Simalgel-VM – combined tool whose action is due to its constituent components; It has antacid adsorbing, enveloping and carminative action. Algadrat (aluminum hydroxide) and magnesium hydroxide neutralize free hydrochloric acid in the stomach and lower the acidity of gastric juices, bile acids bind. Laxative effect of magnesium hydroxide balances algedrata ability to slow down intestinal motility. Simethicone hinders the formation of gas bubbles and facilitates their destruction.The jelfa omnadren 250 released gases are absorbed with the intestinal wall and excreted through peristalsis.
Absorption – low.
Diseases of the gastrointestinal tract , accompanied by flatulence:
- acute gastritis;
- hyperacid gastritis;
- Acute duodenitis;
- gastric ulcer and duodenal ulcer (exacerbation);
- symptomatic ulcer gastrointestinal tract of various origins;
- mucosal erosion of the upper gastrointestinal tract;
- hiatal hernia;
- reflux esophagitis.
And also can be used in gastrointestinal discomfort, gastralgia, heartburn (after excessive consumption of alcohol, nicotine, coffee, medication, errors in the diet).
: Hypersensitivity to the drug jelfa omnadren 250, expressed renal failure (due to the risk increase in serum concentrations of magnesium ions and aluminum due to slowing their release by the kidneys), hypophosphatemia, Alzheimer’s disease, deficiency of sucrase / isomaltase, fructose intolerance, glucose -galaktoznaya malabsorption, children up to 10 years.
Be wary of pregnancy and lactation, liver diseases, alcoholism, traumatic brain injury, cerebral diseases, epilepsy, children from 10 to 18 years.
Pregnancy and lactation
Use of the drug during pregnancy and breastfeeding is possible only when the intended benefits to the mother outweighs the potential risk to the fetus or child. When receiving the drug during lactation, weaning is not required.
Dosage and administration
Adults take 10 ml 4 times a day through 1 hour after a meal (unless stated otherwise physician). The maximum daily dose is 40 ml of the drug Simalgel-VM (the course of treatment – no more than 2 weeks of using the maximum doses).
When reflux esophagitis take medication after a short time after eating 5 to 10 ml 4 times a day. The course of treatment should not exceed 2-3 months jelfa omnadren 250 (when using the maximum dose – not more than 2 weeks).
With occasional use (heartburn, gastrointestinal discomfort at the wrong nutrition) – once with 10 ml.
For children older than 10 years the dosage determined by the attending physician (usually 1/2 adult dose). The maximum daily dose is 20 ml of the drug Simalgel-VM (the course of treatment – no more than 2 weeks of using the maximum doses).
Allergic reactions, intestinal colic. Chronic administration of a therapeutically high doses – hypophosphataemia, hypocalcemia, hypercalciuria, osteomalacia, osteoporosis, gipermagniemiya, giperalyuminiemiya, encephalopathy, nephrocalcinosis, renal dysfunction. Patients with renal insufficiency may develop aluminum, magnesium intoxication, thirst, lower blood pressure, hyporeflexia.Exacerbation of bone and joint diseases, and Alzheimer’s disease (in the elderly). From the digestive tract may occur taste disturbance, nausea, vomiting, diarrhea, constipation.
Overdose Symptoms: The symptoms of disorders of calcium metabolism, magnesium, phosphorus (weakness, bone pain, redness, inappropriate behavior), there may be signs of metabolic alkalosis (mood changes, numbness or pain in the muscles, nervousness, fatigue, unpleasant taste).
Treatment: induce vomiting, gastric lavage, activated charcoal.
Interaction with other drugs
reduces and slows the absorption of digoxin, indomethacin, salicylates, chlorpromazine, phenytoin, bpokatorov H2 histamine receptors, beta-blockers, diflunisal, ketoconazole and itraconazole, isoniazid, an antibiotic tetracycline and quinolones, azithromycin, cefpodoxime, pivampitsillina, rifampicin , anticoagulants, barbiturates, fexofenadine, dipyridamole, zalcitabine, chenodeoxycholic and ursodeoxycholic acid, penicillamine and lansoprazole. M-holinoblokatory, slowing gastric emptying, enhance and prolong the action of the drug.
Specific guidance Before use bottle with the suspension must be shaken well!
In a joint application Simalgel-VM and other drugs interval between doses should be at least 2 hours. With the utmost care appoint patients with impaired renal function, liver and elderly patients – the appointment carried out under the supervision of your doctor in this case.
With long-term use of the drug is recommended to control the content of phosphorus and magnesium in the blood.
The single dose of the drug (10 ml) is contained 0.0048 g of ethyl alcohol (in terms of absolute alcohol).
It has no negative impact on the ability jelfa omnadren 250 to drive motor vehicles and using machinery that require high concentration and speed of psychomotor reactions.