Antacid Tablet (Aluminium Hydroxide 250 mg + Magnesium 250 mg): Complete Guide
When to Call Your Doctor IMMEDIATELY
- Blood in vomit or black, tarry stools
- Severe or worsening abdominal pain
- Difficulty swallowing or food getting stuck
- Unexplained weight loss with acid symptoms
- Chest pain or difficulty breathing
- Confusion, muscle weakness, or slow heartbeat, especially with kidney disease
- Swelling of the face, lips, or throat
- Yellowing of the skin or eyes
- Decreased urine output or swelling of the legs
If experiencing severe symptoms, call emergency services immediately.
What is antacid tablet used for?
This medicine is an oral antacid containing aluminium hydroxide 250 mg and magnesium 250 mg. It neutralizes stomach acid to relieve heartburn, indigestion, and reflux symptoms. Chew the tablet thoroughly and take it as needed, up to four times daily, but keep it at least two hours away from other medicines. Do not use it for more than two weeks without medical advice.
- Generic Name: Aluminium Hydroxide + Magnesium
- Manufacturer: Bevit Pharmaceuticals Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 antacid tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एल्युमिनियम हाइड्रॉक्साइड 250 मिलीग्राम और मैग्नीशियम 250 मिलीग्राम का मिश्रण है। यह पेट में बनने वाले अतिरिक्त एसिड को तुरंत बेअसर करती है। इसका उपयोग सीने में जलन, खट्टी डकार, एसिडिटी, गैस, और गैस्ट्रो-एसोफेजियल रिफ्लक्स के कारण होने वाली जलन में राहत के लिए किया जाता है। यह अल्सर और गैस्ट्राइटिस के दर्द में भी आराम देती है। इसे चबाकर या मुँह में घोलकर लेना चाहिए और साथ में एक गिलास पानी पीना चाहिए। यह दवा अल्सर का इलाज नहीं करती, केवल लक्षणों में राहत देती है। गुर्दे की गंभीर बीमारी वाले लोगों को यह दवा बिना डॉक्टर की सलाह के नहीं लेनी चाहिए।
साइड इफेक्ट्स: इस दवा को अधिकतर लोग बिना किसी परेशानी के लेते हैं। सबसे आम असर कब्ज या दस्त के रूप में देखा जाता है, क्योंकि एल्युमिनियम कब्ज करता है और मैग्नीशियम दस्त ला सकता है। कुछ लोगों को मुँह में चॉक जैसा स्वाद, जी मिचलाना, या पेट में हल्की फूलावट महसूस हो सकती है। ये आमतौर पर हल्के होते हैं और दवा बंद करने पर ठीक हो जाते हैं। गुर्दे की बीमारी वाले लोगों में मैग्नीशियम का स्तर बढ़ सकता है, जिससे कमजोरी, भ्रम, या धड़कन धीमी हो सकती है। अगर कोई भी दुष्प्रभाव गंभीर या लंबे समय तक बना रहे, तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर या फार्मासिस्ट के बताए अनुसार ही लें। बिना सलाह के दो हफ्ते से ज्यादा इस्तेमाल न करें। गोली को अच्छी तरह चबाएँ या मुँह में घोलें और फिर एक गिलास पानी पिएँ। इस दवा और अन्य दवाओं के बीच कम से कम दो घंटे का अंतर रखें, क्योंकि यह कई दवाओं के अवशोषण को कम कर सकती है। टेट्रासाइक्लिन या फ्लोरोक्विनोलोन एंटीबायोटिक, आयरन की गोलियाँ, थायरॉइड की दवा, और कुछ हृदय की दवाओं के साथ इसे एक साथ न लें। गुर्दे की बीमारी वाले लोग इसे डॉक्टर की निगरानी में ही लें। गर्भावस्था, स्तनपान, या गर्भधारण की योजना बनाते समय डॉक्टर से सलाह लें। बच्चों से दूर रखें।
💊 antacid tablet Uses & Benefits
[{"condition":"Heartburn and acid indigestion","description":"Provides rapid neutralization of stomach acid to relieve burning behind the breastbone and sour taste in the mouth.","evidence":"Well-established"},{"condition":"Gastro-oesophageal reflux disease (GERD) symptom relief","description":"Used as an add-on or as-needed treatment to reduce episodes of acid regurgitation and reflux discomfort.","evidence":"Well-established"},{"condition":"Peptic ulcer pain","description":"Eases ulcer-related burning pain by reducing acid contact with the ulcer surface, but it does not eradicate Helicobacter pylori.","evidence":"Well-established"},{"condition":"Gastritis and dyspepsia","description":"Helps relieve upper abdominal discomfort, bloating, and burning associated with inflammation of the stomach lining.","evidence":"Well-established"},{"condition":"Medication-related stomach upset","description":"Sometimes used to reduce stomach irritation caused by other medicines, under medical guidance.","evidence":"Limited"}]
Off-label uses: [{"condition":"Phosphate binder in chronic kidney disease","description":"Aluminium-containing antacids can bind dietary phosphate, but this is a specialist decision and not a routine use of this combination product.","evidence":"Limited"},{"condition":"Prevention of stress ulcer bleeding","description":"Antacids have been used in intensive care settings to reduce acid exposure, but modern practice usually prefers other acid-suppressing agents.","evidence":"Limited"}]
Primary treatment for: Acid-related gastrointestinal disorders such as heartburn, acid indigestion, and gastro-oesophageal reflux
Also treats: Peptic ulcer disease, Gastritis, Dyspepsia, Gastro-oesophageal reflux disease
📋 Drug Information
| Generic Name(s) | Aluminium Hydroxide + Magnesium |
| Brand Name | Antacid Tablet |
| Manufacturer | Bevit Pharmaceuticals Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GASTRO INTESTINAL |
| Action Class | Antacid |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C in a dry place. Keep the tablets in their original container or blister pack, away from direct sunlight and moisture. Do not store in the bathroom. |
