ancool  oral suspension sugar free - Aluminium Hydroxide (300mg/5ml) + Milk Of Magnesia (150mg/5ml) medicine

Ancool Oral Suspension Sugar Free: Complete Guide to Uses, Dosage, and Safety

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🏭 Zuventus Healthcare Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 23, 2026
⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for symptomatic relief of acid-related conditions.
Reviewed by
SaathiMed Expert Panel | Sep 23, 2026

When to Call Your Doctor IMMEDIATELY

  • Blood in vomit or black, tarry stools
  • Severe abdominal pain or cramping
  • Difficulty breathing or swelling of the face, lips, or throat
  • Chest pain or irregular heartbeat
  • Severe constipation with inability to pass stool
  • Confusion, muscle weakness, or irregular heartbeat (signs of electrolyte imbalance)
  • Yellowing of the skin or eyes

If experiencing severe symptoms, call emergency services immediately.

What is ancool oral suspension sugar free used for?

This medicine is a sugar-free oral suspension containing aluminium hydroxide and milk of magnesia (magnesium hydroxide). It is used to relieve heartburn, acid indigestion, and symptoms of GERD by neutralizing stomach acid. It works within minutes and lasts for about 30-60 minutes. Take 10-20 mL between meals and at bedtime as needed, but do not exceed 80 mL in 24 hours. Consult a doctor if symptoms persist beyond 2 weeks.

  • Generic Name: Aluminium Hydroxide + Milk Of Magnesia
  • Manufacturer: Zuventus Healthcare Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 ancool oral suspension sugar free के बारे में (Hindi Summary)

उपयोग: यह दवा एल्युमिनियम हाइड्रॉक्साइड और मिल्क ऑफ मैग्नीशिया का संयोजन है, जो पेट की अम्लता को कम करने में मदद करती है। इसका उपयोग सीने में जलन, एसिडिटी, गैस, और गैस्ट्रोएसोफेजियल रिफ्लक्स रोग (जीईआरडी) के लक्षणों से राहत के लिए किया जाता है। यह शुगर-फ्री है, इसलिए मधुमेह रोगी भी इसका उपयोग कर सकते हैं। यह दवा खाने के बीच में या रात को सोने से पहले ली जा सकती है।

साइड इफेक्ट्स: आमतौर पर यह दवा सही तरीके से लेने पर अच्छी तरह सहन की जाती है। कुछ लोगों को कब्ज, दस्त, मतली, या पेट में ऐंठन हो सकती है। ये प्रभाव आमतौर पर हल्के और अस्थायी होते हैं। दुर्लभ मामलों में गंभीर कब्ज, एलर्जी की प्रतिक्रिया, या इलेक्ट्रोलाइट असंतुलन हो सकता है। यदि आपको कोई गंभीर लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार या लेबल पर दिए गए निर्देशों के अनुसार ही लें। उपयोग से पहले बोतल को अच्छी तरह हिलाएं। दवा को मापने के लिए दिए गए कप या चम्मच का ही उपयोग करें। खाने के बीच में या डॉक्टर के कहे अनुसार लें। 24 घंटे में अनुशंसित मात्रा से अधिक न लें। यदि आप गर्भवती हैं, स्तनपान करा रही हैं, या आपको गुर्दे की बीमारी है, तो उपयोग से पहले डॉक्टर से सलाह लें। बिना डॉक्टर की सलाह के 2 सप्ताह से अधिक इसका उपयोग न करें।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 ancool oral suspension sugar free Uses & Benefits

[{"condition":"Heartburn and acid indigestion","description":"Provides rapid relief by neutralizing excess stomach acid.","evidence":"Well-established"},{"condition":"Gastroesophageal reflux disease (GERD) symptom relief","description":"Helps reduce symptoms of acid reflux such as sour taste and burning in the chest.","evidence":"Well-established"},{"condition":"Peptic ulcer symptom relief","description":"Used as an adjunct to reduce pain associated with ulcers by neutralizing acid.","evidence":"Established"},{"condition":"Gastritis","description":"Provides symptomatic relief from stomach inflammation by reducing acid exposure.","evidence":"Established"},{"condition":"Functional dyspepsia","description":"May help relieve upper abdominal discomfort and bloating after meals.","evidence":"Limited"}]

