Almagel as a remedy for heartburn during pregnancy. Heartburn is not always a symptom of the disease. Possible risks and contraindications
And heartburn. Yellow Almagel, in addition, has analgesic properties, therefore it is used to eliminate severe pain syndrome in various diseases of the digestive system.
The drug Almagel also has the spelling "Almagel". This confusion is due to the fact that the name of the original is written in Latin letters "Almagel". The letter "l" in the Latin word is usually read softly, like "l". However, it is impossible to accurately convey phonetics and pronunciation in Cyrillic letters, therefore there are variants of spelling the name with both soft "l", or only one - at the end of the word, as is typical of the Russian language.
Types and forms of release
To date, Almagel is available in two main dosage forms:1. Suspension.
2. Pills.
The suspension contains various components that give the drug certain additional properties. The following suspension options are available today:
- Suspension Almagel (contains only the main components - gel of aluminum and magnesium hydroxide);
- Suspension Almagel A (together with the main components contains anesthetic benzocaine);
- Suspension Almagel Neo (together with the main components contains the substance simethicone, which removes gases);
In connection with such a convenient and unified color of the packaging, the variants of the drug are often called by the color of the box, for example, Almagel green (base, ordinary suspension), Almagel yellow (Almagel A with anesthetic), Almagel red (Almagel Neo). The name "Almagel in sachets" means the release form of Almagel Neo, which is poured into small plastic sachets with a volume of 10 ml.
All Almagel suspensions are available in 170 ml vials with a 5 ml measuring spoon. Almagel Neo is also available in the form of 10 ml sachets. The tablets are sold in packs of 12 and 24.
Composition
All forms of Almagel contain active ingredients and auxiliary components that provide the necessary consistency in the form of a suspension. Consider the quantitative composition of the active ingredients of various variants of the drug:- Almagel green - algeldrat (aluminum hydroxide gel), magnesium hydroxide paste;
- Almagel A yellow - algeldrat (aluminum hydroxide gel), magnesium hydroxide paste, benzocaine;
- Almagel Neo - algeldrat (aluminum hydroxide gel), magnesium hydroxide paste, simethicone;
- Almagel T - a tablet contains 500 mg of magaldrate (magnesium and aluminum hydroxide).
Almagel green and Almagel A yellow | Almagel Neo | Almagel tablets |
Sorbitol | Sorbitol | mannitol |
Hydroxyethyl cellulose | hydrogen peroxide 30% (perhydrol) | microcrystalline cellulose |
Methyl parahydroxybenzoate | sodium saccharinate | sorbitol |
propyl parahydroxybenzoate | Hyetellose | magnesium stearate |
Butyl parahydroxybenzoate | citric acid monohydrate | |
saccharin sodium | ethyl parahydroxybenzoate | |
lemon oil | propyl parahydroxybenzoate | |
Ethanol | propylene glycol | |
distilled water | macrogol 4000 | |
orange flavor | ||
ethyl alcohol 96% | ||
distilled water |
Action and therapeutic effects
The action of Almagel is due to the active components that make up its composition. It is these substances that determine the therapeutic effects of the drug.Aluminum and magnesium hydroxide (AMH) has the following therapeutic effects:
1.
Absorbent action.
2.
Enveloping action.
3.
Antacid action.
Since all Almageli contain AMG as an active ingredient, all types of the drug also have the listed therapeutic effects.
The antacid effect is to neutralize the hydrochloric acid produced by the stomach glands. By neutralizing the acid, a protective effect on the gastric mucosa is also ensured. Magnesium and aluminum hydroxide binds free hydrochloric acid found in gastric juice, which reduces its overall digestive capacity. A decrease in the ability to digest gastric juice leads to a decrease in its damaging abilities, which can form a stomach ulcer.
In addition to binding hydrochloric acid, magnesium and aluminum hydroxide adsorbs various substances that have a negative effect on the mucous membrane of the stomach and intestines. And in addition to eliminating and binding various damaging substances, aluminum and magnesium hydroxide in Almagel envelops the gastric mucosa, creating a powerful protective barrier on its surface.
