The drug, which is a carefully calibrated combination of active substances that reduce the activity of pepsin and neutralize gastric acid, is Almagel. Due to these properties, the drug reduces the activity of stomach juices, adsorbs its excess and has an enveloping effect on the mucous membrane. This helps to reduce inflammation of the mucous membrane and prevents the formation of ulcers.
The drug is called Almagel, in the Russian version on the packaging you can see the inscription "Almagel", but since the Russian language is more familiar with a soft "l" in a similar design, the drug is often called "Almagel". Found Almagel application in gastroenterology. Almagel is one of the most popular antacids. The drug is available in several forms.
Official instructions for the use of Almagel A (suspension)
General characteristics of the drug
Regardless of the form in which the product is produced, the medication contains the main component - algeldrat, the drug is cast with additional components. The medication is produced in the form of: tablets; suspension.
A more popular solution is in the form of a suspension. The suspension is available in three versions:
- Almagel since the cardboard box in which it is packed is green, it is often called Almagel green.
- Almagel A or Almagel yellow;
- Almagel Neo (red).
Almagel instructions for use green describes as a classic version of the drug. It contains only the main active ingredients. That is, it is a "pure" antacid. This form is prescribed for pain of moderate intensity and moderate flatulence.
Almagel A describes the instructions for use as a combined medication containing, in addition to an antacid, an anesthetic (benzocaine). Effectively and quickly removes this version of the drug Almagel abdominal pain, while it has all the qualities inherent in an antacid. This form should be preferred if pain comes first in the clinic.
Almagel instructions for use Neo (Almagel red) describes as a drug that perfectly copes not only with the activity of hydrochloric acid, but also with flatulence due to the presence of a carminative component (simethicone) in the composition. Therefore, if the leading symptom is increased gas production, it is recommended to choose this form of medicine.
Almagel T is a tablet form of the drug, the active ingredient is magaldrat. This is a convenient compact form of the product that allows you to fight the consequences of an error in diet, excessive smoking, drinking coffee and alcoholic beverages. I prescribe pills only if it is difficult for the patient to take the suspension.
Contraindications and side effects
Not all patients can be prescribed this remedy. An absolute contraindication to the use of any form of medication is an allergy to its components (component). You should not prescribe medication for serious kidney disease. The drug should not be taken during breastfeeding.
Almagel and Almagel A are not prescribed for Alzheimer's disease. It is not recommended to prescribe the medicine to children due to the possibility of developing methemoglobinemia, it is contraindicated in babies during the neonatal period (up to 1 month). Almagel A is not prescribed with sulfonamides.
Almagel Neo is not prescribed for children under 10 years of age, patients who are intolerant to fructose and patients with hypophosphatemia. Almagel-T is not recommended for use in children under 12 years of age.
During the gestational period, heartburn and epigastric pain are not uncommon. Therefore, expectant mothers often ask whether Almagel is possible during pregnancy? It is not advisable to take this drug during the period of gestation. Since there are funds, although more expensive, but allowed during this period of a woman's life.
For example, according to the official instructions, Almagel A is not prescribed for pregnant women. According to other sources, if urgently needed, Almagel A is prescribed for a period of 3 days (and no more due to the presence of an anesthetic). The decision on the possibility of taking the drug in any form is made by the attending physician, assessing the benefits for the mother and the possible damage that the drug can cause to the fetus.
- nausea; vomiting; constipation;
- stomach pains of a spastic nature; osteomalacia;
- edema and dementia (with renal failure in a patient).
The drug interacts with some medicines (cardiac glycosides, antibiotics and some other medicines).
In case of epilepsy, TBI, a tendency to alcohol abuse, severe liver diseases and in childhood (from 10 to 18 years old), I take the medicine very carefully, as prescribed by a doctor and under his control.
To achieve the proper effectiveness of the medication, you need to know how to take Almagel before or after meals and in what dose?
Answering the question of how to take Almagel, you need to start with the frequency of reception. Both adults and children are encouraged to drink the remedy 4 times a day (the last time before bedtime). The next pressing question is how to take Almagel before or after meals?
Almagel A in any dosage form should be drunk 15 minutes before meals
The drug in any dosage form should be drunk 15 minutes before meals. the last time the medicine should be drunk before bedtime, without further food intake. To the question of how to give Almagel before meals or after children, the answer will be the same from 3 to 4 times a day 15 minutes before meals. Before drinking the drug, the bottle must be shaken so that the suspension becomes homogeneous.
