Polygel Suspension contains Simethicone USP (50mg), Magnesium Hydroxide USP (250mg), and Dried Aluminium Hydroxide Gel USP (250mg) in each 5ml dose.
The excipients include Sodium Methyl Hydroxybenzoate BP, Sodium Propyl Hydroxybenzoate BP, Saccharine Sodium BP, Purified Water BP, Sorbitol Solution BP, Citric Acid Monohydrate BP, Polysorbate 80 BP, Bronopol BP, Levomenthol (Menthol) BP, Peppermint Oil BP, Xanthan Gum USP/ NF and Sodium Hypochlorite solution (dilute) (4%) BP.
Polygel Suspension is colored with Erythrosine & Tartrazine and flavored with Mint.
Simethicone is an antifoaming agent that reduces flatulence by lowering surface tension. It allows small gas bubbles to coalesce into larger bubbles, making them easier to pass. It is chemically inert and has no known systemic effects.
Aluminium Hydroxide acts as an antacid, neutralizing gastric acid. It also adsorbs pepsin at a pH above 3, delays gastric emptying, relaxes gastrointestinal smooth muscle, and promotes a mucosal barrier to acid by stimulating mucus secretion.
It has a laxative action, often used in combination with Aluminium Hydroxide, which has a constipating action. Its insolubility allows for a prolonged antacid effect. Magnesium Hydroxide increases intestinal motility.
Polygel is indicated for the relief of heartburn, sour stomach, symptoms of gas and stomach upset, hyperacidity associated with conditions like peptic ulcer, gastritis, peptic oesophagitis, and hiatal hernia. It also acts as an antiflatulent to relieve trapped gas symptoms, including postoperative gas pain.
Polygel is contraindicated in patients with a prior history of hypersensitivity to any of its components and in patients with renal failure.
Adults and children over 12 years old should take 2-4 teaspoonfuls (10ml to 20ml) of the suspension, 4 times a day, or as directed by a physician. Higher doses may be needed for peptic ulcers.
Children 5-12 years old should take half the adult dose.
The most common side effect is changes in bowel function, with diarrhea being the most frequent. A small reduction in dosage may alleviate these symptoms.
Constipation, stomach cramps, loss of appetite, vomiting, dizziness, and headache may occur rarely.
Aluminum can cause nausea, vomiting, and constipation. Large doses may cause intestinal obstruction. In patients on low phosphate diets, excessive or normal doses may lead to phosphate depletion, increased calcium resorption and urinary excretion, potentially resulting in osteomalacia.
Magnesium can cause diarrhea. Hypermagnesemia can occur in individuals with impaired renal function. Magnesium hydroxide and other magnesium salts can cause central nervous system depression in the presence of renal insufficiency.
Polygel is considered safe during pregnancy. However, caution should be exercised when administering Polygel to nursing mothers.
Aluminum and magnesium may affect the absorption of other medications from the gastrointestinal tract if administered concurrently. Polygel can reduce the activity of Fluoroquinolones, Isoniazid (oral), Iron, Indomethacin, Digoxin, Ketoconazole, and Phenothiazines. It may potentiate the effects of Mecamylamine and reduce the effect of Tetracyclines.
The most common symptom of overdose is diarrhea. In patients with severe renal impairment, there may be a risk of magnesium poisoning, manifested by dry mouth, dizziness, and respiratory difficulties including depression.
Treatment involves gastric lavage, increased intestinal transit with laxatives lacking magnesium, and intravenous administration of calcium gluconate if magnesium intoxication symptoms are observed.
Polygel Suspension should be stored below 30°C, protected from sunlight, and kept out of reach of children.
Polygel Suspension is available in 10ml, 50ml, 100ml, 120ml, and 200ml bottles.
NAFDAC Reg. No.: A4-2694 Zambia Lic. No.: 075/006
GS