Do not administer to patients receiving antibiotic containing any form of tetracycline. Consider interference in the absorption of other drugs; Na citrate & tartrate inhibits the neutralization of gastric acid by dried Al hydroxide gel. Pregnancy & lactation. Mg trisilicate: Possible CNS depression & other symptoms of hypermagnesemia in presence of renal insufficiency.
Al hydroxide: Constipation, nausea, vomiting, intestinal obstruction (large doses), phosphate depletion accompanied by increased resorption & urinary excretion of Ca w/ risk of renal rickets in the young or osteomalacia in older patients (excessive doses or in patients w/ low phosphate diets). Mg trisilicate: Diarrhoea, mucosal irritation & absorption of Mg, hypermagnesemia (excessive use).
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