From the FDA Drug Label
Directions shake well before using do not take more than 12 teaspoonfuls in 24 hours do not use the maximum dosage for more than 2 weeks dosage: 2 teaspoonfuls 5-6 times daily after meals and at bedtime followed by a sip of water if needed
The recommended dosing for Almagel Plus (aluminum hydroxide and magnesium hydroxide) for adults is:
- 2 teaspoonfuls,
- 5-6 times daily,
- after meals and at bedtime,
- followed by a sip of water if needed.
- The maximum dosage is 12 teaspoonfuls in 24 hours and should not be used for more than 2 weeks. 1
From the Research
The recommended dosing for Almagel Plus (aluminum hydroxide and magnesium hydroxide) for adults and children over 12 years is 1-2 teaspoons (5-10 ml) taken 3-4 times daily, preferably 30 minutes to 1 hour after meals and at bedtime. This dosing is based on the general guidelines for antacid use and the specific properties of Almagel Plus, which contains both aluminum and magnesium hydroxide to balance out potential side effects such as constipation and diarrhea 2. The medication should be shaken well before use, and for acute symptoms, it can be taken as needed for relief, but should not exceed 8 doses (80 ml) in 24 hours. Treatment duration should typically be limited to 2 weeks unless directed otherwise by a healthcare provider, as prolonged use can lead to dependency or mask symptoms of a more serious condition. Almagel Plus works by neutralizing stomach acid and forming a protective coating on the stomach lining, which helps relieve symptoms of acid reflux, heartburn, and indigestion. If symptoms persist beyond two weeks, worsen, or are accompanied by severe pain, fever, or vomiting, medical attention should be sought as these could indicate a more serious condition requiring different treatment. It's also worth noting that while there are various studies on antacids and their effects, the specific dosing for Almagel Plus is guided by its formulation and the goal of balancing efficacy with safety, as seen in comparisons with other antacids like Maalox 2. However, the most recent and highest quality evidence directly related to Almagel Plus dosing is not explicitly provided in the given studies, so the recommendation is based on general principles of antacid therapy and the properties of aluminum and magnesium hydroxide combinations.