Aluminium hydroxide + Magnesium hydroxide


Thông tin thuốc gốc
Chỉ định và Liều dùng
Oral
Antacid
Adult: Aluminium hydroxide 44 mg and magnesium hydroxide 39 mg per 1 mL oral suspension
As antacid therapy in gastric and duodenal ulcers, gastritis, gastric hyperacidity and heartburn: 10-20 mL tid, given 20-60 minutes after meals and at bedtime, or as required.

Aluminium hydroxide 175 mg and magnesium hydroxide 200 mg per 5 mL oral suspension
Aluminium hydroxide 200 mg and magnesium hydroxide 200 mg per 5 mL oral suspension
For the relief of acid indigestion, heartburn and gastrointestinal upset associated with these symptoms: 10-20 mL 4 times daily, given after meals and at bedtime, or as necessary. Max: 80 mL/24 hours. Dosing recommendations and available fixed-dose combinations may vary between countries and individual products (refer to specific product guidelines).
Child: Aluminium hydroxide 44 mg and magnesium hydroxide 39 mg per 1 mL oral suspension
Aluminium hydroxide 200 mg and magnesium hydroxide 200 mg per 5 mL oral suspension

≥12 years Same as adult dose.

Aluminium hydroxide 175 mg and magnesium hydroxide 200 mg per 5 mL oral suspension
≥14 years Same as adult dose. Dosing recommendations, available fixed-dose combinations, and approved age groups may vary between countries and individual products (refer to specific product guidelines).
Các sản phẩm có chứa hoạt chất Aluminium hydroxide + Magnesium hydroxide tại Việt Nam?
Các thuốc khác
  • Acidanon
  • Almamix
  • Alumastad
  • Amaxloxa
  • Biocid-MH
  • Daewoong Newlanta
  • Entacyd-plus
  • Gastrotac
  • Kanmen S
  • Maalox
  • Macilox
  • Magaltab
  • Mallote
  • Malogel
  • Maloxal 2
  • Mathomax Tab
  • Newlantine
  • Opetacid
  • Stomafar
  • Stomalen
  • Talanta
  • Unichew
  • Yudigel - II
Xem thêm
Chống chỉ định
Renal failure.
Thận trọng
Patient with low phosphate diet. Mild to moderate renal impairment. Children and elderly. Pregnancy and lactation.
Tác dụng không mong muốn
Significant: Hypophosphataemia (prolonged use); hypermagnesaemia and aluminium accumulation (which may lead to osteomalacia or encephalopathy), particularly with prolonged use in patients with renal impairment.
Gastrointestinal disorders: Diarrhoea, constipation, abdominal pain.
Quá liều
Symptoms: Diarrhoea, abdominal pain, vomiting, hypomotility of the bowel; may cause or aggravate intestinal obstruction and ileus in patients at risk. Management: Symptomatic and supportive treatment. Correct fluid deficiency as necessary. Treatment consists of administration of IV Ca gluconate, rehydration, and forced diuresis. Haemodialysis or peritoneal dialysis may be done as necessary in cases of renal impairment.
Tương tác
Interferes with the absorption of H2 antagonists, bisphosphonates, fluoroquinolones, glucocorticoids, tetracyclines, vitamins, atenolol, propranolol, metoprolol, chloroquine, hydroxychloroquine, cefdinir, cefpodoxime, dasatinib, diflunisal, digoxin, eltrombopag, elvitegravir, raltegravir, ethambutol, isoniazid, rifampicin, indometacin, Fe salts, ketoconazole, levothyroxine sodium, lincosamides, nilotinib, phenothiazine neuroleptics, penicillamine, rilpivirine, riociguat, rosuvastatin, sodium fluoride, and combination drug containing tenofovir alafenamide, emtricitabine, and bictegravir. May decrease the effect of sodium polystyrene sulfonate. May increase the serum levels of quinidine.
Aluminium hydroxide: May lead to increased aluminium levels with citrates.
Magnesium hydroxide: May increase the excretion of salicylates due to urine alkalinisation.
Tác dụng
Description:
Mechanism of Action: Aluminium hydroxide and magnesium hydroxide are antacids that neutralise the secreted gastric acid, resulting in increased gastric pH and inhibition of pepsin activity.
Aluminium hydroxide, a slow-acting antacid, reacts with hydrochloric acid in the stomach to form aluminium chloride and water.
Magnesium hydroxide, a fast-acting antacid, reacts with hydrochloric acid in the stomach to form magnesium chloride and water.
Duration: Aluminium hydroxide: Up to 3 hours (60 minutes after meals); 20-60 minutes (fasting state).
Pharmacokinetics:
Absorption: Aluminium hydroxide: Not well absorbed from the gastrointestinal tract.
Magnesium hydroxide: Bioavailability: Approx 15%.
Distribution: Magnesium hydroxide: Volume of distribution: 60.2 L.
Excretion: Aluminium hydroxide: Via urine (17-30%); faeces (when combined with dietary phosphate in the intestine).
Magnesium hydroxide: Via urine (up to approx 20%); faeces (as unabsorbed drug). Elimination half-life: 8.3 hours.
Đặc tính

