Hydrochloric acid present in the stomach disinfects incoming food, stimulates the production of digestive enzymes and participates in the digestion process. If the stomach walls are damaged or produce too much acid, the patient suffers from abdominal pain, heartburn and nausea.
The drugs Maalox and Phosphalugel will help eliminate abdominal pain, heartburn and nausea.
To relieve symptoms and partially neutralize the acid, antacids are used, the list of which includes Maalox and Phosphalugel.
How they affect the body
Stomach preparations have acid-neutralizing (antacid), enveloping and adsorbing effects. The active components of Maalox are magnesium and aluminum hydroxides, and Phosphalugel is aluminum phosphate.
Antacid effect
Aluminum compounds neutralize free hydrochloric acid, lowering the pH of the stomach. A shift in the acidity of the environment to the alkaline side not only reduces the activity of digestive juice, but also reduces the production of enzymes that irritate the mucous membranes of the pancreas, duodenum and stomach.
Phosphalugel and Maalox do not provoke excess acid production, because maintain the pH of the stomach at a physiological level.
Enveloping effect
Violation of the acid level in the stomach causes irritation of the mucous membrane and increases the depth of damage (erosions, ulcers, etc.).
Aluminum compounds and the acidic component of digestive juice form a thick colloidal solution that envelops the walls of the stomach. This allows you to activate the production of gastric mucus (mucin) and protect the upper gastrointestinal tract from the effects of damaging factors.
The enveloping effect is enhanced by the fact that Phosphalugel is produced in the form of a gel.
The enveloping effect is enhanced by the fact that Phosphalugel is produced in the form of a gel, and the second medication is a suspension.
Sorbent action
In addition to the enveloping effect, Phosphalugel and Maalox provide partial adsorption of enzymes, pathogenic microorganisms, toxins, bile acids and other substances.
For gastritis and ulcerative lesions, antacids help reduce the concentration of aggressive components of digestive juice, and for intestinal infections and poisoning, they help reduce intoxication.
Comparative characteristics
The doctor prescribes Maalox or Phosphalugel taking into account the characteristics of the course of gastrointestinal pathology, the presence of concomitant diseases, medical history and age of the patient. Despite similar antacid effects, these drugs have different compositions and contraindications:
| Comparison criterion | Maalox | Phosphalugel |
| Compound | Magnesium hydroxide – 400 mg, hydrated aluminum oxide (algeldrate) – 400 mg (in suspension – 600 and 550 mg, respectively) Auxiliary components: starch, sucrose, sorbitol, maltitol, magnesium stearate, talc, flavoring | Aluminum phosphate – 10.4 g Excipients: sorbitol, pectin, agar-agar, potassium sorbate, calcium sulfate, water, flavoring |
| Action | Antacid, adsorbent, enveloping | |
| Release form | Suspension, chewable tablets with and without sugar | Homogeneous gel for oral administration |
| Age restrictions | Up to 15 years | No |
| Other features of the drug | Both active components are superficial antacids that do not have systemic effects | If dosages are exceeded and long-term use may increase the level of aluminum in the blood |
Which is better: Phosphalugel or Maalox
For heartburn and increased stomach acidity in adults, it is recommended to use Maalox. Its effect appears within 5-10 minutes after use, and regular use does not provoke systemic effects. The drug is prescribed both for symptomatic therapy for gastritis and gastrointestinal disorders, and in a complex course for Helicobacter eradication.
For heartburn and increased stomach acidity in adults, it is recommended to use Maalox.
It is preferable to use Phosphalugel as an adsorbent. It has a more pronounced detoxifying and enveloping effect. The drug is often used in pediatrics for rotavirus, intestinal disorders and poisoning in children.
What to choose: Almagel or Phosphalugel
When attacks of heartburn and stomach pain occur, the question arises of what is better to purchase: Almagel or Phosphalugel. Both medications are similar in their action and are used for inflammatory diseases.
When attacks of heartburn and stomach pain occur, the question arises of what is better to purchase: Almagel or Phosphalugel.
Overdose
Symptoms of overdose with these drugs:
- nausea and vomiting;
- unpleasant taste;
- constipation;
- depression of consciousness;
- dyspnea.
If the dose is exceeded, you must take any adsorbent.
Conditions for dispensing from pharmacies
Medicines can be purchased without a prescription.
Storage conditions
Both medications should be stored at a temperature not exceeding +25°C.
Best before date
Almagel is good for 2 years, and Phosphalugel can be used for 3 years.
Analogs
Medicines with similar effects:
- Rennie;
- Gastal;
- Gaviscon;
- Maalox.
