Relcer® gel (Antacid and Antiflatulent)

Relcer® gel is a medication that combines antacid and antiflatulent properties, making it a useful treatment for individuals suffering from heartburn, indigestion, and bloating caused by excess gas in the digestive system. The gel is composed of aluminum hydroxide gel, magnesium hydroxide, and simethicone, which work together to neutralize stomach acid and reduce the production of gas.

Relcer® gel contains the time tested antacids, Aluminium Hydroxide gel and magnesium hydroxide to exert prompt and pronounced acid neutralizing activity without the acid rebound sometimes seen with calcium carbonate. 

Simethicone causes gas bubbles to coalesce by changing their surface tension thereby relieving flatus and gastric distention. Deglycyrrhizinated liquorice, the purified extract of liquorice, improves the defensive action of gastric mucosa by helping regeneration of mucus cells leading to greater mucus cell turnover improving the quality and quantity of mucus. Besides, it exerts spasmolytic activity.

Indications

Relcer® gel can be given with benefit in conditions of hyperacidity, gastritis, flatulence, dyspepsia and pain associated with peptic ulceration or other causes. It also relieves heart-burn associated with
reflux oesophagitis, haitus, hernia or pregnancy.

Contraindications

Relcer® gel must not be used in patients with impaired renal and hepatic function and in patients with cardiac blockade or
other heart diseases.

Side effects and adverse reactions

Relcer gel is generally very well tolerated.
Constipation which is often seen with plain Aluminium hydroxide formulations,
is not generally encountered. The slight constipating effect of aluminium hydroxide is balanced by the mild laxative effect of magnesium hydroxide thus avoiding any side effects in the treatment. The tolerance of the product is very good. Adverse effects for Aluminium and magnesium may be seen in patients taking aluminium hydroxide formulations for long periods may develop
hypophosphataemia and osteomalacia.

Dosage regimen and directions for use

1 to 2 teaspoons three or four times daily after meals and at bedtime or as directed by the physician

Precautions and warnings

In patients of impaired renal function, relcer gel should be administered as per physician’s direction. Although electrolyte
imbalance is not reported with Deglycyrrhizinated liquorice, it is advisable to exercise caution in patients with hypertension, oedema or cardiac disorders.
Concomitant use of aluminium hydroxide with any form of tetracycline is not
advised as the antacid may prevent proper absorption of tetracycline. Aluminium
hydroxide is known to form complexes and can interfere with absorption or excretion of warfarin digoxin, quinine and some other drugs. The therapeutic effects of these drugs may be altered when aluminium hydroxide formulations are used concomitantly.

Symptoms and treatment of overdose

With moderate overdosage, aluminium hydroxide and magnesium hydroxide compounds may cause nausea, vomiting, constipation or diarrhea. With large overdosage, alkalosis, weakness, fatigue, nervous irritability or muscle spasms may be seen. There is no specific antidote for
use in acute overdosage and the management will be as per symptoms.

Pregnancy

There is no information available concerning teratogenic effects due to the active ingredients of relcer gel. Relcer gel
must not be used during pregnancy or lactation unless indicated by the physician.