Which drug is better Gaviscon or Maalox and how they differ

pharmachologic effect

Manufacturer: Reckitt Benckiser (UK)
Release form: chewable tablets, suspension

Active ingredient: sodium alginate, sodium bicarbonate, calcium carbonate

Analogues: Pepsan, Omez, Smecta

Gaviscon is an antacid drug that, under the influence of the acidic environment of the stomach, turns into an alginate gel with a zero pH value. This compound forms a protective layer on the mucous membrane. It protects it from irritation and reflux of stomach contents into the esophagus.

List of Rennie analogues with prices in Russia

Thus, patients have a very good opinion about this remedy. However, there are many quite effective substitutes on the market today. “De-Nol”, “Omez”, “Secrepat-Forte”, etc. - these are the main analogues of the drug “Phosphalugel”. The price of such substitutes may vary. But they all received good reviews from patients.

The drugs “Sekrepat-Forte”, “De-Nol” and “Omez” have a good effect on the body of patients. However, the best analogue of Phosphalugel among consumers is still considered to be Almagel. It is this medicine that has earned the best reviews from people with gastrointestinal problems. These two drugs differ in composition and release form. However, they have almost the same pharmacological effect on the patient’s body.

The medicine "Phosphalugel" is supplied to pharmacies in the form of a transparent gel. “Almagel” is a suspension. There are several modifications of this drug, differing only in the type of additives used.

Replacement of the drug should be carried out only with a safe analogue. The Russian pharmaceutical market includes the following drugs:

1. Gastratsid – 60-90 rubles.
2. Phosphalugel – 16 rubles, 1 sachet (1 dose for an adult).
3. Almagel - 160-170 rubles.
4. Gaviscon - 270-320 rubles.
5. Maalox – 250-320 rubles.

Before replacing Rennie, it is important to understand that low price does not mean quality or benefit. The cheapest antacid is baking soda, but the neutralization reaction is accompanied by the formation of carbon dioxide, which stretches the walls of the stomach. This is accompanied by a strong reactive increase in the functional activity of the glands, followed by an increase in acidity and deterioration of the condition.

Gaviscon analogs

Analogs and substitutes for Gaviscon, sold in the pharmacy chain, enable the gastroenterologist to effectively cope with the pathological process of the gastrointestinal tract. These funds are presented in the form:

• generics;
• combination drugs;
• synonyms.

A wide selection of Gaviscon analogues allows the doctor to competently and with good effect prescribe them not only to adults, but also to children over 12 years of age.

Table of Gaviscon analogues with price and country of origin

The price of Gaviscon analogues fluctuates over a wide range. You can purchase medications at a budget price with a good therapeutic effect, as well as more expensive imported drugs.

What else can replace Gaviscon, what medications with a similar therapeutic effect? You can supplement the list of drugs for the treatment of reflux esophagitis with the following medications:

• Alfazox;
• Gaviscon forte;
• De Nol;
• Vikair;
• Gastrozol;
• Orthanol;
• Gastracid.

Gaviscon analogs produced in Russia can be purchased at a pharmacy without a prescription, cheaper than imported drugs, but with a similar therapeutic effect.

Pepsan

Manufacturer: Rosa-Fitofarm (France)
Release form: capsules, gel

Active ingredient: dimethicone, guaiazulene

Pepsan is a combined analogue of Gaviscon that helps relieve inflammatory processes, reduce the secretion of hydrochloric acid in the stomach, and reduce gas formation in the intestines. The active substance Pepsan dimethicone is involved in the formation of a protective film on the walls of the digestive tract.

The medication is prescribed 1 capsule 2-3 times a day. The duration of therapy is determined individually.

Omez

Manufacturer: Dr.
Reddy's (India) Release form: capsules

Active ingredient: omeprazole

Omez belongs to the group of proton pump inhibitors. The active substance of this Gaviscon analogue inhibits the secretory function of hydrochloric acid, that is, it reduces its concentration in gastric juice. The drug gives a good therapeutic effect in the treatment of stomach and duodenal ulcers, reflux esophagitis.

Gaviscon analogue is prescribed, 1 capsule once a day. The dosage can be adjusted depending on the activity of the pathological process.

