Gastal, mint tablets 12 pcs.

Sour belching, Peptic ulcer, Heartburn, Gastritis, Reflux esophagitis, Chronic pancreatitis – dyspeptic phenomena such as: discomfort or pain in the stomach, heartburn, sour belching after errors in diet, excessive consumption of alcohol, coffee, nicotine, etc.
– dyspeptic phenomena, such as: discomfort or pain in the stomach, heartburn, belching (and their prevention), arising from the use of certain medications (non-steroidal anti-inflammatory drugs, glucocorticosteroids and others).
– conditions accompanied by increased acid generation: gastric ulcer, gastritis, inflammation of the mucous membrane of the esophagus, resulting from regular discharge of gastric contents into the esophagus, hernia of the esophageal opening of the diaphragm.

If there is no improvement or you feel deterioration after 14 days, it is necessary to consult a doctor.

Composition

The active ingredients are aluminum hydroxide-magnesium carbonate and magnesium hydroxide.

Gastal, [mint]

Each tablet contains 450.00 mg aluminum hydroxide-magnesium carbonate gel and 300.00 mg magnesium hydroxide.

Other ingredients (excipients) are: lactose monohydrate, mannitol, pregelatinized starch, colloidal silica, croscarmellose sodium (type A), aspartame, magnesium stearate, mint flavoring.

Gastal, [cherry]

Each tablet contains 450.00 mg aluminum hydroxide-magnesium carbonate gel and 300.00 mg magnesium hydroxide.

The other ingredients (excipients) are: lactose monohydrate, mannitol, pregelatinized starch, colloidal silica, croscarmellose sodium (type A), aspartame, magnesium stearate, cherry flavoring E 9407963 (cherry tablets).

Gastal, [orange]

Each tablet contains 450.00 mg aluminum hydroxide-magnesium carbonate gel and 300.00 mg magnesium hydroxide.

Other ingredients (excipients) are: lactose monohydrate, mannitol, pregelatinized starch, colloidal silica, croscarmellose sodium (type A), aspartame, magnesium stearate, orange flavoring 1013042 (orange tablets).

How to take, the dosage

Always take the medicine in full accordance with the package insert or as recommended by your doctor or pharmacist. If in doubt, talk to your doctor or pharmacist.

Dosing regimen

Adults

Adults with a body weight of at least 50 kg

1-2 tablets 4-6 times daily about 1 hour after meals and before bedtime, but no more than 8 tablets per day. The duration of use is not more than 2 weeks.

Similar doses are recommended for the treatment of heartburn, regardless of meals.

Adults with body weight less than 50 kg

The dose is half of the recommended dose for adults and children over 12 years of age with a body weight of at least 50 kg (1 tablet 4 times a day). The duration of use is not more than 2 weeks.

Special groups of patients

Patients with impaired renal function

Dose adjustment is not required. The duration of administration is not more than 2 weeks.

Application in children and adolescents

Children over 12 years of age with a body weight of at least 50 kg

Interaction

Tell your doctor or pharmacy technician if you are taking, have recently taken, or might start taking any other medicines.

Gastal® when taken concomitantly, increases the activity of levodopa and nalidixic acid and decreases and slows down the intestinal absorption of quinolones, isoniazid, naproxen, iron drugs, indomethacin, aminazine, beta-adrenal blockers, diflunisal, Hsub>2-histamine receptors, fat-soluble vitamins, indirect anticoagulants, barbiturates.

In interaction with metal ions from antacids, tetracyclines form insoluble chelate complexes; as a result of this interaction the absorption of tetracyclines is reduced by more than 90%. Simultaneous administration of these drugs is not possible. If simultaneous use is necessary, tetracycline should be taken at least 2 hours before taking the antacid.

In the presence of aluminum and magnesium hydroxides contained in the antacid, absorption of ciprofloxacin and ofloxacin is reduced by 50-90%.

In the presence of antacids, blood absorption of captopril is significantly reduced, and concomitant use of antacids and metoprolol leads to decreased plasma concentrations of metoprolol.

The concomitant use of high doses of antacids may reduce the absorption of ranitidine by 10-33%.

The use of antacids does not affect the proportion of amoxicillin, cephalexin and the combination of amoxicillin and clavulanic acid that enters the blood after taking these drugs, but may significantly reduce the absorption of doxycycline from the gastrointestinal tract.

Elevated urinary pH on antacid therapy may increase tubular reabsorption of basic (alkaline) drugs and decrease reabsorption of acidic compounds. Antacids may decrease and slow down absorption in the intestine of salicylates, including acetylsalicylic acid, and by increasing the urinary pH, contribute to more rapid urinary excretion of salicylates from the body, with an accompanying decrease in their concentration in serum by 30-70%.

The absorption of cardiac glycosides, including digoxin and digitoxin, when used concomitantly with antacids is not significantly reduced.

M-cholinoblockers, by slowing gastric motility, increase the duration of action of the drug Gastal®.

In order to prevent possible interaction of the drug Gastal® with other medicinal products it is recommended to take it 1 hour before or 1 hour after their use.

Special Instructions

Consult with your doctor or pharmacist before taking Gastal® .

The recommended doses and duration of treatment should not be exceeded when used in patients with impaired renal function.

In young children, use of magnesium hydroxide may result in elevated magnesium levels in the body, especially if they have severe kidney disease or dehydration.

Children and adolescents

The drug Gastal® is not intended for use in children under 6 years of age.

Driving and operating machinery

The use of the drug Gastal ® does not affect the ability to drive vehicles and operate other machinery.

Gastal® Contains lactose monohydrate

If you have an intolerance to some sugars, talk to your doctor before taking this medicine.

Synopsis

Contraindications

Side effects

Like all medications, this medication can cause adverse reactions, but not everyone has them.

Stop taking the drug in case of nausea, diarrhea, constipation, elevated magnesium levels in the body, or seek immediate medical attention in case of allergic reactions and abdominal pain.

Summary of adverse reactions

Rarely (not more than 1 person in 1,000) – nausea, diarrhea, constipation.

Very rare (may occur in no more than 1 person in 10,000) – allergic reactions, elevated magnesium levels in the body (seen after long-term use of magnesium hydroxide in patients with renal insufficiency).

Frequency is unknown (based on available data, the frequency of occurrence cannot be determined) – abdominal pain.

Overdose

Pregnancy use

If you are pregnant or breastfeeding, think you may be pregnant, or are planning a pregnancy, talk to your doctor or pharmacist before using this medicine.

Pregnancy
If used during pregnancy and while breastfeeding, the balance of benefit to the mother and risk to the fetus and infant must be assessed. The drug should be used during pregnancy only if necessary and only on the doctor’s recommendation.

Breastfeeding
The drug Gastal® is not excreted with the breast milk.