Aluminium hydroxide + Magnesium Hydroxide + Methyl Polysiloxane + Diazepam Pharmacology

Aluminium hydroxide + Magnesium Hydroxide + Methyl Polysiloxane + Diazepam

About Aluminium hydroxide + Magnesium Hydroxide + Methyl Polysiloxane + Diazepam
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Mechanism of Action of Aluminium hydroxide + Magnesium Hydroxide + Methyl Polysiloxane + Diazepam
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Pharmacokinets of Aluminium hydroxide + Magnesium Hydroxide + Methyl Polysiloxane + Diazepam
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Onset of Action for Aluminium hydroxide + Magnesium Hydroxide + Methyl Polysiloxane + Diazepam
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Duration of Action for Aluminium hydroxide + Magnesium Hydroxide + Methyl Polysiloxane + Diazepam
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Half Life of Aluminium hydroxide + Magnesium Hydroxide + Methyl Polysiloxane + Diazepam
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Side Effects of Aluminium hydroxide + Magnesium Hydroxide + Methyl Polysiloxane + Diazepam
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Contra-indications of Aluminium hydroxide + Magnesium Hydroxide + Methyl Polysiloxane + Diazepam
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Special Precautions while taking Aluminium hydroxide + Magnesium Hydroxide + Methyl Polysiloxane + Diazepam
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Pregnancy Related Information
Use with caution
Old Age Related Information
N/A
Breast Feeding Related Information
Use with caution
Children Related Information
N/A
Indications for Aluminium hydroxide + Magnesium Hydroxide + Methyl Polysiloxane + Diazepam
Methyl Polysiloxane is added to an antacid as an antifoaming agent to relieve flatulence. It is also useful for the relief of hiccup. Antacids and antiflatulent takes care of hyperacidity and gas.Diazepam is used for sedation.
1.Hyperacdity
2.Flatulence
Interactions for Aluminium hydroxide + Magnesium Hydroxide + Methyl Polysiloxane + Diazepam
N/A
Typical Dosage for Aluminium hydroxide + Magnesium Hydroxide + Methyl Polysiloxane + Diazepam
1 - 2 tablet to be taken 3 - 4 times daily.
Schedule of Aluminium hydroxide + Magnesium Hydroxide + Methyl Polysiloxane + Diazepam
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Storage Requirements for Aluminium hydroxide + Magnesium Hydroxide + Methyl Polysiloxane + Diazepam
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Effects of Missed Dosage of Aluminium hydroxide + Magnesium Hydroxide + Methyl Polysiloxane + Diazepam
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Effects of Overdose of Aluminium hydroxide + Magnesium Hydroxide + Methyl Polysiloxane + Diazepam
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Aluminium Hydroxide

About Aluminium Hydroxide
Antacid,Antidote,Protectant( Topical), In hyperacidity; hyperphosphatemia.
Mechanism of Action of Aluminium Hydroxide
It neutralizes and reduces stomach acid relieving heartburn (acid reflux, GERD) and indigestion. This results increased pH and reduce the pepsin activity. It also binds to the phosphate in the gut and form a nonsoluble nonabsorbable aluminium phosphate complex.
Pharmacokinets of Aluminium Hydroxide
Absorption- Poorly absorbed.Excretion- Excreted through feces and breast milk
Onset of Action for Aluminium Hydroxide
N/A
Duration of Action for Aluminium Hydroxide
20 to 180minutes
Half Life of Aluminium Hydroxide
N/A
Side Effects of Aluminium Hydroxide
1. Loss of appetite
2. Constipation
3. Hypophosphatemia
4. Osteomalacia
5. Confusion
6. Unusual tiredness or discomfort
7. Muscle weakness
8. Encephalopathy
Contra-indications of Aluminium Hydroxide
1. Hypersensitivity to the drug
2. Renal failure
3. Hypertension
4. Heart disease
5. Kidney disease
6. Gastrointestinal bleeding.
Special Precautions while taking Aluminium Hydroxide
1. Stomach problems
2. Allergies
Pregnancy Related Information
Use with caution
Old Age Related Information
May be used
Breast Feeding Related Information
Use with caution
Children Related Information
May be used
Indications for Aluminium Hydroxide
1. Gastric hyperacidity
2. Ulcers
3. Digestive disorders
4. Hyperphosphatemia
5. Oesophagitis
6. Hiatal hernia
7. Gastritis
Interactions for Aluminium Hydroxide
N/A
Typical Dosage for Aluminium Hydroxide
Oral-
Acidity and Hyperphosphatemia -
Adult-
500-1500mg tablet or capsule 1 hr after meals and at bed time
5 to 30 ml suspension1 hr after meals and at bed time as needed
Schedule of Aluminium Hydroxide
N/A
Storage Requirements for Aluminium Hydroxide
Store it at room temperature and away from excess heat and moisture. Refrigerate the suspension. Do not freeze.
Effects of Missed Dosage of Aluminium Hydroxide
Take the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.
Effects of Overdose of Aluminium Hydroxide
Give symptomatic and supportive treatment

