Why is this medication prescribed?

Aluminum hydroxide is primarily prescribed as an antacid. It is used to relieve symptoms of heartburn, indigestion, and upset stomach by neutralizing excess stomach acid.

How should this medicine be used?

Here’s how aluminum hydroxide should be used:

• Dosage: Follow your doctor’s instructions or the directions on the label regarding the dosage and frequency of aluminum hydroxide.
• Formulation: It comes in various forms such as tablets, chewable tablets, suspensions, and powders. The form you use will determine how you should take it.
• Administration:
  • Tablets and chewable tablets: Swallow them whole with a glass of water.
  • Liquid suspension: Shake well before use and measure the dose using a special measuring spoon or device. Do not use a household spoon as it may not give the correct dose.
  • Powder: Mix the prescribed amount with water according to the instructions before drinking.
• Timing: Take aluminum hydroxide as directed, usually after meals and at bedtime, or as directed by your doctor. This helps to neutralize stomach acid when it’s at its peak.
• Follow-up: If you are using aluminum hydroxide regularly for prolonged periods, your doctor may need to monitor your kidney function periodically, as aluminum can accumulate in the body.
• Interactions: Take aluminum hydroxide at least 1-2 hours apart from other medications to avoid interactions, as it can interfere with the absorption of certain drugs.

Always consult with your healthcare provider or pharmacist for specific instructions tailored to your condition and the formulation of aluminum hydroxide you are using.

Other uses for this medicine

• Phosphate-Restricted Diet: If you are on a phosphate-restricted diet, avoid consuming foods high in phosphate while taking aluminum hydroxide, as it can bind with phosphate in the stomach and decrease its absorption.

What special precautions should I follow?

Special Precautions for Aluminum Hydroxide:

• Kidney Function: Individuals with kidney disease should use aluminum hydroxide cautiously and under medical supervision, as it can accumulate and cause toxicity in those with impaired kidney function.
• Interactions: Aluminum hydroxide can interfere with the absorption of certain medications, such as tetracyclines, digoxin, and some antibiotics. It’s important to take aluminum hydroxide at least 1-2 hours apart from other medications to avoid this interaction. Your doctor or pharmacist can provide guidance on timing.
• Constipation: Aluminum hydroxide can cause constipation as a side effect. Ensure an adequate intake of fluids and dietary fiber, and consider discussing with your doctor if constipation becomes problematic.
• Allergies and Sensitivities: If you have known allergies or sensitivities to aluminum or any components of aluminum hydroxide formulations, inform your healthcare provider before using it.
• Pregnancy and Breastfeeding: It’s generally considered safe to use aluminum hydroxide during pregnancy and breastfeeding, but always consult your healthcare provider for personalized advice.
• Monitoring: Regular monitoring of kidney function may be necessary if you are using aluminum hydroxide long-term, especially if you have kidney disease.

Always follow your healthcare provider’s recommendations regarding the use of aluminum hydroxide, including dosage, timing, and any additional precautions based on your individual health profile.

What special dietary instructions should I follow?

• Phosphate-Restricted Diet: If you are using aluminum hydroxide as a phosphate binder, follow any specific dietary guidelines given by your healthcare provider or dietitian. This may include avoiding foods high in phosphates such as dairy products, nuts, seeds, and certain processed foods.
• Timing of Meals: When using aluminum hydroxide as an antacid, take it after meals and at bedtime as directed. This helps to neutralize stomach acid effectively.

What should I do if I forget a dose?

• If you miss a dose of aluminum hydroxide and are taking it on a regular schedule, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule.
• Do not double up to make up for a missed dose unless instructed by your doctor.

What side effects can this medication cause?

Aluminum hydroxide, like any medication, can cause side effects, although not everyone experiences them. Common side effects include:

• Constipation: This is one of the most common side effects of aluminum hydroxide. It occurs because aluminum hydroxide can slow down bowel movements.
• Loss of Appetite: Some people may experience a reduced desire to eat while taking aluminum hydroxide.
• Nausea and Vomiting: These gastrointestinal symptoms can occur, especially if aluminum hydroxide is not well tolerated.
• Weakness or Fatigue: Feeling tired or weak can sometimes occur as a result of aluminum hydroxide use.
• Muscle Weakness: In some cases, prolonged use of aluminum hydroxide can affect muscle function.
• Bone Pain or Fractures: Long-term use of aluminum hydroxide can interfere with calcium metabolism, potentially leading to bone problems.
• Aluminum Toxicity: Although rare, excessive accumulation of aluminum in the body can lead to symptoms such as confusion, muscle weakness, bone pain, and seizures. This is more likely to occur in individuals with impaired kidney function who cannot excrete aluminum effectively.
• Allergic Reactions: Allergic reactions to aluminum hydroxide are rare but possible. Seek immediate medical attention if you experience symptoms such as rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, or trouble breathing.

It’s important to discuss any concerns or unusual symptoms with your healthcare provider promptly. They can help assess whether any side effects are related to aluminum hydroxide and provide guidance on managing them or adjusting your treatment regimen if needed.

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

Storage of Aluminum Hydroxide:

• Room Temperature: Store aluminum hydroxide at room temperature, away from moisture and heat.
• Keep Container Tightly Closed: Ensure that the container or bottle is tightly closed when not in use to prevent contamination or moisture ingress.
• Keep Out of Reach of Children: Store aluminum hydroxide in a secure place where children cannot reach it.
• Follow Specific Instructions: Follow any specific storage instructions provided by your pharmacist or on the medication label.

Disposal of Aluminum Hydroxide:

• Unused Medication: Dispose of any unused aluminum hydroxide according to local guidelines or specific disposal instructions provided by your pharmacist or healthcare provider.
• Do Not Flush: Do not flush medications down the toilet unless instructed to do so. Proper disposal helps prevent environmental contamination.

In case of emergency/overdose

• Symptoms: Symptoms of aluminum hydroxide overdose may include severe constipation, muscle weakness, confusion, and possibly symptoms of aluminum toxicity such as seizures. Seek immediate medical attention if you suspect an overdose or if someone has accidentally ingested large amounts of aluminum hydroxide.
• Emergency Care: If possible, bring the medication container or label to help healthcare providers identify the specific product that was ingested.

What other information should I know?

• Regular Monitoring: If you are using aluminum hydroxide as a phosphate binder or long-term antacid, regular monitoring of kidney function may be necessary, especially if you have kidney disease or are at risk.
• Interaction with Other Medications: Aluminum hydroxide can interact with other medications, reducing their absorption. Take aluminum hydroxide at least 1-2 hours apart from other medications unless instructed otherwise by your healthcare provider.
• Dietary Considerations: If using aluminum hydroxide as a phosphate binder, follow any dietary recommendations provided by your healthcare provider or dietitian to manage phosphate intake effectively.
• Medical Alert: Inform all healthcare providers involved in your care that you are taking aluminum hydroxide, especially if you are scheduled for any medical tests or procedures.
• Allergic Reactions: Be aware of signs of allergic reactions (such as rash, itching/swelling, severe dizziness, trouble breathing) and seek immediate medical attention if they occur.

Always follow your healthcare provider’s instructions regarding the use of aluminum hydroxide, including dosage, timing, and any precautions specific to your medical condition. If you have any questions or concerns, do not hesitate to discuss them with your healthcare provider or pharmacist.