Nursing & Healthcare Directories on: The Nursefriendly
Over The Counter (OTC) Medications
Antacids, Heartburn, Antigas,
Aluminum Hydroxide, Mylanta, Maalox, Gaviscon

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Description of aluminum hydroxide:medlineplus:"Antacids are taken by mouth to relieve heartburn, sour stomach, or acid indigestion. They work by neutralizing excess stomach acid. Some antacid combinations also contain simethicone, which may relieve the symptoms of excess gas. Antacids alone or in combination with simethicone may also be used to treat the symptoms of stomach or duodenal ulcers. With larger doses than those used for the antacid effect, magnesium hydroxide (magnesia) and magnesium oxide antacids produce a laxative effect. The information that follows applies only to their use as an antacid. Some antacids, like aluminum carbonate and aluminum hydroxide, may be prescribed with a low-phosphate diet to treat hyperphosphatemia (too much phosphate in the blood). Aluminum carbonate and aluminum hydroxide may also be used with a low-phosphate diet to prevent the formation of some kinds of kidney stones. Aluminum hydroxide may also be used for other conditions as determined by your doctor. These medicines are available without a prescription. However, your doctor may have special instructions on the proper use and dose of these medicines for your medical problem. They are available in the following dosage forms"
http://www.n lm.nih.gov/medlineplus/druginfo/antacidsoral202047.html

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Who should not take Aluminum Hydroxide:ahealthyme:"Before taking this medication, tell your doctor if you have kidney disease; have any condition that causes slow emptying of your stomach; or take any other medicines. You may not be able to take aluminum hydroxide or you may require a lower dose or special monitoring if any of the circumstances listed above apply to you. It is not known whether aluminum hydroxide will harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant. It is also not known whether aluminum hydroxide will harm an nursing baby. Do not take this medication without first talking to your doctor if you are breast-feeding a baby"
http://www.ahealthyme.com/topic/t opic100588216

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Aluminum Hydroxide vitamin interactions:eniva.com:"Interactions with Dietary Supplements Alginates A thick gel derived from algae has been used together with aluminum antacids to treat heartburn. Together, alginate gel and antacid were more effective at relieving symptoms1 and improving healing.2 Alginate is believed to work by physically blocking stomach acid from touching the esophagus. According to these studies, two tablets containing 200 mg alginic acid should be chewed before each meal and at bedtime. Calcium Aluminum hydroxide may increase urinary and stool loss of calcium.3 Also, aluminum is a toxic mineral, and a limited amount of aluminum absorption from aluminum-containing antacids does occur.4 As a result, most doctors do not recommend routine use of aluminum-containing antacids.5 Other types of antacids containing calcium or magnesium instead of aluminum are available. Citrate Several studies have shown that combination of citrate, either as calcium citrate supplements or from orange and lemon juice, with aluminum-containing antacids increases aluminum levels in the body.6 7 8 Calcium in forms other than calcium citrate has been shown to not increase aluminum absorption.9 Drinking 7–10 ounces of orange juice provides sufficient citrate to be problematic.10 11 Intake of 950 mg calcium citrate greatly elevates aluminum absorption.12 People with renal failure may be at particular risk of kidney damage due to elevated aluminum levels if they combine aluminum hydroxide with citrate."
http://www.eniva.com/ healthlib/Drug/Aluminum_Hydroxide.htm

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What is Aluminum Hydroxide used for:gicare.com:"Antacids are useful for the temporary relief of occasional indigestion and heartburn. Frequent, daily or nightly symptoms usually mean a more serious problem. Antacids by themselves do not correct these problems. The medications that are now available to treat acid problems are generally superior to antacids"
http://www.gicare.com/pated/maalox.htm

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How does Aluminum Hydroxide work:vitaminevi.com:"Depletion of phosphorus may occur as a result of taking aluminum hydroxide. For those with kidney failure, reducing phosphorus absorption is the purpose of taking the drug, as excessive phosphorus levels can result from kidney failure. However, when people with normal kidney function take aluminum hydroxide for extended periods of time, it is possible to deplete phosphorus to unnaturally low levels. Those who take aluminum-containing antacids regularly should discuss the possibility of phosphorus depletion with their doctor, pharmacist, or both."
http://www.vitaminevi.com/ Drug/Aluminum_Hydroxide.htm