The protective layer on the surface of the gastric mucosa contributes to the even distribution of the active components. Due to the formation of the protective layer, a long-term effect of the drug is achieved.
Aluminum hydroxide, neutralizing hydrochloric acid and reducing the production of pepsin, forms aluminum chloride, which is subsequently transformed into alkaline aluminum salts as it moves through the intestines. Magnesium hydroxide also neutralizes hydrochloric acid to form magnesium chloride. In addition, magnesium hydroxide plays an important role in antagonizing aluminum hydroxide, which can lead to constipation. It is magnesium hydroxide that eliminates this effect. Sorbitol also has a laxative effect, which increases the secretion of bile. The combined effects of sorbitol and magnesium hydroxide determine normal stool without constipation while taking Almagel.
In addition, due to the protective layer on the surface of the stomach, carbon dioxide does not form, which leads to flatulence, a feeling of heaviness and a reflex increase in the production of hydrochloric acid.
Almagel is used as a drug with adsorbing and enveloping properties, as well as an antacid effect in case of high acidity of gastric juice. Suspension and tablets relieve pain syndrome localized in the upper gastrointestinal tract. Moreover, the therapeutic effect is manifested in 3 - 5 minutes after ingestion, and lasts 1 - 2 hours.
Almagel A, in addition to aluminum and magnesium hydroxides, contains benzocaine, which is an anesthetic. Thanks to this component, the drug has a pronounced and long-term analgesic effect. Therefore, Almagel A is indicated for use in the treatment of diseases that are accompanied by severe pain syndrome.
Almagel Neo contains the substance simethicone, which prevents the formation of gases and improves their destruction. The formed gas bubbles under the action of simethicone are destroyed, absorbed into the intestinal wall and taken out.
Indications for use
All Almagel preparations are used for ulcerative and inflammatory diseases of the stomach and upper intestines. Due to the fact that each type of drug has its own individual properties, they are indicated for use with the same pathological conditions, but occurring with certain prevailing symptoms. For example:- Almagel A should be chosen in case of severe pain syndrome, since the anesthetic effect of this version of the drug is the strongest and most prolonged.
- Almagel Neo should be preferred with a tendency to flatulence and increased gas formation.
- Almagel green is best taken with moderate pain syndrome and slight gas formation.
- Tablets are usually the drug of exception. That is, if a person cannot take the suspension for any reason, then Almagel is prescribed in tablet form.
Almagel and Almagel A | Almagel Neo | Almagel tablets |
Acute gastritis | Acute gastritis with high acidity | |
Acute gastritis with high or normal acidity | Exacerbation of chronic gastritis with high acidity | |
Exacerbation of chronic gastritis with high or normal acidity | Duodenogastric reflux | Stomach and duodenal ulcer |
Duodenitis | Acute duodenitis | Reflux esophagitis |
Enteritis | Reflux esophagitis | Acute duodenitis |
Colitis | Acute pancreatitis | Stomach pain |
Functional disorders of the intestines | Exacerbation of stomach and duodenal ulcers | |
Reflux esophagitis | Flatulence | Hernia of the esophageal opening of the diaphragm |
Hernia of the esophageal opening in the diaphragm | Erosion of the mucous membranes of the stomach and upper intestines | |
Feeling of discomfort and pain in the stomach when you are not on a diet, or after drinking coffee and alcohol or smoking | Symptomatic ulcers in the digestive tract of any origin | Stomach pain, discomfort and heartburn after excessive consumption of alcohol, coffee, diet errors, smoking and other medications |
As a prophylactic agent when using corticosteroids and non-steroidal anti-inflammatory drugs (Aspirin, Nimesulide, Indomethacin, etc.) | Stomach pain and heartburn after excessive consumption of alcohol, coffee, diet errors, smoking and other medications | |
Gastroesophageal reflux | ||
Exacerbation of chronic pancreatitis |
Almagel A is also used in the complex therapy of diabetes mellitus. In the presence of a disease with symptoms of nausea, vomiting and abdominal pain, it is advisable to start treatment with Almagel A, and after eliminating the listed signs, switch to Almagel green.
