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  Home > Prescription Drug Guide > Antacids

Antacids are over the counter (sometimes prescription) medications that are used to eliminate upset stomach, sour stomach, indigestion and heartburn. A number of antacids and related remedies are available without prescription from pharmacies and supermarkets around the world.

In most cases, antacids are divided into two classes, those that act by absorption of the acid (non-absorbable antacids) and those that work by chemical neutralization of gastric acid.

If you are required to take medicine for indigestion regularly, more than 3 times a week you should consider discussing your symptoms with your doctor. If you’ve had these symptoms for more than a couple of weeks, or have signs of stomach ulcers (severe stomach pains or cramps, black tar like stools, vomit containing blood) you should also see your doctor.

The symptoms that people experience from indigestion and heartburn are caused by acid in the stomach either leaking back up the gullet (esophagus) or irritating the stomach lining. Antacids that contain aluminum or magnesium work by neutralizing the stomach acid and usually contain magnesium aluminum. Alginates, such as sodium alginate, are another common ingredient of indigestion or heartburn remedies. These work by forming a protective coating over the walls of the stomach and gullet.

Popular antacids that you’ve probably heard of are Alterna Gel, Milk of Magnesia, Maalox, Basajel, Rolaids, Alka-Seltzer and Talcid. While the ingredients within each vary, their purpose is basically the same.

As with everything, there are a few risks of using antacids. Aluminum Hydroxide can lead to the formation of insoluble aluminum phosphate-complexes. Magnesium Hydroxide has laxative properties and Magnesium may accumulate in patients with renal failure. Antacids containing Calcium may increase calcium output in urine which can be associated with renal stones and calcium salts can cause obstipation.

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