Riogel Tablet - Aluminium Hydroxide (400mg) + Magnesium (400mg) medicine

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🏭 Bevit Pharmaceuticals Ltd 📦 strip of 10 tablets 💊 Allopathy 📅 Updated: Oct 28, 2026
⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for symptomatic relief of acid-related conditions.
Reviewed by
SaathiMed Expert Panel | Oct 28, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
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 bloating
  • Difficulty breathing or swelling of face, lips, or throat
  • Irregular heartbeat or palpitations
  • Muscle weakness or confusion
  • Decreased urine output
  • Yellowing of skin or eyes

If experiencing severe symptoms, call emergency services immediately.

What is Riogel Tablet used for?

This medicine is an antacid containing Aluminium Hydroxide and Magnesium. It works by neutralizing excess stomach acid to relieve heartburn, indigestion, and gastritis. It is taken orally, usually 1-2 tablets after meals and at bedtime. Do not exceed 8 tablets in 24 hours.

  • Generic Name: Aluminium Hydroxide (400mg) + Magnesium (400mg)
  • Manufacturer: Bevit Pharmaceuticals Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 Riogel Tablet के बारे में (Hindi Summary)

उपयोग: यह दवा एंटासिड है जो पेट में अतिरिक्त एसिड को बेअसर करती है। इसका उपयोग सीने में जलन, एसिडिटी, गैस, और गैस्ट्र्राइटिस के लक्षणों से राहत के लिए किया जाता है। यह अल्सर के इलाज में भी सहायक हो सकती है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में कब्ज, दस्त, और पेट में ऐंठन शामिल हैं। कभी-कभी मतली या स्वाद में बदलाव हो सकता है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर आपको गंभीर कब्ज, मांसपेशियों में कमजोरी, या दिल की धड़कन में गड़बड़ी हो, तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। खुराक से अधिक न लें। अन्य दवाओं के साथ लेने से पहले कम से कम 2 घंटे का अंतराल रखें। खाली पेट लेने से बचें। अगर आप गर्भवती हैं या स्तनपान करा रही हैं, तो डॉक्टर से सलाह लें। गुर्दे की बीमारी होने पर सावधानी बरतें। 2 सप्ताह से अधिक उपयोग न करें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 Riogel Tablet Uses & Benefits

[{"condition":"Gastroesophageal reflux disease (GERD)","description":"Provides symptomatic relief from heartburn and acid regurgitation by neutralizing stomach acid.","evidence":"Well-established"},{"condition":"Peptic ulcer disease","description":"Used as an adjunct to reduce pain and promote ulcer healing by reducing gastric acidity.","evidence":"Well-established"},{"condition":"Gastritis","description":"Helps relieve stomach inflammation and associated discomfort by neutralizing acid.","evidence":"Well-established"},{"condition":"Acid indigestion","description":"Provides rapid relief from episodic indigestion and sour stomach.","evidence":"Well-established"},{"condition":"Heartburn","description":"Neutralizes excess acid in the esophagus and stomach, relieving burning sensation.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Hyperphosphatemia in chronic kidney disease","description":"Aluminium hydroxide can bind phosphate in the gut and is sometimes used off-label to lower phosphate levels in patients with kidney failure, but this requires close medical supervision.","evidence":"Limited"}]

Primary treatment for: Gastroesophageal reflux disease (GERD)

