And heartburn. Yellow Almaty, in addition, has a painkillers, so it is used to eliminate pronounced pain syndrome when various diseases digestive system.

The drug Almagle also has an "Almagel" writing option. Such confusion is related to the fact that the name of the original is written with Latin letters "Almagel". The letter "L" in the Latin Word is usually read gently as "l". However, it is impossible to accurately convey phonetics and pronunciation to Cyrillic letters, therefore there are options for writing the name with both soft "l", or only one - in the end of the word, as is typical of the Russian language.

Types and form of release

To date, the drug AlmaGel is produced in two main dosage forms:
1. Suspension.
2. Pills.

The suspension contains various components that give the drug certain additional properties. The following variants of the suspension are issued today:

• Almagel suspension (contains only the main components - aluminum and magnesium hydroxide gel);
• Suspension of Almagel A (together with the main components contains anesthetic benzocaine);
• Suspect of Almagel Neo (together with the main components contains a substance of a simethicone, which eliminates gases);

Each version of the drug Almagel is produced in a box of a certain color, which makes it easy to distinguish them from each other. Tablets are called Almagel T, where in the title there is a letter "T", which indicates dosage form. Almagel Neo is released in red packs. Also for ease of use, Almagel Neo in bags of 10 ml is available. Simple Almatil is available in green boxes. Almaty and has a yellow box.

Due to such a comfortable and unified color packaging, the variants of the drug are often called the color of the box, for example, Almagel Green (basic, ordinary suspension), Albell Yellow (Aliagel and anesthetic), AlmaGel Red (Almathel Neo). Under the name "Almaglel in bags" implies the form of the release of Almagel Neo, which is spilled in small plastic bags of 10 ml.

All diamagel suspensions are available in 170 ml bottles with a dimensional spoon of 5 ml. Almagel Neo is also available in the form of 10 ml bags. Tablets are sold in packs at 12 and 24 pieces.

Structure

All forms of Almagels contain active substances and auxiliary components that provide the necessary consistency in the form of a suspension. Consider the quantitative composition of the current components of various drug options:

• AlmaGel green - algelfrart (aluminum hydroxide gel), magnesium hydroxide paste;
• Almagel A yellow - algelfrart (aluminum hydroxide gel), magnesium hydroxide paste, benzocaine;
• Almagel Neo-algelfrel (aluminum hydroxide gel), magnesium hydroxide paste, symmetics;
• Almagel T - tablet contains 500 mg of magaldrat (magnesium and aluminum hydroxide).

The auxiliary components in the suspensions and tablets of Almagel are different, so for the convenience of learning and comparison, they are reflected in the table:

Almagel Green and Almaty and Yellow	Almaty Neo	Tablets AlmaGel
Sorbitol	Sorbitol	mannitol
Hydroxyethylcellulose	hydrogen peroxide 30% (perhydrol)	microcrystalline cellulose
Methylpagidroxybenzoate	sakharinat sodium	sorbitol
propilepagidroxybenzoat	Gileteloza	magnesium stearate
Butyl aphahydroxybenzoate	citric acid monohydrate
sakharin sodium	ethylpagidroxybenzoate
lemon oil	propilepagidroxybenzoat
Ethanol	propylene glycol
distilled water	makroogol 4000.
	orange flavoring
	ethanol 96%
	distilled water

Action and therapeutic effects

The action of Almagel is due to the active ingredients belonging to its composition. It is these substances that determine the therapeutic effects of the drug.

Aluminum and magnesium hydroxide (AMG) has the following therapeutic effects:
1. Adsorbing action.
2. Enveloping action.
3. Antacid action.

Since in quality active component All Almaty contain AMG, then all types of drug also have listed therapeutic effects.

The antacid effect is to neutralize the hydrochloric acid produced by the glands of the stomach. Due to the neutralization of acid, the protective effect on the stomach mucosa is also ensured. Magnesium and aluminum hydroxide binds free hydrochloric acid in the composition of the gastric juice, which reduces its overall digestible ability. Reducing the ability to digest the gastric juice leads to a decrease in its damaging abilities that are able to form a stomach ulcer.

In addition to binding hydrochloric acid, magnesium and aluminum hydroxide adsorb various substances that have a negative impact on the gastric and intestine mucous membrane. And in addition to the elimination and binding of various damaging substances, aluminum and magnesium hydroxide as part of Almagel envelops the mucous membrane of the stomach, creating a powerful protective barrier on its surface.

The protective layer on the surface of the stomach mucosa contributes to the uniform distribution of active ingredients. Due to the formation of the protective layer, a long action of the drug is achieved.

Aluminum hydroxide, neutralizing hydrochloric acid and reducing the production of pepsin, forms aluminum chloride, which is subsequently transformed into alumina alkaline salts during progress. Magnesium hydroxide also neutralizes hydrochloric acid, to form magnesium chloride. In addition, magnesium hydroxide perform an important antagonism function of aluminum hydroxide, which is capable of leading to constipation. Magnia hydroxide eliminates this effect. A relaxing effect also has sorbitol, which increases the selection of bile. The joint effects of sorbitol and magnesium hydroxide cause a normal stool without constipation against the background of diagel.

In addition, due to the protective layer on the surface of the stomach, carbon dioxide is not formed, which leads to meteorism, sensation of gravity and reflex increase in hydrochloric acid.

Almagel is used as a preparation with adsorbing and enveloping properties, as well as an antacid effect at high acidity of gastric juice. Suspension and tablets are removed painful syndrome localized in the upper departments gastrointestinal tract. Moreover, the therapeutic effect is manifested in 3 - 5 minutes after the reception, and lasts 1 - 2 hours.

Almaty A, in addition to aluminum and magnesium hydroxides, contains benzocaine, which is anesthetic. Thanks to this component, the drug has a pronounced and long-term painkillers. Therefore, Almagel A is shown to use for disease therapy, which are accompanied by a strong pain syndrome.

