Question to the doctor

Gastal's use for heartburn

Gastal is an effective and inexpensive drug from the group of antacids. It is used to treat symptoms and therapy of acid-dependent diseases of the digestive tract, including heartburn. It acts by neutralizing hydrochloric acid, which is part of the gastric juice.

There are two active ingredients in every Gastal pill for heartburn. One of them is aluminum hydroxide (450 mg), and the second is magnesium hydroxide (300 mg). There are additional components in the tablet, such as corn starch, lactose monohydrate, sodium stearate, sorbitol, talc, etc. They help to improve the quality, duration of action and stability of the drug. It also has two sweeteners - cyclamate and sodium saccharin, and an additive that improves the taste of the product and mimics the taste of peppermint, cherry or orange.

pharmachologic effect

There are many reasons why the human body can begin to secrete more acid in the stomach than usual. Certain foods and drinks, including alcohol, caffeine, spicy foods, acidic foods, and even chocolate, can trigger this condition.

Gastal from heartburn, like other antacids, works on the basis of a very simple principle of basic chemistry: “acid + alkali = salt + water”.

If an equal amount of an acidic substance is added to an alkaline substance, the resulting chemical reaction converts the acid and alkali into salt and water. And acid and alkali are corrosive substances, but salt and water are completely harmless substances.

Gastal's components are alkaline. If you chew or swallow an antacid tablet, the alkali reacts with the acid of the stomach and turns into plain water and salt, thereby relieving the pain from heartburn.

Indications and contraindications

According to the annotation, Gastal for heartburn is taken in the following conditions:

  • Acid reflux or “heartburn” is a burning sensation in the throat or chest.
  • Diseases in which excess acidity occurs in the stomach.
  • Focal destruction of the gastric mucosa of various origins.
  • For relief of symptoms of peptic ulcers, gastritis and gastroesophageal reflux disease.
  • Diaphragmatic hernia.

As part of combination therapy, Gastal is taken for acute pancreatitis or exacerbation of chronic pancreatitis.

Instructions for use prohibit taking Gastal for heartburn in the following conditions:

  • Severe renal failure.
  • Senile Alzheimer's type dementia.
  • Dyspepsia.
  • Metabolic disorders, namely lactose intolerance, lactase deficiency and malabsorption of glucose-galactose in the small intestine.
  • Hypophosphatemia.
  • High individual sensitivity to any component of the drug, aluminum or magnesium salts.

Gastal is not recommended before taking blood for biochemical analysis.

Gastal is not prescribed for children under six years of age.

If the patient suffers from chronic renal failure or is a teenager over twelve years old, but weighing less than fifty kilograms, a child aged 6 to 12 years old or an elderly person, then Gastal for heartburn is prescribed under the supervision of the attending physician, taking into account the severity of the disease and the general condition of the patient.


Most reviews (about 80%) about Gastal are positive. Patients highly appreciate both the speed of exposure to the drug and the long-term effect after its use. Another big plus of this medicine is its pleasant taste and ease of use. Also, many people in the reviews note the convenience of using the drug - there is no need to drink it with water.

Instructions for use (method and dosage) for heartburn

Gastal should be taken orally, that is, through the mouth, inside. Do not swallow the product, it must be slowly absorbed. In case of heartburn, Gastal is taken regardless of whether the stomach is empty or full. For other diseases, it is recommended to dissolve the drug an hour after eating or going to bed.

  • How to take Gastal for adults. One tablet four to six times a day. The maximum dose is eight tablets in 24 hours. The course of treatment lasts an average of two weeks. A longer period of admission takes place only under the supervision of a doctor. If the patient suffers from chronic renal failure, the duration of treatment and dosage are the same. With burning, nausea and other unpleasant sensations caused by overeating, drinking alcohol or smoking, it is not necessary to conduct a full course of treatment with Gastal. It is enough to take the drug occasionally.
  • How to take Gastal for children. If Gastal is prescribed for children under 12 years of age, they are given half the adult dose. The same applies to adolescents over 12 years old if their body weight is less than fifty kilograms. The duration of admission is the same as in adults - no more than two weeks. So that the child does not spit out the pill, it is better to give him Gastal with the taste of mint or cherry. The maximum allowable children's dose of Gastal is 5 tablets per day.
  • How to take Gastal during pregnancy. Although with caution, the use of this antacid is permissible during gestation. With the proviso that its beneficial qualities are higher than the possible risk to the fetus. The tool does not have a systemic effect, through the blood-brain barrier it does not penetrate and does not pass into breast milk. Therefore, breastfeeding with the simultaneous administration of Gastal is possible, if allowed by a gynecologist who observes the woman before childbirth.

It is better not to take Gastal along with other medicines. It can both strengthen and weaken the effect of many of them. The necessary interval before taking another medicine is from one to two hours.

Price and analogues

There are no drugs absolutely identical in composition to Gastal on the Russian pharmaceutical market. But there are nonabsorbable antacids with similar effects:

The cost of drugs depends on the manufacturer, the price policy of the pharmacy and the number of tablets in the package. But on average, drugs from Western Europe are more expensive than their analogies from Eastern Europe or India.

