This medication is used to treat the symptoms of too much stomach acid such as stomach upset, heartburn, and

acid
indigestion. Aluminum and magnesium antacids work quickly to lower the acid in the stomach. Liquid antacids usually
work faster/better than tablets or capsules.
This medication works only on existing acid in the stomach. t does not prevent acid production. t may be used alone
or with other medications that lower acid production (e.g., H2 blockers such as cimetidine/ranitidine and proton pump
inhibitors such asomeprazole).
How to use aIuminum-magnesium hydroxide OraI
Take this medication by mouth, usually after meals and at bedtime as needed. Follow all the directions on the product
package or use as directed by your doctor. f you are uncertain about any of this information, consult your doctor or
pharmacist.
f you are taking the chewable tablets, chew thoroughly before swallowing, then drink a full glass of water (8 ounces
or 240 milliliters).
f you are using the liquid form of this medication, shake the bottle well before pouring each dose. Refrigerating the
suspension may improve the flavor. Do not freeze. The liquid form works best if taken without other fluids. You can
mix your dose with a little water if needed.
This product may react with other medications (e.g., digoxin, iron, tetracyclineantibiotics, quinolone antibiotics such
as ciprofloxacin), preventing them from being fully absorbed by your body. Talk with your doctor or pharmacist about
how to schedule your medications to prevent this problem.
f your acid problems persist or worsen after you have used this product for 1 week, or if you think you have a serious
medical problem, seek immediate medical attention. f you are using this medication regularly on a daily basis for
more than 2 weeks, you may have a medical problem that needs different treatment. Ask your doctor whether this is
the right medication for you.

This medication can cause nausea, constipation, diarrhea, or headache. f these symptoms persist or become severe, notify your
doctor.
f your doctor has directed you to use this medication, remember that he or she has judged that the benefit to you is greater than the
risk of side effects. Many people using this medication do not have serious side effects.
The magnesium in this product can cause diarrhea. Using an antacid that contains only aluminum along with this product can help
control diarrhea. The aluminum in this product can cause constipation. To minimize constipation, drink plenty of fluids and exercise.
Diarrhea is more common with this product than constipation.
Aluminum-containing antacids bind to phosphate, an important body chemical, in the gut. This can cause low phosphate levels,
especially if you use this medication in large doses and for a long time. Tell your doctor immediately if you have any of the following
symptoms of low phosphate: loss of appetite, unusual tiredness, muscle weakness.
Tell your doctor immediately if any of these unlikely but serious side effects occur:dizziness, fainting.
Seek immediate medical attention if any of these rare but very serious side effects or symptoms of a serious medical problem occur:
black/tarry stools, slow/shallow breathing, slow/irregular heartbeat, mental/mood changes (e.g., confusion), deepsleep, pain with
urination, stomach/abdominal pain, vomit that looks like coffee grounds.
A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a
serious allergic reaction, including: rash,itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

Before taking this product, tell your doctor or pharmacist if you are allergic to aluminum hydroxide; or to magnesium;
or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or
other problems. Talk to your pharmacist for more details.
f you have any of the following health problems, consult your doctor or pharmacist before using this product: frequent
alcohol use, severe loss of body water (dehydration/fluid restriction), kidney problems (including kidney stones).
This medicine may contain aspartame. f you have phenylketonuria (PKU) or any other condition that requires you to
restrict your intake of aspartame (or phenylalanine), consult your doctor or pharmacist about using this drug safely.
During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your
doctor.
This medication may pass into breast milk. Consult your doctor before breast-feeding.

See also How to Use section.

f you are taking this medication under your doctor's direction, your doctor or pharmacist may already be aware of any possible drug
interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with
your doctor or pharmacist first.
Before using this medication, tell your doctor or pharmacist if you are using any of the following prescription and
nonprescription/herbal products: phosphate supplements (e.g., potassium phosphate), sodium polystyrene sulfonate, drugs that can
be affected by the amount of acid in your urine (e.g., amphetamines, quinidine, salicylates such as aspirin).
Low-dose aspirin should be continued if it has been prescribed by your doctor for specific medical reasons such as heart attack or
stroke prevention (usually at dosages of 81-325 milligrams per day). Consult your doctor or pharmacist for more details.
Antacids can interfere with the absorption of many other drugs. Be sure to check with your pharmacist before taking antacids with
any other medication.
This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all
the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

f overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US
National Poison Hotline at 1-800-222-1222. Canada residents can call a provincial poison control center.
OTES:
Keep all regular medical and laboratory appointments.
Lifestyle changes such as stress reduction programs, stopping smoking, limiting alcohol, and diet changes (e.g., avoiding caffeine,
fatty foods, certain spices) may increase the effectiveness of this medication. Talk to your doctor or pharmacist about lifestyle
changes that might benefit you.
SSED DOSE:
f you are taking this product on a regular schedule and miss a dose, take it as soon as you remember. f it is near the time of the
next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.
STORAGE:
Refer to storage information printed on the package. f you have any questions about storage, ask your pharmacist. Protect from
light and moisture. Do not freeze. Do not store in the bathroom. Keep all drug products away from children and pets.
Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is
expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard
your product.