Medically reviewed by Fedorchenko Olga Valeryevna, PharmD. Last updated on 26.06.2023
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for those gastrointestinal disorders that respond favorably to the action of an antacid and / or antiflatulent. These include functional gastrointestinal disorders caused by aerofagia, bloating, overeating and drinking, food and beverage intolerance, or ingestion of certain therapeutic agents. It may be useful in the treatment of dyspepsia associated with pregnancy. Certain functional gastrointestinal disorders that may accompany organic gastrointestinal disorders such as esophagitis, diaphragmatic hernia, acute and chronic gastritis and peptic ulcer can be relieved with the administration of Ditopax. In these organic gastrointestinal disorders, may be administered concomitantly other specific medications prescribed. Has also proved effective in relieving gastrointestinal distress caused by the accumulation of gas.
Aluminum and magnesium are naturally occurring minerals. Aluminum Hydroxide (Moxal Plus) and Magnesium Hydroxide (Moxal Plus) are antacids.
Simethicone (Moxal Plus) allows gas bubbles in the stomach and intestines to come together more easily, which allows for easier passage of gas.
Aluminum Hydroxide (Moxal Plus), Magnesium Hydroxide (Moxal Plus), and Simethicone (Moxal Plus) is a combination medicine used to treat heartburn, acid indigestion, upset stomach, and bloating caused by gas.
Aluminum Hydroxide (Moxal Plus), Magnesium Hydroxide (Moxal Plus), and Simethicone (Moxal Plus) may also be used for purposes not listed in this medication guide.
Usual Adult Dose for Dyspepsia:
Initial:
Al hydroxide/Mg hydroxide/Simethicone (Moxal Plus) 400 mg-400 mg-40 mg to 1600 mg-1600 mg-160 mg four times daily.
The maximum daily dose Al hydroxide/Mg hydroxide/Simethicone (Moxal Plus) is 4800 mg-4800 mg-480 mg four times a day.
Usual Adult Dose for Flatulence:
Initial:
Al hydroxide/Mg hydroxide/Simethicone (Moxal Plus) 400 mg-400 mg-40 mg to 1600 mg-1600 mg-160 mg four times daily.
The maximum daily dose Al hydroxide/Mg hydroxide/Simethicone (Moxal Plus) is 4800 mg-4800 mg-480 mg four times a day.
Usual Pediatric Dose for Dyspepsia:
>12 years: Al hydroxide/Mg hydroxide/Simethicone (Moxal Plus) 400 mg-400 mg-40 mg to 800 mg-800 mg-80 mg four times daily.
The maximum daily dose of Al hydroxide/Mg hydroxide/Simethicone (Moxal Plus) is 4800 mg-4800 mg-480 mg four times a day.
Usual Pediatric Dose for Flatulence:
>12 years: Al hydroxide/Mg hydroxide/Simethicone (Moxal Plus) 400 mg-400 mg-40 mg to 800 mg-800 mg-80 mg four times daily.
The maximum daily dose of Al hydroxide/Mg hydroxide/Simethicone (Moxal Plus) is 4800 mg-4800 mg-480 mg four times a day.
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What is the most important information I should know about Moxal Plus?
Do NOT use Calcium Carbonate/Magnesium Hydroxide (Moxal Plus) Chewable Tablets if:
you are allergic to any ingredient in Calcium Carbonate/Magnesium Hydroxide (Moxal Plus) Chewable Tablets
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.
Use Moxal Plus as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Take Moxal Plus by mouth with or without food.
- Shake well before each use.
- Use a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure your dose.
- Do not use Moxal Plus within 2 hours before or after taking a beta-blocker (eg, propranolol), bisphosphonate (eg, risedronate), cephalosporin (eg, cephalexin), corticosteroid (eg, hydrocortisone), delavirdine, digoxin, imidazole (eg, ketoconazole), penicillamine, or sulfonylurea (eg, glyburide) because their effectiveness may be decreased by Moxal Plus.
- If you miss a dose of Moxal Plus and you are taking it regularly, take it as soon as possible. If it is almost time for your 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 Moxal Plus.
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. It is also used to relieve symptoms of extra gas such as belching, bloating, and feelings of pressure/discomfort in the stomach/gut. Simethicone (Moxal Plus) helps break up gas bubbles in the gut. 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).
If you are self-treating with this medication, carefully read the package instructions before you start using this product to be sure it is right for you. Some products have similar brand names but different active ingredients with different uses. Taking the wrong product could harm you. Ask your pharmacist if you have any questions about your product or its use.
How to use Moxal Plus
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. Measure the dose out carefully using a medication spoon/cup. Do not use a household spoon because you may not get the right 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.
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What other drugs will affect Moxal Plus?
Some MEDICINES MAY INTERACT with Calcium Carbonate/Magnesium Hydroxide (Moxal Plus) Chewable Tablets. 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 Calcium Carbonate/Magnesium Hydroxide (Moxal Plus) Chewable Tablets
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 Calcium Carbonate/Magnesium Hydroxide (Moxal Plus) Chewable Tablets
This may not be a complete list of all interactions that may occur. Ask your health care provider if Calcium Carbonate/Magnesium Hydroxide (Moxal Plus) Chewable Tablets 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.
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What are the possible side effects of Moxal Plus?
This medication can cause nausea, constipation, diarrhea, or headache. If these symptoms persist or become severe, notify your doctor.
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.
The magnesium in this product can cause diarrhea. Using an antacid that contains only aluminum along with this product can help control diarrhea. The aluminum in this product can cause constipation. To minimize constipation, drink plenty of fluids and exercise. Diarrhea is more common with this product than constipation.
Aluminum-containing antacids bind to phosphate, an important body chemical, in the gut. This can cause low phosphate levels, especially if you use this medication in large doses and for a long time. Tell your doctor right away if you have any of the following symptoms of low phosphate: loss of appetite, unusual tiredness, muscle weakness.
Tell your doctor right away if any of these unlikely but serious side effects occur: dizziness, fainting.
Seek immediate medical attention if any of these rare but very serious side effects or symptoms of a serious medical problem occur: black/tarry stools, slow/shallow breathing, slow/irregular heartbeat, mental/mood changes (e.g., confusion), deep sleep, pain with urination, stomach/abdominal pain, vomit that looks like coffee grounds.
A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the US -
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 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.