Oxetacaine (10mg/5ml) + Aluminium Hydroxide (250mg/5ml) + Dimethicone (50mg/5ml) + Magnesium (250mg/5ml) (Medical Monograph)

Overview

A quadruple-action oral suspension combining a potent local anesthetic (Oxetacaine) with antacids (Aluminium Hydroxide and Magnesium) and an antiflatulent (Dimethicone). It provides rapid and prolonged relief from hyperacidity, heartburn, and associated pain by neutralizing acid, forming a protective mucosal layer, and relieving gas-related discomfort. It is a first-line therapy for symptomatic relief in acid-peptic disorders in the Indian population.

Uses

  • Symptomatic relief of gastroesophageal reflux disease (GERD)
  • Relief in hyperacidity, heartburn, and acid regurgitation
  • Management of non-ulcer dyspepsia with pain and bloating

Side Effects

  • Chalky taste
  • Mild constipation or diarrhea (usually self-limiting due to balanced formulation)
  • White speckling in stool

Detailed Pharmacology

1. Oxetacaine: A potent surface anesthetic that acts on the nerve endings in the esophageal and gastric mucosa, blocking sodium channels and inhibiting pain signal transmission. 2. Aluminium Hydroxide: Reacts with gastric HCl to form aluminium chloride, neutralizing acid and raising gastric pH. It also has mild astringent and cytoprotective properties. 3. Magnesium (as Magnesium Hydroxide or Carbonate): Reacts with HCl to form magnesium chloride, neutralizing acid. It has a laxative effect. 4. Dimethicone: A silicone polymer that reduces surface tension of gas bubbles, causing them to coalesce and be expelled more easily via belching or flatus.

Available Brands in India

BrandManufacturerPrice
Mucaine Pfizer Limited (formerly Parke-Davis) ₹180 - ₹220 for 170 ml bottle
Ocid Cipla Ltd ₹160 - ₹200 for 170 ml bottle
Acigel Aristo Pharmaceuticals Pvt. Ltd. ₹140 - ₹180 for 170 ml bottle
Acitop Mankind Pharma Ltd ₹130 - ₹170 for 170 ml bottle
Oxalgin-MPS Zydus Cadila ₹150 - ₹190 for 170 ml bottle