Components:
Medically reviewed by Oliinyk Elizabeth Ivanovna, PharmD. Last updated on 15.05.2022
Attention! Information on this page is intended only for medical professionals! Information is collected in open sources and may contain significant errors! Be careful and double-check all the information on this page!
Top 20 medicines with the same components:
Hyperacidity, ulcer duodenal, ulcer gastric, hypersecretory conditions, gastric, zollinger- Ellison syndrome, mastocytosis systemic, adenoma, multiple endocrine reflux, gastroesophageal, and stress- related mucosal damage, hyperphosphatemia.
An indication is a term used for the list of condition or symptom or illness for which the medicine is prescribed or used by the patient. For example, acetaminophen or paracetamol is used for fever by the patient, or the doctor prescribes it for a headache or body pains. Now fever, headache and body pains are the indications of paracetamol. A patient should be aware of the indications of medications used for common conditions because they can be taken over the counter in the pharmacy meaning without prescription by the Physician.gastrointestinal disorders
An indication is a term used for the list of condition or symptom or illness for which the medicine is prescribed or used by the patient. For example, acetaminophen or paracetamol is used for fever by the patient, or the doctor prescribes it for a headache or body pains. Now fever, headache and body pains are the indications of paracetamol. A patient should be aware of the indications of medications used for common conditions because they can be taken over the counter in the pharmacy meaning without prescription by the Physician.this Calcium Carbonate (Bisma Rex) is useful for the temporary relief of occasional indigestion and heartburn. Frequent, daily or nightly symptoms usually mean a more serious problem. Antacids by themselves do not correct these problems. The medications that are now available to treat acid problems are generally superior to antacids.
The second and more important use of Calcium Carbonate (Bisma Rex) is as a source of calcium, necessary for bones and teeth and to prevent osteoporosis. A quart of milk contains about 1500 mg of calcium which is about what you need. Otherwise this or a similar calcium preparation can be taken.
An indication is a term used for the list of condition or symptom or illness for which the medicine is prescribed or used by the patient. For example, acetaminophen or paracetamol is used for fever by the patient, or the doctor prescribes it for a headache or body pains. Now fever, headache and body pains are the indications of paracetamol. A patient should be aware of the indications of medications used for common conditions because they can be taken over the counter in the pharmacy meaning without prescription by the Physician.Treating acid indigestion, heartburn, and sour stomach. It may also be used for other conditions as determined by your doctor.
Magnesium Carbonate (Bisma Rex)/Magnesium Carbonate (Bisma Rex) is an Magnesium Carbonate (Bisma Rex). It works by neutralizing the acid in the stomach.
An indication is a term used for the list of condition or symptom or illness for which the medicine is prescribed or used by the patient. For example, acetaminophen or paracetamol is used for fever by the patient, or the doctor prescribes it for a headache or body pains. Now fever, headache and body pains are the indications of paracetamol. A patient should be aware of the indications of medications used for common conditions because they can be taken over the counter in the pharmacy meaning without prescription by the Physician.Symptomatic relief of hyperacidity & peptic ulcer conditions.
An indication is a term used for the list of condition or symptom or illness for which the medicine is prescribed or used by the patient. For example, acetaminophen or paracetamol is used for fever by the patient, or the doctor prescribes it for a headache or body pains. Now fever, headache and body pains are the indications of paracetamol. A patient should be aware of the indications of medications used for common conditions because they can be taken over the counter in the pharmacy meaning without prescription by the Physician.Sodium Bicarbonate (Bisma Rex) (Sodium Bicarbonate (Bisma Rex) 5% injection) Injection may be indicated in the treatment of metabolic acidosis which can occur in severe renal disease, uncontrolled diabetes, circulatory insufficiency due to shock, anoxia or severe dehydration, extracorporeal circulation of blood and severe primary lactic acidosis. Sodium Bicarbonate (Bisma Rex) (Sodium Bicarbonate (Bisma Rex) 5% injection) Injection is further indicated in the treatment of certain drug intoxications, including barbiturates, in poisoning by salicylates or methyl alcohol, and in hemolytic reactions requiring alkalinization of the urine to diminish nephrotoxicity of blood pigments. Sodium Bicarbonate (Bisma Rex) (Sodium Bicarbonate (Bisma Rex) 5% injection) Injection may also be indicated in severe diarrhea which is often accompanied by a significant loss of bicarbonate.
Aluminum is a naturally occurring mineral. Aluminum Hydroxide (Bisma Rex) is an antacid.
Aluminum Hydroxide (Bisma Rex) is used to treat symptoms of increased stomach acid, such as heartburn, upset stomach, sour stomach, or acid indigestion. Aluminum Hydroxide (Bisma Rex) is also used to reduce phosphate levels in people with certain kidney conditions.
Aluminum Hydroxide (Bisma Rex) may be used for other purposes not listed in this medication guide.
Antacids are taken by mouth to relieve heartburn, sour stomach, or acid indigestion. They work by neutralizing excess stomach acid. Some Calcium Carbonate (Bisma Rex) combinations also contain simethicone, which may relieve the symptoms of excess gas. Antacids alone or in combination with simethicone may also be used to treat the symptoms of stomach or duodenal ulcers.
With larger doses than those used for the Calcium Carbonate (Bisma Rex) effect, magnesium hydroxide (magnesia) and magnesium oxide antacids produce a laxative effect. The information that follows applies only to their use as an Calcium Carbonate (Bisma Rex).
Some antacids, like aluminum carbonate and Calcium Carbonate (Bisma Rex), may be prescribed with a low-phosphate diet to treat hyperphosphatemia (too much phosphate in the blood). Aluminum carbonate and Calcium Carbonate (Bisma Rex) may also be used with a low-phosphate diet to prevent the formation of some kinds of kidney stones. Calcium Carbonate (Bisma Rex) may also be used for other conditions as determined by your doctor.
These medicines are available without a prescription. However, your doctor may have special instructions on the proper use and dose of these medicines for your medical problem.
Magnesium Carbonate (Bisma Rex) is used as a dietary supplement for individuals who are deficient in Magnesium Carbonate (Bisma Rex). Although a balanced diet usually supplies all the Magnesium Carbonate (Bisma Rex) a person needs, Magnesium Carbonate (Bisma Rex) supplements may be needed by patients who have lost Magnesium Carbonate (Bisma Rex) because of illness or treatment with certain medicines.
Lack of Magnesium Carbonate (Bisma Rex) may lead to irritability, muscle weakness, and irregular heartbeat.
Injectable Magnesium Carbonate (Bisma Rex) is given only by or under the supervision of a health care professional. Some oral Magnesium Carbonate (Bisma Rex) preparations are available only with a prescription. Others are available without a prescription.
