Key to symbols
The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP
The medicine should only be used and prescribed by a specialist
Indicates the preferred choice within a class or group of medicines
1. Gastro-intestinal system
1.1. Dyspepsia and gastro-oesophageal reflux disease
NICE CG184 provide guidance on the management of dyspepsia in adults in the community.
The Acute Adult Therapeutics Handbook also contains guidance on dyspepsia
1.1.1. Antacids
A mixture of aluminium hydroxide and magnesium hydroxide balances the tendency of aluminium to constipate against that of magnesium to cause diarrhoea.
Preferred List
CO-MAGALDROX (SUSPENSION)
Prescribing Notes:
A mixture of aluminium hydroxide and magnesium hydroxide balances the tendancy of aluminium to constipate against that of magnesium to cause diarrhoea.
Total Formulary
1.1.2. Compound alginates and indigestion preparations
Preferred List
ALGINATE RAFT-FORMING (GAVISCON INFANT) (SACHETS)
ALGINATE RAFT-FORMING (PEPTAC) (LIQUID)
Prescribing Notes:
Preferred alginate raft-forming preparation for use in adults. Peptac has the same active ingredient as Gaviscon liquid. It is high in sodium and should be used with care when salt restriction is important (heart disease, hepatic or renal impairment, pregnancy). Gaviscon and Gaviscon Advance are non-Formulary preparations.