MILK OF MAGNESIA Oral Suspension Ref.[6420] Active ingredients: Magnesium hydroxide

Use a 5 ml spoon or the dosing cup provided.

Doses may be taken with milk or water if desired.

Do not exceed the stated dose.

As an antacid

Adults: 5-10 ml (one or two 5 ml spoonfuls or fill the dosing cup to the first or second line). Repeat as necessary to a maximum of 60 ml in 24 hours.

Children aged 3-12 years: 5 ml (one spoonful or first line in dosing cup). Repeat as necessary to a maximum of 30 ml in 24 hours.

As a laxative

Adults: 30-45 ml at bedtime. Repeat nightly, reducing dose each night until constipation is relieved.

Children aged over 3 years: 5-10 ml at bedtime.

Children aged under 3 years: to be given only on the advice of a doctor.

Elderly: As adult dose.

Symptoms of overdose include gastrointestinal irritation and watery diarrhoea. Magnesium poisoning may produce hypermagnesaemia, symptoms of which include nausea, vomiting, flushing, thirst, hypotension, drowsiness, confusion, loss of tendon reflexes, muscle weakness, respiratory depression, cardiac arrhythmias, coma and cardiac arrest.

Treatment

Treatment consists of the intravenous administration of calcium gluconate injection 10% in a dose of 10-20ml to counteract respiratory depression or heart block. If renal function is normal, adequate fluids should be given to assist removal of magnesium from the body. Dialysis may be necessary in patients with renal impairment or severe hypermagnesaemia.

Shelf life: 36 months; after opening, 6 months.

Store below 25°C. Do not freeze.

Blue HDPE bottles with white HDPE screw turn tamper evident inner cap and external click on dosing cap. Pack size 100ml and 200ml.

Shake bottle well before use. Use within 6 months of opening.