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Symptomatic relief and treatment of heartburn in adults and children over 12 years old
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1. What it is Secrepat and what it is used
It belongs to the group of medicines called antacids, which act by decreasing excess stomach acidity.
It is indicated for the symptomatic relief and treatment of heartburn and heartburn in adults and children over 12 years old.
2. What you need to know before you start taking Secrepat
Do not take tablets Secrepat if:
if you are allergic to dihydroxyaluminum glycinate, aluminum hydroxide, magnesium trisilicate, calcium carbonate or any of the other ingredients of this medicine (listed in section 6).
if you have severe kidney failure.
if you have hypermagnesemia (high levels of magnesium in the blood).
if you have hypercalcemia (high calcium levels in the blood).
if you have bowel obstruction (partial or complete blockage of the intestine that causes an interruption of the passage of bowel contents through it).
Warnings and Precautions
Consult your doctor or pharmacist before you start taking Secrepat.
As with other antacids, this medicine may mask the symptoms of a disease more serious stomach as a peptic ulcer or a malignant process, so if symptoms persist or worsen after 14 days of treatment, consult your doctor .
the use of aluminum-containing antacids generally in patients with Alzheimer's disease because it could contribute to the development of the disease is not recommended.
In the cases described below before taking the medication should consult with your doctor about whether it is appropriate to use:
if you have appendicitis or symptoms of appendicitis, as laxatives or constipating effects may increase the risk of perforation or rupture;
if you have had any ileostomy (surgery in the intestine) or colostomy (surgery in the colon);
if you have constipation or fecal impaction (large mass of dry, hard stool that can develop in the rectum due to chronic constipation);
if you have pyloric obstruction (narrowing of the sphincter between the stomach to the small intestine);
if you have hemorrhoids;
if you have hypoparathyroidism (thyroid disease);
if you have sarcoidosis (inflammatory disease that affects multiple organs in the body, essentially lungs and lymph nodes);
if you have a low phosphorus diet, diarrhea, malabsorption, or kidney transplant, because, especially with prolonged treatment can cause hypophosphatemia (anorexia, muscle weakness, malaise) and bone diseases such as osteomalacia, osteoporosis and fractures, especially in patients with other bone diseases;
if you have mild or moderate renal failure (kidney disease) and need to take this medicine, you do so with caution will avoid taking high doses as there is a risk of poisoning hypermagnesemia (increased levels of magnesium in the blood) and hiperaluminemia (increase aluminum levels in blood). Also it avoids chronic treatments since they can lead to encephalopathies (aluminum poisoning) or hypermagnesemia (increased blood magnesium levels).
If you have gastrointestinal bleeding or undiagnosed rectal, diverticulitis (inflammation of small sacs or pouches in the intestines), inflammatory bowel disease, kidney stones or, well, habitalmente ingested large amounts of alcohol
In general, taking high doses for long periods of time this medicine can cause side effects such as hypermagnesemia (increased levels of magnesium in the blood), hypercalcemia (increased calcium levels in the blood), hiperaluminemia (increased aluminum levels in the blood) and metabolic alkalosis (metabolic disorder).
Interference with diagnostic tests
If you are having a test for evaluating the secretory function of gastric acid, it should not take antacids the same morning that the test is performed, since it could alter the results.
This medicine can interfere with the physiological laboratory test values. They can increase the blood levels of calcium and gastrin.
When taken Secrepat can lower blood concentrations of potassium and phosphate.
Antacids can increase the pH of the blood and urine.
Taking with other medicines Secrepat
Tell your doctor or pharmacist if you are taking, you have recently taken or might take any other medicines.
Antacids modify the absorption or elimination of many medicines, so must separate taking any other medications antacid between 2 and 3 hours.
The medicines listed below may interfere and therefore should not be taken together with Secrepat without first talking to your doctor: tetracyclines and fluoroquinolones (antibiotics), phenothiazines (antipsychotics), digoxin (heart medicine), isoniazid
(Medicine for tuberculosis), iron salts, and ketoconazole (antifungal). Should be spaced between Secrepat and taking these medicines at least 2 hours.
It is not recommended jointly take Secrepat with the following medications: sodium phosphate cellulose (medicine for the treatment of stones or kidney stones), mecamylamine or methenamine (antibiotic) and sodium polystyrene sulfonate (medicine to treat high potassium levels blood).
