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Look Up > Drugs > Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone
Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone
Pronunciation
U.S. Brand Names
Generic Available
Pharmacological Index
Use
Pregnancy Risk Factor
Adverse Reactions
Usual Dosage
Dietary Considerations
Administration
Dental Health: Local Anesthetic/Vasoconstrictor Precautions
Dental Health: Effects on Dental Treatment
Patient Information
Nursing Implications
Dosage Forms

Pronunciation
(a LOO mi num hye DROKS ide, mag NEE zhum hye DROKS ide, & sye METH i kone)

U.S. Brand Names
Di-Gel®[OTC]; Gas-Ban DS®[OTC]; Maalox® Plus [OTC]; Magalox Plus®[OTC]; Mylanta®[OTC]; Mylanta®-II [OTC]

Generic Available

Yes


Pharmacological Index

Antacid; Antiflatulent


Use

Temporary relief of hyperacidity associated with gas; may also be used for indications associated with other antacids


Pregnancy Risk Factor

C


Adverse Reactions

>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


Usual Dosage

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


Dietary Considerations

Should be administered 1-3 hours after meals


Administration

Administer 1-2 hours apart from oral drugs


Dental Health: Local Anesthetic/Vasoconstrictor Precautions

No information available to require special precautions


Dental Health: Effects on Dental Treatment

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.


Patient Information

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


Nursing Implications

Administer 1-2 hours apart from oral drugs


Dosage Forms

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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