Manti Extra x 12 Heartburn chewable tablets
- Manti Extra chewable tablets are a medicinal product containing as many as three active substances. The drug is indicated for short-term use in the symptomatic treatment of ailments related to hyperacidity of gastric juice (including heartburn).
Composition of Heartburn Manti Extra:
Active substances: famotidine (Famotidine), magnesium hydroxide (Magnesium hydroxide), calcium carbonate (Calcium carbonate). One tablet contains 10 mg of famotidine, 165 mg of magnesium hydroxide, 800 mg of calcium carbonate and excipients: pregelatinized starch, corn starch, corn starch, dextrates, sodium carboxymethyl starch (type A), sodium cyclamate (E 952), mint flavor SD (gum arabic, flavoring preparations). , natural flavoring substances including L-menthol), magnesium stearate.
Manti Extra Heartburn action:
The drug contains three active substances - famotidine, calcium carbonate, magnesium hydroxide. The Manti Extra medicinal product is indicated for short-term use in the treatment of symptoms of hyperacidity of gastric juice, i.e. heartburn, pain and burning sensation in the epigastrium and indigestion. Famotadine reduces the production of hydrochloric acid in the stomach, while calcium carbonate and magnesium hydroxide are antacids (they reduce the concentration of stomach acid). The drug relieves the symptoms of indigestion or hyperacidity of the stomach, acting in two ways: calcium carbonate and magnesium hydroxide quickly neutralize the excess acid already produced in the stomach, leading to rapid pain relief, and famotidine inhibits the production of hydrochloric acid in the stomach, reducing the acidity of gastric juice, thereby thus provides a long-lasting effect - for 10-12 hours.
Application:
The Manti Extra medicinal product is indicated for short-term treatment of symptoms related to hyperacidity of gastric juice - heartburn, indigestion, pain and burning sensation in the epigastrium. For adults and adolescents over 16 years of age.
Additional information:
Store the product out of the reach of children, at room temperature. It is recommended to protect against moisture and light. Talk to your doctor or pharmacist before taking this medicine in the following cases: pain in the chest (or around the shoulders), shallow breathing, sweating, pain radiating to the upper limbs, neck, shoulders or jaw (especially if accompanied by difficulty in breathing); difficulty swallowing and pain when swallowing; dizziness, nausea, vomiting; vomit that is bloody or looks like coffee grounds; bleeding or blood in the stool, black stools; heartburn lasting longer than 3 months; heartburn combined with pain, dizziness and excessive sweating; persistent abdominal pain; unexpected weight loss; if you are over 40 years of age and have recently developed new or changed symptoms of indigestion or heartburn. You should consult a doctor if you have a stomach or duodenal ulcer, cancer should be ruled out; if you are taking other medicines to treat stomach acidity; if you are taking non-steroidal anti-inflammatory drugs; if you have a history of peptic ulcer or disturbing symptoms (unintentional weight loss, difficulty swallowing, recurrent vomiting, vomiting blood or grounds, tarry stools); if you have confirmed hypercalcaemia because the product contains calcium; if you have known hypophosphatemia as the product may worsen this condition; if you have confirmed hypercalciuria or urinary tract stones; if the patient has impaired renal function, the product should be administered only under medical supervision and serum calcium and magnesium levels should be monitored; in case of impaired liver or kidney function, the drug should be used with caution; in case of long-term use (mainly during treatment with other calcium-containing medicines and/or vitamin D-containing medicines). Use with other medicines: Antacids may alter the absorption of many medicines, so it is recommended to take Manti Extra at least two hours after taking other medicines, and at least four hours after taking a quinolone antibiotic. You should consult your doctor if you are taking, among others: an antiviral medicine (atazanavir), antifungal medicines (e.g. itraconazole, ketoconazole), medicines used to treat osteoporosis such as bisphosphonates (e.g. alendronate), medicines used to treat bacterial infections – tetracyclic antibiotics (e.g. doxycycline, tetracycline), quinolone antibiotics (e.g. ciprofloxacin, levofloxacin), drugs used to treat thyroid disorders (e.g. levothyroxine), drugs used to treat hypertension or ischemic heart disease (e.g. diltiazem, verapamil), beta-blockers (atenolol, metoprolol, propranolol, sotalol), a medicine used to treat heart failure or heart rhythm disorders (digoxin),drugs affecting the concentration of potassium or phosphorus in the blood (sodium polystyrene sulfonate), phosphorus supplements (e.g. potassium phosphate), non-steroidal anti-inflammatory drugs - salicylates (acetylsalicylic acid, diflunisal), indomethacin, anticancer drugs (estramustine), allergy drugs (fexofenadine) , iron salts used in anemia, drugs used in dentistry (sodium fluoride), anti-inflammatory drugs - glucocorticosteroids, drugs