Drug price
The price for Almagel starts from 215 rubles, and for Phosphalugel - from 250 rubles.
Indications for use
Indications for the use of both antacid drugs are:
- exacerbation of peptic ulcer of the duodenum and stomach;
- reflux esophagitis, hiatal hernia and other diseases of the esophagus;
- heartburn (gastroesophageal reflux), sour belching;
- gastritis, acute and chronic gastroduodenitis with normal or high acidity;
- dyspepsia of non-ulcer etiology;
- digestive disorders and belching caused by poor diet, smoking, drinking coffee, alcoholic beverages, etc.;
- prevention of gastrointestinal damage during long-term therapy with NSAIDs, glucocorticoids and other drugs.
In addition to the listed indications, Phosphalugel is used for functional pathologies of the large intestine, flatulence, diarrhea and gastrointestinal disorders caused by poisoning, infectious diseases, medications, acids and alkalis.
Almagel or Phosphalugel: which is better, comparison of their therapeutic ability
In the treatment of diseases of the digestive tract, drugs of various pharmacotherapeutic groups are used, as well as drugs with similar mechanisms of action. In this regard, a choice often arises, for example, Almagel or Phosphalugel - which is better? You can make your choice after comparing these drugs and consulting with a gastroenterologist.
articles:
- 1 Almagel
- 2 Phosphalugel
- 3 Efficiency comparison
Almagel
A combined antacid drug used for various pathologies of the gastrointestinal tract. Produced by the Bulgarian pharmaceutical company Balkanfarma.
Composition and release form
Available in the form of a suspension for oral use. One 5 ml dosage spoon contains 2.18 g of aluminum hydroxide gel and 350 mg of magnesium hydroxide paste. Auxiliary components are sorbitol, parahydroxybenzoates, sodium saccharinate, lemon oil, ethyl alcohol and purified water.
170 ml of suspension and a dosage spoon are dispensed in dark glass bottles. The bottle can also be polymer with a similar volume.
pharmachologic effect
Almagel, like Phosphalugel, is a medicinal group of antacids . Their action is based on neutralizing excess hydrochloric acid and reducing the effect of pepsin. At the same time, the digestive activity of gastric juice decreases. The drug has an adsorbing and enveloping effect.
The protective effect helps prevent inflammatory and erosive damage to the gastric mucosa, for example, after taking alcohol or drugs that irritate the stomach - aspirin, corticosteroids and others.
Indications for use
Prescribed for exacerbation of pancreatitis or its chronic form, as a prevention of intestinal and gastric disorders. On an outpatient basis, it is often used to eliminate heartburn after caffeine, nicotine, alcoholic beverages, and certain medications.
Contraindications
The drug is prohibited in case of hypersensitivity to any of its components, severe renal failure, or Alzheimer's disease. The use of Almagel is prohibited in case of fructose intolerance, hypophosphatemia, and under the age of ten years.
Almagel is contraindicated during pregnancy.
Side effects
The use of the drug may be accompanied by constipation, which can be eliminated by reducing the dosage. Sometimes nausea, stomach cramps, vomiting, perversion of taste, and allergic reactions are observed. Laboratory tests can determine an increase in the concentration of magnesium in the blood plasma.
Long-term treatment with Almagel with a low phosphorus content in the diet can lead to the development of osteomalacia.
Phosphalugel
Phosphalugel, like Almagel, belongs to the group of antacids. Produced by the French pharmaceutical company Astellas.
Who is the drug indicated for?
Phosphalugel is prescribed for ulcerative pathologies of the intestines and stomach, acute and chronic gastritis , hiatal hernias and gastroesophageal reflux disease .
It is used for functional diarrhea and dyspepsia, digestive disorders caused by infection, poisoning, drugs or irritants.
Used to eliminate stomach pain, heartburn, belching, flatulence as a result of poor diet, excessive coffee consumption or smoking.
Adverse reactions
Constipation sometimes develops, especially in bedridden patients. The development of diarrhea can be caused by sorbitol; allergic reactions were observed only in patients with individual hypersensitivity.
Efficiency comparison
When choosing which will work better: Phosphalugel or Almagel, you should compare several characteristics:
- efficiency;
- price;
- side effects;
- contraindications;
- restrictions on use;
- release forms.
Otherwise, the attending physician must choose what to prescribe: Almagel or Phosphalugel, taking an individual approach to the choice of dosage.
Side effects
The difference between Almagel and Phosphalugel is also that the latter has fewer adverse reactions. Most of them are associated with intolerance. If a person is not allergic to any of the components in the drug, then often no unwanted reactions are observed.