Almagel Neo contains a substance of a simethicone, which prevents the formation of gases and improves their destruction. The formed gas bubbles under the action of the Simeticon are destroyed, absorbed into the intestinal wall and are outward.

Indications for use

All drugs of Almaty are applied for ulcerative and inflammatory diseases of the stomach and the upper intestinal departments. Due to the presence of the preparation of its own individual properties, they are shown to use with the same pathological conditions that flow with certain prevailing symptoms. For example:

• Almagel A should choose with pronounced pain syndrome, since the anesthetic effect of this version of the drug is the strongest and long.
• Almagel Neo should prefer with a teteful meteorism and increased gas formation.
• Almagel Green is optimally taken with moderate pain syndrome and minor gas formation.
• Tablets are usually an exception to the drug. That is, if a person cannot take a suspension for any reason, Almaglel is appointed in a tablet form.

Accurate indications for use various shapes Almagel reflected in the table:

Almaty and Almaty A	Almaty Neo	Tablets AlmaGel
	Acute gastritis	Acute gastritis with increased acidity
Acute gastritis with elevated or normal acidity		The aggravation of chronic gastritis with increased acidity
Exacerbation of chronic gastritis with elevated or normal acidity	Duodenogastral reflux	Prank ulcer I. duodenal gut
Duodenitis	Acute duodenit	Reflux Ezophagit
Enteritis	Reflux Ezophagit	Acute duodenit
Colitis	Acute pancreatitis	Pain in the stomach
Functional intestinal disorders	The aggravation of the ulcer of the stomach and duodenum
Reflux Ezophagit	Flatulence	Hernia of the esophageal hole diaphragm
The hernia of the esophageal hole in the diaphragm	Erosion of the mucous membranes of the stomach and the upper departments of the intestine
The feeling of discomfort and pain in the stomach in the violation of the diet, as well as after the use of coffee and alcohol or smoking	Symptomatic ulcers in the organs of the digestive tract of any origin	Pains in the area of \u200b\u200bthe stomach, discomfort and heartburn after excessive use of alcohol, coffee, errors in diet, smoking and reception of others medicinal preparations
As preventive tool When applying corticosteroids and non-steroidal anti-inflammatory drugs (aspirin, nimesulide, indomethacin, etc.)	Pain in the area of \u200b\u200bthe stomach and heartburn after excessive use of alcohol, coffee, errors in diet, smoking and receiving other drugs
	Gastroesophageal reflux
	The aggravation of chronic pancreatitis

Almaty and also applied in complex therapy Sugar diabetes. In the presence of a disease with the symptoms of nausea, vomiting and abdominal pains, it is advisable to begin treatment from the reception of Almagel A, and after eliminating the listed features to go to Almaty Green.

Instructions for use - how to take Almagel

Consider details the rules and nuances of using each form of the drug.

Almagel (Green) and Almaty A (Yellow)

Before using Almagel, the bottle should be well stolen to obtain a homogeneous composition. Suspension is taken inside in half an hour before meals, and in the evening - immediately before the departure to sleep, without drinking water. In the treatment of duodenal ulcers and the ulcers of the anthral stomach, it is better to drink AlmaGel between meals. Between the reception of Almagel and other drugs it is necessary to observe the interval with a duration of 1 - 2 hours.

To treat the pathology of the BCT organs, Almagel is taken on 1 - 3 dimensional spoons 3 - 4 times a day. If the dimensional spoon is lost, then it is possible to use the usual tea room instead, which has the same volume.

In order to prevent Almaglel, 1 - 2 teaspoons are accepted at half an hour before each food intake.

A long period of use of Almagel requires intake of phosphorus preparations. It is impossible to take more than 16 spoons of suspension for one day. If necessary, the use of funds in such large doses the duration of the course of treatment should not exceed 2 weeks.

Almagel reduces the effect of tetracyclines, histamine blockers (phenyatil, suprastin, zyrtek), iron salts, ciprofloxacin, phenothiazines, indomethacin, ketoconazole, isoniazide and glycosides of vintage.

Almaty Neo

Before use, it is necessary to break the contents of the bottle before use so that the suspension acquires a homogeneous view. Almagel Neo is recommended to be taken at undiluted. After receiving the suspension for half an hour, it is necessary to refrain from drinking any liquid. The reception of Almagel Neo and other drugs must be distributed over time for 1 to 2 hours. The suspension itself is accepted 1 hour after meals, unlike Green Almaty and Almatily A.

When receiving Almagel Neo for a long period of time, it is necessary to include products with high phosphorus products in the menu.

A dimensional spoon with a volume of 5 ml contains 0.113 ml of alcohol, which can provoke complications in people suffering from the pathology of the liver, alcoholism and epilepsy. Also, in view of the presence of alcohol in the drug, it is possible to develop complications in children under 18 years and pregnant women. In addition to alcohol, a single-dimensional spoon of Almagel neo contains 0.475 g of sorbitol, which cannot be used to people suffering from congenital intolerance to fructose. Reception by people with congenital intolerance to fructose can cause irritation of the stomach and diarrhea.

Adults take AlmaGel Neo 2 measuring spoons 4 times a day, 1 hour after meals. In the evening, the last dose of the suspension is drunk immediately before the departure to sleep. With the severity of symptoms and severe course Diseases The single dosage can be increased to 4 dimensional spoons. At the same time, the maximum allowable daily amount of Almagel Neo is 12 dimensional spoons. The duration of the course of treatment should not exceed 4 weeks.

Despite the presence of alcohol preparation, it does not affect the rate of reactions. Therefore, against the background of the application of Almaty Neo, a person can engage in any kind of activity requiring the high speed of reactions and concentration of attention.