For 12 tablets (the minimum amount per pack) Gastala will have to pay from 150 rubles.

Why does heartburn occur?

The feeling of heartburn is explained by the fact that acid from the stomach is thrown into the esophagus and actually causes a burn of its mucous membrane. In the occurrence of heartburn, enzymes produced by the pancreas also take part. In most cases, this discomfort is caused by alcohol abuse, fatty and spicy foods, overeating at night. It can also occur after active exercise or other exertion after eating or due to a love of tight clothing. If heartburn arose as a single episode, then usually this should not cause concern, and you can take any medication that relieves discomfort, including Gastal.

Frequent episodes of heartburn require medical attention!

The main cause of frequent heartburn attacks is reflux disease. Sometimes refluxes occur in healthy people, but if you notice that heartburn often torments you for a long time, then you should consult a doctor, and use Gastal only to alleviate the condition, and not for the main treatment.

Heartburn is cause for concern in the above cases because the prolonged irritating effect of acid and enzymes on the mucous membrane can lead to inflammatory processes, esophageal ulcers, strictures (persistent narrowing of the lumen), precancerous disease (the so-called Barrett’s esophagus) and adenocarcinoma.

Also, the reasons for throwing the contents of the stomach into the esophagus may be impaired motility not only of the stomach, but also of the underlying intestine.

The principles of the drug

The medicine used for heartburn

As mentioned above, this drug neutralizes hydrochloric acid. It is this property that determines the elimination of discomfort that causes heartburn. Due to the fact that the acid is neutralized and the symptoms of other dyspeptic symptoms, such as belching and stomach pain, are relieved. Also, the neutralizing effect extends to pancreatic enzymes and bile acids.

Gastal belongs to the group of antacid drugs that quickly alleviate discomfort and discomfort.

The drug also has a protective property in relation to the gastric mucosa. It consists in the fact that the production of mucin (protective mucus) and sodium bicarbonate increases. Mucus envelops the mucous membrane and creates a barrier against acid exposure, and the sodium salt has an additional neutralizing effect.

How to take Gastal

The tablet is placed under the tongue or cheek and absorbed. Please note that the medicine can neither be bitten, nor chewed, nor drunk. The drug can be taken up to 6 times a day. Children over 12 years of age and adults should take one or two tablets one hour after eating and one more immediately before bedtime.

A continuous course of treatment with such a drug can last as long as 14 days. Until this time, the medicine can be taken until the symptoms of discomfort disappear. If after the maximum allowable period of treatment the symptoms do not go away, you should consult a doctor.

It is also possible to use Gastal for the purpose of prevention before eating sharp or fatty and fried foods.

Gastal tablet should be gradually absorbed.

Children under 6 years of age are not recommended to take this drug. The dosage for children from 6 to 12 years is ½ of an adult.

Also, it should be borne in mind that the instructions for the drug indicate that pregnant and lactating women this drug is recommended for use with heartburn only in extreme cases, but it is better to choose another remedy. This is due to the content of aluminum salts in the preparation, which are excreted in mother’s milk and are dangerous for the baby. During pregnancy, an excess of aluminum can lead to an increased risk of diseases and damage to the bones of newborns, even delayed fetal development.


Cases of drug overdose are not described in the literature. But with prolonged use of the drug in doses exceeding the maximum daily allowance, subsequent development of hypophosphatemia, a decrease in calcium and an increase in urine, osteoporosis, encephalopathy, and possibly impaired normal kidney function are possible.

With the development of these complications, symptomatic therapy is performed.

Cost and analogues of the drug

I must say that Gastal is a relatively inexpensive drug, on average, the price for it starts at 150 rubles. Before considering analogues, it is worth saying that it is recommended to take the original drug, and not those that are based on it.

Before looking for analogues of the drug, use the original drug that has undergone full-fledged clinical studies!

Gastal's analogues can be considered Rennie, Pepsan, Gaviscon and Gaviscon Forte, Taltsid, Maaloks, Fosfalugel.

Absolute analogues of this drug do not exist. The listed funds have slightly different properties. For example, Rennie refers to absorbable antacids. This means that its duration is shorter and there is a risk of an increase in acidity at night.

Analogues of the drug work no worse and help many patients cope with such an unpleasant symptom. It should be noted that the price difference between these drugs is insignificant, and the price is not the factor to be guided in this case.

Gastal has proven its effectiveness; it is deservedly popular among patients who suffer from heartburn.

Composition, form, packaging, description

What helps Gastal? Before answering this question, you should find out in what form this drug goes on sale.

According to the instructions, the medication mentioned is available in the form of lozenges. They have cherry and mint flavors, as well as white or cream color, a round shape with a chamfer and a smooth surface.

The active substances of this tool are magnesium hydroxide and aluminum hydroxide-magnesium carbonate gel. In addition, the composition of the medicine includes such auxiliary ingredients as sodium cyclamate, lactose monohydrate, mannitol, sorbitol, sodium saccharin, corn starch, peppermint flavoring, magnesium stearate and talc.

The drug in question goes on sale in blisters and cardboard boxes.

