Almagel Neo
Almagel Neo: instructions for use and reviews
- 1. Release form and composition
- 2. Pharmacological properties
- 3. Indications for use
- 4. Contraindications
- 5. Method of application and dosage
- 6. Side effects
- 7. Overdose
- 8. Special instructions
- 9. Application during pregnancy and lactation
- 10. Use in childhood
- 11. Drug interactions
- 12. Analogs
- 13. Terms and conditions of storage
- 14. Terms of dispensing from pharmacies
- 15. Reviews
- 16. Price in pharmacies
Latin name: Almagel Neo
ATX code: A02AF02
Active ingredient: Algeldrate + Magnesium hydroxide + Simeticone (Algeldrate + Magnesium hydroxide + Simeticone)
Manufacturer: Balkanpharma-Troyan, AD (Bulgaria)
Description and photo update: 2018-22-10
Prices in pharmacies: from 150 rubles.
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Almagel Neo is an antacid drug with a carminative component that reduces flatulence.
Release form and composition
The dosage form of the drug Almagel Neo is a suspension for oral administration: liquid from almost white to white, with suspended finest solid particles, with a pleasant orange aroma (170 or 200 ml in glass / polyethylene terephthalate bottles, in a cardboard box 1 bottle complete with measuring spoon 5 ml; 10 ml in sachets / sachets made of multilayer foil, in a cardboard box 10 or 20 sachets).
5 ml (1 scoop) contains:
- active substances: simethicone (simethicone emulsion) - 36 mg; magnesium hydroxide (magnesium hydroxide paste) - 395 mg; algeldrat (aluminum hydroxide gel) - 340 mg;
- auxiliary ingredients: hydrogen peroxide (H 2 O 2 solution 30%), sodium saccharinate, sorbitol, hydroxyethyl cellulose, citric acid monohydrate, macrogol 4000, ethyl parahydroxybenzoate, propylene glycol, propyl parahydroxybenzoate, ethanol 96%, orange flavor, purified water.
Pharmacological properties
Pharmacodynamics
Almagel Neo is a combined drug, antacid, adsorbent, enveloping and carminative effectiveness of which is determined by the active components that make up its composition.
Aluminum hydroxide (algeldrat) and magnesium hydroxide inhibit the acidity of gastric juice by neutralizing free hydrochloric acid in the stomach and bind bile acids, preventing their absorption. Algeldrat's ability to reduce intestinal motility compensates for the laxative effect of magnesium hydroxide. Simethicone hinders the formation of gas bubbles and promotes their destruction, and the gases that are released during this process are adsorbed by the intestinal walls and excreted from the body due to intestinal peristalsis.
Pharmacokinetics
- algeldrate and magnesium hydroxide: ions of aluminum and magnesium in the intestine are absorbed slightly; in patients with normal renal function, the content of aluminum and magnesium in the blood does not change due to the intake of Almagel Neo. Patients with chronic renal failure require monitoring of the concentration of aluminum and magnesium in the blood, since as a result of a violation of their excretion, levels may increase to toxic;
- simethicone: as a result of chemical and physiological inertness, it is not absorbed into tissues and organs; after passing through the gastrointestinal tract, it is excreted from the body unchanged.
Indications for use
- acute gastritis;
- exacerbation of chronic gastritis with normal / increased gastric secretory function;
- acute duodenitis, duodenogastric reflux;
- exacerbation of gastric ulcer and duodenal ulcer;
- gastroduodenal symptomatic ulcers of various etiology and pathogenesis;
- erosive lesions of the mucous membrane of the upper gastrointestinal tract;
- gastroesophageal reflux disease, reflux esophagitis;
- chronic pancreatitis in the acute stage, acute pancreatitis;
- flatulence;
- pain in the stomach, heartburn as a result of excessive consumption of coffee, alcohol, nicotine, taking medications, as well as an improper diet that negatively affects the function of the gastrointestinal tract;
- fermentative / putrid dyspepsia.
Contraindications
Absolute:
- Alzheimer's disease;
- chronic renal failure;
- hypophosphatemia;
- period of pregnancy;
- congenital fructose intolerance;
- age up to 10 years;
- increased individual sensitivity to drug components.
Relative contraindications (Almagel Neo must be used with caution):
- alcoholism;
- liver disease;
- epilepsy;
- diseases of the brain;
- traumatic brain injury;
- period of breastfeeding;
- children and adolescents from 10 to 18 years old.
Instructions for the use of Almagel Neo: method and dosage
Almagel Neo is taken orally, without diluting with water or drinking, 1 hour after meals and in the evening before going to bed. The suspension must be mixed before taking it by carefully kneading the sachet or shaking the bottle. After taking the drug, it is not recommended to take another liquid for 0.5 hours.
Recommended dosage:
- adult patients: 2 scoops or 1 sachet / sachet 4 times a day; if necessary, you can increase a single dose to 4 scoops or 2 sachets 4 times a day; maximum daily dose - 12 scoops (6 sachets) of the suspension;
- children and adolescents from 10 to 18 years: the dosage is determined by the attending physician and is usually 1/2 of the adult dose.