Instructions for use - how to take Almagel
Let's consider in detail the rules and nuances of using each form of the drug.Almagel (green) and Almagel A (yellow)
Before using Almagel, the bottle should be shaken well to obtain a homogeneous composition. The suspension is taken orally half an hour before meals, and in the evening - just before going to bed, without drinking water. When treating duodenal ulcers and antrum ulcers, it is better to drink Almagel between meals. Between taking Almagel and other drugs, an interval of 1 - 2 hours must be observed.For the treatment of pathology of the gastrointestinal tract, Almagel is taken 1 - 3 measuring spoons 3 - 4 times a day. If the measuring spoon is lost, then you can use an ordinary teaspoon instead, which has the same volume.
For the purpose of prevention, Almagel is taken 1 - 2 teaspoons at a time, half an hour before each meal.
A long period of Almagel's use requires taking phosphorus preparations. You can not take more than 16 tablespoons of the suspension in one day. If it is necessary to use the drug in such large doses, the duration of the course of treatment should not exceed 2 weeks.
Almagel reduces the effect of tetracyclines, histamine blockers (Fenistil, Suprastin, Zyrtec), iron salts, Ciprofloxacin, Phenothiazines, Indomethacin, Ketoconazole, Isoniazid and digitalis glycosides.
Almagel Neo
Before use, it is necessary to shake well the contents of the vial so that the suspension acquires a homogeneous appearance. Almagel Neo is recommended to be taken undiluted. After taking the suspension for half an hour, you must refrain from drinking any liquid. Reception of Almagel Neo and other medications should be spread out in time by 1 - 2 hours. The suspension itself is taken 1 hour after a meal, in contrast to the green Almagel and Almagel A.When taking Almagel Neo for a long period of time, it is necessary to include foods with a high phosphorus content in the menu.
A 5 ml measuring spoon contains 0.113 ml of alcohol, which can provoke complications in people suffering from liver pathology, alcoholism and epilepsy. Also, due to the presence of alcohol in the drug, complications may develop in children under 18 years of age and pregnant women. In addition to alcohol, one scoop of Almagel Neo contains 0.475 g of sorbitol, which should not be consumed by people suffering from congenital fructose intolerance. Taking the drug by people with congenital fructose intolerance can cause stomach irritation and diarrhea.
Adults take Almagel Neo 2 scoops 4 times a day, 1 hour after meals. In the evening, the last dose of the suspension is drunk immediately before going to bed. With the severity of symptoms and severe course of the disease, a single dosage can be increased to 4 scoops. In this case, the maximum allowable daily amount of Almagel Neo is 12 scoops. The duration of the course of treatment should not exceed 4 weeks.
Despite the presence of alcohol in the composition of the drug, it does not affect the speed of reactions. Therefore, against the background of the use of Almagel Neo, a person can engage in any type of activity that requires a high speed of reactions and concentration of attention.
Almagel Neo overdose possible (unlike green and yellow Almagel) with long-term use of the drug in large doses. Symptoms of a suspension overdose are the following:
- redness of the face;
- exhaustion;
- muscle weakness;
- inappropriate behavior;
- mental disorder;
- mood swings;
- slowing down of breathing;
- sensation of unpleasant taste.
Interaction with other drugs. Almagel Neo reduces the action and absorption of Digoxin, Indomethacin, Chlorpromazine, Phenytoin, histamine blockers, beta-blockers, Diflunisal, Ketoconazole, Intraconazole, Isoniazid, tetracyclines, quinolones (Ciprolet and others), Azitromapirinad, Azitromapirinad, Azitromapirinad, Azitromapirinad Penicillamine, Lansoprazole, indirect anticoagulants (Warfarin, Thrombostop, etc.) and barbiturates.
Almagel T (tablets)
Tablets are taken 1 - 2 pieces, no more than 6 times a day. When taking pills on an empty stomach, unpleasant symptoms disappear after half an hour to an hour. When the tablets are taken with food, their effect lasts for 2 to 3 hours. It is optimal to drink Almagel T 1 - 2 hours after a meal, and the evening dose is best taken just before going to bed. The duration of therapy with Almagel tablets is from 10 to 15 days. If during this time the symptoms have not disappeared, it is necessary to see a doctor.The tablets can be given to children from 12 years of age. In this case, there is no need to adjust the dose of the drug for adolescents.
