Kremil-S

Kremil-S

Manufacturer:

UNILAB, Inc

Distributor:

UNILAB, Inc
Concise Prescribing Info
Contents
Al hydroxide 178 mg, Mg hydroxide 233 mg, simeticone 30 mg
Indications/Uses
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 proton pump inhibitors for rapid relief of ulcer symptoms.
Dosage/Direction for Use
Administration
Should be taken on an empty stomach: Take 1 hr after each meal & at bedtime. Swallow whole w/ water. May be chewed then swallow w/o water.
Contraindications
Hypersensitivity. Kidney disease, intestinal obstruction, appendicitis, fecal impaction, gastric outlet obstruction, constipation, phosphate depletion, & low serum phosphate, osteomalacia.
Special Precautions
Risk of Al & Mg accumulation & toxicity w/ advanced kidney disease. Phenylketonurics. Concomitant use w/ other medicines. Consult if to use for >14 days. Pregnancy & lactation.
Adverse Reactions
Drug Interactions
May decrease absorption of tetracycline & Fe; take tetracycline 1 hr before or 2 hr after antacids & 2 hr before or 3 hr after Fe-containing prep. May decrease absorption of oral digoxin or indomethacin, INH, quinolones (eg, ciprofloxacin, ofloxacin), ketoconazole. May increase urinary excretion due to changes in urine pH & decrease blood conc of salicylates eg, aspirin. Increase in urine pH may decrease excretion of weakly basic drugs (eg, quinidine, chlorpromazine, propranolol, diazepam) & increase  excretion of weakly acidic drugs (eg, phenytoin, pentobarbital, warfarin). May increase absorption of dicumarol, diazepam & pseudoephedrine. May decrease the rate of chlordiazepoxide absorption. May reduce the bioavailability of biphosphonates (eg, alendronate, etidronate, risedronate).
MIMS Class
Antacids, Antireflux Agents & Antiulcerants
ATC Classification
A02AF02 - ordinary salt combinations and antiflatulents ; Belongs to the class of antacids with antiflatulents.
Presentation/Packing
Form
Kremil-S chewable tab
Packing/Price
100's (P750/box);1's (P7.5/pack);4's (P30/pack);500's (P3,750/box)
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