cases, the patient's condition may be accompanied by abdominal pain, nausea, and vomiting. In such a situation, therapy should begin with the use of the drug "Almagel A". After the disappearance of these symptoms and normalization of the condition, you can start taking Almagel.

When treating with Almagel, side effects may occur in the form of nausea, stomach cramps, vomiting, constipation, pain in the gastrointestinal tract, and phosphorus deficiency. When using the medicine in high doses, drowsiness may occur. These phenomena disappear after reducing the dosage.

The drug "Almagel" is contraindicated in cases of Alzheimer's disease, severe renal impairment, and hypersensitivity to the components of the drug. This product should not be used by nursing women and children under 1 month of age.

During long-term treatment with this drug, it is recommended to eat foods rich in phosphorus.

When using Almagel and other medications simultaneously, the interval between doses should be 1-2 hours.

The medicine should be stored at a temperature of 5-15°C, avoiding freezing.

Almagel

Almagel is an antacid drug.

Release form and composition

The drug Almagel is available in the form of tablets and suspensions intended for oral use.

Almagel suspension is presented in three forms: Almagel, Almagel A and Almagel Neo. In addition to the main components - aluminum oxide and magnesium oxide - the last two drugs contain, respectively: benzocaine (an anesthetic) and simethicone (a substance that eliminates the cause of flatulence).

The classic Almagel suspension is white in color and has a lemon scent. During storage of Almagel, a layer of clear liquid is allowed to form, which disappears after vigorous shaking.

Listed below are the main active ingredients and their content in 5 ml of Almagel (1 teaspoon of medicine):

2. 18 g of aluminum hydroxide gel, which corresponds to 218 mg of aluminum oxide;
350 mg of magnesium hydroxide paste, which corresponds to 75 mg of magnesium oxide.

Almagel also contains additional ingredients:

10.9 mg methyl parahydroxybenzoate;
801.15 mg sorbitol;
1.635 mg lemon oil;
10.9 mg hyaetellose;
1.363 mg butyl parahydroxybenzoate;
98.1 mg 96% ethanol;
less than 5 ml of purified water;
818 mcg sodium saccharinate dihydrate;
1.636 mg propyl parahydroxybenzoate.

The composition of suspensions type A and Neo differs from the above.

Almagel tablets are packaged in 24 or 12 pieces.

The suspensions are located in 170 ml bottles, together with a measuring spoon they are packed in cardboard boxes. Each type of Almagel is located in a box of the corresponding color: classic - in green, Almagel Neo - in red, Almagel A - in yellow.

According to the instructions for Almagel, the drug is effective in the treatment of duodenal or gastric ulcers in acute phases, gastritis in acute or chronic phases, as well as reflux esophagitis, duodenitis, diaphragmatic hernia and enteritis. It is recommended to take Almagel in case of gastrointestinal disorders caused by improper diets, taking medications (primarily glucocorticosteroids and NSAIDs), as well as drinking alcoholic beverages and smoking.

Contraindications

Directions for use and dosage of Almagel

The drug is administered orally. The exact dosages are prescribed by the doctor; below are approximate dosages.

Treatment of duodenal ulcer, as well as therapy of some types of gastric ulcer, is carried out by using Almagel between meals. Maintenance treatment consists of using the drug in an amount equal to 1 dosage spoon no more than 4 times a day. The duration of such therapy is up to 3 months.

As a preventive measure, Almagel should be taken 1-2 teaspoons.

The use of the drug by children is permitted only after consultation with a doctor. Children under 10 years of age should take 1/3 of the dose prescribed for adults. Children over 10 but under 15 years of age should take half the adult dosage.

It is recommended to begin treatment of diseases during which nausea, abdominal pain, and vomiting occur with the use of Almagel A; only after these symptoms have been eliminated do they switch to therapy with classic Almagel.

Side effects of Almagel

While taking the medicine, in rare cases, nausea, stomach cramps, vomiting, constipation, pain in the stomach, as well as changes in taste sensations may occur. As a rule, the above symptoms disappear after reducing the dose.

It is important to keep in mind that taking high doses of the drug may cause drowsiness.

Since long-term use of Almagel in high dosages in combination with eating food poor in phosphorus can provoke phosphorus deficiency, increased excretion and resorption of calcium in the urine, it is necessary to ensure adequate phosphorus intake from food during treatment with the drug. In addition, patients with chronic renal failure may experience swelling of the extremities, hypermagnesemia and dementia.

special instructions

Between the use of Almagel and other drugs, an interval of at least one hour must be maintained.

The bottle should be shaken before use.

