Product description:

What Sodium alginate| sodium bicarbonate| calcium carbonate is and what is used for:

• It is used for the treatment of symptoms resulting from the reflux of acid| bile and pepsin
• into the oesophagus such as acid regurgitation| heartburn and indigestion| for example
• following meals or during pregnancy| and for symptoms of excess stomach acid
• (hyperacidity).
• Can also be used to treat the symptoms of gastro-esophageal reflux during concomitant
• treatment with or following withdrawal of acid suppressing therapy.

What is gastro-esophageal reflux:

• Gastroesophageal reflux occurs when stomach acid frequently flows back into the tube connecting your
• mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus.
• Many people experience acid reflux from time to time

What you need to know before you take Sodium alginate| sodium bicarbonate| calcium Carbonate:

Do not take Sodium alginate| sodium bicarbonate| calcium carbonate if:

• Hypersensitivity to sodium alginate| sodium bicarbonate| calcium carbonate or the esters of
• hydroxybenzoates (parabens)
• Warnings and precautions
• This product is considered high in sodium. This should be particularly taken into account for
• those on a low salt diet (e.g. in some cases of congestive heart failure and renal
• impairment).
• Caution if you have reduced kidney function or on a controlled potassium diet.
• Care needs to be taken if you have hypercalcaemia| nephrocalcinosis and recurrent calcium
• containing renal calculi.
• Taking this product can mask the symptoms of other more serious| underlying medical
• Contains methyl parahydroxybenzoate (E218) and propyl parahydroxybenzoate (E216)
• which may cause allergic reactions (possibly delayed).

Other medicines and Sodium alginate| sodium bicarbonate| calcium carbonate:

• Tell your doctor or pharmacist about all medicines you take| including prescription and over-the-counter medicines| vitamins and herbal supplements.

Due to the presence of calcium and carbonates which act as an antacid| a time-interval of 2 hours should be considered between intake of this product and the administration of other medicinal products| especially:

• H2-antihistaminics (cimetidine| famotidine| nizatidine and ranitidine)
• Tetracyclines (doxycycline| minocycline)
• Digoxin
• Fluoroquinolones (ciprofloxacin| levofloxacin| moxifloxacin)
• Iron salts
• Thyroid hormones (levothyroxine)
• Ketoconazole
• Beta -blockers (atenolol| metoprolol| propanolol)
• Pregnancy and breastfeeding
• It can be used during pregnancy and if breastfeeding if clinically needed.
• Driving and using machines
• It has no or negligible influence on the ability to drive and use machines.

How to take Sodium alginate| sodium bicarbonate| calcium carbonate:

• Adult and children above 12 years: 10-20 ml after meals and at bedtime| up to four times per day.
• If you forget to take Sodium alginate| sodium bicarbonate| calcium carbonate
• Take the missed dose as soon as you remember.
• If it is too close to the next dose| skip it.
• Do not take two doses at the same time.

Possible side effects:

• Like all medicines| this can cause side effects| although not everybody gets them. The side effects below
• may happen with this medicine.
• Symptoms are likely to be minor in acute overdose:
• Some abdominal distension may be noticed.
• Milk-alkali syndrome has occurred in individuals taking large doses of calcium carbonate per day
• for prolonged periods.

Management:

• In the event of overdosage symptomatic treatment should be given.

Some more common side effects:

• These include
• Constipation
• Allergic reactions
• Hypertension

How to store Sodium alginate| sodium bicarbonate| calcium carbonate:

• Keep this medicine out of the sight and reach of children.
• Do not store above 30°C.
• Do not refrigerate or freeze.

* Dosage form and route of administration Na Alginate| Na HCO3| CaCO3 liquid sachet and Na Alginate| Na HCO3| CaCO3 chewable tablet should be prescribed according to therapeutic indication and disease severity of each individual patient.