Name Almagel Neo Susp. d / pr.vn.v fl 170 ml in unitary enterprise No. 1 Main active ingredient Algeldrate + magnesium hydroxide + simethicone Release formSuspension of white or almost white color. During storage, a layer of clear liquid may be released on the surface. With vigorous shaking of the contents of the vial, the homogeneity of the suspension is restored. Suspension of 170 ml in bottles of polyethylene terephthalate. One bottle in a carton box with a 5 ml measuring spoon and a leaflet. Pharmacological action Almagel Neo is a combination of aluminum hydroxide and magnesium hydroxide in combination with the carminative component simethicone. The drug has an acid-neutralizing effect (26.55 meV – the amount of hydrogen ions that can be neutralized by the drug), has adsorption activity for pepsin and bile acids, enhances mucus formation and PGE2 synthesis, envelops the mucous membrane, has a cytoprotective effect, enhances the tone of the lower esophageal sphincter . Simethicone prevents the formation and contributes to the destruction of gas bubbles in the mucus of the suspension of gastrointestinal contents; acts throughout the entire digestive tract, does not affect the absorption of other substances, does not change the pH and chemical environment of the intestinal contents. Almagel Neo has a mild laxative effect. Indications for use Symptomatic treatment of diseases of the digestive tract, which are accompanied by increased acidity of gastric juice and increased gas formation. The drug can be used alone or in combination with: gastritis and duodenitis; erosions of the stomach and duodenum; stomach ulcer and duodenal ulcer; drug gastritis and duodenitis; gastroesophageal reflux; duodenogastric reflux; reflux esophagitis; functional dyspepsia; discomfort as a result of increased gas formation. Interaction with other drugs Almagel Neo reduces the upper plasma concentration of captopril and its relative availability. Captopril must be used at least two hours before taking the drug. Almagel Neo interacts with some drugs taken orally. There is a decrease in the reabsorption of certain drugs taken at the same time. A break should be taken between antacids and other medicines to prevent this interaction. It is recommended to take 2 hours before or 2 hours after the use of Almagel Neo: antibiotics of the tetracycline group (tetracycline, doxycycline), 4 fluoroquinolones (ciprofloxacin, norfloxacin, ofloxacin), H2-antihistamines, anti-tuberculosis drugs (ethambutol, isoniazid), atenolol, metoprolol, propranolol, captopril, chloroquine, cyclins, diflunisal, digoxin, diphosphonates, fexofenadine, iron (salts), sodium fluoride, GCS drugs (described interaction with prednisolone and dexamethasone), indomethacin, kayexalate, ketoconazole, lansoprazole, lincosamides, phenothiazine antipsychotics, penicillamine, phosphorus (additives), thyroxine. Combinations to be considered: With simultaneous use with salicylates, the excretion of salicylates by the kidneys increases due to alkalinization of urine. The drug should not be used simultaneously with quinolines. Elimination of quinidine may be impaired with manifestations of quinidine toxicity, especially in patients with renal insufficiency. Simultaneous use with cholinergic agents reduces their effectiveness. The simultaneous use of aluminum hydroxide and citrates can lead to an increase in the level of aluminum, especially in patients with renal insufficiency. The use of the drug with drugs that have an enteric coating may lead to more rapid dissolution of the coating and irritation of the stomach and duodenum. The drug may reduce the absorption of folic acid. When combined with levothyroxine, it is possible to reduce its hormonal effects. Pirenzepine enhances and prolongs the action of Almagel Neo. Use during pregnancy and lactation Before taking any medicines, consult your doctor or pharmacist. Almagel A is not prescribed during pregnancy and lactation, as it contains benzocaine. Contraindications Hypersensitivity to any active and / or excipients that make up the drug. Severe renal dysfunction, including in patients on hemodialysis, in whom there is a risk of an increase in the concentration of aluminum and magnesium ions in the blood serum to toxic levels as a result of a decrease in excretion through the kidneys. Hypophosphatemia, severe osteoporosis, Alzheimer’s disease, habitual constipation, chronic diarrhea, intestinal obstruction, suspected appendicitis, gastrointestinal bleeding of unknown origin, severe abdominal pain of unknown origin, ulcerative colitis; conditions that cause a violation of water and electrolyte