Hc REX is used as a dietary supplement for individuals who are deficient in Hc REX. Although a balanced diet usually supplies all the Hc REX a person needs, Hc REX supplements may be needed by patients who have lost Hc REX because of illness or treatment with certain medicines.
Lack of Hc REX may lead to irritability, muscle weakness, and irregular heartbeat.
Injectable Hc REX is given only by or under the supervision of a health care professional. Some oral Hc REX preparations are available only with a prescription. Others are available without a prescription.
Hc REX indications
An indication is a term used for the list of condition or symptom or illness for which the medicine is prescribed or used by the patient. For example, acetaminophen or paracetamol is used for fever by the patient, or the doctor prescribes it for a headache or body pains. Now fever, headache and body pains are the indications of paracetamol. A patient should be aware of the indications of medications used for common conditions because they can be taken over the counter in the pharmacy meaning without prescription by the Physician.
peptic ulcer, gastritis, dyspepsia
How should I use Hc REX?
Use Hc REX as directed by your doctor. Check the label on the medicine for exact dosing instructions.
Take Hc REX by mouth with food.
If you miss a dose of Hc REX and are using it regularly, take it as soon as possible. If it is almost time for the next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use Hc REX.
Uses of Hc REX in details
There are specific as well as general uses of a drug or medicine. A medicine can be used to prevent a disease, treat a disease over a period or cure a disease. It can also be used to treat the particular symptom of the disease. The drug use depends on the form the patient takes it. It may be more useful in injection form or sometimes in tablet form. The drug can be used for a single troubling symptom or a life-threatening condition. While some medications can be stopped after few days, some drugs need to be continued for prolonged period to get the benefit from it.
This medication is a mineral supplement used to prevent and treat low amounts of Hc REX in the blood. Hc REX is very important for the normal functioning of cells, nerves, muscles, bones, and the heart. Usually, a well-balanced diet provides normal blood levels of Hc REX. However, certain situations cause your body to lose Hc REX faster than you can replace it from your diet. These situations include treatment with "water pills" (diuretics such as furosemide, hydrochlorothiazide), a poor diet, alcoholism, or other medical conditions (e.g., severe diarrhea/vomiting, stomach/intestinal absorption problems, poorly controlled diabetes).
How to use Hc REX (oxide/AA chelate)
Take this product by mouth as directed. Follow all directions on the product package. If you are uncertain about any of the information, consult your doctor or pharmacist.
It is best to take Hc REX supplements with a meal to reduce stomach upset and diarrhea unless otherwise directed by the product instructions or your doctor.
Take each dose with a full glass (8 ounces or 240 milliliters) of water unless your doctor directs you otherwise. Swallow extended-release capsules and delayed-release/enteric coated tablets or capsules whole. Do not crush or chew extended-release or delayed-release/enteric coated capsules or tablets. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split extended-release tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing.
If you are using a liquid product, use a medication measuring device to carefully measure the dose. Do not use a household spoon because you may not get the correct dose. If you are using a suspension, shake the bottle well before each dose.
Take this medication regularly in order to get the most benefit from it. Remember to take it at the same time(s) each day. Dosage is based on your medical condition and response to treatment. Do not increase your dose or take it more often than directed on the product package or by your doctor. Too much Hc REX in the blood can cause serious side effects.
Tell your doctor if symptoms of low Hc REX blood levels (e.g., muscle cramps, tiredness, irritability, depression) persist or worsen. If you think you may have a serious medical problem, seek immediate medical attention.
Hc REX dosage
Usual Adult Dose for Hypomagnesemia
500 to 1000 mg Hc REX gluconate (27 to 54 mg elemental Hc REX) orally 3 times a day.
Usual Adult Dose for Dietary Supplement
500 to 1000 mg Hc REX gluconate (27 to 54 mg elemental Hc REX) orally once a day.
Usual Pediatric Dose for Hypomagnesemia
10 to 20 mg/kg of elemental Hc REX per dose orally 4 times a day. Use Hc REX gluconate oral liquid preparations for more accurate measurement of dose.
Renal Dose Adjustments
Do not use without physician supervision in patients with renal impairment due to increased risk of hypermagnesemia. The use of Hc REX salts are generally contraindicated in patients with severe renal dysfunction.