Smecta

Manufacturer: IPSEN PHARMA (France)
Release form: suspension, powder

Active ingredient: diosmectite

Smecta suspension has highly adsorbing and enveloping properties. The medication actively relieves diarrhea and dyspeptic disorders (heartburn, belching, heaviness in the abdomen). Smecta protects the gastric mucosa from the negative effects of various external and internal factors on it.

The drug is prescribed for internal use. The dosage and duration of use are determined by the doctor individually, taking into account age and indications.

Motilium

Manufacturer: JOHNSON & JOHNSON (Russia)
Release form: tablets, suspension

Active ingredient: domperidone

Gaviscon analogue tablets Motilium belong to the group of antiemetics that stimulate gastrointestinal motility. It does this by speeding up gastric emptying. The movement of its contents into the duodenum is accomplished by longer and more intense contractions of its walls.

The Gaviscon analogue actively relieves nausea, heaviness in the stomach, and the gag reflex. The drug is prescribed 1 tablet 3 times a day for 1 week. According to indications, the duration of taking the medication can be continued.

Omeprazole

Manufacturer: SYNTHEZ (Russia)
Release form: capsules

Active ingredient: omeprazole

Omeprazole belongs to the group of proton pump inhibitors, which blocks the final stage of hydrochloric acid synthesis. As a result of biochemical processes, the secretory function of the stomach decreases and the secretion of pepsin is inhibited.

A Gaviscon analogue of 20 mg is prescribed according to a regimen depending on the type of pathological process. The dosage and duration of treatment can be adjusted by the doctor according to indications.

Indications for use

Despite the similarity of pharmacological effects, the indications of the drugs also differ. This allows you to choose which is better between Phosphalugel and Gaviscon for a particular disease.

Gaviscon

The drug has a limited number of indications. It is prescribed to relieve symptoms of gastroesophageal reflux and heartburn.

The drug is used to eliminate unwanted symptoms from the gastrointestinal tract during pregnancy.

Phosphalugel

The drug is used both as monotherapy and as part of complex treatment regimens for diseases of the stomach and intestines. These include: stomach and intestinal ulcers, gastritis, hiatal hernia, reflux esophagitis.

Prescribed for functional diarrhea and dyspepsia, gastrointestinal disorders resulting from poisoning, infections, and the use of irritating compounds. Also indicated for discomfort and flatulence, belching, heartburn, abdominal pain, if they are not caused by appendicitis or other emergency conditions.

Gaviscon or Almagel - which is better and more effective for reflux

Manufacturer: BALKANPHARMA-TROYAN (Bulgaria)
Release form: suspension for oral administration

Active ingredient: algeldrate, magnesium hydroxide, benzocaine

Both drugs are prescribed for pathological processes of the gastrointestinal tract, but have different active substances and mechanisms of action. What is the difference between the drugs? It is noted according to the following characteristics:

• Almagel has broader indications for use and more adverse reactions. Its effectiveness is more pronounced in gastritis, ulcers, and erosions of the gastric mucosa.
• Gaviscon will be the best for reflux, as it has fewer side effects and is approved for use in children over 6 years of age and pregnant women.

The medications are well tolerated by patients. The priority of a particular drug will be determined by the doctor based on the symptoms and activity of the process.

Contraindications and side effects

There are conditions in which the use of antacid and coating drugs is contraindicated. This applies to children and intolerance to the components in the composition.

Maalox has more contraindications:

1. fructose intolerance;
2. severe kidney disease, including renal failure;
3. hypophosphatemia;
4. age up to 15 years.

The medicine is used with caution in cases where frequent constipation is observed. Magnesium salts in the composition help reduce peristalsis, which leads to slower movement of feces through the intestines.

When a long course of use of the drug is needed, therapy is carried out under the supervision of a specialist. Maalox in high dosage can provoke the development of phosphate deficiency. This complication causes osteomalacia of bone tissue.

Gaviscon can be used during pregnancy and breastfeeding; it is not teratogenic and does not have a negative effect on breast milk. But Maalox is not recommended for use during these periods, since there is not enough data to guarantee its safety. During lactation, it can be used due to local action and absorption into the bloodstream in small quantities.

