Phosphalugel during pregnancy


During the entire period of pregnancy, the future mom tries to take as little as possible of drugs. But in some cases, not without them. If a woman is worried about problems with the digestive organs (heartburn, flatulence, poisoning), then doctors often prescribe Fosfalugel. Is it possible to use it when carrying a baby?

Composition and characteristics

On the recommendation and prescription of the attending physician, and often without them, pregnant women use heartburn. Phosphalugel is a thick white gel with a pleasant citrus flavor, after which there is relief for a few hours.
The drug has powerful adsorbing and enveloping properties, effectively neutralizes gastric juice, but does not alkalize it and does not allow a secondary increase in the secretion of hydrochloric acid to develop.

The gel forms a protective film on the walls of the stomach, not allowing the influence of damaging factors, and positively affects the motility of the stomach, accelerating the movement of the contents and suppressing the gas-forming processes.

At first glance - a great tool. But there is one factor that prevents pregnant women from using it thoughtlessly and uncontrollably: among the components of Phosphalugel is aluminum phosphate gel.

The instructions for the drug states that use during pregnancy is possible only in case of urgent need and after prior medical consultation.

The active substance is practically not absorbed into the bloodstream, so doctors do not consider the presence of aluminum in it as a threat to the fetus. Therefore, the decision to take or not to take medicine with such an ambiguous component remains with the woman.

Indications for use

The most common reason for prescribing Phosphalugel in pregnancy is heartburn. But there are still a number of diseases diagnosed in future moms with which the drug is indicated:

  • peptic ulcer or duodenal ulcer,
  • gastritis,
  • hiatal hernia,
  • functional diarrhea,
  • functional disease of the colon,
  • intoxication of the body (poisoning).

Dosage and administration of the drug

The standard single dose for a pregnant woman is one packet of Phosphalugel. The daily dosage is three sachets of the drug.

Is the gel taken either in pure form - is it pleasant enough to taste and comfortable to use, or is it diluted? glasses of water.

Special instructions when using Phosphalugel are to observe a temporary pause while applying anti-anemia agents (at least two hours between doses), using caution when using the drug, if kidney and liver functions are impaired, following the recommendations of the attending physician while taking Phosphalugel.

Kidney Disease and Phosphalugel Application

Physicians pay special attention to the possibility of using Phosphalugel in case of kidney disease. If necessary, the appointment of the drug to patients suffering from similar diseases may increase the concentration of aluminum in the serum.

Therefore, pregnant women who are not sure of the health of the kidneys, must weigh all the "yes" and "no" before getting rid of heartburn through Fosfalugel. Perhaps the doctor will prescribe another tool or have to use the recipes of traditional medicine.

If there are no problems with the kidneys, with the exception of the increased load on them associated with the active functioning of the fetus, then the use of Phosphalugel is not contraindicated.

Heartburn in Pregnancy and Phosphalugel

With the onset of pregnancy, changes occur in the woman’s body that affect all organs and systems. First of all, it is connected with hormonal restructuring: the hormone progesterone begins to be produced in large quantities. Its main task is to influence the contractility of the uterus muscles in order to avoid premature labor. But everything is connected in the body, so the relaxing effect extends to other muscle tissues, in particular the esophageal sphincter. Because of this, food is often ejected from the stomach, and the expectant mother experiences unpleasant symptoms of heartburn.

In later periods, when the uterus is enlarged and presses on the organs of the gastrointestinal tract, flatulence, belching and constipation may occur. In pregnant women who have a history of chronic gastrointestinal diseases, these symptoms are observed more often and are accompanied by pain in the epigastric region.

Doctors do not recommend women to endure unpleasant symptoms and hope that they will pass by themselves. Discomfort in the stomach and intestines, burning, painful sensations negatively affect the emotional state of the future mother, causing nervous tension, mood swings, and in some cases depression. Therefore, the first thing to do is to seek advice from an obstetrician-gynecologist or a gastroenterologist.

In the pharmacological market there are drugs that are allowed to use during pregnancy. With their help, you can help a woman in dealing with unpleasant symptoms. Often, experts prescribe Phosphalugel - antacid with the active ingredient aluminum phosphate gel. It is available in the form of sachets of gel-like substance of 16 and 20 g.