Almagel tablets and other medications should not be taken together. It is necessary to observe an interval of 1 - 2 hours between taking Almagel T and any other medicine.
Throughout the entire course of therapy, it is necessary to abandon the use of caffeine-containing drinks and alcohol, which significantly reduce the effectiveness of the drug.
Almagel T does not change the reaction rate. Therefore, against the background of the use of pills, a person can engage in activities that require increased concentration of attention, including driving a car.
Interaction with other medications. Almagel significantly enhances the effect of indirect anticoagulants (Warfarin, Thrombostop, etc.). But the tablets greatly reduce the absorption and therapeutic effects of tetracyclines, sodium fluoride, Digoxin, Benzodiazepine, Indomethacin, Cimetidine, steroids, iron preparations, Phenytoin, Quinidine, atropine, valproic acid and cardiac glycosides.
Almagel - use in children
Green Almagel and yellow Almagel A can be used to treat children from 1 month. Before use, the bottle should be shaken well to obtain a homogeneous composition. The suspension is given to children half an hour before feeding, and in the evening - just before going to bed, without drinking water. You can give the drug between meals. Between taking Almagel and other drugs, an interval of 1 - 2 hours must be observed.If at the start of treatment the disease is accompanied by the development of vomiting, nausea and abdominal pain, then therapy should be started with Almagel A. After these symptoms disappear, it is rational to switch to green Almagel.
Children under 10 years old receive Almagel in the amount of 1/3 of the adult dose. Children aged 10 to 15 years receive the suspension at half the adult dosage. And adolescents over 15 years old take the drug in adult dosages.
This means that children under 10 years of age take Almagel for treatment, 0.3 - 1 scoop (which corresponds to 1.7 - 5 ml) 3-4 times a day. If there is no measuring spoon, then you can use a regular teaspoon. Children aged 10 - 15 years take 0.5 - 1.5 scoops (2.5 - 5 ml) 3-4 times a day. And adolescents over 15 years old - 1 - 3 (5 - 15 ml) spoons also 3 - 4 times a day.
The maximum daily dose for children under 10 years of age is 5.3 scoops (27 ml), 10-15 years old - 8 scoops (40 ml), over 15 years old - 16 spoons (80 ml). If a child takes Almagel in such high doses, then the maximum allowable duration of the course of use is 2 weeks.
After eliminating the symptoms and normalizing the general condition, you can continue taking Almagel in maintenance dosages for 2 to 3 months. The maintenance and prophylactic dosage for children of different ages is as follows:
1.
Children under 10 years old - 0.3 - 0.7 scoops (1.7 - 3.5 ml).
2.
Children 10 - 15 years old - 0.5 - 1 scoop (2.5 - 5 ml).
3.
Teenagers over 15 years old - 1 - 2 (5 - 10 ml).
For prophylaxis, Almagel is taken half an hour before meals. The number of meals is determined by the number of meals. This means that the drug must be drunk before every meal.
When using the drug for a long time, it is necessary to give the child phosphorus preparations, or include foods with a high content of this trace element in the menu.
Almagel Neo
Almagel Neo is approved for use only by children over 10 years old. At the same time, children aged 10 - 15 years receive the drug in half the dosage. And adolescents over 15 years old take Almagel Neo in an adult dose.Shake well before use. It is not recommended to dilute Almagel Neo for children. After taking the suspension, the child should not be allowed to drink for half an hour. Reception of Almagel Neo and other medications should be spread out in time by 1 - 2 hours. The suspension itself is taken 1 hour after a meal. The use of the product for a long time should be accompanied by the inclusion of products with a high phosphorus content in the menu.
