Release form, composition and packaging
active ingredients: sodium alginate 500 mg, sodium bicarbonate 267 mg, calcium carbonate 160 mg;
excipients: carbomer 65 mg, methyl parahydroxybenzoate 40 mg, propyl parahydroxybenzoate 6 mg, sodium saccharinate 10 mg, peppermint oil 1 mg, sodium hydroxide 26.667 mg, purified water up to 10 ml.
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Oral suspension [mint].
100 ml, 150 ml or 300 ml in dark glass bottles with a polypropylene cap that provides first-opening control. Instructions for use are located under the label.
The medicine is usually produced:
- Gaviscon suspension;
- Gaviscon forte (suspension) comes in one of two flavors: mint or anise;
- Gaviscon tablets are chewable tablets with lemon or mint flavor;
- Gaviscon Double Action - suspension and chewable tablets.
Gaviscon Forte suspension Gaviscon suspension Gaviscon Gaviscon Double action
- 10 ml of Gaviscon suspension (oral intake) contains sodium alginate (500 mg), sodium bicarbonate (267 mg), calcium carbonate (160 mg).
- 10 ml of Gaviscon Forte (for internal use) contains sodium alginate (1000 mg), potassium bicarbonate (200 mg). Gaviscon Forte, like Gaviscon, contains calcium carbonate, but in Gaviscon Forte it is considered an additional substance;
- One Gaviscon tablet contains sodium alginate 250 mg, calcium carbonate 80 mg, and sodium bicarbonate 133.5 mg.
- Additional substances of Gaviscon Forte and Gaviscon suspension include: carbomer, methyl parahydroxybezoate, sodium saccharinate, propyl parahydroxybenzoate, sodium hydroxide, peppermint oil, purified water.
- Additional substances in Gaviscon tablets include: macrogol, mannitol, magnesium stearate, copovidone, aspartame, flavor (lemon and mint flavor) and acesulfame potassium.
- Gaviscon Double Action is available in two forms: suspension - the product is taken only orally, sold in 10 mg sachets or 150 mg bottles (also often found in 200, 300 and 600 mg bottles).
- There is also an option - chewable tablets, which contain all the necessary substances, like the suspension, the amount of each substance is half as much as in the suspension. The suspension (10 ml) contains: sodium bicarbonate (213 mg), sodium alginate (500 mg), calcium carbonate (325 mg).
Important! Please note! Any antacid substance greatly affects the action of other medications. Any remedy taken against heartburn should be taken 2 hours before meals or 2 hours after meals.
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What's happened
Gaviscon is a synthetic drug with anthocidal properties.
The drug actively interacts with gastric juice, forming a gel-like substance that lines the walls of the stomach and protects it from irritation. At the same time, the digestion process remains unchanged; when the contents of the stomach are thrown into the esophagus, the drug creates protection for its walls. This mechanism quickly eliminates burning and irritation of the mucous membranes, protecting against heartburn.
Release form
The drug is available in the form of a suspension (in a bottle or single-use sachets) and in the form of chewable tablets, 8 pieces in a blister.
Release options:
- Gaviscon classic;
- Gaviscon double action;
- Gaviscon forte and Gaviscon forte for pregnant women.
All release forms have the same composition, the differences are in the dosage of the active substance and flavorings.
pharmachologic effect
Pharmacodynamics
When taken orally, the active ingredients of Gaviscon® quickly react with the acidic contents of the stomach. In this case, an alginate gel is formed with a pH value close to neutral. The gel forms a protective barrier on the surface of the stomach contents, preventing the occurrence of gastroesophageal reflux (return of stomach contents into the esophagus) for a period of up to four hours.
A decrease in irritation is felt 3-4 minutes after administration.
Pharmacokinetics
The mechanism of action of Gaviscon® is a physical process and, therefore, the therapeutic effect of the drug is carried out without absorption into the systemic circulation.