Also treats: Peptic ulcer disease, Gastritis, Acid indigestion, Heartburn

📋 Drug Information

Generic Name(s)Aluminium Hydroxide (400mg) + Magnesium (400mg)
Brand NameRiogel Tablet
ManufacturerBevit Pharmaceuticals Ltd
Packaging / Formstrip of 10 tablets (Allopathy)
Therapeutic Class
Action Class
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep the container tightly closed.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine 1 to 2 hours after meals and at bedtime for best effect.
2
Always take with a full glass of water to prevent constipation.
3
Separate this medicine from other medications by at least 2 hours to avoid interactions.
4
Do not use for more than 2 weeks without consulting a doctor.
5
If you have kidney disease, consult your doctor before using this medicine.
6
Avoid taking with citrus juices or acidic foods as they reduce effectiveness.
7
Report any signs of electrolyte imbalance like muscle weakness or irregular heartbeat.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Heartburn
This medicine is commonly used for heartburn relief.
Likely Use
✅
Acid indigestion
This medicine neutralizes excess acid and relieves indigestion.
Likely Use
❌
Fever
This medicine is not a fever reducer.
Not Primary
❌
Headache
This medicine is not indicated for headache.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionAluminium hydroxide and magnesium hydroxide are poorly absorbed from the gastrointestinal tract. Only small amounts of aluminium and magnesium ions are absorbed systemically. The majority remains in the gut and is excreted in the feces.
DistributionThe small fraction of aluminium and magnesium that is absorbed is distributed to various tissues, but they do not undergo significant protein binding. Aluminium can accumulate in bone and brain tissue with prolonged high-dose use, especially in patients with kidney impairment. Magnesium is distributed mainly in extracellular fluids and is incorporated into bone.
Protein BindingNot established from the available information.
MetabolismAluminium and magnesium are not metabolized in the body. They are excreted unchanged.
Half-LifeNot established from the available information.
ExcretionThe unabsorbed portion of this medicine is excreted in the feces. The small absorbed fraction of aluminium is excreted primarily by the kidneys, while magnesium is excreted by the kidneys as well. In patients with kidney impairment, excretion is prolonged, leading to potential accumulation.
BioavailabilityNot established from the available information.
Onset of ActionRelief from acid symptoms typically begins within 5 to 10 minutes after taking this medicine.
Peak Plasma TimeNot applicable. This medicine acts locally in the stomach and does not have a systemic peak plasma concentration.
Duration of ActionThe effect lasts for approximately 30 to 60 minutes when taken on an empty stomach, and up to 3 hours when taken after a meal.

How It Works

This medicine works by a simple chemical neutralization reaction. Aluminium hydroxide and magnesium hydroxide react with hydrochloric acid in the stomach to form aluminium chloride and magnesium chloride, respectively, along with water. This reduces the concentration of acid, thereby increasing the pH of the stomach contents. The rise in pH reduces irritation of the stomach and esophageal lining and also inhibits the activity of pepsin, an enzyme that can damage the mucosa in an acidic environment. The combination of aluminium and magnesium salts helps balance bowel effects: aluminium tends to cause constipation, while magnesium tends to cause diarrhea, so together they often have a neutral effect on bowel habits.

Mechanism Steps

1
Ingestion and dissolution: This medicine is taken orally and dissolves in the stomach, releasing aluminium and magnesium ions.
2
Chemical neutralization: The aluminium and magnesium ions react with hydrochloric acid to form neutral salts and water, reducing gastric acidity.
3
pH elevation: The reduction in acid concentration raises the pH of the stomach contents, which reduces irritation and pain.
4
Pepsin inhibition: The higher pH reduces the activity of pepsin, an enzyme that can damage the stomach lining when acid is present.
5
Symptom relief: The combined effects lead to relief from heartburn, indigestion, and acid-related discomfort.

💡 How to Take Riogel Tablet

Strength: Each tablet contains Aluminium Hydroxide 400 mg and Magnesium 400 mg.

1Shake the suspension well if using liquid form.
2Chew chewable tablets thoroughly before swallowing.
3Take with a full glass of water.
4Take 1 to 2 hours after meals and at bedtime.
5Do not take within 2 hours of other medicines.
6Do not exceed the recommended dose.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 1 to 2 tablets (or 5 to 10 mL of suspension) taken 4 to 6 times daily, depending on symptoms, or as directed by a physician. For best results, take this medicine 1 to 2 hours after meals and at bedtime. Do not exceed 8 tablets (or 40 mL) in 24 hours. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the side effects of this medicine, especially constipation and electrolyte imbalances. Use with caution and consult a doctor for appropriate dosing.
Renal ImpairmentIn patients with mild to moderate kidney impairment, dose adjustment may be necessary. In severe kidney impairment, this medicine is contraindicated. Consult a doctor for individualized dosing.
Hepatic ImpairmentNo specific dosage adjustment is required for hepatic impairment, as this medicine is not metabolized by the liver. However, consult a doctor for guidance.
Maximum Daily DoseThe maximum daily dose is 8 tablets (or 40 mL of suspension) in 24 hours, unless otherwise directed by a physician.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With meals
Take 1-2 hours after meals
Food buffers the effect, but taking after meals prolongs the antacid effect.
Citrus fruits and juices
Avoid taking together
Acidic foods can reduce the effectiveness of the antacid.
Dairy products
Separate by 2 hours
Calcium can interfere with the antacid action.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of Riogel Tablet

✅ Common Side Effects

Constipation (Common (5-10%))
Increase fluid and fiber intake. If constipation persists, consult your doctor.
Diarrhea (Common (5-10%))
Stay hydrated. If diarrhea is severe or persistent, contact your doctor.
Stomach cramps (Common (5-10%))
Usually resolves on its own. If cramps are severe, consult your doctor.
Nausea (Uncommon (1-5%))
Take with food to reduce nausea. If it continues, speak to your doctor.
Changes in taste (Uncommon (1-5%))
Usually temporary. Rinse mouth after taking the medicine.

