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Epazel
Edruc Ltd.
Generic: Aluminium Hydroxide + Magnesium Hydroxide
Medicine Overview of Epazel Suspension
বাংলা
English
Indication
Adult: PO Gastric Hyperacidity, Heartburn: Up to 1 g/day.
Hyperphosphataemia in chronic renal failure Up to 10 g/day in divided doses w/ meals.
10-20 mL PO between meals & qHS
Administration
Aluminium Hydroxide: Enhanced absorption with citrates or ascorbic acid. Decreases absorption of allopurinol, tetracyclines, quinolones, cephalosporins, biphosphonate derivatives, corticosteroids, cyclosporin, delavirdine, Fe salts, imidazole antifungals, isoniazid, mycophenolate, penicillamine, phosphate supplements, phenytoin, phenothiazines, trientine.
Magnesium Hydroxide: Decreases absorption of tetracyclines and biphosphonates. Separate administration of these and other drugs by around 2 hr.
Adult Dose
Chronic renal impairment; CHF; oedema; cirrhosis and low Na diets; patients with recent GI haemorrhage. Administer 2-3 hrs before/after another medication to minimise drug interactions. Pregnancy and lactation.
Lactation: excretion in milk unknown; use caution
Renal Dose
Alumunium hydroxide acts on the HCl in the stomach by neutralization, forming aluminium chloride salt and water.
Magnesium hydroxide increases peristaltic activity causing osmotic retention of fluids, thus resulting in bowel evacuation. It also reduces stomach acid by reacting with hydrochloric acid to form Mg chloride.
Mode of Action
May be taken with or without food.
Precaution
Heartburn, Reflux oesophagitis, Hyperacidity, Peptic ulcer, Constipation, Indigestion
Pregnancy Category Note
>10%
Aluminum oxide,Chalky taste,Constipation,Fecal impaction,Stomach cramps
Frequency Not Defined
Aluminum oxide,Nausea,Vomiting,Aluminum intoxication,Hypophosphatemia,Osteomalacia,Magnesium oxide,Diarrhea,Hypermagnesemia
Interaction
Hypersensitivity to aluminium salts.
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