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Pronunciation |
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(a
LOO mi num hye DROKS ide & mag
NEE zhum hye DROK side) |
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U.S. Brand
Names |
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Aludrox®[OTC]; Maalox®[OTC];
Maalox® Therapeutic Concentrate
[OTC] |
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Generic
Available |
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Yes |
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Synonyms |
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Magnesium Hydroxide and Aluminum Hydroxide |
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Pharmacological Index |
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Antacid |
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Use |
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Antacid, hyperphosphatemia in renal failure |
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Pregnancy Risk
Factor |
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C |
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Adverse
Reactions |
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>10%: Gastrointestinal: Constipation, chalky taste, stomach cramps, fecal
impaction
1% to 10%: Gastrointestinal: Nausea, vomiting, discoloration of feces (white
speckles)
<1%: Endocrine & metabolic: Hypophosphatemia, hypomagnesemia
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Usual Dosage |
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Oral: 5-10 mL or 1-2 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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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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Chew tablets thoroughly before swallowing with water; 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; shake suspensions well
Observe for constipation, fecal impaction, diarrhea, and hypophosphatemia
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Dosage Forms |
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Suspension:
Aludrox®: Aluminum hydroxide 307 mg and magnesium
hydroxide 103 mg per 5 mL
Maalox®: Aluminum hydroxide 225 mg and magnesium
hydroxide 200 mg per 5 mL
High potency (Maalox® TC): Aluminum hydroxide 600 mg
and magnesium hydroxide 300 mg per 5 mL
Tablet, chewable (Maalox®): Aluminum hydroxide 600 mg
and magnesium hydroxide 300 mg |
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