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Introduction About PH4 O 4 ORAL SUSPENSION

PH4 O 4 ORAL SUSPENSION is a combination of Aluminium hydroxide, Magnesium hydroxide, Oxetacaine, and Simethicone, which belongs to the group of medicines called Antacids, Saline laxatives, Anesthetic antacids, and Gastrointestinal agents, respectively. It is used for symptomatic relief of gastric hyperacidity associated with gastritis, peptic ulcer, and esophageal reflux with heartburn.

PH4 O 4 ORAL SUSPENSION is not recommended for use in patients having renal failure, partial intestinal obstruction, gastric outlet obstruction, constipation, or hypophosphatemia (low level of phosphate). Consult your doctor for advice. Before taking PH4 O 4 ORAL SUSPENSION, inform your doctor if you have porphyria, are undergoing hemodialysis, and are on a low-phosphorous diet.

There are limited studies on the use of PH4 O 4 ORAL SUSPENSION during pregnancy and breastfeeding. Your doctor will prescribe the right dose depending on your child’s age, body weight, and disease condition. Consult your doctor before taking PH4 O 4 ORAL SUSPENSION.

The most common side effects of taking PH4 O 4 ORAL SUSPENSION are diarrhea, stomach pain, bloating, stomach pain, nausea, vomiting, and indigestion. Consult your doctor’s advice if any of these worsen or persist for a longer duration.

Uses Of PH4 O 4 ORAL SUSPENSION

It is used for symptomatic relief of gastric hyperacidity associated with:

gastritis
peptic ulcer
esophageal reflux with heartburn

How PH4 O 4 ORAL SUSPENSION Works

PH4 O 4 ORAL SUSPENSION helps in the management of various gastrointestinal problems where Aluminium hydroxide neutralizes excess stomach acid and helps to protect the lining of the stomach from acid irritation. Magnesium hydroxide decreases stomach acid and increases the amount of water in the intestines that may induce movements of the bowel. Oxetacaine relieves pain, neutralizes stomach acid, and manages further irritation of the food pipe. Simethicone disintegrates gas bubbles and allows easy passage of gas.

How to use PH4 O 4 ORAL SUSPENSION

Take PH4 O 4 ORAL SUSPENSION as advised by your physician. Shake well before use. Your doctor will decide the correct dose and duration for you depending on your age, disease condition, and body weight.

Side Effects Of PH4 O 4 ORAL SUSPENSION

Common

diarrhea
bloating
stomach pain
nausea, vomiting
indigestion
heartburn
constipation
loss of appetite
dry mouth

Stop taking PH4 O 4 ORAL SUSPENSION and contact your doctor immediately if you experience any of the following side effects:

allergic reaction (signs may include red and lumpy skin rash, swollen eyelids, face, lips, mouth, or tongue, itching, difficulty breathing or swallowing)

How To Manage Side Effects

Constipation

Eat plenty of fiber-rich foods such as vegetables, fresh fruits, and cereals, and drink more water. Exercise more regularly. Consult your doctor if constipation persists.

Diarrhea

Drink lots of fluids, such as water, to keep yourself hydrated. Avoid eating high-fat or spicy foods. Try to avoid taking any medicine on your own to manage diarrhea and consult your doctor if the diarrhea gets worse.

Headache

Try to take a rest and don’t involve yourself in exertive activities. Apply a pain-relieving balm to your forehead. Consult your doctor if your headache does not improve.

Nausea And Vomiting

Take this medicine with or just after meals. Stick to simple meals. Avoid eating rich or spicy food. Drink clear or ice-cold drinks; eat light, bland foods; and avoid fried, oily, or sweet foods. Consult your doctor if the nausea and vomiting persist.

Stomach Pain

Try to rest and relax. Eat and drink slowly or try to have fewer and more frequent meals. Keep a heating pad on your stomach. Consult with your doctor if the stomach pain does not improve.

Warning & Precautions

Pregnancy

Consult your doctor

There are limited studies on the use of PH4 O 4 ORAL SUSPENSION during pregnancy. Consult your doctor before taking it.

Breastfeeding

Consult your doctor

There are limited studies on the use of PH4 O 4 ORAL SUSPENSION during breastfeeding. Consult your doctor before taking it.

