Acidcure Syrup: 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 or worsening abdominal pain
- Difficulty swallowing or persistent vomiting
- Unexplained weight loss with indigestion
- Chest pain or shortness of breath
- Swelling of face, lips, or throat
- Yellowing of eyes or skin
If experiencing severe symptoms, call emergency services immediately.
What is gelikem 480 mg/25 mg suspension used for?
This medicine is an oral antacid and antiflatulent syrup containing magaldrate and simethicone. It neutralises stomach acid and breaks down trapped gas, giving quick relief from heartburn, indigestion, and bloating. It is usually taken in doses of 5 to 10 mL up to four times a day, as advised by a doctor.
- Generic Name: Magaldrate (480mg) + Simethicone (25mg)
- Manufacturer: Monokem Labs
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 gelikem 480 mg/25 mg suspension के बारे में (Hindi Summary)
उपयोग: यह दवा मैगल्ड्रेट और सिमेथिकोन का मिश्रण है, जो सीने में जलन, एसिडिटी, खट्टी डकार और पेट में गैस के कारण होने वाली असुविधा में राहत देती है। मैगल्ड्रेट पेट के अतिरिक्त एसिड को संतुलित करता है और सिमेथिकोन गैस के बुलबुले को तोड़कर बाहर निकालने में मदद करता है। यह दवा खाने के बीच या रात में सोने से पहले ली जा सकती है। अगर आपको किडनी की बीमारी है या आप गर्भवती हैं, तो इसे लेने से पहले डॉक्टर से सलाह जरूर लें।
साइड इफेक्ट्स: इस दवा को सही मात्रा में लेने पर आमतौर पर कोई गंभीर दिक्कत नहीं होती। कुछ लोगों को हल्का दस्त, कब्ज, जी मिचलाना या मुँह में चॉक जैसा स्वाद महसूस हो सकता है। ये लक्षण आमतौर पर अपने आप ठीक हो जाते हैं। अगर चेहरे या गले में सूजन, तेज पेट दर्द, या दिल की धड़कन अनियमित लगे, तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर या लेबल पर लिखी मात्रा से ज्यादा न लें। हर बार लेने से पहले बोतल को अच्छी तरह हिलाएँ और मापने वाले कप या चम्मच का ही इस्तेमाल करें। अन्य दवाओं के साथ इसे लेने से पहले कम से कम दो घंटे का अंतर रखें। किडनी की बीमारी, हार्ट फेलियर या मैग्नीशियम-अल्युमिनियम से परहेज वाले लोग बिना डॉक्टर की सलाह के इसका इस्तेमाल न करें। दो हफ्ते से ज्यादा लगातार इसका सेवन न करें।
💊 gelikem 480 mg/25 mg suspension Uses & Benefits
[{"condition":"Heartburn and acid indigestion","description":"Rapidly neutralises excess stomach acid and relieves the burning discomfort behind the breastbone.","evidence":"Well-established"},{"condition":"Gastro-oesophageal reflux symptoms","description":"Provides symptomatic relief from regurgitation and sour taste associated with reflux episodes.","evidence":"Well-established"},{"condition":"Functional dyspepsia with bloating","description":"Reduces upper abdominal fullness and gas-related discomfort after meals.","evidence":"Moderate"},{"condition":"Post-operative gas and abdominal distension","description":"Simethicone helps disperse trapped gas after abdominal surgery when prescribed by the treating team.","evidence":"Limited"},{"condition":"Antacid cover during NSAID therapy","description":"Sometimes used to ease stomach irritation in patients taking pain relievers, though it does not prevent ulcers.","evidence":"Limited"}]
Off-label uses: [{"condition":"Hiccups","description":"Occasionally used to relieve persistent hiccups by reducing gastric distension.","evidence":"Limited"},{"condition":"Preparation before endoscopy","description":"Simethicone-containing products are sometimes given to reduce foam and improve mucosal visibility during upper GI endoscopy.","evidence":"Moderate"}]
Primary treatment for: Acid indigestion and heartburn
Also treats: Gastro-oesophageal reflux disease, Functional dyspepsia, Bloating and flatulence, Gastritis
📋 Drug Information
| Generic Name(s) | Magaldrate (480mg) + Simethicone (25mg) |
| Brand Name | gelikem 480 mg/25 mg suspension |
| Manufacturer | Monokem Labs |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GASTRO INTESTINAL |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C, away from direct sunlight and moisture. Do not freeze. |
| Shelf Life | 24 months from the date of manufacture, or as printed on the pack. |
| 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 works through two complementary actions. Magaldrate is a layered magnesium-aluminium hydroxide complex that reacts with hydrochloric acid in the stomach to form water and harmless salts, thereby lowering gastric acidity without causing a large rebound acid surge. Simethicone is a silicone-based surfactant that reduces the surface tension of gas bubbles in the gastrointestinal tract, causing small bubbles to coalesce into larger ones that are easier to expel by belching or passing flatus. Together they provide both acid neutralisation and relief from gas-related bloating.
