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Professor & HoD Department of Pharmaceutical Chemistry, JSS College of Pharmacy, (Constituent College, JSS Academy of Higher Education &Research-Deemed to be University, Mysuru) Ooty-643 001, The Nilgiris, Tamilnadu,INDIA The author has about 25 years of teaching and research experience. The Author has more than 125 research publications in reputed National and International journals and has H-index 17 by scopus. He has also published 11 books and 12 patents. He is a recognized research guide for Ph.D in JSS Academy of Health Education and Research and He served as editorial member and reviewer in many reputed National and International journals. He is the winner in Drug Discovery Hackathon-2020 for Covid-19 Drug discovery organized by Govt of India and also received a Research grant of 14.35 lakhs in phase-II research. He is nominated as BOS member in various universities and received about 13 awards. He has organized many national and International seminar/ workshop/ Conferences etc sponsored by various funding agencies.

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Sunday, October 15, 2017

ANTI MICROBIAL AGENTS

ANTIMICROBIAL AGENTS
v   These are the substance which help in reducing and preventing infection due to microbes.
v   It can be classified in Specific terminology describes exact mode or mechanism of action
v   Antiseptic
These are substances that are able to kill or prevent the growth of microorganisms. These preparations which are to be applied to living tissues.
v  Disinfectants
These are substances that prevent infection by the destruction of pathogenic micro organisms. These are widely used for non living things (home and hospital etc).
v  Germicides
These are substances which kill microorganisms. More specific terminology like bactericide, fungicide, virucide etc.
v  Bacteriostatic
These are substances which primary function by inhibiting the growth of bacteria. Thus bacteriostatic drugs or agents do not kill but arrest the growth of bacteria.
v  Sanitizers
Disinfectants that are used to maintain general public health standards are termed as sanitizers. Sanitation is mainly concerned with cleaning or washing away the organic matter (saliva, mucous etc )
v  Sterilization
It is the chemical or mechanical process by which an object is completely free from living microbes
v  Astringents
These are drugs which precipitates proteins and form a protective coating when applied to a damaged skin of mucous membrane.
MECHANISM OF ANTIBACTERIAL ACTIVITY
The mechanism of action of inorganic antimicrobials can be divided into three types
v  Oxidation
v  Halogenations
v  Protein precipitation
Oxidation
v  Certain anions and non metals eg. Peroxides, permanganates, halo oxygens and halogens (chlorine and iodine) oxidize the reducing groups present in the microbial protein.
v  The protein after oxidation is not fit for routine metabolic activity and thus the microbe is killed.
v  At higher concentration the drug will also affect the host protein (protein from human body).
Halogenations
v  The hypochlorite anion (OCl-) present in the antiseptic drug halogenates peptide linkage of the protein molecule.
v  The halogenation changes the shape and specific function of the protein.
R-CONH-    + OCl-  --------à R-CO-N-Cl
Protein precipitation
v  Certain metallic ions having strong electrostatic fields precipitate protein by forming metal protein complex.
v  At sufficient concentration, the metal ion will also react with host as well as microbial protein.
Classification antimicrobial agents
v  The inorganic antimicrobials are classified as
v  Oxidative antimicrobial
v  Hydrogen peroxide, Potassium permanganate, Bleaching powder
v  Iodine and its compounds
v  Iodine solution, Iodine tincture, Povidone iodine
v  Protein precipitants
v  Boric acid, Borax etc
Potassium permanganate KMnO4
Preparation
  1. From Manganese dioxide
v  MnO2 is fused with excess of KOH in the presence of a free supply of air or in the presence of an oxidising agent such as potassium chlorate.
6KOH  + 3MnO2  + KClO3  -à 3K2MnO4  +  KCl  +  3H2O
v  The green residue consisting of potassium manganate is extracted with water. From this KMnO4 is made by any one of the following 3 methods
1.      By passing carbon dioxide
v  Manganate are converted into KMnO4 while one of the third is precipitated as manganese dioxide.
3K2MnO4  + 2CO2  -à 2KMnO4  +  MnO2  +  2K2CO3
2. By passing chlorine gas
v  All the manganate may be converted into KMnO4 by passing chlorine gas.
