Oxetacaine (10mg/5ml) + Aluminium Hydroxide (600mg/5ml) + Magnesium (300mg/5ml) + Simethicone (25mg/5ml) (Medical Monograph)

Overview

A quadruple-action oral suspension for the symptomatic management of hyperacidity, gastroesophageal reflux disease (GERD), and associated dyspepsia. It combines a potent local anesthetic (oxetacaine) for rapid pain relief, two antacids (aluminium hydroxide and magnesium hydroxide) for acid neutralization, and an antiflatulent (simethicone) for gas relief. It is a first-line therapy for immediate relief of acid-peptic symptoms in the Indian outpatient setting.

Uses

  • Symptomatic relief in gastroesophageal reflux disease (GERD)
  • Relief of heartburn, acid indigestion, and sour stomach
  • Symptomatic management of gastritis and esophagitis
  • Immediate relief of dyspepsia associated with hyperacidity

Side Effects

  • Chalky taste
  • Mild constipation or mild diarrhea (depending on individual sensitivity to Al/Mg ratio)
  • White speckling in stools

Detailed Pharmacology

1. Oxetacaine: A potent surface anesthetic that blocks sodium channels in the neuronal membrane of the esophageal and gastric mucosa, providing rapid relief from pain and burning sensation. 2. Aluminium Hydroxide & Magnesium Hydroxide: Non-systemic antacids that react with and neutralize hydrochloric acid in the gastric lumen, raising the pH. They also adsorb pepsin and bile salts. 3. Simethicone: A physiologically inert antifoaming agent that reduces the surface tension of gas bubbles in the GI tract, causing them to coalesce and be more easily expelled via belching or flatus.

Available Brands in India

BrandManufacturerPrice
Mucaine Pfizer Limited (formerly Wyeth) ₹120 - ₹180 for 170 ml bottle
Ocid Suspension Cipla Ltd ₹90 - ₹140 for 170 ml bottle
Acigon Suspension Sun Pharmaceutical Industries Ltd. ₹85 - ₹130 for 170 ml bottle
Acigone Suspension Alkem Laboratories Ltd ₹80 - ₹125 for 170 ml bottle
Acigel Suspension Mankind Pharma Ltd ₹75 - ₹120 for 170 ml bottle