Mechanism Steps
💡 How to Take gelikem 480 mg/25 mg suspension
Strength: Each 5 mL of syrup contains magaldrate 480 mg and simethicone 25 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this syrup is 5 to 10 mL taken between meals and at bedtime, or as directed by a clinician. The dose may be repeated up to four times a day if needed, but the total daily amount should not exceed the label recommendation. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Shake the bottle well and measure with the supplied cup. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Older adults may use this medicine at the standard adult dose, but they should be monitored for bowel changes and electrolyte imbalance, especially if they have reduced kidney function or take multiple medicines. |
| Renal Impairment | Patients with mild kidney impairment should use this medicine sparingly and under medical advice. In moderate to severe kidney impairment, it is generally avoided because of the risk of magnesium and aluminium accumulation. |
| Hepatic Impairment | No specific dose adjustment is required for liver disease, as the medicine is not metabolised by the liver. However, any underlying liver condition should be discussed with the treating doctor. |
| Maximum Daily Dose | Do not exceed 40 mL in 24 hours unless specifically directed by a clinician. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of gelikem 480 mg/25 mg suspension
✅ 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 | |
| Fluoroquinolones | Major | |
| Iron supplements | Major | |
| Levothyroxine | Major | |
| Ketoconazole | Moderate | |
| Atenolol | Moderate | |
| Phenytoin | Moderate | |
| Digoxin | Minor | |
| Aspirin | Minor | |
| Vitamin C | Minor |
🚨 Major Interactions
- Tetracycline and doxycycline
- Fluoroquinolone antibiotics
- Iron supplements
- Levothyroxine
⚡ Moderate Interactions
- Ketoconazole and itraconazole
- Atenolol and other beta-blockers
- Corticosteroids
- Phenytoin
🍷 Alcohol Interaction
Alcohol increases gastric acid secretion and can worsen heartburn and gastritis, which may make this medicine seem less effective. It is advisable to avoid alcohol while you are being treated for acid-related symptoms.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to magaldrate, simethicone, or any ingredient of this medicine","Severe kidney impairment or dialysis","Hypermagnesaemia","Severe abdominal pain of unknown cause","Suspected gastrointestinal obstruction or perforation"]
⚠️ Warnings & Precautions
["Do not exceed the recommended dose or duration without medical advice.","Use with caution in patients with kidney disease, heart failure, or a magnesium-restricted diet.","Separate this medicine from other oral drugs by at least two hours.","Do not use for more than two weeks for persistent symptoms without consulting a doctor.","Keep out of reach of children.","Shake well before use and measure with a proper cup or spoon."]
🤱 Lactation Safety
Magaldrate and simethicone are poorly absorbed from the gut, so the amount reaching breast milk is expected to be negligible. Short-term use is generally considered compatible with breastfeeding, but medical advice should be sought before regular use.
💊 Overdose Management
Overdose of this medicine is unlikely to cause serious harm in people with normal kidney function, but large amounts can cause diarrhoea, abdominal cramps, or electrolyte imbalance. In patients with kidney disease, overdose can lead to magnesium or aluminium toxicity. Treatment is supportive and symptomatic. If a large amount has been taken, contact a doctor or poison control centre immediately. Do not induce vomiting unless advised by a healthcare professional.
⏰ Missed Dose
This medicine is usually taken when needed for symptoms. 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 double the dose to make up for a missed one.
Additional Safety Advice
Take this medicine exactly as directed on the label or by your clinician, and do not exceed the stated dose. Shake the bottle well before each use and measure the dose with the supplied cup or a proper measuring spoon. Maintain a gap of at least two hours between this medicine and other oral medicines, because antacids can reduce the absorption of many drugs. If you have kidney problems, heart failure, or are on a magnesium- or aluminium-restricted diet, speak to your doctor before using this product. Do not use it for more than two weeks without medical advice. Keep it out of reach of children, store it at room temperature, and discard it after the expiry date. Pregnant or breastfeeding women should confirm with their doctor before starting this medicine.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults are more likely to have reduced kidney function and to take multiple medicines. They should use this medicine sparingly, keep a gap from other drugs, and report any new bowel or muscle symptoms to their doctor.
