Aluminum Hydroxide and Magnesium Hydroxide (patient information)

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Why this medication is prescribed

Aluminum hydroxide and magnesium hydroxide are antacids used together to relieve heartburn, acid indigestion, and stomach upset. They may be used to treat these symptoms in patients with peptic ulcer, gastritis, esophagitis, hiatal hernia, or too much acid in the stomach (gastric hyperacidity). They combine with stomach acid and neutralize it. Aluminum hydroxide and magnesium hydroxide are available without a prescription.

This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

How this medication should be used

This medication comes as a chewable tablet and liquid to take by mouth. Chew tablets thoroughly; do not swallow them whole. Drink a full glass of water after taking the tablets. Shake the oral liquid well before each use to mix the medicine evenly. The liquid may be mixed with water or milk.

Follow the directions on the package label or on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take aluminum hydroxide and magnesium hydroxide antacids exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. Do not take antacids for more than 1-2 weeks unless prescribed by your doctor.

Special Precautions

Before taking aluminum hydroxide and magnesium hydroxide antacids:

  • tell your doctor and pharmacist if you are allergic to aluminum hydroxide and magnesium hydroxide antacids or any other drugs.
  • tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially aspirin, cinoxacin (Cinobac), ciprofloxacin (Cipro), digoxin (Lanoxin), diazepam (Valium), enoxacin (Penetrex), ferrous sulfate (iron), fluconazole (Diflucan), indomethacin, isoniazid (INH), itraconazole (Sporanox), ketoconazole (Nizoral), levofloxacin (Levaquin), lomefloxacin (Maxaquin), nalidixic acid (NegGram), norfloxacin (Noroxin), ofloxacin (Floxin), sparfloxacin (Zagam), tetracycline (Achromycin, Sumycin), and vitamins. If your doctor tells you to take antacids while taking these medications, do not take them within 2 hours of taking an antacid.
  • tell your doctor if you have or have ever had kidney disease.
  • tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking aluminum hydroxide and magnesium hydroxide antacids, call your doctor.

Special dietary instructions

If you are taking this medication for an ulcer, follow the diet prescribed by your doctor carefully.

What to do if you forget a dose

If you are taking scheduled doses of aluminum hydroxide and magnesium hydroxide, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

Side Effects

Side effects from aluminum hydroxide and magnesium hydroxide are not common. To avoid the chalky taste, take with water or milk. Tell your doctor if any of these symptoms are severe or do not go away:

  • diarrhea
  • constipation
  • loss of appetite
  • unusual tiredness
  • muscle weakness

Storage conditions needed for this medication

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

Other information

If you are taking this medication under a doctor's care, keep all appointments with your doctor.

Do not let anyone else take your medication.

Brand names

  • Alamag®
  • Aludrox®
  • Di-Gel®
  • Maalox®
  • Magnalox®
  • Mylanta®
  • Rulox®