Children aged 10 - 15 years take a suspension of 1 scoop (5 ml) 4 times a day. The last dose is given to drink in the evening, before bedtime. If the child's condition is severe and the symptoms are excessive, the single dose can be increased to 2 scoops (10 ml). The maximum allowable amount of Almagel, which is allowed to be taken by children 10 - 15 years old during the day, is 6 scoops. The duration of the course of therapy should not exceed 4 weeks.
Almagel T tablets
Almagel T tablets are approved for use in children over 12 years old. In this case, the dosages and rules of use are the same as for adults.Application during pregnancy
Green Almagel and yellow Almagel A allowed to be used by women during pregnancy to eliminate the symptoms of gastritis, duodenitis and ulcers in usual dosages for adults. But the drug can be used for a maximum of three days.The suspension can be drunk to relieve heartburn or discomfort in the stomach when overeating, dieting, stress, etc. In this case, pregnant women use Almagel as a symptomatic agent, and drink it sporadically. This means that a woman only takes the drug when she feels heartburn or stomach discomfort. After drinking a single dose of the suspension (1 - 3 scoops), you must wait for the symptoms to disappear. That is, the drug is used only as needed, pregnant women do not drink it systematically. It must also be remembered that you cannot drink the suspension for more than three days in a row as a symptomatic remedy.
Breastfeeding mothers should avoid using the drug.
Almagel Neo and Almagel T tablets can be taken by pregnant women only after consulting a doctor and evaluating the risk / benefit ratio. This tactic is due to the lack of scientific research on the effect of the suspension and tablets on the fetus, since clinical trials on pregnant women, for obvious reasons, have not been conducted.
Contraindications
All versions of Almagel have both general contraindications for use and their own individual ones, characteristic of a particular form of the drug. Contraindications to the use of each form of Almagel are reflected in the table:Green Almagel and yellow Almagel A | Almagel Neo | Almagel tablets |
Sensitivity or allergy to the components of the suspension | Chronic renal failure | Hypersensitivity or allergy to magaldrate and / or sorbitol |
Low concentration of phosphorus in the blood | Severe renal failure | |
Alzheimer's disease | Pregnancy | Age under 12 |
Infants under 1 month old | Alzheimer's disease | |
Under 10 years of age | ||
Congenital fructose intolerance | ||
Propensity for allergic reactions |
In addition, Almagel A (yellow), due to the presence of benzocaine in the composition, cannot be taken simultaneously with sulfa drugs (Biseptol, etc.).
Almagel Neo has relative contraindications, in the presence of which it should be used with caution and under close control over the patient's condition. Such relative contraindications are:
- breastfeeding period;
- liver pathology;
- alcoholism;
- traumatic brain injury and an increase in the concentration of magnesium in the blood.
Almagel T tablets are able to provoke the development of side effects only when used in high dosages. Side effects of the tablets include thirst, discoloration of feces, and constipation.Analogs
Today Almagel has quite a few synonyms in the domestic pharmaceutical market. A synonym is understood as a medicinal product that contains, like Almagel, magnesium and aluminum hydroxide as an active ingredient. Almagel's synonyms include the following drugs:- Agiflux;
- Almol;
- Altacid;
- Algeldrate and magnesium hydroxide;
- Alumag;
- Anacid;
- Gastal;
- Gastricide;
- Gestide;
- Aluminum and magnesium hydroxide;
- Koalgel;
- Maalox;
- Maalukol;
- Mailax;
- Palmagel (taken orally);
- Prolant;
- Rivolox;
- Cherry is maggel.
- Gastal tablets;
- Chewable tablets and Gaviscon suspension;
- Suspension Gaviscon forte;
- Inalan chewable tablets;
- Rennie chewable tablets (with and without sugar).
Phosphalugel or Almagel?
Phosphalugel has a gel structure, and Almagel is a suspension. For diseases of the esophagus, it is preferable to use liquid forms of the drug, that is, Almagel. Also, Almagel is best used for the treatment of children under 10 - 12 years old.Phosphalugel and Almagel have the same properties, but different consistency. However, the former creates a protective barrier with unique properties on the surface of the stomach. In addition, when using Phosphalugel, there is no threat of calcium leaching from the bones and a decrease in the concentration of phosphorus in the blood. Therefore, if long-term use of an antacid is necessary, Fosfalugel is preferable, and for a short-term course of therapy and relief of uncomfortable symptoms, Almagel is better suited.
