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Introduction About MACGEL 400MG SUSPENSION
MACGEL 400MG SUSPENSION is a combination of Magaldrate and Simethicone, which belongs to the group of medicines called Antacids and Anti-flatulent agents, respectively. It is used for the management of heartburn (burning sensation in the chest due to stomach acid travelling up towards the throat), hyperacidity (excess acidity in the stomach), indigestion, flatulence (expulsion of gas out of the body's intestines via the anus), bloating (buildup of gas in the stomach and intestines), and sour stomach.
It is also used to manage esophagitis (inflammation of the lining of the esophagus) or gastritis (inflammation of the lining of the stomach), stomach or stress ulcers (open sores that develop on the lining of the stomach, which may also occur due to stress), and gastroesophageal reflux (a condition in which the stomach contents move up into the esophagus (food pipe).
Avoid alcohol and carbonated drinks and reduce intake of citrus fruit juices and caffeine to reduce acidity and gas problems. Also try to maintain a healthy diet plan with adequate sleep to get better results.
MACGEL 400MG SUSPENSION is not recommended for use in patients with high magnesium levels in blood, low phosphate levels in the blood, diarrhea, and severe liver or kidney impairment.
Before taking MACGEL 400MG SUSPENSION, inform your doctor if you have any kidney problems, appendicitis, stomach pain, nausea, vomiting, bowel blockage, rectal bleeding of unknown cause, a magnesium-restricted diet, and if you have a surgical history of bowel surgery.
MACGEL 400MG SUSPENSION should be used in pregnant and breast-feeding women only if advised by the doctor. Consult your child’s doctor for advice before giving MACGEL 400MG SUSPENSION to your child.
The most common side effects of taking MACGEL 400MG SUSPENSION are diarrhea, constipation, and chalky taste. Consult your doctor if any of the side effects worsen or bother you.
Uses Of MACGEL 400MG SUSPENSION
Used to manage the following:
- heartburn, hyperacidity, indigestion
- flatulence
- bloating, sour stomach
- esophagitis/gastritis
- stomach/stress ulcers
- gastroesophageal reflux
How MACGEL 400MG SUSPENSION Works
MACGEL 400MG SUSPENSION contains magaldrate and simethicone, where magaldrate works by neutralizing the pH of gastric acid in the stomach and suppressing the symptoms of acid-reflux-related issues. Simethicone is an anti-flatulent agent that works by breaking up gas bubbles, and it helps the gas to be eliminated easier.
How to use MACGEL 400MG SUSPENSION
Take MACGEL 400MG SUSPENSION as advised by your physician. Shake well before use. Use a measuring cup to properly measure the dose. Do not drink water or any other liquid after taking MACGEL 400MG SUSPENSION, which may decrease its effectiveness. Your doctor will decide the correct dose and duration for you depending upon your age, body weight, and disease condition.
Side Effects Of MACGEL 400MG SUSPENSION
Common
- chalky taste
- diarrhea
- constipation
How To Manage Side Effects
Constipation
Take fiber-rich foods in your diet, such as fresh fruits, vegetables, and whole grain cereals, and drink plenty of fluids. Exercise regularly (such as walking) and stay active. Consult your doctor if the constipation does not improve.
Diarrhea
Drink a lot of fluids, such as water or fruit juices, to keep yourself hydrated. Do not take any medicine on your own to manage diarrhea. Consult your doctor if the diarrhea does not improve.
Warning & Precautions
Pregnancy
Monitoring requiredMACGEL 400MG SUSPENSION can be used in pregnant women only if considered clearly necessary. Consult your doctor for advice before taking MACGEL 400MG SUSPENSION.
Breastfeeding
Monitoring requiredMACGEL 400MG SUSPENSION can be used in breast-feeding women only if advised by the doctor. Consult your doctor before taking MACGEL 400MG SUSPENSION.
Kidney
Consult your doctorMACGEL 400MG SUSPENSION is not recommended for use in patients with severe kidney impairment. It should be used with caution in patients with kidney problems. Consult your doctor before taking MACGEL 400MG SUSPENSION.
Liver
ContraindicatedMACGEL 400MG SUSPENSION is not recommended for use in patients with severe liver impairment. Consult your doctor before taking MACGEL 400MG SUSPENSION.