Almagel analogues

The following are drugs whose composition and mechanism of action are similar to Almagel:

Terms and conditions of storage

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Almagel

The name Almagel refers to a number of antacid drugs that have been produced on the pharmacological market for more than 40 years. The products have adsorbent, antacid, and gastroprotective properties. According to the instructions for use of Almagel, the drug is prescribed for the treatment of duodenal and gastric ulcers, acute and chronic gastritis. fissure hernia and some other diseases.

The basis of the drug consists of substances such as aluminum oxide and magnesium. A certain combination of these components helps in the treatment of various diseases associated with increased acidity of the gastrointestinal tract.

Almagel is available in the form of gel, suspension and tablets. Today three types of the drug are available:

The first type of drug consists of the basic components mentioned above (in addition to auxiliary components in minor concentrations). Aluminum hydroxide reduces stomach acidity, and magnesium hydroxide has a laxative effect, neutralizing the work of the first component, which can cause a slowdown in gastrointestinal motility and constipation.

The composition of Almagel A includes an additional element - benzocaine, which has an analgesic effect on the mucous membranes. It is thanks to this element that the drug is indicated for patients to relieve pain caused by inflammatory processes in the mucous membranes of the stomach, esophagus or duodenum.

Almagel Neo additionally includes simethicone, a substance that prevents increased gas formation. Diseases of the stomach and duodenum are often accompanied by disturbances in the entire digestive process, which leads to an increase in the activity of microflora and increased formation of gases in the intestines. During pregnancy, Almagel Neo is not used, but instead, under special circumstances, the classic version of the drug is prescribed.

pharmachologic effect

Almagel is an antacid drug. Its action is based on local long-term neutralization of constantly formed gastric juice. According to the instructions, Almagel reduces the content of hydrochloric acid in gastric juice to the optimal level. The product has a local anesthetic effect

The drug produces a slight laxative effect and is a choleretic agent. Aluminum hydroxide, which is part of Almagel as one of the active components, inhibits the secretion of pepsin. Coming into contact with hydrochloric acid, it neutralizes it by forming aluminum chloride.

Magnesium hydroxide, in turn, neutralizes hydrochloric acid due to the formation of magnesium chloride, which neutralizes the property of aluminum chloride to provoke constipation.

Sorbitol improves bile secretion, has a mild laxative effect, and has a carminative effect.

The drug acts for a long time, uniformly normalizing the acidity of hydrochloric acid. Almagel acts on the human body without the formation of carbon dioxide bubbles, which are the cause of flatulence and a secondary increase in the secretion of hydrochloric acid.

The drug does not cause a sharp shift in the pH of the stomach towards the alkaline side. The acidity level is maintained within 4.0-3.5.

Also, the use of Almagel does not disturb the water-electrolyte balance, does not provoke the formation of stones in the urinary tract and does not develop alkalosis.

The structure of Almagel allows it to gently and effectively envelop the gastric mucosa, which contributes to the uniform action of the drug on its entire surface. After taking one dose of the drug, the therapeutic effect begins after 3-5 minutes and lasts 70 minutes.

Indications for use of Almagel

According to the instructions for use of Almagel, the drug is indicated for diseases such as:

Peptic ulcer of the stomach and duodenum (with exacerbations);
Acute gastritis with increased acidity;
Foodborne infectious diseases of the gastrointestinal tract;
Esophagitis;
Hiatal hernia in the diaphragm;
Duodenitis, enteritis;
Flatulence;
Pain and discomfort in the abdomen due to eating disorders, dieting, abuse of coffee, nicotine and alcohol, after taking certain medications.

For prophylactic purposes, Almagel is prescribed to prevent the occurrence of ulcerative lesions of the gastrointestinal tract in parallel with the use of glucocorticosteroids and non-steroidal anti-inflammatory drugs.

Instructions for use of Almagel

Almagel is used orally in dosages of 5-10 ml of suspension/gel or 2-3 tablets 1-2 hours after meals and at night. If the drug is prescribed for the treatment of stomach ulcers, then it should be taken half an hour before meals. If necessary, the single dose is increased to 15 ml (up to 3-4 tablets). When the therapeutic effect is achieved, as part of maintenance therapy Almagel is taken 5 ml three times a day (or 1 tablet) for 2-3 months. Children aged 4 to 12 months are prescribed 7.5 ml, over one year - 15 ml three times a day.

The instructions for use of Almagel indicate that for the purpose of prevention, the product should be taken in 5-10 ml or 1-2 tablets before a possible irritant effect on the gastrointestinal mucosa occurs.

To make the drug more effective, the tablets must be chewed thoroughly or held in the mouth under the tongue for a while until Almagel is completely dissolved. The gel or suspension must be homogenized before use by shaking the bottle or thoroughly kneading the package between your fingers.