The duration of the therapeutic course should not exceed 28 days.
Side effects
Negative side effects observed when taking Almagel Neo:
- hypersensitivity reactions;
- nausea, vomiting;
- dysgeusia (change in taste);
- constipation / diarrhea.
Long-term use of high doses of the drug can cause osteoporosis, osteomalacia, hypophosphatemia, hypercalciuria, hypermagnesemia, hypocalcemia, hyperaluminaemia, nephrocalcinosis, encephalopathy, renal dysfunction.
Patients with concomitant renal failure while taking Almagel Neo may feel thirsty, lower blood pressure, hyporeflexia.
Overdose
An overdose symptom with prolonged use of high doses of the drug may be the development of hypermagnesemia, characterized by facial flushing, rapid fatigue, muscle weakness, exhaustion, and inadequate behavior.
Signs of metabolic alkalosis are also possible: mood swings, impaired mental performance, nervousness, fatigue, slow breathing, muscle numbness / pain, unpleasant taste in the mouth.
When such symptoms appear, urgent measures are required to quickly remove Almagel Neo from the body - stimulation of vomiting, gastric lavage and intake of activated charcoal.
special instructions
It is necessary to observe the interval between taking Almagel Neo and any other medications - 1–2 hours.
With prolonged use of the drug, it is recommended to include in the diet food rich in phosphorus in order to satisfy the body's need for this trace element.
Patients suffering from alcoholism and epilepsy, patients with brain and liver diseases, pregnant women and children under 18 years of age should take into account that the ethyl alcohol content in Almagel Neo is 0.113 g per 5 ml of the drug (1 scoop) or 0.226 g per 10 ml of the drug (1 sachet / sachet), which can lead to complications. In the daily dose of the drug (8 scoops / 4 sachets), the ethyl alcohol content is 0.904 g, and in the maximum daily dose of the suspension (12 scoops / 6 sachets) - 1.356 g.
With congenital fructose intolerance, Almagel Neo can cause irritation of the gastric mucosa and diarrhea due to the presence of sorbitol in its composition in the amount of 0.475 g per 5 ml of the drug (1 scoop) or 0.950 g per 10 ml of the drug (1 sachet / sachet).
Influence on the ability to drive vehicles and complex mechanisms
There are no data on the negative influence of Almagel Neo on the performance of types of work that require increased concentration of attention and increased speed of psychomotor reactions.
Application during pregnancy and lactation
Almagel Neo is not prescribed to pregnant women.
There are insufficient data from controlled clinical studies of the use of the drug during breastfeeding to assess its safety and effectiveness, therefore, the drug should be taken during lactation only after consulting a doctor.
Pediatric use
In pediatrics, the use of the drug for the treatment of children under 10 is contraindicated.
Drug interactions
According to the instructions, Almagel Neo inhibits the absorption of indomethacin, digoxin, salicylates, chlorpromazine, barbiturates, H2-histamine receptor blockers, phenytoin, isoniazid, azithromycin, beta-adrenergic blockers, diflunisal, ketoconazole, antibiotics of chiracinol, pivanicilin, pivanicilin, pivanicilin series, antibiotics, cefpodoxime, indirect anticoagulants, fexofenadine, dipyridamole, chenodeoxycholic acid, efsodeoxycholic acid, zalcitabine, lansoprazole.
By reducing the rate of gastric emptying, m-anticholinergics enhance and prolong the effect of Almagel Neo.
Analogs
Analogs of Almagel Neo are Liquid antacid "York" with simethicone, Antareit, Relzer, Simalgel-VM, etc.
Terms and conditions of storage
Store at temperatures up to 25 ° C in a place protected from light, do not freeze. Keep out of the reach of children.
Shelf life is 2 years.
Terms of dispensing from pharmacies
Available without a prescription.
Reviews about Almagel Neo
In most reviews of Almagel Neo, it is described as an effective remedy for gastritis and other diseases of the gastrointestinal tract, relieving heartburn well, reducing stomach pain and gas formation in the intestines, convenient to use both at home and on travel. Some patients report slow action and unpleasant taste.
Price for Almagel Neo in pharmacies
Approximate price for Almagel Neo oral suspension: 10 ml sachets / sachets, 10 pcs in a package. - 176 rubles; sachets / sachets of 10 ml, pack of 20 - 286 rubles; bottle 170 ml - 213 rubles.
Almagel Neo: prices in online pharmacies
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Drug name Price Pharmacy |
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Almagel Neo oral suspension 170 ml 1 pc. RUB 150 Buy |
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Almagel Neo oral suspension 10 ml 10 pcs. RUB 180 Buy |
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Almagel NEO suspension 10ml 10 pcs. 207 r Buy |
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Almagel NEO suspension 170ml 277 r Buy |
Maria Kulkes Medical journalist About the author
Education: First Moscow State Medical University named after I. M. Sechenov, specialty "General Medicine".
Information about the drug is generalized, provided for informational purposes only and does not replace the official instructions. Self-medication is hazardous to health!