Sodium Bicarbonate (Bisma Rex), also known as baking soda, is used to relieve heartburn, sour stomach, or acid indigestion by neutralizing excess stomach acid. When used for this purpose, it is said to belong to the group of medicines called antacids. It may be used to treat the symptoms of stomach or duodenal ulcers. Sodium Bicarbonate (Bisma Rex) is also used to make the blood and urine more alkaline in certain conditions.
Antacids should not be given to young children (up to 6 years of age) unless prescribed by their doctor. Since children cannot usually describe their symptoms very well, a doctor should check the child before giving Sodium Bicarbonate (Bisma Rex). The child may have a condition that needs other treatment. If so, antacids will not help and may even cause unwanted effects or make the condition worse.
Sodium Bicarbonate (Bisma Rex) for oral use is available without a prescription.
Usual Adult Dose for Dyspepsia
500 to 600 mg orally 4 to 6 times a day as needed, between meals and at bedtime.
Usual Adult Dose for Duodenal Ulcer
500 to 1500 mg orally 4 to 6 times a day as needed, between meals and at bedtime.
Usual Adult Dose for Erosive Esophagitis
500 to 1500 mg orally 4 to 6 times a day as needed, between meals and at bedtime.
Usual Adult Dose for Gastric Ulcer
500 to 1500 mg orally 4 to 6 times a day as needed, between meals and at bedtime.
Usual Adult Dose for Gastroesophageal Reflux Disease
500 to 1500 mg orally 4 to 6 times a day as needed, between meals and at bedtime.
Usual Adult Dose for Zollinger-Ellison Syndrome
500 to 3600 mg orally 4 to 6 times a day as needed, between meals and at bedtime.
Usual Adult Dose for Hyperphosphatemia
500 to 1000 mg orally 4 times a day, with meals and at bedtime. The dosage should be titrated to the serum phosphate level.
Usual Pediatric Dose for Gastrointestinal Hemorrhage
G.I. hemorrhage prophylaxis:
0 to 4 weeks: 1 mL/kg orally every 4 hours as needed.
4 weeks to 1 year: 2 to 5 mL/dose every 1 to 2 hours, titrate to gastric pH > 3.5.
1 to 12 years: 5 to 15 mL/dose orally every 1 to 2 hours, titrate to gastric pH > 3.5.
Usual Pediatric Dose for Hyperphosphatemia
1 to 12 years: use Al(OH)3 or aluminum carbonate gel product only: 50 to 150 mg/kg/day orally (as Aluminum Hydroxide (Bisma Rex) gel) administered in equally divided doses every 4 to 6 hours; titrate to normal serum phosphate level.
Usual Pediatric Dose for Peptic Ulcer
1 month to 1 year: 1 to 2 mL/kg/dose orally 1 to 3 hours after meals and at bedtime.
1 year to 12 years: 5 to 15 mL orally every 3 to 6 hours or 1 and 3 hours after meals and at bedtime.
Precautions
Patients with renal failure may accumulate aluminum with chronic use. Serum aluminum levels should be monitored or another antacid chosen.
Other Comments
Patients with Helicobacter pylori-associated ulcerative disease should be considered for anti-Helicobacter therapy (often bismuth salts, metronidazole and other antimicrobials).
Usual Adult Dose for Osteoporosis:
2500 to 7500 mg/day orally in 2 to 4 divided doses.
Usual Adult Dose for Hypocalcemia:
900 to 2500 mg/day orally in 2 to 4 divided doses. This dose may be adjusted as needed to achieve a normal serum calcium level.
Usual Adult Dose for Dyspepsia:
300 to 8000 mg/day orally in 2 to 4 divided doses. This dose may be increased as needed and tolerated to decrease symptoms of stomach upset.
Maximum Dose: 5,500 to 7980 mg (depending on product used). Not to exceed maximum daily dosage for a period of greater than 2 weeks unless directed by a physician.
Usual Adult Dose for Duodenal Ulcer:
1250 to 3750 mg/day in 2 to 4 divided doses. This dose may be increased as needed and tolerated to decrease the abdominal discomfort. The major limiting factor to the chronic use of Calcium Carbonate (Bisma Rex) is gastric hypersecretion and acid rebound.
Usual Adult Dose for Gastric Ulcer:
1250 to 3750 mg/day in 2 to 4 divided doses. This dose may be increased as needed and tolerated to decrease the abdominal discomfort. The major limiting factor to the chronic use of Calcium Carbonate (Bisma Rex) is gastric hypersecretion and acid rebound.
Usual Adult Dose for Erosive Esophagitis:
1250 to 3750 mg/day orally in 2 to 4 divided doses. The potential for acid rebound could be detrimental. However, antacids have been frequently used in the management of erosive esophagitis and may be beneficial in decreasing the acidity of gastric contents.
Maximum Dose: 5,500 to 7980 mg (depending on product used). Not to exceed maximum daily dosage for a period of greater than 2 weeks unless directed by a physician.
Usual Adult Dose for Gastroesophageal Reflux Disease:
1250 to 3750 mg/day orally in 2 to 4 divided doses. The potential for acid rebound could be detrimental. However, antacids have been frequently used in the management of erosive esophagitis and may be beneficial in decreasing the acidity of gastric contents.
Maximum Dose: 5,500 to 7980 mg (depending on product used). Not to exceed maximum daily dosage for a period of greater than 2 weeks unless directed by a physician.
Usual Pediatric Dose for Hypocalcemia:
Neonatal:
Hypocalcemia (dose depends on clinical condition and serum calcium level): Dose expressed in mg of elemental calcium: 50 to 150 mg/kg/day in 4 to 6 divided doses; not to exceed 1 g/day
Usual
Dosage:
Calcium Carbonate (Bisma Rex):
Children 2 to 5 years: Childrens Pepto, Mylanta (R) Childrens: 1 tablet (400 mg Calcium Carbonate (Bisma Rex)) as symptoms occur; not to exceed 3 tablets/day
Children 6 to 11 years: Childrens Pepto, Mylanta (R) Childrens: 2 tablets (800 mg Calcium Carbonate (Bisma Rex)) as symptoms occur; not to exceed 6 tablets/day
Children 11 years and older:
Tums (R), Tums (R) E-X: 2 to 4 tablets chewed as symptoms occur; not to exceed 15 tablets [Tums (R)] or 10 tablets [Tums (R) E-X] per day
Tums (R) Ultra: 2 to 3 tablets chewed as symptoms occur; not to exceed 7 tablets per day
Hypocalcemia (dose depends on clinical condition and serum calcium level): Dose expressed in mg of elemental calcium:
Children: 45 to 65 mg/kg/day in 4 divided doses
Treatment of hyperphosphatemia in end-stage renal failure: Children and Adults: Dose expressed in mg of Calcium Carbonate (Bisma Rex): 1 g with each meal; increase as needed; range: 4 to 7 g/day
Hydrofluoric acid (HF) burns (HF concentration less than 20%):
Topical: Various topical calcium preparations have been used anecdotally for treatment of dermal exposure to HF solutions; Calcium Carbonate (Bisma Rex) at concentrations ranging from 2.5% to 33% has been used; a topical Calcium Carbonate (Bisma Rex) preparation must be compounded.