Side effects of Almagel

The use of Almagel may cause some side effects, such as nausea and vomiting. disturbances of taste, constipation, cramping abdominal pain, sometimes drowsiness.

Long-term use of the drug in some cases leads to osteomalacia in patients who are predisposed to disorders of phosphorus-calcium metabolism and who eat food with a lack of phosphorus.

If you take Almagel for a long time and in high doses, then typical side effects are:

When taking Almagel, people suffering from kidney failure may develop the following symptoms: decreased blood pressure, thirst.

Contraindications

Contraindications to taking Almagel are:

Alzheimer's disease;
severe renal dysfunction;
child's age up to 1 month;
individual intolerance to the components of the drug or hypersensitivity to them.

Almagel during pregnancy

In some cases, during pregnancy, Almagel can be taken, but not more than 3 days. However, during lactation it is better to avoid taking the drug.

Treatment with Almagel during pregnancy should be carried out strictly under the supervision of a doctor, and there are a number of restrictions on taking Almagel A and Almagel Neo. It is also prohibited to take this drug for toxicosis.

Almagel is an antacid drug.

Release form and composition

The drug Almagel is available in the form of tablets and suspensions intended for oral use.

The classic Almagel suspension is white in color and has a lemon scent. During storage of Almagel, a layer of clear liquid is allowed to form, which disappears after vigorous shaking.

Listed below are the main active ingredients and their content in 5 ml of Almagel (1 teaspoon of medicine):

2. 18 g of aluminum hydroxide gel, which corresponds to 218 mg of aluminum oxide;
350 mg of magnesium hydroxide paste, which corresponds to 75 mg of magnesium oxide.

Almagel also contains additional ingredients:

10.9 mg methyl parahydroxybenzoate;
801.15 mg sorbitol;
1.635 mg lemon oil;
10.9 mg hyaetellose;
1.363 mg butyl parahydroxybenzoate;
98.1 mg 96% ethanol;
less than 5 ml of purified water;
818 mcg sodium saccharinate dihydrate;
1.636 mg propyl parahydroxybenzoate.

The composition of suspensions type A and Neo differs from the above.

Almagel tablets are packaged in 24 or 12 pieces.

Indications for use of Almagel

Contraindications

Directions for use and dosage of Almagel

The drug is administered orally. The exact dosages are prescribed by the doctor; below are approximate dosages.

As a preventive measure, Almagel should be taken 1-2 teaspoons.

Side effects of Almagel

It is important to keep in mind that taking high doses of the drug may cause drowsiness.

Almagel A- This antacid in the form of a suspension is a local anesthetic.
Almagel A 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 a local anesthetic, adsorbing and enveloping effect, reduces the effect of damaging factors on the mucous membrane.
The therapeutic effect after taking the drug occurs within 3-5 minutes and lasts an average of 70 minutes.
Almagel A provides long-term local neutralization of continuously secreted gastric juice 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 turns into alkaline aluminum salts. Magnesium hydroxide also neutralizes hydrochloric acid, turning into magnesium chloride. This counteracts the constipating effects of aluminum hydroxide. Magnesium hydroxide and magnesium chloride are resorbed to an insignificant extent and have virtually no effect on the concentration of magnesium ions in the blood.
Benzocaine has an effective and long-lasting local analgesic effect in severe pain.
Sorbitol, which is part of the drug, promotes increased secretion of bile and exhibits a mild laxative effect, complementing the effect of magnesium hydroxide.
Almagel A does not sharply increase the pH of the stomach contents; 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 uniform distribution of active substances on the gastric mucosa and has a long-lasting local effect without the subsequent formation of carbon dioxide in the stomach, which, in turn, causes flatulence, a feeling of heaviness in the epigastric region and a secondary increase in the secretion of hydrochloric acid.
According to the Hodge and Sterner classification, the drug, when administered orally, is classified as a mildly toxic agent and does not have embryotoxic, teratogenic or mutagenic effects. In some cases, increased tendon reflexes were noted in newborns whose mothers took the drug for a long time. In addition, in newborns there is a risk of developing hypermagnesemia, especially in a state of dehydration, therefore long-term use of the drug for pregnant women and newborns is not recommended.

Pharmacokinetics

Almagel A- non-absorbable drug. If the correct dosage regimen and duration of treatment are observed, it is practically not resorbed in the gastrointestinal tract and has a long-lasting, uniform effect without disturbing the electrolyte balance and without creating the risk of alkalosis or other metabolic disorders. It does not irritate the urinary system and, with long-term use, does not cause alkalosis and the formation of stones in the urinary tract.