Overdose Almaty Neo It is possible (in contrast to green and yellow Almaty) with long use of the drug in large doses. Symptoms of suspension overdose are the following signs:

• facial redness;
• depletion;
• weakness in muscles;
• inadequate behavior;
• mental disorder;
• change of mood;
• slow breathing;
• the feeling of an unpleasant taste.

To eliminate overdose, it is first necessary to derive the remnants of the drug from the body. To do this, wash the stomach, stimulate vomiting, give sorrel and laxative.

Interaction with other drugs. Almagel Neo reduces the effect and absorption of digoxin, indomethacine, chlorpromazine, phenytoin, histamine blockers, beta-adrenobloclockers, dyphlunisale, ketoconazole, intracocole, isoniazide, tetracycline, quinolones, cofpodoxy, rifampicin, fexophenadin, dipyridamole, zelvutabina, Penicilline, Lansoprazola, indirect anticoagulantov (Warfarin, thrombostop, etc.) and barbiturates.

Almagel T (Tablets)

Tablets take 1 - 2 pieces, not more than 6 times a day. When taking tablets on an empty stomach, unpleasant symptoms pass in half an hour - an hour. When taking tablets together with food, their effect continues within 2 - 3 hours. Optimally drinking AlmaGel T 1 - 2 hours after meals, and the evening dose is best taken immediately before going to bed. The duration of therapy with Tablets AlmaGel is from 10 to 15 days. If during this time the symptoms did not disappear, you need to consult a doctor.

Tablets can be given to children from 12 years. It does not need to adjust the dose of the drug for adolescents.

Tablets AlmaGel and other drugs cannot be taken together. It is necessary to observe the interval in 1 - 2 hours between the reception of Almagel T and any other medication.

Throughout the course of therapy, it is necessary to abandon the use of caffeine-containing beverages and alcohol, which significantly reduce the efficiency of the drug.

Almagel T does not change the reaction rate. Therefore, against the background of the use of tablets, a person can deal with types of activities requiring increased concentration of attention, including a car drive.

Interaction with other medicines. Almagel significantly enhances the effect of indirect anticoagulants (warfarin, thrombostop, etc.). But the tablets strongly reduce the absorption and therapeutic effects of tetracycline, sodium fluoride, digoxin, benzodiazepine, indomethacin, cimetidine, steroids, iron, phenytine, chinidine, atropine, valproic acid and cardiac glycosides.

Almagel - Application in children

Green Almaty and Yellow Almaty can be used to treat children from 1 month. Before use, the bottle should be well stabbed to obtain a homogeneous composition. Suspension gives children for half an hour before feeding, and in the evening - immediately before the departure to sleep, without drinking water. You can give the drug in the intervals between meals. Between the reception of Almagel and other drugs it is necessary to observe the interval with a duration of 1 - 2 hours.

If at the time of the start of treatment the disease is accompanied by the development of vomiting, nausea and abdominal pain, then therapy should be started with the reception of Almaty A. After the specified symptoms disappear, rationally go to the reception of green Almaty.

Children under 10 years old receive Almagel in the amount of 1/3 of adult dose. Children aged 10 - 15 years receive a suspension in half adult dosage. And adolescents over 15 years old are taking the drug in adult dosages.

This means that children under 10 years old for treatment are taken by AlmaGel 0.3 - 1 dimensional spoons (which corresponds to 1.7 - 5 ml) 3 - 4 times a day. If there is no dimensional spoon, you can use the usual tea. Children aged 10 - 15 years take 0.5 - 1.5 dimensional spoons (2.5 - 5 ml) 3 - 4 times a day. And adolescents over 15 years old - 1 - 3 (5 - 15 ml) spoons are also 3 - 4 times a day.

Maximum daily dose For children under 10 years, 5.3 dimensional spoons (27 ml), 10-15 years old - 8 dimensional spoons (40 ml), over 15 years - 16 spoons (80 ml). If a child takes AlmaGel in such high doses, then the maximum permissible duration of the application course is 2 weeks.

After eliminating symptoms and normalization general status You can continue the reception of Almaty in supporting dosages within 2 - 3 months. Supporting and preventive dosage for children of different ages is the following:
1. Children under 10 years old - 0.3 - 0.7 dimensional spoon (1.7 - 3.5 ml).
2. Children 10 - 15 years - 0.5 - 1 dimensional spoon (2.5 - 5 ml).

3. Teens older than 15 years - 1 - 2 (5 - 10 ml).

For the prevention of Almagel take half an hour before meals. The number of techniques is determined by the number of food meals. This means that the drug must be drunk before each meal.

When using the drug for a long time, it is necessary to give a child to the child, phosphorus preparations, or include products with a high content of this trace element in the menu.

Almaty Neo

Almagel Neo is allowed to use only for children over 10 years old. At the same time, children aged 10-15 receive a drug in half dosage. And adolescents over 15 years old are taken by Almagel Neo in an adult dose.

Before applying the bottle with a suspension is good. It is not recommended to dilute Almagel Neo Children. After receiving the suspension, it is impossible to drink a child for half an hour. The reception of Almagel Neo and other drugs must be distributed over time for 1 to 2 hours. The suspension itself is accepted 1 hour after meals. The use of the means for a long time must be accompanied by the inclusion in the menu of products with high phosphorus.

Children aged 10 - 15 years take a suspension of 1 dimensional spoon (5 ml) 4 times a day. The last dose gives a drink in the evening, before bedtime. If the child's condition is severe and symptoms are excessively expressed - it is possible to increase the one-time dose of up to 2 dimensional spoons (10 ml). The maximum permissible amount of Almagel, which is allowed to take 10-15 children during the day, is 6 dimensional spoons. The duration of the course of therapy should not exceed 4 weeks.

Tablets AlmaGel T.

Tablets Almagel T are allowed to use in children over 12 years old. In this case, dosages and rules of use are the same as for adults.

Application during pregnancy

Green Almaglel and Yellow Almaty A It is allowed to apply women during pregnancy to eliminate symptoms of gastritis, duodenitis and ulcers in ordinary dosages for adults. But the drug can be applied to the maximum three days.

