The instruction for medical use of Gastal Torgovoye medicine a name Gastal Mezhdunarodnoye the unlicensed name Is not present the Dosage form of the Tablet for resorption Structure One tablet contains active agents: aluminum hydroxide – carbonate magnesium gel – 450 mg, magnesium hydroxide – 300 mg, excipients: Mannitolum (E421), sorbitol (E420), lactoses monohydrate, starch corn, sodium cyclomate, saccharin sodium, talc, magnesium stearate, fragrance-pepermint. The description of the Tablet of round shape with a flat surface from white till creamy color with slanted edges. Pharmacotherapeutic group of the Combination of drugs of aluminum, calcium and magnesium the ATX A02AD Code Pharmacological properties Gastal – the combined antiacid drug for intake. Gastal neutralizes free Acidum hydrochloricum that leads to reduction of peptic activity of gastric juice and elimination of dispeptic disturbances. Gastal thanks to balance of two active components which are its part promotes fast and long (within 2 hours) to effect of drug. Does not cause secondary hypersecretion. Has the adsorbing and enveloping effect, reducing influence of disturbing factors on a mucous membrane of a stomach. Indications – acute and chronic gastritis in an aggravation phase – sharp gastroduodenit – a peptic ulcer of a stomach and a 12-perstny gut in an aggravation phase – hernia of an esophageal opening of a diaphragm – the reflux esophagitis the Route of administration and doses Gastal is intended for intake. The tablet should be rassasyvat gradually (not to swallow entirely). The adult recommends to take 2 pill of 3-5 times a day in 1 hour after meal and in the evening before going to bed, a daily dose no more than 8 tablets. Use duration no more than 2 weeks, according to the recommendation of the doctor can be appointed other mode of dosing! Similar doses are recommended in heartburn, irrespective of meal. Children from 6 to 12 years – to accept a half of a dose for adults. Side effects – it is rare: diarrhea, a constipation – it is exclusively rare: allergic reactions of the Contraindication – hypersensitivity to drug components – the profound renal failures – Alzheimer’s disease – a hypophosphatemia – children’s age up to 6 years – pregnancy Gastal reduces Medicinal interactions and slows down absorption of indometacin, salicylates, aminazine, Phenytoinum. blockers of H2-histamine receptors, digoxin, beta blockers of a diflunizal. an isoniazid, antibiotics of a tetracycline and ftorkhinolonovy row, indirect anticoagulants, iron preparations, barbiturates, oil-soluble vitamins (they should be accepted in 1 hour prior to or in 2 hours after reception of GASTALA). M-holinoblokatory, slowing down gastric emptying, strengthen and extend Gastal’s action. Gastal strengthens action of a levodopa and Acidum nalidixicum. Special instructions prolonged use at patients with reduced body weight, at nursing mothers and children is not recommended (6 years are more senior). With care to appoint drug sick with diabetes and a lactose intolerance, to children up to 12 years and with a body weight less than 50 kg, advanced age. At patients with impaired renal function to avoid use of drug in high doses and a long time in comparison with the recommended scheme of treatment. Not to use drug more than two weeks without the recommendation of the doctor. At prolonged use it is necessary to provide sufficient intake of phosphorus with food. The lactation period in the period of a lactation is not recommended prolonged use of drug. Influence on ability to run the vehicle and potentially dangerous mechanisms does not influence Overdose symptoms of acute overdose are not registered. However, administration of drug in higher doses, than it is specified in the instruction, causes strengthening of side effects of drug. Treatment: drug withdrawal, performing symptomatic therapy. Form of release and packing On 6 tablets in blister strip packaging from aluminum foil and a film polyvinylchloride. On 2 or 5 or 10 planimetric packs together with the instruction for medical use in the state and Russian languages place in a pack from cardboard. 3 years not to apply a period of storage after the validity. To Store storage conditions in the dry place at a temperature not above 25 °C. To store out of children’s reach! Prescription status Without prescription the Name and the country of the Teva Operations Poland Sp.z.o.o. manufacturing organization, Poland 80 st. of Mogilsk 31-546 Krakow, Poland. Name and country of the owner of the registration certificate Teva Pharmaceutical Polska Sp.z.o.o., Poland
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