Chemical Structure Image
Aluminium hydroxide

Source: National Center for Biotechnology Information. PubChem Compound Summary for CID 10176082, Aluminum Hydroxide. https://pubchem.ncbi.nlm.nih.gov/compound/Aluminum-Hydroxide. Accessed Sept. 24, 2024.


Chemical Structure Image
Magnesium hydroxide

Source: National Center for Biotechnology Information. PubChem Compound Summary for CID 73981, Magnesium Hydroxide. https://pubchem.ncbi.nlm.nih.gov/compound/Magnesium-Hydroxide. Accessed Sept. 24, 2024.

Bảo quản
Store below 30°C. Storage recommendations may vary between individual products (refer to specific product guidelines).
Phân loại MIMS
Thuốc kháng acid, chống trào ngược & chống loét
Tài liệu tham khảo
Aluminium [Aluminum] Hydroxide and Magnesium Hydroxide. UpToDate Lexidrug, Lexi-Drugs Multinational Online. Waltham, MA. UpToDate, Inc. https://online.lexi.com. Accessed 05/06/2024.

Aluminium [Aluminum] Hydroxide. UpToDate Lexidrug, Lexi-Drugs Multinational Online. Waltham, MA. UpToDate, Inc. https://online.lexi.com. Accessed 05/06/2024.

Aluminum Hydroxide; Magnesium Hydroxide. Gold Standard Drug Database in ClinicalKey [online]. Elsevier Inc. https://www.clinicalkey.com. Accessed 05/06/2024.

Brayfield A, Cadart C (eds). Aluminium Hydroxide. Martindale: The Complete Drug Reference [online]. London. Pharmaceutical Press. https://www.medicinescomplete.com. Accessed 05/06/2024.

Brayfield A, Cadart C (eds). Magnesium Hydroxide. Martindale: The Complete Drug Reference [online]. London. Pharmaceutical Press. https://www.medicinescomplete.com. Accessed 05/06/2024.

Joint Formulary Committee. Co-magaldrox. British National Formulary [online]. London. BMJ Group and Pharmaceutical Press. https://www.medicinescomplete.com. Accessed 17/09/2024.

Maalox 175 mg/200 mg Oral Suspension (Opella Healthcare UK Limited, Trading as Sanofi). MHRA. https://products.mhra.gov.uk. Accessed 05/06/2024.

Mag-Al Liquid Suspension (PAI Holdings, LLC). DailyMed. Source: U.S. National Library of Medicine. https://dailymed.nlm.nih.gov/dailymed. Accessed 05/06/2024.

Magnesium Hydroxide. UpToDate Lexidrug, Lexi-Drugs Multinational Online. Waltham, MA. UpToDate, Inc. https://online.lexi.com. Accessed 05/06/2024.

Mucogel Suspension (Rosemont Pharmaceuticals Ltd). MHRA. https://products.mhra.gov.uk. Accessed 05/06/2024.

Povil Antacid Mixture Peppermint (Winwa Medical Sdn. Bhd.). National Pharmaceutical Regulatory Agency - Ministry of Health Malaysia. https://www.npra.gov.my. Accessed 17/09/2024.

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