Off-label uses: [{"condition":"Prevention of stress ulcer in critically ill patients","description":"Sometimes used off-label in hospital settings, but not a standard approach.","evidence":"Limited"}]

Primary treatment for: Gastroesophageal reflux disease (GERD) and acid indigestion

Also treats: Peptic ulcer disease, Gastritis, Functional dyspepsia, Heartburn

📋 Drug Information

Generic Name(s)Aluminium Hydroxide + Milk Of Magnesia
Brand NameAncool Oral Suspension Sugar Free
ManufacturerZuventus Healthcare Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGASTRO INTESTINAL
Action ClassAntacid
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Do not freeze. Keep the bottle tightly closed when not in use.
Shelf LifeTypically 24 months from the date of manufacture. Check the expiry date on the pack. Do not use after the expiry date.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Shake the bottle well before each use to ensure the medicine is evenly mixed.
2
Measure the dose accurately using the provided cup or spoon; do not use a kitchen spoon.
3
Take this medicine between meals or at bedtime for best effect.
4
Separate this medicine from other medications by at least 2 hours to avoid interactions.
5
Do not use this medicine for more than 2 weeks without consulting a doctor.
6
If you have kidney disease, consult your doctor before using this medicine.
7
Report any persistent constipation, diarrhea, or abdominal pain to your doctor.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

Heartburn
This medicine is commonly used for heartburn relief.
Likely Use
Acid indigestion
This medicine neutralizes excess acid.
Likely Use
Bloating and gas
May provide relief from gas-related discomfort.
Likely Use
Fever
This medicine is not a fever reducer.
Not Primary
Headache
This medicine is not for headaches.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionAluminium hydroxide and magnesium hydroxide are minimally absorbed from the gastrointestinal tract. Small amounts of aluminium and magnesium ions may be absorbed, especially in patients with renal impairment, but under normal circumstances, systemic absorption is negligible.
DistributionBecause absorption is minimal, distribution of these compounds into body tissues is limited. Any absorbed aluminium or magnesium is distributed in the body, but this is not clinically significant in healthy individuals.
Protein BindingNot established from the available information.
MetabolismAluminium hydroxide and magnesium hydroxide are not metabolized; they act locally in the gastrointestinal tract and are excreted in the feces.
Half-LifeNot applicable. The action is local and the compounds are eliminated primarily in the feces.
ExcretionThe majority of aluminium and magnesium salts are excreted in the feces. Any absorbed aluminium is excreted mainly by the kidneys, and absorbed magnesium is also excreted by the kidneys.
BioavailabilityNot established from the available information.
Onset of ActionRelief typically begins within minutes after taking the suspension.
Peak Plasma TimeNot applicable, as the action is local in the stomach.
Duration of ActionThe effect usually lasts for about 30 to 60 minutes when taken on an empty stomach, but may last longer if taken with food.

How It Works

This medicine works by a simple chemical neutralization process. Aluminium hydroxide and magnesium hydroxide are both weak bases. When they come into contact with hydrochloric acid in the stomach, they react to form water and neutral salts, thereby reducing the acidity of the stomach contents. This reduces the irritation of the stomach lining and esophagus caused by acid. Aluminium hydroxide also has a mild astringent effect and can bind to phosphate in the gut, but this is not its main action as an antacid. Magnesium hydroxide additionally acts as an osmotic laxative, which can counteract the constipating effect of aluminium hydroxide.

Mechanism Steps

1
Ingestion and dispersion: After swallowing, the suspension disperses in the stomach and mixes with gastric contents.
2
Chemical neutralization: Aluminium hydroxide and magnesium hydroxide react with hydrochloric acid to form aluminium chloride and magnesium chloride, respectively, along with water.
3
Increase in gastric pH: The neutralization reaction raises the pH of the stomach contents, reducing acidity.
4
Symptom relief: The reduced acidity leads to less irritation of the stomach and esophagus, relieving heartburn and indigestion.
5
Bowel effect balance: Aluminium may cause constipation, while magnesium may cause diarrhea; together they often balance each other out.

