Antacid

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Antacids are a category of drugs that are utilized to neutralize stomach acidity and alleviate indigestion. Overeating or eating quickly can often lead to indigestion, characterized by increased acidity in the stomach. Antacids operate by a process known as neutralization, in which the alkaline tablets interact with acidic stomach fluids to create harmless substances like water and salt.

Overview[edit | edit source]

Antacids are frequently used in the management of heartburn, gastroesophageal reflux disease (GERD), and other conditions associated with excessive stomach acid. They are available over-the-counter (OTC) and are generally considered safe for short-term use.

Mechanism of Action[edit | edit source]

The primary action of antacids is to neutralize gastric acid through a process called neutralization. In this chemical reaction, the antacid (a base) reacts with the stomach acid (a strong acid), producing water and salt, thereby reducing the acidity in the stomach.

Types of Antacids[edit | edit source]

Various types of antacids exist, each containing different active ingredients. Examples include:

  • Magnesium compounds (Milk of Magnesia): Often used due to their rapid onset of action. They may cause diarrhea in some individuals.
  • Aluminum compounds: They have a slow onset of action but tend to cause constipation.
  • Calcium carbonate (Tums): A popular choice due to its rapid onset of action, it may lead to constipation or, rarely, a condition known as milk-alkali syndrome.
  • Sodium bicarbonate (Alka-Seltzer): It is fast-acting but contains high levels of sodium, making it unsuitable for those on a low-sodium diet or with heart disease.

Side Effects[edit | edit source]

While antacids are generally safe, they can cause side effects in some individuals, including both constipation and diarrhea. The type and severity of side effects can vary depending on the specific antacid used. Antacids high in sodium should be used cautiously by individuals with heart conditions or those adhering to a low-sodium diet.

Usage and Precautions[edit | edit source]

Antacids should be taken as directed by a healthcare professional or according to the package instructions. Individuals should also consider potential drug interactions, as antacids can interfere with the absorption of certain medications.

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Contributors: Prab R. Tumpati, MD