Liver Dose Adjustments
Data not available
May increase by 500 to 1,000 mg/day (27 to 54 mg elemental Hc REX) in order to achieve a normal serum Hc REX level. Daily doses > 1,000 mg (54 mg elemental Hc REX) should be given in 2 to 3 divided doses.
Because Hc REX is primarily eliminated by the kidney, there is significant risk of hypermagnesemia in patients with renal dysfunction.
Data not available; however, use of Hc REX salts is generally contraindicated in renal failure.
Hc REX supplements are often used with "low normal" serum Hc REX levels in patients predisposed to hypomagnesemia (e.g., patients on diuretics).
Alfacalcidol: May increase the serum concentration of Hc REX Salts. Consider therapy modification
Alpha-Lipoic Acid: Hc REX Salts may decrease the absorption of Alpha-Lipoic Acid. Alpha-Lipoic Acid may decrease the absorption of Hc REX Salts. Consider therapy modification
Baloxavir Marboxil: Polyvalent Cation Containing Products may decrease the serum concentration of Baloxavir Marboxil. Avoid combination
Bictegravir: Polyvalent Cation Containing Products may decrease the serum concentration of Bictegravir. Management: Administer bictegravir under fasting conditions at least 2 hours before or 6 hours after polyvalent cation containing products. Coadministration of bictegravir with or 2 hours after most polyvalent cation products is not recommended. Consider therapy modification
Bisphosphonate Derivatives: Polyvalent Cation Containing Products may decrease the serum concentration of Bisphosphonate Derivatives. Management: Avoid administration of oral medications containing polyvalent cations within: 2 hours before or after tiludronate/clodronate/etidronate; 60 minutes after oral ibandronate; or 30 minutes after alendronate/risedronate. Exceptions: Pamidronate; Zoledronic Acid. Consider therapy modification
Calcitriol (Systemic): May increase the serum concentration of Hc REX Salts. Management: Consider using a non-Hc REX-containing antacid or phosphate-binding product in patients also receiving calcitriol. If Hc REX-containing products must be used with calcitriol, serum Hc REX concentrations should be monitored closely. Consider therapy modification
Calcium Channel Blockers: May enhance the adverse/toxic effect of Hc REX Salts. Hc REX Salts may enhance the hypotensive effect of Calcium Channel Blockers. Monitor therapy
Deferiprone: Polyvalent Cation Containing Products may decrease the serum concentration of Deferiprone. Management: Separate administration of deferiprone and oral medications or supplements that contain polyvalent cations by at least 4 hours. Consider therapy modification
Dolutegravir: Hc REX Salts may decrease the serum concentration of Dolutegravir. Management: Administer dolutegravir at least 2 hours before or 6 hours after oral Hc REX salts. Administer the dolutegravir/rilpivirine combination product at least 4 hours before or 6 hours after oral Hc REX salts. Consider therapy modification
Doxercalciferol: May enhance the hypermagnesemic effect of Hc REX Salts. Management: Consider using a non-Hc REX-containing antacid or phosphate-binding product in patients also receiving doxercalciferol. If Hc REX-containing products must be used with doxercalciferol, serum Hc REX concentrations should be monitored closely. Consider therapy modification
Eltrombopag: Polyvalent Cation Containing Products may decrease the serum concentration of Eltrombopag. Management: Administer eltrombopag at least 2 hours before or 4 hours after oral administration of any polyvalent cation containing product. Consider therapy modification
Elvitegravir: Polyvalent Cation Containing Products may decrease the serum concentration of Elvitegravir. Management: Administer elvitegravir 2 hours before or 6 hours after the administration of polyvalent cation containing products. Consider therapy modification
Gabapentin: Hc REX Salts may enhance the CNS depressant effect of Gabapentin. Specifically, high dose intravenous/epidural Hc REX sulfate may enhance the CNS depressant effects of gabapentin. Hc REX Salts may decrease the serum concentration of Gabapentin. Management: Administer gabapentin at least 2 hours after use of a Hc REX-containing antacid. Monitor patients closely for evidence of reduced response to gabapentin therapy. Monitor for CNS depression if high dose IV/epidural Hc REX sulfate is used. Consider therapy modification
Levothyroxine: Hc REX Salts may decrease the serum concentration of Levothyroxine. Management: Separate administration of oral levothyroxine and oral Hc REX salts by at least 4 hours. Consider therapy modification