If the dosage and treatment recommendations are followed, the risk of side effects is minimized. Both drugs are well tolerated by patients. Despite this, you need to remember the likelihood of developing unwanted symptoms from using each drug.

Possible side effects from taking Gaviscon are limited to allergic manifestations. These are rash, urticaria, bronchospasm, itchy skin, anaphylactic shock. Maalox can also lead to allergic symptoms with long-term use. In addition, there is a possibility of hypophosphatemia and dyspepsia, which has its own unpleasant consequences.

Gaviscon or Phosphalugel

Manufacturer: ASTELLAS (Netherlands)
Release form: gel for internal use

Active ingredient: aluminum phosphate

Phosphalugel is part of a group of antacid drugs, the action of which is aimed at neutralizing hydrochloric acid and reducing the activity of pepsin. The drug has adsorbing properties, creating a protective layer on the mucous membrane. It protects it from the aggressive effects of hydrochloric acid and other toxic substances.

The Phosphalugel analogue is prescribed, 1–2 sachets 2–3 times a day for adults and children over 6 years of age. It is possible to adjust the dose of the drug depending on the type and activity of the disease.

When relieving dyspeptic symptoms (heartburn, nausea, belching, heaviness in the stomach), which are not the cause of severe gastrointestinal pathologies, Gaviscon will be the best. It is allowed and well relieves these phenomena in case of toxicosis in pregnant women, while feeding the child.

Phosphalugel will be of benefit in the treatment of stomach or duodenal ulcers, gastritis, and irritable bowel syndrome. Its effectiveness against such gastrointestinal pathology is due to the action of the active substance included in the analogue.

Similarities and differences between drugs

Despite the external similarity of liquid forms of drugs, they have different mechanisms of action and differ in indications and method of administration.

pharmachologic effect

Medicines are non-absorbable antacids. But Phosphalugel additionally has enveloping and sorption properties. And Gaviscon forms a protective film that prevents the reflux of gastric contents into the esophagus. Moreover, in comparison with aluminum preparations, it has a moderate antacid effect.

Indications for use

Indications for prescribing antacids will be the following symptoms:

• heartburn;
• belching with sour contents;
• burning pain in the stomach and behind the sternum;
• symptoms of gastric dyspepsia that occur after eating (nausea and a feeling of heaviness).

Therefore, both Gaviscon and Phosphalugel are used for the following conditions:

• gastritis with high acidity;
• reflux of gastric contents into the esophagus (GERD, reflux esophagitis, diaphragmatic hernia).

But due to the sorption and enveloping ability of Phosphalugel, the list of indications for use has been expanded:

• gastritis with normal acidity;
• erosions, gastric and duodenal ulcers;
• symptomatic treatment of inflammatory diseases of the gastrointestinal tract (pancreatitis, colitis, etc.);
• functional diarrhea and irritable bowel syndrome;
• Gastrointestinal disorders caused by taking medications, alcohol, irritants.

Directions for use and dosage

Gaviscon and Gaviscon Double action taken after meals and for pain, 1-2 chewable tablets or 10-20 ml of suspension (1-2 sachets) per dose and no more than 80 ml per day, for the Gaviscon forte release form - 5-10 ml per appointment and no more than 40 ml per day.

Gaviscon and Gaviscon Double Action are taken after meals.

Since the list of indications for Phosphalugel is wider, the dosage regimen depends on the reason for prescribing the drug:

• when gastric contents reflux into the esophagus - immediately after eating and before bedtime;
• for pain - immediately, regardless of food consumption;
• for erosive and ulcerative lesions of the stomach and duodenum - 1-1.5 hours after eating;
• for inflammation of the gastric mucosa and dyspepsia - before meals;
• for functional intestinal disorders - on an empty stomach in the morning and at night.

1-2 dosed sachets per dose. Before use, knead the bag with your fingers; its contents can be diluted in ½ glass of water.

For infants and preschool children, the dose per dose is reduced:

• up to ¼ sachet (1 tsp) for a child 0-6 months;
• up to 1/2 sachet for children under 6 years of age inclusive.

The duration of treatment with antacids is up to 7 days; consult your doctor about the need to continue therapy.

