Consists of Cascara Sagrada, Magnesium Hydroxide
What is Cascara Sagrada?
Relieving occasional constipation (irregularity).
Cascara sagrada is a stimulant laxative. Exactly how cascara sagrada works is unknown, but it may work by irritating the bowel tissue and drawing fluid into the intestines, resulting in a bowel movement.
Cascara Sagrada indications
Short-term treatment of constipation; preoperative and preradiographic bowel evacuation for procedures involving GI tract.
How should I use Cascara Sagrada?
Use cascara sagrada as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Take cascara sagrada with a full glass (8 ounces/240 mL) of water.
- Take cascara sagrada with a meal, if possible.
- Cascara sagrada may be swallowed whole, opened and prepared as tea, or dissolved in liquid.
- Drinking extra fluids (eight 6 oz/180 mL glasses of water daily) while you are taking cascara sagrada is recommended. Check with your doctor for instructions.
- Do not take additional laxatives or stool softeners with cascara sagrada unless directed by your doctor.
- If you miss a dose of cascara sagrada and you are taking it regularly, take it as soon as possible. If several hours have passed or if it is nearing time for the next dose, do not double the dose to catch up, unless advised by your health care provider. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use cascara sagrada.
Cascara Sagrada interactions
None well documented.
Cascara Sagrada side effects
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What are the possible side effects of Cascara Sagrada?
Cardiovascular
Palpitations.
CNS
Dizziness; fainting.
GI
Excessive bowel activity (eg, griping, diarrhea, nausea, vomiting); perianal irritation; bloating; flatulence; abdominal cramping.
Miscellaneous
Sweating; weakness.
Cascara Sagrada contraindications
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What is the most important information I should know about Cascara Sagrada?
Nausea, vomiting or other symptoms of appendicitis; acute surgical abdomen; fecal impaction; intestinal obstruction; undiagnosed abdominal pain.
What is Magnesium Hydroxide?
Magnesium is a naturally occurring mineral. Magnesium is important for many systems in the body especially the muscles and nerves. Magnesium hydroxide also reduces stomach acid, and increases water in the intestines which may induce defecation.
Magnesium hydroxide is used as a laxative to relieve occasional constipation (irregularity) and as an antacid to relieve indigestion, sour stomach, and heartburn.
Magnesium hydroxide may also be used for purposes not listed in this medication guide.
Magnesium Hydroxide indications
Treating acid indigestion, heartburn, sour stomach, and constipation. It may also be used for other conditions as determined by your doctor.
Magnesium Hydroxide is an antacid. It works by neutralizing the acid in the stomach and by stimulating the bowels to move.
How should I use Magnesium Hydroxide?
Use Magnesium Hydroxide as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Take Magnesium Hydroxide by mouth with or without food. Take Magnesium Hydroxide with a full glass of water (8 oz/240 mL).
- Chew thoroughly before swallowing.
- If you miss a dose of Magnesium Hydroxide, take it as soon as you remember. Continue to take it as directed by your doctor or on the package label.
Ask your health care provider any questions you may have about how to use Magnesium Hydroxide.
Uses of Magnesium Hydroxide in details
This medication is used for a short time to treat occasional constipation. It is a laxative (osmotic-type) that is thought to work by drawing water into the intestines, an effect that helps to cause movement of the intestines.
This medication is also used to treat symptoms caused by too much stomach acid such as heartburn, upset stomach, or indigestion. It is an antacid that works by lowering the amount of acid in the stomach.
How to use Magnesium Hydroxide
Take this product by mouth as directed. For the chewable form, chew thoroughly before swallowing. For the liquid form, shake the bottle well before each dose. Carefully measure the dose using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose. If you are taking this medication for constipation, drink a full glass of water (8 ounces or 240 milliliters) with each dose. Follow all directions on the product package, or use as directed by your doctor. If you are uncertain about any of the information, consult your doctor or pharmacist.
Dosage is based on your medical condition and response to treatment.
Extended use or overuse of this medication for constipation may result in dependence on laxatives and ongoing constipation. Overuse may also cause persistent diarrhea, loss of too much body water (dehydration), and mineral imbalances (e.g., high magnesium).
Tell your doctor if your condition persists or worsens. For constipation problems, it may take 30 minutes to 6 hours to produce a bowel movement. Tell your doctor if this product does not produce a bowel movement, if you need to use this medication or other laxative products regularly for more than 1 week, or if you have rectal bleeding. For stomach acid problems, do not take the maximum dose of this medication for more than 2 weeks unless directed by your doctor. If you think you may have a serious medical problem, seek immediate medical attention.
Magnesium Hydroxide description
Each tablet contains magnesium hydroxide 200 mg and aluminum hydroxide 200 mg or with dimethicone 25 mg (for Magnesium Hydroxide).
Each 5 mL suspension contains magnesium hydroxide (as magnesium hydroxide paste) 200 mg and aluminum hydroxide (as aluminum hydroxide gel) 225 mg or with dimethicone 25 mg (for Magnesium Hydroxide).
Maalox suspension also contains methylparahydroxybenzoate E218, propylparahydroxybenzoate E216, anhydrous citric acid, sodium saccharin, crystallizing liquid sorbitol E420, mannitol powder E421, hydrogen peroxide, peppermint oil, concentrated HCl and purified water as excipients.
Magnesium Hydroxide dosage
Magnesium Hydroxide Dosage
Applies to the following strength(s): 24%; 8%; 400 mg; 16%; 311 mg; 325 mg
The information at Drugs.com is not a substitute for medical advice. Always consult your doctor or pharmacist.
