It is a very common experience for us to feel a burning sensation in the chest and a sour feeling in the stomach after eating a delicious meal, isn't it? We also call this "gastritis". So today we are going to talk about a type of medicine that doctors often recommend for such discomforts caused by increased stomach acidity. We generally call these antacids.
Simply put, what is this medicine?
This medicine contains two compounds called Aluminum Hydroxide and Magnesium Carbonate . These belong to the group of medicines called ``Antacids''. You will see these in the market under various names like ``Gaviscon''.
The main thing this does is to neutralize (neutralize) the extra acid in your stomach. Think about it, when stomach acid increases, we feel burning, pain, and indigestion. When you take this medicine, it reduces the effect of that excess acid and gives you relief.
This medicine is usually used:
- For occasional heartburn
- For indigestion
- For stomach acid and bile disorders (such as gastritis)
- For other problems caused by increased stomach acid
Things you should tell your doctor before taking medication
It is very important that your doctor knows about your health before giving you this medicine. If you have any of the conditions below, be sure to tell your doctor about it.
- Other intestinal and stomach diseases: If you have other intestinal diseases (e.g. intestinal obstruction), tell us about it.
- Constipation: The aluminum in this medicine can sometimes make constipation worse. So if you already have constipation, you should tell your doctor.
- Diarrhea: The magnesium in this medicine may cause diarrhea in some people.
- Kidney disease: This is very important. The kidneys are the ones that filter the substances in this medicine out of the body. If your kidneys are not working properly, these substances can build up in the body and cause side effects.
- Liver disease: If you have any liver disease, please inform us about it.
- Salt-controlled diet: If you are on a salt (sodium) control diet, tell your doctor about it, as some antacids may contain sodium.
- Stomach bleeding: If you have a condition where you have blood in your stool, tell us about it.
- If you are pregnant or trying to get pregnant.
- If you are a mother who is breastfeeding.
- If you are allergic to this medicine or any other antacid.
How exactly do I use this medicine?
For a medicine to be effective, it must be used correctly.
1. Shake well: Since this is a liquid, you need to shake the bottle well before using it. This will help the ingredients mix well.
2. Correct measurement: Do not use teaspoons or tablespoons that you have at home. They are not very accurate. Use the measuring cup that comes with the medicine, or a medicine measuring spoon that you can buy at the pharmacy.
3. When to take: Usually, this medicine is taken after main meals and before going to bed at night. But take it exactly as your doctor tells you.
4. Drink a glass of water: It is a good idea to drink a glass of water after taking the medicine.
5. Stay upright: Do not lie down for about 30 minutes after taking the medicine. Sit upright in a chair. This will prevent the medicine from coming back up your throat.
What if you give it to small children?
This medicine is sometimes given to children. But it should only be done under the advice of a pediatrician. Never give this medicine to a child just because you think it is good for you.
If you think you have taken too much of this medicine, call the National Poisons Information Centre at the Colombo National Hospital immediately. Or go to the Emergency Treatment Unit (ETU) of the nearest hospital. Do not take this lightly.
What if I miss a dose of medication?
If you forget to take a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take your next dose at the scheduled time. Never take a double dose to make up for a forgotten dose.
What other medications may interact with this medicine?
This is also a very important point. This antacid can reduce the absorption of some other medications you are taking. Therefore, if you are taking other medications, it is best to take them 2 hours before or 2 hours after taking this antacid.
If you are taking any of the medications listed below, be sure to tell your doctor about it.
| Drug category | Examples |
|---|---|
| Some antibiotics | Such as tetracycline, ciprofloxacin. |
| Antifungal drugs | Itraconazole, Ketoconazole |
| Bone-strengthening drugs | Alendronate, Risedronate |
| Medications for epilepsy | Phenytoin |
| Thyroid hormones | Levothyroxine |
| Other medications | Gabapentin, Isoniazid, Rosuvastatin, Vitamin D |
This list is not complete, so tell your doctor about all the medications you take (including vitamins and herbal products) .
Things to be aware of and side effects when taking medication
- Duration: This medicine is not recommended for continuous use. Do not use this medicine for more than 2 weeks without consulting your doctor. If your symptoms do not improve or worsen, be sure to see your doctor again.
- Warning signs: If your stools are tarry, black , or bloody , or if you feel very tired , it could be a sign of stomach bleeding. Seek immediate medical attention.
- Constipation: Drink several glasses of water a day to prevent constipation.
Side effects
Most people don't experience serious side effects, but it's good to be aware of some things.
| Type of side effect | Characteristics |
|---|---|
| Side effects that should be reported to the doctor immediately | |
| Allergic Reactions | Skin rash, itching, swelling of the face, lips, tongue or throat. |
| High Magnesium Level in the Body | Confusion, excessive sleepiness, flushing, sweating, muscle weakness, fast or irregular heartbeat, and difficulty breathing. (This is more common in people with kidney disease.) |
| Side effects that are usually not serious, but should be reported to the doctor if they persist | |
| Constipation | It may be caused by the aluminum contained in the medicine. |
| Diarrhea | It may be caused by the magnesium contained in the medicine. |
How should I store the medicine?
Store at room temperature (15-30 degrees Celsius) out of the reach of children and pets . Protect from excessive light and moisture. Discard any medicine that has passed the expiration date.
Take-Home Message
- This medicine (antacid) is used to provide temporary relief from conditions such as stomach upset and indigestion.
- Be sure to tell your doctor about any other illnesses you have (especially kidney disease) and all other medications you are taking.
- You should take the medicine exactly as your doctor tells you. Usually, you're told to take it after meals and before bed.
- Do not use this medicine for more than 2 weeks without medical advice. If symptoms do not improve, consult your doctor again.
- If you are taking other medications, take this antacid 2 hours before or after.
- If you experience serious symptoms such as allergic reactions, excessive drowsiness, or black stools, seek medical advice immediately.
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