2K2MnO4  + 2Cl2  -à 2KMnO4  +   2KCl
3. By electrolyzing  a warm solution of manganate
v  The solution obtained by any one of the above methods is filtered and concentrated until KMnO4 separates as crystals.
2K2MnO4  + 2H2O  -à KMnO4  +  2KOH  + H2
Properties – It acts as a powerful oxidizing agent
                                    2KMnO4 à K2MnO4  + MnO2  + O2
It reacts with HCl, it produce Chlorine
                                    2KMnO4 + 16HClà 2KCl + MnCl2 +H2O  + 5Cl2
Storage -Stored in a well closed container
Uses
v  Anti infective  ie) disinfectant
v  1 in 4000 solution can be used to mouth wash and gargle
v  Urethritis
v  Antidote in case of poisoning
v  Vertinary antiseptic
v  Crystals are used as first aid treatment for snake bite
v  0.02% stomach wash in the treatment of morphine, opium poisoning
Assay- It is assayed by Redox titration method.
Caution
v   It is a powerful oxidizing agent great care should be observed in handling the substance it produces explosions when it contact with readily oxidising substance  like glycerin.
Boric acid H3BO3
Syn: Ortho boric acid
Preparation
  1. Laboratory method
                        Borax is mixed with con. H2SO4 and allowed to cool. The crystals of boric acid formed is washed with water until free from sulphate and dried
Na2B4O7  + H2SO+ 5H2O     -à 4H3BO4  +    2Na2SO4
2. Industrial method
v   Colemanite (Ca2B6O11 5H2O) is dissolved in boiling water and SO2 is passed through the solution.
Ca2B6O11  + 4SO+ 11H2O     -à  2Ca(HSO3 )+    6H3BO3
v  Among the products calcium bisulphite goes into solution and the less soluble boric acid crystallize on cooling.
Storage- Stored in a well closed container
Uses
v  Germicide. Local anti-infective, Eye and mouth wash
v  Dusting powder, Mild antiseptic
v  Preparation of bioglycerin-used as a suppository base
Hydrogen peroxide (H2O2)
Syn: Oxygenated water
Preparation
  1. From Barium peroxide
            It is obtained by adding barium peroxide in ice cold water to a calculated quantity of ice cold dil H2SO4. The insoluble BaSO4 is filtered off.
BaO2  + H2SO   -à BaSO4  +    H2O2
2. Electrolytic method
            It is obtained by electrolysis of ice cold 50% H2SO4.   Persulpuric acid is formed which on distillation under reduced pressure gives H2O2.
H2SO   -à H2S2O8  +    H2
H2S2O8   +  2H2O           -à            2H2S2O4  +    H2 O2
3. Sodium peroxide/Barium peroxide
             It is obtained by adding sodium peroxide in ice cold water to a calculated quantity of ice cold dil H2SO4 or decomposing barium peroxide with phosphoric acid.
3BaO2 + 2H3PO   -à Ba(PO4)2  +    H2 O2
Na2O2   +  H2SO4           -à     Na2SO4  +    H2 O2
Storage
Ø  Stored or preserved in a light resistant container with stopper made of glass or plastic resistant to H2O2
Ø  It is kept in a dark and cool place
Properties
v  It is a colourless, odourless liquid with acidic taste.
v  The solution decomposes with oxidation or alkali.
                        H2O2 à 2H2O  +  O2
Uses
v  Strong oxidizing agent
v  Used for bleaching the hair
v  Cleaning cuts and wounds
v  Effective antidote for phosphorous and cyanide poisoning
v   Antiseptic, germicide and deodorant
v  Cleaning ears and removing the surgical dressing
v  1-5% uses as mouth wash to clean root canals and septic sockets
Assay
PRINCIPLE:
v  It is assayed by Redox titration method.
v   It act as an oxidising agent it liberates nascent oxygen readily.
v  Titrated in an acidic medium against potassium   permanganate.
v  KMnO4 act as a self indicator
v  End point is appearance of pale pink colour.
2KMnO4 + 3H2SO4    à   2MnSO4 + K2SO4 + 3H2O  + 5[O]
H2O2 + [O]  à  H2O  +  O2
2KMnO4 + 3H2SO4   + H2O2 à   2MnSO4 + K2SO4 + 8H2O  + 5O2
ASSAY OF HYDROGEN PEROXIDE:
Procedure
v  Pipette out 1ml of hydrogen peroxide and dilute to 100ml with water.
v  To 10ml of above solution transfer into a conical flask and add 40ml of dilute sulphuric acid and
v  Titrate with 0.1N KMnO4 and continuing the titration until a pale pink colour appears.
v  Each ml of 0.1N KMnO4 is equivalent to 0.001701g of hydrogen peroxide.
Chlorinated lime Ca (OCl)Cl
Syn : Bleaching Powder
Preparation
v   Slaked lime is spread in a box-like container and subjected to the action of chlorine gas which is introduced at the top of the chamber and flows through the contents.
v   The temperature maintained below 25°C so that formation of calcium chlorate is brought down.
v  When the absorption of chlorine is complete, which may take about 12 to 24 hours, powdered chlorinated lime is sent into the chamber so that any excess chlorine may be absorbed.