The question of how to drink Almagel also includes the need to find out the dosage of the medicine. For adults, 1-3 scoops or 1-2 tablets are recommended.
Almagel instructions for use for children recommend dosage depending on their age. Children under 10 years of age are advised to give no more than a third of the adult dose; for children aged 10 to 15, the dose can be increased to half the adult dose.
For the appointment of taking the drug Almagel, the indications are:
- inflammatory and ulcerative diseases of the stomach and intestines;
- hernia of the esophagus;
- esophagitis;
- inaccuracies in diet, leading to epigastric pain;
- prevention in the treatment of hormonal and non-steroidal anti-inflammatory drugs.
Almagel for stomach pains, the urge to vomit and nausea is better to drink starting with the Almagel A form (antacid + anesthetic), and then, when the symptoms become almost imperceptible, switch to taking the drug Almagel in maintenance doses.
The cost of the drug
Patients who have arranged instructions for Almagel will certainly be interested in the price. For the drug Almagel, the cost depends on the region of its purchase, the pharmacy network and the type. How much does Almagel cost in a pharmacy? From 162 to 250 rubles. The average price for Almagel in St. Petersburg is about 207 rubles.
Answering the question how much Almagel costs, we can say that the average price for Classic Almagel is 199 rubles, Almagel A - 216 rubles and Almagel Neo -205 rubles.
Drugs with a similar action
For Almagel, the structural analogue is - (Maalox Mini), for Almagel Neo - Simalgel-VM.
Also, the pharmaceutical industry offers a large list of drugs that can alleviate the condition with the same pathologies as Almagel:
- Almag Ino, Palmagel,
- Gestide, Mailax,
- , Cherry Namagel,
- Koalgel and other means.
Review at a glance
For the drug Almagel, instructions for use, patient reviews are not controversial, since this is one of the rare drugs that harmoniously combine price and effectiveness. Patients find the drug relatively inexpensive and quite effective.
Some have been using this tool for more than one year. The taste of the product and its consistency cause complaints, but such shortcomings pale in comparison to the effectiveness of its use. Medication Almagel: instructions for use, price - reviews are mostly positive, although some patients complain about the presence of side effects and that the drug is not intended for constant or very long-term use.
Introductory information about the drug Almagel: instructions for use, reviews, price and means by which it can be replaced are presented for informational purposes. Before using the medication, be sure to consult your doctor. If you need to buy a replacement product, it is also advisable to get expert advice.
Video: Symptoms of gastritis (Elena Malysheva)
Almagel is a non-absorbable antacid, which is a balanced combination of aluminum and magnesium hydroxide. Provides fast and long-term neutralization of hydrochloric acid and reduces the activity of pepsin in the stomach, while the pH level of gastric juice does not exceed 5-6. The components of the preparation are well dispersed, which increases their active surface, provides closer contact with the surface of the mucous membrane of the stomach and duodenum. This slows down the evacuation of gastric contents and prolongs the neutralizing effect. The cytoprotective activity does not depend on the acid-neutralizing ability, but is associated with the activation of the synthesis of prostaglandins E. Based on the ability of the drug to bind bile acids and lysolecithin, as well as to have a gastroprotective effect, it can be used in the complex treatment of duodenogastroesophageal reflux. The action of the drug begins 3-5 minutes after administration and lasts about 3 hours.
Aluminum hydroxide neutralizes hydrochloric acid in the stomach to form aluminum chloride. Under the influence of the alkaline environment of the intestine, the latter turns into alkaline aluminum salts, which are poorly absorbed and excreted in the feces. With normal renal function, serum aluminum levels remain virtually unchanged. About 10% of magnesium hydroxide is absorbed in the intestine. Magnesium hydroxide neutralizes hydrochloric acid in the stomach and turns into magnesium carbonate, and the concentration of magnesium ions in the blood practically does not change. In patients with chronic renal failure, the level of aluminum and magnesium ions may increase to toxic values due to impaired excretion.
Almagel A additionally includes benzocaine, a local anesthetic. It exhibits a local anesthetic effect in the presence of severe pain syndrome. Benzocaine is absorbed in minimal amounts and practically does not affect the body. Its local anesthetic effect occurs within 1-2 minutes after application of the suspension.
Almagel Neo contains simethicone, which helps to reduce flatulence. Simethicone is a stable silicone compound that is not absorbed in the digestive tract and promotes the natural elimination of gases and their absorption by the intestinal walls. Simethicone acts in the lumen of the small intestine and is excreted unchanged from the body.