Applies to the following strengths: 54 mg/5 mL; 5%; 250 mg
Usual Adult Dose for:
- Dietary Supplement
- Hypomagnesemia
- Dyspepsia
- Hyperphosphatemia of Renal Failure
Usual Pediatric Dose for:
- Dietary Supplement
- Hypomagnesemia
- Dyspepsia
- Hyperphosphatemia of Renal Failure
Additional dosage information:
- Renal Dose Adjustments
- Liver Dose Adjustments
- Precautions
- Dialysis
- Other Comments
Usual Adult Dose for Dietary Supplement
250 to 1500 mg/day (equivalent to approximately 70 to 420 mg/day elemental Magnesium Carbonate (Bisma Rex)) orally with meals.
Usual Adult Dose for Hypomagnesemia
1000 mg (equivalent to approximately 280 mg elemental Magnesium Carbonate (Bisma Rex)) orally four times a day with meals.
Magnesium Carbonate (Bisma Rex) is less absorbable than other forms of Magnesium Carbonate (Bisma Rex), thus it is not often used for treatment of hypomagnesemia. Generally, Magnesium Carbonate (Bisma Rex) gluconate or Magnesium Carbonate (Bisma Rex) chloride is preferred for oral replacement therapy.
Usual Adult Dose for Dyspepsia
10 mL (250 mg/5 mL suspension) orally every 3 to 4 hours as needed, not to exceed 40 mL/day.
Magnesium Carbonate (Bisma Rex) is indicated for the temporary relief of sour stomach, acid indigestion, and upset stomach associated with these symptoms. Magnesium Carbonate (Bisma Rex) salts alone are generally not used for peptic ulcer because the higher dosages required to control ulcer pain often produce diarrhea as an adverse effect.
Usual Adult Dose for Hyperphosphatemia of Renal Failure
250 mg orally three times a day with meals.
Usual Pediatric Dose for Dietary Supplement
1 to 3 years: 250 mg/day (equivalent to approximately 70 mg/day elemental Magnesium Carbonate (Bisma Rex)) orally with meals.
4 to 8 years: 250 to 500 mg/day (equivalent to approximately 70 to 140 mg/day elemental Magnesium Carbonate (Bisma Rex)) orally with meals.
9 to 13 years: 250 to 750 mg/day (equivalent to approximately 70 to 210 mg/day elemental Magnesium Carbonate (Bisma Rex)) orally with meals.
14 to 18 years: 250 to 1500 mg/day (equivalent to approximately 70 to 420 mg/day elemental Magnesium Carbonate (Bisma Rex)) orally with meals.
Usual Pediatric Dose for Hypomagnesemia
1 to 12 years: 35 to 70 mg/kg (equivalent to approximately 10 to 20 mg/kg elemental Magnesium Carbonate (Bisma Rex)) orally four times a day with meals, up to 4000 mg/day.
>12 years: 1000 mg (equivalent to approximately 280 mg elemental Magnesium Carbonate (Bisma Rex)) orally four times a day with meals.
Magnesium Carbonate (Bisma Rex) is less absorbable than other forms of Magnesium Carbonate (Bisma Rex), thus it is not often used for treatment of hypomagnesemia. Generally, Magnesium Carbonate (Bisma Rex) gluconate or Magnesium Carbonate (Bisma Rex) chloride is preferred for oral replacement therapy.
Usual Pediatric Dose for Dyspepsia
6 to 12 years: 5 mL (250 mg/5 mL suspension) orally every 3 to 4 hours as needed, not to exceed 20 mL/day.
>12 years: 10 mL (250 mg/5 mL suspension) orally every 3 to 4 hours as needed, not to exceed 40 mL/day.
Magnesium Carbonate (Bisma Rex) is indicated for the temporary relief of sour stomach, acid indigestion, and upset stomach associated with these symptoms. Magnesium Carbonate (Bisma Rex) salts alone are generally not used for peptic ulcer because the higher dosages required to control ulcer pain often produce diarrhea as an adverse effect.
Usual Pediatric Dose for Hyperphosphatemia of Renal Failure
250 mg orally three times a day with meals.
Renal Dose Adjustments
Magnesium Carbonate (Bisma Rex) salts should be used cautiously in patients with renal impairment due to increased risk of hypermagnesemia.
Liver Dose Adjustments
Data not available
Precautions
Magnesium Carbonate (Bisma Rex) should be used with caution in patients with renal disease because of the risk of Magnesium Carbonate (Bisma Rex) accumulation.
Patients should seek the advice of their physician before taking Magnesium Carbonate (Bisma Rex) for a prolonged period.
Magnesium Carbonate (Bisma Rex) containing antacids may cause diarrhea which may affect fluid and electrolyte balance.
Dialysis
Use of Magnesium Carbonate (Bisma Rex) salts is generally contraindicated in renal failure. However, Magnesium Carbonate (Bisma Rex) may be administered as a phosphate-binding agent for the treatment of hyperphosphatemia of renal failure. A reduction of the Magnesium Carbonate (Bisma Rex) concentration in dialysate is required to avoid hypermagnesemia. Serum Magnesium Carbonate (Bisma Rex) and potassium levels should be routinely monitored and kept within the normal range.
Other Comments
Magnesium Carbonate (Bisma Rex) salts may cause diarrhea, nausea, and abdominal cramping, particularly at higher dosages (e.g., > 1000 mg Magnesium Carbonate (Bisma Rex)). Administration in divided doses with food helps to decrease gastrointestinal adverse effects.
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Medical Disclaimer
More about Magnesium Carbonate (Bisma Rex)
- Magnesium Carbonate (Bisma Rex) Side Effects
- During Pregnancy
- Drug Interactions
- Drug class: minerals and electrolytes
Consumer resources
- Magnesium Carbonate (Bisma Rex)
Other brands: Magonate
Professional resources
- Magnesium Carbonate (Bisma Rex) (Wolters Kluwer)
Related treatment guides
- Dietary Supplementation
- Hyperphosphatemia of Renal Failure
- Hypomagnesemia
- Indigestion
1-4 tab as needed, max of 8 tab/day.
One vial (5 mL) of Sodium Bicarbonate (Bisma Rex) added to a liter (1000 mL) of any of the following Hospira parenteral solutions will increase the pH to a more physiologic range. Specific pH may vary slightly from lot to lot.
Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration, whenever solution and container permit. See PRECAUTIONS.