            Ca(OH)2  +  Cl2  à  Ca (OCl)Cl  + H2O
Assay
v   It is assayed by iodometric method. An aqueous suspension of the substance is first treated with excess of potassium iodide and acetic acid. Acetic acid, like other acids, liberates chlorine from chlorinated lime as below.
Ca(OCl)Cl + 2CH3COOH  à (CH3COO)2Ca +  HOCl +HCl
                        HOCl + HCl àCl2 + H2O
v  The liberated chlorine displaces an equivalent amount of iodine from potassium iodide
            2KI + Cl2à KCl  +I2
v   This iodine is titrated against 0.1N sodium thiosulphate using starch mucilage as indicator.
            2 Na2 S2 O3 + I2à Na2 S4 O6 + 2NaI
Properties
v  It is a white or granular powder having a odour of chlorine consisting of "calcium chlorohypochlorite", which is intermediate between calcium chloride and calcium hypochlorite, Ca(OCl)2.
v  When exposed to air, it absorb moisture and decomposed.
v  With water, it shows bleaching and oxidizing properties
Ca(OCl)Cl + CO2 + H2O à CaCO3 +  HOCl +HCl
HOCl + HCl àCl2 + H2O
Uses
v  It is used in latrines and other places because chlorine is produced as given above and sterilizes the places.
v  It is used mainly for its disinfecting properties and as a bleaching agent.
Storage
v   It has varying amounts of calcium hydroxide and moisture. Although it becomes moist on exposure to air, it is not deliquescent.
v  When It is exposed to the air, it slowly decomposes. And for this reason chlorinated lime should be stored only in tightly stoppered bottles.
Iodine (I2)
Preparation
v  Iodine is manufactured by extracting kelp (Seaweed’s ash) with water.
v  The solution is concentrated when the sulphate and chloride of sodium and potassium gets crystallized out and the liquid containing soluble sodium and potassium iodide is added with sulphuric acid, the sulphur is liberated and settle down.
v  The mother liquid is decanted and to this add MnO2 and the iodine distils over.
2NaI+3H2SO4+ MnO2 à MnSO4 + 2NaHSO4 + I2 + 2H2O
v  Iodine is also found in the brine oil wells
Properties
v  Iodine is heavy, bluish-black, rhombic prism.
v  It has peculiar odour and sublimation property.
v  It is insoluble in water and soluble in alcohol, chloroform and ether.
v  It reacts with some non-metals and many metals.
                        2P  + 3I2  à 2PI3
                        Fe  + I2  à FeI2
v  Aqueous solution of Iodine oxidizes the reducing agents
                        H3AsO3  +I2  + H2à 2HI  +  H3AsO4
                        H2S + I2  à 2HI  + S
                        2Na2S2O3  + I2  à 2NaI  +  Na2S4O6
v  It reacts with alkali to form an iodide and iodate.
                        3I2  +  6NaOH  à 5NaI  +  NaIO3  +  3H2O
Assay
v  Iodine is assayed by Redox method.
Iodine preparations
  1. Aqueous Iodine solution (Lugol’s solution).
v  It is 5% w/v iodine and 10% w/vpotassium iodide in purified water.
v  It is prepared by dissolving iodine and KIin100 ml water with trituration or shaking and made up to 1000ml with purified water.
Uses :
v  It acts as a good source of iodine and is taken internally.
v  It  possess germicide and fungicide action and does not produce irritation on cuts and wounds.
Storage – In well closed glass or plastic containers.
2. Weak Iodine solution (Iodine tincture).
v  It is 2% w/v iodine and 2.5% w/v potassium iodide in 50% alcohol
v  KI and iodine are first dissolved in sufficient alcohol(50%) and made up to 1000ml with alcohol(50%).
Uses :
v  It acts as a good source of iodine and is taken internally.
v  It  possess germicide, fungicide and antiseptic action on cuts and wounds.
Storage – In well closed glass or plastic containers.
3. Strong Iodine solution
v  It is 10% w/v iodine and 6% w/v potassium iodide in  purified water and 90% alcohol
v  KI and iodine are first dissolved in purified water and add sufficient alcohol(90%) to produce1000ml.
Uses :
v  It  possess antiseptic action.
Storage – In well closed glass or plastic containers.
4. Povidone - Iodine solution
v  It is aqueous solution of povidone-iodine.
v  It is a complex produced by interaction between iodine and povidone (polyvinyl pyrrolidine).
v  The complex is having 10% w/v of available iodine.
properties :
v  It is yellowish brown amorphous powder with iodine smell
v  It is soluble in water and alcohol.
v  Its aqueous solution is having acidic pH.
Uses
v  10% povidone-iodine is used as bactericidal
v  It is also used as disinfection of skin, mouth or wounds.
v  It is also effective in the management of burns and cuts.
Storage – In well closed glass or plastic containers.