💡 How to Take ancool oral suspension sugar free

Strength: Each 5 mL of oral suspension contains Aluminium Hydroxide 300 mg and Milk of Magnesia (Magnesium Hydroxide) 150 mg. This is a sugar-free formulation.

1Shake the bottle well before each use.
2Measure the prescribed dose using the provided measuring cup or spoon.
3Take the medicine orally, between meals or as directed by your doctor.
4You may take it with a small amount of water if desired.
5Do not exceed the recommended dose in 24 hours.
6Rinse the measuring cup after use and keep it clean.

Dosage Information

Adult DosageThe usual adult dose is 10 to 20 mL (2 to 4 teaspoons) of the suspension taken between meals and at bedtime, or as directed by a doctor. Do not exceed 80 mL in 24 hours. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Shake well before use. Measure with the provided cup.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children.
Elderly DosageElderly patients may be more sensitive to the side effects, especially constipation and electrolyte disturbances. Use with caution and consult a doctor for appropriate dosing.
Renal ImpairmentIn patients with kidney disease, this medicine should be used with caution or avoided due to the risk of aluminium and magnesium accumulation. Consult a doctor for dose adjustment or alternative therapy.
Hepatic ImpairmentNo specific dose adjustment is required for hepatic impairment, but consult a doctor for guidance.
Maximum Daily DoseThe maximum daily dose for adults is 80 mL of the suspension in 24 hours, unless otherwise directed by a doctor.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

Between meals
Take as directed
Provides relief when stomach is empty.
At bedtime
Take if needed
Helps with nighttime symptoms.
Citrus fruits
Limit intake
May increase stomach acid and reduce effectiveness.

⏰ What to Do If You Miss a Dose

📌 You are taking this medicine on a scheduled basis and miss a dose
→ Take the missed dose as soon as you remember.
💡 If it is almost time for your next dose, skip the missed dose and continue with your regular schedule.
📌 You are taking this medicine as needed for symptoms
→ Take it when you have symptoms.
💡 Do not take more than the maximum daily dose.

⚠️ Side Effects of ancool oral suspension sugar free

✅ Common Side Effects

Constipation (Common (may occur in up to 10%))
Increase fluid and fiber intake. If constipation persists, consult your doctor.
Diarrhea (Common (may occur in up to 10%))
Stay hydrated. If diarrhea is severe or persistent, consult your doctor.
Nausea (Uncommon (1-5%))
Take with food or milk to reduce nausea. If it continues, consult your doctor.
Stomach cramps (Uncommon (1-5%))
Usually temporary. If cramps are severe, stop and consult your doctor.

🚨 Serious Side Effects

Severe constipation leading to bowel obstruction (Rare (<0.1%))
Seek immediate medical attention if you have severe abdominal pain, vomiting, or inability to pass stool.
Allergic reaction (rash, itching, swelling, difficulty breathing) (Rare (<0.1%))
Stop the medicine and seek emergency medical help immediately.
Hypermagnesemia (high magnesium levels) in kidney disease (Rare, mainly in patients with renal impairment)
Seek medical attention if you experience muscle weakness, confusion, or irregular heartbeat.
Aluminium accumulation in kidney disease (Rare, mainly in patients with renal impairment)
Consult your doctor if you have kidney disease and notice bone pain or mental changes.

⚠️ Rare Side Effects

Metabolic alkalosis
Seek medical attention if you experience confusion, muscle twitching, or irregular heartbeat.
Phosphate depletion
Consult your doctor if you experience muscle weakness or bone pain with long-term use.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Tetracycline Major
Ciprofloxacin Major
Iron supplements Moderate
Levothyroxine Moderate
Digoxin Moderate
Ketoconazole Moderate
Penicillamine Moderate
Sodium polystyrene sulfonate Minor

🚨 Major Interactions

  • Tetracycline antibiotics (e.g., doxycycline, tetracycline)
  • Fluoroquinolone antibiotics (e.g., ciprofloxacin, levofloxacin)
  • Iron supplements
  • Levothyroxine