Addition of one vial of Sodium Bicarbonate (Bisma Rex) to one-half liter (500 mL) is recommended to achieve a more physiologic pH of the following Hospira parenteral solutions:
Note: Some products, e.g., Amniosyn® solutions and those lonosol® and Normosol® formulas containing dextrose will NOT be brought to near physiologic pH by the addition of Sodium Bicarbonate (Bisma Rex). This is due to the relatively high buffer capacity of these fluids.
COMPATIBILITY & EFFECTIVNESS FO Sodium Bicarbonate (Bisma Rex) WITH ADDITIVES TO 5% DEXTROSE INJECTION (D5-W)
When medications are added to intravenous solutions, the resultant admixtures may or may not be compatible in solutions containing Sodium Bicarbonate (Bisma Rex) (4% Sodium Bicarbonate (Bisma Rex) additive solution).
Following is a list of medications each added to one liter of 5% Dextrose Injection, USP (D5-W) classified according to their effect with Sodium Bicarbonate (Bisma Rex) (4% Sodium Bicarbonate (Bisma Rex) additive solution).
It should be noted that the admixtures were evaluated for physical compatibility, not for pharmacological compatibility. It, therefore, would be erroneous to circumvent medical judgment which must be involved in administering any solution that appears to be compatible on the basis of having no visible haze or precipitate. The inclusion of drugsin this study of their compatibility in solution does not imply their therapeutic usefulness or safety. This matter remains the judgment of the prescribing physician.
NOTE: The compatibility information contained herein in based on the studies involving Hospira dextrose only. Variationsin compativility could occur due to lot-to-lot variations or formula changes in the additivies or dextrose solutions of other manufacturers.
See also:
What is the most important information I should know about Aluminum Hydroxide (Bisma Rex)?
Conditions affecting use, especially:
Sensitivity to aluminum, magnesium, simethicone, pregnancy, use in children, use in the elderly, possible aggravation of metabolic bone disease, possible exacerbation of Alzheimer’ s disease, other medications, especially: cellulose sodium phosphate, Fluoroquinolones, Isoniazid oral, Ketoconazole, Mecamylamine, Methenamine, sodium polystyrene sulfonate resin, Tetracyclines oral, other medical problems, especially: Alzheimer’ s disease, Appendicitis symptoms of constipation or fecal impaction or intestinal obstruction, Edematous conditions, Hemorrhoids, Hypophosphatemia, Ileostomy, Renal function impairment.
See also:
What is the most important information I should know about Calcium Carbonate (Bisma Rex)?
Known hypersensitivity reaction to any of the ingredients of Calcium Carbonate (Bisma Rex).
See also:
What is the most important information I should know about Magnesium Carbonate (Bisma Rex)?
Do NOT use Magnesium Carbonate (Bisma Rex)/Magnesium Carbonate (Bisma Rex) if:
you are allergic to any ingredient in Magnesium Carbonate (Bisma Rex)/Magnesium Carbonate (Bisma Rex)
you have an increased calcium level in your blood
Contact your doctor or health care provider right away if any of these apply to you.
Renal insufficiency.
See also:
What is the most important information I should know about Sodium Bicarbonate (Bisma Rex)?
Sodium Bicarbonate (Bisma Rex) (Sodium Bicarbonate (Bisma Rex) 5% injection) Injection is contraindicated in patients with metabolic and respiratory alkalosis and in patients with hypocalcemia in which alkalosis may produce tetany.
Use Calcium Carbonate (Bisma Rex) as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Take Calcium Carbonate (Bisma Rex) by mouth with or without food.
- Many medicines (eg, used for blood clots, immune system suppression, infection, iron supplementation, low blood platelets, osteoporosis, thyroid problems) should not be taken at the same time as Calcium Carbonate (Bisma Rex); their effectiveness may be decreased. Ask your doctor or pharmacist if your dose of Calcium Carbonate (Bisma Rex) should be separated from your dose of any of your other medicines.
- If you miss a dose of Calcium Carbonate (Bisma Rex), take it as soon as you remember. Continue to take it as directed by your doctor or on the package label.
Ask your health care provider any questions you may have about how to use Calcium Carbonate (Bisma Rex).
Use Magnesium Carbonate (Bisma Rex) as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Take Magnesium Carbonate (Bisma Rex) by mouth with food.
- If you miss a dose of Magnesium Carbonate (Bisma Rex) and are using it regularly, take it as soon as possible. If it is almost time for the next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use Magnesium Carbonate (Bisma Rex).
Use Sodium Bicarbonate (Bisma Rex) as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Sodium Bicarbonate (Bisma Rex) is usually administered as an injection at your doctor's office, hospital, or clinic. If you are using Sodium Bicarbonate (Bisma Rex) at home, carefully follow the injection procedures taught to you by your health care provider.
- If Sodium Bicarbonate (Bisma Rex) contains particles or is discolored, or if the vial is cracked or damaged in any way, do not use it.
- Keep this product, as well as syringes and needles, out of the reach of children and away from pets. Do not reuse needles, syringes, or other materials. Dispose of properly after use. Ask your doctor or pharmacist to explain local regulations for proper disposal.
- If you miss a dose of Sodium Bicarbonate (Bisma Rex), contact your doctor immediately.
Ask your health care provider any questions you may have about how to use Sodium Bicarbonate (Bisma Rex).
There are specific as well as general uses of a drug or medicine. A medicine can be used to prevent a disease, treat a disease over a period or cure a disease. It can also be used to treat the particular symptom of the disease. The drug use depends on the form the patient takes it. It may be more useful in injection form or sometimes in tablet form. The drug can be used for a single troubling symptom or a life-threatening condition. While some medications can be stopped after few days, some drugs need to be continued for prolonged period to get the benefit from it.This medication is used to treat the symptoms of too much stomach acid such as stomach upset, heartburn, and acid indigestion. Aluminum and magnesium antacids work quickly to lower the acid in the stomach. Liquid antacids usually work faster/better than tablets or capsules.
This medication works only on existing acid in the stomach. It does not prevent acid production. It may be used alone or with other medications that lower acid production (e.g., H2 blockers such as cimetidine/ranitidine and proton pump inhibitors such as omeprazole).
How to use Aluminum Hydroxide (Bisma Rex)
Take this medication by mouth, usually after meals and at bedtime as needed. 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.
If you are taking the chewable tablets, chew thoroughly before swallowing, then drink a full glass of water (8 ounces or 240 milliliters).
If you are using the liquid form of this medication, shake the bottle well before pouring each dose. Refrigerating the suspension may improve the flavor. Do not freeze. The liquid form works best if taken without other fluids. You can mix your dose with a little water if needed.
This product may react with other medications (including digoxin, iron, pazopanib, 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 whether this is the right medication for you.
