ADTRALZA 150mg/ml Price

Overview

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This medicine contains an important and useful components, as it consists of
Tralokinumabis available in the market in concentration

Name

Aluminium Hydroxide + Magnesium Hydroxide

Precaution

Aluminum hydroxide and magnesium hydroxide, when used together in combination, are typically used as **antacids** to treat conditions like **heartburn**, **gastroesophageal reflux disease (GERD)**, **indigestion**, and **gastric ulcers**. However, there are specific precautions that need to be considered: - **Pregnancy and Breastfeeding**: This combination is generally considered **safe** for short-term use during pregnancy (Category C). However, long-term use or high doses should be avoided during pregnancy and breastfeeding unless deemed necessary by a healthcare provider. The active ingredients in this combination can pass into breast milk, though in small amounts. - **Renal Impairment**: Caution is needed in patients with **renal failure** or **kidney disease**, as **aluminum** and **magnesium** can accumulate in the body. In such cases, these compounds can lead to toxicity, especially **aluminum** accumulation, which can cause **encephalopathy**, **bone disease**, or **dementia**. - **Electrolyte Imbalance**: Magnesium, in particular, can cause **hypermagnesemia** (excess magnesium in the blood) when taken in large doses or over prolonged periods, leading to symptoms like **muscle weakness**, **respiratory depression**, or even **cardiac arrest**. - **Long-Term Use**: Extended use should be avoided, as it may lead to **alkalosis** (excessive alkalinity in the blood), **constipation** (due to aluminum), or **diarrhea** (due to magnesium). - **Gastrointestinal Disorders**: It is not recommended in patients with bowel obstruction, appendicitis, or severe abdominal pain without proper evaluation, as the use of antacids can sometimes mask symptoms of underlying conditions. **Monitoring Parameters**: - **Serum Electrolytes**: In patients with renal issues or those on long-term therapy, **serum magnesium** and **serum calcium** levels should be monitored regularly to avoid imbalances. - **Renal Function**: Regular monitoring of renal function, including serum creatinine and urine output, is important, especially in elderly patients or those with renal insufficiency. - **Signs of Toxicity**: Close attention should be given to any symptoms suggesting toxicity, such as **muscle weakness**, **confusion**, or **respiratory difficulties**.

Indication

The combination of **aluminum hydroxide** and **magnesium hydroxide** is primarily indicated for the treatment of **acid-related gastrointestinal disorders**, such as: - **Heartburn**: This is a condition where stomach acid moves into the esophagus, causing a burning sensation. - **Gastroesophageal Reflux Disease (GERD)**: A more chronic condition involving acid reflux that leads to irritation of the esophagus lining. - **Peptic Ulcer Disease**: The combination can help neutralize the stomach acid, offering symptomatic relief for **gastric ulcers** or **duodenal ulcers**. - **Indigestion**: Often associated with bloating or discomfort due to overproduction of stomach acid. - **Hyperacidity**: This includes excessive acid secretion in the stomach, which the combination of aluminum hydroxide and magnesium hydroxide can help neutralize. Off-label uses may include symptomatic treatment for **epigastric discomfort** and **gastrointestinal upset**, but this is less common and should be done under medical supervision.

Contra indication

The combination of aluminum hydroxide and magnesium hydroxide should be avoided in the following situations: - **Severe Renal Insufficiency**: Patients with **severe kidney disease** (e.g., **end-stage renal disease**) should avoid this medication due to the risk of **aluminum toxicity** and **magnesium toxicity**, as both substances can accumulate in the body. - **Hypersensitivity**: Those with a known allergy to **aluminum**, **magnesium**, or any components of the product should not use it. - **Gastrointestinal Obstruction**: Individuals with suspected or known **bowel obstruction** or **appendicitis** should not use this combination, as it may worsen these conditions or mask symptoms. - **Hypermagnesemia**: In patients with an existing **elevated magnesium** level, this product can further exacerbate the condition. - **Aluminum Toxicity**: Patients with a history of **aluminum accumulation**, such as those with **chronic kidney disease**, should be cautious or avoid this combination.