Thursday, October 5, 2017

Drugs Acting on GIT-Cathartics


Cathartics

v  Cathartics are drugs which bring about defecation.

v  They are beneficial in constipation and expulsion of intestinal parasites.

v  They are used for clearing bowels before surgery.

v  Purgatives and laxatives are also acts as mild cathartics.

v  They acts by four different mechanisms

1.      Stimulants – These drugs act by local irritation on intestinal tract and stimulation of peristalsic activity.

 Ex- Senna, Rhubarb, Cascara, Phodophyllum, cater oil, bisacodyl.

2. Bulk purgative - These drugs  are able to increase bulk of intestinal contents. These are cellulose or non-digestable materials which swell when wet and increase bulk stimulate peristalsis.

 Eg. Methyl cellulose, sodium CMC, ispagol.

3. Lubricants 

v  In constipation, contents of intestine become hard because of absorption of water by body, so there is a difficulty to clear the bowels.

v  These drugs acts as lubricants and cause smooth clearing of the fecal material.

Ex- Liqiud paraffin, glycerin, mineral oils

4. Saline cathartics  

v  These drugs acts by increasing the osmotic load of intestine by absorbing large quantity of water and stimulate peristalsis.

v  Poorly absorbable cations like Ca, Mg and anions like SO4, PO4 are contributing this effect.

v They are inorganic water soluble agents and taken with plenty of water.

v Ex- Magnisium hydroxide, Mag. Sulphate, Sod. Phosphate, Sod.pot. Tartrate, pot.bitartrate, mercurous chloride.

Magnesium sulphate  (MgSO4 7H2O)

Syn; Epsom Salt

Preparation:

1.      Laboratory method -  Dissolving magnesium oxide or magnesium carbonate in dil sulphuric acid and evaporating the filtered solution to crystallization.

MgO +  H2SO4 -à   MgSO4  +  H2O

MgCO3 +  H2SO4 -à   MgSO4  +  H2O  + CO2

2. Action of dil. Sulphuric acid on the native carbonate (magnesite). The solution is filtered. The filtrate is evaporated to crystallization

MgCO3 .CaCO3 +  2H2SO4 -à   MgSO4  + CaSO4 +  H2O  + 2CO2

3. Sulphur dioxide and air are passed through the suspension of magnesium hydroxide

2Mg(OH)2 + 2SO2 +  O2 -à   2 MgSO4  + 2H2O 

Uses:

Ø  Cathartic

Ø  Osmotic laxative

Ø  It is chief ingredient of glycerin of magnesium sulphate which is applied to reduce swelling.

Ø  Treatment of electrolyte deficiency

Ø  Used in the assay of calcium gluconate to improve the accuracy

Ø  Used in the preparation of milk of magnesia

Storage condition:

It should be stored in air tight container.

2. Sodium orthophosphate Na2HPO4

Preparation

1. From sodium carbonate

v  By adding sodium carbonate to a hot solution of phosphoric acid.

v  Sodium carbonate fails to affect the third hydrogen of phosphoric acid and causes the formation of disodium hydrogen phosphate.

v  The solution is neutralized, concentrated and the crystals are separated out by centrifuging washed and dried.