Features of the drug

All patients should know about what Gastal helps from. This medication belongs to the group of buffered antacids. It increases the pH of the juice of the stomach, and also eliminates the discomfort caused by increased acidity in the main digestive organ (heartburn and abdominal pain).

The antacid properties of this drug are manifested due to the rapid and prolonged neutralization of the acid (hydrochloric) of the stomach. Taking one tablet can neutralize hydrochloric acid.

Drug properties

The drug "Gastal" from heartburn helps very well. This effect is due to its composition.

The gel of aluminum hydroxide-magnesium carbonate is a buffered antacid substance that lowers the acidity of the stomach juice to a normal level and normalizes digestion processes. It should also be noted that aluminum hydroxide is able to inactivate pepsin, which is contained in gastric juice.

As for magnesium hydroxide, this is a non-buffered antacid. It is not absorbed in the intestine, but it very quickly neutralizes acidity and also has a laxative effect.

According to the instructions, the complex of aluminum hydroxide and magnesium hydroxide activates the antacid effect and reduces the risk of side effects that are characteristic of each ingredient separately (for example, diarrhea after applying magnesium compounds and constipation after aluminum).

The antacid effect of the drug in question appears almost immediately after taking the medicine and lasts for two hours. In this case, the medication inactivates pepsin, lysolecithin and bile acids.

It should also be noted that aluminum hydroxide enhances the protective and regenerative processes in the stomach.

What helps Gastal?

By asking this question to your doctor, you will get the answer that the drug in question relieves indigestion, as well as pain and discomfort in the stomach.

Will Gastal help with heartburn? And in this condition, the medication in question acts very effectively.

So, the indications for taking these tablets are:

  • diseases that are characterized by increased acid formation (for example, peptic ulcer, gastritis or reflux esophagitis),
  • dyspeptic manifestations such as heartburn, epigastric pain, sour belching, discomfort after drinking coffee, alcohol, nicotine, diet errors and taking a number of drugs.

Does Gastal help with nausea? This condition eliminates this condition only if it is associated with diseases of the digestive tract.


Now you know that Gastal helps with nausea only in special cases. However, before taking this drug, you should know that it has a number of the following contraindications:

  • renal failure (severe forms),
  • hypersensitivity to aluminum, magnesium compounds or other constituent components,
  • children under six years old,
  • Alzheimer's disease,
  • hypophosphatemia,
  • diseases associated with impaired lactose metabolism.

It should also be noted that this remedy is prescribed with caution in case of chronic kidney failure, children 6-12 years old, adults and adolescents from 12 years old weighing less than 50 kg.

The drug "Gastal": instructions for use

What helps this medication, we told above.

According to the instructions, the product in question is intended for resorption in the amount of 1-2 tablets 4 or 5 times a day 60 minutes after the meal and before bedtime. The highest dosage of this drug per day is 8 tablets, and the duration of administration is no more than two weeks.

With heartburn, this medication must be taken regardless of the meal in similar doses.

For children aged 6-12 years, as well as adults and toddlers from 12 years old with a weight of less than 50 kg, this medicine must be consumed in half the dose (from the standard). In this case, the course of therapy should also not be more than two weeks.

In people with chronic kidney disease, dose and dose adjustment are not required.

Negative consequences

When taking Gastal resorption tablets, patients may experience:

  • constipation, discoloration of feces,
  • nausea, urticaria,
  • diarrhea, itching, vomiting, dermatitis,
  • anaphylaxis and Quincke's edema.

As a rule, the use of the medication in recommended dosages does not cause the mentioned side effects.

With prolonged use of the drug in high doses, the concentration of phosphorus in the body may decrease, osteomalacia, decalcification processes in bone tissues may increase, and hyperaluminemia and hypermagnesemia may occur.

In people with kidney disease, with the use of this drug, plasma concentrations of magnesium and aluminum increase. Often this leads to the development of dementia and encephalopathy.

Special recommendations

The use of this drug in large doses can cause intestinal obstruction. If, after treatment, the patient has lost body weight, there is constant discomfort in the abdomen and the swallowing process is difficult, then you should immediately consult a doctor.

It is highly recommended not to use the medication in question for more than two consecutive weeks without a doctor's prescription.

Reviews about the drug

The overwhelming majority of reviews on Gastal tablets are positive. Consumers claim that this medicine is good at eliminating heartburn and other unpleasant problems that are associated with diseases of the digestive system. The main advantages of this drug are speed of action, pleasant taste and long-lasting effect.

Many of those who often experience severe discomfort localized in the esophageal region are wondering if it is possible to drink Gastal from heartburn?

This drug belongs to the group of antacid drugs, so its use in the presence of heartburn is fully justified.

After reading the article, you can learn about the forms of release of funds and the scheme of its use.

Release form and composition of "Gastal"

Antacids, including Gastal, have a rather specific effect aimed at reducing the acidity level of gastric juice.

In addition, they struggle with various manifestations of dyspeptic disorders, leveling the feeling of heaviness in the stomach, increased gas formation, etc.

