This combination medication is used to treat symptoms caused by too much stomach acid such as heartburn, upset stomach, or indigestion. It is also used to treat symptoms of extra gas such as bloating and feelings of pressure/discomfort in the stomach/gut. Calcium carbonate is an antacid that works by lowering the amount of acid in the stomach. Simethicone works by breaking up gas bubbles in the gut.
Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar names may contain different ingredients meant for different purposes. Taking the wrong product could harm you.
Take this product by mouth as directed. Chew the medication well before swallowing. Follow all directions on the product package. Do not take more than the maximum recommended dose stated on the product package. If you are uncertain about any of the information, consult your doctor or pharmacist.
Tell your doctor if your condition persists or worsens. Do not take the maximum dose of the medication for more than 2 weeks unless directed by your doctor. If you think you may have a serious medical problem, seek immediate medical attention.
Constipation may occur. If this effect persists or worsens, tell your doctor or pharmacist promptly.
If your doctor has directed you to use this medication, remember that he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
Tell your doctor right away if any of these unlikely but serious side effects occur: loss of appetite, nausea/vomiting, unusual weight loss, bone/muscle pain, mental/mood changes (e.g., confusion), headache, increased thirst/urination, unusual weakness/tiredness.
Tell your doctor right away if any of these rare but very serious side effects occur: signs of kidney problems (such as change in the amount of urine).
A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the US -
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
Before taking this medication, tell your doctor or pharmacist if you are allergic to calcium carbonate or simethicone; or if you have any other allergies. This product may contain inactive ingredients (such as soy), which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
This product should not be used if you have certain medical conditions. Before using this product, consult your doctor or pharmacist if you have: high calcium levels (hypercalcemia), stomach/intestinal blockage.
If you have any of the following health problems, consult your doctor or pharmacist before using this product: kidney disease (e.g., kidney stones), severe loss of body water (dehydration).
This medicine may contain sugar. If you have diabetes, consult your doctor or pharmacist about using this drug safely.
If you are pregnant, tell your doctor before using this medication.
Calcium carbonate passes into breast milk. It is not known if simethicone passes into breast milk. Consult your doctor before breast-feeding.
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.
Some products that may interact with this drug include: digoxin, phosphate supplements (such as potassium phosphate), sodium polystyrene sulfonate.
Calcium carbonate can decrease the absorption of other drugs. Some examples of affected drugs include tetracycline antibiotics (such as doxycycline, minocycline), bisphosphonates (such as alendronate), estramustine, iron, levothyroxine, pazopanib, strontium, quinolone antibiotics (such as ciprofloxacin, levofloxacin), among others. Therefore, separate your doses of these medications as far as possible from your doses of calcium carbonate. Ask your doctor or pharmacist about how long you should wait between doses and for help finding a dosing schedule that will work with all your medications.
Check the labels on all your prescription and nonprescription/herbal products (such as supplements, vitamins) because they may contain calcium. Ask your pharmacist about using those products safely.
If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: nausea/vomiting, loss of appetite, mental/mood changes, headache, weakness, dizziness.
Keep all regular medical and laboratory appointments.
Lifestyle changes such as stress reduction programs, stopping smoking, limiting alcohol, and diet changes (e.g., avoiding caffeine/certain spices) may help to reduce heartburn and other stomach acid problems. Talk to your doctor or pharmacist about lifestyle changes that might benefit you.
Store at room temperature away from light and moisture. See packaging for the exact temperature range. If you have any questions about storage, ask your pharmacist. Do not store in the bathroom. Keep all medicines away from children and pets.
Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.
Information last revised July 2016. Copyright(c) 2016 First Databank, Inc.
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