Well-being of the future mother is the key to the harmonious development of the baby.

Indications for the appointment of the drug and its properties

Phosphalugel is used in such cases:

  • peptic ulcer and duodenal ulcer - chronic diseases in which the mucous membrane formed expressions,
  • functional diarrhea - persistent or intermittent digestive upset occurring against the background of irritable bowel syndrome or with a strong emotional overstrain,
  • gastritis - inflammation of the mucous membrane of the stomach, often leading to an ulcer,
  • reflux esophagitis - inflammation of the mucous membrane of the esophagus, which occurs due to the constant reflux of gastric juice and food into the esophagus,
  • heartburn - burning and discomfort in the epigastric region, accompanied by sour belching or belching with food,
  • poisoning - intestinal and gastric disorders caused by intoxication of the body, the use of drugs.

Phosphalugel has the following properties.

  1. Antacid. Thanks to the active substance aluminum phosphate, the neutralization of hydrochloric acid in the stomach occurs, the acid balance is normalized.
  2. Enveloping Once in the stomach, the gel envelops the mucous membrane, protecting it from the action of hydrochloric acid, thereby removing painful sensations and preventing the formation of ulcers.
  3. Adsorbent. In case of poisoning and intestinal infections Phosphalugel is absorbing toxins and pathogenic microorganisms, preventing intoxication. The gel also adsorbs gases, saving a woman from flatulence.

Features of use and appointment in the early stages

According to the instructions, Phosphalugel is applied in the form of a gel or diluted in a glass of water. Before taking in the undiluted bag must be carefully kneaded in your hands, then cut off the edge and squeeze the drug. When to take - before or after a meal - depends on the diagnosis and symptoms. The course of treatment should not be more than fourteen days.

The treatment regimen and the maximum time for taking the gel are determined only by the doctor depending on the individual course of pregnancy.

During the period of carrying a baby, it is recommended to take the gel not in a course, but periodically and only in case of unpleasant symptoms. For prevention, aluminum-based drugs are not safe to use, because with prolonged use, the mineral accumulates in the body and can negatively affect the health of the expectant mother and fetus:

  • caution in prescribing is necessary in the first trimester of pregnancy when the embryo organs are laid down,
  • there is a possibility of failure of the female immune system,
  • possible bleeding gums,
  • the development of anemia is not excluded: low hemoglobin can be the cause of late gestosis, and in some cases leads to fetal death,
  • there is a decrease in calcium in the blood of a pregnant woman,
  • there are anomalies in the development of the future baby.

Heartburn often accompanies such a condition as pregnancy. That is why pregnant women often have to regularly take antacids, so pregnancy is a typical example when antacids can be used regularly and for a long time, especially given the fact that heartburn tends to worsen with pregnancy. However, animal experiments indicate that aluminum penetrates the placenta and accumulates in the fetal tissues, causing various developmental disorders, including in utero death, malformations, delayed ossification of the skeleton, growth retardation, etc. (Bennet R., Persaud T., Moore K., 1975, Domingo J., Gomez M., Colomina M., 2000). The possibility of aluminum intoxication when it is orally administered largely depends on the bioavailability of the preparation used and the presence in the food of other substances that enhance the absorption of aluminum. These facts are important from a practical point of view. On the one hand, the frequency of heartburn associated with gastroesophageal reflux in pregnant women reaches 85%, and about 30–50% of them use antacids (Broussard C., Riechter J., 1998). On the other hand, the fetus and the newborn may be more sensitive to the toxic effects of aluminum. A case of severe neurodegenerative disease has been described in a girl whose mother took antacids in extremely high doses (up to 15 g of aluminum per day) during pregnancy (Gibert-Barnes E., Barness L., Wolff J. et al., 1998). Of course, this example cannot be extrapolated to normal practice, but it is worth considering the fact that significantly smaller amounts of aluminum can be significant for a developing fetus.

Contraindications and side effects

According to the instructions, Phosphalugel can not be used if a woman has:

  • individual sensitivity to the components of the drug,
  • pronounced disorders in the kidneys.