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Aluminum Hydroxide drug interactions:endowsec.com:"An interaction generally means that one drug may increase or decrease the effect of another drug. Also, the more medications a person takes, the more likely there will be a drug interaction. Antacids do interact with or prevent the absorption of many medications. As a general rule it is best to separate antacid use and any other medications by at least 1 hour. When antacids are only taken occasionally, this seldom presents a serious problem. Since there are so many good medications to reduce stomach acid, some of them over-the-counter, it is unusual to require frequent antacid use during the day and night. Interactions with this antacid may occur with the following"
http://www.endowsec.com/pated/tempo.htm< /a>

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Aluminum Hydroxide precautions:personalmd:"Tell your doctor if you have any pre-existing stomach disorders or allergies. This medication should be used only if clearly needed during pregnancy. Discuss the risks and benefits with your doctor. Small amounts of this medication may be excreted in breast milk. Consult your doctor before breast-feeding. DRUG INTERACTIONS: Tell your doctor of any over-the-counter or prescription medication you may take, especially iron, oral antidiabetic medication, tetracycline or digoxin. Antacids can interfere with the absorption of many other drugs. Be sure to check with your pharmacist before taking antacids with any other medication. Do not start or stop any medicine without doctor or pharmacist approval"
http://www.personalmd.com/drgdb/3123.ht m

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Aluminum Hydroxide dosage information:medicalcorps:"Administered orally Symptomatic relief of dyspepsia and conditions associated with hyperacidity, gastric ulcer, duodenal ulcer, Zollinger-Ellison syndrome, GERD, stress gastritis prophylaxis: Regular Suspension Adults: PO 30-50ml every 3-4 hours, or 1 and 3 hours after meals and at bedtime. Recommended OTC dose is 10-20ml PO 4 times daily. Maximum OTC daily dose is 80ml Children: PO 5-15ml every 3-6 hours, or 1 and 3 hours after meals and at bedtime Infants: PO 1-2 ml/kg per dose, given after meals and at bedtime Therapeutic concentrate [TC] suspension: Adults: PO 30-50ml every 3-4 hours, or 1 and 3 hours after meals and at bedtime. The recommended OTC dose is 5-10ml PO 4 times daily, 20 minutes to 1 hours after meals and at bedtime Children: PO 2.5-7.5ml every 3-6 hours, or 1 and 3 hours after meals and at bedtime Infants: PO 0.5-1 mg/kg per dose given after meals and at bedtime Chewable tablets: Adults: PO 1-4 tablets dosed every 3-4 hours, or 1 and 3 hours after meals and at bedtime. Maximum dose 16 tablets daily Extra-strength chewable tablets: Adults: PO 1-2 tablets dosed every 3-4 hours, or 1 and 3 hours after meals and at bedtime. Maximum dose 8 tablets daily"
http://www.medicalcorps.org/med-org/Meds/Aluminum%20Hydroxide-Magnesium%20Hydro xide.htm

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The most important information to know about Aluminum Hydroxide:health.msn.com:"Before taking aluminum hydroxide, talk to your doctor if you take any other medicines. Aluminum can decrease the effects of many other medicines by binding to them or by changing the acidity of the stomach or the urine. Do not take more of this medication than is recommended"
http: //content.health.msn.com/drug_article/article/4046.1277?bn=Alternagel

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How should you take Aluminum Hydroxide:adam.com:"Take aluminum hydroxide exactly as directed by your doctor or as directed on the package. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you. Take the tablets and capsules with a full glass of water. To ensure that you get the correct dose, measure the liquid form of aluminum hydroxide with a dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one. Shake the suspension well before measuring a dose. A dose of the liquid formulation can be followed with a drink of water if you desire. Store aluminum hydroxide at room temperature away from moisture and heat"
http://umm.adam.com/pages/c ontent.asp?D=7532&lang=en

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