Indications for the use of the drug Almagel
Used both as monotherapy and in complex therapy of inflammatory and erosive changes in the mucous membranes of the esophagus, stomach or duodenum for the following diseases: gastritis, esophagitis, duodenitis, gastroesophageal reflux disease, hiatal hernia, gastric ulcer and duodenal ulcer in the presence of reflux (heartburn).
In cases where the listed conditions are accompanied by manifestations of flatulence, the use of Almagel Neo is recommended. Almagel A is indicated for severe pain syndrome, after the relief of which they switch to the use of Amagel or Almagel T.
Application of the drug Almagel
It is taken orally 10 minutes before meals or 1.5-2 hours after meals, or as needed.
Almagel is recommended for adults and children over the age of 15 years, 5-10 ml (1-2 scoops) 3 times a day. If necessary, the dose can be increased to 15 ml (3 scoops).
Children aged 10-15 years are prescribed half of the recommended dose for adults.
The duration of treatment is determined by the doctor.
Almagel T is used in adults and children over 12 years of age, if necessary, in a dose of 500-1000 mg (1-2 tablets), but no more than 6 times a day.
Almagel A is used in adults with severe pain syndrome, 5-10 ml (1-2 scoops) 3-4 times a day 10-15 minutes before meals or in case of pain. The duration of treatment with Almagel A should not exceed 7 days, then proceed to the use of Almagel, Almagel T or Almagel Neo for 15-20 days.
Almagel Neo is used in adults and children from 14 years of age in the presence of flatulence, 10-15 ml of suspension (2-3 scoops) 4 times a day, one hour after meals and in the evening before bedtime. After achieving the desired effect, the dose is reduced to 10 ml 4 times a day.
The maximum daily dose (60 ml) can be used for no more than 4 weeks.
Contraindications to the use of the drug Almagel
Hypersensitivity to substances that make up the drug; severe renal dysfunction; intestinal obstruction; suspicion of appendicitis; bleeding from the alimentary canal of unknown origin; ulcerative colitis; conditions that cause violations of the water and electrolyte balance. Age restrictions- Almagel is contraindicated in children under 10 years of age; Almagel Neo - for children under 14 years old, Almagel T - for children under 12 years old, Almagel A is contraindicated for children.
Side effects of the drug Almagel
Changes in taste (the appearance of a chalky taste), nausea, vomiting, diarrhea or constipation, and discoloration of stool may be noted. When using Almagel A, local and systemic allergic reactions can be detected.
Special instructions for the use of the drug Almagel
With prolonged (more than 20 days) use, it is necessary to regularly monitor the patient's condition. The drug does not contain sugar and can be used in patients with diabetes mellitus. The drug contains sorbitol, which is contraindicated in congenital fructose intolerance. Almagel and Almagel A contain parabens that can cause allergic reactions.
Use during pregnancy and lactation... During pregnancy and lactation, the doctor may prescribe Almagel, Almagel T or Almagel Neo, weighing the risk / benefit ratio. In this case, the drug is recommended to be used no more than 5-6 days and only under medical supervision. It is not recommended to prescribe for toxicosis of pregnant women (nephropathy, etc.). Almagel A is contraindicated during pregnancy and lactation due to the content of benzocaine.
Interactions of the drug Almagel
Almageli reduce the absorption of reserpine, histamine blockers, digitalis glycosides, iron salts, lithium preparations, quinidine, mexiletine, phenothiazine drugs, tetracycline antibiotics, ciprofloxacin, isoniazid and ketoconazole. The interval between taking Almagel and other medicines should be at least 1-2 hours.
Overdose of the drug Almagel, symptoms and treatment
Long-term use in high doses can cause constipation or diarrhea, phosphorus deficiency syndrome (loss of appetite, muscle weakness, weight loss). Patients with renal failure may experience neurotoxicity, osteomalacia, osteoporosis, hypermagnesemia, and electrolyte imbalance.
Storage conditions of the drug Almagel
In a dark place at a temperature not exceeding 25 ° C.
List of pharmacies where you can buy Almagel:
- St. Petersburg
As you know, about 90% of the adult population suffers from gastritis, so from time to time everyone experiences stomach problems. Anything can be the reason for their appearance: an irregular meal, an excess of salt and spices in dishes, even a change of season - in autumn and spring, our body is more vulnerable than always. Be that as it may, pain, heaviness in the abdomen or mild nausea bother each person several times a year.
Fortunately, there is a safe and proven medicine that can be used both as first aid and in a long-term treatment program. This is almagel.