After consuming the drug, constipation is possible. The most common decrease in intestinal motility occurs with prolonged use of phosphalugel. Experts recommend that in case of problems with defecation while taking an antacid, drink more liquid.

The simultaneous use of the gel with antibiotics, iron preparations and cardiac glycosides reduces their effectiveness. Therefore, it is recommended to take Fosfalugel two hours after other medicines.

In many European countries, there are certain restrictions on the use of aluminum-containing antacids in pregnant and lactating women. For example, in Austria, France, Italy, Spain and Switzerland, leaflets indicate that the use of aluminum-containing antacids during pregnancy and lactation should only be recommended by a doctor or pharmacist (Maton P., Burto V., 1999).

The most complete information about the possible undesirable effects of aluminum-containing antacids is presented in the instructions for use and promotional materials in Germany. Thus, they clearly state that the simultaneous use of these drugs with beverages containing acids, such as fruit juice or wine, leads to an undesirable increase in the absorption of aluminum in the intestine, and to avoid aluminum toxicity in a child, during pregnancy, the drug can only be taken in short term, it is also particularly noted that aluminum compounds penetrate into breast milk (Maton P., Burto V., 1999).

What can replace phosphalugel during pregnancy

Other pharmaceuticals based on aluminum are presented on the pharmacological market: Almagel, Maalox, Gastal. In case of undesirable side effects or direct contraindications to receiving Fosfalugel, the doctor will select another medication that can be used during pregnancy:

  • Rennie - non-addictive chewable tablets, approved for use at any gestational age and used to relieve heartburn symptoms,
  • Gaviscon Forte for pregnant women - suspension in disposable sachets to combat the symptoms of heartburn,
  • Gastal - aluminum-based tablets for single or occasional use.

Phosphalugel: characteristic

The drug is used in the treatment of diseases of the stomach. It is a mass of white, has an orange flavor.

The drug has the following properties:

  1. Antacid. It is carried out by the main active component - aluminum phosphate. Contacting with hydrochloric acid, this substance neutralizes it. Aluminum phosphate also stabilizes the pH of the stomach contents. A distinctive feature of the drug - the normalization of the acidic environment.
  2. Enveloping This action protects the walls of the stomach from the negative effects of hydrochloric acid, thereby preventing the development of a stomach ulcer.
  3. Adsorbent. Absorption (adsorption) of toxins allows the use of the drug for poisoning and intestinal infections. Phosphalugel removes viruses, toxins, gases and bacteria from the digestive system.

Indications for the appointment of this drug are gastric ulcer, esophagitis, gastroesophageal reflux, gastritis with hypersecretion.

How does phosphalugel?

Phosphalugel is an effective drug used in various gastrointestinal diseases. Its active ingredient is aluminum phosphate - a substance with powerful therapeutic properties:

  • enveloping, which allows you to create a protective film on the walls of the esophagus, stomach and intestines, thereby protecting the mucous tissue from the detrimental effects of hydrochloric acid, enzymes and other aggressive compounds produced in our body in the process of digestion,
  • sorbents, which are achieved by binding and excreting harmful elements from the body (bacteria, viruses, allergens, toxins, as well as gases that prevent healthy digestion),
  • antacid (i.e., acid-neutralizing) - interacting with the hydrochloric acid of gastric juices, Fosfalugel normalizes the acidic environment of the stomach, bringing it to normal values, and then the reaction stops and the acidity is maintained at that level.

The indisputable advantage of this drug is its immediate therapeutic effect (after a few minutes you can feel the long-awaited relief).

The US Food and Drug Administration (FDA) has not classified the category of aluminum phosphate in a developing embryo. However, it is reliably known that this compound penetrates the bloodstream in small quantities, so taking non-absorbable antacids (such as Phosphalugel) in therapeutic doses and short-term courses is considered harmless to the organisms of the mother and baby.

The instruction allows future mothers to use the drug both in the early period and late, but only under the watchful supervision of the attending doctor. Self-medication during pregnancy is not allowed!