Kidney

Consult your doctor

PH4 O 4 ORAL SUSPENSION is not recommended for use in patients with kidney failure, and it should be used with caution in patients who are on hemodialysis. Consult your doctor before taking it.

Allergy

Contraindicated

Do not take PH4 O 4 ORAL SUSPENSION if you are allergic to Aluminium hydroxide, Magnesium hydroxide, Oxetacaine, Simethicone, or any other ingredients of this medicine.

Use In Pediatrics

Consult your doctor

Your doctor will decide the correct dose and duration of the management with PH4 O 4 ORAL SUSPENSION for your child depending upon your child’s age, weight, and health condition. Consult your doctor before taking it.

Use In Geriatrics

Consult your doctor

Your doctor will decide the correct dose and duration of the management with PH4 O 4 ORAL SUSPENSION for you depending on your age, weight, and health condition. Consult your doctor.

Others

PH4 O 4 ORAL SUSPENSION is not recommended for use if you have:

partial intestinal obstruction
gastric outlet obstruction
constipation
hypophosphatemia

Interactions

A. Drug–Drug Interactions:

Tell your physician if you are taking any of the following medicines before taking PH4 O 4 ORAL SUSPENSION:

beta-blocking agents such as propranolol, metoprolol (used to manage heart diseases), and quinidine (used to manage irregular heartbeats)
cimetidine (used to manage stomach disturbances)
chloroquine (used to manage malaria)
NSAIDs such as ibuprofen and celecoxib (used to manage pain and inflammation)
phenytoin (used to manage epilepsy)
levofloxacin (used to manage infections)
iron preparations
ethambutol, isoniazid (used to manage tuberculosis)
phenothiazine (used to manage mental illness)
levothyroxine (used to manage underactive thyroid)
rosuvastatin (used to manage cholesterol)

Overdosage:

If you or anyone else accidentally takes too much of PH4 O 4 ORAL SUSPENSION, consult your doctor immediately or visit the nearby hospital.

Synopsis

Drug	:	Aluminium hydroxide, Magnesium hydroxide, Oxetacaine, and Simethicone
Pharmacological Category	:	Antacids, Laxatives, Anesthetics, Anti-flatulence
Therapeutic Indication	:	Gastritis, peptic ulcer, and Esophageal reflux with heartburn
Dosage Forms	:	Gel, Oral Suspension, Suspension, Syrup

More Information

Storage

Keep PH4 O 4 ORAL SUSPENSION out of reach of children
Store at room temperature below 25°C

FAQs About PH4 O 4 ORAL SUSPENSION

Q: What is PH4 O 4 ORAL SUSPENSION and why is it prescribed?

A: PH4 O 4 ORAL SUSPENSION is a combination of Aluminium hydroxide, Magnesium hydroxide, Oxetacaine, and simethicone, which belongs to the group of medicines called Antacids, Laxatives, Anaesthetics, and Anti-flatulence. It is used for symptomatic relief of gastric hyperacidity associated with gastritis, peptic ulcer, and esophageal reflux with heartburn.

Q: Can PH4 O 4 ORAL SUSPENSION be given to pregnant and breastfeeding women?

A: There are no well-controlled studies on the use of PH4 O 4 ORAL SUSPENSION in pregnant and breastfeeding women. Consult your doctor before taking PH4 O 4 ORAL SUSPENSION.

Q: Is PH4 O 4 ORAL SUSPENSION safe to use in children?

A: The dose requirements of PH4 O 4 ORAL SUSPENSION for young children have not been extensively evaluated. Your doctor will decide the correct dose and duration of the management with PH4 O 4 ORAL SUSPENSION for your child depending upon your child’s age, weight, and health condition. Consult your doctor before taking PH4 O 4 ORAL SUSPENSION.

Q: How to take PH4 O 4 ORAL SUSPENSION?

A: Take PH4 O 4 ORAL SUSPENSION as advised by your physician. Shake well before use. Your doctor will decide the correct dose and duration for you depending on your age, disease condition, and body weight.

Q: Does PH4 O 4 ORAL SUSPENSION cause diarrhea?

A: Yes, it may cause diarrhea in some individuals. Drink lots of fluids, such as water, to keep yourself hydrated. Avoid eating high-fat or spicy foods. Try to avoid taking any medicine on your own to manage diarrhea and consult your doctor if the diarrhea gets worse.

Q: What precautions must be taken while using PH4 O 4 ORAL SUSPENSION?

