Almagel suspension for oral administration 170 ml

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Bust(in) 31-32 33 34 36
Bust(cm) 80.5-82.5 84.5 87 92
Waist(in) 24-25 26 27 29
Waist(cm) 62.5-64.5 66.5 69 74
Hips(in) 34-35 36 37 39
Hips(cm) 87.5-89.5 91.5 94 99
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Active ingredient
Algeldrate+Magnesium Hydroxide

Active substances: algeldrate (aluminum hydroxide gel) 2.18 g, which corresponds to the content of aluminum oxide 218 mg; magnesium hydroxide paste 350 mg; which corresponds to a magnesium oxide content of 75 mg.

Excipients: sorbitol - 801.15 mg, hyetellose - 10.9 mg, methyl parahydroxybenzoate - 10.9 mg, propyl parahydroxybenzoate - 1.363 mg, butyl parahydroxybenzoate - 1.363 mg, sodium saccharinate dihydrate - 818 μg, lemon oil - 1.635 mg, ethanol 96% - 98.1 mg, purified water - up to 5 ml.

Pharmacological properties

Antacid preparation, which is a balanced combination of algeldrate (aluminum hydroxide) and magnesium hydroxide. Neutralizes free hydrochloric acid in the stomach, reduces the activity of pepsin, which leads to a decrease in digesting activity of gastric juice.

It has an enveloping, adsorbent effect. Protects the gastric mucosa by stimulating the synthesis of prostaglandins (cytoprotective effect). Protects the mucous membrane from inflammatory and erosive-hemorrhagic lesions as a result of the use of irritating and ulcerogenic agents, such as ethanol, NSAIDs (for example, indomethacin, diclofenac, acetylsalicylic acid), corticosteroids.

The therapeutic effect after taking the drug occurs after 3-5 minutes The duration of action depends on the rate of emptying of the stomach. When taken on an empty stomach, the action lasts up to 60 min. When taken an hour after eating, the antacid effect can last up to 3 h. Does not cause secondary hypersecretion of gastric juice.



A small amount of the drug is absorbed, which practically does not change the concentration of aluminum salts in the blood. It is excreted through the intestines.

Magnesium hydroxide

Magnesium ions are absorbed in small quantities (about 10% of the dose taken) and do not change the concentration of magnesium in the blood. It is usually distributed locally. Magnesium hydroxide is excreted through the intestines.

Indications for use
  • Acute gastritis; chronic gastritis with increased and normal secretory function of the stomach (in the acute phase); acute duodenitis, enteritis, colitis;
  • peptic ulcer of the stomach and duodenum (in the acute phase);
  • hernia of the esophageal opening of the diaphragm, gastroesophageal reflux, reflux esophagitis, duodenogastric reflux;
  • symptomatic ulcers of the gastrointestinal tract of various genesis; erosion of the mucous membrane of the upper gastrointestinal tract;
  • acute pancreatitis, exacerbation of chronic pancreatitis;
  • heartburn and epigastric pain after errors in nutrition, excessive use of ethanol, nicotine, coffee, taking medications that irritate the gastric mucosa.
  • Prevention of gastric and duodenal disorders
  • reduction of irritating and ulcerogenic action associated with taking medications that irritate the gastric mucosa.
  • severe renal failure (due to the risk of hypermagnesemia and aluminum intoxication);
  • Alzheimer's disease;
  • hypophosphatemia;
  • pregnancy;
  • children's age up to 10 years;
  • congenital intolerance to fructose (the drug contains sorbitol);
  • hypersensitivity to the active substances and auxiliary components of the drug.
Use in pregnancy and Breastfeeding

Experimental animal studies have shown no teratogenic potential or other undesirable effects on the embryo and/or fetus.

There are no clinical data on the use of the drug Almagel ® in pregnant women. The drug is not recommended for use during pregnancy, but if the intended benefit to the mother exceeds the potential risk to the fetus, Almagel ® should be taken under the supervision of a doctor for no more than 5-6 days.

There is no data on the release of active substances of the drug with breast milk. Almagel ® can be used during breastfeeding only after a thorough assessment of the ratio of the intended benefit to the mother and the potential risk to the child. During lactation, the drug is recommended to be used no more than 5-6 days under the supervision of a doctor.

Use in case of impaired liver function
Not recommended the use of the drug in cirrhosis of the liver.
Use in renal dysfunction

Contraindicated use of the drug in renal failure of severe degree (due to the danger of developing hypermagnesemia and aluminum intoxication).

