ACTONORM GEL Suspension

What is ACTONORM GEL

ACTONORM GEL is an oral suspension containing a combination of three active ingredients: Aluminium hydroxide, Magnesium hydroxide, and Dimethicone. It is commonly used to relieve symptoms associated with:

• Gastric hyperacidity
• Heartburn
• Indigestion and dyspepsia
• Flatulence (gas buildup)

This gel formulation is designed to work quickly to neutralize stomach acid, soothe the gastric lining, and reduce gas. Each of the ingredients serves a unique purpose:

• Aluminium hydroxide: A slow-acting antacid that neutralizes gastric acid.
• Magnesium hydroxide: A fast-acting antacid that also acts as a mild laxative, balancing the constipating effect of aluminium.
• Dimethicone: An anti-foaming agent that helps reduce bloating and discomfort due to gas.

ACTONORM GEL is available in a 200ml bottle and is suitable for short-term use under medical supervision for various gastrointestinal complaints.

How to use ACTONORM GEL

To get optimal relief from ACTONORM GEL, follow these usage guidelines:

• Dosage timing: Take after meals and at bedtime or as directed by your physician.
• Standard adult dose: 5–10 ml orally, 3–4 times a day.
• Shake well before use: As it is a suspension, shaking ensures uniform distribution of active ingredients.
• Measuring: Use the measuring cup provided or a proper measuring spoon to ensure accurate dosing.
• Avoid water immediately after dose: Drinking water immediately may dilute the effect. Wait at least 30 minutes before drinking fluids.

ACTONORM GEL should not be used for extended periods without medical advice. If symptoms persist beyond 7–10 days, consult your doctor.

Mode of Action ACTONORM GEL

ACTONORM GEL exerts its therapeutic effect through the synergistic action of its three active components:

• Aluminium hydroxide: Acts as a slow-reacting antacid that neutralizes hydrochloric acid in the stomach, reducing acidity and providing long-lasting relief.
• Magnesium hydroxide: Reacts quickly with stomach acid to rapidly alleviate heartburn. It also has a mild osmotic laxative effect that prevents constipation caused by aluminium salts.
• Dimethicone: An anti-flatulent agent that lowers the surface tension of gas bubbles, helping to combine and expel them more easily, thus reducing bloating and discomfort.

Together, these ingredients neutralize excess acid, protect the gastric mucosa, and relieve symptoms like bloating and fullness. The gel form enhances coating of the stomach lining for prolonged soothing action.

ACTONORM GEL Interactions ACTONORM GEL

ACTONORM GEL may interact with the absorption or effectiveness of other medications. Important interactions include:

• Tetracyclines and quinolones (e.g., ciprofloxacin): Aluminium and magnesium can chelate with these antibiotics, reducing their absorption. Take ACTONORM GEL at least 2 hours before or 4–6 hours after these drugs.
• Iron supplements: Aluminium hydroxide can interfere with iron absorption.
• Levothyroxine: Concurrent use may reduce thyroxine absorption. Separate doses by at least 4 hours.
• Digoxin: Antacids may reduce digoxin absorption and efficacy.
• Enteric-coated medications: Increased stomach pH may lead to premature breakdown of enteric coatings.

Always inform your healthcare provider or pharmacist about all other medications and supplements you are taking to avoid interactions.

Dosage of ACTONORM GEL

The recommended dosage of ACTONORM GEL can vary depending on age, severity of symptoms, and medical conditions. Typical dosing includes:

• Adults: 5–10 ml (1–2 teaspoons), 3 to 4 times daily, preferably after meals and at bedtime.
• Children over 12 years: Usually the same as adult dosage, unless otherwise directed by a physician.
• Children under 12 years: Use only under medical supervision.

Important dosing considerations:

• Shake the bottle well before each use.
• Use a proper dosing cup or spoon—avoid household utensils.
• Do not exceed the recommended daily dose.

If symptoms persist or worsen despite use, seek medical attention. Prolonged use without supervision may lead to electrolyte imbalances.

Possible side effects of ACTONORM GEL

ACTONORM GEL is generally well tolerated when used short-term and at recommended doses. However, some users may experience side effects, including:

• Common:
  • Constipation (more common due to aluminium hydroxide)
  • Diarrhea (due to magnesium hydroxide)
  • Abdominal discomfort
• Less common:
  • Nausea or vomiting
  • Flatulence or bloating
• Rare (but serious):
  • Electrolyte imbalance with prolonged use
  • Aluminium toxicity in patients with kidney disease
  • Allergic reactions like rash or swelling

If any severe side effects occur, such as muscle weakness, confusion, or signs of allergic reaction (e.g., facial swelling, difficulty breathing), discontinue use and consult a doctor immediately.

ACTONORM GEL Contraindications ACTONORM GEL

ACTONORM GEL should not be used in certain medical situations. Contraindications include:

• Hypersensitivity: Allergy to aluminium, magnesium, dimethicone, or any component of the formulation.
• Severe renal impairment: Aluminium and magnesium may accumulate and cause toxicity.
• Hypophosphatemia: Chronic use of aluminium hydroxide may worsen low phosphate levels.
• Bowel obstruction or appendicitis: Magnesium-containing antacids can worsen gastrointestinal conditions.

Use in pregnancy and lactation should only be under medical guidance. Patients with heart failure or on sodium-restricted diets should consult a doctor, as some formulations may contain sodium.

Storage of ACTONORM GEL

To ensure the stability and effectiveness of ACTONORM GEL:

• Temperature: Store at room temperature (15–25°C or 59–77°F).
• Avoid freezing: Do not refrigerate or freeze the suspension.
• Container: Keep tightly closed in the original container to prevent contamination and degradation.
• Keep out of reach of children: To prevent accidental ingestion.
• Shake well: Before each use to maintain uniformity of the suspension.
• Check expiry date: Do not use past the expiration date indicated on the label.

Improper storage may lead to decreased effectiveness or product separation. Discard any unused product after 30 days of opening unless advised otherwise.