🚨 Serious Side Effects

Severe constipation leading to bowel obstruction (Rare (<0.1%))
Seek immediate medical attention if you have severe abdominal pain, bloating, and inability to pass stool.
Electrolyte imbalance (e.g., hypophosphatemia, hypermagnesemia) (Rare (<0.1%))
Seek medical help if you experience muscle weakness, confusion, irregular heartbeat, or extreme fatigue.
Aluminium accumulation toxicity (in kidney impairment) (Rare (<0.1%))
Report bone pain, mental changes, or anemia to your doctor immediately.
Allergic reaction (rash, itching, swelling) (Rare (<0.1%))
Stop the medicine and seek emergency care if you have difficulty breathing or swelling of face, lips, or throat.

⚠️ Rare Side Effects

Hypophosphatemia
Consult a doctor if you experience muscle weakness, bone pain, or fatigue.
Encephalopathy due to aluminium toxicity
Seek immediate medical attention if you have confusion, seizures, or personality changes.
Osteomalacia
Report bone pain or fractures to your doctor.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Tetracycline Major
Fluoroquinolones Major
Iron supplements Major
Levothyroxine Major
Digoxin Moderate
Ketoconazole Moderate
Itraconazole Moderate
Phenytoin Moderate
Aspirin Minor
Metformin Minor

🚨 Major Interactions

  • Tetracycline antibiotics
  • Fluoroquinolone antibiotics
  • Iron supplements
  • Levothyroxine

⚡ Moderate Interactions

  • Digoxin
  • Ketoconazole
  • Itraconazole
  • Phenytoin

🍷 Alcohol Interaction

Alcohol can increase stomach acid production and may worsen the condition being treated. It is advisable to avoid alcohol while taking this medicine, as it can reduce the effectiveness of the antacid and increase the risk of stomach irritation.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Severe kidney impairment (e.g., end-stage renal disease)","Known hypersensitivity to aluminium hydroxide or magnesium hydroxide","Hypophosphatemia","Bowel obstruction or severe constipation","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 within 2 hours of other medicines, as it can reduce their absorption.","Use with caution in patients with kidney disease, heart disease, or on a low-magnesium diet.","Do not take with acidic foods or drinks.","If symptoms persist or worsen, seek medical attention.","Keep out of reach of children.","Do not exceed the recommended dose.","In case of overdose, seek medical help immediately."]

🤱 Lactation Safety

Aluminium hydroxide and magnesium hydroxide are poorly absorbed from the gastrointestinal tract, so the amount that passes into breast milk is negligible. This medicine is generally considered safe for use during breastfeeding. However, consult your doctor before use.

💊 Overdose Management

Overdose of this medicine can cause severe diarrhea, abdominal pain, and electrolyte imbalances. In case of overdose, seek immediate medical attention. Treatment is supportive and may include rehydration and correction of electrolyte abnormalities. In patients with kidney impairment, accumulation of aluminium or magnesium can occur, and dialysis may be required.

⏰ 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

General Safety

Take this medicine exactly as directed by your doctor or as written on the label. Do not exceed the recommended dose. Shake the suspension well before each use if you are using a liquid form. Chewable tablets should be chewed thoroughly before swallowing. Take this medicine with a full glass of water to help it work and to prevent constipation. Do not take this medicine within 2 hours of other medicines, as it can interfere with their absorption. Avoid taking this medicine with acidic foods or drinks like citrus juices, as they can reduce its effectiveness. If you are pregnant or breastfeeding, consult your doctor before using this medicine. If you have kidney disease, heart disease, or are on a low-magnesium or low-aluminium diet, talk to your doctor before use. Do not use this medicine for more than 2 weeks without consulting a doctor. 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 kidney function. Consult a doctor for appropriate dosing.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before using this medicine. It is generally considered safe for occasional use, but your doctor may recommend alternative treatments.

🏥 Post-Surgery Considerations

After surgery, consult your doctor before using this medicine, as it may interact with other medications or affect recovery. It is generally safe for short-term use if prescribed.

