Drug ClassAntacids
Mechanism* Weak alkali to neutralise stomach acid * Alginate component ↑ stomach content viscosity to reduce acid reflux
IndicationsSymptomatic relief only: * Gastric/duodenal ulcers * GORD * Non-ulcer dyspepsia
Contra-indications* Hypophosphataemia (Al/Mg salts) * Renal impairment (Mg salts)
Side-effectsMagnesium salts = diarrhoea Aluminium salts = constipation
Interactions↓ absorption: ACE inhibitors, antibacterials, Digoxin, iron ↑ excretion: Lithium
Elimination
Additional Notes