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Pronunciation |
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(a
LOO mi num hye DROKS ide, mag NEE
zhum hye DROKS ide, & sye METH i kone) |
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U.S. Brand
Names |
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Di-Gel®[OTC]; Gas-Ban DS®[OTC];
Maalox® Plus [OTC]; Magalox Plus®[OTC];
Mylanta®[OTC]; Mylanta®-II
[OTC] |
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Generic
Available |
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Yes |
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Pharmacological Index |
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Antacid; Antiflatulent |
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Use |
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Temporary relief of hyperacidity associated with gas; may also be used for
indications associated with other antacids |
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Pregnancy Risk
Factor |
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C |
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Adverse
Reactions |
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>10%: Gastrointestinal: Chalky taste, stomach cramps, constipation,
decreased bowel motility, fecal impaction, hemorrhoids
1% to 10%: Gastrointestinal: Nausea, vomiting, discoloration of feces (white
speckles)
<1%: Endocrine & metabolic: Hypophosphatemia, hypomagnesemia,
dehydration or fluid restriction |
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Usual Dosage |
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Adults: 15-30 mL or 2-4 tablets 4-6 times/day between meals and at bedtime;
may be used every hour for severe symptoms |
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Dietary
Considerations |
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Should be administered 1-3 hours after meals |
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Administration |
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Administer 1-2 hours apart from oral drugs |
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Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
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No information available to require special precautions |
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Dental Health:
Effects on Dental Treatment |
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Aluminum and magnesium ions prevent gastrointestinal absorption of
tetracycline by forming a large ionized chelated molecule with the tetracyclines
in the stomach. Aluminum hydroxide prevents GI absorption of ketoconazole and
itraconazole by increasing the pH in the GI tract. Any of these drugs should be
administered at least 1 hour before aluminum hydroxide. |
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Patient
Information |
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Dilute dose in water or juice; chew tablets thoroughly before swallowing with
water; shake well; notify physician if relief is not obtained or if signs of
bleeding from GI tract occur |
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Nursing
Implications |
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Administer 1-2 hours apart from oral drugs |
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Dosage Forms |
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Liquid:
Mylanta®: Aluminum hydroxide 200 mg, magnesium
hydroxide, 200 mg, and simethicone 20 mg per 5 mL
Maalox® Plus: Aluminum hydroxide 225 mg, magnesium
hydroxide 200 mg, and simethicone 25 mg per 5 mL (30 mL, 180 mL)
Mylanta®-II: Aluminum hydroxide 400 mg, magnesium
hydroxide 400 mg, and simethicone 40 mg per 5 mL (150 mL, 360 mL)
Tablet, chewable:
Magalox Plus®: Aluminum hydroxide 200 mg, magnesium
hydroxide 200 mg, and simethicone 25 mg
Mylanta®: Aluminum hydroxide 200 mg, magnesium
hydroxide 200 mg, and simethicone 20 mg
Gas-Ban DS®, Mylanta®-II:
Aluminum hydroxide 400 mg, magnesium hydroxide 400 mg, and simethicone 40 mg
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