In other cases, you can choose the drug that, for whatever reason, subjectively likes the person more. For example, it is more convenient for someone to take a gel than to drink a suspension. In this case, Phosphalugel is preferable. If, on the contrary, it is psychologically more comfortable for a person to take a suspension than a gel, then Almagel is better suited for him.
Almagel or Maalox?
Both Almagel and Maalox are a liquid dosage form - a suspension. In addition, the composition of both drugs is almost identical. Both of them contain aluminum and magnesium hydroxide as the main active ingredient. Therefore, you can choose any drug that a person likes more for any subjective reasons.Table # 1. Components that make up Almagel of different types
Almagel A yellow and Almagel green Almagel Neo Almagel tablets Sorbitol Sorbitol Mannitol Hydroxyethyl cellulose Hydrogen peroxide 30% Microcrystalline cellulose Methyl parahydroxybenzoate Sodium saccharinate Sorbitol Propyl parahydroxybenzoate Hyetellose Magnesium stearate Butyl parahydroxybenzoate Citric acid monohydrate Sodium saccharin Ethyl parahydroxybenzoate Lemon oil Propyl parahydroxybenzoate Ethanol Propylene glycol Distilled water Macrogol 4000 Orange flavor Ethyl alcohol 96% Distilled water Some components of Almagel are highly undesirable during pregnancy. Therefore, the doctor observing the woman decides on the appointment of the drug, taking into account all possible risks.
Pharmacological action of Almagel
Almagel components have the following therapeutic effects:
- adsorbent;
- enveloping;
- antacid.
The adsorbing effect is manifested in the neutralization of toxins, aggressive elements and decay products in the digestive tract. Thus, a reliable protective barrier is created for microbes, toxic compounds and hydrochloric acid.
Taking Almagel quickly neutralizes hydrochloric acid, which reduces heartburn. The gastric mucosa is not irritated for the duration of the drug action. Hydroxide of magnesium and aluminum bind hydrochloric acid molecules. This significantly reduces the digestive process, preventing the development of peptic ulcer disease.
The protective layer on the mucous membrane does not allow the formation of carbon dioxide, which provokes flatulence, a feeling of heaviness and increased production of hydrochloric acid. Patients with increased secretion of gastric juice take Almagel to eliminate heartburn and prevent peptic ulcer disease.
First of all, Almagel relieves acute symptoms by relaxing the smooth muscles of the digestive system. The expected effect occurs 3-5 minutes after taking the drug and lasts up to 2-3 hours.
The analgesic benzocaine, which is part of Almagel A, has an analgesic effect, which is simply necessary for severe pain.
Almagel Neo, thanks to the substance simethicone, prevents increased gas formation. Gas bubbles under the action of the drug are destroyed and absorbed into the intestinal walls, eliminating bloating.
Indications for taking Almagel for pregnant women
Almagel is prescribed for acute conditions of the following diseases, as well as in order to prevent their exacerbations during periods of remission:
- peptic ulcer of the stomach or duodenum;
- gastritis;
- enterocolitis;
- flatulence;
- foodborne toxic infections;
- esophagitis;
- hernia of the diaphragmatic opening of the esophagus;
- pancreatitis;
- diverticulitis;
- proctitis;
- sigmoiditis;
- diarrhea.
Also, taking Almagel is necessary for food intoxication and congestion in the intestines. Table 2 shows the features of taking the drug in common acute conditions of the digestive system.