It is important to understand that Gastal, like any antacids, is not used to treat heartburn. The drug belongs to the group of symptomatic drugs used to temporarily get rid of an oppressive sensation.

To prevent the occurrence of heartburn, you should take alternative pharmacy drugs that belong to the pharmacological group of antisecretory drugs that normalize the work of the stomach and intestines.

The drug "Gastal", manufactured at the plants of the European company Pliva Hrvatska, is available in one pharmacological form - in the form of tablets.

To speed up the action of the tablet, it must not be swallowed with water, but absorbed until completely dissolved. On sale are tablets with three different flavors: traditional (herbal), mint and cherry.

The main active ingredients that make up one tablet of the Gastal drug are:

  • aluminum hydroxide magnesium carbonate,
  • magnesium hydroxide.

The first active component of the composition plays the role of an antacid substance that has buffering properties and reduces the acidity level of gastric juice.

The second component of the formula complements the action of the first and provides a mild laxative effect.

The synergy of the active substances that make up the drug allows you to get rid of the symptoms of heartburn in a relatively quick time.

On average, Gastal begins to act within ten to fifteen minutes after taking the pill.

Additional components that make up the Gastal preparation are corn starch, mannitol, lactose, sorbitol and flavorings.

On the mechanism of action of the drug

"Gastal" is an emergency remedy that allows you to get rid of heartburn. The antacid properties of the drug not only block the excessive production of gastric juice and reduce its acidity, but also control the production of pepsin and other digestive enzymes that can cause heartburn symptoms.

Gastal can be taken both to combat severe discomfort localized in the esophageal region and to get rid of heaviness in the stomach.

In addition, the drug demonstrates effectiveness in temporarily neutralizing the pain experienced by people suffering from gastric ulcer or from erosive gastritis.

Some of those who cannot boast of proper nutritional behavior and regularly overeat or consume foods that have unhealthy chemicals are taking Gastal for preventive purposes to reduce the risk of consequences.

The drug "Gastal", taken in accordance with the instructions, allows not only to neutralize heartburn, but also stimulates the normalization of the digestive process.

Thanks to this fact, people who always have Gastal at hand can quickly relieve themselves of various symptoms of dyspeptic disorders.

On average, the duration of the effect achieved after taking one tablet of the drug lasts for two hours.

Active substances in a single dose of the drug are able to neutralize hydrochloric acid, the volume of which is twenty moles.

A side effect of the drug is the inhibition of the activity of certain digestive enzymes, such as pepsin, lysolecithin, etc.

Timely blocking of excessively "raging" enzymes eliminates the signs of primary functional disorders of the stomach and allows a person to regain comfort.

The additional substances contained in the preparation seem to envelop the walls of the stomach, creating a thin protective barrier that stimulates the regeneration of damaged tissues.

Therefore, taking "Gastal", you can not only get rid of heartburn, but also forget about the pains that are localized in the epigastric region.

Special substances formed by mixing the components of the formula of the drug stimulate the epidermal growth factor of mucous cells.

The process of tissue regeneration is enhanced by phospholipids, which accumulate in the stomach under the influence of Gastala active substances.

Additional drug information

The active substances that are part of the Gastal formula are not absorbed into the blood, thereby not destroying the organs of the human body. They are excreted from the body along with biological fluids.

Like any other pharmacy drug, Gastal has specific indications for use.

These include the following pathological conditions:

  • severe heartburn, provoked by improper eating behavior, taking potent medications, nicotine and alcohol abuse,
  • diseases characterized by an increase in the acidity of gastric juice (gastritis of various etiologies, erosive and ulcerative lesions of the gastrointestinal mucosa, etc.),
  • esophageal refluxes,
  • diaphragm hernia
  • persistent dyspepsia
  • acute and chronic pancreatitis.

The maximum daily dose of the drug for adults and children over the age of twelve is eight tablets.

Gastal should be taken not during meals, but after an hour and a half after eating. In the presence of severe heartburn, a single dose of the drug can be increased to two tablets.

Gastal is a symptomatic medicine that should be used only if there are clear signs of heartburn. Reception of these tablets should be stopped immediately after the disappearance of discomfort.

In the presence of severe ongoing heartburn, which lasts more than two weeks, you should stop taking the drug and select its analogue, which contains alternative active ingredients.

Ideally, medication should be prescribed by a gastroenterologist who has become acquainted with the actual test results of a person in need of symptomatic therapy.

Gastal’s analogues, which have similar effects, are Agiflux, Almagel, Maalox, Gastracid, Gaviscon and others.

"Gastal" refers to the category of medicines that are sold without a doctor’s prescription. On average, the cost of a medicine will be two hundred - two hundred and fifty rubles per blister with twelve tablets.

Before starting treatment with Gastalom, you should carefully read the instructions enclosed in the package and make sure that there are no contraindications for use in your specific case.

Heartburn, heartburn again. Previously, sometimes there were episodes, but now I had a snack - and get it, and sometimes on an empty stomach. You understand that you should be examined, but again you get the “Gastral” and extinguish an unpleasant symptom. How to take the drug so as to remove heartburn and not harm yourself.

Release form and mechanism of action

Gastal belongs to the antacid group.

