Gavirad Sugar Free Suspension 200ml

✔️ Uses of Gavirad Sugar Free Suspension

• Treatment of Heartburn
• Treatment of Indigestion

✔️ How does Gavirad Sugar Free Suspension work?

Sodium alginate forms a sticky layer that works as a mechanical barrier on top of stomach contents, preventing acid reflux. Sodium bicarbonate and calcium carbonate are antacids that neutralize gastric acid.

✔️ Side Effects of Gavirad Sugar Free Suspension

• Possible allergic reactions such as urticaria, bronchospasm, or anaphylactic reactions.
• Ingestion of large quantities may lead to:
  • Alkalosis
  • Hypercalcemia
  • Acid rebound
  • Milk-alkali syndrome
  • Constipation

✔️ Word of Advice: Gavirad Sugar Free Suspension

• Avoid taking Calcium Carbonate + Sodium Alginate + Sodium Bicarbonate at the same time as you take other medicine. This is because antacids can affect how well other medicine is absorbed.
• Drink 6 to 8 full glasses of water daily to help prevent constipation while taking this medicine.
• Avoid spicy and fatty fried food.
• Lose weight if you are obese.
• If you are a smoker, consider giving up.
• Don't drink too much alcohol.
• Do not go to bed immediately after taking a meal. Sit in a relaxed position for some time for better digestion.
• Avoid soft drinks and citrus fruits like orange and lemon, which can irritate the stomach and increase acid secretion.

✔️ Indications:

Calcium Carbonate+Sodium Alginate+Sodium Bicarbonate is used in the treatment of heartburn and indigestion.

✔️ Pharmacology

Gavirad contains two antacids, Calcium Carbonate and Sodium Bicarbonate, along with an alginate, Sodium Alginate. The combination works by:

1. Neutralizing stomach acid: This relieves pain and discomfort caused by excess acid.
2. Creating a protective barrier: The suspension forms a raft that floats on the stomach's contents, preventing acid from refluxing into the esophagus and protecting against acid, pepsin, and bile.

The mechanism is physical, and absorption into the bloodstream is not required for its effect. The raft lasts for up to four hours and may even be refluxed into the esophagus, further soothing discomfort.

✔️ Dosage & Administration of Gavirad Sugar Free Suspension

Oral Suspension:

• Adults and children over 12: 10-20 mL after meals and at bedtime, up to 4 times daily.
• Children 6-12 years: 5-10 mL after meals and at bedtime, up to 4 times daily.
• Children under 6: Not recommended.
• Should be taken with food, preferably after meals and at bedtime.

✔️ Interaction of Gavirad Sugar Free Suspension

Avoid taking Gavirad within 2 hours of other medications such as:

• Tetracyclines
• Digoxin
• Fluoroquinolone
• Iron salts
• Ketoconazole
• Beta-blockers (e.g., Atenolol, Metoprolol)
• Thyroid hormones, and others.

✔️ Contraindications of Gavirad Sugar Free Suspension

Gavirad is contraindicated in patients with known hypersensitivity to any of its ingredients.

✔️ Pregnancy & Lactation

• Pregnancy: Safe based on clinical studies, but only use if needed.
• Breastfeeding: No known harmful effects on breastfed infants.

✔️ Precautions & Warnings

• Use caution in patients on a sodium-restricted diet.
• Avoid in patients with hypercalcemia, nephrocalcinosis, or recurrent calcium-containing kidney stones.
• Reduced efficacy in cases of very low gastric acid levels.
• The use of antacids may mask symptoms of internal bleeding, particularly in patients taking NSAIDs.
• Not recommended for children under 12 years without medical advice.
• Contains sodium and calcium; use caution in patients requiring restricted salt or calcium intake, such as hypercalcemia or nephrocalcinosis.
• Treatment of children under 12 requires medical advice.
• May mask symptoms of more serious conditions, so consult a doctor if symptoms persist beyond 7 days.
• Should not be used in patients with renal impairment or hypophosphatemia.

✔️ Storage Conditions:

Store below 30°C, away from light, and out of reach of children. Do not refrigerate or freeze.