Digestive health · Antacid

Antacid (aluminium / magnesium hydroxide)

A combination antacid used for fast, short-term relief of heartburn, indigestion, and mild acidity.

OTCKidney warningAlcohol interactionNot for young childrenSenior precaution
GelusilDigeneMaaloxMylanta
Overview & typical uses

A combination antacid used for fast, short-term relief of heartburn, indigestion, and mild acidity.

Primary uses

  • Fast temporary relief of heartburn and indigestion
  • Relief of mild acidity or sour burping after meals
How it works

Neutralises stomach acid on contact, giving relief within minutes but for a shorter time than acid-reducers such as PPIs.

Available forms & strengths
  • Chewable tablet (Oral)
  • Oral suspension (Oral)
General precautions & contraindications

Do not use if

  • Known allergy to any ingredient
  • Severe kidney disease (for aluminium/magnesium salts)

Pregnancy

Generally considered safe. Occasional use is generally acceptable; avoid sodium-heavy antacids in high blood pressure.

Breastfeeding

Generally considered safe. Compatible with breastfeeding at typical amounts.

Kidney considerations

  • Aluminium-containing antacids can accumulate in kidney disease — discuss with a clinician.

Paediatric use

Not for regular use in young children without clinical guidance.

Older adults

Watch for interactions with other regular medicines.

Common side effects
  • Mild constipation (aluminium salts) or mild diarrhoea (magnesium salts)
  • Bloating or belching
Serious warnings — seek help if these appear
  • Serious allergic reaction (very rare)
  • Electrolyte imbalances with large chronic use
Drug interactions
Tetracycline and fluoroquinolone antibioticswarning

Reduces absorption — separate doses by 2 to 4 hours.

Levothyroxine, iron supplementscaution

Reduced absorption — separate doses.

Digoxincaution

May slightly reduce absorption.

Food & alcohol precautions
Milk-rich or protein-rich meals

May slightly reduce antacid effect.

Alcohol

  • Alcohol can worsen reflux symptoms.
Storage, missed dose & overdose

Storage

Store below 25 °C, out of reach of children.

If a dose is missed

Take as needed for symptoms; no strict schedule.

Overdose

Excessive use can cause electrolyte imbalance. Seek medical advice for large repeated use.

Frequently asked questions
Antacid vs omeprazole — which one should I use?

Antacids act within minutes for occasional heartburn. Omeprazole (PPI) takes longer to work but is better for frequent symptoms.

Medical references
  • British National Formulary — AntacidsBNF (NICE)
  • WHO Model FormularyWorld Health Organization

Content last reviewed: 2025-01-01

Medical disclaimer

This information is for educational purposes only and should not replace professional medical advice. Please consult a licensed pharmacist or clinician for advice tailored to your personal circumstances.