| Shelf Life | Typically 24 to 36 months from the date of manufacture, depending on the manufacturer's packaging. Always check the expiry date printed on the pack and do not use after that date. |
| WHO Guideline | Not established from the available information. The World Health Organization does not issue a specific recommendation for this exact combination product for routine acid suppression. |
| ICMR Guideline | Not established from the available information. The Indian Council of Medical Research does not publish a specific guideline for this exact combination product. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by direct chemical neutralization of gastric hydrochloric acid. Aluminium hydroxide reacts with hydrochloric acid to form aluminium chloride and water, while magnesium hydroxide reacts to form magnesium chloride and water. This raises the pH of the stomach contents and reduces the irritant effect of acid on the oesophagus, stomach, and duodenum. The aluminium salt has a slower onset but a longer duration, and the magnesium salt acts quickly but for a shorter time. The combination is designed to balance the constipating effect of aluminium with the laxative effect of magnesium.
Mechanism Steps
💡 How to Take antacid tablet
Strength: Each immediate-release oral tablet contains aluminium hydroxide 250 mg and magnesium 250 mg.
Dosage Information
| Adult Dosage | For adults, the usual dose is one to two tablets taken as needed for heartburn or indigestion, up to four times a day, or as directed by a doctor. The tablet should be chewed thoroughly or allowed to dissolve before swallowing, followed by a glass of water. The exact dose and frequency depend on the severity of symptoms, other medicines being taken, and kidney function. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Older adults may use this medicine at the same adult dose, but they are more likely to have reduced kidney function and to take other medicines. A doctor should review the dose and check for interactions, especially with antibiotics, thyroid medicines, and heart medicines. Prolonged use should be avoided unless advised. |
| Renal Impairment | People with normal kidney function can use this medicine at standard doses. In mild to moderate kidney impairment, use should be short-term and under medical supervision. In severe kidney impairment or dialysis, this medicine should generally be avoided because aluminium and magnesium can accumulate and cause serious toxicity. Dose must be individualized by a qualified clinician based on renal function. |
| Hepatic Impairment | No specific dose adjustment is required for liver disease because this medicine is not metabolized by the liver. However, people with liver disease who also have kidney impairment should be assessed by a doctor before use. |
| Maximum Daily Dose | The maximum daily dose is generally eight tablets in 24 hours for adults, but this should not be exceeded and should only be used short-term. The exact maximum must be individualized by a qualified clinician based on the patient's condition and kidney function. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of antacid tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Tetracycline | Major | |
| Ciprofloxacin | Major | |
| Levothyroxine | Major | |
| Iron salts | Major | |
| Warfarin | Moderate | |
| Digoxin | Moderate | |
| Atenolol | Moderate | |
| Phenytoin | Moderate | |
| Aspirin | Minor | |
| Paracetamol | Minor |
🚨 Major Interactions
- Tetracycline antibiotics (e.g., doxycycline, tetracycline)
- Fluoroquinolone antibiotics (e.g., ciprofloxacin, levofloxacin)
- Iron salts
- Levothyroxine
⚡ Moderate Interactions
- Warfarin
- Digoxin
- Beta-blockers (e.g., atenolol, metoprolol)
- Corticosteroids (oral)
- Phenytoin
🍷 Alcohol Interaction
Alcohol can irritate the stomach lining and increase acid production, which may worsen the symptoms this medicine is meant to relieve. Alcohol does not directly interact with the antacid chemically, but drinking heavily while relying on this medicine can mask serious stomach problems. It is best to limit or avoid alcohol while you have active heartburn, gastritis, or ulcer symptoms.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Severe kidney disease or kidney failure","Known allergy to aluminium hydroxide or magnesium hydroxide","Severe dehydration or low blood phosphate levels","Bowel obstruction or suspected perforation","Use as the sole treatment for a known peptic ulcer without medical supervision"]
⚠️ Warnings & Precautions
["Do not use for more than two weeks without medical advice.","Keep at least two hours between this medicine and other oral medicines.","Use with caution in mild to moderate kidney disease and only under medical supervision.","Avoid in people with low phosphate levels or on a phosphate-restricted diet.","Do not take at the same time as tetracycline or fluoroquinolone antibiotics.","Consult a doctor before use if you are pregnant, planning pregnancy, or breastfeeding.","Do not give to children without a doctor's advice.","Stop and seek medical help if you develop severe abdominal pain, vomiting, or blood in vomit or stool."]
