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Monnax/Monnax Plus

Monnax/Monnax Plus

aluminium hydroxide + magnesium hydroxide

Manufacturer:

Medhaus

Distributor:

Medhaus
Concise Prescribing Info
Contents
Per 5 mL Monnax oral susp Al(OH)3 225 mg, Mg(OH)2 200 mg. Per Monnax Plus chewable tab Al(OH)3 200 mg, Mg(OH)2 200 mg, simethicone 25 mg. Per 5 mL Monnax Plus oral susp Al(OH)3 225 mg, Mg(OH)2 200 mg, simethicone 25 mg
Indications/Uses
Monnax Symptomatic relief of hyperacidity. Monnax Plus Chewable tab: Reduction of gastric hyperacidity. Relief of bloating commonly associated w/ hyperacidity & other conditions. Adjunctive treatment of peptic ulcer. Oral susp: Symptomatic relief of hyperacidity associated w/ peptic ulcer, gastritis, esophagitis & dyspepsia. Antiflatulent to alleviate the symptoms of gassiness including post-op gas pain associated w/ hyperacidity. Adjunct to H2-blockers or PPIs for rapid relief of ulcer symptoms.
Dosage/Direction for Use
Chewable tab Adult 1-2 tab. Oral susp 10-20 mL qid.
Administration
Should be taken with food: Chewable tab: May be chewed then swallowed w/o water or swallowed whole w/ water. Take 1 hr after each meal & at bedtime. Oral susp: Take 20 min-1 hr after meals & at bedtime.
Contraindications
Patients suffering from kidney failure. Chewable tab: Hypersensitivity. Patient w/ kidney disease; intestinal obstruction; appendicitis; fecal impaction; gastric outlet obstruction; phosphate depletion & low serum phosphate; osteomalacia. Not to be used during pregnancy unless considered essential.
Special Precautions
Not to be used during pregnancy unless considered essential. Chewable tab: Patients on low Mg diet. Avoid taking any other medicines w/in 2 hr before or 2 hr after administration. Do not take at max doses for >2 wk in a row. Breastfeeding. Do not give to childn <12 yr. Oral susp: Do not take >80 mL in a 24-hr period or use max dose for >2 wk. May cause constipation. May lead to phosphate depletion syndrome, particularly in patients on low phosphate diet eg, malnutrition. May cause central nervous depression in presence of renal insufficiency & should be used w/ caution in patients w/ advanced renal disease. Long-term exposure to high doses may lead to encephalopathy or worsen dialysis osteomalacia in patients w/ renal impairment. Avoid prolonged use in patients w/ renal failure.
Adverse Reactions
Diarrhea or constipation. Chewable tab: Excessive doses may result in high Al & Mg blood levels in patients w/ kidney impairment.
Drug Interactions
Chewable tab: Decreased absorption of tetracycline & Fe. May decrease absorption of orally administered digoxin or indomethacin, INH, quinolones (eg, ciprofloxacin, ofloxacin), ketoconazole. Antacid-induced changes in urine pH increase urinary excretion & decrease blood conc of salicylates eg, aspirin. Antacid-induced increases in urine pH may decrease excretion of weakly basic drugs (eg, quinidine, chlorpromazine, propranolol, diazepam) & increase excretion of weakly basic drugs (eg, phenytoin, pentobarbital, warfarin). Increased absorption of dicumarol, diazepam & pseudoephedrine. May decrease the rate of chlordiazepoxide absorption. Reduced bioavailability of bisphosphonates (eg, alendronate, etidronate, risedronate). Oral susp: May increase serum levels of quinidine. Al(OH)3: May form complexes resulting in decreased absorption w/ tetracyclines, digoxin & vit. May prevent proper absorption of H2-antagonists, atenolol, chloroquine, cyclines, diflunisal, digoxin, diphosphonates, ethambutol, fluoroquinolones, Na fluorine, glucocorticoids, indomethacin, INH, kayexalate, ketoconazole, lincosamides, metoprolol, neuroleptics, phenothiazines, penicillamine, propranolol, Fe salts.
MIMS Class
Antacids, Antireflux Agents & Antiulcerants
ATC Classification
A02AF02 - ordinary salt combinations and antiflatulents ; Belongs to the class of antacids with antiflatulents.
A02AD01 - ordinary salt combinations ; Belongs to the class of combinations and complexes of aluminium, calcium and magnesium-containing antacids.
Presentation/Packing
Form
Monnax Plus chewable tab
Packing/Price
80's
Form
Monnax oral susp
Packing/Price
120 mL x 1's (P135/bottle)
Form
Monnax Plus oral susp
Packing/Price
120 mL x 1's (P150/bottle)
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