Gastric Gel Tablet: Complete Guide to Uses, Dosage, and Safety
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Blood in vomit or black, tarry stools
- Severe abdominal pain or distension
- Difficulty breathing or swelling of face/throat
- Persistent vomiting or inability to pass stool
- Confusion, memory loss, or bone pain (possible aluminium toxicity)
- Yellowing of skin or eyes
- Decreased urine output
If experiencing severe symptoms, call emergency services immediately.
What is Flacid MPS Syrup used for?
This medicine is a combination of Aluminium Hydroxide and Simethicone used to relieve acid indigestion, heartburn, and gas. It works by neutralizing stomach acid and reducing gas bubbles. It is taken orally after meals or as directed by a doctor.
- Generic Name: Aluminium Hydroxide (250mg) + Simethicone (50mg)
- Manufacturer: Medcliff Pharmaceuticals Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 Flacid MPS Syrup के बारे में (Hindi Summary)
उपयोग: यह दवा एल्युमिनियम हाइड्रॉक्साइड और सिमेथिकोन का संयोजन है, जिसका उपयोग एसिडिटी, सीने में जलन, गैस और पेट फूलने की समस्या से राहत दिलाने के लिए किया जाता है। यह पेट में अतिरिक्त एसिड को बेअसर करती है और गैस के बुलबुले को छोटा करके बाहर निकालने में मदद करती है। इसे भोजन के बाद या डॉक्टर के निर्देशानुसार लिया जा सकता है।
साइड इफेक्ट्स: आमतौर पर यह दवा सुरक्षित मानी जाती है, लेकिन कुछ लोगों को कब्ज, पेट में असहजता, दस्त या जी मिचलाना हो सकता है। लंबे समय तक अधिक मात्रा में लेने से फॉस्फेट की कमी और एल्युमिनियम विषाक्तता हो सकती है, खासकर गुर्दे की बीमारी वाले लोगों में। गंभीर एलर्जी या आंतों में रुकावट जैसे लक्षण दिखने पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार या लेबल पर लिखे अनुसार ही लें। अन्य दवाओं के साथ लेने से पहले कम से कम 2 घंटे का अंतराल रखें। पर्याप्त पानी पिएं ताकि कब्ज न हो। गुर्दे की बीमारी, गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। बिना सलाह के 2 सप्ताह से अधिक इसका सेवन न करें।
💊 Flacid MPS Syrup Uses & Benefits
[{"condition":"Acid indigestion and heartburn","description":"Provides rapid neutralization of gastric acid, relieving burning discomfort in the chest and upper abdomen.","evidence":"Well-established"},{"condition":"Flatulence and bloating","description":"Simethicone reduces surface tension of gas bubbles, allowing them to disperse and be expelled more easily.","evidence":"Well-established"},{"condition":"Gastroesophageal reflux disease (GERD) symptom relief","description":"Used as an adjunct for short-term relief of mild reflux symptoms; not a primary treatment for erosive esophagitis.","evidence":"Moderate"},{"condition":"Functional dyspepsia","description":"May help alleviate postprandial fullness, early satiety, and epigastric pain in some patients.","evidence":"Limited"},{"condition":"Peptic ulcer symptom relief","description":"Provides symptomatic relief of pain but does not heal ulcers; used alongside acid-suppressing therapy.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Prevention of stress ulcer bleeding","description":"Sometimes used in critically ill patients as part of stress ulcer prophylaxis, though proton pump inhibitors are preferred.","evidence":"Limited"},{"condition":"Reduction of gas prior to abdominal imaging","description":"Simethicone may be used off-label to reduce bowel gas before ultrasound or radiological procedures.","evidence":"Limited"}]
Primary treatment for: Acid indigestion
Also treats: Gastroesophageal reflux disease, Flatulence, Functional dyspepsia, Peptic ulcer disease
📋 Drug Information
| Generic Name(s) | Aluminium Hydroxide (250mg) + Simethicone (50mg) |
| Brand Name | Flacid MPS Syrup |
| Manufacturer | Medcliff Pharmaceuticals Pvt Ltd |
| Packaging / Form | bottle of 200 ml Syrup (Allopathy) |
| Therapeutic Class | |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ 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 combines two agents with complementary actions. Aluminium Hydroxide is a non-systemic antacid that neutralizes gastric acid by chemical reaction, forming aluminium chloride and water, thereby raising gastric pH. Simethicone is a silicone-based surfactant that lowers the surface tension of gas bubbles in the gastrointestinal tract, causing them to coalesce into larger bubbles that are more easily eliminated. Together, they provide symptomatic relief from acid-related discomfort and trapped gas.
