Sodium alginate, Sodium bicarbonate and Calcium carbonate

Generic Name
Sodium alginate, Sodium bicarbonate and Calcium carbonate
Therapeutic Class:
Gastro-Intestinal Disorders

Presentation:
Sodium alginate, Sodium bicarbonate and Calcium carbonate Suspension: Each 5 ml contains 250 mg sodium alginate, 133.5 mg sodium bicarbonate and 80 mg calcium carbonate

Description:
On ingestion the product reacts rapidly with gastric acid to form a raft of alginic acid gel having a near-neutral pH and which floats on the stomach contents, quickly and effectively impeding gastroesophageal reflux, for up to 4 hours. In severe cases, the raft itself may be refluxed into the oesophagus, in preference to the stomach contents, and exert a demulcent effect.

Indications:
Gastric reflux, heartburn, flatulence associated with gastric reflux, heartburn of pregnancy, all cases of epigastric and retrosternal distress where the underlying cause is gastric reflux

Dosage & Administration:
For oral administration.
Adults and children over 12 years: 10-20ml after meals and at bedtime.
Elderly: No dosage modification is required in this age group.
Children 6 to 12 years: 5-10ml after meals and at bedtime.
Children under 6 years: Not recommended

Precautions:
If symptoms do not improve after seven days, the clinical situation should be reviewed. Each 10 ml dose has a sodium content of 141 mg (6.2 mmol). This should be taken
into account when a highly restricted salt diet is recommended e.g. in some cases of congestive cardiac failure and renal impairment. Each 10 ml dose contains 160 mg (1.6 mmol) of calcium carbonate. Care needs to be
taken in treating patients with hypercalcaemia, nephrocalcinosis and recurrent calcium containing renal calculi. Contains methyl parahydroxybenzoate (E218) and propyl parahydroxybenzoate (E216) which may cause allergic reactions.

Use in Pregnancy & Lactation:
Pregnancy:
Clinical studies in more than 500 pregnant women as well as a large amount of data from post-marketing experience indicate no malformative nor feto/ neonatal toxicity of the active substances. Sodium alginate, Sodium bicarbonate and Calcium carbonate can be used during pregnancy, if clinically needed.
Breastfeeding:
No effects of the active substances have been shown in breastfed newborns/infants of treated mothers.
Sodium alginate, Sodium bicarbonate and Calcium carbonate can be used during breastfeeding.

Interaction:
A time-interval of 2 hours should be considered between Algicid Plus intake and the administration of other medicinal products, especially tetracyclines, digoxine,
fluoroquinolone, iron salt, ketoconazole, neuroleptics, thyroid hormones, penicillamine, beta-blockers (atenolol, metoprolol, propranolol), glucocorticoid, chloroquine and
biphosphonates and estramustine

Overdose:
Overdosage with this formulation is a rare case. In case of overdose please consult with a registered physician.

Storage:
Do not store above 30 o C. Keep away from light and out of the reach of children
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