Side effects of Gaviscon and Phosphalugel

A side effect of Gaviscon with unknown frequency includes bronchospasm. As with any drug, intolerance reactions are possible. Since the composition contains calcium carbonate, with prolonged and frequent use of an antacid, the development of alkalosis, hypercalcemia, milk-alkali syndrome, the “rebound” phenomenon, constipation, and the formation of kidney stones cannot be ruled out.

A side effect of Gaviscon with unknown frequency includes bronchospasm.

When using the drug, a patient on a low-salt diet (with congestive heart failure, hypertension, edema, kidney disease) should take into account the sodium content in the drug:

• 1 chewable tablet – 61.5 mg;
• 10 ml of suspension of Gaviscon, Gaviscon forte and Double action - 141 mg, 106 mg, 127.25 mg, respectively.

In Gaviscon Forte, sodium bicarbonate is replaced by a potassium salt, so taking the drug in excess dosages can lead to hyperkalemia.

Phosphalugel, like Gaviscon, is well tolerated. Allergic reactions rarely develop. Possible side effects of long-term use of the drug include:

• hypocalcemia and hypophosphatemia, hypercalciuria;
• stones in the kidneys;
• renal failure;
• osteoporosis;
• nausea, vomiting;
• constipation;
• encephalopathy.

Contraindications

Both drugs are contraindicated in case of individual intolerance. All forms of Gaviscon are not used in children under 12 years of age, with the exception of Gaviscon suspension, which is approved from 6 years of age.

In contrast, Phosphalugel can be used in children from birth. Contraindications for its use include severe renal dysfunction, Alzheimer's disease and hypophosphatemia.

Both drugs are approved for use by pregnant and lactating women.

Gaviscon or Rennie

Manufacturer: BAYER (Russia)
Release form: tablets

Active ingredient: calcium carbonate, magnesium carbonate

Both drugs actively relieve dyspeptic symptoms. During pregnancy, Gaviscon will be an advantage, since it is approved for use. Rennie will be the best for heartburn, belching, heaviness in the stomach caused by errors in diet, alcohol abuse.

The medication provides a positive effect due to active substances that quickly neutralize excess hydrochloric acid in the stomach. The effect of the analogue lasts for a long time.

Comparison of Rennie with other drugs

On the modern pharmaceutical market, antacids are represented by a large number of drugs that are similar in their mechanism of action and therapeutic results. These include Gaviscon, Maalox, Almagel, Phosphalugel.

Gaviscon contains calcium carbonate and alginate. After using this medicine, the therapeutic effect occurs later, usually taking up to 10 minutes to achieve it. Gaviscon has several features:

1. Alginate, when interacting with hydrochloric acid, forms a thin film on the mucous membrane, providing additional protection against aggressive factors. This feature is especially important for the complex treatment of peptic ulcers and erosive gastritis.
2. Gaviscon is available in several forms (tablets, suspension and powder for suspension), which increases the ease of use of the medicine.
3. In case of concomitant disorders of mineral metabolism, the medication is prescribed with caution.

Maalox is characterized by the ability to achieve a quick therapeutic result. The main compounds include aluminum and magnesium hydroxide. The compounds neutralize hydrochloric acid to form salts. They also contribute to the formation of a protective film on the surface of the mucous membrane, which is especially important for peptic ulcers. The medication is available in several dosage forms: chewable tablets, suspension and gel, which ensures ease of use.

The speed of onset, severity, and duration of the therapeutic effect are almost the same.

Almagel belongs to the combined agents that neutralize hydrochloric acid. It contains several main active ingredients, which include aluminum and magnesium hydroxide, as well as sorbitol. The active components provide certain features:

1. Rapid onset of therapeutic results within 5-7 minutes.
2. Formation of a protective film on the surface of the mucous membrane, which is important for concomitant peptic ulcers or erosions.
3. Binding and removal of toxins from the gastrointestinal tract due to the presence of sorbitol in the sorbent. The drug can be used to treat food poisoning and intestinal infections.
4. The medicine Almagel A also contains benzocaine, which is a local anesthetic. After taking it, the severity of pain and other sensations of discomfort in the stomach decreases.