⚡ Moderate Interactions

  • Digoxin
  • Ketoconazole
  • Penicillamine

🍷 Alcohol Interaction

Alcohol can increase stomach acid production and may worsen the condition being treated. It is advisable to avoid or limit alcohol while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Severe kidney disease or renal failure","Known allergy to aluminium hydroxide, magnesium hydroxide, or any component of the formulation","Patients on a magnesium-restricted diet","Patients with appendicitis or symptoms of appendicitis","Patients with intestinal obstruction or severe constipation"]

⚠️ Warnings & Precautions

["Do not use for more than 2 weeks without consulting a doctor.","Do not take more than the recommended dose.","Use with caution in elderly patients and those with kidney disease.","May interfere with the absorption of other medicines; separate doses by 2 hours.","If symptoms persist or worsen, consult a doctor.","Keep out of reach of children.","Do not use if the bottle is damaged or the suspension appears discolored."]

🤱 Lactation Safety

Aluminium hydroxide and magnesium hydroxide are minimally absorbed into the bloodstream, so the amount passed into breast milk is negligible. This medicine is generally considered safe for occasional use during breastfeeding. Consult your doctor for guidance.

💊 Overdose Management

Overdose with this medicine is unlikely to cause serious harm in healthy individuals, but it can cause diarrhea, constipation, or abdominal pain. In severe cases, especially in patients with kidney disease, it can lead to electrolyte imbalances. If you suspect an overdose, contact a poison control center or seek medical attention immediately. Treatment is supportive and symptomatic.

⏰ Missed Dose

This medicine is usually taken as needed for symptom relief. If you are on a scheduled regimen and miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

Additional Safety Advice

General Safety

Take this medicine exactly as directed on the label or as prescribed by your doctor. Shake the bottle well before each use to ensure the ingredients are evenly mixed. Measure the dose with the provided measuring cup or spoon; do not use a regular household spoon because it may not give the correct amount. Take this medicine between meals or as directed by your doctor. Do not take more than the recommended dose in 24 hours. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine. If you have kidney disease, are on a low-magnesium or low-aluminium diet, or are taking other medicines, talk to your doctor or pharmacist before use. This medicine may interact with other drugs, so keep a list of all your medicines and share it with your healthcare provider. Do not use this medicine for longer than two weeks without consulting a doctor. Keep out of reach of children. Store at room temperature away from heat and moisture.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more prone to constipation and electrolyte imbalances. Use with caution and consult a doctor for appropriate dosing and monitoring.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before using this medicine. It is generally considered safe for occasional use, but medical advice is recommended.

🏥 Post-Surgery Considerations

After surgery, consult your doctor before using this medicine, as it may interact with other medications or affect recovery.

🦷 Dental Procedures

No specific precautions for dental procedures. However, inform your dentist about all medicines you are taking.

💚 Lifestyle Tips for Better Results

🏃
Eat smaller, more frequent meals to reduce acid production.
🥗
Avoid trigger foods such as spicy, fatty, or acidic foods.
😴
Maintain a healthy weight to reduce pressure on the stomach.
💧
Avoid lying down for at least 2-3 hours after eating.
🧘
Elevate the head of your bed if you have nighttime symptoms.
🌞
Quit smoking and limit alcohol consumption.
🚭
Manage stress through relaxation techniques like deep breathing or yoga.

🏋️ Exercise Considerations

Exercise is generally safe while taking this medicine. However, if you experience dizziness or weakness due to electrolyte imbalance, avoid strenuous activities and consult your doctor.

🥗 Diet Recommendations

Include high-fiber foods to prevent constipation.
Stay well hydrated by drinking plenty of water.
Limit caffeine and carbonated drinks.
Avoid large, heavy meals close to bedtime.
Consider bland foods like bananas, rice, applesauce, and toast if you have indigestion.

💼 Impact on Daily Work & Life

This medicine is unlikely to affect your ability to work or drive. However, if you experience dizziness or drowsiness, avoid driving or operating heavy machinery until you feel alert.