Why do so often future mothers complain of indisposition from the gastrointestinal tract?

So arranged by nature that during pregnancy, the female sex hormone progesterone accumulates in the blood in large quantities and becomes very active. It is designed to prevent the miscarriage of the fetus by suppressing the contraction of the smooth muscles of the uterus (and at the same time the rest of the muscular tissues of the body, including its effect on the gastrointestinal tract). In turn, the relaxed state of the muscles leads to constipation (intestinal peristalsis slows down), heartburn and belching occur (the valve located between the stomach and the esophagus remains partially open and allows the eaten food to penetrate back into the esophagus). In addition, in the later stages, an ever-increasing uterus props up the stomach, thereby provoking more and more intolerable manifestations of heartburn.

It is impossible to avoid all of these physiological causes of the disruption of the digestive system, but with the help of Fosfalyugel, it is really possible to reduce the unpleasant symptoms they cause.

Forms of release and reception regimen of Phosphalugel

Phosphalugel is made in the form of a thick white gel for ingestion, with a pleasant citrus flavor. It can be purchased in bags of 16 or 20 g, which contain 10.4 or 12.38 g of the active substance, respectively. The drug is used in pure form or diluted with water.

Most often, Phosphalugel is prescribed to expectant mothers sporadically, that is, it should be drunk when unpleasant sensations occur. A single dose should not exceed 40 grams, and the daily dose - 100 g. You should not immediately rush to take the whole bag, perhaps, half of it will help in eliminating the symptoms of pain. Note that the action of the antacid develops within 10-15 minutes. Если по прошествии одной трети часа облегчение не наступило, можно выпить оставшийся гель.

С целью устранения токсикоза препарат рекомендуют использовать до еды, а также утром натощак и на ночь. При изжоге его употребляют сразу после принятия пищи, а перед сном необходимо выпить дополнительную дозу.

Дозировка Фосфалюгеля, схема применения и длительность курса лечения определяется специалистом. Try to follow the recommendations of the doctor, do not risk the health of the unborn child.

Contraindications and possible side effects prescribed in the instructions

Like any other drug, Phosphalugel has a number of contraindications. Strongly refuse to use it is recommended for people with the following diseases:

  • severe renal failure
  • low concentration of phosphorus in the blood (hypophosphatemia),
  • Alzheimer's disease.

The presence of allergies or individual intolerance to the components of the drug also applies to contraindications.

When deciding on the use of an antacid, it is necessary to consider the following points.

  1. Non-compliance with the dosage and long-term use of Phosphalugel can lead to a number of undesirable side effects. Their most frequent manifestation in a pregnant woman is an increase in constipation. Aluminum has the property of absorbing and removing fluid from the body, as well as suppress intestinal motility, which can provoke a delay in fecal masses. To prevent problems with defecation, the expectant mother must follow the drinking regime.
  2. That small part of Phosphalugel that precipitates in the blood reduces the normal content of phosphorus and calcium, increases the amount of aluminum. Such an imbalance in the body of a woman can negatively affect the development of the fetus. In addition, an excess of metal can cause a violation of metabolic processes in the brain tissue of the mother itself (in the long term).

By the way, the harmful effects of aluminum phosphates on brain cells are confirmed by numerous studies and observations of scientists in developed countries, but the manufacturer of the drug does not consider it necessary to inform about this in the instructions.

What can replace Fosfalugel during pregnancy

To date, Phosphalugel has no analogues on the domestic pharmaceutical market. If the organism of the future mother does not tolerate the drug well or she does not feel relief when it is taken, the doctor may prescribe a drug that has a similar effect. The most popular are:

But it is worth noting that among antacids Phosphalugel is considered one of the safest.

What to replace Fosfalugel during pregnancy - table

It is not recommended to take the suspension for more than 3 days.

  • aluminum hydroxide-magnesium carbonate gel,
  • magnesium hydroxide.

  • heartburn and other dyspeptic symptoms,
  • peptic ulcer
  • gastritis,
  • reflux esophagitis,
  • hiatal hernia.