Phosphalugel is an antacid with a combined therapeutic effect, which contains aluminum phosphate. The substitute has certain features:

1. Acidity decreases to normal levels.
2. The active component binds and removes toxins from the intestinal lumen, so it can replace other antacids with concomitant intestinal infection or food poisoning.
3. The medication is available in the form of an oral suspension, which makes it possible to prescribe it to small children.
4. Phosphalugel has a high safety profile, so it can be prescribed to children from birth, pregnant and breastfeeding women.

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Gaviscon or Gastal - which is better for reflux

Manufacturer: Teva (Israel)
Release form: lozenges

Active ingredient: aluminum hydroxide-magnesium carbonate, magnesium hydroxide

Gaviscon and its analogue are antacid drugs that neutralize excess hydrochloric acid in the stomach. For reflux, the best drug is Gaviscon. Its active components interact with gastric secretions and turn into a gel.

It protects the mucous membrane of the esophagus and stomach from the backflow of gastric contents. Gastal has broader indications and is used to treat gastrointestinal diseases (ulcers, gastritis, erosions).

Properly prescribed by a doctor, Gaviscon analogs will allow patients to quickly stop the pathological symptoms of the disease and prevent a relapse of the process.

Reviews from doctors about Gaviscon and Phosphalugel

Marat T., endoscopist, Kazan

Non-absorbable antacids form the basis for the symptomatic treatment of acid-related diseases of the digestive system. I recommend that patients follow a therapeutic diet, and in case of eating disorders, have medicine with them.

Natalia R., therapist, Voronezh

I actively prescribe Gaviscon and Phosphalugel. Drugs with different effects. The first is preferable for preventing the reflux of acidic food contents into the esophagus, and is a great help for pregnant women. The second can be prescribed for gastrointestinal disorders and inflammatory diseases of the digestive tract.

[morkovin_vg video=”EfHRIuWRnac, How Gaviscon Double Action works; OX-efLJx5jM, Phosphalugel”]

Answers on questions

Gaviscon tablets or suspension, which is better?

For patients with diabetes, it is better to take tablets, since the suspension contains a carbohydrate (sodium saccharinate), which can cause an increase in blood glucose. For children, the suspension will be convenient to take.

Gaviscon or Gaviscon forte, which is better?

Gaviscon will be the best, since it contains 3 active substances and is available in the form of a suspension and tablets. Gaviscon forte contains 2 active substances and is available only in the form of a suspension.

Characteristics of Phosphalugel

The active ingredient of the drug is aluminum phosphate. This is a slightly soluble compound that has the following abilities:

• neutralizes hydrochloric acid, but, being buffered against it, maintains a pH of 3-4;
• prevents the effects of aggressive factors on mucous membranes, forming a protective layer on their surface;
• adsorbs gases, bile acids and toxins;
• slows down intestinal motility;
• restores the tone of the lower esophageal sphincter.

Phosphalugel is available in the form of an oral gel.

Available as an oral gel. Packaged in dosed sachets weighing 16 g and 20 g, 6, 20 and 26 sachets per package.

Patient reviews

Evgeniy, 25 years old, Moscow.

I have been suffering from stomach ulcers for a long time. If pain occurs, I always take Almagel, since it is more effective than other drugs. The pain goes away quickly.

Dmitry, 45 years old, Vladivostok.

Chronic gastritis is a disease that I have suffered from since childhood. When the disease worsens, I always use Almagel. The medication relieves pain, heartburn, and relieves spasms.

Karina, 33 years old, Krasnodar.

I took Gaviscon in the form of a suspension while pregnant, when I suffered from severe heartburn. The drug is harmless and highly effective.

The drug "Motilium": instructions

The drug "Motilium" is an antiemetic drug, but it can also be classified as a substitute for the drug "Phosphalugel" (analogs of a narrow spectrum of action). The active component of tablets and suspensions is the substance domperidone. Also contains lactose, potato starch (gelatized), polyvidone, hydrogenated vegetable oil, magnesium stearate, hypromelose, sodium lauryl sulfate.