Table 2. Application of "Almagel" for various diseases
Disease Frequency of drug intake Features of taking the drug Heartburn attacks Diarrhea, flatulence 2 times a day at the recommended dosage The contents of the sachet (10 ml) are taken on an empty stomach. Inflammation of the stomach 2-3 times a day at the recommended dosage The contents of the sachet (10 ml) are taken a few minutes before meals. Stomach or duodenal ulcer 2-3 times a day at the recommended dosage The contents of the sachet (10 ml) are taken 1-2 hours after a meal or at moments of acute pain Reflux esophagitis 3 times a day at the recommended dosage The contents of the sachet (10 ml) are taken after meals. Toxicosis 3-4 times a day at the recommended dosage The contents of the sachet (10 ml) are taken on an empty stomach. Along with the above, the use of Almagel in a high dosage has a negative effect on the musculoskeletal system. As a result, the following dangerous conditions develop:
- deficiency of calcium and phosphorus in the blood;
- increasing the concentration of magnesium and aluminum in the blood to critical levels;
- high concentration of calcium in urine;
- sedimentation of calcium salts in the urinary organs;
- encephalopathy.
Bones become more fragile, the feeling of thirst increases, blood pressure decreases, and conditioned reflexes are disturbed.
To completely remove the drug from the body, it is recommended to wash the stomach, and then drink a sorbent and a laxative.
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Almagel's analogs
When there is an intolerance to the drug, the doctor selects an analogue. Almagel has a number of drugs that are identical in action, ready to help without side effects. Modern pharmacology offers the following antacids for overcoming acute conditions in digestive disorders:
- Phosphalugel. In consistency, Phosphalugel differs from Almagel in greater fluidity. Once on the mucous membrane of the digestive tract, the gel molecules create a shell that is unique in its functions, effectively relieving painful symptoms. The advantage of prescribing this analogue for pregnant women is that there is no threat of leaching of trace elements from the body. Therefore, the course of therapy with Fosfalugel can be quite long until the problem is finally eliminated.
- Maalox. Available in suspension and tablet form. Unlike Almagel, Maalox does not have an anesthetic effect, which reduces its effectiveness in severe pain syndromes. Basically, the tool does an excellent job with increased gas production and prolonged diarrhea.
- Rennie. Of the advantages of Rennie over other antacids, one can single out the fact that it does not include aluminum, which contributes to the development of constipation. During pregnancy, Rennie is prescribed only in cases where the benefits outweigh the risks.
- Gevikson. Has established itself as a quick and effective remedy in the treatment of digestive disorders: heartburn, belching, bouts of nausea, frequent bloating, feeling of heaviness after meals. There were no side effects on the embryo in Gevikson. Moreover, the drug actively works only within the gastrointestinal tract, without penetrating into the bloodstream. The active components of Gevikson do not have the ability to be absorbed by the villi of the intestinal walls.
It should be noted that it is sometimes permissible to combine the listed analogs, however, this should be done only after agreement with the doctor. It is advisable to completely free the body from the remnants of the previous drug, and then switch to taking an analogue. But sometimes acute symptoms do not leave such an opportunity for the patient.
Painful discomfort, heartburn, stomach cramps, increased gas production and other unpleasant symptoms can appear in women at any stage of embryonic development. The uterus increases every day, creating significant pressure on the pelvic organs and the diaphragmatic region. As a result, the contents of the stomach are thrown into the esophagus. On an empty stomach, gastric juice, saturated with hydrochloric acid, provokes acute heartburn, which can drag on for the whole day. It is difficult to do without drugs in such conditions.
The systematic use of antacids can lead to negative consequences in the body of the mother and the unborn child. The action of Almagel and some of its analogs has not been fully clinically studied until now. Therefore, it is only necessary for the doctor to make therapeutic appointments after studying the anamnesis, the course of embryonic development and the individual reactions of the pregnant woman's body.
An excess of aluminum compounds in the body of a woman in the first trimester of pregnancy destructively affects the functions of the fetal brain, and also provokes a strong fixation of feces. Until the final formation of the placental barrier, it is not recommended to take antacids for too long. A high concentration of magnesium and aluminum compounds in the blood of a pregnant woman causes abnormalities in the formation of the embryo. In the later stages of gestation, there is also a threat in the form of constipation.
Undesirable consequences from taking Almagel appear quite rarely. The most common is constipation, as a result of inhibition of intestinal motility by aluminum ions. More serious side effects occur in case of exceeding the dosage of the drug and uncontrolled chaotic intake to relieve acute symptoms upon the fact of its manifestation.
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