Gefal-Belmed suspension 230g

Name:
Gefal-BELMED.
Description:
Suspension of white or white color with a yellowish or brown tint, sweetish taste, with the smell of “Raspberry” flavoring. After shaking it should be homogeneous. The main active ingredient is aluminum phosphate. Release formSuspension. Pharmacological action Gefal-Belmed has an acid-neutralizing, adsorbing and enveloping effect. Quickly reduces the intracavitary acidity of gastric juice to physiological pH values. For a long time, it maintains a normal level of acidity in the stomach, without disturbing the conditions of digestion. Promotes the binding and removal of toxic substances from the stomach. It forms a protective film on the mucous membrane of the gastrointestinal tract, which contributes to the restoration of mucosal cells and the healing of ulcers. Indications for use Symptomatic treatment of pain and heartburn in diseases of the upper gastrointestinal tract, duodenum. Method of administration and doses 1 tablespoon contains 14 g of the drug, which corresponds to 1.26 g of aluminum phosphate. Shake the contents of the vial for 1-2 minutes before use. Adults and children over 12 years of age take 1-3 tablespoons orally 2-3 times a day (i.e. 1.26-3.78 g 2-3 times a day or 2.52 g to 11.34 g aluminum phosphate) 30-40 minutes after a meal or in the evening before going to bed, or when pain or heartburn occurs. If you miss the next dose, you should take it as soon as possible. If the time for the next dose has come, you do not need to take a double dose to make up for the forgotten one, just continue further taking Gefal-Belmed according to the recommended regimen. Use during pregnancy and lactation Use during pregnancy and lactation should be done with extreme caution and only on prescription. If necessary, this drug during pregnancy is used only in a low dose to avoid the accumulation of aluminum in the baby’s bone tissue. Precautions Do not take the drug for a long time without a doctor’s prescription. If symptoms do not disappear within 7 days of taking the drug, you should consult your doctor. Use with caution in the presence of kidney disease, liver cirrhosis, severe heart failure. In elderly patients and patients with impaired renal function, when using Hefal-Belmed in recommended doses, an increase in the concentration of aluminum in the blood serum is possible. The drug is not used in the treatment of decompensated renal failure, since aluminum phosphate does not cause hypophosphatemia. Animal studies have shown reproductive toxicity of aluminum compounds. Human studies have shown that aluminum accumulates in the bones of premature newborns. With prolonged use, there is a potential risk of neurotoxicity. When used simultaneously with drugs that have a dosage form coated with an enteric coating, it should be borne in mind that an increase in the pH of the stomach leads to a more rapid destruction of the enteric coating. The drug contains sugar in its composition, which should be taken into account in patients with diabetes mellitus. 1 tablespoon contains less than 1/10 XE. Patients with rare hereditary fructose intolerance, glucose-galactose malabsorption or sucrase-isomaltase deficiency should not take this medicinal product. Gefal-Belmed contains parabens, which may cause allergic reactions (possibly delayed). The use of the drug Gefal-Belmed does not affect the results of x-ray examination. In elderly patients, an increase in the concentration of aluminum in the blood serum is possible. Use during pregnancy and lactation. Influence on the ability to drive vehicles and other potentially dangerous mechanisms. The drug does not affect the ability to drive vehicles and potentially dangerous mechanisms. Interaction with other drugs Reduces the absorption of furosemide, tetracyclines, digoxin, isoniazid, indomethacin, ranitidine (should be taken no earlier than 2 hours after taking Hefal-Belmed). The simultaneous use of the drug with ciprofloxacin and ofloxacin leads to a decrease in the absorption of these antibacterial agents. While taking medicines containing iron, sodium fluoride, with Gefal-Belmed, their absorption may also be reduced. Therefore, it is recommended to separate the two-hour time interval for taking Hefal-Belmed and other medicines. Gefal-Belmed should not be taken simultaneously with acidic drinks (eg fruit juices, wine, etc.), otherwise the undesirable absorption of aluminum phosphate may be increased. Contraindications Chronic renal failure; hypersensitivity or intolerance to medicines containing aluminum salts; fructose intolerance, glucose-galactose malabsorption or sucrase-isomaltase deficiency, severe constipation; children’s age up to 12 years. With caution: kidney disease, cirrhosis of the liver, severe heart failure, edema, recent gastrointestinal bleeding. Ingredients Ingredients per vial: active substance: aluminum phosphate gel – 20.7 g; excipients: white sugar, agar, methyl parahydroxybenzoate, propyl parahydroxybenzoate, Raspberry flavor, purified water. Pharmacotherapeutic group: Agents for the treatment of conditions associated with acid disorders. Antacids. OverdoseSymptoms: Decreased intestinal motility. Treatment: the appointment of laxatives. Prolonged use at high doses, as well as use in renal insufficiency, can lead to accumulation of aluminum, especially in the nervous and bone tissue. This can be expressed in memory impairment, disorientation, motor and mental disorders. Cessation of aluminum intake from all sources and treatment with deferoxamine is recommended. Side effects When taken in large doses and with prolonged use, the drug may cause constipation. In this case, it is recommended to take a sufficient amount of liquid. Very rarely (<1/10000) allergic reactions, burning sensation in the mouth, nausea, flatulence, dizziness may occur. With prolonged use at high doses, very rarely (<1/10,000) motor extrapyramidal disorders and memory loss may occur. If you experience side effects, as well as reactions not listed in this leaflet, you should consult a doctor. Storage conditions In a place protected from moisture at a temperature not exceeding 25 ° C. After opening the vial, store at a temperature not exceeding 5 ° C for no more than 1 month. Do not freeze. Keep out of the reach of children. 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