Indications for use

Indications for use of the drug Almagel A are: peptic ulcer of the stomach and duodenum in the acute phase; acute gastritis and chronic gastritis with increased and normal secretory function in the acute phase; duodenitis; enteritis; hiatal hernia; reflux esophagitis; functional intestinal disorders, colitis; discomfort and pain in the epigastrium due to errors in diet, after drinking coffee, nicotine, alcohol; prophylactically in the treatment of GCS and NSAIDs.
As part of a complex of therapeutic measures, Almagel A is prescribed to patients with diabetes.

Mode of application

Suspension Almagel A taken orally. As prescribed by the doctor, 1-3 dosage (teaspoons) depending on the severity of the case, 3-4 times a day half an hour before meals and in the evening before bed.
In children, the drug is used strictly as prescribed by a doctor: children under 10 years of age are prescribed 1/3 of the dose for adults, and children from 10 to 15 years of age are prescribed 1/2 of the dose for adults.
For diseases accompanied by nausea, vomiting and abdominal pain, treatment begins with Almagel A, and after the disappearance of the listed symptoms, they switch to taking Almagel.
The bottle should be shaken before use.

Side effects

In some cases, when taking the drug Almagel A Changes in taste sensations, nausea, vomiting, stomach cramps, pain in the epigastric region and constipation may occur, which disappear after reducing the dose. May cause drowsiness when used in high doses.
Long-term treatment with high doses of the drug and phosphorus-poor food can lead in predisposed patients to the development of phosphorus deficiency in the body, increased resorption and excretion of calcium in the urine and the occurrence of osteomalacia. Therefore, when taking the drug for a long time, it is necessary to ensure a sufficient intake of phosphorus from food.
In patients with chronic renal failure, in addition to osteomalacia, swelling of the extremities, dementia and hypermagnesemia may be observed.

Contraindications

:
Contraindications to the use of the drug Almagel A are: hypersensitivity to the components of the drug; severe renal dysfunction; Alzheimer's disease; early childhood (up to 1 month).
Do not prescribe simultaneously with sulfonamides due to the presence of benzocaine in the drug.

Pregnancy

:
It is not recommended to prescribe Almagel A longer than 3 days during pregnancy.
Avoid administration to nursing mothers.

Interaction with other drugs

When used simultaneously Almagel A may reduce the therapeutic effect of tetracycline antibiotics, histamine H2 receptor blockers, digitalis glycosides, iron salts, ciprofloxacin, phenothiazines, isoniazid, beta-blockers, indomethacin and ketokenozol, etc.

Overdose

:
If the dose is exceeded once, no other signs of overdose are observed except constipation, flatulence, and a sensation of metallic taste.
With prolonged use of high doses of the suspension Almagel A possible nephrocalcinosis, severe constipation, mild drowsiness, hypermagnesemia. Signs of metabolic alkalosis may also be observed: changes in mood or mental activity, numbness or muscle pain, irritability and fatigue, slow breathing, unpleasant taste sensations.
It is necessary to immediately take measures to quickly remove the medication from the body through gastric lavage (induction of vomiting, taking activated charcoal).

Storage conditions

In a dry, cool place, protected from light, at a temperature of 0 to 25°C. The optimal temperature for storage is from 5 to 15°C. Avoid freezing.

Release form

Almagel A - suspension for oral administration.
170 ml of the drug in a dark glass bottle with a screw-on plastic cap.
170 ml of the drug in a polyethylene terephthalate bottle with a screw-on plastic cap.

Compound

:
1 scoop of suspension Almagel A contains:
Active ingredients: algeldrate (aluminum hydroxide gel 2.18 g, corresponding to 218 mg of aluminum oxide); magnesium hydroxide (magnesium hydroxide paste 350 mg, corresponding to 75 mg magnesium oxide); benzocaine 109 mg.
Excipients: sorbitol 801.150 mg, hyaetellose 15.260 mg, methyl parahydroxybenzoate 10.900 mg, propyl parahydroxybenzoate 1.363 mg, butyl parahydroxybenzoate 1.363 mg, sodium saccharinate dihydrate 0.818 mg, lemon oil 1.635 mg, ethanol 96% 98.100 mg, purified water up to 5 ml.

Additionally

:
Interval between doses Almagel A and other medications should be 1-2 hours.
It is not recommended to take the drug in doses exceeding 16 spoons per day, or, if such a dose is used, the duration of treatment should be no more than 2 weeks.
When taking the drug for a long time, you should ensure a sufficient intake of phosphorus from food.

