Everest Milk Of Magnesia 400 mg/5 ml
Generic: Magnesium Hydroxide
Category: Suspension
Manufacturer: Ever
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Indications
Heartburn, Constipation, Indigestion, Gastrointestinal hyperacidity, Osmotic laxative
Intestinal obstruction, faecal impaction; renal failure; appendicitis.
Therapeutic Class
Antacid with laxative action
Pharmacology
Magnesium Hydroxide is popularly known as Milk of Magnesia. It is a mildly acting antacid and laxative. It is poorly and slowly absorbed and acts by its osmotic properties in the luminal fluid which causes retention of fluid in the bowel. It is useful for emptying the bowel prior to surgical, radiological and colonoscopic procedures and can help to eliminate parasites following appropriate therapy and toxic material in some cases of poisoning. Magnesium Hydroxide is converted into Magnesium Chloride in the stomach without forming carbon dioxide
Dosage and Administration
Adult Dose:
Constipation
Magnesium hydroxide (400 mg/5 mL): 30-60 mL/day PO at bedtime or in divided doses
Acid Indigestion
Magnesium hydroxide (400 mg/5 mL): 5-15 mL PO q4hr; no more than 4 doses per 24-hour period
Child Dose:
Constipation
<2 years: Safety and efficacy not established
Suspension
2-6 years: 5-15 mL/day of regular-strength liquid PO at bedtime or in divided doses
6-12 years: 15-30 mL/day (400 mg/5 mL)
>12 years: 30-60 mL/day (400 mg/5 mL)
Acid Indigestion
Liquid
<12 years: Not recommended
>12 years: 5-15 mL (400 mg/5 mL) PO q4hr; no more than 4 doses per 24-hour period
Interaction
Decreases absorption of tetracyclines and biphosphonates. Separate administration of these and other drugs by around 2 hr.
Contraindications
Intestinal obstruction, faecal impaction; renal failure; appendicitis.
Side Effects
Abdominal cramping, Diarrhea, Electrolyte imbalance, Hypotension, Muscle weakness, Respiratory depression, Hypermagnesaemia (in patients with renal impairment). Paralytic ileus.
Precautions And Warnings
Precaution:
Colostomy, ileostomy; electrolyte imbalance. Monitor for toxicity in patients with impaired renal function. Pregnancy.
Lactation: Use in nursing mothers appears to be safe
Storage Conditions
Store in a cool & dry place, protected from light. Keep all medicines out of reach of children.
Drug Classes
Antacid with laxative action
Mode of Action
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.
Samm Care