Using Gaviscon for Heartburn

Gaviscon is an over-the-counter (OTC) antacid with ingredients that create a foam barrier that protects the junction of the esophagus and stomach. Learn how it works to prevent or relieve the symptom of heartburn and what precautions you should take with this medication.

In addition to the acid-neutralizing ingredients found in most antacids (aluminum hydroxide and magnesium carbonate), Gaviscon contains alginic acid and sodium bicarbonate. The combination of alginic acid and bicarbonate creates a foam barrier which floats on the stomach acid. This gel-like barrier displaces the acid pocket present at the junction of the esophagus and stomach and may help reduce the number of reflux episodes. It may also provide longer-lasting action against heartburn in people with gastroesophageal reflux disease (GERD).

Several studies have found that Gaviscon may reduce the symptoms of heartburn for those who have acid reflux. For mild disease, it may be used alone. For those with more severe reflux, it appears that Gavison may also be a helpful add-on for people who have an inadequate response to proton pump inhibitors. In addition to decreasing symptoms and the number of reflux episodes, Gaviscon appears to decrease postprandial (after eating) acid levels in the esophagus as measured by a pH probe.

Regular Strength Tablets (in each tablet)

• Aluminum Hydroxide 80 milligrams
• Magnesium Trisilicate 20 milligrams

Extra Strength Tablets (in each tablet)

• Aluminum Hydroxide 160 milligrams
• Magnesium Carbonate 105 milligrams

Regular Strength Liquid (in each tablespoon)

• Aluminum Hydroxide 95 milligrams
• Magnesium Carbonate 358 milligrams

Extra Strength Liquid (in each teaspoon)

• Aluminum hydroxide 254 milligrams
• Magnesium carbonate 237.5 milligrams

Gaviscon comes as a chewable tablet and liquid to take by mouth. For the medication to work properly you need to chew the tablets thoroughly and you should not swallow them whole. Drink a full glass of water after taking the tablets. Shake the oral liquid well before each use to mix the medicine evenly. The liquid may be mixed with water or milk.

Follow the directions on the package label or on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take aluminum hydroxide and magnesium antacids exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Take these precautions to get the best results and minimize side effects:

• Tell your doctor and pharmacist if you are allergic to calcium carbonate and about any other allergies. Adverse reactions may occur due to the inactive rather than the active ingredients in a medication.
• Tell your doctor and pharmacist what medications you are taking. It's important to list not only your current prescription medications, but any nonprescription medications, vitamins, or nutritional/herbal supplements you are taking. Depending on your other medications, your doctor will be able to tell you whether you can take antacids with these medications, and if so, the best time of day to use the medication. For many medications, it's recommended to wait at least two hours after taking an antacid in order to ensure absorption of the other drug.
• Tell your doctor if you have or have had kidney disease or stomach problems.
• Tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. If you become pregnant while using medications containing calcium carbonate, such as Gaviscon, call your doctor.

Side effects of Gaviscon are not common. In fact, a 2016 study looking at the effect of Gaviscon for heartburn found no difference in side effects between those using Gaviscon and those taking a placebo. Still, there are side effects that could occur. Tell your doctor if any of these symptoms are severe or do not go away:

• Upset stomach
• Vomiting
• Stomach pain
• Belching
• Constipation
• Dry mouth
• Increased urination
• Loss of appetite
• Metallic taste