Taking Secrepat with food
Because it contains calcium carbonate, simultaneous treatment and prolonged this medicine with making milk or milk products, can lead to the syndrome "Milk-alkali" (hypercalcemia: high levels of calcium in blood and metabolic alkalosis: alteration metabolic).
Pregnancy and lactation
If you are pregnant or breastfeeding, you think you may be pregnant or planning to become pregnant, ask your doctor or pharmacist before using this medicine.
Medicine use during pregnancy can be dangerous for the embryo or fetus, and should be monitored by your doctor.
Certain amount of calcium, aluminum and magnesium can pass into breast milk, but the amounts are achieved in milk, they are not large enough to produce effects in the newborn.
Driving and using machines
Secrepat tablets does not affect the ability to drive or operate machinery.
Secrepat contains sucrose
This medicine contains sucrose. If your doctor has told you have an intolerance to some sugars contact your doctor before taking this medicine. It can cause tooth decay.
3. How to take Secrepat
Follow exactly the instructions of medicine administration in this leaflet or as your doctor or pharmacist. If in doubt ask your doctor or pharmacist.
The recommended dose in adults and children over 12 years dose is 1 or 2 chewable tablets when symptoms and preferably between 20 minutes and 1 hour after meals and before bedtime occur.
more than 8 chewable tablets in 24 hours (1 day) will be taken. Always use the lowest effective dose.
Use in children
Do not administer to children under 12 years old
Patients with kidney disease
Should consult their doctor (see section 2).
If symptoms do not improve within 14 days you should stop treatment and seek medical advice
If you take more than you should Secrepat
If you take more than the recommended Secrepat may appear diarrhea, abdominal pain and vomiting.
In case of overdose or accidental ingestion, immediately consult your doctor or pharmacist, or call a poison control center, phone 915 620 420, indicating the medicine and the amount taken.
If you forget to take Secrepat
Do not take a double dose to make up for missed doses.
If you have any questions about using this medicine, ask your doctor or pharmacist.
4. Possible side effects
Like all medicines, Secrepat can cause side effects, although not everybody gets them.
Side effects that may occur with taking Secrepat are generally mild and transient. Very rare (may affect up to 1 in 10,000 patients): constipation or diarrhea.
When high doses of Secrepat taken or is taken over very long periods of time, the following side effects may occur:
Fecaloma (mass of hard feces that obstructs defecation), swelling of the lower legs, hypercalcemia (increased calcium levels in the blood), hiperaluminemia (increased aluminum levels in the blood), hypophosphatemia (abnormally low levels blood phosphorus), calculi or kidney stones, bone diseases and osteoporosis or osteomalacia phosphorus depletion syndrome.
Moreover, in case of suffering from kidney disease: metabolic alkalosis (metabolic disorder), hypermagnesemia (increased blood magnesium levels).
Communication adverse effects
If you experience any side effects, talk to your doctor or pharmacist, even if
about possible side effects not listed in this leaflet. You can also communicate directly through the Spanish Pharmacovigilance System for Medicinal Products for Human Use: https://www.notificaram.es.
By communicating adverse effects you can help provide more information on the safety of this medicine.
5. Conservation Secrepat
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date on the carton after EXP. The expiry date is the last day of that month.
It does not require any special storage conditions.
Medicines should not be disposed of via wastewater or household waste. Place containers and medicines no longer required in Point SIGRE pharmacy. If in doubt, ask your pharmacist how to dispose of medicines no longer required. This way you will help to protect the environment.
6. Contents of the pack and other information
The active substances are: dihydroxyaluminum glycinate, 400 mg; aluminum hydroxide, 100 mg;
magnesium trisilicate, 50 mg; calcium carbonate, 150 mg.
The other ingredients are glycine, sucrose, magnesium stearate, polysorbate 80, sodium saccharin, aniseed (anis flavored chewable tablets Secrepat), peppermint (mint flavor Secrepat chewable tablets).
Looks like and contents of the pack
Secrepat is in the form of chewable tablets and white circular shape with flat base
Holder of the marketing authorization
Angelini Pharmaceuticals, S.A.
C. Osi 7
Responsible for manufacturing
Laboratorios Alcala Farma, SL
Ctra. M-300, Km. 29.920
28802 Alcalá de Henares. Madrid.