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Operational Medicine 2001
Aluminum Hydroxide/Magnesium Hydroxide (Maalox, Extra-Strength Maalox)

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Category:

  • Gastrointestinal

Description:

  • Antacid

Indications:

  • Duodenal ulcer

  • Dyspepsia

  • Gastric ulcer

  • Gastroesophageal reflux disease (GERD)

Contraindications:

  • Ulcerative colitis; patients with colostomy, diverticulitis, or ileostomy

  • Children <6 years, CHF, edema, preeclampsia

Precautions:

  • Patients with chronic diarrhea and/or renal impairment

  • Patients with constipation or fecal impaction, undiagnosed rectal or GI bleeding

Adverse Reactions (Side Effects):

  • constipation, diarrhea, edema

  • hypermagnesemia, hypophosphatemia, osteomalacia, osteoporosis

 

Dosage:

Administered orally

Symptomatic relief of dyspepsia and conditions associated with hyperacidity, gastric ulcer, duodenal ulcer, Zollinger-Ellison syndrome, GERD, stress gastritis prophylaxis:

  • Regular Suspension           

    • Adults: PO 30-50ml every 3-4 hours, or 1 and 3 hours after meals and at bedtime.  Recommended OTC dose is 10-20ml PO 4 times daily.  Maximum OTC daily dose is 80ml

    • Children:  PO 5-15ml every 3-6 hours, or 1 and 3 hours after meals and at bedtime

    • Infants:  PO 1-2 ml/kg per dose, given after meals and at bedtime

  • Therapeutic concentrate [TC] suspension: 

    • Adults: PO 30-50ml every 3-4 hours, or 1 and 3 hours after meals and at bedtime. The recommended OTC dose is 5-10ml PO 4 times daily, 20 minutes to 1 hours after meals and at bedtime

    • Children: PO 2.5-7.5ml every 3-6 hours, or 1 and 3 hours after meals and at bedtime

    • Infants:  PO 0.5-1 mg/kg per dose given after meals and at bedtime

  • Chewable tablets:  

    • Adults: PO 1-4 tablets dosed every 3-4 hours, or 1 and 3 hours after meals and at bedtime.  Maximum dose 16 tablets daily

  • Extra-strength chewable tablets: 

    • Adults: PO 1-2 tablets dosed every 3-4 hours, or 1 and 3 hours after meals and at bedtime.  Maximum dose 8 tablets daily

 NOTE: Dose is variable; however, an acid neutralizing capacity of 80-140 mEq per dose is often required

Approved for public release; Distribution is unlimited.

The listing of any non-Federal product in this CD is not an endorsement of the product itself, but simply an acknowledgement of the source. 

Operational Medicine 2001

Health Care in Military Settings

Bureau of Medicine and Surgery
Department of the Navy
2300 E Street NW
Washington, D.C
20372-5300

Operational Medicine
 Health Care in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMED P-5139
  January 1, 2001

 United States Special Operations Command
7701 Tampa Point Blvd.
MacDill AFB, Florida
33621-5323

*This web version is provided by The Brookside Associates Medical Education Division.  It contains original contents from the official US Navy NAVMED P-5139, but has been reformatted for web access and includes advertising and links that were not present in the original version. This web version has not been approved by the Department of the Navy or the Department of Defense. The presence of any advertising on these pages does not constitute an endorsement of that product or service by either the US Department of Defense or the Brookside Associates. The Brookside Associates is a private organization, not affiliated with the United States Department of Defense.

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