🤱 Lactation Safety
Aluminium and magnesium salts are poorly absorbed from the gut, so the amount passing into breast milk is expected to be very small. Short-term use at recommended doses is generally considered compatible with breastfeeding. A doctor or pharmacist should be consulted before regular or prolonged use.
💊 Overdose Management
Overdose with this medicine is uncommon because it is poorly absorbed. Large amounts can cause diarrhoea, abdominal pain, vomiting, and dehydration from the magnesium component. In people with kidney disease, overdose can lead to high magnesium or aluminium levels with weakness, confusion, slow heartbeat, or breathing difficulty. Treatment is supportive and includes stopping the medicine, giving fluids if dehydrated, and checking magnesium, aluminium, and kidney function. Severe cases may need hospital care. Contact a doctor or poison control centre immediately if a large amount has been taken.
⏰ Missed Dose
This medicine is usually taken only when needed for symptoms, so a missed dose is rarely a problem. If you are on a scheduled dose and miss it, take it as soon as you remember, unless it is almost time for the next dose. In that case, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.
Additional Safety Advice
Take this medicine exactly as directed by your doctor or pharmacist. Do not use it for more than two weeks without medical advice, because persistent acid symptoms may need a different treatment. Chew the tablet thoroughly or allow it to dissolve before swallowing, and follow with a glass of water unless told otherwise. Keep at least two hours between this medicine and other oral medicines, because antacids can reduce the absorption of many drugs. Avoid taking it at the same time as tetracycline or fluoroquinolone antibiotics, iron tablets, thyroid medicines, or some heart medicines. People with kidney disease should use this medicine only under close medical supervision. Do not take extra doses to make up for a missed one. If you are pregnant, planning pregnancy, or breastfeeding, speak to a doctor before using this medicine. Keep it out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults are more likely to have reduced kidney function and to take multiple medicines. This increases the risk of mineral accumulation and drug interactions. Elderly patients should use this medicine only for short periods, keep it two hours away from other medicines, and have kidney function checked if long-term use is considered. Watch for confusion, weakness, or slow heartbeat, which may signal high magnesium levels.
🤰 Pregnancy Planning (TTC)
If you are trying to conceive or are pregnant, short-term use of this medicine is generally considered acceptable, but you should confirm with your doctor or pharmacist. Avoid high doses and prolonged use. If you need frequent antacids, ask your doctor about safer long-term options for pregnancy. Do not start any new medicine, including over-the-counter antacids, without medical advice during pregnancy planning.
🏥 Post-Surgery Considerations
After surgery, antacids may be used to reduce stomach acid and stress-related irritation, but this should be directed by your surgical or medical team. Antacids can interact with other post-operative medicines, so timing is important. Do not self-medicate after surgery without asking your doctor. If you have bowel surgery or an ileus, antacids may be avoided until normal bowel function returns.
🦷 Dental Procedures
This medicine does not usually affect dental procedures. However, if you take it for reflux, tell your dentist because chronic acid exposure can erode tooth enamel. Chewable antacid tablets may contain sugar in some formulations, so rinse your mouth after taking them to protect your teeth. Keep your regular dental check-ups if you have long-standing reflux.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine does not usually limit exercise. However, vigorous exercise or bending soon after a meal can worsen reflux. Wait at least one to two hours after eating before doing intense workouts or core exercises. If you feel dizzy or weak from diarrhoea or dehydration caused by the magnesium component, stop exercising and rehydrate.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine rarely affects your ability to work or drive. It does not cause drowsiness. However, if you develop diarrhoea or dehydration from the magnesium component, you may feel weak or dizzy, and you should avoid driving or operating heavy machinery until you feel better. If you need antacids frequently during work hours, speak to your doctor about a longer-acting treatment.
🛑 When to Stop This Medicine
Stop this medicine and consult a doctor if your symptoms do not improve within two weeks, if they worsen, or if you develop red-flag signs such as blood in vomit, black stools, difficulty swallowing, or unexplained weight loss. Do not stop a prescribed medicine for another condition without asking your doctor. If you are using this medicine only for occasional relief, you can stop when symptoms settle.