Suspension can be drunk to remove the heartburn or the sensation of discomfort in the area of \u200b\u200bthe stomach during overeating, diet violation, stress, etc. In this case, pregnant women apply Almagel as symptomatic means, and drink it episodically. This means that the woman takes the drug only when it will feel heartburn or discomfort in the area of \u200b\u200bthe stomach. Drinking a one-time dose of suspension (1 - 3 dimensional spoons), it is necessary to wait for the disappearance of symptoms. That is, the drug is applied only as needed, pregnant women do not drink it systematically. It is also necessary to remember that longer than three days in a row can not drink suspension and as a symptomatic agent.

Nursing mothers should avoid the use of the drug.

Almagel Neo and Tablets Almagel T You can take pregnant women only after consulting a doctor and assessment of the risk / benefit ratio. Such a tactic is due to the lack of scientific research on the effects of suspension and pills on the fruit, since clinical trials for pregnant women were not carried out for obvious reasons.

Contraindications

All variants of Almagel have, both general contraindications for use and their own individual, characteristic of the specific form of the drug. Contraindications for the use of each form of Almagel are reflected in the table:

Green Almaglel and Yellow Almaty A	Almaty Neo	Tablets AlmaGel
Sensitivity or allergies to the components of the suspension	Chronic renal failure	Increased sensitivity or allergies to Magalland and / or sorbitol
	Low phosphorus concentration in blood	Renal failure
Alzheimer's disease	Pregnancy	Age under 12 years
Babies under 1 month	Alzheimer's disease
	Age under 10 years
	Congenital fructose intolerance
	Addiction to allergic reactions

In addition, Almaty A (Yellow) due to the presence of Benzocaine can not be taken simultaneously with sulfanimide drugs (Biseptol, etc.).

AlmaGel Neo has relative contraindications, in the presence of which it should be used with caution and under careful control over the patient's condition. These relative contraindications are:

• breastfeeding period;
• liver pathology;
• alcoholism;
• card-brain injury and an increase in the concentration of magnesium in the blood.
  Tablets AlmaGel T. Capable to provoke development side Effects Only when applying in high dosages. TO by-action Tablets are thirsty, changing the color of feces and constipation.

  Analogs

  To date, AlmaGel has quite a lot of synonyms on the domestic pharmaceutical market. Under synonym is understood as a drug, which as an active ingredient also contains the same as Almagel, magnesium and aluminum hydroxide. The synonyms of Almagel include the following drugs:
  • Agifluix;
  • Almol;
  • Altacid;
  • Algeldrat and magnesium hydroxide;
  • Alumag;
  • Anacid;
  • Hastal;
  • Gastracide;
  • Estate;
  • Hydroxide aluminum and magnesium;
  • Coalgel;
  • Maaloks;
  • Malukol;
  • Meilaks;
  • Palmagel (taken inside);
  • Prolent;
  • Rivolox;
  • Cherry Namagal.
  In addition to synonyms, Almaty also has analogs and preparations. Under the analogs understand such drugs that have similar therapeutic effectBut contain another substance as an active ingredient component. Aligns of Almaty include the following drugs:
  • Tablets Gastal;
  • Tablets Chewable and suspension Gevisson;
  • Suspension Gevisson Forte;
  • Chewing pills inlan;
  • Chewing rhenni tablets (with sugar and without sugar).

  Phosphalugel or Almagel?

  Phosfalugel has a gel structure, and Almagl is a suspension. In case of diseases of the esophagus, it is preferable to use liquid form of the drug, that is, Almagel. Also Almagel is better to apply for therapy of children to 10 - 12 years.

  Phosphalugel and Almagel have the same properties, but by different consistency. However, the first creates a protective barrier with unique properties on the surface of the stomach. In addition, when using phosphhalugel, there is no threat to washing out calcium from the bones and reduce phosphorus concentration in the blood. Therefore, if necessary long use An antacid agent is preferable to phosphhalugel, and for a short course of therapy and the relief of uncomfortable symptoms is better suitable for Almagel.

  In other cases, you can choose that drug that for any reason is subjectively more like a person. For example, someone is more convenient to take gel than to drink suspension. In this case, phosphhalugel is preferable. If a person, on the contrary, is psychologically more comfortable to take a suspension than a gel - then Almaglel will suit him better.

  Almagel or Maalox?

  Both Almagel and Maaloks are a liquid dosage form - suspension. In addition, the composition of both drugs is almost identical. Both of them contain aluminum and magnesium hydroxide as the main active ingredient. Therefore, you can choose any drug that more like a person for any reason for a subjective nature.

  However, if the pathology of the gastrointestinal tract organs is accompanied by strong and pronounced pain syndrome, then it is better to prefer Almagel A suspension, which has the best anesthetic effect. In the presence of strong gas formation and abdominal bloating The most preferred option is Almagel Neo, which contains a substance that eliminates this particular symptom. If there is no pronounced pain syndrome or gas formation, then you can choose any drug, depending on personal preferences.

  Name:

  Almagel

  Pharmacological
  act:

  Refers to antacid tools. The effect of Almagel is based on the local long-term neutralization of the constantly released gastric juice. Reduces the content in the gastric hydrochloric acid to the optimal limit. It has a local substrate effect, causes a minor laxative effect, is also a choleretic agent.

  The preparation includes aluminum hydroxide, which inhibits the secretion of pepsin; When complying with hydrochloric acid, aluminum chloride forms, thereby neutralizing it.

  Magnesium hydroxideAlso, part of the drug, neutralizes hydrochloric acid due to the formation of magnesium chloride, which levels the property of aluminum chloride to cause constipation.

  Benzocaine (It is part of Almaty a) provides a pronounced local anesthetic effect with pain syndrome.
  Sorbitol has a carminative effect, improves bortoid and reveals a lightweight effect, which complements the effect of magnesium hydroxide.

