In the article, we consider the instructions for use for the Almagel NEO (orange) preparation.
It is an antacid cationic multicomponent drug, unable to be absorbed, and intended for local exposure.
The main active ingredients in its composition are simethicone, magnesium hydroxide, aluminum hydroxide. Due to the presence of aluminum hydroxide in the substance, it is able to maintain normal acidity in the stomach for a long time.
Pharmacological forms
According to the instructions for use, Almagel NEO is available in the form of a suspension having an orange aroma and white color. The medication in the human body is not subjected to destruction, does not accumulate, is not absorbed, its excretion is carried out by the intestine. The active ingredients of the drug begin its effect after 5 minutes after application, and the effect lasts up to 5 hours.
Auxiliary components in the preparation are: orange flavoring, ethanol, purified water, macrogol, propiparahydroxybenzoate, citric acid in the form of monohydrate, hyetellosis, sodium saccharinate, sorbitol, hydrogen peroxide.
The medicine is packaged in a sachet of 10 ml, each box of cardboard can hold 10, 20 sachets. Also available in bottles containing 170 ml of the drug suspension.
Indications for use
As indicated by the instructions for use, Almagel NEO can be used as a single drug and as an element of the complex therapy of such pathological conditions as:
- Epigastric pain, empty belching, bloating, flatulence.
- Excessive consumption of caffeine, nicotine, alcohol.
- Heartburn.
- Gastralgia.
- Chronic pancreatitis.
- Exacerbations of pancreatitis.
- Reflux esophagitis.
- Gastroesophageal reflux.
- Peptic ulcer affecting the stomach and duodenum.
- Duodenitis in acute form.
- Erosive lesions affecting the stomach and duodenum.
- Gastritis, characterized by increased or normal gastric secretory activity and in acute form.
This is confirmed by the instructions for use. Almagel NEO for gastritis is very effective.
Contraindications
The drug is allowed for use only after consulting a doctor and preliminary diagnostic measures to accurately determine the disease.
It is forbidden to use the medicine if the patient has an individual susceptibility to the components of the drug, as well as the following conditions:
- Hypophosphatemia.
- Renal failure.
- Senile dementia of the Alzheimer's type.
It is important to exercise caution when prescribing the suspension to patients with pathological changes in the liver, head injury, brain diseases, epileptic diseases.
Do not use Almagel NEO in the lactation period and during pregnancy. At the age of 10 years, the drug is contraindicated, and therapy of adolescents with the use of medication should be carried out under the supervision of a doctor.
Negative impact
In accordance with the instructions for use with Almagel NEO, against the background of the use of the drug, negative effects can occur, expressed in violation of taste, changes in stool, nausea, dyspepsia, allergic manifestations. If the drug is used for a long period of time or in increased dosages, the patient may develop renal failure, encephalopathy, hypermagnesemia, hyperealuminemia, osteomalacia, nephrocalcinosis, osteoporosis, an increase in the level of calcium in the urine, a decrease in the content of calcium and phosphorus in the blood.
As the instructions for use and reviews for Almagel NEO confirm, when using the drug for the treatment of patients suffering from renal failure, the appearance of hyporeflexia, severe thirst, and a decrease in blood pressure are not ruled out.
Use of medication
The required dosage of the drug should be determined by the doctor. Adult patients are prescribed four times a day taking the medicine in 2 scoops. It is recommended to take "Almagel NEO" one hour after eating, before going to bed. If necessary, a specialist can recommend an increase in dose to 4 scoops. The total daily dose should not exceed 12 scoops.
When treating children 10-18 years old, it is necessary to use half of the adult dosage, that is, four scoops should be taken four times a day. Dilute the suspension with water should not be.
It is important to shake the vial with the drug before applying the drug to give the suspension uniformity. Therapy can last up to 30 days, but on the recommendation of a doctor can be extended.
If Almagel NEO is used as an element of complex therapy, and the patient uses other oral medications at the same time, then the interval between their doses should be at least an hour. Otherwise, Almagel NEO may interfere with the absorption of other medications, thereby reducing their effectiveness.
Overdose
According to the instructions for use for Almagel NEO, cases of drug overdose are very rare. If the suspension is used in excessively high doses, there is a risk of the patient developing severe hypermagnesemia, which symptomatically manifests itself in the development of arterial hypotension, bradycardia, areflexia, drowsiness, weakness, paralysis, and respiratory failure. Sometimes metabolic alkalosis occurs, the symptoms of which are convulsions, weakness, neuromuscular overexcitation, lethargy, and headache.