  • severe kidney disease,
  • intolerance to the components of the drug,
  • hypophosphatemia,
  • Alzheimer's disease,
  • lactose intolerance, lactase deficiency or glucose-galactose malabsorption.

  • sodium alginate
  • sodium bicarbonate,
  • calcium carbonate.

  • chewable tablets
  • suspension.

  • heartburn,
  • sour belching
  • heaviness in the stomach.

  • calcium carbonate
  • magnesium hydroxycarbonate.

  • heartburn,
  • sour belching
  • pain in the stomach,
  • feeling of fullness or heaviness in the stomach.

  • severe kidney disease,
  • high blood calcium levels
  • lack of phosphorus in the body,
  • glucose-galactose malabsorption,
  • intolerance to the components of the drug,
  • the deposition of calcium salts in the kidneys.

Alternative methods of suppressing heartburn and other unpleasant problems with the digestive system that occur during pregnancy

If the future mother is plagued by doubts about the question of whether to use chemicals in the fight against heartburn and stomach pains, you can not rush to use them and try non-pharmacological ways to prevent these symptoms to start.

  1. Try not to go to bed after eating food and liquids, it is better to just walk. A leisurely walk promotes good digestion, and a vertical position of the body will prevent the acid from being thrown from the stomach into the esophagus.
  2. Try to eat food in small portions of 6–7 times a day. Eat foods that do not cause violent acid secretion, exclude from the diet food containing all sorts of harmful additives: carcinogens, flavor enhancers, dyes, preservatives. Take a look at the children's recipes section, there will always be tips on cooking delicious and simple dishes. This experience is useful to you during lactation and will not be superfluous when the baby is older.
  3. Cook and eat oatmeal during the day - viscous porridge effectively protects the gastric mucosa and bind the acid, preventing it from rising into the esophagus. Enveloping, anti-inflammatory and laxative properties also have a jelly and a decoction of flax seeds.

In severe conditions and with some diagnoses, the use of drugs is inevitable! And the lack of adequate treatment can be harmful.

Reviews on the use of Phosphalugel during pregnancy

When I had toxicosis, only Phosphalugel was saved and everything was in order with the baby. Health to you and baby!

Rennie took it - after half an hour again there was some kind of heartburn, Almagel is impossible, aluminum there is in the form of hydroxide, breaks calcium metabolism, and Phosphalugel is the very thing that holds for a long time, and it is still enveloping, it’s good for the stomach ... I didn’t part with these bags at all ...

The wife is drinking it now, the 7th month, was having heartburn. For her sake of preservation of calcium, this Phosphalugel was assigned to her, so she also does not part with it, even puts it to sleep next to the bed ...

During pregnancy at 6–7 weeks, an aggravation of gastritis happened to me, it was very strong. The therapist prescribed, among other things, Almagel A. In the evening I drank it, it tasted very nasty, and the instructions said that it was impossible for pregnant women, but relief of pain and nausea followed in a few minutes. The gynecologist for safety advised him to replace him with phospholus gel. For three days nothing hurt, I don’t know what drug it was, but now the pain has returned and does not go away, at least 4 times a day, drink Fosfalyugel, at least more. Even a temporary effect does not occur. We'll have to go back to Almagel A, albeit scary.

The doctor prescribed me Fosfalugel for heartburn, but he did not help me ...

Phosphalugel is positioned as a fairly effective and safe drug for use in the waiting period of the baby. Since the healing properties of this drug appear immediately, and the negative effect is implicitly and difficultly seen in the long term, local doctors can prescribe it for any period of childbearing. But it’s only up to the woman to decide how much medicine she needs to treat digestive problems during this period, and, of course, you shouldn’t even use harmless pharmacological products without prescribing the attending doctor.

The material is published solely for informational purposes and under no circumstances can be considered a substitute for medical consultation with a specialist in a medical institution. The administration of the site is not responsible for the results of the use of the posted information. For diagnosis and treatment, as well as the appointment of medicines and determine the regimen of their admission, we recommend that you contact your doctor.

