Why is this medication prescribed?

Alu-Tab is prescribed to relieve symptoms of heartburn, indigestion, and upset stomach caused by excess stomach acid. It works by neutralizing stomach acid and thereby reducing the acidity in the stomach.

How should this medicine be used?

Here’s how Alu-Tab (aluminum hydroxide) should be used:

• Dosage: The dosage of Alu-Tab can vary depending on the individual and the severity of symptoms. It is typically taken orally, either as chewable tablets or liquid suspensions.
• Administration: Follow the instructions provided by your healthcare provider or the directions on the product label. Usually, it is taken after meals and at bedtime to maximize its effectiveness in neutralizing stomach acid.
• Chewable Tablets: If using chewable tablets, chew thoroughly before swallowing.
• Liquid Suspension: If using the liquid form, shake the bottle well before measuring the dose. Use a special measuring device or spoon to ensure accurate dosage.
• Duration: It is usually taken as needed when symptoms occur. However, if prescribed for GERD or peptic ulcer disease, your doctor may recommend a specific regimen for longer-term use.
• Interaction with Other Medications: Aluminum Hydroxide can interact with certain medications, so it’s important to inform your doctor about all other medications you are taking, including over-the-counter drugs and supplements.
• Adverse Effects: While generally considered safe when used as directed, Aluminum Hydroxide may cause constipation if used excessively or for prolonged periods. If you experience severe or persistent side effects, consult your healthcare provider.

Always consult your healthcare provider or pharmacist for specific dosing instructions and recommendations tailored to your individual needs.

Other uses for this medicine

Aluminum Hydroxide can also be used to lower phosphate levels in people with chronic kidney disease (CKD). In CKD, the kidneys may not effectively remove phosphate from the blood, leading to high levels that can contribute to bone problems. Aluminum Hydroxide binds phosphate in the gut, reducing its absorption and thereby helping to control phosphate levels.

What special precautions should I follow?

Special Precautions for Alu-Tab:

• Kidney Function: Because Aluminum Hydroxide can bind phosphate, it should be used cautiously in patients with impaired kidney function. Excessive use or prolonged use can lead to aluminum accumulation, which may cause toxicity, particularly in patients with kidney dysfunction.
• Constipation: Aluminum Hydroxide can cause constipation as a side effect, especially with prolonged use. Individuals prone to constipation should take precautions such as increasing fiber intake or using mild laxatives as recommended by a healthcare provider.
• Drug Interactions: Aluminum Hydroxide can interfere with the absorption of certain medications, including antibiotics (e.g., tetracyclines), bisphosphonates, and some heart medications. To minimize interactions, take Aluminum Hydroxide at least 2 hours before or after taking other medications. Your healthcare provider or pharmacist can provide guidance on timing and potential interactions.
• Monitoring: If using Aluminum Hydroxide regularly for phosphate binding in CKD, regular monitoring of phosphate levels, kidney function, and serum aluminum levels may be necessary to ensure safety and efficacy.
• Pregnancy and Breastfeeding: There is limited data on the use of Aluminum Hydroxide during pregnancy and breastfeeding. It is typically considered safe when used as directed, but consult with a healthcare provider before using it if pregnant or breastfeeding.
• Allergies and Sensitivities: Inform your healthcare provider of any allergies or sensitivities to Aluminum Hydroxide or other medications.
• Medical Conditions: Inform your healthcare provider if you have any other medical conditions, especially gastrointestinal disorders or disorders affecting mineral metabolism.

Always follow the specific instructions provided by your healthcare provider or pharmacist regarding the use of Alu-Tab (Aluminum Hydroxide), and report any adverse effects or concerns promptly. This ensures safe and effective use tailored to your individual health needs.

What special dietary instructions should I follow?

• Phosphate-Restricted Diet: If using Aluminum Hydroxide for phosphate binding in CKD, follow a phosphate-restricted diet as recommended by your healthcare provider or dietitian. Avoid foods high in phosphate such as dairy products, certain meats, and processed foods.
• Calcium Intake: Aluminum Hydroxide can bind with dietary phosphate and calcium. Maintain adequate calcium intake through diet or supplements unless otherwise directed by your healthcare provider.

What should I do if I forget a dose?

• If it is almost time for your next dose: Skip the missed dose and take your next dose at the regular scheduled time.
• If you remember the missed dose: Take it as soon as you remember, unless it is almost time for your next scheduled dose. In that case, skip the missed dose and resume your regular dosing schedule.
• Do not double up: Do not take a double dose to make up for a missed one. This can increase the risk of side effects without providing additional benefit.