🛑 When to Stop This Medicine

Stop taking this medicine and consult a doctor if your symptoms persist for more than 2 weeks, if they worsen, or if you experience any serious side effects. Do not stop prescribed medications without consulting your doctor.

📅 Long-Term Use Effects

Long-term use of this medicine without medical supervision can lead to constipation, diarrhea, or electrolyte imbalances. In people with kidney disease, it can cause accumulation of aluminium and magnesium, leading to toxicity. It may also interfere with the absorption of other medications. Regular monitoring is advised if long-term use is necessary.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Dietary changes

Avoiding trigger foods and eating smaller meals can reduce acid reflux.

Evidence: Well-established
Lifestyle modifications

Weight loss, smoking cessation, and elevating the head of the bed can help.

Evidence: Well-established
Other antacids

Calcium carbonate or sodium bicarbonate may be alternatives, but each has its own considerations.

Evidence: Established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with vaccines. You can receive vaccinations while taking this medicine.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✅ DO

Keep the bottle tightly closed

❌ DON'T

Do not use after expiry date

✈️ Traveling with This Medicine

When traveling, carry this medicine in its original packaging with the prescription label if available. Keep a copy of your prescription in case you need to show it at customs. Store it in a cool, dry place away from direct sunlight. If you are crossing time zones, you can take it as needed for symptoms; no strict schedule adjustment is required. Always pack it in your carry-on luggage if you need it during the flight. Check the expiry date before use.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with frequent heartburn after meals
She started taking this medicine as directed between meals. Within a few days, her heartburn episodes reduced significantly. She found that taking it at bedtime also helped her sleep better. She made sure to separate it from her thyroid medication by at least 4 hours.
💡 Lesson: Taking the antacid at the right time and separating it from other medicines ensures effectiveness and avoids interactions.
👤 A 60-year-old man with mild kidney disease and occasional indigestion
He consulted his doctor before using this medicine. The doctor advised him to use it sparingly and to monitor for any signs of magnesium accumulation. He used it only when symptoms were severe and followed up regularly with his nephrologist.
💡 Lesson: Patients with kidney disease should use antacids containing magnesium and aluminium only under medical supervision.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine starts working within minutes after you take it.

Q: How long does the effect last?

A: The effect usually lasts for about 30 to 60 minutes when taken on an empty stomach, but may last longer if taken with food.

Q: Can I take it every day?

A: It is intended for short-term use. Do not use it for more than 2 weeks without consulting a doctor.

Q: Is it safe for diabetics?

A: Yes, this is a sugar-free formulation, making it suitable for people with diabetes.

Q: Can I take it with other medicines?

A: It can interact with several medicines. Separate this antacid from other medicines by at least 2 hours. Consult your doctor or pharmacist for specific advice.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?
  • Is it safe during pregnancy?
  • Can I take it with other antacids?

🛑 Myths vs. Facts

  • Myth: Antacids can cure ulcers.
    Fact: Antacids only relieve symptoms; they do not cure ulcers. Ulcers require specific treatment.
  • Myth: More antacid means faster relief.
    Fact: Taking more than the recommended dose can cause side effects and does not provide better relief.
  • Myth: Antacids are safe for everyone.
    Fact: People with kidney disease should avoid antacids containing magnesium and aluminium without medical advice.

🔄 Alternative Options

Generic Alternatives

  • Aluminium hydroxide + Magnesium hydroxide oral suspension (various manufacturers)

Brand Alternatives

  • Ancool Oral Suspension Sugar Free

📊 Comparison with Similar Medicines

[{"medicine":"Aluminium hydroxide + Magnesium hydroxide","onset":"Rapid (minutes)","duration":"30-60 minutes","best_for":"Heartburn, acid indigestion","notes":"Balanced bowel effects"},{"medicine":"Calcium carbonate","onset":"Rapid","duration":"30-60 minutes","best_for":"Heartburn, acid indigestion","notes":"May cause constipation and rebound acid"},{"medicine":"Sodium bicarbonate","onset":"Very rapid","duration":"Short","best_for":"Rapid relief","notes":"High sodium, not for hypertension"}]

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