Is it safe to use "Aiwai Reverse Chewable Tablets" for a long term?
Hello: I have been experiencing long-term gastroesophageal reflux issues.
Can I purchase Alginic acid 200mg chewable tablets over the counter and use them long-term? If used continuously for an extended period, are there any potential side effects? Thank you.
San Chong Wang Xian Sheng, 40~49 year old female. Ask Date: 2017/12/01
Dr. Chen Yuemei reply Pharmacology
Hello: "Aluminum Hydroxide Chewable Tablets" can be purchased at community pharmacies as an over-the-counter medication.
Although this medication contains trace amounts of metal ions, long-term continuous use is not recommended.
The focus should be on lifestyle adjustments to avoid gastroesophageal reflux disease (GERD).
Below are the potential side effects associated with excessive intake and long-term use of the metal ion components in this medication:
1.
Aluminum ions: Excessive intake can cause constipation, and long-term use may lead to accumulation in the bones, resulting in bone disorders.
2.
Magnesium ions: Overuse can cause diarrhea, and prolonged use may lead to hypermagnesemia, affecting kidney function.
3.
Sodium ions: The carbon dioxide produced after neutralizing stomach acid may lead to bloating and discomfort, and it could potentially trigger rebound acid secretion.
Individuals with hypertension, kidney disease, liver cirrhosis, or heart disease should avoid using this medication.
Reply Date: 2017/12/01
More Info
When considering the long-term use of alginic acid chewable tablets, it's important to understand both the benefits and potential risks associated with their prolonged use. Alginic acid is commonly used to treat gastroesophageal reflux disease (GERD) and works by forming a gel-like barrier that helps prevent stomach acid from flowing back into the esophagus. This can provide relief from symptoms such as heartburn and regurgitation.
Safety and Long-Term Use
1. General Safety: Alginic acid is generally considered safe for short-term use. It is a natural polysaccharide derived from brown seaweed and is not associated with significant systemic absorption, which means it is unlikely to cause systemic side effects. However, the long-term safety of using alginic acid has not been extensively studied, and while it is well-tolerated by most individuals, there are some considerations to keep in mind.
2. Potential Side Effects: While alginic acid itself is not known to cause serious side effects, long-term use of any medication or supplement can lead to unintended consequences. For example, excessive use of alginic acid may lead to gastrointestinal issues such as bloating, gas, or constipation. Additionally, if you are relying on alginic acid as your primary treatment for GERD, it is essential to evaluate whether the underlying condition is being adequately managed.
3. Nutritional Considerations: Long-term use of alginic acid may also affect nutrient absorption. Since alginic acid can bind to certain minerals and vitamins, there is a potential risk of nutrient deficiencies if used excessively over time. It is advisable to monitor your overall diet and consider supplementation if necessary.
Recommendations for Long-Term Use
1. Consult with a Healthcare Provider: Before starting any long-term treatment, including alginic acid, it is crucial to consult with a healthcare provider. They can assess your specific condition, recommend appropriate dosages, and monitor for any potential side effects or interactions with other medications you may be taking.
2. Monitor Symptoms: Keep track of your GERD symptoms and any side effects you may experience while using alginic acid. If you notice any changes in your condition or new symptoms, it is important to discuss these with your healthcare provider.
3. Consider Comprehensive Management: While alginic acid can provide symptomatic relief, it is essential to address the underlying causes of GERD. This may include lifestyle modifications such as dietary changes, weight management, and avoiding triggers that exacerbate your symptoms. In some cases, other medications or treatments may be necessary for long-term management.
4. Periodic Evaluation: If you decide to use alginic acid long-term, consider scheduling periodic evaluations with your healthcare provider to reassess your treatment plan. This can help ensure that you are receiving the most effective and safe care for your condition.
Conclusion
In summary, while alginic acid chewable tablets can be a helpful adjunct in managing GERD symptoms, their long-term use should be approached with caution. Consulting with a healthcare provider is essential to ensure that you are using the medication safely and effectively, and to explore comprehensive management strategies for your condition. Regular monitoring and evaluation can help mitigate potential risks and ensure optimal health outcomes.
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