The incidence of adverse reactions was assessed based on the following criteria: very often (≥ 1/10), often (≥ 1/100, {amp}lt; 1/10), infrequently (≥ 1/1000, {amp}lt; 1 /100), rare (≥ 1/10000, {amp}lt; 1/1000), very rare ({amp}lt; 1/10000), unknown frequency (frequency cannot be calculated from available data).
Immune system disorders: unknown frequency - anaphylactic and anaphylactoid reactions, hypersensitivity reactions (urticaria).
Disorders of the respiratory system, chest and mediastinal organs: unknown frequency - respiratory effects (bronchospasm).
If any of the side effects indicated in the instructions get worse, or you notice any other side effects not listed in the instructions, tell your doctor.
Since calcium carbonate, which is part of the drug, exhibits antacid activity, at least 2 hours should pass between taking Gaviscon® and other drugs, especially when taken simultaneously with H2-histamine receptor blockers, antibiotics from the tetracycline group, digoxin, fluoroquinolone, iron salts, ketoconazole, antipsychotics, thyroid hormones, penicillamine, beta-blockers (atenolol, metoprolol, propranolol), glucocorticosteroids, chloroquine, bisphosphonates and estramustine.
Gaviscon is generally well tolerated. Very rarely, patients with high individual sensitivity develop an allergy to the components of the drug in the form of urticaria, bronchospasm or anaphylactic shock. In this case, the drug is discontinued. Sometimes in patients with hypoid conditions the effectiveness of hydrochloric acid sharply decreased.
When using the drug in doses significantly higher than those recommended in the instructions, pain appears in the epigastric region, as well as bloating and flatulence. In such cases, the drug is stopped and symptomatic therapy is prescribed.
Contraindications
- In case of hypersensitivity to the components of the drug.
— Chewable tablets should not be taken by patients with phenylketonuria.
— Up to 6 years of age due to the lack of data on the safety of using the drug at this age.
The suspension is carefully prescribed to persons suffering from nephrocalcinosis and hypercalcemia due to the high calcium content in the drug, as well as those on a low-salt diet due to the high concentration of sodium salts in the drug.
During pregnancy
Gaviscon is completely safe for pregnant and lactating women.
Gaviscon is an antacid drug. The acidic environment of the stomach promotes the transformation of Gaviscon into a valginate gel, with a pH value of zero.
In addition, a film is formed in the gastric mucosa that prevents the development of gastroesophageal reflux. When food enters the esophageal tract, the gel protects the mucous membrane from various irritations.
The drug entering the circulatory system does not affect pharmacodynamics in any way.
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The pharmacological drug Gaviscon is well tolerated by all patients and does not manifest itself in the form of undesirable effects. There have been unusual cases where there was an allergic reaction from the drug.
If the dosage is exceeded, there may be bloating. To avoid any side effects, it is sometimes useful to use symptomatic therapy.
If the patient is taking Gaviscon, other drugs can be taken no earlier than two hours after consuming the suspension.
The formula of the drug includes calcium carbonate, which may somehow affect the effectiveness of other drugs
Compatibility with alcohol and drugs
Studies have shown that Givescon is compatible with alcohol. Ethyl alcohol does not affect the effectiveness of the drug and does not react with it. The drug can be taken to suppress symptoms of heartburn caused by drinking alcohol.
Gaviscon does not interact with medications.
But it should be remembered that the active substances contained in the product create a protective film on the gastric mucosa, due to which the absorption of other medications may worsen.
This is why you should not take other medications together with Gaviscon. It is best to do this two hours before or after using Gaviscon.
Contraindications for use
Gaviscon suspension is prescribed for the following symptoms:
- Heartburn;
- Excessively sour heartburn;
- Reflux disease;
Some people, after eating, feel as if a heavy stone had been placed on their stomach.
Doctors reveal the secrets of some more features of the drug.
The special protective film that forms when taking Gaviscon in suspension seems to attract excess salt acids, bile acids and the enzyme pepsin, preventing them from further damaging the surface of the mucosa.
In what cases should the medicine not be used:
- If a patient takes Gaviscon and exhibits excessive sensitivity, allergies manifest as bronchial spasm, urticaria and anaphylaxis. If these symptoms occur, the drug is strictly prohibited from taking.