H3PO4 + Na2CO3 -à   Na2HPO4  + H2O + CO2

2.From Calcium phosphate

v  Calcium phosphate treated with sulphuric acid yields calcium sulphate and monobasic calcium phosphate the former is precipitated while the latter remains in solution.

Ca3(PO4)2 + 2H2SO4 -à   Ca(H2PO4)2  + 2CaSO4

v The above mixture after the addition of boiling water is filtered. Now the filtrate is treated with sodium carbonate, dibasic calcium phosphate gets deposited leaving sodium ortho phosphate in solution.  

Ca(H2PO4)2   + Na2CO3 -à   CaHPO4   +  Na2HPO4  + H2O + CO2

Storage: Stored in tightly closed container.

Uses - Saline laxative & Cathartic and buffering agent (Pharmaceutical agent)

Assay – It is assayed by acidimetry

Kaolin

v  Kaolin or china clay is a plastic raw material, particularly consisting of the clay mineral kaolinite.

v The chemical formula is Al2O3.2SiO2.2H2O (39.5% Al2O3, 46.5% SiO2, 14.0% H2O).

v Its main component is kaolinite; in addition, it frequently contains quartz, mica, feldspar, illite, and montmorillonite.

v  Kaolinite is made up of tiny sheets and it is formed by rock weathering. It has some cation exchange capacity.

Preparation

v  Kaolin is formed under acidic conditions through weathering or hydrothermal changes of feldspars, and other aluminosilicates.

v  It can form independent weathered kaolin deposits, kaolinite clays or may be a compound of kaolinite sandstones.

properties

v  The 1:1 platelets of kaolinite are held together strongly via hydrogen bonding between the OH of the octahedral layer and the oxygen of the tetrahedral layer.

v Due to this strong reaction these platelets do not expand when hydrated and kaolinite only has external surface area.

v Kaolinite has very little isomorphic substitution of Al for Si in the tetrahedral layer. Accordingly, it has a low cation exchange capacity.

v  Kaolinite easily adsorbs water and forms a plastic, paste-like substance.

Uses

v Due to its adsorbent capability and lack of primary toxicity, kaolin is considered a simple and effective to prevent the adverse effects exerted by many toxic agents.

v Kaolin based medication often combined with pectin is commonly used as a palliative for diarrhoea and digestive problems in humans.

Bentonite

v  Bentonite is a rock or a clay base industrial material.

v  it is a rock formed of highly colloidal and plastic clays composed mainly of montmorillonite, a clay mineral of the smectite group and can be considered alternative raw materials.

Properties

v  Their good capability to bind water and mineral nutrients and protect them from washing up is a useful prerequisite for enhancement of soil fertility.

v  In contrast to kaolin, three layer structure complexes of  montmorillonite allow also internal absorption of ions into the interlayer sheets.

Uses

v  It is an excellent adsorptive materials of heavy metals and bacteria and toxic and anti nutritive agents.

Drugs acting on GIT- Antacids


Antacid

v  Antacids are drugs which are alkaline substance and used to neutralizing excess acid in the stomach of patients suffering from Hyperchlorhydria.

v  These drugs give relief of pain due to hyperchlorhydria (hyperacidity).

v  It is possible to measure the efficacy of antacid in terms of acid neutralizing capacity.

v  Not possible to use strong alkaline because damaging effect on mucosal layer.

Classification:

  1. Systemic or water soluble

    Ex. Sodium bicarbonate, sodium citrate,    potassium citrate

2. Non Systemic or water insoluble

    Ex. Aluminium hydroxide gel, Aluminium phosphate, calcium carbonate

3. Combination antacid

     Ex. Magaldrate

4. Miscellaneous

    Ex. Mucin, protein hydrolase

Evaluation of antacid activity:

Ø  To evaluate antacid activity, acid neutralizing test can be used.

Ø   It is a in vitro test in which a known quantity of an antacid is added to the given amount of hydrochloric acid.

Ø  Then pH of this acid is measured at different time intervals for determining the amount of alkaline consumed by the sample.

Ideal properties of Antacid

Ø  It should be insoluble in water and have fine particle form.

Ø  It should not be absorbable or cause systemic alkalosis.

Ø  It should not be able to exert its effect gradually and over a long period of time.

Ø  It should not be a laxative or cause constipation.

Ø  It should not cause any side effect.

Ø  It should be stable and readily available.

