Adult Dosing

Heartburn, sour stomach, acid indigestion, upset stomach, food and drink overindulgence

Mylanta Supreme

• 2-4 teaspoonfuls between meals or qhs; Max: 18 teaspoonfuls/24 hrs

Rolaids Extra Strength

• 2-4 tablets to be chewed as per occurrence of symptoms; Max: 10 tablets/24 hrs

Rolaids Regular Strength

• CHEW TABS: 2-4 tablets to be chewed as per occurrence of symptoms; Max: 10 tablets/24 hrs
• SUSP: 2-4 teaspoonfuls as per occurrence of symptoms; Max: 7 teaspoonfuls/24 hrs

Rolaids Ultra Strength

• 2-3 tablets to be chewed as per occurrence of symptoms; Max: 7 tablets/24 hrs

Note:

• The maximum dosage should not be used for more than 2 weeks

Pediatric Dosing

• Safety and effectiveness in pediatric patients have not been established

[Outline]

• Adult Dosing
• Pediatric Dosing

• Relief of symptoms associated with:
• Heartburn
• Sour stomach
• Acid indigestion
• Upset stomach
• Overindulgence in food and drink

• Hypersensitivity to any of the ingredients of the product
• Colostomy or ileostomy
• Hypercalcemia
• Hypophosphatemia
• Kidney stones
• Renal failure

• N/A

Renal Dose Adjustment

• Renal impairment: Dose adjustments not defined; caution advised

Hepatic Dose Adjustment

• Hepatic impairment: Dose adjustments not defined

• Antacids may interact with some prescription drugs. Patients should consult their physician or pharmacist if they are taking ant prescription drugs
• Do not use more than the maximum recommended dose and for more than 2 weeks. If symptoms persist for more than 2 wks, discontinue therapy and further evaluate the patient
• Advise patients to keep the medication out of children's reach. In case accidental overdose, instruct patients to seek prompt medical attention or contact a poison control center

Cautions: Use cautiously in

• Kidney stones
• Dehydration
• GI bleeding/obstruction
• Hypercalciuria
• Renal impairment
• Vitamin D toxicicity
• Hyperparathyroidism

Pregnancy Category:NR

Breastfeeding: Magnesium hydroxide is not expected to cause any adverse reactions or affect serum magnesium levels in breastfed infants, and can be safely used during breastfeeding. This information is based upon LactMed database (available at http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT last accessed 28 October 2013).

• GI: Abdominal pain, constipation, diarrhea, nausea, vomiting
• GU: Renal stones, hypercalciuria
• METABOLIC: Hypercalcemia, hypermagnesemia, milk-alkali syndrome
• MISC: Dehydration

Calcium carbonate

• Antacid; acts by neutralizing hydrochloric acid in gastric secretions and also inhibits the action of pepsin by increasing the pH and via adsorption
• Absorbed from the GI tract in the presence of vitamin D
• Metabolism: Unknown
• Excretion: Primarily in feces (80%), minimally in urine (20%)
• Half-life: Unknown

Magnesium hydroxide

• Laxative; Neutralizes gastric acid, attracts/retains water in intestinal lumen and causes peristalsis
• Absorption: Up to 30%
• Metabolism: Unknown
• Primarily excreted in urine
• Half-life: Unknown

US Trade Name(s)

• Mylanta Supreme
• Rolaids Extra Strength
• Rolaids Regular Strength
• Rolaids Ultra Strength

US Availability

Mylanta Supreme (calcium carbonate/magnesium hydroxide)

• OTC SUSP: [400 mg/135 mg]/5 mL

Rolaids Extra Strength (calcium carbonate/magnesium hydroxide)

• OTC CHEW TABS: 675 mg/135 g

Rolaids Regular Strength (calcium carbonate/magnesium hydroxide)

• OTC CHEW TABS: 550 mg/110 mg
• OTC SUSP: [550 mg/110 mg]/5 mL

Rolaids Ultra Strength (calcium carbonate/magnesium hydroxide)

• OTC CHEW TABS: 1000 mg/200 mg

Canadian Trade Name(s)

• N/A

Canadian Availability

• N/A

UK Trade Name(s)

• N/A

UK Availability

• N/A

Australian Trade Name(s)

• N/A

Australian Availability

• N/A

[Outline]

Gastrointestinal

Antacids

Nutrition/Electrolytes

Minerals & Electrolytes