Usual Adult Dose for:
- Constipation
- Dyspepsia
Usual Pediatric Dose for:
- Constipation
- Dyspepsia
Additional dosage information:
- Renal Dose Adjustments
- Liver Dose Adjustments
- Dialysis
- Other Comments
Usual Adult Dose for Constipation
Oral liquid
:
30 to 60 mL orally once a day or in divided doses.
Chewable tablet:
8 tablets orally once a day or in divided doses.
Usual Adult Dose for Dyspepsia
Oral liquid
:
Initial dose: 5 to 15 mL orally 1 to 4 times a day as needed.
Alternatively, 1 to 3 oral tablets 1 to 4 times a day as needed.
Chewable tablet:
2 to 4 tablets orally every 4 hours as needed up to 4 times in a 24 hour period.
Usual Pediatric Dose for Constipation
Oral liquid
:
1 year or less: 0.5 mL/kg per dose.
2 to 5 years: 5 to 15 mL orally once a day or in divided doses.
6 to 12 years: 15 to 30 mL orally once a day or in divided doses.
13 to 18 years: 30 to 60 mL orally once a day or in divided doses.
Chewable tablet:
3 to 5 years: 2 tablets orally once a day or in divided doses.
6 to 11 years: 4 tablets orally once a day or in divided doses.
12 to 18 years: 8 tablets orally once a day or in divided doses.
Usual Pediatric Dose for Dyspepsia
Chewable tablet:
12 to 18 years: 2 to 4 tablets orally every 4 hours up to 4 times in a 24 hour period.
Renal Dose Adjustments
Magnesium salts should be used cautiously in patients with renal impairment due to increased risk of hypermagnesemia.
Liver Dose Adjustments
Data not available
Dialysis
Use of magnesium salts is generally contraindicated in renal failure. However, magnesium hydroxide has been used experimentally as a phosphate-binding agent for the treatment of hyperphosphatemia of renal failure. A reduction of the magnesium concentration in dialysate is required to avoid hypermagnesemia. Serum magnesium and potassium levels should be routinely monitored and kept within the normal range.
Other Comments
When used for the treatment of constipation, clinicians should instruct patients to drink 8 ounces of water with each dose.
More about magnesium hydroxide
- Side Effects
- During Pregnancy or Breastfeeding
- Dosage Information
- Drug Interactions
- Support Group
- En Espanol
- 92 Reviews - Add your own review/rating
Consumer resources
- Magnesium hydroxide
- Magnesium Hydroxide
- Magnesium hydroxide suspension
- Other brands: Magnesium Hydroxide, Phillips' Magnesium Hydroxide, Dulcolax Magnesium Hydroxide, Ex-Lax Magnesium Hydroxide, More (1) »
Professional resources
- Magnesium Hydroxide (Wolters Kluwer)
Related treatment guides
- Acne
- Constipation
- Indigestion
Magnesium Hydroxide interactions
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What other drugs will affect Magnesium Hydroxide?
Some MEDICINES MAY INTERACT with Magnesium Hydroxide. Tell your health care provider if you are taking any other medicines, especially any of the following:
Anticoagulants (eg, warfarin) because the risk of their side effects may be increased by Magnesium Hydroxide
Azole antifungals (eg, ketoconazole), bisphosphonates (eg, alendronate), cation exchange resins (eg, sodium polystyrene sulfonate), cephalosporins (eg, cephalexin), mycophenolate, penicillamine, quinolone antibiotics (eg, ciprofloxacin), or tetracyclines (eg, doxycycline) because their effectiveness may be decreased by Magnesium Hydroxide
This may not be a complete list of all interactions that may occur. Ask your health care provider if Magnesium Hydroxide may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
Magnesium Hydroxide side effects
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What are the possible side effects of Magnesium Hydroxide?
Applies to magnesium hydroxide: chewable tablets, suspension, tablets
Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Diarrhea.
Seek medical attention right away if any of these SEVERE side effects occur while taking magnesium hydroxide (the active ingredient contained in Magnesium Hydroxide)
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); loss of appetite; muscle weakness; nausea; slow reflexes; vomiting.
Magnesium Hydroxide contraindications
See also:
What is the most important information I should know about Magnesium Hydroxide?
Do NOT use Magnesium Hydroxide if:
you are allergic to any ingredient in Magnesium Hydroxide
Contact your doctor or health care provider right away if any of these apply to you.
Active ingredient matches for Cascara Sagrada/Magnesium Hydroxide:
Cascara Sagrada/Magnesium Hydroxide
List of Cascara Sagrada/Magnesium Hydroxide substitutes (brand and generic names) | Sort by popularity |
| Unit description / dosage (Manufacturer) | Price, USD |
| Cas-Mag | |
| Suspension; Oral; Cascara Sagrada 0.33 ml; Magnesium Hydroxide 50 mg / ml | |
References
- DailyMed. "MAGNESIUM HYDROXIDE: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailyme... (accessed September 17, 2018).
- PubChem. "MAGNESIUM HYDROXIDE". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).
- DrugBank. "Magnesium Hydroxide". http://www.drugbank.ca/drugs/DB09104 (accessed September 17, 2018).
Reviews
The results of a survey conducted on ndrugs.com for Cascara Sagrada/Magnesium Hydroxide are given in detail below. The results of the survey conducted are based on the impressions and views of the website users and consumers taking Cascara Sagrada/Magnesium Hydroxide. We implore you to kindly base your medical condition or therapeutic choices on the result or test conducted by a physician or licensed medical practitioners.User reports
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Information checked by Dr. Sachin Kumar, MD Pharmacology