  Almagel is valid for a long time, evenly adjusting the acidity of hydrochloric acid, the effect of the drug passes without the formation of bubbles of carbon dioxide, so the meteorism and the secondary increase in the separation of hydrochloric acid does not occur.
  Almaty does not cause a sharp shift of the pH of the contents of the stomach in the alkaline side, maintaining the level of acidity in the range of 4.0-3.5.

  There is no disorders of the electrolyte equilibrium, alkalosis does not develop, does not provoke stone formation in the urinary tract.
  Almagel has a gel structure, which makes it possible to effectively curl the mucous membrane of the stomach, it contributes to the uniform action of the drug to the entire surface of the mucous membrane. After receiving 1 one-time dose, the therapeutic action begins after 3-5 minutes and lasts 70 minutes.

  Indications K.
  application:

  Acute gastritis with an increase in acidity;
  - peptic ulcer of the stomach and duodenum (aggravation);
  - Ezophagitis;
  - food toxicoinfection;
  - Duodenitis, enteritis;
  - hernia of the esophageal opening in the diaphragm;
  - meteorism;
  - pain or discomfort in the stomach after disorders in the diet, excessive taking alcohol, coffee, nicotine, reception of various drugs;
  - Preventive reception of Almaty is appropriate to prevent the development of ulcerative lesions when using non-steroidal anti-inflammatory drugs and glucocorticosteroids.

  Mode of application:

  Inside, 0.5 hours before meals (with ulcer of the stomach and duodenal intestine between the main meals) and at night, adults 1-3 dosage spoons are 3-4 times a day. Supporting dose - 1 dosage spoon 3-4 times a day for 2-3 months. Preventive therapy - 1-2 dosage spoons.
  Children Strictly to the appointment of a doctor: up to 10 years - 1/3 doses for adults, 10-15 years old - 1/2 dose.
  Maximum daily dose - 16 dosage spoons, with such a dose the duration of treatment is no more than 2 weeks.
  Before receiving Suspension should be shaking.

  In case of disease, accompanied by nausea, vomiting and stomach pains, treatment starts with Almaty A, and on the disappearance of the listed symptoms go to the reception of Almaty.

  Side effects:

  From the head of the gastrointestinal: Violation of taste, nausea, vomiting, spasm, pain in the epigastric area, constipation.
  From the metabolism: hypercalciuria, hypermagniamia, hypophosphatemia.
  Others: drowsiness, osteomation, dementia and edema extremities (against the background of chronic renal failure).

  Contraindications:

  Severe impaired renal functions;
  - Alzheimer's disease;
  - individual elevated sensitivity to the components of the drug;
  - Age up to 1 month.

  Interaction
  other medicinal
  means:

  Lowering efficiency Tetracycline, N_2-antihistamine, cardiac glycosides, iron salts, ciprofloxacin, phenothiazines, isoniazide, beta-adrenoblockers, indomethacin, ketoconazole, etc. (with a joint assignment, the interval between receivers of at least 1-2 hours is recommended).

  Pregnancy:

  During pregnancy possible use no longer than 3 days. At the time of treatment, breastfeeding should be stopped.

  Overdose:

  : 5 ml of suspension for intakes contains algelf (aluminum hydroxide) 300 mg (equivalent to 200 mg aluminum oxide), magnesium of hydroxide 100 mg, anesthesine 100 mg;
  in 170 ml bottles, complete with a dosage spoon, in a cardboard pack of 1 vial.

  Auxiliary components: methylpagidroxybenzoate, sorbitol, ethyl alcohol, propyl aprichedroxybenzoate, butyl aphahydroxybenzoate, lemon oil, soluble sugar, distilled water.

  Almagel A is a combined antacid drug with a local essential effect.

  It has an antacid, adsorbing, enveloping, topless, wind turbulent and choleretic effect.

  The relaxing effect of magnesium hydroxide balances the effect of algelfrade that has an opposite effect on intestinal motility. Neutralizes the free HCl in the stomach, lowers the activity of the gastric juice.

  Benzocaine has an effective and long-term local painful effect with pronounced pain syndrome.

  Almaty A increases the acidity of the contents of the stomach gradually, holding its value at the physiological level (from 4-4.5 to 3.5-3.8) during the period between the receptions. The uniform distribution of the active substances of the suspension on the gastric mucosa contributes to the formation of a protective layer and a long-term local action of the drug.

  The absence in the stomach of the processes of the subsequent formation of carbon dioxide makes it possible to avoid the feeling of gravity in the field of epigastria, meteorism, the secondary increase in the secretion of hydrochloric acid.

  When eating up to meals, the action can last from 20 minutes to 1 hour. Benzocaine does not have a systematic influence on the body. Local anesthesia is observed after 1-2 minutes after oral administration.

  Indications for use

  What does almagel help from? According to the instructions, the drug is prescribed in the following cases:

  • colitis;
  • duodenitis;
  • enteritis;
  • reflux-esophagitis;
  • hernia of the esophageal hole of the diaphragm;
  • functional intestinal disorders,
  • discomfort and pain in the epigastrics in the error in the diet, after drinking coffee, nicotine, alcohol;
  • ulcerative ulcer of the stomach and duodenal intestine in the aggravation phase;
  • acute gastritis and chronic gastritis with elevated and normal secretory function in the aggravation phase;
  • preventive in the treatment of GCS and NSAIDs.

  Instructions for use Almagel A, Dosage

  Take an exclusively inward, before each use the contents of the bottle should be carefully shaking.

  Standard dosages according to the instructions:

  Adults are advised to take from 1 to 3 dosage spoons (or tea spoons) Almagel A \\ 3-4 times a day, 30 minutes before meals and in the evening immediately before going to bed. Dosage directly depends on the severity of the disease.

  Children up to 1 month, the drug is prohibited.