Ø  The reaction between antacid and gastric HCl should not produce large volume of gas.

Ø  Antacid should buffer in the pH range 4-6.

Ø  The antacid should probably inhibit pepsin, the proteolytic enzyme.

Although no compound or preparation is considered to be ideal for the above criteria. Yet some compounds as aluminum, calcium, magnesium are widely used.

1.      Sodium bicarbonate (NaHCO3)

Syn: Baking Soda

Preparation:

1.      It is prepared by passing CO2 gas through a solution of sodium hydroxide. The solution is concentrated to get the product.  

2NaOH + CO2  -----à  Na2CO3  +  H2O

Na2CO3  +  H2O  +  CO2  -à 2NaHCO3

2. By Solvay process. Brine solution (NaCl) is saturated with ammonia to remove traces of impurities like Mg and Fe. The solution is now filtered and passed through the carbonating tower. IP Grade cannot be obtained by this method.

H2O  +  CO2  -à H2CO3

NH3  +  H2CO3    -à   NH4HCO3

NH4HCO3  +  NaCl  -à NaHCO3   +  NH4Cl

Uses:

Ø  Antacid

Ø  Rebound acidity

Ø  Acidosis

Ø  Electrolyte replenisher

Ø  Ear drops to soften and remove wax

Ø  Included in throat and nose washes to make mucus less viscous

Storage:

Since it slowly decomposes when exposed to moist air, store it in a well closed container.

Assay: Acidimetric method

v Weigh accurately about 2g of Sodium Bicarbonate, previously dried, dissolve in 25 ml of water,

v Titrate with 0.5M sulfuric acid by using bromophenol blue as indicator.

v Soon before the titration reaches the endpoint, boil to expel carbon dioxide, cool, and continue the titration.

1 ml of 0.5 mol/l sulfuric acid = 84.01 mg of NaHCO3

2NaHCO3   +  H2SO4  -à    Na2SO4  +  2 H2O  + CO2

3. Aluminum hydroxide Al(OH)3

Preparation:

v  It is prepared by adding a hot solution of potash alum slowly with constant stirring to a hot solution of sodium carbonate.

v After complete removal of carbon dioxide the precipitated aluminum hydroxide is filtered.

v  It is washed thoroughly with hot water until it becomes free from sulphate ions and the precipitate is suspended in distilled water to the required strength.

3Na2CO3   +  2KAl(SO4)2 + 3 H2O   -à   3 Na2SO4  +  K2SO4  +2 Al(OH)3 + CO2

Uses:

Ø  Very effective slow acting antacid

Ø  It does not get absorbed in alimentary canal and does not produce carbon dioxide

Ø  It is widely used in treatment of intestinal toxemia and hyperchlorhydria

Ø  It does not cause any systemic alkalosis

Ø  Used as an protective in treating peptic ulcer

Dose : 7.5 to 15ml

Storage:

Store in tightly closed containers in a cool place and avoid freezing.

Assay: It is a assayed by complexometric titration with sodium edetate.

Combinations of antacid preparations and advantages

v  Single antacid  cannot fulfill all the criteria for an ideal antacid.

v  So antacid preparations are formulated with more than one antacid to counteract the side effect of one, by another or to be use for specific conditions.

v Aluminium hydroxide gel-magnesium hydroxide combination

Preparations: oral suspension and tablets

Advantages:

The constipative effect of aluminium is balanced by laxative effect of magnesium

v Aluminium hydroxide gel - Magnesium trisilicate combination

Preparations: oral suspension and tablets

Advantages:

Magnesium trisilicate has protective effect

v Simethicone containing antacids

Simethicone formulated along with aluminium hyrdoxide gel and magnesium hydroxide

Preparations: oral suspension and tablets

Advantages:

Simethicone relieves flatulence by its defoaming action

v Calcium carbonate containing  antacid

Calcium carbonate is formulated with magnesium carbonate, sodium bicarbonate and kaolin

Preparations: powder and tablet

Advantages:

This combination has rapid on set and prolonged antacid action with little effect on bowel motility

Advantages of magnesium trisilicate over carbonates and bicarbonates for antacid activity

v It has slow and prolonged antacid action whereas carbonate and bicarbonates have fast and short action

v It does not produce carbon dioixde during neutralization which causes rebound acidity. Carbonate and bicarbonates do so.

Rearrangement Reactions