Flatameal-DS Suspension

Indication

Adult: Dyspepsia, Abdominal Bloating 10-20 mL PO q4-6hr taken 1 hour before or 3 hours after meals, OR Chew 2-4 tablets q4-6hr; not to exceed 12 tablets/24 hr PO Antacid Up to 1 g/day. Hyperphosphataemia in chronic renal failure Up to 10 g/day in divided doses w/ meals.

Indications of Flatameal-DS 200 ml

Flatameal-DS 200 ml is used to treat hyperacidity caused by a peptic ulcer, gastritis, peptic oesophagitis, gastric hyperacidity, heartburn, sour stomach, or a hiatus hernia. It is useful in preventing stress ulcers and GI bleeding. It works as an antiflatulent to relieve gas symptoms, particularly post-operative gas discomfort. This quickly reduces acid discomfort, disperses gastric froth, and promotes gas and air eructation.

Pharmaceutical Name

Beximco Pharma Ltd

Pharmacology

Flatameal-DS 200 ml is a combination of antiflatulent and non-systemic acid neutralizing chemicals. This preparation has a high level of dependability as well as a lengthy duration of action. Aluminium Hydroxide and Magnesium Hydroxide relieve ulcers by neutralizing gastric acid generated by the stomach's parietal cells. The antifoam characteristics of simethicone make it useful in therapeutic applications. Simethicone spreads on the surface of aqueous liquids, producing a low surface tension layer and causing foam bubbles to collapse. Simethicone causes mucous-encased gas bubbles in the GI tract to agglomerate and be ejected repeatedly.

This is used to treat flatulence and meteorism by removing gas, air, or foam from the gastro-intestinal tract before to radiography, as well as to relieve stomach distension and dyspepsia.

Simethicone is physiologically inert; it does not appear to be absorbed from the GI tract, where it may interfere with gastric secretion or nutritional absorption. The medication is eliminated unaltered in the feces after oral dosing.

Dosage & Administration

Tablet: 1-2 tablets 1-3 hours after meal and at bed time or as directed by the physician.

Suspension: 1-2 teaspoonful 1-3 hours after meal and at bedtime or as directed by the physician.

Interaction

All antacids have the potential to enhance or reduce the pace and/or amount of absorption of oral medications taken concurrently. The antifoam characteristics of simethicone make it useful in therapeutic applications. Simethicone spreads on the surface of aqueous liquids, producing a low surface tension layer and causing foam bubbles to collapse. Simethicone causes mucous-encased gas bubbles in the GI tract to agglomerate and be ejected repeatedly. Sulphonamides, levodopa, valproic acid, enteric coated aspirin, and so on.

Contraindications

This should not be given to individuals who have renal failure, hypophosphataemia, or are extremely debilitated. It is also not recommended in cases of alkalosis or hypermagnesaemia, when abdominal distention may be caused by partial or full intestinal blockage.

Side Effects of Flatameal-DS 200 ml

Side effects on the gastrointestinal tract are rare. Diarrhea, constipation, or regurgitation may occur if an excessive quantity is eaten.

Pregnancy & Lactation

Antacid medicines should be avoided throughout the first trimester of pregnancy.

Precautions & Warnings

In individuals with renal problems, this should be taken with care.

Therapeutic Class

Antacids

Storage Conditions

Keep below 30°C and away from light and moisture. Keep out of children's reach.

Administration

Aluminium Hydroxide: Enhanced absorption with citrates or ascorbic acid. Decreases absorption of allopurinol, tetracyclines, quinolones, cephalosporins, biphosphonate derivatives, corticosteroids, cyclosporin, delavirdine, Fe salts, imidazole antifungals, isoniazid, mycophenolate, penicillamine, phosphate supplements, phenytoin, phenothiazines, trientine. Magnesium Hydroxide: Decreases absorption of tetracyclines and biphosphonates. Separate administration of these and other drugs by around 2 hr. Simethicon: None well documented.

Adult Dose

Chronic renal impairment; CHF; oedema; cirrhosis and low Na diets; patients with recent GI haemorrhage. Administer 2-3 hrs before/after another medication to minimise drug interactions. Pregnancy and lactation. Lactation: excretion in milk unknown

Renal Dose

Aluminum hydroxide: Neutralizes stomach hydrocloride to form AlCl3 salt plus water; increases gastric pH. Magnesium hydroxide: Promotes bowel evacuation by causing osmotic retention of fluid, which causes the colon to distend with increased peristaltic activity; forms magnesium chloride when reacts with hydrochloric acid. Simethicone: Disperses and prevents gas pockets in the GI system by decreasing surface tension of gas bubles.

Mode of Action

Administration Should be taken on an empty stomach.

Precaution

Dyspepsia, Flatulence

Pregnancy Category Note

Aluminum hydroxide Chalky taste,Constipation,Fecal impaction,Stomach cramps,Nausea,Vomiting,Rebound hyperacidity,Aluminum intoxication,Hypophosphatemia,Milk-alkali syndrome,Osteomalacia Magnesium hydroxide Diarrhea,Hypermagnesemia Simethicone Loose stools

Interaction

Hypersensitivity to aluminium salts.