Allergy
ContraindicatedDo not take MACGEL 400MG SUSPENSION if you are allergic to magaldrate, simethicone, or any other ingredients of this medicine. Consult your doctor before taking MACGEL 400MG SUSPENSION.
Use In Pediatrics
Consult your doctorConsult your child’s doctor for advice before giving MACGEL 400MG SUSPENSION to your child.
Others
MACGEL 400MG SUSPENSION is not recommended for use if you have:
- high magnesium levels in the blood
- low phosphate levels in the blood
- diarrhea
Before taking MACGEL 400MG SUSPENSION, inform your doctor if you:
- have appendicitis
- have stomach pain, nausea, vomiting
- have bowel blockage, rectal bleeding of unknown cause
- are following a low magnesium diet
- had a bowel surgery
Interactions
A. Drug-drug interactions:
Before taking MACGEL 400MG SUSPENSION, inform your doctor if you are taking any of the following medicines:
- warfarin (used to manage or manage blood clotting)
- citrate salt (found in calcium supplements (used to manage calcium deficiency) and laxatives such as magnesium citrate (used to manage constipation)
- alendronic acid (used to manage osteoporosis)
- sodium polystyrene sulfonate (used to manage high potassium levels in the blood)
- hormonal medicines for thyroid problems (Ex. levothyroxine)
- fluconazole (used to manage fungal infections)
- penicillamine (used to manage Wilson’s disease (too much copper in the body))
- mycophenolate (used to manage rheumatoid arthritis)
- medicines used to manage bacterial infections (Ex. cefaclor, doxycycline, ciprofloxacin)
- quinidine (used to manage irregular heartbeats)
Overdosage:
If you or anyone else accidentally takes too much of MACGEL 400MG SUSPENSION, consult your doctor immediately or go to a nearby hospital right away.
Synopsis
| Drug | : | Magaldrate, Simethicone |
| Pharmacological Category | : | Antacids, Anti-flatulent agents |
| Therapeutic Indication | : | Heartburn, hyperacidity, indigestion, bloating, sour stomach, flatulence, esophagitis/gastritis, stomach/stress ulcers, gastroesophageal reflux |
| Dosage Forms | : | Syrup, Liquid, Oral suspension, Oral gel, Tablet |
More Information
Storage
- Keep MACGEL 400MG SUSPENSION out of reach of children
- Store MACGEL 400MG SUSPENSION at room temperature
FAQs About MACGEL 400MG SUSPENSION
Q: How does MACGEL 400MG SUSPENSION work?
A: MACGEL 400MG SUSPENSION contains magaldrate and simethicone, where magaldrate works by neutralizing the pH of gastric acid in the stomach and suppressing the symptoms of acid reflux-related issues. Simethicone is an anti-flatulent agent that works by breaking up gas bubbles, and it helps the gas to be eliminated easier.
Q: What are the side effects of taking MACGEL 400MG SUSPENSION?
A: The most common side effects of taking MACGEL 400MG SUSPENSION are diarrhea, constipation, and chalky taste. Consult your doctor if any of the side effects worsen or bother you.
Q: Is it safe to take MACGEL 400MG SUSPENSION during pregnancy?
A: MACGEL 400MG SUSPENSION can be used in pregnant women only if advised by the doctor. Consult your doctor for advice before taking MACGEL 400MG SUSPENSION if you are pregnant or planning to get pregnant.
Q: Can MACGEL 400MG SUSPENSION be used in patients with kidney problems?
A: MACGEL 400MG SUSPENSION is not recommended for use in patients with severe kidney impairment. It should be used with caution in patients with kidney problems. Consult your doctor before taking MACGEL 400MG SUSPENSION.
Q: How to take MACGEL 400MG SUSPENSION?
A: Take MACGEL 400MG SUSPENSION as advised by your physician. Shake well before use. It is advised to take MACGEL 400MG SUSPENSION 40 minutes before having food. It is better to take the medicine in the morning for better results. Do not drink water or any other liquid after taking MACGEL 400MG SUSPENSION, which may decrease its effectiveness. Do not take antacid medicines half an hour before or after taking this medicine. Your doctor will decide the correct dose and duration for you depending upon your age, body weight, and disease condition.
Q: What is MACGEL 400MG SUSPENSION used for?