There are specific as well as general uses of a drug or medicine. A medicine can be used to prevent a disease, treat a disease over a period or cure a disease. It can also be used to treat the particular symptom of the disease. The drug use depends on the form the patient takes it. It may be more useful in injection form or sometimes in tablet form. The drug can be used for a single troubling symptom or a life-threatening condition. While some medications can be stopped after few days, some drugs need to be continued for prolonged period to get the benefit from it.This medication is used to prevent or treat low blood calcium levels in people who do not get enough calcium from their diets. It may be used to treat conditions caused by low calcium levels such as bone loss (osteoporosis), weak bones (osteomalacia/rickets), decreased activity of the parathyroid gland (hypoparathyroidism), and a certain muscle disease (latent tetany). It may also be used in certain patients to make sure they are getting enough calcium (e.g., women who are pregnant, nursing, or postmenopausal, people taking certain medications such as phenytoin, phenobarbital, or prednisone).
Calcium plays a very important role in the body. It is necessary for normal functioning of nerves, cells, muscle, and bone. If there is not enough calcium in the blood, then the body will take calcium from bones, thereby weakening bones. Having the right amount of calcium is important for building and keeping strong bones.
How to use Calcium Carbonate (Bisma Rex)
Take this medication by mouth with food. If your product contains calcium citrate, then it may be taken with or without food. Follow all directions on the product package, or take as directed by your doctor. For best absorption, if your daily dose is more than 600 milligrams, then divide your dose and space it throughout the day. If you are uncertain about any of the information, consult your doctor or pharmacist.
If you are using the chewable product, chew it well before swallowing.
If you are using the effervescent tablet, allow the tablet to fully dissolve in a glass of water before drinking it. Do not chew or swallow the tablet whole.
If you are using the liquid product or powder, measure the medication with a dose-measuring spoon or device to make sure you get the correct dose. Do not use a household spoon. If the liquid product is a suspension, shake the bottle well before each dose.
Use this medication regularly to get the most benefit from it. To help you remember, take it at the same time(s) each day.
If your doctor has recommended that you follow a special diet, it is very important to follow the diet to get the most benefit from this medication and to prevent serious side effects. Do not take other supplements/vitamins unless ordered by your doctor.
If you think you may have a serious medical problem, seek immediate medical attention.
There are specific as well as general uses of a drug or medicine. A medicine can be used to prevent a disease, treat a disease over a period or cure a disease. It can also be used to treat the particular symptom of the disease. The drug use depends on the form the patient takes it. It may be more useful in injection form or sometimes in tablet form. The drug can be used for a single troubling symptom or a life-threatening condition. While some medications can be stopped after few days, some drugs need to be continued for prolonged period to get the benefit from it.This medication is a mineral supplement used to prevent and treat low amounts of Magnesium Carbonate (Bisma Rex) in the blood. Magnesium Carbonate (Bisma Rex) is very important for the normal functioning of cells, nerves, muscles, bones, and the heart. Usually, a well-balanced diet provides normal blood levels of Magnesium Carbonate (Bisma Rex). However, certain situations cause your body to lose Magnesium Carbonate (Bisma Rex) faster than you can replace it from your diet. These situations include treatment with "water pills" (diuretics such as furosemide, hydrochlorothiazide), a poor diet, alcoholism, or other medical conditions (e.g., severe diarrhea/vomiting, stomach/intestinal absorption problems, poorly controlled diabetes).
How to use Magnesium Carbonate (Bisma Rex)
Take this product by mouth as directed. Follow all directions on the product package. If you are uncertain about any of the information, consult your doctor or pharmacist.
It is best to take Magnesium Carbonate (Bisma Rex) supplements with a meal to reduce stomach upset and diarrhea unless otherwise directed by the product instructions or your doctor.
Take each dose with a full glass (8 ounces or 240 milliliters) of water unless your doctor directs you otherwise. Swallow extended-release capsules and delayed-release/enteric coated tablets or capsules whole. Do not crush or chew extended-release or delayed-release/enteric coated capsules or tablets. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split extended-release tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing.
If you are using a liquid product, use a medication measuring device to carefully measure the dose. Do not use a household spoon because you may not get the correct dose. If you are using a suspension, shake the bottle well before each dose.
Take this medication regularly in order to get the most benefit from it. Remember to take it at the same time(s) each day. Dosage is based on your medical condition and response to treatment. Do not increase your dose or take it more often than directed on the product package or by your doctor. Too much Magnesium Carbonate (Bisma Rex) in the blood can cause serious side effects.
Tell your doctor if symptoms of low Magnesium Carbonate (Bisma Rex) blood levels (e.g., muscle cramps, tiredness, irritability, depression) persist or worsen. If you think you may have a serious medical problem, seek immediate medical attention.
There are specific as well as general uses of a drug or medicine. A medicine can be used to prevent a disease, treat a disease over a period or cure a disease. It can also be used to treat the particular symptom of the disease. The drug use depends on the form the patient takes it. It may be more useful in injection form or sometimes in tablet form. The drug can be used for a single troubling symptom or a life-threatening condition. While some medications can be stopped after few days, some drugs need to be continued for prolonged period to get the benefit from it.Magnesium Trisilicate (Bisma Rex) in the treatment of peptic ulcer. Ciprofloxacin over dose or toxicity.
There are specific as well as general uses of a drug or medicine. A medicine can be used to prevent a disease, treat a disease over a period or cure a disease. It can also be used to treat the particular symptom of the disease. The drug use depends on the form the patient takes it. It may be more useful in injection form or sometimes in tablet form. The drug can be used for a single troubling symptom or a life-threatening condition. While some medications can be stopped after few days, some drugs need to be continued for prolonged period to get the benefit from it.Use: Labeled Indications
Management of metabolic acidosis; gastric hyperacidity; alkalinization of the urine; treatment of hyperkalemia; management of overdose of certain drugs, including tricyclic antidepressants and aspirin
Neutralizing additive (dental use): Improves onset of analgesia and reduces injection site pain by adjusting lidocaine with epinephrine solution to a more physiologic pH.
Off Label Uses
Contrast-induced nephropathy (CIN) (prevention)
Evidence from controlled trials supports the use of isotonic Sodium Bicarbonate (Bisma Rex) as an effective option in the prevention of contrast-induced nephropathy (CIN), demonstrating reduced incidence compared to sodium chloride.
Kidney Disease Improving Global Outcomes (KDIGO) guidelines state that in patients at increased risk of contrast-induced acute kidney injury (CI-AKI), IV volume expansion with either isotonic sodium chloride or isotonic Sodium Bicarbonate (Bisma Rex) solutions is recommended rather than no IV volume expansion. Isotonic Sodium Bicarbonate (Bisma Rex) is not commercially available, and thus carries a risk for compounding error during preparation. Based on the potential for harm and additional burden of preparing bicarbonate solutions, no preference is given to one solution; either agent can be used, with ease of use recognized for isotonic saline (KDIGO 2012a). European Society of Urogenital Radiology (ESUR) Contrast Media Safety Committee guidelines state that IV isotonic Sodium Bicarbonate (Bisma Rex) appears to provide protection equal or superior to IV isotonic saline, but either regimen may be used (ESUR [Stacul 2011]).