A: PH4 O 4 ORAL SUSPENSION should be used with caution in patients who are on hemodialysis. Consult your doctor before taking it.

Q: Who should avoid taking PH4 O 4 ORAL SUSPENSION?

A: PH4 O 4 ORAL SUSPENSION is not recommended for use if you have partial intestinal obstruction, gastric outlet obstruction, constipation, hypophosphatemia, kidney failure, or are allergic to Aluminium hydroxide, magnesium hydroxide, oxetacaine, or simethicone.

Q: What are the side effects of PH4 O 4 ORAL SUSPENSION?

A: The most common side effects of taking PH4 O 4 ORAL SUSPENSION are diarrhea, stomach pain, bloating, stomach pain, nausea, vomiting, indigestion. Consult your doctor’s advice if any of these worsen or persist for a longer duration.

Q: How does PH4 O 4 ORAL SUSPENSION work?

A: PH4 O 4 ORAL SUSPENSION helps in the management of various gastrointestinal problems where Aluminium hydroxide neutralizes excess stomach acid and helps to protect the lining of the stomach from acid irritation. Magnesium hydroxide decreases stomach acid and increases the amount of water in the intestines that may induce movements of the bowel. Oxetacaine relieves pain, neutralizes stomach acid, and manages further irritation of the food pipe. Simethicone disintegrates gas bubbles and allows easy passage of gas.

Q: What is the best time to take PH4 O 4 ORAL SUSPENSION?

A: Take PH4 O 4 ORAL SUSPENSION after meals and before bedtime or as advised by your doctor. Shake the bottle well before each use and measure the dose carefully with the provided measuring device.

Q: What should I do if I miss a dose?

A: If you miss a dose of PH4 O 4 ORAL SUSPENSION, take it as soon as you remember. However, 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 make up for a missed one.

Q: Can I take PH4 O 4 ORAL SUSPENSION with other medications?

A: Before using PH4 O 4 ORAL SUSPENSION, inform your doctor of all other medications you are taking, including prescription, over-the-counter drugs, and herbal products. Some medications may interact with the components of this syrup, affecting its effectiveness or increasing the risk of side effects.

References

1. K.D. Tripathi. Drugs for Peptic Ulcer and GERD. Essentials of Medical Pharmacology. Seventh edition. 2013. Page – 655, 649.

2. NIH National Library of Medicine, National Center for Biotechnology Information. PubChem. Aluminium Hydroxide. [Accessed on 14th September 2024] https://pubchem.ncbi.nlm.nih.gov/compound/Aluminum-hydroxide

3. NIH National Library of Medicine, National Center for Biotechnology Information. PubChem. Magnesium Hydroxide. [Accessed on 14th September 2024] https://pubchem.ncbi.nlm.nih.gov/compound/Magnesium%20Hydroxide

4. NIH National Library of Medicine, National Center for Biotechnology Information. PubChem. Oxetacaine. [Accessed on 14th September 2024] https://pubchem.ncbi.nlm.nih.gov/compound/Oxetacaine

5. NIH National Library of Medicine, National Center for Biotechnology Information. PubChem. Simethicone. [Accessed on 14th September 2024] https://pubchem.ncbi.nlm.nih.gov/compound/Simethicone

6. Zuventus HealthCare Ltd. Ancool Suspension. [Accessed on 14th September 2024] http://www.zuventus.co.in/doctor_wise_products_selected.aspx?Medi_Id=33

7. Sanofi Ltd. Electronic Medicines Compendium (EMC). [Revised in February 2022] [Accessed on 14th September 2024] https://www.medicines.org.uk/emc/files/pil.5550.pdf

8. Aluminum hydroxide, Magnesium hydroxide, and Simethicone. Dailymed. [Revised in November 2019] [Accessed on 14th September 2024]https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a472b9ac-1a9d-4abd-970b-ba7d22282de5

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Complete Blood Count (CBC)/ Hemogram
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Healthy Midlife Checkup
Men Health Checkup – Advanced
Complete Women Checkup
Full Body Checkup – Gold
Full Body Checkup – Silver

Author Details

Written By Dr. N. Sai Swaroop - Pharm.D

Reviewed For Accuracy By Dr. Vrushabhakumar Jitendra Shah. - MBBS

Last updated on 19 Sep 2024 | 05:48 PM(IST)

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