Droxigel Plus
Generic Name
Aluminum Hydroxide + Magnesium Hydroxide + Simethicone
Manufacturer
Incepta Pharmaceuticals Ltd.
Country
Bangladesh
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Price Details
Current market pricing information
Variant | Unit Price | Strip Price |
---|---|---|
droxigel plus 200 mg chewable tablet | ৳ 0.79 | N/A |
Description
Overview of the medicine
Droxigel Plus 200 mg chewable tablet is a combination antacid and antiflatulent medicine used to relieve symptoms of indigestion, heartburn, acid reflux, and gas. It contains aluminum hydroxide and magnesium hydroxide to neutralize stomach acid, and simethicone to break down gas bubbles.
Uses & Indications
Dosage
Adults
Chew 1-2 tablets after meals and at bedtime, or as directed by a physician. Do not exceed 8 tablets in 24 hours.
Elderly
Same as adults, but caution should be exercised in elderly patients with impaired renal function due to potential magnesium accumulation.
Renal_impairment
Use with caution. Dosage reduction may be necessary due to risk of hypermagnesemia. Consult a physician.
How to Take
Tablets should be chewed thoroughly before swallowing. Do not swallow whole. It is usually taken after meals and at bedtime for maximum effectiveness.
Mechanism of Action
Aluminum Hydroxide and Magnesium Hydroxide are antacids that work by neutralizing hydrochloric acid in the stomach, thereby increasing gastric pH. This reduces gastric irritation and pain. Simethicone is an antiflatulent agent that reduces the surface tension of gas bubbles in the gastrointestinal tract, causing them to coalesce and be more easily expelled.
Pharmacokinetics
Onset
Rapid (within 5-10 minutes)
Excretion
Unabsorbed portions of Aluminum and Magnesium are excreted in the feces. Simethicone is excreted unchanged in the feces.
Half life
Not applicable for systemically unabsorbed components.
Absorption
Aluminum and Magnesium Hydroxides are minimally absorbed systemically, primarily acting locally in the GI tract. Simethicone is not absorbed from the GI tract.
Metabolism
Not applicable as components are not absorbed significantly.
Side Effects
Contraindications
- Hypersensitivity to any of the ingredients
- Severe renal impairment (risk of hypermagnesemia)
- Hypophosphatemia
Drug Interactions
Digoxin
May decrease digoxin absorption. Administer at least 2 hours apart.
Levothyroxine
May impair absorption of thyroid hormones. Separate administration by 4 hours.
Iron Supplements
May reduce the absorption of iron. Administer separately.
Tetracyclines & Fluoroquinolones
May decrease the absorption of these antibiotics. Separate administration by at least 2-4 hours.
Storage
Store in a cool, dry place below 30°C. Protect from light and moisture. Keep away from direct heat.
Overdose
Overdose is rare due to minimal systemic absorption. Symptoms may include constipation, diarrhea, or mild gastrointestinal discomfort. In severe renal impairment, excessive magnesium intake can lead to hypermagnesemia (symptoms: nausea, vomiting, muscle weakness, hypotension, respiratory depression). Treatment is symptomatic and supportive.
Pregnancy & Lactation
Generally considered safe during pregnancy and lactation when used as directed, but it's always advisable to consult a doctor before use.
Side Effects
Contraindications
- Hypersensitivity to any of the ingredients
- Severe renal impairment (risk of hypermagnesemia)
- Hypophosphatemia
Drug Interactions
Digoxin
May decrease digoxin absorption. Administer at least 2 hours apart.
Levothyroxine
May impair absorption of thyroid hormones. Separate administration by 4 hours.
Iron Supplements
May reduce the absorption of iron. Administer separately.
Tetracyclines & Fluoroquinolones
May decrease the absorption of these antibiotics. Separate administration by at least 2-4 hours.
Storage
Store in a cool, dry place below 30°C. Protect from light and moisture. Keep away from direct heat.
Overdose
Overdose is rare due to minimal systemic absorption. Symptoms may include constipation, diarrhea, or mild gastrointestinal discomfort. In severe renal impairment, excessive magnesium intake can lead to hypermagnesemia (symptoms: nausea, vomiting, muscle weakness, hypotension, respiratory depression). Treatment is symptomatic and supportive.
Pregnancy & Lactation
Generally considered safe during pregnancy and lactation when used as directed, but it's always advisable to consult a doctor before use.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
2-3 years from manufacturing date.
Availability
Pharmacies, Supermarkets
Approval Status
Approved (OTC)
Patent Status
Off-patent
Clinical Trials
This combination of active ingredients has been widely used for decades. Specific recent large-scale clinical trials for Droxigel Plus 200 mg are unlikely, as its efficacy and safety are well-established.
Lab Monitoring
- Serum magnesium levels (in patients with renal impairment or prolonged high-dose use)
- Serum phosphate levels (for prolonged high-dose use)
Doctor Notes
- Advise patients on proper chewing technique.
- Counsel on potential drug interactions, especially with antibiotics and thyroid hormones.
- Caution use in patients with renal impairment due to magnesium content.
Patient Guidelines
- Chew tablets thoroughly before swallowing.
- Do not exceed the recommended dose.
- If symptoms persist for more than two weeks, consult your doctor.
- Keep out of reach of children.
Missed Dose Advice
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.
Driving Precautions
Droxigel Plus is not known to affect the ability to drive or operate machinery.
Lifestyle Advice
- Avoid trigger foods such as spicy, fatty, or acidic foods.
- Eat smaller, more frequent meals instead of large ones.
- Avoid lying down immediately after eating.
- Elevate the head of your bed if experiencing nighttime heartburn.
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Global Brand Names
International brand names for this medicine. Click a brand to search for detailed information.