See also:
What other drugs will affect Aluminum Hydroxide (Bisma Rex)?
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.
Some products that may interact with this drug include: phosphate supplements (such as potassium phosphate), sodium polystyrene sulfonate.
Antacids can interfere with the absorption of many other drugs. Be sure to check with your pharmacist before taking antacids with any other medication.
See also:
What other drugs will affect Calcium Carbonate (Bisma Rex)?
An interaction generally means that one drug may increase or decrease the effect of another drug. Also, the more medications a person takes, the more likely there will be a drug interaction. Antacids do interact with or prevent the absorption of many medications. As a general rule it is best to separate Calcium Carbonate (Bisma Rex) use and any other medications by at least 1 hour. When antacids are only taken occasionally, this seldom presents a serious problem. Since there are so many good medications to reduce stomach acid, some of them over-the-counter, it is unusual to require frequent Calcium Carbonate (Bisma Rex) use during the day and night.
Interactions with this Calcium Carbonate (Bisma Rex) may occur with the following:
* flecainide (Tambocor)
* phenytoin type drugs (Dilantin, Mesantoin, Peganone, Cerebyx)
* iron (Feosol, ferrous sulfate, Nu-Iron)
* quinidine (Quinidex, Quinaglute)
* aspirin, salicylates
* tetracycline (Sumycin, Tetracyn)
See also:
What other drugs will affect Magnesium Carbonate (Bisma Rex)?
Some MEDICINES MAY INTERACT with Magnesium Carbonate (Bisma Rex)/Magnesium Carbonate (Bisma Rex). Tell your health care provider if you are taking any other medicines, especially any of the following:
Anticoagulants (eg, warfarin) because the risk of their side effects may be increased by Magnesium Carbonate (Bisma Rex)/Magnesium Carbonate (Bisma Rex)
Azole antifungals (eg, ketoconazole), bisphosphonates (eg, alendronate), cation exchange resins (eg, sodium polystyrene sulfonate), cephalosporins (eg, cephalexin), mycophenolate, penicillamine, quinolone antibiotics (eg, ciprofloxacin), or tetracyclines (eg, doxycycline) because their effectiveness may be decreased by Magnesium Carbonate (Bisma Rex)/Magnesium Carbonate (Bisma Rex)
This may not be a complete list of all interactions that may occur. Ask your health care provider if Magnesium Carbonate (Bisma Rex)/Magnesium Carbonate (Bisma Rex) may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
Tetracycline.
See also:
What other drugs will affect Sodium Bicarbonate (Bisma Rex)?
Acalabrutinib: Antacids may decrease the serum concentration of Acalabrutinib. Management: Separate administration of acalabrutinib from the administration of any antacids by at least 2 hours in order to minimize the potential for a significant interaction. Consider therapy modification
AcetaZOLAMIDE: May enhance the adverse/toxic effect of Sodium Bicarbonate (Bisma Rex). Specifically, the risk of renal calculus formation may be increased. Monitor therapy
Alpha-/Beta-Agonists (Indirect-Acting): Alkalinizing Agents may increase the serum concentration of Alpha-/Beta-Agonists (Indirect-Acting). Monitor therapy
Amantadine: Alkalinizing Agents may increase the serum concentration of Amantadine. Monitor therapy
Amphetamines: Alkalinizing Agents may decrease the excretion of Amphetamines. Management: Consider alternatives to using amphetamines and alkalinizing agents in combination. If these agents must be used together, patients should be monitored closely for excessive amphetamine effects. Consider therapy modification
Antipsychotic Agents (Phenothiazines): Antacids may decrease the absorption of Antipsychotic Agents (Phenothiazines). Monitor therapy
Atazanavir: Antacids may decrease the absorption of Atazanavir. Management: Administer antacids 1 hour before or 2 hours after atazanavir to minimize the risk of a clinically significant interaction. Consider therapy modification
Bisacodyl: Antacids may diminish the therapeutic effect of Bisacodyl. Antacids may cause the delayed-release bisacodyl tablets to release drug prior to reaching the large intestine. Gastric irritation and/or cramps may occur. Management: Antacids should not be used within 1 hour before bisacodyl administration. Consider therapy modification
Bismuth Subcitrate: Antacids may diminish the therapeutic effect of Bismuth Subcitrate. Management: Avoid administration of antacids within 30 minutes of bismuth subcitrate (tripotassium bismuth dicitrate) administration. Consider therapy modification
Bosutinib: Antacids may decrease the serum concentration of Bosutinib. Management: Administer antacids more than 2 hours before or after bosutinib. Consider therapy modification
Bromperidol: Antacids may decrease the absorption of Bromperidol. Monitor therapy
Calcium Polystyrene Sulfonate: Antacids may enhance the adverse/toxic effect of Calcium Polystyrene Sulfonate. The combined use of these two agents may result in metabolic alkalosis and/or loss of efficacy of the cation exchange resin. Management: To minimize this interaction, consider: a)separating doses by 2 or more hours; b)rectal administration of the exchange resin; or c)alternatives to antacids. Monitor for metabolic alkalosis and attenuation of CPS effects. Avoid Sodium Bicarbonate (Bisma Rex) hydroxide. Consider therapy modification
Captopril: Antacids may decrease the serum concentration of Captopril. Monitor therapy
Cefditoren: Antacids may decrease the serum concentration of Cefditoren. Management: Concomitant use of cefditoren with antacids is not recommended. Consider alternative methods to control acid reflux (eg, diet modification) or alternative antimicrobial therapy. If Sodium Bicarbonate (Bisma Rex) therapy can not be avoided, separate dosing by several hours. Consider therapy modification
Cefpodoxime: Antacids may decrease the serum concentration of Cefpodoxime. Monitor therapy
Cefuroxime: Antacids may decrease the serum concentration of Cefuroxime. Management: Administer cefuroxime axetil at least 1 hour before or 2 hours after the administration of short-acting antacids. Consider therapy modification
Chloroquine: Antacids may decrease the serum concentration of Chloroquine. Management: Separate the administration of antacids and chloroquine by at least 4 hours to minimize any potential negative impact of antacids on chloroquine bioavailability. Consider therapy modification
Corticosteroids (Oral): Antacids may decrease the bioavailability of Corticosteroids (Oral). Management: Consider separating doses by 2 or more hours. Budesonide enteric coated tablets could dissolve prematurely if given with drugs that lower gastric acid, with unknown impact on budesonide therapeutic effects. Consider therapy modification
Cysteamine (Systemic): Antacids may diminish the therapeutic effect of Cysteamine (Systemic). Monitor therapy
Dabigatran Etexilate: Antacids may decrease the serum concentration of Dabigatran Etexilate. Management: Dabigatran etexilate Canadian product labeling recommends avoiding concomitant use with antacids for 24 hours after surgery. In other situations, administer dabigatran etexilate 2 hours prior to antacids. Monitor clinical response to dabigatran therapy. Consider therapy modification
Dasatinib: Antacids may decrease the serum concentration of Dasatinib. Management: Simultaneous administration of dasatinib and antacids should be avoided. Administer antacids 2 hours before or 2 hours after dasatinib. Consider therapy modification
Delavirdine: Antacids may decrease the serum concentration of Delavirdine. Management: Separate doses of delavirdine and antacids by at least 1 hour. Monitor for decreased delavirdine therapeutic effects with this combination. Consider therapy modification
Dexmethylphenidate: Antacids may increase the absorption of Dexmethylphenidate. Specifically, antacids may interfere with the normal release of drug from the extended-release capsules (Focalin XR brand), which could result in both increased absorption (early) and decreased delayed absorption. Monitor therapy
Erlotinib: Antacids may decrease the serum concentration of Erlotinib. Management: Separate the administration of erlotinib and any Sodium Bicarbonate (Bisma Rex) by several hours in order to minimize the risk of a significant interaction. Consider therapy modification