  It should not be appointed using Almagel and more than 3 days during pregnancy.

  Side effects

  The instruction warns the possibility of developing the following side effects when appointing Almagel A:

  • From the head of the gastrointestinal bodies: disorder, nausea, vomiting, spasm, pain in the epigastric area, constipation.
  • From the metabolism: hypercalciuria, hypermagnias, hypophosphatemia.
  • Others: drowsiness, osteomation, dementia and edema extremities (against the background of chronic renal failure).

  Contraindications

  Contraindicated to appoint Almagel A in the following cases:

  • hypersensitivity
  • pronounced renal impairment,
  • alzheimer's disease,
  • newborn period,
  • lactation.

  Overdose

  Enhance the severity of adverse reactions is recorded.

  Analogs of Almagel A, price in pharmacies

  If necessary, replace the Almagel A can be on analogue on therapeutic action - these are drugs:

  1. Phosphhalugel
  2. Agifluix,
  3. Alumag,
  4. Palmagel A.

  By the ATX code:

  • Agifluix,
  • Almol
  • Gastal
  • Renny.

  Choosing analogues It is important to understand that the instructions for use of Almagel A, the price and reviews for drugs of similar action do not apply. It is important to obtain a doctor's advice and not to produce an independent replacement of the drug.

  Price in Russian pharmacies: Almagel A 170 ml suspension - from 220 to 315 rubles, according to 381 pharmacies.

  Store in protected from moisture and light place. Storage is allowed at a temperature of 0-25 ° C, the optimal temperature is 5-15 ° C. Shelf life is 5 years.

  The Almagel A drug refers to the number of widely known and universally used antacid drugs, which eliminate signs of duodenitis, gastritis, esophagitis, duodenal ulcers and stomach. In addition, Almagel eliminates pain in the gastric area and heartburn.

  Almagel yellow is characterized by an anesthetic property, in connection with which it is used to eliminate pronounced pain syndrome, accompanying various types of pathology of the digestive system.

  Medicinal "Almagel" can also be written as "Almaty". Such confusion arose because the original name is written by the letters of the Latin alphabet: Almagel. IN latin The letter "L" is read gently, that is, "l". But, with the help of letters of Cyrillic, with accuracy, translating the pronunciation and phonetics is not possible, and therefore there are such named options: with two soft sounds "l" or from one in the end of the word, which is characteristic of the Russian language.

  Instructions for Almagel A will be reviewed in this article.

  Clinical and Pharmacological Affiliation

  The drug is an antacid agent combined with anesthetic of local exposure.

  Composition and features of the form of release

  "Almagel A" from heartburn is produced in the form of a suspension intended for receiving inside. It is painted white or close to it, has a characteristic aroma of lemon. If it is for a long time to store, then on the surface you can see the formation of a layer of a colorless liquid. With vigorous shaking of the vial, the homogeneity of the solution is restored.

  In one dimensional spoon, that is, five milliliters contain 2.18 grams of algecedrat, which corresponds to 218 milligrams of aluminum oxide, 350 milligrams of magnesium hydroxide paste, 75 milligrams of magnesium oxide and 109 milligrams of benzocaine. This confirms the instruction to the "Almagel A" tool.

  As auxiliary components, they are: Hyetellosis, sorbitol, propyl aprichedroxybenzoate, methyl aprichedroxybenzoate, lemon oil, butylpaultydroxybenzoate, ethanol at a concentration of 96%, purified water, sodium saccharium dihydrate.

  Available in bottles of a capacity of 170 milliliters, a dosage spoon is included in the kit.

  

  Pharmacological influence

  "Almagel A" contributes to neutralization in the stomach of free hydrochloric acid, as a result of which the activity of the gastric juice is reduced to digestion. The secondary hypersecretion of the stomach juice does not cause. It produces anesthetic effects of a local character, enveloping and adsorbing effects, reduces damage to the mucous membrane by various negative factors.

  The therapeutic effect after using the drug is achieved by about three to five minutes, its duration is on average equal to seventy minutes.

  Thanks to Almagl A (according to reviews), long-term local neutralization of the constantly separated stomach juice is ensured, the presence of hydrochloric acid is reduced to such boundaries that will be optimal for treatment. Aluminum hydroxide inhibits pepsinic secretion, contributes to neutralization of hydrochloric acid, forming aluminum chloride, converting in an alkaline intestinal environment into alumina alkaline salts.

  Magnesium hydroxide also neutralizes the acid and turns into magnesium chloride. This is how the effect of aluminum hydroxide is counted, which causes constipation. Magnesium hydroxide and magnesium chloride are slightly resorbated, almost without affecting the concentration of magnesium ions in the blood. Efficient and long-term painful local influence has benzocaine with painful syndrome of pronounced character. The sorbitol contained in the drug enhances the selection of bile, and also produces a small laxative effect, thus complementing the effect of magnesium hydroxide.

  According to the instructions for use, "Almagel A" increases the pH of the gastric content not sharply. It forms a protective layer, creating conditions for the uniform distribution of active substances on the gastric mucosa, as well as producing a long-term local impact without education in the stomach of carbon dioxide, which serves as a source of meteorism, sensation in the sphere of epigastria and enhancing the secondary nature of the secretion of hydrochloric acid.

  

  Judging by the classification of Sterner and Hodge, this drug When orally use is toxic weak degree And does not have teratogenic, embryotoxic and mutagenic effects. In some cases, there is an increase in tendon reflexes from just that appeared on the light of kids if their mother used this tool for a long time. Also, newborns have a risk of hypermagniasia, which may especially be in dehydration, as a result of which pregnant women and infants practicing the drug should not be practiced.

  Pharmacokinetics

  As the instruction indicates, "Almagel A" is a non-playing agent. If you follow the correct dosing regimen and the duration of therapy, it is almost not resistive to the gastrointestinal tract and produces a uniform long impact, while not disturbing the balance of electrolytes and not creating the potential risk of alkalosis or other metabolic defects. It does not contribute to the irritation of the urinary system, and with long-term use does not contribute to the formation of alkalosis, as well as the formation of concrections in urine removal paths.