Magnesium Hydroxide

About Magnesium Hydroxide
Mineral, Magnesium compound, Antacid and laxative.
Mechanism of Action of Magnesium Hydroxide
It neutralize the gastric acid (where the hydroxide ions from the Mg(OH)2 combine with acidic H+ ions produced in the form of hydrochloric acid by parietal cells in the stomach). This relieves the hyperacidity problems in the stomach.
Pharmacokinets of Magnesium Hydroxide
N/A
Onset of Action for Magnesium Hydroxide
N/A
Duration of Action for Magnesium Hydroxide
N/A
Half Life of Magnesium Hydroxide
N/A
Side Effects of Magnesium Hydroxide
1. Stomach cramps
2. Upset stomach
3. Vomiting
4. Diarrhea
5. Black/tarry stools
6. Rectal bleeding.
7. Constipation
8. Loss of appetite
9. Unusual tiredness
10. Muscle weakness
11. Hypermagnesaemia
12. Renal failure
Contra-indications of Magnesium Hydroxide
1. Hypersensitivity to the drug
2. Kidney disease
3. Stomach/abdominal pain
4. Nausea
5. Vomiting
Special Precautions while taking Magnesium Hydroxide
1. Colostomy
2. Dehydration
3. Diarrhea
4. Intestinal problems like colitis
5.Do not take any other medication within 1 to 2 hours of taking this medication.
Pregnancy Related Information
Use with caution
Old Age Related Information
Use with caution
Breast Feeding Related Information
Use with caution
Children Related Information
Less than 6 Years : Contraindicated
Indications for Magnesium Hydroxide
1. Constipation
2. Peptic ulcer
3. Hiatal hernia
Interactions for Magnesium Hydroxide
N/A
Typical Dosage for Magnesium Hydroxide
Oral-
Adult-
Antacid:
Tab-500mg to 1.5g daily.
Liquid-5-15ml daily.
Laxative:
Tab-2.4-4.8g daily.
Liquid -30-60ml daily.
Schedule of Magnesium Hydroxide
N/A
Storage Requirements for Magnesium Hydroxide
Store it at room temperature (15-30 degree C) and away from excess heat and moisture.
Effects of Missed Dosage of Magnesium Hydroxide
Take the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.
Effects of Overdose of Magnesium Hydroxide
Give symptomatic and supportive treatment.

Methyl Polysiloxane

About Methyl Polysiloxane
Siloxanes, Antiflatulent.
Mechanism of Action of Methyl Polysiloxane
Methyl Polysiloxane relieves flatulence by dispensing and preventing formation of mucus surrounding gas pockets in the gastro-intestinal tract. It lowers the surface tension of the gas bubbles and bringing together all the small bubbles of gas (coalesce) to form a large bubble, which is then expelled. Thus the gas is freed by belching or passing flatus.
Antiflatulents are added to an antacid gum coating to be effective antigas materials and eliminate trapped gas.
Pharmacokinets of Methyl Polysiloxane
N/A
Onset of Action for Methyl Polysiloxane
N/A
Duration of Action for Methyl Polysiloxane
N/A
Half Life of Methyl Polysiloxane
N/A
Side Effects of Methyl Polysiloxane
N/A
Contra-indications of Methyl Polysiloxane
Hypersensitivity to Methyl Polysiloxane
Special Precautions while taking Methyl Polysiloxane
Kidney failure
Pregnancy Related Information
N/A
Old Age Related Information
N/A
Breast Feeding Related Information
N/A
Children Related Information
N/A
Indications for Methyl Polysiloxane
1. Flatulent dyspepsia
2. Postoperative distension
3. Gastric Distention
4. Functional digestive disorders
5. Stomach pain
6. Burning
7. Nausea and excess gas (dyspepsia)
Interactions for Methyl Polysiloxane
N/A
Typical Dosage for Methyl Polysiloxane
125 - 166 mg taken half an hour before food.
Methyl Polysiloxane in a coated chewing gum: 5 mg - 200 mg per piece of coated gum.
With an antacid: 20 mg -50 mg of Methyl Polysiloxane
Schedule of Methyl Polysiloxane
N/A
Storage Requirements for Methyl Polysiloxane
Stored at room temperature (15-30?C) away from moisture and heat.
Effects of Missed Dosage of Methyl Polysiloxane
Take the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.
Effects of Overdose of Methyl Polysiloxane
Give symptomatic and supportive treatment.

