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At a glance

Sodium Alginate + Sodium Bicarbonate + Calcium Carbonate is an antacid and alginate combination used for the treatment of gastric reflux, heartburn, indigestion, flatulence and heartburn of pregnancy.

Indications

Gastric reflux, heartburn, indigestion, flatulence associated with gastric reflux, heartburn of pregnancy, and all cases of epigastric and retrosternal distress where the underlying cause is gastric reflux.

Pharmacology

The mode of action is physical and does not depend on absorption into systemic circulation. Upon ingestion, it reacts rapidly with gastric acid to form a raft of alginic acid gel that floats on stomach contents, impeding gastro-esophageal reflux for up to 4 hours. Calcium Carbonate and Sodium Bicarbonate rapidly neutralize excess stomach acid.

Dosage

Oral Suspension: Adults and children over 12 years: 10-20 mL after meals and at bedtime, up to four times a day. Children 6 to 12 years: 5-10 mL after meals and at bedtime, up to four times a day. Chewable Tablets: Adults and children 12 years and over: 2-4 tablets after meals and at bedtime, up to four times a day.

Side effects

Common side effects: Constipation, flatulence, stomach cramps, belching. Rare side effects: Allergic reactions (urticaria, bronchospasm), anaphylactic reactions. Overdose may cause alkalosis, hypercalcemia, acid rebound, milk-alkali syndrome or constipation.

Use in pregnancy

Can be used during pregnancy if clinically needed. Clinical studies in 500+ pregnant women showed no malformative or feto/neonatal toxicity.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings

Each 20 mL dose contains 254.5 mg sodium (11.06 mmol). Caution needed in patients on restricted salt diet (e.g., congestive cardiac failure, renal impairment). Each 20 mL contains 260 mg calcium. Caution needed in patients with hypercalcemia, nephrocalcinosis and recurrent calcium-containing renal calculi. Consult doctor if symptoms persist >7 days.

Overdose effects

In the event of overdose, symptomatic treatment should be given. The patient may notice abdominal distension. Overdose may cause alkalosis or hypercalcemia.

Storage conditions

Store below 30°C in a cool and dry place, protected from light. Keep out of reach of children. Do not refrigerate or freeze.

Sodium Alginate + Sodium Bicarbonate + Calcium Carbonate — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.