🦷 Dental Procedures

No specific precautions. Inform your dentist if you are taking this medicine, as it may interact with certain antibiotics used in dentistry.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce pressure on the stomach.
🥗
Avoid lying down immediately after meals.
😴
Eat smaller, more frequent meals.
💧
Avoid trigger foods like spicy, fatty, or acidic foods.
🧘
Quit smoking and limit alcohol intake.
🌞
Elevate the head of your bed to prevent nighttime reflux.

🏋️ Exercise Considerations

Avoid vigorous exercise immediately after meals, as it can worsen acid reflux. Light activities like walking are fine. If you experience dizziness or muscle weakness due to electrolyte imbalance, avoid strenuous exercise and consult your doctor.

🥗 Diet Recommendations

Include fiber-rich foods to prevent constipation.
Stay well hydrated.
Avoid citrus juices and acidic foods.
Limit caffeine and carbonated drinks.
Eat smaller, more frequent meals.

💼 Impact on Daily Work & Life

This medicine generally does not affect your ability to drive or operate machinery. However, if you experience dizziness or drowsiness, avoid these activities until you feel normal.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if your symptoms persist for more than 2 weeks, if they worsen, or if you experience any serious side effects. Do not stop prescribed medications without consulting your doctor.

📅 Long-Term Use Effects

Long-term use of this medicine can lead to electrolyte imbalances, such as low phosphate levels, and accumulation of aluminium or magnesium, especially in patients with kidney disease. It may also cause constipation or diarrhea. Regular monitoring of kidney function and electrolytes is recommended for prolonged use. It is not intended for long-term use without medical supervision.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Dietary changes

Avoiding trigger foods and eating smaller meals can reduce acid reflux.

Evidence: Well-established
Weight loss

Losing excess weight can reduce pressure on the stomach and improve GERD symptoms.

Evidence: Well-established
Elevating the head of the bed

Helps prevent nighttime acid reflux.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with 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

When traveling, carry this medicine in its original packaging with the prescription label. Bring a copy of your prescription in case of customs checks. Store at room temperature and protect from moisture. If crossing time zones, continue your regular dosing schedule as close as possible. Do not leave in a hot car or checked luggage.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with frequent heartburn after meals
She started taking this medicine as directed after meals and at bedtime. Within a few days, her heartburn episodes reduced significantly. She made sure to take it with a full glass of water and avoided citrus juices. She also separated it from her thyroid medication by 4 hours.
💡 Lesson: Taking the antacid at the right time and separating it from other medicines improves both efficacy and safety.
👤 A 60-year-old man with chronic kidney disease and occasional indigestion
He was prescribed this medicine for short-term relief. His doctor monitored his kidney function and magnesium levels. He was advised not to use it for more than a few days and to report any muscle weakness or drowsiness.
💡 Lesson: Patients with kidney disease need close monitoring and short-term use of antacids containing magnesium and aluminium.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine starts working within 5 to 10 minutes after taking it.

Q: Can I take it with other medicines?

A: It can interact with many medicines. Always separate by at least 2 hours and consult your doctor.

Q: Is it safe during pregnancy?

A: It is generally considered safe for occasional use, but consult your doctor before taking it.

Q: What are the common side effects?

A: Common side effects include constipation, diarrhea, and stomach cramps.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for Riogel Tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure ulcers permanently.
    Fact: This medicine provides symptomatic relief but does not cure the underlying cause of ulcers. It is often used as an adjunct to other treatments.
  • Myth: This medicine is safe to take with all other medicines.
    Fact: This medicine can interact with many drugs and reduce their absorption. Always separate doses by at least 2 hours.
  • Myth: More antacid means faster relief.
    Fact: Taking more than the recommended dose can lead to side effects like constipation, diarrhea, and electrolyte imbalances. Stick to the recommended dose.

🔄 Alternative Options

Generic Alternatives

  • Aluminium Hydroxide + Magnesium Hydroxide generic tablets
  • Aluminium Hydroxide + Magnesium Hydroxide suspension

Brand Alternatives

  • Nucid Tablet

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","class":"Antacid (Aluminium + Magnesium)","onset":"5-10 minutes","duration":"30-60 minutes (empty stomach), up to 3 hours (with food)","common_side_effects":"Constipation, diarrhea"},{"medicine":"Calcium carbonate","class":"Antacid","onset":"5-10 minutes","duration":"30-60 minutes","common_side_effects":"Constipation, bloating"},{"medicine":"Omeprazole","class":"Proton pump inhibitor","onset":"1 hour","duration":"24 hours","common_side_effects":"Headache, diarrhea"}]

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