• 500 mg aluminum magnesium silicate (1:2:3)

• magnesium stearate
• Vanilla flavor
• Vanilla Cream Flavor, dry, 250221 Symrise
• sucrose
• dry skim milk

indication

• The medicine is an agent for binding gastric acid (antacid).
• The drug is used in
  • Acid disorders of various kinds, such as heartburn or acid regurgitation.
  • For supportive therapy in gastric and duodenal ulcers.

dosage Heartburn, acid regurgitation, duodenal ulcer, GELUSIL LAC chewable tablets

• Always take the medicine exactly as directed. Please check with your doctor or pharmacist if you are not sure.
• Unless otherwise prescribed by the doctor, the usual dose is:
  • If necessary, take up to 3 chewable tablets several times a day.

• duration of use
  • The duration of treatment depends on the type and severity as well as the course of the disease.
  • Do not take the medicine for more than 14 days without medical or dental advice.
  • Please talk to your doctor or pharmacist if you have the impression that the effect of the medicine is too strong or too weak.

• If you take more of the medicine than you should
  • Poisoning from the drug is unlikely due to the low absorption of aluminum and magnesium.
  • Overdosing can lead to changes in stool behavior such as softening of the stool or constipation.

Heartburn, acid regurgitation, duodenal ulcer, GELUSIL LAC chewable tablets way

• The chewable tablets are intended for oral use (chewing or sucking).
• Other medicines should always be taken 1 to 2 hours before or after taking the medicine.
• You should also take the medicine 1 to 2 hours after meals and before going to bed.

side effects Heartburn, acid regurgitation, duodenal ulcer, GELUSIL LAC chewable tablets

• Like all medicines, this can have side effects, although not everyone gets them.
  • The evaluation of side effects is based on the following frequency information:
    • Very common: affects more than 1 in 10 people
    • Common: affects 1 to 10 users in 100
    • Uncommon: affects 1 to 10 users in 1,000
    • Rare: affects 1 to 10 users in 10,000
    • Very rare: affects less than 1 in 10,000 people
    • Not known: frequency cannot be estimated from the available data
  • Possible side effects:
    • nervous system
      • In the case of insufficient renal performance (renal insufficiency) and long-term intake of high doses, aluminum storage can occur, especially in the nerve tissue.
    • gastrointestinal tract
      • High doses can cause gastrointestinal symptoms such as loose stools, but also constipation, flatulence and a feeling of fullness. In isolated cases, intestinal blockages have been observed during long-term therapy with aluminum hydroxide.
    • Muscular, tissue and skeletal systems
      • In the case of insufficient renal performance (renal insufficiency) and long-term intake of high doses, aluminum can be deposited, especially in the bone tissue, and phosphate depletion can occur.
    • Kidney and urinary tract
      • In individual cases, silicate stones in the kidneys or bladder have been observed during long-term therapy with aluminium-magnesium silicate.
    • laboratory tests
      • If you have severely reduced kidney function, taking medicines containing magnesium and aluminum such as the drug can cause increased levels of magnesium in the blood (hypermagnesaemia) and an increase in serum aluminum levels.
  • Tell your doctor or pharmacist if any of the side effects gets serious, or if you notice any side effects not listed here.
  • Special instructions:
    • In patients with gastric or duodenal ulcers, an examination for H. pylori - and if it is detected - a recognized eradication therapy should be considered, since the ulcer disease usually heals if eradication is successful.

interactions Heartburn, acid regurgitation, duodenal ulcer, GELUSIL LAC chewable tablets

• Taking the medicine with other medicines:
  • Please note that this information may also apply to medicines you have used recently.
  • The absorption and thus the effectiveness of other drugs is reduced by the drug.
  • This is particularly important with certain antibiotics (e.g. tetracyclines and quinolone derivatives such as ciprofloxacin, ofloxacin and norfloxacin) and also with sodium fluoride, iron and chenodeoxycholic acid.
  • Therefore, other medicines should be taken 1 to 2 hours before or after taking the medicine.
  • Please tell your doctor or pharmacist if you are taking/using or have recently taken any other medicines, even if they are non-prescription medicines.
• Taking the medicine with food and drink
  • You should not take this at the same time as acidic drinks (e.g. fruit juice, wine) as this leads to an undesirable increase in aluminum absorption from the intestine. Effervescent tablets also contain fruit acids, which can increase aluminum absorption from the intestine.

Contraindications

• The medicine must not be taken if you
  • have low levels of phosphate in your blood (hypophosphataemia).
  • have a blockage in the narrowing of the colon (stenosis).
  • are allergic (hypersensitive) to aluminum magnesium silicate or any of the other ingredients of the medicine.
  • The medicine must not be given to infants.

pregnancy and breast feeding period

• pregnancy and breast feeding period
  • The risk-benefit balance should be carefully considered before taking aluminum-containing antacids during pregnancy.
  • You should only use the medicine for a short time during pregnancy in order to avoid exposure of the child to aluminum.
  • Aluminum compounds pass into breast milk. A risk for the newborn cannot be assumed, since only very small amounts are absorbed.
  • Ask your doctor or pharmacist for advice before taking/using any medicine.

patient notes

• Special care is required when taking the drug
  • if you have impaired kidney function (creatinine clearance less than 30 ml/min), you may only take the medicine if the magnesium and aluminum serum levels are checked regularly.
  • in patients with chronic renal insufficiency, the aluminum plasma concentrations should also be determined after short-term use of the drug. In addition, medical examinations are advisable for these patients at regular intervals (about every six months) in order to detect an accumulation of aluminum in the nervous system and the bones as early as possible.
  • Aluminum serum levels should be checked regularly during long-term use. This applies in particular to patients with renal dysfunction.

• Ability to drive and use machines:
  • There are no special precautions required.