Aluminium hydroxide

By Medically reviewed by hellodoktor

Generic Name: Aluminium hydroxide Brand Name(s): Aluminium hydroxide and Aluminium hydroxide.

Uses

What is aluminium hydroxide used for?

Aluminum hydroxide is an antacid. It 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.

How should I take aluminium 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.

How do I store aluminium hydroxide?

Aluminium hydroxide is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store aluminium hydroxide in the bathroom or the freezer. There may be different brands of aluminium hydroxide that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.

You should not flush aluminium hydroxide down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.

Precautions & warnings

What should I know before using aluminium hydroxide?

Before using this drug, tell your doctor if:

  • You are pregnant or breastfeeding. This is because, while you are expecting or feeding a baby, you should only take medicines on the recommendation of a doctor.
  • You are taking any other medicines. This includes any medicines you are taking which are available to buy without a prescription, such as herbal and complementary medicines.
  • You have allergy with any of active or inactive ingredients of aluminium hydroxide or other medications.
  • You have any other illnesses, disorders, or medical conditions.

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.

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 breastfeeding a baby.

Is it safe during pregnancy or breastfeeding?

There are no adequate studies in women for determining risk when using aluminium hydroxide during pregnancy or while breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking aluminium hydroxide. Aluminium hydroxide is pregnancy risk category N, according to the US Food and Drug Administration (FDA).

FDA pregnancy risk category reference below:

  • A=No risk
  • B=No risk in some studies
  • C=There may be some risk
  • D=Positive evidence of risk
  • X=Contraindicated
  • N=Unknown

Side effects

What side effects can occur from aluminium hydroxide?

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:

Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.

Interactions

What drugs may interact with aluminium hydroxide?

Aluminium hydroxide may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs, and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.

Does food or alcohol interact with aluminium hydroxide?

Aluminium hydroxide may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.

What health conditions may interact with aluminium hydroxide?

Aluminium hydroxide may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.

Health conditions that may interact with this drug are:

  • Kidney disease, a history of kidney stones.
  • Severe constipation.
  • You are dehydrated.
  • You drink alcohol frequently.

Dosage

The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using aluminium hydroxide.

What is the dose of aluminium hydroxide for an adult?

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.

What is the dose of aluminium hydroxide for a child?

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.

How is aluminium hydroxide available?

Aluminium hydroxide is available in the following dosage forms and strengths:

  • Oral suspension

What should I do in case of an emergency or overdose?

In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.

What should I do if I miss a dose?

If you miss a dose of aluminium hydroxide, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.

Hello Health Group does not provide medical advice, diagnosis or treatment.

Sources

Review Date: October 2, 2017 | Last Modified: September 11, 2019

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