Main settings

Name:	ALMAGEL A

Almagel is an effective remedy that has an antacid therapeutic effect. Its action is aimed at relieving the symptoms of gastritis, peptic ulcer, and esophagitis. Almagel also effectively eliminates pain in the stomach and heartburn. The drug has an analgesic effect, so it is actively taken to eliminate severe pain in various diseases of the digestive system.

Types and forms of release

Almagel for gastritis is produced in two forms: suspension and tablets. The suspension contains various components, thanks to which the drug acquires additional properties. You can find the following types of suspension in the pharmacy:

Almagel suspension (contains only the main components - aluminum and magnesium hydroxide gel);
Suspension Almagel A (in addition to the main components there is an anesthetic benzocaine);
Almagel Neo suspension (in addition to the main components there is simethicone, which combats increased gas formation);

Each of the proposed options is produced in packaging of a specific color, making them easy to distinguish from each other. When purchasing tablets, pay attention to the packaging. There must be a letter T, which identifies the dosage form. Almagel Neo is released in a red box. Simple Almagel is produced in green packaging, and Almagel A is produced in yellow packaging.

Composition of Almagel

Regardless of the form of the drug, it contains both main and auxiliary components, thereby achieving the required consistency in the form of a suspension. Each form of the drug has its own set of components:

Almagel green – algeldrate (aluminum hydroxide gel), magnesium hydroxide paste;
Almagel A yellow – algeldrate (aluminum hydroxide gel), magnesium hydroxide paste, benzocaine;
Almagel Neo – algeldrat (aluminum hydroxide gel), magnesium hydroxide paste, simethicone;
Almagel T - tablet contains 500 mg of magaldrate (magnesium and aluminum hydroxide).

Since the additional components in tablets and suspensions are different, we refer to the following table:

Almagel green and Almagel A yellow	Almagel Neo	Almagel tablets
Sorbitol	Sorbitol	mannitol
Hydroxyethylcellulose	hydrogen peroxide 30% (perhydrol)	microcrystalline cellulose
Methyl parahydroxybenzoate	sodium saccharinate	sorbitol
propyl parahydroxybenzoate	Hyaetellosis	Magnesium stearate
Butyl parahydroxybenzoate	citric acid monohydrate
sodium saccharin	ethyl parahydroxybenzoate
lemon oil	propyl parahydroxybenzoate
Ethanol	propylene glycol
distilled water	macrogol 4000
	orange flavor
	ethyl alcohol 96%
	distilled water

Indications

Before taking the drug, you need to familiarize yourself with its indications:

stomach and duodenal ulcers during exacerbation;
gastritis with normal and high acidity of acute or chronic type during exacerbation;
duodenitis;
enteritis;
hiatal hernia;
reflux esophagitis;
functional bowel disorders;
colitis;
discomfort and pain in the epigastrium if the diet is not followed, after drinking coffee, nicotine, alcohol;
gastralgia, heartburn;
increased gas formation;
fermentative or putrefactive dyspepsia.

Reception scheme

Instructions for use of Almagel assume its internal use. According to the doctor's recommendation, you need to consume 1-3 teaspoons 3 times a day. If there is an ulcer, the drug is taken between meals. If a therapeutic effect is achieved, reduce the dosage of Almagel to 1 teaspoon 3 times a day. The general course will be 2-3 months.

For preventive purposes, the drug should be consumed 1-2 tablespoons. Almagel is given to children strictly on the recommendation of a doctor. If the child is under 10 years old, then 1/3 of the adult dose, and from 10 to 15 years old - ½ adult dose.

If there is a disease accompanied by nausea, vomiting, pain in the abdominal area, then the course of therapy should begin with Almagel A. If the symptoms have been relieved, then switch to regular Almagel.

In addition to taking Almagel and other effective drugs, success in the treatment of gastritis is impossible without following a diet. To learn more about healthy foods and basic diet rules for gastritis, you need to watch the following video:

Side effect

When taking Almagel, the patient may experience the following side effects:

change in taste sensations;
nausea, vomiting;
diarrhea;
stomach spasm;
pain in the epigastric region;
constipation;
drowsiness.

Contraindications

You should not take Almagel in the following cases:

hypersensitivity to the components of the drug;
severe renal impairment;
Alzheimer's disease;
children under 1 month.

Use during pregnancy and lactation

Almagel can be taken during pregnancy, but only for no more than 3 days. But during activation, this drug should be abandoned.

Drug interactions

If you take Almagel simultaneously with other drugs, you can reduce the therapeutic effect of tetracycline antibiotics, histamine H2 receptor blockers, digitalis glycosides, iron salts, ciprofloxacin, phenothiazines, isoniazid, beta-blockers, indomethacin and ketoconazole.