- Gaviscon tablets are prescribed to younger schoolchildren with extreme caution. They specifically adjust the amount of the drug used.
- For preschool children, Gaviscon is strictly prohibited.
- Gaviscon Forte is strictly prohibited for younger schoolchildren.
- Patients suffering from excessive sensitivity to the main elements of the drug.
- Particular caution should be taken when taking the drug to patients who have too much calcium in the blood and urolithiasis.
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Symptomatic treatment of dyspepsia associated with increased acidity of gastric juice and gastroesophageal reflux (heartburn, sour belching), a feeling of heaviness in the stomach after eating, including during pregnancy.
- hypersensitivity to any of the components of the drug;
- children under 6 years of age.
Why is it prescribed to expectant mothers?
The main purpose of prescribing Gaviscon during pregnancy is to relieve a woman of heartburn. Other indications for the use of the drug include:
- gastroesophageal reflux;
- symptomatic treatment of digestive disorders associated with deviations from the norm in the acidity of gastric juice;
- heaviness in the stomach after eating.
You can find references online that Gaviscon helps against toxicosis in the early stages. But it should be noted that the drug does not have any effect on the causes of this phenomenon, so it will not save you from nausea in the early stages of pregnancy for a long time.
Impact on the ability to drive vehicles and machinery
Inside.
Adults and children over 12 years of age: 10–20 ml after meals and before bedtime. The maximum daily dose is 80 ml.
Children from 6 to 12 years old: 5 - 10 ml after meals and before bedtime. The maximum daily dose is 40 ml.
The drug should not be used for a long time; if symptoms persist after 7 days of taking the drug, you should consult a doctor to review therapy.
Elderly patients: no dose adjustment is required.
Patients with impaired liver function: no dose change required.
Patients with renal insufficiency: Use with caution if a salt-restricted diet is necessary (see section "Special Instructions").
Symptoms: Abdominal bloating may occur.
Treatment: symptomatic.
The drug does not affect the ability to drive vehicles and machinery, as well as to engage in other potentially hazardous activities that require increased concentration and speed of psychomotor reactions.
Before using any medication, it is important to read the instructions and consult a doctor.
The method of use of Gaviscon directly depends on its release form
Gaviscon Suspension
It is taken orally; before taking the drug, it is advisable to shake the bottle to ensure uniformity of the contents.
Take the suspension with teaspoons (one teaspoon of the drug is equal to 5 ml of suspension), diluting it with liquid is strictly prohibited. It is taken daily whenever the patient eats, and always before going to bed.
Only a doctor can determine the duration of taking the drug; the dosage depends on the severity of the disease.
Typically the usage pattern looks like this:
- Patients over 20 years of age and children of high school age should take 10–20 ml of Gaviscon suspension four times a day;
- Younger schoolchildren are usually prescribed Gaviscon suspension four times a day, no more than 10 ml per dose.
The maximum duration of treatment should not exceed one week. If after seven days of treatment there is no change for the better, you should immediately go to the doctor.
Just like the suspension, they must be consumed orally, chewed thoroughly, if necessary, washed down with water, taken only after a hearty meal, and always before going to bed.
The duration of treatment and dose should be determined by the doctor.
The drug dosage regimen depends on age and may look like this:
- Patients over 12 years of age are prescribed 2 to 4 tablets, one per dose;
- Children from six to twelve years old take 1 - 2 tablets, divided into four doses.
Gaviscon should be taken for exactly seven days; if after completing the course the patient’s condition has not changed, you should immediately rush to the doctor.
Just like the previous two, it is used orally; before taking it, it must be shaken so that the suspension is homogeneous.
The dose is measured with a teaspoon or by simply consuming the contents of a single sachet. When taken as a suspension, it is not diluted with liquid. The drug must be used after eating and always before bedtime.
The treatment period and the one-time dosage of the drug are determined by the doctor individually. It is recommended to take the drug for seven days. If the disease persists, you must consult a doctor to clarify the diagnosis or change the treatment regimen.