In patients with renal insufficiency with prolonged use of the drug (more than 20 days), regular monitoring of the concentration of magnesium in the blood serum is necessary.

Use in children
The drug is contraindicated for use in children under 10 years of age.
Special instructions

It is not recommended to use the drug in patients with severe constipation, with stomach pain of unclear origin and suspected acute appendicitis, the presence of ulcerative colitis, diverticulosis, colostomy or ileostomy, chronic diarrhea, acute hemorrhoids, changes in the acid-base balance in the body, as well as the presence of metabolic alkalosis, cirrhosis of the liver, severe heart failure, toxicosis of pregnant women, impaired renal function (CC <30 ml / min) due to the danger of developing hypermagnesemia and aluminum intoxication).

In patients with renal insufficiency with prolonged use of the drug (more than 20 days), regular monitoring of the concentration of magnesium in the blood serum is necessary.

The drug does not contain sugar, which allows you to take it to patients with diabetes.

The drug contains sorbitol, therefore it is contraindicated in congenital fructose intolerance.

Influence on the ability to drive vehicles and mechanisms

Almagel ® does not affect the ability to drive a car and work with mechanisms. When taken in the recommended daily dose, the ethanol contained in the drug does not affect the ability to drive a car and work with mechanisms.


Symptoms: with a single excess doses - constipation, flatulence, metallic taste in the mouth. With prolonged use in high doses, the formation of kidney stones, the development of severe constipation, slight drowsiness, hypermagnesemia are possible. There may also be signs of metabolic alkalosis: a change in mood or mental activity, numbness or muscle pain, irritability and fatigue, slowing of breathing, unpleasant taste sensations.

Treatment: it is necessary to immediately take measures to quickly remove the drug from the body - gastric lavage, stimulation of vomiting, taking activated charcoal.

Drug Interactions

It can adsorb some drugs, thus reducing their absorption. Therefore, with the simultaneous use of other drugs, it is necessary to observe the interval of 1-2 hours between doses of the drug Almagel ® and other means.

Almagel ® changes the pH of gastric juice to the alkaline side, which can affect the effect of a significant number of drugs when used simultaneously.

Almagel ® reduces the effect of histamine H blockers 2 -receptors (cimetidine, ranitidine, famotidine), cardiac glycosides, iron salts, lithium preparations, quinidine, mexiletine, phenothiazine preparations, tetracycline antibiotics, ciprofloxacin, isoniazid and ketoconazole.

With the simultaneous appointment of enteric forms of drugs, it should be remembered that an increase in the pH of gastric juice caused by taking the drug Almagel ® , can lead to accelerated destruction of the enteric membrane and thereby cause irritation of the mucous membrane of the stomach and duodenum.

Almagel ® may affect the results of some laboratory and functional studies and tests: reduces the level of gastric secretion in determining the acidity of gastric juice; modifies test results using technetium ( 99m Tc), for example, bone scintigraphy and some tests for the study of the esophagus; increases the concentration of phosphorus in the blood serum, changes the pH values of blood serum and urine.

Dosage and Administration

The drug is taken orally. Before each dose, the suspension must be thoroughly homogenized by shaking the vial.


The drug is taken 45-60 minutes after meals and in the evening before bedtime.

Adults and children over 15 years of age are prescribed 5-10 ml (1-2 measuring spoons) 3-4 times / day. If necessary, a single dose can be increased to 15 ml (3 measuring spoons). Children aged 10 to 15 years are prescribed at a dose equal to half the dose for adults.

After reaching the therapeutic The daily dose is reduced to 5 ml (1 measuring spoon) 3-4 times / day for 15-20 days.

It is not recommended to take fluids within 15 minutes after taking the drug Almagel ® .


5-15 ml for 15 minutes before taking medications with an irritating effect.

Side effects

Almagel can cause constipation, which passes after reducing the dose.

In rare cases, nausea, vomiting, stomach spasm, changes in taste, allergic reactions and hypermagnesemia (increased levels of magnesium in the blood) are observed. With prolonged use of the drug by patients with renal insufficiency and dialysis, changes in mood and mental activity are possible; With prolonged use of high doses of the drug, along with phosphorus deficiency in food, osteomalacia may occur.

Storage conditions

Preparation should be stored out of the reach of children, in a place protected from light at a temperature not exceeding 25 ° C.

Do not freeze.

Shelf life - 2 years.

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Product Details

Data sheet

Balkanpharma Troyan
Dosage form
suspension for oral administration
Algeldrate+Magnesium Hydroxide
INN Russian
Алгелдрат+Магния гидроксид
Russian title
170 ml
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