What almagel consists of and how does it work
The main active ingredients of this drug are magnesium hydroxide and aluminum hydroxide. They neutralize hydrochloric acid and create a thin film on the surface of the mucous membrane of the esophagus, stomach and duodenum, which protects tissues from the aggressive action of digestive juices. Both the composition and the action of almagel are very simple, but it does not become less effective from this.
Indications and method of application
The tool can be used for:
- gastroesophageal reflux disease;
- exacerbation of gastritis and acute gastritis;
- exacerbation of duodenal and stomach ulcers;
- hernia of the esophageal opening of the diaphragm with the throwing of gastric contents into the esophagus;
- gastroduodenitis;
- medicinal gastritis;
- for the prevention of gastropathy when taking non-steroidal anti-inflammatory drugs and hormones.
Almagel is available in the form of a suspension, which is taken orally, 5-10 ml. It is very convenient to dispense the product - it comes with a 5 ml measuring spoon. It is necessary to drink the suspension 3 or 4 times a day - one hour after each main meal and, if necessary, at night. For patients under 15 years of age, a single dose is 2.5-5 ml.
The medicine should not be taken with water.... However, there is no need for this - Almagel has a rather pleasant "lemon-metallic" taste, which is why even the most fastidious patients - children - drink it without whims.
Shake the product before use - when it stands for a long time, a layer of transparent liquid forms in its upper part. This does not mean that the medicine is unsuitable - any suspension eventually separates into layers.
Almagel versus herbal antacids: which is better?
For some reason, this medicine is often opposed to herbal remedies to protect the stomach. Fans of traditional treatment claim that jelly, mucus from rice water or a decoction of flax seeds are safer, more convenient to use and effective. What is the real situation?
So, the benefits of this medication:
- does not cause "acid ricochet"
Many medicines, including herbal ones, suppress the negative effects of acid, however, when they stop acting, the production of aggressive substances increases, causing a deterioration in well-being. Almagel acts gently and is not accompanied by such phenomena.
- very fast acting
Even the most "faithful" folk remedy does not show its effect from the first moments. However, within 5 minutes after taking Almagel, the patient feels noticeable relief, and after 20-25 minutes the symptoms usually disappear altogether. If a person has a duodenal ulcer, it takes longer for the pain to decrease.
- does not take time to prepare and tastes good.
But the disadvantages:
- with long-term use or in large doses, the drug causes constipation
I must say, this is a dubious drawback, since many herbal remedies - first of all, the well-known rice - provoke similar side effects. Nevertheless, it is necessary to remember this: if the patient has problems with stool, in parallel he will have to take measures to resolve them.
- Almagel - "chemistry" and can be harmful?
Also not entirely true, although this opinion is quite common. Of course, almagel is created on the basis of chemicals - like, in fact, almost everything in this world, including everyone's favorite soda. However, the components of the drug act locally, they are almost not absorbed into the bloodstream and therefore cannot be harmful.
- Almagel interferes with the absorption of many drugs.
Therefore, you can drink other means at least an hour after taking the suspension.
- the product cannot be used for too long
Yes, you can drink jelly at least a whole year - there will be no problems. However, for Almagel, the course is limited. The fact is that the presence of a large amount of magnesium and aluminum in the intestine impairs the absorption of other substances - primarily iron. Therefore, over time, a person may develop deficiency conditions: anemia, a decrease in the level of phosphate in plasma, etc. However, the duration of treatment up to 20 days is considered safe - during this time you can cope with any exacerbation.
What is almagel?
There are three main types of this medicine.
Almagel (suspension), Almagel T (tablets): a preparation of the usual composition.
Almagel A: anesthesin, a local anesthetic substance, has been added to the components. This option is preferable in patients in whom abdominal pain predominates among the symptoms.
Almagel NEO: an additional ingredient - simethicone, a substance that reduces gas formation. The medicine is used in patients with flatulence, has an orange flavor.
Regardless of the type, the drug is well tolerated by patients and very rarely causes side effects. If necessary, it can even be used in pregnant and lactating women (no more than 3-5 days) - for them it is practically the only approved medication that is allowed to be used for stomach diseases. Another plus is that the medicine can be obtained at any pharmacy, so there will be no problems with finding. And if for some reason it is not available, you can choose one of the many products with similar active ingredients - alumag, maalox, altacid.
Almagel is an effective antacid agent for the treatment of acid-related diseases of the gastrointestinal tract. Instructions for use prescribe to take a suspension of type A and Neo for heartburn, gastritis and ulcers.
