PEBC: What You Need to Know: Antacids
Examples: calcium carbonate, magnesium hydroxide, aluminum hydroxide
Dosing: dosed frequently due to short duration of effect in heartburn
Adverse Effects:
-constipation (calcium, aluminum)
-diarrhea (magnesium)
-bloating and gas (calcium carbonate)
-avoid magnesium and aluminum in renal dysfunction (due to accumulation effects)
-careful not to use too much calcium - may lead to hypercalcemia
Interactions:
-space hours apart from chelators such as levothyroxine, fluoroquinolones, tetracyclines
-may affect drugs that are dependent on low pH for absorption (ketoconazole)
-phenytoin -may affect absorption, so space 2 to 4 hours apart from antacids