  Indications for use

  "Almagel A" in bags is used in the following cases:

  

  • in the presence of peptic disease duodenal estate or stomach in the aggravated phase;
  • when gastritis acute and chronic formcharacterized by a normal and enlarged secretory function in the aggravated phase;
  • with enterite
  • when duodenit;
  • in reflux-esophagitis;
  • with hernia, the holes of the esophagus of the diaphragm;
  • with intestinal functional disorders, colitis;
  • as a prophylactic agent for the treatment of NSAIDs and GKS;
  • with pain and discomfort in the epigastrium, if there are errors in power mode, for example, alcohol, nicotine, coffee.

  Almagel A is appointed in the complex of therapeutic measures to patients suffering from diabetes.

  Contraindications

  According to the instructions for applying to Almagel A, opposition to the reception are:

  

  • supersensitivity to components contained in the preparation;
  • violation of the functioning of a pronounced kidney;
  • early age of children (up to one month);
  • alzheimer's disease.

  Due to the fact that benzocaine is present in the drug, it is impossible to assign at the same time with sulfonamide.

  Specificity Dosage

  To "Almagl A" the instruction is very detailed. The drug is used inside depending on the scheme that the doctor will appoint. It is prescribed from one to three teaspoons, which is determined by the sharp symptoms, they are used three or four times a day in thirty minutes before receiving food and before the departure to sleep.

  In relation to children, this agent is applied solely for the appointment of a specialist: if their age is up to ten years, then one third part of the adult dose is appointed, and from ten to fifteen years old - one second part.

  In the presence of pathological conditions, which are accompanied by vomiting, nausea and painful sensations in the abdomen, treatment should be started with the suspension "Almagel A", and after the disappearance of all mentioned symptoms, it is necessary to go to the use of ordinary Almaty.

  The bottle is needed to shake before use.

  Sided symptoms

  In some situations, disorders of taste sensations, vomiting, nausea, gastric spasm, constipation may occur during the use of the drug, painfulness in the epigastric area. All these symptoms take place after the dose is reduced. If you use the drug in high doses, then the patient may have drowsiness.

  

  The long-term therapeutic course using the drug in large doses and nutrition, in which the phosphorus content is not enough, phosphorus deficiency, reinforced resorption and calcium excretion can develop, and the appearance of octeomalysis may develop in patients with predisposition. In this regard, with prolonged reception "Almagel A", it is necessary to ensure the flow of phosphorus with food in sufficient quantities.

  In patients with renal failure of a chronic nature, in addition to osteomalysis, the appearance of edema extremities, hypermagniasia and dementia may appear.

  Features of interaction with other medicines

  Almagel A contributes to lowering the effectiveness of tetracycline, cardiac glycosides, H2-histamine receptor blockers, beta-adrenoblockers, ketoconazole, salts of iron, indomethacine, ciprofloxacin, isoniazide, phenothiazines, etc. If they are assigned together, between applications should take at least one Two hours.

  We are also incompatible with sulfonamide.

  The difference between "Almagel A" and "Almagel" is that the first tool is taken, in addition to heartburn, even with sharp pains, because it contains anesthetic.

  Additional comments

  Between the use of "Almagel A" and other drugs must pass the time period, which is one or two hours. The tool is not recommended to be used in doses that exceed sixteen spoons per day, or if such a dose is still used, the duration of the medical course should be equal to no less than two weeks.

  If the reception is long, then you need to take care of sufficient phosphorus arrival along with food products.

  Also contraindicated use of "Almagel A" in the defects of the functioning of the kidneys.

  With violations of the kidney function

  Contraindicated with a pronounced renal function.

  Pregnancy and lactation period

  Use of children

  "Almagel A" children are contraindicated to use in early age, that is, up to one month.

  For older children, the required dosages strictly indicates the doctor.

  How is vacation from pharmacies?

  The drug is allowed to use as a means that is released without presenting a recipe in the pharmacy. The price of Almagel varies, which is determined not only by the price policy of the pharmaceutical network, but also the company producing the drug. The thing is that the drug "Almagel" is produced by several pharmaceutical concerns. The cheapest is Almagel, produced by the Bulgarian Corporation. However, according to its quality, the suspension will be approximately similar to all manufacturers, noticeable differences will not be discovered.

  That is why when choosing "Almagel", it is best to take the preparation of such a manufacturer who makes the composition with a smaller probability. Before starting the application, it is necessary to advise the pharmacist owned the necessary information on such a problem.

  

  The effect of the drug is based on long-term neutralization of a continuously released gastric juice, reducing the concentration of hydrochloric acid to optimal values.

  Thanks to these properties, the medicine is used in the treatment of many diseases of the gastrointestinal tract.

  1. Instructions for use

  The properties of Almagel are due to the components included in its composition:

  • Aluminum hydroxide neutralizes hydrochloric acid, forming chloride.
  • Magnesium hydroxide together with acid neutralization opposes the property of aluminum chloride to cause constipation.
  • Benzocaine, which is part of Almagel A, has a local painkillers.

  In addition to major antacid properties, Almatyel has gastroprotective, adsorbing and enveloping qualities. D-sorbitol in the composition of the medicine has a laxative effect and enhances the bore.

  The medicine does not cause a sharp change in the acidity of the stomach environment towards the alkaline reaction, and does not affect the blood pH indicator, does not provoke the formation of stones in the biliary ways and does not disturb the electrolyte water equilibrium.

  Almagel enters the reaction with hydrochloric acid The stomach, leading to a decrease in the digestive ability of the gastric juice, without causing its secondary hypersecretion. Additionally, has an enveloping and adsorbing effect, reducing the damage to the mucous membrane. The drug after reception begins to act after 3-5 minutes, and the effect lasts about 70 minutes.