Release form and composition
- Almagel is available in the form of a suspension for oral administration, sold in vials (170 ml each) complete with a dosage spoon (5 ml) in a green box, which contains instructions for use.
- The NEO form is delivered to pharmacies in red 10 ml sachets.
- Almagel A syrup - yellow. No pills are produced.
The active ingredient is Algeldrate + Magnesium hydroxide (Algeldrate + Magnesium hydroxide).
What helps Almagel (NEO and A)?
The drug is used in gastroenterology. The medication has a beneficial effect on the mucous membranes of the digestive system.
The main indications for the use of Almagel A:
- epigastric pain with abuse of coffee, nicotine or alcohol;
- inaccuracies in diet;
- duodenitis;
- hernia of the opening of the esophagus in the diaphragm;
- reflux esophagitis (throwing content);
- NSAID and glucocorticosteroid therapy;
- ulcerative diseases of the digestive system;
- gastritis (acute form, chronic course);
- enteritis.
Almagel A is prescribed for complex therapy for patients with diabetes mellitus.
Instructions for use
Almagel is taken orally. Before each dose, the suspension must be thoroughly homogenized by shaking the bottle.
Treatment 
The drug is taken 45-60 minutes after meals and in the evening before bedtime. Adults and children over 15 years of age are prescribed 5-10 ml (1-2 scoops) 3-4 times a day. If necessary, a single dose can be increased to 15 ml (3 scoops).
Children aged 10 to 15 years are prescribed in a dose equal to half the adult dose. After reaching the therapeutic effect, the daily dose is reduced to 5 ml (1 scoop) 3-4 times a day for 15-20 days. It is not recommended to take liquids within 15 minutes after taking Almagel.
Prophylaxis
5-15 ml 15 minutes before taking medications with irritating effect.
Almagel Neo
Adults
Inside, 2 scoops of orange-flavored suspension 4 times a day, 1 hour after meals and in the evening before bedtime. If necessary, a single dose can be increased to 4 scoops, but the maximum daily dose should not exceed 12 scoops.
Children over 10 years old
The dosage is determined by the attending physician - usually 1/2 dose for adults. The course of treatment is no more than 4 weeks. Before taking the suspension, it is necessary to homogenize by shaking the bottle. It is advisable to take Almagel Neo undiluted. It is not recommended to take liquid within half an hour after taking the drug.
Almagel A
Inside. According to the doctor's prescription, 1-3 dosage (teaspoons) spoons, depending on the severity of the case, 3-4 times a day, half an hour before meals and in the evening before bedtime. In children, the drug is used strictly according to the doctor's prescription: children under 10 years old are prescribed 1/3 of the dose for adults, and children from 10 to 15 years old - 1/2 dose for adults.
For diseases accompanied by nausea, vomiting and abdominal pain, treatment begins with form A, and after the disappearance of the listed symptoms, they switch to Almagel. Shake the bottle before taking.
pharmachologic effect
Almagel is the first antacid drug. Antacids are intended for the treatment of acid-related diseases of the gastrointestinal tract by neutralizing the hydrochloric acid contained in the gastric juice.
The active component of Almagel, aluminum hydroxide, has become the basis for the production of a number of antacids. Aluminum hydroxide, coming into contact with hydrochloric acid, neutralizes it by forming aluminum chloride.
The composition of the drug also includes magnesium hydroxide, which, in addition to neutralizing hydrochloric acid, eliminates the ability of aluminum chloride to provoke constipation. The active use of Almagel in medical practice is due to the antacid, enveloping, gastroprotective and adsorbing properties of the drug.
Thanks to D-sorbitol, the drug is able to function as a laxative and enhance bile secretion. The action of Almagel has been observed for a long period of time. The drug for the second time does not increase the release of hydrochloric acid and does not cause flatulence, since the regulation of the acidity of hydrochloric acid occurs uniformly without the formation of carbon dioxide bubbles.
The use of Almagel does not provoke a sharp shift in the pH of the stomach to the alkaline side, does not cause an increase in the pH of the blood, and also does not violate the water-electrolyte balance and does not contribute to stone formation in the urinary tract.
Almagel A also contains benzocaine, which has a pronounced local anesthetic effect in pain. The medication is produced in the form of a gel, which allows the drug to be evenly distributed over the gastric mucosa, thereby providing a more effective and long-lasting effect. The therapeutic effect begins 3-5 minutes after taking a single dose of the drug and lasts about 70 minutes.