Price category
In most cases, in the absence of contraindications, people are increasingly choosing Almagel, a generic version of Phosphalugel. This happens for the reason that Phosphalugel is almost twice as expensive as Almagel.
A package of Almagel costs from 178 to 229 rubles, and a package of Phosphalugel costs from 141 to 458 rubles, depending on the number of sachets.
It is also believed that Phosphalugel is more convenient to use for adults, while Almagel with a pleasant orange flavor is more suitable for children over ten years of age. But this depends only on personal preferences.
Source: https://GastrituNet.online/lekarstva/antatsidy/fosfalyugel/almagel-ili-fosfalyugel-chto-luchshe.html
How to take Maalox and Phosphalugel
Phosphalugel can be used pure or diluted (1 sachet per 100 ml of water). Children up to 6 months – 1 tsp. (1/4 sachet) after each feeding, but not more than 1.5 sachets per day. Children after 6 months – 2 tsp. after meals, but not more than 2 sachets per day.
Children over 6 years old and adults – 1 or 2 packets up to 3 times a day.
Maalox tablets need to be dissolved or chewed in 1-2 pieces. 2-4 times a day. For frequent relapses of pain - up to 6 times a day and up to 12 pcs. per day.
The suspension of the drug must be kneaded if it is in a bag (sachet), or shaken if it is in a bottle. There is no need to dilute it with water.
Patients are prescribed 1 sachet (1 tablespoon or 15 ml) of Maalox suspension 3-4 times a day. The daily dose should not exceed 6 sachets (90 ml).
Dosage regimen for Vosflugel and Maalox:
| Pathology | Maalox | Phosphalugel |
| Esophageal hernia, reflux esophagitis | 0.5-1 hour after a meal, for esophagitis - 10-15 minutes after a meal | Immediately after eating, before bed |
| Ulcers of the duodenum and stomach | Half an hour before meals | 1-2 hours after eating, for stomach pain |
| Gastritis, dyspepsia | 1-2 hours after eating, before bedtime and in case of pain, belching and heartburn | Before meals |
| Stomach pain, heartburn, diet disorders, etc. | 1-2 tablets or 1 sachet of suspension once | One serving of gel |
| Intestinal diseases, intoxication | – | Before breakfast (on an empty stomach), before bedtime and when pain occurs |
The duration of the course of treatment is determined by the doctor. It is not recommended to take antacids for longer than 2-3 months without a prescription from a gastroenterologist.
Almagel or phosphalugel for gastritis - which is better and the differences - Belly info
17.03.2020
Phosphalugel is an antacid medicine for heartburn, diarrhea, sour belching, and stomach pain. Used by patients with gastric ulcers, gastritis, food poisoning.
If the patient is not suitable for Phosphalugel, analogues are selected by the attending physician. The indications for taking the medication, accompanying symptoms, and the individual characteristics of the patient’s body are taken into account.
The gel is packaged in individual packaging intended for single use.
Advantages of Phosphalugel over similar drugs
The main advantage of the product is that the active component reduces acidity, however, does not leach gastric juice.
This ensures the prevention of secondary acid release into the gastrointestinal tract. Antacids are an emergency remedy for people with heartburn, stomach ulcers, and gastritis.
The medication is well tolerated and can be used by patients of all age groups.
Comparison with other similar drugs
The active substance of Phosphalugel, aluminum phosphate, exhibits antacid, absorbent, and enveloping properties. Under the influence of the gel, the acidity of the stomach is normalized.
The active substance interacts with hydrochloric acid, reducing acidity levels. Forms a protective film on the inner surface of the gastrointestinal tract, regenerates mucous membranes.
The medicine absorbs and removes poisonous substances: toxins, pathogenic microorganisms and their waste products.
If a doctor prescribes a structural analogue of a gel with a similar active ingredient, the product will exhibit similar pharmacological properties. If the patient cannot use aluminum phosphate, the doctor may recommend the use of:
- Maaloxa.
- Gaviscon.
- Gastala.
- Omeza.
- De-Nola.
- Omeprazole.
- Pepsana.
- Enterola.
- Motilium.
- Almagel.
- Almagel-Neo.
They recommend both exact structural analogues and medications from a similar pharmacological group, but with a different active component.
The described medications have a different mechanism of action, but have indications for use similar to Phosphalugel. The main difference is the composition. Before starting use, it is recommended to consult a doctor to agree on the dosage, frequency and duration of use of the medicine. It is necessary to compare drugs, pay attention to contraindications and method of use.