With the development of symptoms of an overdose, the patient should take measures to immediately remove the drug from the body - artificially induce vomiting, rinse the stomach, take an adsorbent. After this, you should definitely consult a doctor.
In the instructions for use to "Almagel NEO" reviews about the drug are not indicated. They are presented at the end of the article.
Special instructions for use
Studies of the effect of the drug on the body of a woman and a child when using it in the lactation period and during pregnancy have not been conducted, that is, reliable data on the safety of the drug do not exist. In this regard, the drug is unacceptable to use in these periods. However, a specialist can prescribe medication during pregnancy in cases where the expected benefit to the mother significantly exceeds the risk of developing negative consequences for the fetus. In the lactation period, the drug can also be used if a woman previously stops breastfeeding.
So it is indicated in the instructions for use for the drug "Almagel NEO".
Ethanol is present in the composition of the drug, so there is a likelihood of certain complications in patients suffering from alcoholism, epilepsy, brain and liver pathologies, in children under 14 years of age. It is important to take into account that a small amount of sorbitol is present in the suspension, a substance that is contraindicated in patients with congenital forms of fructose intolerance, and can contribute to gastric irritation and diarrheal manifestations.
Aluminum hydroxide, which is the main active substance of a pharmacological preparation, can help reduce absorption in the gastrointestinal tract of phosphates, which with prolonged use of the drug can cause hypophosphatemia. Therefore, experts recommend using a “Almagel NEO” to adhere to a special diet and consume more foods rich in phosphorus.
The therapy is accompanied by increased excretion of calcium together with urine, as a result of which the calcium-phosphate balance is disturbed and there is a risk of osteomalacia (a systemic pathology characterized by the occurrence of insufficient mineralization of bone tissue).
The drug does not affect the central nervous system, psychomotor reactions, concentration of attention, therefore, therapy with this drug is not a reason for the cessation of activity associated with driving vehicles and complex mechanisms.
The instructions for use with Almagel NEO in bags and bottles are very detailed.
Interaction with other medicines
When used in conjunction with tetracycline antibacterial drugs, fluoroquinolones, anti-TB drugs, antihistamines, their absorption decreases.
With simultaneous administration with salicylate-based preparations, increased excretion of the latter and alkalization of urine occur.
The combination of a drug with quinolines is not allowed.
Analogs
If necessary, the medication can be replaced by drugs whose therapeutic effect is similar. However, it must be borne in mind that each analogue of the drug has its own contraindications and is able to provoke a number of negative reactions. Therefore, any replacement drug should be agreed with the doctor.
The most popular analogues of Almagel NEO are: Maalox mini, Rutatsid, Rennie, Gastracid, Maalox, Fosfalugel, Topalkan, Tisatsid, Tannacomp, Tams, Talcid, Scoralight, Rokzhel, Relzer, Magnesium Oxide, Magnistad, Magnatol, Digin, Gestid, Gelusil, Gaviscon Forte, Gastroromazole, Gastrik ”,“ Gasterin ”,“ Bekarbon ”,“ Antaret ”,“ Anacid forte ”,“ Alyugastrin ”,“ Alfogel ”,“ Aktal ”,“ Calcium supplement ”,“ Rivolox ”.
We will not consider in detail the instructions for use with analogues of Almagel NEO.
Reviews
Feedback on the experience of using the drug is very common, but they are quite contradictory. Some users note a significant and rapid improvement after the course of treatment with this medication and report that the drug helped them to get rid of heartburn, nausea, flatulence, epigastric pain in a fairly short time. Others say that the expected effect of the treatment did not come.
Separately, such shortcomings of the drug are noted as a short period of action, in connection with which you often have to take it, as well as the fact that it is only a symptomatic tool and is not capable of eliminating the causes of the development of unpleasant symptoms.
Some patients note that Almagel NEO provokes the development of negative effects. However, they most often occur only in the initial stages of therapy and disappear after a few days.
Doctors, in turn, consider the drug an excellent symptomatic medicine and do not forget to note that to eliminate the causes of dyspeptic manifestations, Almagel NEO should be used in combination with other drugs.
conclusions
It is important not to forget that the maximum effect of therapy will be obtained only if the drug is taken on the recommendation of a doctor and in strict accordance with established treatment regimens.
We reviewed the Almagel NEO preparation, instructions for use, analogues and reviews.