Particularly severe symptoms do not occur during an overdose, only bloating.
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Review of the cheapest Gastal analogues with prices
Let's move on to cheap drugs with similar effects and properties to Gastal.
Since the cost of a package of Gastal is 375-400 rubles, we will consider antacids with a lower price offered by the pharmacy chain. All available medications are contraindicated during pregnancy and lactation due to insufficient knowledge. The tablets should be taken 30-60 minutes after meals; they can be crushed into powder.
Gastracid (103-150 rubles for 12 tablets) consists of soluble magnesium salts and algedrate. Able to be absorbed into the bloodstream. Not applicable for children under 10 years of age.
Alumag (90-130 rubles for 20 tablets) - reduces acidity due to the chemical interaction of aluminum and magnesium hydroxide with hydrochloric acid. Allowed from adolescence at 15 years of age.
Lactamil (suspension costs from 175 to 405 rubles) - is available in the form of a suspension, tablets and gel. Prohibited under 12 years of age.
Inalan is a lozenge, the components are similar to Rennie (calcium and magnesium carbonate), the drug is not intended for course use, the price is unclear.
Vikair (105 rubles for 20 tablets) - is distinguished by the inclusion of plant components from calamus root and buckthorn bark; anti-acid action has been supplemented by antispasmodic and laxative properties. The drug is not approved for use in children.
Vikalin (107 rubles for 20 tablets) - unlike Vikair, it contains rutoside and kellin to enhance antispasmodic and anti-inflammatory effects.
Basic antacid medications with prices current at the time of publication
Use during pregnancy and breastfeeding
The most significant point about taking a pharmacological agent.
There are few remedies that are excellent for helping with the symptoms described above and are allowed for pregnant women.
Gaviscon is acceptable for pregnant women.
Pregnant women are at greater risk of developing heartburn symptoms than anyone else. Gaviscon is recommended for pregnant women by both therapists and gynecologists.
If there is a need to take medication during breastfeeding, consultative conversations with a pediatrician and under his supervision are necessary.
Pregnancy
Clinical studies involving more than 500 pregnant women and the volume of data obtained during the post-registration period did not show congenital, feto- and neonatal toxicity of the active substances. Gaviscon® can be used during pregnancy if clinically necessary.
The effect of the active ingredients of the drug on newborns, infants, and lactating women has not been demonstrated. Gaviscon® can be used during breastfeeding.
Use in childhood
Use of Gaviscon for children:
- The product is strictly prohibited for preschool children.
- For children of primary school age, Gaviscon is prescribed no more than 10 ml (and no less than 5) after meals and without fail before bed. You can consume no more than forty ml of the product per day.
When dieting, it is important to remember that ten ml of suspension equals 141 mg of sodium.
Did the course of treatment last longer than a week? Urgently see a doctor to find out the details of further treatment.
For adults, teenagers or pensioners, it is better to take no more than twenty mg, but not less than ten mg, immediately after meals, provided that the diagnosis has been previously made. The maximum that patients of this category can consume per day is eighty ml.
For what diseases is it used?
The spectrum of action of the drug has wide boundaries. But you need to remember that Gaviscon is a symptomatic drug that will alleviate the condition, but for some diseases it will not bring recovery. That is why, if any disease develops, it is necessary to additionally consult a doctor.
Indications for use:
- Chronic gastritis with high acidity;
- Acute gastritis;
- Ulcer;
- GERD (gastroesophageal reflux disease).
Analogue drugs
Patients suffering from kidney disease should remember that four Gaviscon tablets have a sodium content of 246 mg.
Therefore, before starting treatment with Gaviscon, it is necessary to undergo a full examination at a medical institution and take the drug with the permission of the attending physician. Self-medication is strictly prohibited.