📅 Long-Term Use Effects
Long-term, high-dose use of this medicine can lead to mineral imbalances. Aluminium can accumulate in people with kidney disease and cause bone pain, confusion, or anaemia. Magnesium can rise to unsafe levels in kidney impairment, leading to weakness, low blood pressure, and slow heartbeat. Prolonged use can also lower phosphate levels and, rarely, affect bone health. Regular monitoring of kidney function, magnesium, and phosphate is advised if long-term use is unavoidable. In most people, short-term use at recommended doses does not cause lasting problems.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Smaller meals, avoiding trigger foods, weight loss, and elevating the head of the bed can reduce reflux episodes.
Evidence: Well-establishedMedicines such as omeprazole or pantoprazole provide longer-lasting acid suppression for frequent or severe symptoms.
Evidence: Well-establishedMedicines such as famotidine reduce acid production for several hours and may suit night-time symptoms.
Evidence: Well-establishedThese form a foam barrier on top of the stomach contents and can reduce reflux, especially after meals.
Evidence: Well-establishedMindfulness, breathing exercises, and adequate sleep can reduce stress-related indigestion.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine does not interact with vaccines and does not affect your ability to receive routine immunizations. If you are due for a vaccine and have active stomach symptoms, you can still take this medicine as needed. There is no need to delay vaccination because of antacid use.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C
❌ DON'T
Do not refrigerate unless the label specifically says so
✅ DO
Keep the tablets in their original container or blister pack
❌ DON'T
Do not transfer them to unmarked containers
✅ DO
Keep away from direct sunlight and moisture
❌ DON'T
Do not store in the bathroom cabinet
✅ DO
Check the expiry date before use
❌ DON'T
Do not use tablets that are crumbling, discoloured, or past expiry
✅ DO
Keep out of reach of children
❌ DON'T
Do not leave loose tablets where children can find them
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with the pharmacy label visible. Keep a copy of your prescription or a doctor's note if you are travelling internationally, especially if you carry large quantities. Store it in hand luggage at room temperature and avoid leaving it in a hot car or checked baggage. If you cross time zones and take scheduled doses, adjust the timing gradually, but for as-needed use simply take it when symptoms occur. Check the customs rules of your destination for over-the-counter medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Relief usually begins within 5 to 15 minutes after chewing or swallowing the tablet.
A: Adults usually take one to two tablets as needed, up to four times a day, but the exact limit should be confirmed by a doctor or pharmacist.
A: Yes, but keep at least two hours between this medicine and other oral medicines, because antacids can reduce their absorption.
A: Short-term use is generally considered acceptable, but you should consult your doctor or pharmacist before use.
A: The aluminium part can cause constipation, while the magnesium part can cause loose stools. The combination is designed to balance these effects.
A: Yes, it can be taken on an empty stomach, but the effect may last longer if taken after a meal.
A: If you are taking it as needed, take it when symptoms occur. If you are on a schedule, take the missed dose when you remember, unless it is almost time for the next dose, in which case skip it.
A: Do not use it for more than two weeks without medical advice. Persistent symptoms need proper evaluation.
🤔 Common Patient Concerns
🔄 Substitutes for antacid tablet
View AllAlternative brands with exact same active ingredient:
-
riogel s tabletBevit Pharmaceuticals Ltd ₹4.22 124.5% COSTLIER
-
monorin mps liquidAlembic Pharmaceuticals Ltd ₹17.87 850.5% COSTLIER
-
relcer mps oral gelGlenmark Pharmaceuticals Ltd ₹23.20 1134% COSTLIER
-
Radocid Oral SuspensionVantage Biotech Pvt Ltd ₹32.00 1602.1% COSTLIER
-
eligel suspensionElite Pharma Pvt Ltd ₹32.81 1645.2% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Antacids can cure ulcers permanently.
Fact: Antacids only neutralize acid and relieve symptoms. They do not eradicate Helicobacter pylori or heal ulcers on their own. Ulcers need proper medical treatment. - Myth: More antacid means faster relief.
Fact: Taking more than the recommended dose does not give better relief and can cause diarrhoea, constipation, or mineral imbalances. - Myth: Antacids are safe to take with every medicine.
Fact: Antacids can reduce the absorption of many medicines, including antibiotics, thyroid tablets, and heart medicines. They should be separated by at least two hours. - Myth: Antacids are safe for everyone with kidney disease.
Fact: People with severe kidney disease should avoid this medicine because aluminium and magnesium can build up in the body and cause serious harm.
🔄 Alternative Options
Generic Alternatives
- Aluminium hydroxide + magnesium hydroxide chewable tablets
- Aluminium hydroxide + magnesium hydroxide suspension
- Aluminium hydroxide + magnesium carbonate tablets
Brand Alternatives
- Not established from the available information.