that reduce gastric acidity (lansoprazole), drugs used in arthritis (penicillamine), drugs used in mental diseases - neuroleptics (phenothiazine derivatives) or with anti-anxiety, sedative or hypnotic properties (benzodiazepines), medicines for epilepsy or neuropathic pain (gabapentin), medicine for gout (probenecid), thizide diuretics (increasing urine secretion). In people on dialysis, the drug may reduce the effectiveness of calcium carbonate used as a medicine to reduce excessively high levels of phosphate in the blood (hyperphosphatemia). You should check what medications you are taking as they may contain aspirin or aspirin-like non-steroidal anti-inflammatory drugs, which may cause stomach irritation. Ask your doctor about the safe use of these medications. Do not stop taking the low dose of aspirin prescribed by your doctor to prevent a heart attack or stroke (usually at a dose of 81-125 mg daily). Driving and operating machines: due to the risk of side effects such as dizziness, which may impair psychophysical performance, caution should be exercised. The medicine contains a source of glucose (dextrates) - please consult your doctor if you have an intolerance to some sugars. This medicine contains less than 1mmol (23mg) sodium per tablet, i.e. it is essentially 'sodium-free'.because they may contain aspirin or aspirin-like nonsteroidal anti-inflammatory drugs, which may cause stomach irritation. Ask your doctor about the safe use of these medications. Do not stop taking the low dose of aspirin prescribed by your doctor to prevent a heart attack or stroke (usually at a dose of 81-125 mg daily). Driving and operating machines: due to the risk of side effects such as dizziness, which may impair psychophysical performance, caution should be exercised. The medicine contains a source of glucose (dextrates) - please consult your doctor if you have an intolerance to some sugars. This medicine contains less than 1mmol (23mg) sodium per tablet, i.e. it is essentially 'sodium-free'.because they may contain aspirin or aspirin-like nonsteroidal anti-inflammatory drugs, which may cause stomach irritation. Ask your doctor about the safe use of these medications. Do not stop taking the low dose of aspirin prescribed by your doctor to prevent a heart attack or stroke (usually at a dose of 81-125 mg daily). Driving and operating machines: due to the risk of side effects such as dizziness, which may impair psychophysical performance, caution should be exercised. The medicine contains a source of glucose (dextrates) - please consult your doctor if you have an intolerance to some sugars. This medicine contains less than 1mmol (23mg) sodium per tablet, i.e. it is essentially 'sodium-free'.
Contraindications:
Do not use in case of hypersensitivity to any ingredient of the drug. Do not use if you are allergic to other drugs that reduce hydrochloric acid levels (such as ranitidine, cimetidine, etc.). Do not use in case of renal failure. Do not use under 16 years of age. Do not use during pregnancy and breastfeeding.
Side effects:
Some people may experience side effects while taking the medicine. Side effects are rarely reported - they are usually mild, disappear quickly and are reversible after discontinuing use of the product. The most frequently observed side effects are headaches, nausea and diarrhea. Common: headache. Uncommon: anxiety, dizziness; nausea, diarrhea, abdominal discomfort, abdominal bloating and pain, indigestion, belching, dry mouth, increased thirst, taste disturbances; feeling of numbness and tingling in the hands and feet (paraesthesia). Frequency not known: rash, itching, hives and severe skin reactions (toxic epidermal necrolysis); severe allergic reactions causing difficulty breathing or dizziness (anaphylaxis), difficulty breathing or wheezing (bronchospasm); cholestatic jaundice (obstructed bile outflow), increased liver enzymes (serum aminotransferases, gamma-GT alkaline phosphatase) and increased bilirubin levels); hallucinations, confusion, insomnia, seizures, drowsiness, anxiety and depression; muscle cramps; a low number of platelets with an increased risk of bleeding or bruising (thrombocytopenia), a low number of white blood cells which increases the potential risk of infection (leukopenia), a large decrease in the number of white blood cells with an increased risk of infection (agranulocytosis) and a large decrease in the number of all blood cells which may lead to weakness, bruising or an increased risk of infection (pancytopenia); impotence, decreased libido. Antacids may cause changes in stool frequency and consistency, bloating and a feeling of fullness.
Dosage of Manti Extra Heartburn chewable tablets:
Use as directed by your doctor or according to the instructions on the leaflet. Recommended dose for adults and adolescents over 16 years of age: chew one tablet to relieve symptoms. Do not swallow the tablet whole. Prevention of heartburn: take one tablet 15-60 minutes before taking food or drink that causes indigestion. Maximum daily dose: two tablets. Do not use for longer than 15 days without consulting a doctor. If there is no improvement or worsening after 15 days, contact your doctor.