aluminum hydroxide

Pronunciation

Generic Name: aluminum hydroxide (a LOO mi num hye DROX ide)
Brand Name: Alternagel, Alu-Cap, Dialume, Amphojel, Alu-Tab, Aloh-Gel

What is aluminum hydroxide?

Aluminum is a naturally occurring mineral. Aluminum hydroxide is an antacid.

Aluminum hydroxide is used to treat symptoms of increased stomach acid, such as heartburn, upset stomach, sour stomach, or acid indigestion. Aluminum hydroxide is also used to reduce phosphate levels in people with certain kidney conditions.

Aluminum hydroxide may be used for other purposes not listed in this medication guide.

What is the most important information I should know about aluminum hydroxide?

Ask a doctor or pharmacist before taking this medication if you have kidney disease, kidney stones, severe constipation, if you are dehydrated, or if you drink alcohol frequently.

Slideshow: 2014 Update: First Time Brand-to-Generic Switches

Do not take aluminum hydroxide for longer than 2 weeks without your doctor's advice.

Avoid taking other medications at the same time you take aluminum hydroxide. Antacids can make it harder for your body to absorb certain other drugs.

What should I discuss with my healthcare provider before taking aluminum hydroxide?

Ask a doctor or pharmacist if it is safe for you to take this medication if you have:

  • kidney disease, a history of kidney stones;

  • severe constipation;

  • if you are dehydrated; or

  • if you drink alcohol frequently.

It is not known whether aluminum hydroxide is harmful to an unborn baby. Before taking this medication, tell your doctor if you are pregnant or plan to become pregnant during treatment.

Aluminum hydroxide may pass into breast milk and could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take aluminum hydroxide?

Use this medication exactly as directed on the label, or as prescribed by your doctor. Do not use it in larger amounts or for longer than recommended.

Shake the oral suspension (liquid) well just before you measure a dose. To be sure you get the correct dose, measure the liquid with a marked measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

Take this medication with a full glass (8 ounces) of water.

Aluminum hydroxide is usually taken between meals or at bedtime.

Do not take aluminum hydroxide for longer than 2 weeks without your doctor's advice.

Store aluminum hydroxide at room temperature away from moisture, heat, and light.

What happens if I miss a dose?

Since antacids are usually taken as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include severe constipation, weight loss, confusion, mood changes, or urinating less than usual or not at all.

What should I avoid while taking aluminum hydroxide?

Avoid taking other medications at the same time you take aluminum hydroxide. Antacids can make it harder for your body to absorb certain other drugs.

Aluminum hydroxide side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Stop using the medication and call your doctor at once if you have a serious side effect such as:

  • severe stomach pain or constipation;

  • bloody, black, or tarry stools;

  • coughing up blood that looks like coffee grounds;

  • pain when you urinate;

  • extreme drowsiness; or

  • tired feeling, loss of appetite, and muscle weakness.

Less serious side effects are more likely, and you may have none at all.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

Aluminum hydroxide dosing information

Usual Adult Dose for Dyspepsia:

500 to 600 mg orally 4 to 6 times a day as needed, between meals and at bedtime.

Usual Adult Dose for Duodenal Ulcer:

500 to 1500 mg orally 4 to 6 times a day as needed, between meals and at bedtime.

Usual Adult Dose for Erosive Esophagitis:

500 to 1500 mg orally 4 to 6 times a day as needed, between meals and at bedtime.

Usual Adult Dose for Gastric Ulcer:

500 to 1500 mg orally 4 to 6 times a day as needed, between meals and at bedtime.

Usual Adult Dose for Gastroesophageal Reflux Disease:

500 to 1500 mg orally 4 to 6 times a day as needed, between meals and at bedtime.

Usual Adult Dose for Zollinger-Ellison Syndrome:

500 to 3600 mg orally 4 to 6 times a day as needed, between meals and at bedtime.

Usual Adult Dose for Hyperphosphatemia:

500 to 1000 mg orally 4 times a day, with meals and at bedtime. The dosage should be titrated to the serum phosphate level.

Usual Pediatric Dose for Gastrointestinal Hemorrhage:

G.I. hemorrhage prophylaxis:
0 to 4 weeks: 1 mL/kg orally every 4 hours as needed.
4 weeks to 1 year: 2 to 5 mL/dose every 1 to 2 hours, titrate to gastric pH > 3.5.
1 to 12 years: 5 to 15 mL/dose orally every 1 to 2 hours, titrate to gastric pH > 3.5.

Usual Pediatric Dose for Hyperphosphatemia:

1 to 12 years: use Al(OH)3 or aluminum carbonate gel product only: 50 to 150 mg/kg/day orally (as aluminum hydroxide gel) administered in equally divided doses every 4 to 6 hours; titrate to normal serum phosphate level.

Usual Pediatric Dose for Peptic Ulcer:

1 month to 1 year: 1 to 2 mL/kg/dose orally 1 to 3 hours after meals and at bedtime.
1 year to 12 years: 5 to 15 mL orally every 3 to 6 hours or 1 and 3 hours after meals and at bedtime.

What other drugs will affect aluminum hydroxide?

There may be other drugs that can interact with aluminum hydroxide. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

Where can I get more information?

  • Your pharmacist can provide more information about aluminum hydroxide.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2012 Cerner Multum, Inc. Version: 4.03. Revision Date: 2010-12-15, 5:01:39 PM.

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