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 Almagel A
 Balanced, combined tool. Almagel A reduces activity pepsin , Neutralizes free   hydrochloric acid   stomach, which leads to a significant reduction in gastric digestive ability. In its composition contains magnesium hydroxide   and aluminum hydroxide (algeldrat) . Almagel has absorbent, enveloping effects . It has protective, cytoprotective effect by stimulating the production of prostaglandins . The drug protects the stomach wall from the erosive and hemorrhagic inflammatory and ulcerogenic action and irritating agents (NSAIDs, korstikosteroidov Ethanol). The therapeutic effect develops after 5 minutes, the duration of exposure depends on the rate of gastric emptying. When receiving almagel an hour after eating antacid effect lasts for 3 hours in the fasting - 1 hour. Almagel A does not cause secondary hypersecretion of gastric juice. Due to the uniform distribution on the wall of the stomach mucosa is achieved long gastroprotektsiya . Part of the sorbitol   It has choleretic and mild laxative effects. It is practically not absorbed from the gastrointestinal tract. Almagel produced in the form of suspensions in the vials. The suspension is white with a slight lemon scent. After shaking the transparent layer on the surface of the slurry disappears. Almagel intended for ingestion.


Indications:

Almagel A is prescribed for exacerbations stomach ulcer , Ulcerative lesions of the duodenum. The drug is effective in acute and chronic gastritis during (at normal and elevated secretion) duodenitis . diaphragmatocele . enteritis . reflux esophagitis If errors in the diet, receiving glucocorticosteroid drugs of NSAIDs, alcohol and coffee.

Contraindications:

Almagel not used in severe renal pathology system (cause aluminum toxicity, gipermagniemiya ) hypophosphatemia Alzheimer's disease, pregnancy. Do not use in pediatric patients (up to the age of 10), with congenital intolerance fructose   (as part of the preparation contains sorbitol), allergy algeldrat magnesium hydroxide.

Side effect:

Almagel A can cause constipation , Dyspepsia, gipermagniemiya, dysgeusia , Stomach cramps, nausea, hypocalcemia, hypophosphatemia, osteomalacia , Hypercalciuria, giperalyuminiemiya, osteoporosis, nephrocalcinosis . encephalopathy , Allergies. When comorbidity renal system marked hyporeflexia, drop in blood pressure, thirst .

Mode of application:

Almagel be taken every 1 hour after meals and at bedtime. Upon reception of at least 15 minutes is necessary to refrain from receiving fluid. Almagel children from 15 years and adults administered three times daily 5-10 ml. Unit dosage may be increased to 15 ml. For children under 15 years half the adult dose administered. The course of treatment - no more than 20 days. For the prevention of erosive lesions for 15 minutes before medication, irritate the wall of the gastrointestinal tract, take 5-10 ml Almagel.

Overdose:

Single excess of recommended doses leads to increased side effects. Long-term use of the drug Almagel A large quantities helps stone formation   in renal system gipermagniemii leads to severe constipation, metabolic alkalosis   (dysgeusia, fatigue, nervousness, muscle pain, numbness, slowed breathing). Effectively gastric lavage, hemodialysis.

Special instructions:

It is not recommended to prescribe a drug for pain in the stomach of unknown etiology, ulcerative colitis , Severe constipation, diverticulosis , Suspected acute appendicitis , Chronic diarrhea, ileostomy . Colostomy , Acute hemorrhoids, metabolic alkalosis, acid-base imbalances . cirrhosis , Severe renal system. If long-term treatment requires regular monitoring of magnesium. Almagel contains sorbitol . Do not have a pronounced teratogenic effects on the fetus. It does not affect the speed of psychomotor reactions, the management of complex mechanisms. At scintigraphy   It distorts the actual performance, increases the level of phosphorus and pH of the serum, urine.

Drug Interactions:

Almagel absorbs many medications, reducing their absorption. The recommended interval between doses of the drug is 1-2 hours. Almagel reduces the effect of famotidine . ranitidine . cimetidine Salts of iron, cardiac glycosides , Phenothiazine drugs, mexiletine, quinidine, tetracycline antibiotics, ketoconazole . isoniazid . ciprofloxacin . Enteric preparations while taking irritate the mucous membrane of the stomach and intestinal walls.