Gastral belongs to the antacid group. These substances are intended to quickly reduce the manifestations of reflux disease, and other diseases, one of the symptoms of which is heartburn.

In appearance, Gastral is a biconvex tablet of white or cream color. The main active ingredients are aluminum hydroxide-magnesium carbonate gel and magnesium hydroxide.

This combination drug begins to act immediately after administration. The positive effect lasts for 2 hours. The active ingredients of Gastral reduce the aggressiveness of gastric juice and do not provoke its production after the end of the antacid.

After administration, a normal pH level is maintained in the stomach - from 3 to 5 units. Gastral tablets eliminate dyspepsia, improve the regeneration of the gastric mucosa. The components of the drug have a mild laxative effect and are completely excreted in the feces.

Gastral. Effective dosages and overdose symptoms, side effects

The drug Gastal should be slowly absorbed in the oral cavity.

Antacid should be slowly absorbed in the oral cavity. The dosage of the drug depends on the age of the patient, indications for administration and concomitant diseases:

  1. Adults and children from 12 years of age - prescribe 1-2 tablets from 4 to 6 times a day 1 hour after a meal.
  2. But no more than 8 tablets per day. The duration of treatment is 14 days.
  3. Children from 6 to 12 years old - no more than 4 tablets per day 1 hour after a meal. The course is 14 days.
  4. With kidney disease, the dose is not reduced. Reception is carried out as prescribed by the doctor.
  5. If the drug is prescribed for the relief of heartburn, then it is taken immediately if unpleasant symptoms occur, without taking into account the meal time.

With an overdose of the drug, the following symptoms may occur:

  • Disruption of the urinary system
  • Nephrocalcinosis
  • Osteoporosis
  • Lack of calcium and magnesium, serum phosphates
  • Defecation disorders - both constipation and diarrhea
  • Thirst
  • Decrease in blood pressure
  • Encephalopathy

There are no specific drugs for the treatment of antacid overdose.

Side effects from the drug "Gastral" are extremely rare. Allergic reactions to antacid active substances, defecation disorders and extremely rare changes in the taste buds are noted in the literature. All side effects disappear on their own after stopping Gastral.

special instructions

Tetracycline antibiotics are prohibited from taking with antacids.

It is forbidden to take antacid and tetracycline antibiotics. The absorption of tetracycline is reduced by 90%. Taking an antibiotic is possible only 2 hours after antacid.

Cephalosporin and cyclofloxacin preparations lose their effectiveness by 50–90% in the presence of Gastral.

Antacid reduces the effectiveness of acetylsalicylic acid and drugs based on it. At the same time, the urine pH rises, while aspirin and its analogues are excreted 30% faster from the body.

Drugs that reduce intestinal motility, prolong the action of antacid. Acceptance of any medicines should be carried out 1 hour before or 1 hour after taking Gastral.

The drug does not have a teratogenic effect on the fetus during pregnancy and is not excreted in breast milk. The decision to take antacid during the gestation period is made by the gynecologist on the basis of complaints and the general condition of the woman.

Gastal will tell about the action of the tablets. Stock Footage:

Gastral. Issue price

The cost of antacid depends on the geographical location of medical institutions:

  1. Ukraine - 1 pack of 30 tablets - from 56 to 78 hryvnia
  2. Russian Federation - 1 pack of 24 tablets - from 200 to 225 rubles
  3. Republic of Belarus - 1 pack of 30 tablets - from 3 to 5 Belarusian rubles

Analogs of antacid "Gastral"

Rennie is an analogue of the drug Gastal.

The drugs of the Antacid group are interchangeable and are widely represented by drug manufacturers.

Use a different drug only after consultation with your doctor. Analogs of "Gastral":

  • Rennie
  • Domrid
  • Pepsan
  • Gaviscon and Gaviscon Fort
  • Quamatel
  • Pechayevsky from heartburn
  • Leovit - in the form of jelly
  • Talcide
  • Gastricumel
  • Maalox
  • Riapan
  • Phosphalugel

The choice of drugs is huge. They are presented in various forms - tableted, jelly and solutions, tablets for chewing and resorption.

Antacids are drugs to combat unpleasant symptoms. They do not treat the cause of heartburn, but only remove the external signs of the pathological process. Therefore, do not lean on antacids, but consult a gastroenterologist and undergo complex treatment. Remove the cause of the symptoms - get rid of heartburn.

Indications for use

Gastal quickly and effectively copes with many diseases associated with digestion. Improper nutrition, nervous breakdowns and bad habits lead to gastritis, which this medicine successfully fights with.

It is used for digestive disorders: severity in the stomach, heartburn, epigastric pain. All these symptoms are caused by an increased level of acidity, with which Gastal successfully copes.

Due to its regenerating properties, it is an excellent medicine for gastric ulcer, erosive formations on the walls of the stomach and duodenum. They treat acute pancreatitis, fermentative dyspepsia and even diaphragmatic hernia.

How to use?

Gastal is used internally, but is not swallowed.The resorption tablet must be placed on the cheek or under the tongue and held until completely dissolved. Do not drink it with water or chew. With non-single treatment, it is carried out an hour after eating and before bedtime.