The following drugs are considered analogues according to formula, composition and pharmacological actions:
- Rennie, the average cost of the drug is from 150 rubles. Used for renal dysfunction;
- Domrid average cost from 200 rubles. A drug with an antiemetic effect;
- Pepsan average cost is from 370 rubles. Used as an anti-inflammatory agent that reduces the acid content in gastric juice;
- Gastal average cost from 127 rubles. Regulates the acidity level of gastric juice;
- Domstal average cost is from 310 rubles. Helps accelerate gastric emptying;
- Neosmectin average cost is from 130 rubles. Improves the gastroprotective properties of gastric mucus;
- Maalox average cost from 220 rubles. Helps reduce the impact of damaging factors;
- Phosphalugel average cost from 170 rubles. Removes gases, toxins, and microorganisms.
Domrid Domstal Phosphalugel Gastal Maalox Neosmectin Rennie
Gaviscon suspension is the most effective and almost harmless medicine that saves from signs of dyspepsia, expressed in sour belching and heartburn.
But, nevertheless, before you decide to take the medication, you should consult a doctor for advice.
Analogues of "Gaviscon"
Magnistad has a similar therapeutic effect on the stomach.
The formulas of drugs offered by pharmaceutical companies differ, but it is always possible to choose a drug with a similar effect on the body. During the consultation, a gastroenterologist will tell you, taking into account the indications, which suitable medications from an extensive list are best to take. In the case of Gaviscon these include:
- "Almagel";
- "Alumag";
- "Becarbon";
- "Gastroromazole";
- "Maalox";
- "Magalfil 800";
- "Magnistat";
- "Renny";
- "Scoralite";
- "Rivolox";
- "Phosphalugel".
Reviews from patients and doctors about Gaviscon emphasize the high effectiveness of the drug and positively evaluate the convenient form of release in the form of vials with a suspension. In this case, the viscosity of the tablets when chewed and the short-term effect of the drug are noted. The disadvantages also include the relatively high price, which is noticeable when you need to take the drug in courses.
special instructions
Sodium
The drug contains sodium. This should be considered when a salt-controlled diet is required (eg, in some cases of congestive heart failure and mild renal failure).
Calcium
The maximum recommended dose contains 320 mg of calcium carbonate. Caution must be exercised when treating patients with hypercalcemia, nephrocalcinosis and urolithiasis with the formation of calcium oxalate stones.
The drug contains methyl parahydroxybenzoate and propyl parahydroxybenzoate, and therefore may cause allergic reactions (including delayed ones).
Considering that Gaviscon contains a lot of sodium, patients with heart failure and patients who have problems with kidney function must be extremely careful when following a salt-free diet.
The presence of calcium carbonate warns patients to be careful when using the drug, especially those suffering from hypercalcemia.
There are also patients who have recurrent kidney stones.
For those suffering from phenylketonuria, Gaviscon is strictly contraindicated because aspartame is included in the composition.
The medicine has reduced effectiveness for people with low levels of stomach acidity.
If, after seven days, dyspepsia manifests itself again, it is necessary to determine the general condition again.
The use of Gaviscon does not in any way affect the ability to drive a car.
Contraindications and side effects
Despite the proven safety and effectiveness of Gaviscon, the instructions for use do not recommend its use in case of hypersensitivity to the active component. During pregnancy, a woman becomes especially sensitive, so treatment can provoke allergic reactions. If, after taking the medication, a skin rash, itching or other signs of allergy appear, you must stop using the antacid and contact a specialist to prescribe an alternative.
Gaviscon contains calcium. If there is sand or stones in the kidneys, then the use of this remedy may aggravate the course of urolithiasis. Under such circumstances, doctors try not to prescribe this medication, but choose its analogue based on other active ingredients.
When using Gaviscon, it must be taken into account that the maximum single dosage - 4 tablets - contains 246 mg of sodium. If the expectant mother has cardiovascular diseases, therapy can aggravate them.
The recommended treatment time with Gaviscon drugs is 7 days. Long-term use involves monitoring the functioning of organs such as the heart and kidneys. There are many home recipes to relieve heartburn. If they help the expectant mother, then it is better to abandon the use of synthetic drugs and turn to traditional medicine.