Which is better: Almagel or Phosphalugel
Phosphalugel and Almagel are representatives of the same pharmacological group with different compositions. Both medications are recommended for patients with the following diseases:
- gastritis,
- ulcerative lesions of the gastrointestinal tract,
- diaphragmatic hernia,
- reflux esophagitis,
- functional digestive disorders, accompanied by diarrhea, constipation, flatulence, pain in the abdominal area.
Medicines protect the gastric mucosa from the negative effects of other groups of drugs (NSAIDs), as well as ethanol.
Phosphalugel differs from Almagel in the following points:
- more budget price,
- possibility of treating newborns,
- use by pregnant and lactating women,
- normalization of the functional state of the gastrointestinal tract,
- the pharmacological effect appears more slowly.
If emergency assistance and quick elimination of pain are necessary, the use of Almagel is recommended.
Phosphalugel can be given to newborn babies, while Almagel is used from 10 years of age. The list of contraindications for Almagel is more extensive. If Phosphalugel has hypersensitivity reactions and severe kidney dysfunction, then the manufacturer of the second drug additionally notes:
- period of bearing a child,
- Alzheimer's disease,
- individual intolerance to components, including fructose.
Both remedies are not intended for self-medication and can be used on the recommendation of a gastroenterologist.
Maalox and Phosphalugel - comparison
Maalox is an antacid drug based on hydrated aluminum. It is well absorbed and tolerated by patients and is prescribed to pregnant women.
Maalox has a wider range of dosage forms: suspension, lozenges. Tablets and suspension are more expensive than Phosphalugel. Recommended for patients over 15 years of age.
The indications for both drugs are similar. Maalox is recommended for patients with the following pathologies:
- exacerbation of gastric ulcer,
- diaphragmatic hernia,
- gastroduodenitis (normal/increased secretory function) at any stage of development,
- reflux esophagitis,
- dyspeptic disorders.
The best option for pregnant and lactating women, as well as patients who are faced with increased acidity of gastric juice, is Phosphalugel. A budget drug that works effectively, quickly, and is inexpensive.
Choosing between Gaviscon and Phosphalugel
Gaviscon is a substitute antacid with a multicomponent composition. Available in the form of a suspension and lozenges. Quickly eliminates heartburn and stomach pain. Envelops the mucous membrane, accelerates the process of its regeneration, and prevents gastroesophageal reflux.
The main indication is the treatment of patients with reflux esophagitis, heartburn, belching, dyspeptic disorders, and hiatal hernia. For gastric ulcers, it is used as a symptomatic remedy and does not always exhibit the proper therapeutic effect. Tablets and bags of suspension can be used up to 7-8 times a day.
The medicine is not intended for long-term use.
Gaviscon is not used if you are hypersensitive to the active ingredients. Tablets are not used to treat patients under 12 years of age. Pregnant women can use both medications.
Enterosgel
Enterosgel is a drug with absorbent properties that is prescribed to patients with various types of intoxication. Available in the form of a paste for internal use. This medicine is not cheap: 390 rubles for 225 grams.
The drug of choice for acute and chronic poisoning. Binds and removes toxic substances, allergens, pathogenic microorganisms. It differs from the gel in composition, mechanism of action, pharmacological properties, and indications for use.
This drug cannot replace antacid medications.
Patients often ask: Phosphalugel or Enterosgel: which is better? Both drugs can be used in complex treatment regimens on the recommendation of a doctor.
Which drug to choose: Phosphalugel or Omez (Omeprazole)
Omeprazole is a domestically produced medicine that belongs to the group of proton pump inhibitors (PPIs).
Phosphalugel is a means of symptomatic therapy, while Omez acts on the root cause of the disease.
The drugs differ in group, composition, mechanism of action, but have similar indications for use. Can be used together in complex treatment protocols.
A proton pump inhibitor inhibits the synthesis of hydrochloric acid. The antacid neutralizes the already produced acid, reducing its aggressive effect. At the same time, the gel does not affect the process of hydrochloric acid production.
The combination of antacids and PPIs can improve the expected therapeutic effect and speed up the patient's recovery process.
It is recommended to maintain an interval of at least several hours between the use of these groups of products.
Polysorb and Phosphalugel - the difference between the drugs
Polysorb is a product from the group of enterosorbents, which is available in powder form for oral administration. It works thanks to silicon dioxide, which is active against acute or chronic intoxication. Copes with intestinal dysbiosis, allergies, and is prescribed to patients of all age groups.
Polysorb and Phosphalugel are representatives of different pharmacological groups. The gel has a large list of pharmacological properties, including sorption properties. The funds cannot be called interchangeable. However, in case of severe poisoning or functional disorders of the gastrointestinal tract, the doctor may recommend a combination of a sorbent with an antacid.