Flecainide: Sodium Bicarbonate (Bisma Rex) may diminish the arrhythmogenic effect of Flecainide. Sodium Bicarbonate (Bisma Rex) may increase the serum concentration of Flecainide. Monitor therapy
Fosinopril: Antacids may decrease the serum concentration of Fosinopril. Management: The US and Canadian fosinopril manufacturer labels recommend separating the doses of antacids and fosinopril by 2 hours. Consider therapy modification
Gefitinib: Antacids may decrease the serum concentration of Gefitinib. Management: Administer gefitinib at least 6 hours before or after administration of an Sodium Bicarbonate (Bisma Rex), and closely monitor clinical response to gefitinib. Consider therapy modification
Hyoscyamine: Antacids may decrease the serum concentration of Hyoscyamine. Management: Administer immediate release hyoscyamine before meals and antacids after meals when these agents are given in combination. Consider therapy modification
Iron Preparations: Antacids may decrease the absorption of Iron Preparations. Management: Separate dosing of oral iron preparations and antacids as much as possible to avoid decreased efficacy of iron preparation. If coadministered with antacids, monitor for decreased therapeutic effects of iron preparations. Exceptions: Ferric Carboxymaltose; Ferric Citrate; Ferric Derisomaltose; Ferric Gluconate; Ferric Hydroxide Polymaltose Complex; Ferric Pyrophosphate Citrate; Ferumoxytol; Iron Dextran Complex; Iron Sucrose. Consider therapy modification
Itraconazole: Antacids may decrease the serum concentration of Itraconazole. Antacids may increase the serum concentration of Itraconazole. Management: Administer Sporanox brand itraconazole at least 2 hours before or 2 hours after administration of any antacids. Exposure to Tolsura brand itraconazole may be increased by antacids; consider itraconazole dose reduction. Consider therapy modification
Ketoconazole (Systemic): Antacids may decrease the serum concentration of Ketoconazole (Systemic). Management: Administer oral ketoconazole at least 2 hours prior to use of any Sodium Bicarbonate (Bisma Rex) product. Monitor patients closely for signs of inadequate clinical response to ketoconazole. Consider therapy modification
Lanthanum: Antacids may diminish the therapeutic effect of Lanthanum. Consider therapy modification
Ledipasvir: Antacids may decrease the serum concentration of Ledipasvir. Management: Separate the administration of ledipasvir and antacids by 4 hours. Consider therapy modification
Lithium: Sodium Bicarbonate (Bisma Rex) may increase the excretion of Lithium. Monitor therapy
Mecamylamine: Alkalinizing Agents may increase the serum concentration of Mecamylamine. Monitor therapy
Memantine: Alkalinizing Agents may increase the serum concentration of Memantine. Monitor therapy
Mesalamine: Antacids may diminish the therapeutic effect of Mesalamine. Sodium Bicarbonate (Bisma Rex)-mediated increases in gastrointestinal pH may cause the premature release of mesalamine from specific sustained-release mesalamine products. Management: Avoid concurrent administration of antacids with sustained-release mesalamine products. Separating Sodium Bicarbonate (Bisma Rex) and mesalamine administration, and/or using lower Sodium Bicarbonate (Bisma Rex) doses may be adequate means of avoiding this interaction. Consider therapy modification
Methenamine: Antacids may diminish the therapeutic effect of Methenamine. Management: Consider avoiding this combination if possible. Antacids may decrease the therapeutic effects of methenamine; Sodium Bicarbonate (Bisma Rex) is of most concern. If coadministering methenamine and antacids, monitor for decreased methenamine efficacy. Consider therapy modification
Methylphenidate: Antacids may increase the absorption of Methylphenidate. Specifically, antacids may interfere with the normal release of drug from the extended-release capsules (Ritalin LA brand), which could result in both increased absorption (early) and decreased delayed absorption. Monitor therapy
Multivitamins/Minerals (with ADEK, Folate, Iron): Antacids may decrease the serum concentration of Multivitamins/Minerals (with ADEK, Folate, Iron). Specifically, antacids may decrease the absorption of orally administered iron. Management: Separate dosing of oral iron-containing multivitamin preparations and antacids by as much time as possible in order to minimize impact on therapeutic efficacy of the iron preparation. Consider therapy modification
Neratinib: Antacids may decrease the serum concentration of Neratinib. Specifically, antacids may reduce neratinib absorption. Management: Separate the administration of neratinib and antacids by giving neratinib at least 3 hours after the Sodium Bicarbonate (Bisma Rex). Consider therapy modification
Nilotinib: Antacids may decrease the serum concentration of Nilotinib. Management: Separate the administration of nilotinib and any Sodium Bicarbonate (Bisma Rex) by at least 2 hours whenever possible in order to minimize the risk of a significant interaction. Consider therapy modification
PAZOPanib: Antacids may decrease the serum concentration of PAZOPanib. Management: Avoid the use of antacids in combination with pazopanib whenever possible. Separate doses by several hours if Sodium Bicarbonate (Bisma Rex) treatment is considered necessary. The impact of dose separation has not been investigated. Consider therapy modification
Pexidartinib: Antacids may decrease the serum concentration of Pexidartinib. Management: Administer pexidartinib 2 hours before or after antacids. Consider therapy modification
Phosphate Supplements: Antacids may decrease the absorption of Phosphate Supplements. Management: This applies only to oral phosphate administration. Separating administer of oral phosphate supplements from Sodium Bicarbonate (Bisma Rex) administration by as long as possible may minimize the interaction. Exceptions: Sodium Glycerophosphate Pentahydrate. Consider therapy modification
Potassium Phosphate: Antacids may decrease the serum concentration of Potassium Phosphate. Management: Consider separating administration of antacids and oral potassium phosphate by at least 2 hours to decrease risk of a significant interaction. Consider therapy modification
QuiNIDine: Antacids may decrease the excretion of QuiNIDine. Monitor therapy
QuiNINE: Alkalinizing Agents may increase the serum concentration of QuiNINE. Monitor therapy
Rilpivirine: Antacids may decrease the serum concentration of Rilpivirine. Management: Administer antacids at least 2 hours before or 4 hours after rilpivirine when used with most rilpivirine products. However, administer antacids at least 6 hours before or 4 hours after the rilpivirine/dolutegravir combination product. Consider therapy modification
Riociguat: Antacids may decrease the serum concentration of Riociguat. Management: Separate the administration of antacids and riociguat by at least 1 hour in order to minimize any potential interaction. Consider therapy modification
Rosuvastatin: Antacids may decrease the serum concentration of Rosuvastatin. Monitor therapy
Sotalol: Antacids may decrease the serum concentration of Sotalol. Management: Avoid simultaneous administration of sotalol and antacids. Administer antacids 2 hours after sotalol. Consider therapy modification
Sulpiride: Antacids may decrease the serum concentration of Sulpiride. Management: Separate administration of antacids and sulpiride by at least 2 hours in order to minimize the impact of antacids on sulpiride absorption. Consider therapy modification
Tetracyclines: Antacids may decrease the absorption of Tetracyclines. Management: Separate administration of antacids and oral tetracycline derivatives by several hours when possible to minimize the extent of this potential interaction. Exceptions: Eravacycline. Consider therapy modification
Velpatasvir: Antacids may decrease the serum concentration of Velpatasvir. Management: Separate administration of velpatasvir and antacids by at least 4 hours. Consider therapy modification
See also:
What are the possible side effects of Aluminum Hydroxide (Bisma Rex)?