Mechanism Steps
💡 How to Take Flacid MPS Syrup
Strength: Each tablet contains Aluminium Hydroxide 250 mg and Simethicone 50 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one to two tablets taken orally, preferably after meals and at bedtime, or as directed by a physician. The dose may be repeated as needed, but do not exceed the maximum daily dose. 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 | Elderly patients may be more sensitive to the constipating effects of aluminium hydroxide. Use with caution and monitor for bowel irregularities. Dose adjustment may be necessary based on renal function. |
| Renal Impairment | Use with caution in patients with renal impairment. Aluminium hydroxide may accumulate, leading to toxicity. Consult a nephrologist for dose adjustments. Simethicone is considered safe. |
| Hepatic Impairment | No specific dosage adjustments are required for hepatic impairment, as aluminium hydroxide is not metabolized by the liver. |
| Maximum Daily Dose | The maximum recommended daily dose is 4 tablets in 24 hours, but this may vary based on clinical judgment. Do not exceed without medical advice. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of Flacid MPS Syrup
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Ciprofloxacin | Major | |
| Tetracycline | Major | |
| Levothyroxine | Major | |
| Iron salts | Moderate | |
| Propranolol | Moderate | |
| Digoxin | Moderate | |
| Phenytoin | Moderate | |
| Aspirin | Minor | |
| Benzodiazepines | Minor | |
| Corticosteroids | Moderate |
🚨 Major Interactions
- Fluoroquinolone antibiotics (e.g., ciprofloxacin, levofloxacin)
- Tetracycline antibiotics
- Levothyroxine
- Iron salts
⚡ Moderate Interactions
- Beta-blockers (e.g., propranolol, atenolol)
- Corticosteroids (oral)
- Digoxin
- Phenytoin
🍷 Alcohol Interaction
Alcohol can irritate the stomach lining and worsen acid-related symptoms. It is advisable to avoid or limit alcohol while taking this medicine, as it may counteract the therapeutic effect and increase the risk of gastrointestinal irritation.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to aluminium hydroxide, simethicone, or any component of the formulation","Severe renal impairment or chronic kidney disease without medical supervision","Suspected or confirmed gastrointestinal obstruction","Hypophosphatemia","Use in children under 12 years without medical advice"]
⚠️ Warnings & Precautions
["Do not use for more than 2 weeks without consulting a doctor.","Avoid taking other medications within 2 hours of this product.","Use with caution in elderly patients and those with renal impairment.","May cause constipation; ensure adequate fluid and fiber intake.","Not recommended for patients on a low-phosphate diet.","Consult a doctor if symptoms persist or worsen.","Keep out of reach of children."]
🤱 Lactation Safety
Aluminium hydroxide and simethicone are not known to be excreted in breast milk in significant amounts. They are considered compatible with breastfeeding, but nursing mothers should consult a doctor before use.
💊 Overdose Management
Overdose may cause severe constipation, abdominal pain, or electrolyte imbalances. In case of suspected overdose, seek immediate medical attention. Treatment is supportive and symptomatic. Activated charcoal is not effective. Monitor electrolytes and renal function. In severe cases, especially with renal impairment, aluminium toxicity may require chelation therapy.
⏰ Missed Dose
If you 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
Take this medicine exactly as prescribed or as directed on the label. Do not exceed the recommended dose or duration without consulting a doctor. Shake the suspension well if using a liquid form; swallow tablets whole with water. Take this medicine with or after meals for best effect. Maintain adequate hydration to help prevent constipation. Avoid taking other medicines within 2 hours of this product, as it can reduce their absorption. Inform your doctor if you have kidney disease, are on a low-phosphate diet, or are pregnant or breastfeeding. Do not use for more than 2 weeks unless advised by a clinician. Keep out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more prone to constipation and electrolyte imbalances. Use with caution and monitor bowel habits and renal function. Dose adjustment may be needed.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before using this medicine. It is generally considered safe, but individual assessment is recommended.
🏥 Post-Surgery Considerations
After surgery, use this medicine only if prescribed by your surgeon. It may interact with other postoperative medications. Inform your surgeon about all medicines you are taking.
🦷 Dental Procedures
No specific precautions are required for dental procedures. However, inform your dentist about all medications you are taking.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Moderate exercise is generally safe while taking this medicine. However, avoid vigorous exercise immediately after meals to prevent reflux. Stay hydrated during workouts.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine does not usually affect your ability to drive or operate machinery. However, if you experience dizziness or drowsiness (rare), avoid these activities until you know how the medicine affects you.
🛑 When to Stop This Medicine
Stop taking this medicine and consult a doctor if symptoms persist beyond 2 weeks, worsen, or if you experience severe side effects. Do not stop prescribed therapy without medical advice.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to constipation, hypophosphatemia, and aluminium accumulation, especially in patients with renal impairment. Regular monitoring of serum phosphate and aluminium levels is advised for prolonged use. It is not recommended for continuous use beyond 2 weeks without medical supervision.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Avoiding trigger foods, eating smaller meals, and losing weight can reduce acid reflux.
Evidence: Well-establishedMay soothe the stomach, but evidence is limited and they can interact with medications.
Evidence: LimitedYoga, meditation, and deep breathing can help reduce stress-related acidity.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No known interactions between this medicine and 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
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with a copy of the prescription if available. Store at room temperature and protect from moisture. When traveling across time zones, continue your regular dosing schedule as closely as possible. If you are flying, keep it in your carry-on luggage. Check customs regulations for carrying medications into other countries.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts working within minutes after oral administration, providing rapid relief from acid symptoms.
A: It can interact with many drugs. Maintain a gap of at least 2 hours between this medicine and other medications.
A: It is generally considered safe, but consult your doctor before use.
A: Constipation is the most common side effect. Others include abdominal discomfort and nausea.
🤔 Common Patient Concerns
🔄 Substitutes for Flacid MPS Syrup
View AllAlternative brands with exact same active ingredient:
-
gastric gel tabletBindlysh Biotec Ltd ₹14.06 80.5% CHEAPER
-
rabexin-mps oral suspensionDaxin Pharmaceutical Pvt Ltd ₹113.44 57.1% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure ulcers.
Fact: This medicine only relieves symptoms; it does not heal ulcers. Ulcers require specific treatment. - Myth: It is safe to take indefinitely.
Fact: Prolonged use can cause constipation, hypophosphatemia, and aluminium toxicity, especially in kidney disease. - Myth: It can be taken with all other medicines.
Fact: It can interact with many drugs, reducing their absorption. Always separate by 2 hours.
🔄 Alternative Options
Generic Alternatives
- Aluminium Hydroxide + Simethicone tablets
- Aluminium Hydroxide + Simethicone suspension