Before taking any medicine, consultation with a specialist is necessary. It is he who can accurately determine the duration of treatment and dosage for the most effective result.

The usual average dosage per day for an adult is 3 single doses of 2 tablets. For children 6-12 years old, the dose is reduced by 2 times.

With prolonged symptoms, the course of treatment can last from one to two weeks. But with one-time painful manifestations, for example, with poisoning, heartburn or overeating, just one tablet is enough.

Opinions of experts

With normal kidney function, Gastal has a systemic effect on the human body. Aluminum hydroxide, interacting with stomach acid, reacts with carbonates and phosphates. After it, insoluble salts are excreted in the feces.

Magnesium hydroxide is also excreted in the form of insoluble carbonates, after much work has been done. It reacts with gastric acid. As a result, magnesium chloride appears, acting in the small intestine as an osmotic laxative.

Baby Kalm: instruction for use in infants from colic.

Learn from this article how to properly treat lactose deficiency.

Patient Reviews

Larisa, Rostov-on-Don

Fast, straightforward emergency care for pain and heartburn. Most importantly, it does not just immediately anesthetize, but eliminates the cause of the pain.

It seems to me that this is still not a cure, because the symptoms return the next day.

M.S., p. Semlevo

The doctor ordered me to take a tablet 5 times a day. I drank it for two weeks, and the seasonal attack of gastritis was gone, as it was not. Just when you drink one-time, Gastal and one-time action. But when regularly, the result manages to gain a foothold.

He has only one drawback: dear. It seems that 152 rubles per blister is a penny. But, when you need to suck out this blister in two days, the treatment bites.

P. Kovaleva, Moscow

An excellent tool that should always be in your purse, like validol. It acts just as fast. I have recently, immediately after eating, bloating begins. I tried to drink soda, the doctor scolded me. It turns out harmful. I do not drink Gastal regularly, and when I see some fatty and fried yummy on a plate. We’ll have a snack and a pill. And no bloating. This is my lifesaver.

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Causes of Heartburn

Unpleasant feelings during heartburn are caused by the fact that stomach acid enters the esophagus and provokes a burn on its mucous membrane.

In addition to acid, some enzymes that the pancreas produces are involved in the process.

Most often, this condition manifests itself against the background of drinking alcohol, eating fatty foods and eating too much food at bedtime.

In addition, heartburn can occur after sports or other physical activity immediately after eating.

In the event that a burning sensation occurs once, you can not worry and drink Gastal tablets or any other drug at hand.

Another reason that affects the appearance of heartburn can be called reflux disease.

It happens that a reflux occurs in a completely healthy person, but if the symptoms of heartburn began to bother regularly, it is recommended to visit a specialist, and Gastal should be taken to relieve discomfort, and not for therapy.

Composition and form of release

Gastal is an antacid group drug that was developed to neutralize excess hydrochloric acid and combat the symptoms of heartburn.

The composition of the drug Gastal includes aluminum-magnesium hydroxycarbonate and magnesium hydroxide.

The product is available in the form of absorbable tablets, either tasteless or with a mint or cherry flavor. Sold on a blister pack containing 6 tablets.

Drug action

As already mentioned above, Gastal has an antacid effect, helps to quickly remove the symptoms of heartburn and the discomfort that it causes.

This phenomenon is achieved due to the neutralization of hydrochloric acid. In addition, in the event of normalization of acid secretion, Gastal relieves other symptoms, such as belching and pain in the stomach.

For neutralization applies to pancreatic enzymes, and bile acids. The drug protects the mucous membrane from various irritants.

In connection with an increase in the production of mucin, protective mucus, and sodium bicarbonate, the stomach is enveloped and a kind of barrier appears that does not allow acid to pass through.

In what cases is Gastal prescribed

There are several indications, in the presence of which it is customary to prescribe the use of the drug:

  1. Diagnosis of acute gastritis.
  2. Stomach ulcer.
  3. Chronic mucosal damage.
  4. Duodenal ulcer.
  5. Duodenitis in a chronic form.
  6. Exacerbation of pancreatitis.
  7. The presence of reflux esophagitis in the body.
  8. Hyperphosphatemia.
  9. Heartburn.
  10. Dyspepsia in various manifestations.

It is worth remembering that the intake of any drug should be prescribed only by a qualified specialist.

How to take Gastal

Gastal tablets should be put under the tongue and dissolve. It is worth considering that the medicine is forbidden to chew or swallow whole.

Drinking it is allowed 5-6 times a day for 1-2 tablets 60 minutes after a meal.

It can be treated in this way no longer than 2 weeks. The best option is to use the remedy when symptoms occur and until it finally disappears.

In the event that signs of heartburn continue to bother a person after 14 days, consultation with a specialist is required.

In addition, Gastal is often used as a preventive measure for heartburn, so they drink before eating a fatty or fried dish.

Can I drink Gastal pregnant

Initially, it should be clarified that these tablets during pregnancy are not prohibited.

But this does not mean that a woman can be treated uncontrollably with Gastal - it is allowed to use it only after consulting a doctor.