Applies to Aluminum Hydroxide (Bisma Rex): oral suspension
Get emergency medical help if you have any of these signs of an allergic reaction while taking Aluminum Hydroxide (Bisma Rex) (the active ingredient contained in Aluminum Hydroxide (Bisma Rex)) hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Stop using the medication and call your doctor at once if you have a serious side effect such as:
-
severe stomach pain or constipation;
-
bloody, black, or tarry stools;
-
coughing up blood that looks like coffee grounds;
-
pain when you urinate;
-
extreme drowsiness; or
-
tired feeling, loss of appetite, and muscle weakness.
Less serious side effects are more likely, and you may have none at all.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.
See also:
What are the possible side effects of Calcium Carbonate (Bisma Rex)?
Applies to Calcium Carbonate (Bisma Rex): tablets
Other dosage forms:
- chewable tablets
Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Constipation.
Seek medical attention right away if any of these SEVERE side effects occur while taking Calcium Carbonate (Bisma Rex) (the active ingredient contained in Calcium Carbonate (Bisma Rex))
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); confusion; increased urination; loss of appetite; mental or mood changes; nausea; severe or persistent constipation or stomach pain; weakness; vomiting.
See also:
What are the possible side effects of Magnesium Carbonate (Bisma Rex)?
Stomach upset and diarrhea may occur. Taking this product with a meal helps to reduce these effects. If either of these effects persist or worsen, tell 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.
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 or at www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
Nausea, Acute toxicity, Rash, Stomach upset
See also:
What are the possible side effects of Sodium Bicarbonate (Bisma Rex)?
Applies to Sodium Bicarbonate (Bisma Rex): capsule, granule, powder, solution, tablet
Along with its needed effects, Sodium Bicarbonate (Bisma Rex) (the active ingredient contained in Sodium Bicarbonate (Bisma Rex)) may cause some unwanted effects. Although the following side effects occur very rarely when this medicine is taken as recommended, they may be more likely to occur if it is taken: in large doses, for a long time, or by patients with kidney disease.
Severity: Moderate
If any of the following side effects occur while taking Sodium Bicarbonate (Bisma Rex), check with your doctor or nurse as soon as possible:
- Frequent urge to urinate
- headache (continuing)
- loss of appetite (continuing)
- mood or mental changes
- muscle pain or twitching
- nausea or vomiting
- nervousness or restlessness
- slow breathing
- swelling of feet or lower legs
- unpleasant taste
- unusual tiredness or weakness
Minor Side Effects
Some of the side effects that can occur with Sodium Bicarbonate (Bisma Rex) may not need medical attention. As your body adjusts to the medicine during treatment these side effects may go away. Your health care professional may also be able to tell you about ways to reduce or prevent some of these side effects. If any of the following side effects continue, are bothersome or if you have any questions about them, check with your health care professional:
Less common:
- Increased thirst
- stomach cramps
Aluminum Hydroxide (Bisma Rex) is an inorganic salt used as an antacid. It is a basic compound that acts by neutralizing hydrochloric acid in gastric secretions. Subsequent increases in pH may inhibit the action of pepsin. An increase in bicarbonate ions and prostaglandins may also confer cytoprotective effects.
Each Calcium Carbonate (Bisma Rex) milk powd contains: Energy Density 1 kCal/mL. Energy Distribution: Protein: Fat: CHO 13:37:50, Protein 32.5 g/L, CHO 125.7 g/L, Fat 42 g/L, Na 500 mg/L, K 1,250 mg/L, Mg 200 mg/L, P 500 mg/L, osmolality 300 mOsmol/kg H2O.
Each Calcium Carbonate (Bisma Rex) oral liqd (ready-to-drink) contains: Energy Density 1 kCal/mL. Energy Distribution: Protein: Fat: CHO 14:32:54, Protein 35 g/L, CHO 135 g/L, Fat 36 g/L, Na 1,000 mg/L, K 1,200 mg/L, Mg 280 mg/L, P 870 mg/L, osmolality 330 mOsmol/kg H2O.
Calcium Carbonate (Bisma Rex) is specifically formulated for the dietary management of malnutrition and other medical conditions with increased nutritional needs that cannot be met through diet modification alone.
Special Features: Calcium Carbonate (Bisma Rex) is isotonic (low osmolality); 100% complex carbohydrate; 20% of fat as MCT; lactose-free; unflavoured.
Magnesium Trisilicate (Bisma Rex) is an inorganic compound that is used as an Magnesium Trisilicate (Bisma Rex) in the treatment of peptic ulcers. It increases the pH of gastric juice via a neutralisation reaction. It also precipitates colloidal silica, which can coat gastrointestinal mucosa conferring further protection.
Sodium Bicarbonate (Bisma Rex) is a white, crystalline powder that is commonly used as a pH buffering agent, an electrolyte replenisher, systemic alkalizer and in topical cleansing solutions.