What side effects can this medication cause?

Alu-Tab (Aluminum Hydroxide), like any medication, can cause side effects, although not everyone may experience them. Common side effects and potential adverse reactions include:

• Constipation: This is one of the most common side effects of Aluminum Hydroxide. It occurs due to its antacid properties and its ability to slow down gut motility.
• Loss of Appetite: Some people may experience a reduced desire to eat while taking Aluminum Hydroxide.
• Nausea or Vomiting: Occasionally, Aluminum Hydroxide can cause nausea or vomiting, especially if taken in higher doses or if an individual is sensitive to it.
• Stomach Cramps or Pain: Abdominal discomfort such as cramps or pain can occur, particularly if Aluminum Hydroxide is not well tolerated or if taken on an empty stomach.
• Diarrhea: While less common than constipation, diarrhea can occur in some individuals, especially with higher doses.
• Muscle Weakness or Bone Pain: Long-term use of Aluminum Hydroxide can lead to the accumulation of aluminum in the body, potentially causing symptoms like muscle weakness or bone pain. This is more likely in individuals with impaired kidney function who cannot effectively excrete aluminum.
• Aluminum Toxicity: Prolonged use of Aluminum Hydroxide, especially in individuals with kidney dysfunction, can lead to aluminum toxicity. Symptoms may include confusion, seizures, and bone disorders.
• Hypophosphatemia: In some cases, Aluminum Hydroxide can lower phosphate levels in the blood (hypophosphatemia), which may cause symptoms such as weakness, fatigue, and bone pain.
• Altered Calcium Metabolism: Aluminum Hydroxide can interfere with calcium absorption, potentially leading to calcium imbalance or bone disorders over time.
• Allergic Reactions: Although rare, allergic reactions to Aluminum Hydroxide can occur. Symptoms may include rash, itching, swelling, severe dizziness, or trouble breathing.

If you experience any severe or persistent side effects while taking Alu-Tab (Aluminum Hydroxide), it’s important to contact your healthcare provider promptly. They can assess your symptoms and determine if any adjustments to your treatment are necessary. Always follow your healthcare provider’s instructions and report any concerns you have during treatment.

What should I know about storage and disposal of this medication?

Storage and Disposal of Alu-Tab:

• Storage: Store Alu-Tab (Aluminum Hydroxide) at room temperature, away from moisture and heat. Keep it tightly closed in its original container to protect from light and moisture.
• Keep Out of Reach of Children: Store Alu-Tab in a secure place out of reach of children and pets, as accidental ingestion can be harmful.
• Disposal: Dispose of unused or expired Alu-Tab according to local regulations or guidelines. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Proper disposal helps prevent environmental contamination.

In case of emergency/overdose

• Symptoms of Overdose: Overdose of Aluminum Hydroxide can lead to symptoms such as severe constipation, muscle weakness, confusion, and potentially serious electrolyte imbalances.
• Seek Immediate Medical Attention: If you suspect an overdose or experience severe symptoms after taking Alu-Tab, seek emergency medical help or contact a poison control center immediately (in the United States, call 1-800-222-1222).

What other information should I know?

• Medical Alerts: Inform healthcare providers about all medications you are taking, including over-the-counter drugs and supplements, to avoid potential interactions.
• Regular Monitoring: If using Aluminum Hydroxide long-term, your healthcare provider may periodically monitor your kidney function, phosphate levels, and possibly serum aluminum levels to ensure safe and effective use.
• Follow Instructions: Take Alu-Tab as directed by your healthcare provider or follow the instructions on the label. Do not exceed the recommended dosage unless advised by your healthcare provider.
• Avoid Mixing with Certain Medications: To prevent interactions, take Aluminum Hydroxide at least 2 hours before or after other medications, unless otherwise instructed by your healthcare provider.
• Special Populations: If pregnant, planning to become pregnant, or breastfeeding, consult your healthcare provider before using Aluminum Hydroxide.
• Allergies: If you have known allergies or sensitivities to Aluminum Hydroxide or related substances, inform your healthcare provider before starting treatment.
• Dietary Considerations: If using Aluminum Hydroxide for phosphate binding, follow any dietary recommendations provided by your healthcare provider or dietitian to manage phosphate intake.
• Consultation: If you have any questions or concerns about Alu-Tab (Aluminum Hydroxide), its use, side effects, or interactions, discuss them with your healthcare provider or pharmacist.

By understanding these aspects of storage, disposal, emergency procedures, and additional information, you can use Alu-Tab safely and effectively as part of your treatment plan. Always prioritize communication with your healthcare provider to ensure your health needs are met appropriately.