Diazepam

About Diazepam
A benzodiazepine derivative with CNS depressant, Anxiolytic, anticonvulsant, hypnotic, sedative, skeletal muscle relaxant and amnestic.
Mechanism of Action of Diazepam
Diazepam mainly acts on Limbic system and ascending reticular formation in the CNS and binds to the BZD receptor. The binding will facilitates GABA mediated chloride channel opening and produce hyperpolarisation. This will produce an increase in the concentration of the inhibitory neurotransmitter GABA and chloride ions and decreases firing rate of neuron. These in turn alters normal functions of the body.
Antivertigo action: Although intravenous diazepam has been used to abort acute attacks of vertigo of peripheral origin, it can prolong compensation and recovery from vestibular lesions
Pharmacokinets of Diazepam
Absorption: It is well absorbed after oral administration. Distribution: It is distributed widely in the body in protein bound form. Metabolism: It is metabolised to active metabolite (((Desmethyl diazepam))) in the liver. Excretion: Most metabolites are excreted in urine
Onset of Action for Diazepam
0.5 - 2 hour
Duration of Action for Diazepam
1 day
Half Life of Diazepam
20 - 100 hour
Side Effects of Diazepam
1.Ataxia
2.Drowsiness
3.Lethargy
4.Hallucination
5.Nausea
6.Constipation
7.Amnesia
8.Dependence
9. Tremor
10.Confusion
11.Light headedness
12.Mood changes
13.Muscle cramp
14. Drug dependence
15.Respiratory depression
Contra-indications of Diazepam
1.Hypersensitivity to Benzodiazepines
2.Acute narrow angle glaucoma.
Special Precautions while taking Diazepam
1.Renal impairment
2.Hepatic impairment
3.Open angle glaucoma
4.Depression
5.Pulmonary insufficiency
6.Epileptic patients
7.Driving vehicles, operating machines and other hazardous activities
Pregnancy Related Information
Contraindicated.
Old Age Related Information
Use with caution
Breast Feeding Related Information
Contraindicated.
Children Related Information
Use with caution
NEONATES contraindicated:
Indications for Diazepam
1.Anxiety
2.Preanaesthetic medication
3.Insomnia
4.Treatment of Febrile seizure and Status epilepticus
5.Acute alcohol withdrawal syndrome,
6.Relief of muscle spasm
7.Tetanus
8.Eclampsia
9.General anaesthesia
10. Vertigo.
Interactions for Diazepam
Alcohol and other CNS depressants: Enhanced CNS effects.
Aminophylline: Antagonizes the sedative effect.
Cimetidine, Oral contraceptives, Disulfiram, Fluoxetine, Isoniazid, Ketoconazole, Metoprolol, Propoxyphene, Propranalol, Valproic Acid: Elimination of diazepam decreased due to inhibition of hepatic metabolism leading to enhanced activity.
Digoxin, Imipiramine & Desipramine: Enhanced activity of these drugs.
Levodopa: Decrease in antiparkinsonism efficacy.
Ranitidine: Decreases GI absorption of Diazepam.
Rifampicin: Decreases efficacy.
Typical Dosage for Diazepam
Adult: 4 - 30 mg/day in 2 - 4 divided doses
Anxiety: 2 -10 mg 2 - 3 times a day; depending on the severity of the disease.

Muscle spasm: 2 -10 mg every 2 - 3 times a day; depending on the severity of the disease.

Acute alcohol withdrawal syndrome: Initial dose: 30 - 40 mg / day in 3 - 4 divided doses; if needed the dose can be reduced to 15 - 20 mg / day in divided doses.

Status epilepticus : 0.2 - 0.5 mg/ kg body weight as IV infusion followed by repeated doses.

PAM (((IM))): 5 - 10 mg before surgery

Children:
Anxiety: 3 - 10 mg / day in 3 - 4 divided dose. As needed dose can be increased gradually

Tetanus (((IM/IV infusion))): 1- 10 mg; repeated every 3 - 4 hour; dose is selected depending on the age and severity of the disease.

Status epilepticus :Above 7 years: 5 mg IV over 5 minutes; the dose may be repeated every 2 - 4 hour as needed; maximum dose: 10 mg

Status epilepticus 1 - 7 years: 2.5 mg IV over 5 minutes; the dose may be repeated every 2 - 4 hour as needed; maximum dose: 5mg
Schedule of Diazepam
H
Storage Requirements for Diazepam
The drug should be kept at 15 - 30 degree C in a tightly closed container.
Effects of Missed Dosage of Diazepam
Take the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose.
Effects of Overdose of Diazepam
Give support and symptomatic treatment. Flumazenil can be given as antagonist. Hypotension can be treated with vasopressors.If the patient is conscious induce emesis followed by charcoal administration

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