Multivitamins/Fluoride (with ADE): Hc REX Salts may decrease the serum concentration of Multivitamins/Fluoride (with ADE). Specifically, Hc REX salts may decrease fluoride absorption. Management: To avoid this potential interaction separate the administration of Hc REX salts from administration of a fluoride-containing product by at least 1 hour. Consider therapy modification
Mycophenolate: Hc REX Salts may decrease the serum concentration of Mycophenolate. Management: Separate doses of mycophenolate and oral Hc REX salts. Monitor for reduced effects of mycophenolate if taken concomitant with oral Hc REX salts. Consider therapy modification
Neuromuscular-Blocking Agents: Hc REX Salts may enhance the neuromuscular-blocking effect of Neuromuscular-Blocking Agents. Monitor therapy
PenicillAMINE: Polyvalent Cation Containing Products may decrease the serum concentration of PenicillAMINE. Management: Separate the administration of penicillamine and oral polyvalent cation containing products by at least 1 hour. Consider therapy modification
Phosphate Supplements: Hc REX Salts may decrease the serum concentration of Phosphate Supplements. Management: Administer oral phosphate supplements as far apart from the administration of an oral Hc REX salt as possible to minimize the significance of this interaction. Exceptions: Sodium Glycerophosphate Pentahydrate. Consider therapy modification
Quinolones: Hc REX Salts may decrease the serum concentration of Quinolones. Management: Administer oral quinolones several hours before (4 h for moxi/pe/spar-, 2 h for others) or after (8 h for moxi-, 6 h for cipro/dela-, 4 h for lome/pe-, 3 h for gemi-, and 2 h for levo-, nor-, or ofloxacin or nalidixic acid) oral Hc REX salts. Exceptions: LevoFLOXacin (Oral Inhalation). Consider therapy modification
Raltegravir: Hc REX Salts may decrease the serum concentration of Raltegravir. Management: Avoid the use of oral / enteral Hc REX salts with raltegravir. No dose separation schedule has been established that adequately reduces the magnitude of interaction. Avoid combination
Tetracyclines: Hc REX Salts may decrease the absorption of Tetracyclines. Only applicable to oral preparations of each agent. Management: Avoid coadministration of oral Hc REX salts and oral tetracyclines. If coadministration cannot be avoided, administer oral Hc REX at least 2 hours before, or 4 hours after, oral tetracyclines. Monitor for decreased tetracycline therapeutic effects. Exceptions: Eravacycline. Consider therapy modification
Trientine: Polyvalent Cation Containing Products may decrease the serum concentration of Trientine. Management: Avoid concomitant administration of trientine and oral products that contain polyvalent cations. If oral iron supplements are required, separate the administration by 2 hours. If other oral polyvalent cations are needed, separate administration by 1 hour. Consider therapy modification
Diarrhoea and bowel discomfort, due to the release of carbon dioxide caused by both Hc REX carbonate and sodium bicarbonate.
Excessive administration of Hc REX leads to the development of hypermagnesaemia, especially in renal insufficiency. Symptoms of hypermagnesaemia may include flushing of the skin, thirst, hypotension due to peripheral vasodilation, drowsiness, confusion, loss of tendon reflexes due to neuromuscular blockade, muscle weakness, respiratory depression, cardiac arrhythmias, coma, and cardiac arrest. Hc REX carbonate and Hc REX trisilicate may interfere with the absorption of other medicines when taken concomitantly. Administration of sodium bicarbonate by mouth can cause stomach cramps and flatulence.
Excessive administration of sodium bicarbonate may lead to metabolic alkalosis, especially in patients with impaired renal function. Symptoms may include shortness of breath, muscle weakness (associated with potassium depletion), and mental disturbances such as restlessness, convulsions, and coma. Muscle hypertonicity, twitching, and tetany may develop especially in hypocalcaemic patients due to increased protein binding and renal reabsorption of calcium. Excessive doses may also lead to sodium overloading and hyperosmolality. Sodium excess may result in hypernatraemia, a rise in extracellular concentration or in too much sodium and water in the body without change in extracellular concentration.
Retention of sodium leads to the accumulation of extracellular fluid (oedema) which may affect the cerebral, pulmonary or peripheral circulations.
The results of a survey conducted on ndrugs.com for Hc REX 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 Hc REX. 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.
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