This medicine is used to treat dyspepsia, as well as to eliminate vomiting and nausea of ​​various origins. Depending on the severity of symptoms, the doctor may prescribe the patient to take 1 or 2 tablets three times a day. The suspension regimen is selected individually, based on the baby’s body weight.

The drug is not prescribed to pregnant women before 12 weeks; after this period, the risk and therapeutic dose are assessed. The medicine is transmitted through breast milk, so it is advisable to transfer the child to artificial feeding for the period of treatment or to completely stop taking it.

If you suffer from nausea and vomiting and for some reason it is impossible to take the medicine “Phosphalugel”, the analogue in tablets “Mottilium” is a worthy replacement.

Phosphalugel for nausea

On the shelves of pharmacies, the therapeutic line of Almagel is represented by four types of antacids, differing from each other in the qualitative and quantitative content of ingredients. Each drug is intended to treat certain forms of gastritis and ulcerative lesions. What types of Almagel are there:

Contraindications

Warning: “The occurrence of any of the side effects of Almagel should be a signal to consult a doctor. The gastroenterologist will reduce the dosage of the drug or replace it with another, safer drug.”

Almagel and Maalox are gastroprotectors. They are presented in the form of tablets and suspensions. Contains aluminum hydroxide and magnesium hydroxide. Thanks to the action of the drugs, the negative effects of hydrochloric acid are reduced.

Patient reviews

Vera Sergeevna, 53 years old

I suffer from gastritis with high acidity. When the pathology worsens, pain often occurs. Helps quickly eliminate pain syndrome Almagel. This is a good drug that does not contribute to the occurrence of negative reactions.

Valentin Alexandrovich, 62 years old

Recently diagnosed with a stomach ulcer. I take medications and folk remedies recommended by my doctor. When heaviness in the stomach, flatulence or heartburn occurs, Gaviscon helps. It acts gently and quickly normalizes the condition.

The drug "De-Nol": reviews

Thus, as we found out, one of the advantages of Phosphalugel is the price. It has earned good reviews (analogues of this medicine are often more expensive), including for its relative cheapness.

However, Phosphalugel does not have a very strong effect on the body. There are also analogues on sale today that have more serious pharmacological effects. These include, for example, “De-Nol”. This medicine has received especially good reviews from patients suffering from gastritis. Judging by their reviews, the medicine “De-Nol” helps such patients very well.

Most patients attribute the disadvantages of this medicine primarily to its high cost. The price of the drug "De-Nol" is high, but it must be taken not 3, but 4 times a day.

The drug "Phosphalugel": basic information

This gel is a balanced substance that contains aluminum phosphate as an active ingredient, as well as pectin, agar-agar and sorbitol. The drug is able to neutralize the acidity of the stomach, as well as envelop its walls and adsorb toxins of various origins. The main feature of the drug is that it does not disrupt the electrolyte balance of the body and does not contribute to the formation of stones in the urinary system. Not every analogue of Phosphalugel can boast the same indicators.

How do they affect the body?

Both medications are similar in their effects on the human body.

Gaviscon

The active ingredients of Gaviscon interact with the secretory fluid of the stomach, forming a dense gel-like barrier that remains on the surface of the stomach contents.

Due to this, the stomach wall becomes protected from gastric acid secretion. Slows down intestinal motility, has cytoprotective and enterosorbent effects without penetrating into the blood. The effect of the medication lasts from 3 to 5 hours.

Almagel

After oral administration, Almagel acts locally and is able to neutralize secreted gastric juice for a long time, reducing the content of hydrochloric acid to the required concentration. It has local anesthetic, choleretic and mild laxative effects.

During the interaction of aluminum hydroxide with pepsin, its production decreases. When magnesium hydroxide reacts with hydrochloric acid, it is neutralized.

The active component sorbitol has a carminative effect and improves the process of bile secretion by the liver. After oral administration, the medication begins to act within 5 minutes. This effect lasts for more than 1 hour.

The drug "Enterol": instructions

This drug belongs to antidiarrheal drugs, therefore it can act as a substitute only when the drug “Phosphalugel” was prescribed for diarrhea. Analogues of the drug, as already mentioned, can be selected based on the patient’s existing health problems - this is exactly the case. In addition to providing an antidiarrheal effect, the drug "Enterol" normalizes intestinal flora and is an antimicrobial, anthelmintic and antiparasitic agent with an antitoxic, immunostimulating, enzymatic effect.