Women carrying a child periodically feel heartburn and heaviness in the abdomen, which often occur during eating or may be associated with any other factors.

In this case, Gastal can be drunk without fear, but just not get carried away and take it occasionally.

More precisely, if there is heartburn or pain in the epigastrium, then one or two tablets will not hurt. But if there are no symptoms, then it is better to abandon the medicine.

With exacerbation of chronic gastritis, ulcers or duodenitis, you can use Gastal. Tablets should not be taken for longer than 5 days and more than 1-2 at a time.

Can an overdose of the drug occur

For the entire time of the use of the drug in question, no cases of overdose were detected.

But it should be noted that prolonged use of drugs, which contain aluminum and magnesium, provokes an increase in the content of these substances in the blood.

A similar phenomenon is dangerous by the occurrence of destruction in bone tissues, leaching of calcium from bones.

In addition, osteoporosis, encephalopathy, and nephrocalcinosis may develop. People suffering from kidney pathologies may show increased thirst, decrease reflexes and pressure.

In addition, prolonged use of the drug provokes problems with bowel movements - the patient may have diarrhea alternating with constipation.

In the event that treatment has led to the symptoms in question, you should drink pills that eliminate them. At the same time, Gastal does not need to be canceled.

How Gastal interacts with other medicines

During treatment with Gastal, which relieves a person of heartburn, one must take into account that he can slightly change the effect of other substances taken in parallel.

The fact is that Gastal is able to reduce the absorption of drugs, make their effect longer and interfere with their work.

Experts do not recommend being treated with the drug in question if the funds are simultaneously taken with iron, fat-soluble vitamins.

In addition, Gastal cannot be combined with substances that affect the blood coagulation process. A break of several hours should be maintained.

Does Gastal have contraindications

There are several points in the presence of which doctors forbid taking this drug.

They are as follows:

  1. Hardwood up to 6 years.
  2. Individual intolerance to the substances that make up the drug.
  3. Severe kidney or liver disease.
  4. Problems with phosphate metabolism.
  5. Alzheimer's disease.
  6. Allergy.

If a person has at least one of the listed contraindications, then he must inform the attending specialist about this.

Side effect of Gastal

When carrying out drug therapy for heartburn, the patient may encounter the following phenomena:

  1. Nausea.
  2. Constipation.
  3. Desires for vomiting.
  4. Diarrhea.
  5. Allergic reaction of the body.

At the first manifestation of a symptom, the patient should stop taking Gastal and make an appointment with a therapist or gastroenterologist to adjust the treatment process.

Analogs and cost of the drug

One of the main advantages of Gastal can be called its relatively low cost, because its price rarely exceeds 200-300 rubles.

Before acquiring analogues, a person should remember that only the original drug meets all quality requirements and only he will 100% help to eliminate the problem.

Such analogues can be attributed to Gastal's analogues:

It is noteworthy that the substance has no and never had an analogue. These medicines have a slightly different composition and have a slightly different effect on the body.

Renny, for example, is a suction antacid that works much slower and doesn’t last as long as it does from Gastal.

In addition, it is Rennie who can provoke an increase in acidity in the stomach at night.

But the considered analogues of Gastal can cope with manifestations of heartburn and save a person from severe pain and discomfort, if you know how to take it.

Due to the fact that the pricing policy between the drugs is not much different, experts recommend purchasing Gastal, the effect of which has been tested on a large number of patients of the gastroenterology department.

It is very important to ensure that the tablets do not expire. When buying, you should always check the date of manufacture, and if the tablets are in the home medicine cabinet for a long time, then you do not need to take them.

It is recommended to store the medicine in a dark place, at a temperature not exceeding 25 degrees and in an inaccessible place for small children.

If you follow all the rules of admission and know how to drink Gastal, then the drug will not only eliminate the discomfort during heartburn, but also have a beneficial effect on the patient’s entire body.

The composition of Gastal

The drug is presented in the form of lozenges, which differ in tastes and aromas. Their composition and packaging:

Creamy white round tablets

The concentration of aluminum hydroxide-magnesium carbonate gel, mg per pc.

The level of magnesium hydroxide, mg per pc.

Mannitol, magnesium stearate, sorbitol, talc, lactose monohydrate, sodium saccharin, corn pregelatinized starch, peppermint or cherry flavorings, sodium cyclamate, croscarmellose sodium, aspartame, colloidal silicon dioxide

Blisters for 6 pcs., 2, 5 or 10 blisters in a pack with instructions for use

Pharmacodynamics and pharmacokinetics

Combined antacid is intended to reduce the increased acidity of gastric juice. The drug does not stimulate secretion of the stomach. The medicine begins to act immediately, its effect lasts about 2 hours. Hydroxides of magnesium and aluminum neutralize hydrochloric acid (1 tablet can hold 21.5 mmol of acid), maintains the acidity of the stomach at a physiological level.