List of drugs that can replace Phosphalugel (with prices in Russia)
Price for Phosphalugel in January 2020:
- 175 rubles for 6 bags,
- 360 rub. for 20 pcs.
| Exact structural analogues |
|
| Other analogues on the pharmaceutical market |
|
Neither the gel nor its analogs are intended for self-medication. The described medications are used in complex treatment regimens together with other groups of medications prescribed by a gastroenterologist.
Source:
What to choose: Almagel or Phosphalugel
When attacks of heartburn and stomach pain occur, the question arises of what is better to purchase: Almagel or Phosphalugel. Both medications are similar in their action and are used for inflammatory diseases.
When attacks of heartburn and stomach pain occur, the question arises of what is better to purchase: Almagel or Phosphalugel.
How are the drugs different?
The difference between the two drugs is that they have different active ingredients. At the same time, Almagel has a wider scope of application than Phosphalugel.
The active ingredients of Almagel eliminate pain within 5 minutes after administration.
Which is better: Almagel or Phosphalugel?
Both drugs are effective, but thanks to the additional component in the composition, Almagel can be considered more effective.
Compatibility of Almagel and Phosphalugel
It is not advisable to be treated with both medications at the same time. Experts recommend giving preference to one of these medications.
Directions for use and dosage
Almagel suspension is recommended to be taken 60 minutes after meals, as well as before bedtime, to prevent a burning sensation in the stomach. You can take the medicine directly when pain occurs in the gastrointestinal tract.
Single dose - 1 measuring spoon. Phosphalugel is recommended to be taken according to the same regimen as Almagel. The course of treatment depends on the severity of the symptoms and can vary from 1 week to a month.
These medications should be taken 3 times a day or whenever pain occurs.
To eliminate stomach pain, phosphalugel is taken 1 scoop 3 times a day.
special instructions
Almagel is not recommended for use in case of chronic constipation, suspected appendicitis and ulcerative colitis. The drug can be harmful in case of inflammation of hemorrhoids, diarrhea of unknown origin and liver cancer. The medicine is prescribed with caution to persons with acid-base balance disorders in the body.
This drug may worsen the condition of patients with heart failure. Both medications should be taken with caution in severe renal and liver dysfunction. In some cases, aluminum hydroxide can lower blood pressure.
Pregnancy and lactation
Both drugs can be used by pregnant and breastfeeding women after consulting a doctor.
Childhood
Phosphalugel can be given to children from 6 months after feeding. Almagel is allowed only from 10 years of age.
Elderly age
Both medications should be used with caution in old age.
Side effects of Almagel and Phosphalugel
When treated with these medications, symptoms such as:
- constipation;
- stomach ache;
- change in taste;
- nausea and vomiting;
- allergy;
- deterioration of bone tissue;
- renal dysfunction.
The drugs can be taken for hypertension, because they do not increase blood pressure.
Contraindications for use
These medications should not be taken if there is an increased level of phosphates in the blood.
Effect on driving
The drugs do not affect driving.
Interaction with other drugs
Almagel is not recommended to be combined with the following groups of drugs:
- blockers of histamine H2 receptors;
- cardiac glycosides;
- psychotropic medications;
- antibiotics.
Both drugs should not be taken together with other medications, as they affect the rate of absorption of the latter.
Alcohol compatibility
During treatment with antacids, alcohol-containing drinks are not contraindicated. If you take these drugs before a feast, the risk of the aggressive effects of alcohol on the gastric mucosa is reduced.
Source: https://uzistandart.ru/prochee/almagel-ili-fosfalyugel-pri-gastrite-chto-luchshe-i-otlichiya.html
special instructions
When treating with antacids, it is necessary to take into account the history and other characteristics of the patient.
For pancreatitis
Maalox and Phosphalugel are allowed to be used for nausea, dyspepsia and gastrointestinal disorders caused by chronic or acute pancreatitis. Antacids are part of complex therapy.
In acute inflammation of the pancreas, oral medications can be used only after the attack has stopped.
Pregnancy and lactation
The use of antacids during pregnancy and breastfeeding is permitted. It is recommended to use drugs with caution and as prescribed by a doctor.
Childhood
Children are prescribed mainly Phosphalugel. The use of Maalox is allowed from 15 years of age.
Elderly age
In case of age-related and other kidney problems, taking Phosphalugel can cause systemic side effects due to an increase in the concentration of aluminum in the blood.
Exceeding dosages of antacids increases the risk of intestinal obstruction in elderly and bedridden patients.
