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Antacid / acid-neutraliser (some combined with alginate)

Antacids: uses, side effects & precautions

Also known as Tums, Rennie, Gaviscon (alginate-antacid), Maalox, Mylanta, Milk of Magnesia (magnesium hydroxide).

This information is for general guidance only and does not constitute medical advice. Always consult a qualified healthcare professional for personal medical concerns. In an emergency, call your local emergency number.

What it is used for

  • Quick relief of heartburn and acid indigestion
  • Mild acid reflux
  • Sour stomach and trapped wind discomfort

How it works

Antacids chemically neutralise acid that is already in the stomach, giving fast but short-lived relief. Alginate-containing products also form a raft on top of stomach contents to help reduce reflux into the food pipe.

How it is taken

Come as chewable tablets, lozenges, liquids, and effervescent forms. They are taken by mouth, often after meals or when symptoms occur. Take only as directed by the label or your pharmacist, and avoid using them constantly for long periods without advice.

No doses here on purpose. The right strength and schedule depend on you — only a doctor or pharmacist should set them. Always follow your prescription and the label.

Common side effects

  • Constipation (more with aluminium or calcium types)
  • Diarrhea (more with magnesium types)
  • Wind or bloating
  • Chalky taste

Serious effects — get help

  • Severe or ongoing stomach pain that does not settle
  • Signs of high calcium (nausea, confusion, excessive thirst) with heavy long-term calcium use
  • Allergic reaction

If a reaction is severe — for example trouble breathing, swelling of the face or throat, or collapse — go to the nearest emergency room now or call your local emergency number. Do not wait for an online consultation.

Interactions to watch

  • Can reduce absorption of many medicines (some antibiotics like tetracyclines and quinolones, thyroid medicine, certain heart and HIV drugs) — separate the timing
  • Iron supplements
  • Other medicines affected by stomach acidity

Who should take care

  • People with kidney problems should check before regular use, especially magnesium- or aluminium-containing types
  • Tell your clinician if you are on a low-salt diet, as some products contain sodium
  • Discuss frequent use in pregnancy with a pharmacist
  • Persistent symptoms beyond a couple of weeks need medical review
  • Separate antacids from other medicines by a couple of hours unless advised otherwise

Frequently asked questions

How quickly do antacids work?
Usually within minutes, but the relief is short-lived. They are best for occasional symptoms rather than ongoing control.
Can I take antacids every day?
Occasional use is fine, but daily reliance suggests you should see a clinician to find the cause.
Do they interfere with other medicines?
Yes, they can reduce how well some drugs are absorbed. Take other medicines a couple of hours apart and ask your pharmacist.
Which type is best if I get constipated?
Magnesium-based antacids are less likely to constipate, while aluminium and calcium types may. A pharmacist can suggest a balance.
Is Antacids safe to take?
For most people it is safe when taken exactly as a doctor or pharmacist advises and as printed on the label. Tell your clinician about your other medicines and health conditions, and seek urgent care for any serious reaction.

Related conditions

Related medicines

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