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aluminum hydroxide suspension - oral, Alternagel, Amphojel (cont.)

HOW TO USE: Take this medication by mouth between meals and at bedtime. Follow all the directions on the product package or use as directed by your doctor. If you are uncertain about any of this information, consult your doctor or pharmacist.Shake the bottle well before each dose. Refrigerating the suspension may improve the flavor. Do not freeze. This medication works best if taken without other fluids. You can mix your dose with a little water if needed.This product contains aluminum, which may react with other medications (e.g., digoxin, iron, tetracycline antibiotics, quinolone antibiotics such as ciprofloxacin), preventing them from being fully absorbed by your body. Talk with your doctor or pharmacist about how to schedule your medications to prevent this problem.If your acid problems persist or worsen after you have used this product for 1 week, or if you think you have a serious medical problem, seek immediate medical attention. If you are using this medication regularly on a daily basis for more than 2 weeks, you may have a medical problem that needs different treatment. Ask your doctor if this is the right medication for you.

SIDE EFFECTS: Constipation may occur. This could lead to other problems such as hemorrhoids and bowel obstruction. If constipation persists or worsens, contact your doctor or pharmacist promptly.If your doctor has directed you to use this medication, remember that he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.To minimize constipation, drink plenty of fluids and exercise. Using an antacid that contains magnesium along with this product can help prevent constipation. Stool softeners may also be helpful. Ask your doctor or pharmacist about other antacids, stool softeners and laxatives.Aluminum-containing antacids bind to phosphate, an important body chemical, in the gut. This can cause low phosphate levels if your kidneys are normal, especially if you use large doses for a long time. Tell your doctor immediately if you have any of the following symptoms of low phosphate: loss of appetite, unusual tiredness, muscle weakness.Seek immediate medical attention if any of these rare but very serious side effects or symptoms of a serious medical problem occur: black/tarry stools, mental/mood changes (e.g., confusion, deep sleep), pain with urination, stomach/abdominal pain, vomit that looks like coffee grounds.A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.



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