  Indications for use

  Almagel is used for the following diseases associated with increased acidity:

  • Enterite, duodenitis.
  • All forms of gastritis.
  • Gastroesophageal reflux disease.
  • Present gastritis.
  • Pain and discomfort in the abdomen after excessive coffee, alcohol, medicines, nicotine, incorrect diets.
  • Fermentation and putrid dyspepsia.
  • Gastroanastomosit with reflux.

  Mode of application

  Before use, the bottle with the drug shakes and take before eating for 10-15 minutes, after which 15 minutes. Do not drink fluid.

  If it is necessary to obtain a symptomatic antacid effect, Almaty takes the recommended doses after 45-60 minutes. After eating and shortly before sleep.

  With an insufficient effect, it is permissible to take up to 3 teaspoons, but not more than the permissible daily rate - 16 spoons.

  Reception maximum doses It is impossible to continue more than 2 weeks. Course treatment with ordinary doses - 2-3 months.

  Depending on the form of Almagel, the diagram of its reception is as follows:

  • Reception for the appointment of a doctor of 1-3 h., Based on the acuteness of the case;
  • IN preventive purposes - 1-2 h. L. in a day;
  • Children under 10 years old - 1/3 adult dose, from 10 to 15 years - ½ adult dose;
  • Treat the diseases with nausea, vomiting, pain in the abdomen are beginning to be diamedy A, and when they are disappeared, they are moving to Almaty.

  2. Almagel Neo:

  • Take 2 dimensional spoons 4 times in days, and before bedtime. Motherwise dose In some cases, up to 4 spoons can be increased, but not more than 12 per day;
  • Children from 10 years old dosage is determined by the doctor (usually ½ adult dose).

  3. Tablets Almagel:

  • One-time reception rate - 1-2 pieces. Not more than 6 times in day. The optimal use time is 1-2 hours after meals and before bedtime. Standard reception course 10-15 days;
  • Children pills are attributed from 12 years of age.

  Release form, composition

  Almagel is produced in the form of suspension and tablets, while there are several suspensions of suspensions:

  • AlmaGel (packed in a green box) - consists only of the main components (aluminum and magnesium hydroxide gel).
  • Almaty A (packed in a yellow box) - along with base components, includes analgesic (benzocaine).
  • Almaty Neo (Packed in a red box) - contains basic components and symmetics, eliminating gases.

  The drug is spilled in 170 ml bottles in a set with a measurable spoon, the neo version can be produced in bags of 10 ml. Tablets are packed in boxes of 12 and 24 pcs., Marked letters T.

  

  The qualitative composition of all forms of Almagle is as follows:

  1. Almagel:

  • Active components: aluminum hydroxide, magnesium hydroxide;
  • Auxiliary substances: methyl, butyl and propyl aprichedroxibenzoate, saccharine sodium, ethanol, sorbitol, hydroxyethylcellulose, lemon oil, water.
  • Active components: algelfrart (aluminum hydroxide in the form of gel), magnesium hydroxide, benzocaine;
  • Auxiliary components: similar to Almagel.

  3. Almaty Neo:

  • Active components: aluminum hydroxide in the form of a gel, magnesium hydroxide and symmetics;
  • Auxiliary substances: perhydro 30%, citric acid monohydrate, sorbitol, propylene glycol, sodium saccharinate, macrogol 4000, ethanol 96%, hytelectloose, ethylpaultsibenzoate, Orange flavor, water.

  4. Almagel T (Tablet 0.5 g):

  • Active components: Aluminum and magnesium hydroxide;
  • Auxiliary substances: magnesium stearinovascular, mannitol, sorbitol, microcker. cellulose.

  Interaction with other drugs

  With simultaneous reception of Almagel, the therapeutic effect of tetracycline antibiotics, glycosides of inensitia, ciprofloxacin, isoniazide, indomethacin, beta-adrenoblastors, phenothiazines, ketoconazoles is capable of reduce therapeutic effect.

  2. Side effects

  After receiving all types of Almaty, the following side effects may be observed:

  • Distortion of taste sensations.
  • Nausea, vomit urge.
  • Gastric spasms.
  • Drowsiness.

  The maximum doses of the drug in combination with a disadvantage of phosphorus intake with food causes manifestations of phosphorus deficiency, activating calcium extraction with urine and the development of osteomalysis.

  Contraindications

  Contraindications for receiving the drug are as follows:

  • Increased sensitivity to drug components.
  • Alzheimer's disease.
  • Pronounced pathology of kidney function.
  • Under the age of 1 month, up to 10 years old Almagel Neo.

  During pregnancy

  During pregnancy, Almaty does not take longer than 3 days. When breastfeeding, Almagel is not accepted.

  3. Terms and Storage Terms

  Almagel is stored in a cool place without access light at To 1-25 ° C (optimally at 5-15 ° C) for 5 years. The freezing of the drug is unacceptable.

  4. Price

  Depending on the geographical location of the pharmacy and the trading charge, Almagel has the following price:

  The average price in Russia:

  

  The average cost in Ukraine

  • Almagel - 32-39 UAH;
  • Almaty A - 31-47 UAH.;
  • Almagel Neo - 47-64 UAH;
  • Tablets - 32-41 UAH.

  5. Analogs

  The drugs similar to the action with Almaty are as follows:

  • Malukol;

  Video on the topic: Preparation Almagel

  6. Reviews

  Thanks to the long-term release of Almaty, a large number of reviews have accumulated on it. Many people who took the drug respond about him positively, motivating it high efficiency and long effect By eliminating symptoms

  Read also ...

  • What does it mean to: Kakak in a dream?
  • What are the causes of agglutination of spermatozoa and how to treat pathology?
  • LFK when amputation of the lower extremities IFC technology with limb amputation
  • How to reduce sex lips?