balance; pregnancy, lactation period, children under 14 years of age. Composition Active ingredients: 5 ml (one scoop) suspension contains: Aluminum hydroxide gel (calculated as aluminum hydroxide) 340 mg Magnesium hydroxide paste (calculated as magnesium hydroxide) 395 mg Simethicone emulsion (calculated as simethicone – polydimethylsiloxane) 36 mg 10 ml (1 packet) suspension contains: Aluminum hydroxide gel (calculated as aluminum hydroxide) 680 mg Magnesium hydroxide paste (calculated as magnesium hydroxide) 790 mg Simethicone emulsion (calculated as simethicone – polydimethylsiloxane) 72 mg Excipients: sorbitol (E 420), hydroxyethylcellulose (E1525), sodium saccharin (E954), hydrogen peroxide solution (30%), citric acid monohydrate (E33O), ethyl parahydroxybenzoate (E214), propyl parahydroxybenzoate (E216), propylene glycol (E1520), macrogol 4000, Orange orange essence Jus, ethyl alcohol 96% (E1510), purified water. Dosage and administrationAdults and children over 14 years of age: For gastroesophageal reflux disease, the recommended dose is 10-15 ml (2-3 measuring spoons) or 1 packet 4 times a day, 1 hour after meals and at bedtime. After achieving the desired effect, the recommended dose is 10 ml (2 scoops) or 1 sachet 4 times a day. For gastritis, duodenitis, erosion of the stomach and duodenum, peptic ulcer of the stomach and duodenum, duodenogastric reflux, functional dyspepsia, flatulence, the recommended dose is 10 ml (2 scoops) or 1 packet 4 times a day 1 hour after meals and before sleep. The duration of treatment is determined by the doctor. The maximum daily dose is 60 ml (12 scoops or 6 packets), the maximum duration of treatment is 4 weeks. If the symptoms do not disappear, you should consult a doctor. The drug must be taken undiluted. Drinking liquids within 30 minutes of ingestion is not recommended. Before use, the suspension must be thoroughly homogenized by shaking the vial. Patients with impaired renal function: The drug should be taken after consulting a doctor. With prolonged use, the state of kidney function should be taken into account. Side effects Prolonged use of Almagel Neo or taking high doses can cause phosphorus deficiency syndrome (loss of appetite, muscle weakness, weight loss). It should be borne in mind that even when using the usual doses of the drug in patients whose diet is characterized by a low phosphorus content, it is possible to reduce the phosphorus content in the body, increase the processes of resorption in bone tissue, hypercalciuria, osteomalacia, osteoporosis, since this drug contains aluminum (see. section “Precautions”). In patients with renal insufficiency, elevated plasma concentrations of both aluminum and magnesium are observed, therefore, long-term use of high doses of aluminum and magnesium salts can lead to the development of encephalopathy, dementia, microcytic anemia, or worsen the course of dialysis-induced osteomalacia. Aluminum hydroxide can be dangerous for patients with porphyria who are on hemodialysis. From the gastrointestinal tract: taste disturbance (taste of chalk), diarrhea, constipation, nausea, vomiting, discoloration of feces; From the immune system: hypersensitivity reactions, including bronchospasm, itching, urticaria, angioedema and anaphylactic reactions. If you find any undesirable effects or unusual reactions, consult your doctor regarding the further use of the drug! Storage conditions In a place protected from light at a temperature not exceeding 25 ° C. Do not freeze! Keep out of the reach of children! Buy Almagel Neo suspension for oral administration in 170ml bottle No. 1 The price of Almagel Neo suspension for oral administration in 170 ml bottle No. 1
Almagel Neo suspension for oral administration in a bottle 170ml №1
$20.00
SKU: 1710
Category: Gastrointestinal tract
INN | OTHER |
---|---|
The code | 1 710 |
Barcode | 3 800 009 121 112 |
Dosage | 170ml |
Active substance | Aluminum hydroxide, magnesium hydroxide |
Manufacturer | Balkanpharma-Troyan AD, Bulgaria |
Trademark | Actavis |
trade line | Almagel |
Importer | Foreign unitary trade and manufacturing enterprise "Belinvestfarma", Minsk, Leshchinskogo st., 8/4-2; Komfarm LLC, Minsk, 220131 Minsk, Sosnovy Bor st., 4, office 1; Limited Liability Company "Farmiko", Minsk district, Senitsky s / s, Kolyadichi village, Lazurnaya st., 9; Additional Liability Company "Farmin", 220125 Minsk, Independence Avenue, 177, room 62; IOOO "Interfarmaks", Republic of Belarus, 223028, Minsk region, Minsk district, Zhdanovichsky s / s, ag. Zhdanovichi, st. Zvezdnaya, 19A-5, pom. 5-2 |
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