Side Effect

Side effects are typically mild but can vary depending on the patient's sensitivity to the components. Common side effects include: - **Constipation**: Due to the **aluminum** content, which is a known cause of **constipation**. - **Diarrhea**: The **magnesium** component often causes **diarrhea**, which can be bothersome in some individuals. - **Electrolyte Imbalance**: Long-term use can result in **hypokalemia** (low potassium) or **hypermagnesemia** (excess magnesium) in vulnerable populations. - **Abdominal Discomfort**: Some individuals may experience **bloating**, **gas**, or **stomach cramps**. - **Fatigue** or **muscle weakness** may indicate **hypermagnesemia**, especially in patients with kidney dysfunction. - **Nausea** or **vomiting** may occur, especially if the medication is taken in large doses. If these symptoms are persistent or severe, it’s important to discontinue use and consult a healthcare provider.

Pregnancy Category ID

3

Mode of Action

Aluminum hydroxide and magnesium hydroxide work as **antacids** by neutralizing stomach acid. This is accomplished through the following mechanisms: - **Aluminum Hydroxide**: Acts by reacting with hydrochloric acid (HCl) in the stomach to form aluminum chloride and water, effectively reducing the acidity of the stomach contents. It also has a **protective** effect on the stomach lining, reducing irritation from acid. - **Magnesium Hydroxide**: Similarly neutralizes stomach acid, but in a **different manner**, forming magnesium chloride and water. Magnesium has a **laxative** effect, which balances out the constipating effects of aluminum hydroxide. Together, they neutralize gastric acid, providing relief from the discomfort caused by acid reflux, heartburn, and ulcers. Magnesium hydroxide also acts as a **laxative**, mitigating the constipating effects of aluminum hydroxide.

Interaction

- **Other Antacids**: When used with other **antacids** (such as **calcium carbonate**), there may be an increased risk of **alkalosis** (an overly alkaline state in the blood). Therefore, combining antacids should be done with caution. - **Medications that require acidic pH for absorption**: The antacid combination can **lower stomach acidity**, which might **impair the absorption** of certain medications like **iron supplements**, **tetracyclines**, **quinolones** (e.g., **ciprofloxacin**), and **thyroid medications**. To avoid this, a gap of at least **2 hours** between the use of aluminum hydroxide + magnesium hydroxide and these medications is recommended. - **Digoxin**: **Magnesium** can interfere with the effects of **digoxin** (a heart medication), possibly leading to toxicity. - **Antibiotics**: Some **antibiotics**, such as **fluoroquinolones**, may interact with this combination, reducing their effectiveness due to changes in stomach pH. - **Other Electrolyte Modifying Drugs**: Careful monitoring is necessary when this combination is used alongside **diuretics** or other drugs that impact **electrolyte balance** (e.g., **ACE inhibitors**, **potassium-sparing diuretics**).

Pregnancy Category Note

Information not available

Adult Dose

The typical dose for adults varies depending on the condition being treated, but for the combination of aluminum hydroxide and magnesium hydroxide: - **For Heartburn or Indigestion**: The usual dose is **5-15 mL** taken **1-2 hours after meals** and at bedtime. The dose can be adjusted based on individual symptoms and response. - **For Peptic Ulcers**: **5-15 mL** can be administered **3-4 times daily** after meals and before bedtime. The medication should be **shaken well** before use and taken with plenty of water to help alleviate any discomfort or irritation from the medication.

Child Dose

For children, the dosing of aluminum hydroxide + magnesium hydroxide should be **under the guidance** of a pediatrician. Generally, for **children over 12 years old**, the adult dose may be appropriate, but for children under 12, the dose is typically reduced, and the use of this combination is recommended only for short-term relief of mild indigestion or heartburn. Always consult with a healthcare provider to ensure safety and appropriate dosing for children.

Renal Dose

Patients with **renal impairment** should avoid this combination or use it under close medical supervision. Due to the potential for **aluminum toxicity** (in those with kidney dysfunction), the product should be avoided in patients with **severe renal failure**. Patients with **mild to moderate renal impairment** may require **lower doses** and more frequent monitoring of **serum aluminum** and **magnesium** levels to prevent accumulation and toxicity.

Administration

Information not available