1.1.1 Antacids and simeticone

NHS England (NHSE) has published new prescribing guidance for various common conditions for which over the counter (OTC) items should not be routinely prescribed in primary care (quick reference guide). These conditions include indigestion and heartburn.

Many indigestion and heartburn treatments are cheap to buy and are readily available OTC along with advice from pharmacies. Some self-care medicines are available from shops and supermarkets. Please click here for further information, exceptions, and a patient leaflet.

Magnesium trisilicate
  • Oral suspension (contains about 6mmol of sodium in 10ml, laxative) (£1.65 = 200ml)

Indications

  • Dyspepsia

Dose

  • 10–20ml in water 3 times daily or as required
Co-magaldrox
  • Oral suspensionSF 195mg/220mg in 5ml (low sodium, bowel neutral) (£2.99 = 500ml)

Indications

  • Dyspepsia

Dose

  • 10–20ml 20–60 minutes after meals and at bedtime or when required
Antacid and oxetacaine
  • Oral suspensionSF (unlicensed preparation)

Indications

  • Antacid and oxetacaine suspension is used for radiotherapy patients only

 

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