Gastal (Gastal) inhibits the activity of lysolecithin, pepsin, bile acids, relieves the symptoms of dyspepsia without adsorption. The drug increases the regenerative and protective functions of the gastric mucosa. Aluminum has a cytoprotective effect, enhances the production of mucin and sodium bicarbonate, activates prostaglandins. The mechanism of the drug is based on the accumulation of the epidermal growth factor in the focus of violation of the integrity of the membrane, an increase in the content of phospholipids in the walls of the stomach.

If the kidneys function normally in patients, Gastal does not exhibit a systemic effect. Aluminum hydroxide interacts with hydrochloric acid, reacts with carbonates and phosphates of an alkaline medium, and is excreted in the feces in the form of insoluble salts. Magnesium hydroxide interacts with hydrochloric acid to form magnesium chloride, which exhibits osmotic and mild laxative effects. The substance neutralizes the fastening action of aluminum in the small intestine. Magnesium residues are excreted in the feces as an insoluble carbonate salt.

Gastal during pregnancy

Gastal for pregnant women is possible to use, but only on condition that it is prescribed by a doctor. The doctor should determine the benefits for the mother and the potential risk for the development of the fetus, and if the first indicator is higher, then the use is relatively safe. During treatment with a medicine when carrying a child, the dose and duration of the course should not be exceeded.

Gastal during breastfeeding

During lactation, only a doctor can prescribe the use of Gastal to the patient. The active components of the drug are not excreted in breast milk, therefore, theoretically, they cannot enter the baby’s body, but in practice no one has conducted such studies of efficacy and safety. If the doctor permits, a nursing mother can be saved from heartburn with medication.

In childhood

The use of Gastal is contraindicated in children under six years of age due to the fact that the effectiveness and safety of using the drug have not been studied. The instruction contains information that the medicine is prescribed with caution in children over 12 years old with a body weight of less than 50 kg and in children aged 6-12 years. For all others, the dosage is 0.5-1 tablet three times a day.

Drug interaction

Instructions for use describe the possible drug interactions of Gastal with other drugs. These are combinations and effects:

  1. The drug increases the activity of nalidixic acid, Levodopa, lowers the absorption and effectiveness of beta-blockers, quinolones, barbiturates, Isoniazid, indirect anticoagulants, Indomethacin, iron-based drugs, fat-soluble vitamins, Aminazine, histamine receptor blockers, Difozoflazolofozolofozolina, Dizolofosnofosol, Dizolofosnofozolova , antipsychotics, penicillamines, pirenzepine, propranolol.
  2. The simultaneous use of the drug with tetracyclines leads to the formation of insoluble chelate complexes, which reduce the absorption and metabolism of antibiotics. If necessary, such a combination of tetracyclines is taken two hours before taking antacids.
  3. Magnesium and aluminum hydroxides lower the absorption of Ofloxacin, Ranitidine, Ciprofloxacin, Doxycycline, salicylates, acetylsalicylic acid, Fexofenadine, Phenothiazine, fluorides, fluoroquinolones, Quinidine, Quinoline, Hydrochloric acid, Chloroquine, Cytloquin, Cytokhlorutin, Tsitrovina.
  4. Antacids reduce the bioavailability of Captopril, the concentration of Metoprolol in blood plasma.
  5. The drug does not affect the pharmacokinetic properties of Amoxicillin, clavulanic acid, Cephalexin, cardiac glycosides, Digitoxin, Digoxin, thyroxine.
  6. During antacid therapy, urine pH rises, which leads to tubular reabsorption of alkaline drugs, and a decrease in the reabsorption of acidic compounds.
  7. M-cholinergic antagonists increase the duration of Gastal's activity by slowing gastric motility.
  8. It is recommended to maintain the hourly interval between the use of the drug and other medicines.

Side effects

During taking Gastal tablets, side effects may occur. The most common are:

  • diarrhea, nausea, taste change, constipation, loss of stool color, decreased appetite,
  • arrhythmia, alkalosis, fatigue,
  • allergic reactions, sensitization, anaphylaxis, urticaria, Quincke's edema, dermatitis, itching,
  • decrease in phosphorus concentration, increased bone decalcification processes,
  • hyperaluminemia, osteomalacia, hypermagnesemia hypercalciuria, osteoporosis,
  • dementia, encephalopathy.

Terms of sale and storage

Gastal is dispensed without a prescription, stored at temperatures up to 25 degrees for three years from the date of manufacture.

Drugs based on antacid components with the same properties can replace the product. The most famous analogues of Gastal:

  • Maalox - tablets and suspension against heartburn, containing algldratum and magnesium hydroxide,
  • Remmax-KV - antacid tablets based on calcium and magnesium carbonates,
  • Almagel - a suspension to suppress increased production of gastric juice, containing, in addition to the same active components, benzocaine,
  • Akrepat Forte is a suspension for oral administration with the same active composition.

Rennie or Gastal - which is better

Compared to Gastal, Rennie is an absorbable drug based on calcium and magnesium carbonates. These pills begin to act immediately on the surface of the stomach in contact with hydrochloric acid, which has its negative consequences - acid ricochet may develop. This can lead to an increase in the synthesis of hydrochloric acid. Gastal absorbs excess and neutralizes, acts more slowly, but safer. Which drug is best for the patient, the doctor decides.