A: MACGEL 400MG SUSPENSION is used for the management of heartburn, hyperacidity, indigestion, flatulence, bloating, and sour stomach. It is also used to manage esophagitis or gastritis, stomach or stress ulcers, and gastroesophageal reflux. Consult your doctor before taking it.
Q: Who should not take MACGEL 400MG SUSPENSION?
A: MACGEL 400MG SUSPENSION is not recommended for use if you have high magnesium levels in the blood, low phosphate levels in the blood, diarrhea, severe kidney impairment, severe liver impairment, or if you are allergic to magaldrate, simethicone. Consult your doctor before taking MACGEL 400MG SUSPENSION.
Q: What precautions must be taken while using MACGEL 400MG SUSPENSION?
A: Before taking MACGEL 400MG SUSPENSION, inform your doctor if you have kidney problems, appendicitis, stomach pain, nausea, vomiting, bowel blockage, rectal bleeding of unknown cause, are following a low magnesium diet, or have had bowel surgery.
Q: Is MACGEL 400MG SUSPENSION safe for kids?
A: Consult your child’s doctor for advice before giving MACGEL 400MG SUSPENSION to your child.
Q: What should I avoid while taking MACGEL 400MG SUSPENSION?
A: Avoid alcohol and carbonated drinks and reduce intake of citrus fruit juices and caffeine to reduce acidity and gas problems. Also try to maintain a healthy diet plan with adequate sleep to get better results.
References
1. Goodman and Gillman’s. Drugs affecting gastrointestinal system. The pharmacological basis of therapeutics. Eleventh Edition. Page-974.
2. Torshin, I. Yu, O. A. Gromova, and N. A. Kuricina. Anta rite-synergistic combination of magaldrate+ simethicone with gastroprotective properties. Pharmacokinetics and Pharmacodynamics. 2018. [Accessed on 9th August 2024] https://www.pharmacokinetica.ru/jour/article/view/73?locale=en_US
3. Ljerka Brecevik, Ingrid Bosan Kilibarda, Franjo Strajnar. Mechanism of antifoaming action of simethicone. Journal of Applied Toxicology (1994). [Accessed on 9th August 2024] https://analyticalsciencejournals.onlinelibrary.wiley.com/doi/abs/10.1002/jat.2550140311
4. Celocid Suspension (Magaldrate and Simethicone). Biobrick Pharma [Accessed on 9th August 2024] https://www.biobrickpharma.com/product/celocid/
5. Magaldrate + Simethicone. MK Medicine. [Accessed on 9th August 2024] https://www.mkmedicine.in/magaldrate-simethicone-sugar-free-digestive-relief-suspension.html
6. Magvon Syrup (Magaldrate + Simethicone). Vontima lifecare. [Accessed on 9th August 2024] https://www.vontimalifecare.com/pharmaceutical-syrup-and-suspension.html
7. Nevigel Suspension (Magaldrate + simethicone). Bionova pharma. [Accessed on 9th August 2024] https://www.bionova.co.in/general-medicines.html
8. Magaldrate + Simethicone Suspension. Alaina pharma. [Accessed on 9th August 2024] http://alainapharma.com/44.html
9. Riegel Suspension. Magaldrate + simethicone. Moderik Healthcare. [Accessed on 9th August 2024] https://www.moderik.in/product/ricgel-susp/
10. Beliwell Suspension. Magaldrate + simethicone. Santo Medi Sciences Pvt. Ltd. [Accessed on 9th August 2024] https://www.santomedisciences.com/product/magaldrate-400-mg-simethicone-60-mg-5-ml-suspensions
11. Medical union pharmaceuticals. Simethicone Emulsion. [Revised in September 2013] [Accessed on 9th August 2024] https://pharmacia1.com/wp-content/uploads/2016/03/SIMETHICONE-EMULSION-PATIENT-INFORMATION-LEAFLET.pdf
Useful Diagnostic Tests
- Complete Blood Count (CBC)/ Hemogram
- Helicobacter Pylori Iga
- Helicobacter Pylori Igg
- Monsoon Gastro Infection Panel
- Gastro / Gut Health Panel
- Liver Function Test (LFT)
- Kidney Function Test (KFT)
- Men Health Checkup – Advanced
- Complete Women Checkup
- Full Body Checkup - Gold