Contraindications
Almagel in the form of a suspension cannot be prescribed to patients in the presence of such conditions:
- Disorders of the liver or kidneys.
- Hypersensitivity to the components of the drug, to which the patient has previously experienced allergic reactions or severe side effects.
- Alzheimer's disease.
- Gastritis with low acidity.
- Children under 12 years of age.
- Individual intolerance to the drug.
Side effects
In some cases, in the process of taking Almagel, side effects occur in the form of nausea, vomiting, changes in taste, the occurrence of painful cramps in the stomach and constipation. Drowsiness is noted in the process of taking sufficiently high doses of the drug.
When taking high doses, there may be a deficiency of phosphorus in the body, osteomalacia, increased absorption and excretion of calcium in the urine if there is no phosphorus-rich food in the daily diet.
Children, during pregnancy and breastfeeding
The need for use is established by the attending physician. Almagel during pregnancy is recommended as a remedy against heartburn, helping to weaken the symptoms of early and late toxicosis, with flatulence. In this case, the course of treatment should last no longer than three days.
Abuse of this drug by pregnant women is not recommended due to the presence of such a side effect as constipation. Within an hour after taking, you should stop drinking any liquid. You can lie down for a few minutes and roll over from side to side.
Contraindicated in children at an early age (up to 1 month) and up to 10 years old with Almagel Neo.
special instructions
While using Almagel, you should not eat lemons, tartaric acid and vinegar. This drug is suitable for patients with diabetes mellitus, since it does not contain sugar in its composition.
Drug interactions 
During treatment with Almagel Neo, it is important to remember that after taking the suspension, no other medications can be taken within 2 hours.
With the simultaneous use of a suspension with tetracycline, indomethacin, aminazine or H2-histamine blockers, the former reduces the therapeutic properties of the listed substances.
Analogues of the drug Almagel
Analogs are determined by structure:
- Rivolox.
- Almagel Neo.
- Anacid forte.
- Almagel A.
- Almol.
- Alumag.
- Maalox.
- Adjiflux.
- Gastricide.
Analogs have a similar antacid effect:
- Alfogel.
- Rutacid.
- Milk of magnesia.
- Sodium bicarbonate.
- Aktal.
- Gelusil varnish.
- Daijin.
- Magnistad.
- Alyugastrin.
- Andrews antacid.
- Gestide.
- Simalgel VM.
- Magnatol.
- Tannakp.
- Magalfil 800.
- Scoralight.
- Talcid.
- Antareit.
- Tams.
- Anacid forte.
- Gaviscon forte.
- Rennie.
- Becarbon.
- Gastric.
- Gasterin.
- Relzer.
- Sodium bicarbonate.
- Gaviscon.
- Magnesium oxide.
- Rockjel.
- Gastroromazole.
- Tisacid.
- Gelusil.
- Gelusil.
- Additive calcium.
- Calcium carbonate.
- Topalkan.
- RioFast.
Vacation conditions and price
The average price of Almagel (suspension 170 ml) in Moscow is 199 rubles.
The suspension can be purchased without a prescription form.
The shelf life of Almagel is 5 years. It should be stored in a well-sealed container in a cool (from 5 to 150 C - the optimal storage temperature) and protected from light.
Suspension Almagel Neo is sold in pharmacies without a prescription. The sealed bottle should be stored at a temperature not exceeding 25 degrees in a dark place for 2 years from the date of manufacture. An open bottle should be kept in the refrigerator for no more than 6 months.
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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 with 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 - aluminum and magnesium hydroxide gel);
- 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.
Compound
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 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 with 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 excreted.
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 in 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.
- Pills are usually the drug of exclusion. 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 increased 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, as well as 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, inadequacies in diet, 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 to 3 scoops 3 to 4 times a day. If the measuring spoon is lost, then you can use a regular 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 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), Azitromapirinadoxin, Azitromapirinadoxin, Azitromapiri 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, you need to see a doctor. The tablets can be given to children from 12 years of age. 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 medicines. 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 time of 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 permissible 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 going to bed. 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 remedy, 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. However, if the pathology of the organs of the gastrointestinal tract is accompanied by a strong and pronounced pain syndrome, then it is better to prefer the Almagel A suspension, which has the best anesthetic effect. In the presence of strong gassing and bloating, the most preferred option is Almagel Neo, which contains a substance that eliminates this particular painful symptom. If there is no pronounced pain syndrome or gas formation, then you can choose any drug, depending on personal preference.
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