🤰 Pregnancy Planning (TTC)
If you are trying to conceive or are pregnant, consult your doctor before using this medicine. Short-term use of magnesium-aluminium antacids may be acceptable, but the need and duration should be confirmed by a clinician.
🏥 Post-Surgery Considerations
After abdominal surgery, use this medicine only if your surgeon or treating doctor advises it. Simethicone may help with post-operative gas, but self-medication can mask complications such as obstruction or bleeding.
🦷 Dental Procedures
No specific precautions are required for dental procedures. Inform your dentist about all medicines you take, including this one, as part of your medical history.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
There is no specific restriction on exercise while taking this medicine. However, vigorous exercise immediately after a heavy meal can worsen reflux and bloating, so allow time for digestion.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine does not usually cause drowsiness or affect alertness, so it is unlikely to interfere with driving or operating machinery. However, if you feel unwell from the underlying condition, avoid driving until you feel better.
🛑 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, or severe abdominal pain. Do not stop any prescribed treatment for an underlying condition without medical advice.
📅 Long-Term Use Effects
Long-term or excessive use of this medicine can lead to bowel habit changes and, in people with kidney disease, accumulation of magnesium and aluminium. It may also mask more serious conditions such as ulcers or stomach cancer. Regular review with a doctor is advised if symptoms persist beyond two weeks.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Smaller meals, avoiding trigger foods, and not lying down after eating can reduce acid symptoms.
Evidence: Well-establishedPrescription medicines that reduce acid production and are used for persistent reflux or ulcers.
Evidence: Well-establishedAnother class of acid-reducing medicines for longer symptom control.
Evidence: Well-establishedSome people try ginger or chamomile, but evidence is limited and they should not replace medical treatment.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There is no known interaction between this medicine and vaccines. You can receive routine vaccinations while taking it.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C
❌ DON'T
Do not refrigerate or freeze
✅ DO
Keep the bottle tightly closed in its original carton
❌ DON'T
Do not transfer to another container
✅ DO
Keep away from direct sunlight and heat
❌ DON'T
Do not store near a stove or in a hot car
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after the expiry date
✈️ Traveling with This Medicine
Carry this medicine in its original labelled bottle with the prescription copy if you are travelling. Keep it in your hand luggage so that it stays at room temperature and is not exposed to extreme heat or cold in checked baggage. If you are crossing time zones, take the dose as needed for symptoms rather than strictly by clock time. Declare it at customs if required and check the destination country's rules for liquid medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Relief usually starts within a few minutes of taking the syrup, though the effect on gas may take a little longer.
A: You should keep a gap of at least two hours between this medicine and other oral drugs, because antacids can reduce their absorption.
A: It is intended for short-term relief. Do not use it for more than two weeks without consulting a doctor.
A: Short-term use may be acceptable, but you should always consult your doctor before taking any medicine during pregnancy.
A: If you are on a scheduled dose, take it when you remember unless it is almost time for the next dose. Do not double the dose.
🤔 Common Patient Concerns
🔄 Substitutes for gelikem 480 mg/25 mg suspension
View AllAlternative brands with exact same active ingredient:
-
magal suspensionRedson Laboratories Pvt Ltd ₹24.98 46.8% CHEAPER
-
hi norm syrupHealing Touch Pharmaceuticals Pvt Ltd ₹35.63 24.1% CHEAPER
-
congel syrupIcon Pharma & Surgicals Pvt Ltd ₹38.00 19% CHEAPER
-
acidcure syrupBonsai Pharma ₹60.00 27.9% COSTLIER
-
lamagco 480mg/25mg syrupFantabulous Pharma ₹60.94 29.9% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Antacids can cure stomach ulcers.
Fact: Antacids only relieve symptoms; ulcers need specific treatment prescribed by a doctor. - Myth: More antacid gives faster relief.
Fact: Taking more than the recommended dose can cause side effects and does not improve relief. - Myth: This medicine can be taken with any other medicine at the same time.
Fact: Antacids can reduce the absorption of many drugs, so a gap of at least two hours is needed. - Myth: Antacids are safe for everyone.
Fact: People with kidney disease or on a magnesium-restricted diet should avoid them unless advised by a doctor.
🔄 Alternative Options
Generic Alternatives
- Magaldrate and simethicone oral suspension
- Magaldrate oral suspension
- Simethicone oral emulsion