This medicine is produced in the form of a powder for the preparation of a suspension for children, 100 mg of the active substance and in capsules of 250 mg. The product contains magnesium stearate, titanium dioxide, gelatin and lactose monohydrate.

The drug "Enterol" is prescribed for diseases such as colitis of various courses and origins, acute and chronic diarrhea of ​​viral and bacterial etiology.

The peculiarity of this medication is that never in the entire history of its use has an overdose been recorded, unlike the drug “Phosphalugel”.

Analogues of this type cannot fully become substitutes, but in case of diarrhea after taking Enterol capsules or suspension, a positive treatment result is achieved much faster. But you should understand that this medicine will not be able to neutralize acidity or remove heartburn, and therefore you will have to look for other medications to eliminate these symptoms.

The drug "Maalox": instructions

It must be said that not everyone will like the Phosphalugel product. An analogue in tablets, the medicine “Maalox”, in this case will come in handy. This drug is similar in composition and action. The active component is magnesium and aluminum hydroxide, which are not absorbed into the blood through the stomach, but only envelop its walls, neutralize acid and adsorb toxic substances.

This medicine can be taken by persons over fifteen years of age. Your doctor may prescribe this medication for heartburn and gastroesophageal reflux disease.

The drug is used for severe symptoms of the disease as an ambulance, 1-2 tablets every hour and a half, but not more than 12 tablets per day.

"Riopan"

The product contains malhydrate. This substance effectively reduces abdominal pain and has a normalizing effect on acidity and digestive processes. The drug is available in the form of pills and suspension. The pills should be chewed and washed down with a small amount of water. A maximum of 8 pills can be taken at one time. The suspension is packaged in a sachet, and the daily consumption rate can reach two packages.

The drug should not be used by children or while pregnant. No specific side effects were identified, only rare manifestations of nausea and diarrhea were observed. The price for the suspension is 120 rubles for 880 ml, and 60 rubles for one package of tablets. This is the cheapest analogue of Gastal.

The advantages include reasonable cost, ease of use, quick response to heartburn, regardless of its cause - from drinking coffee to gastritis.

The disadvantages include the following features: the drug acts very quickly, but the effect is short-lived. It also perfectly improves digestion, which greatly increases appetite.

Almagel

• hypersensitivity to the components of the drug;
• ulcerative colitis;
• difficulty defecating;
• senile dementia of the Alzheimer's type;
• acute appendicitis;
• colostomy or ileostomy;
• diarrhea;
• haemorrhoids;
• renal failure;
• breastfeeding period;
• children under 10 years old.

Side effects of Gaviscon and Almagel

Both drugs are gastroprotectors. Gaviscon and Almagel help neutralize increased stomach acidity. Inhibits the activity of the enzyme pepsin. They prevent the negative effects of bile acids on the gastric mucosa by forming a protective coating on it.

A stomach disease that is accompanied by severe pain, nausea, vomiting and heartburn during exacerbation must be treated with antacids such as phosphalugel. By reducing the acidity of gastric juice and enveloping the walls of the stomach, Phosphalugel will relieve unpleasant symptoms for gastritis. You need to take the medicine 30 minutes before each meal, as indicated in the instructions for use. The course of taking the sorbent for gastritis is 14 days.

Composition of the drug

Gaviscon has a composition that differs in excipients depending on the form of the drug and the total content of active components:

• sodium alginate;
• potassium bicarbonate.

And excipients that vary depending on the type of suspension or tablet form.

Anise suspension:

• calcium carbonate;
• carbomer;
• methyl parahydroxybenzoate;
• propyl parahydroxybenzoate;
• sodium hydroxide;
• fennel flavoring and water.

The mint suspension has an identical composition, differing only in the flavoring (mint).

Gaviscon tablets differ in the excipients: aspartame, macrogol, copovidone, mannitol, acesulfame potassium, magnesium stearate and flavoring (mint or lemon).

Gaviscon double action tablets contain twice the dosage of active ingredients.