Forms of release and regimen Phosphalugel

Gel for internal use comes in bags of 16 and 20 grams. Depending on the indications for the use of the drug, the following schemes for the use of the gel can be recommended:

  1. With gastroesophageal rflux and diaphragmatic hernia Phosphalugel use after meals and before going to bed.
  2. With stomach ulcer - 60-120 minutes after a meal or immediately after the occurrence of pain impulses.
  3. With the development gastritis, dyspeptic disorders - before the main meal.

In the event that the patient is disturbed by functional diseases affecting the large intestine, the drug is used in the morning time of the day, before eating and before going to bed.

The use of Phosphalugel in pregnancy at different periods: the benefits and harm

The use of antacid Phosphalugel during pregnancy in the early stages (during the first trimester of pregnancy) is possible only in case of emergency. In other cases, experts recommend to refrain from the use of drugs until the period of 12-14 weeks.

In the 2nd trimester, medication is administered under strict medical supervision. The dosage, frequency and duration of application of the gel adjusts the attending physician.

In trimester 3, the gel is used to eliminate feelings of soreness and heartburn. Observation by a gynecologist is mandatory.

Possible side effects

In rare cases, the drug may provoke the development of defecation disorders and allergic reactions. With the development of the described and any other undesirable side effects, the use of the gel should be discontinued and consult a gynecologist.

In case the drug provoked constipation, the manufacturer recommends increasing the daily amount of water consumed.


Phosphalugel instructions for use during pregnancy states that non-compliance with the dose recommended by the doctor may cause an overdose, which manifests itself in the form of suppression of intestinal motility. To eliminate the effects of an overdose, you may need to use medicines that promote a laxative effect.

Reviews of doctors and patients

Reviews of doctors and patients about the drug mostly positive.

The gel is well tolerated, non-toxic and can be used by pregnant women, children, as well as during lactation. Doctors often recommend safe and effective medication for women who are expecting a baby. At the same time strictly observe the therapeutic dose of the drug.

“I complained to the gynecologist about the frequent feeling of heartburn, which had been troubling since the very beginning of pregnancy. She inquired whether Phosphalugel can be pregnant and received an affirmative answer. Heartburn began to bother from about 5 months of pregnancy, after consulting with the doctor she used the gel, according to the scheme that I was selected individually.

I used the medicine before meals and before bedtime, the gel acts quickly, and the heartburn goes on for a long time. As an alternative to the gel, I tried to drink a glass of milk for the night - also copes with the symptom and, besides, calms me down. Doctors do not recommend using a similar medicine for self-treatment, moreover, not everyone can like the taste. But the drug itself is effective and inexpensive. ”

“Before the onset of pregnancy, I studied information on which groups of drugs can be used by women in the position. In particular, she wondered whether it was possible to use Phosphalugel during pregnancy.

The doctor allowed to use this tool as needed. When, during pregnancy, heartburn began without hesitation, I bought a gel and then an unpleasant surprise awaited: the drug has a very strong smell and taste the same for a sensitive pregnant woman. Immediately after the reception felt an unpleasant bitterness and burning sensation in the mouth. I didn’t use the drug anymore. ”

How does the gel

Phosphalugel is a drug from the group of antacids, the therapeutic effect of which is to reduce the acidity of the gastric juice due to the neutralization of hydrochloric acid.

The active ingredient of the drug is aluminum phosphate.. This chemical compound in combination with pectin and sorbitol (excipients) has a pronounced triple effect:

  1. The drug binds hydrochloric acid in the stomach, which allows for a few minutes to reduce the acidity of gastric contents to the optimum level (pH from 3.5 to 5). Similar indicators keep within several hours.
  2. Gel particles of the active component are adsorbed on the mucous membranes of the gastrointestinal tract, contributing to the formation of a kind of barrier, including useful bacteria, which protects the esophagus and stomach from the influence of aggressive substances and helps promote food in the intestines.
  3. Phosphalugel binds various pathogenic bacterial cells, virus particles, toxins, gases resulting from rotting and fermentation, and removes them from the intestines. That is, the drug has a sorbing effect.

Phosphalugel quickly neutralizes hydrochloric acid, without leading to enhanced production at the end of its action. This property of the drug allows you to avoid the so-called acid rebound, when heartburn and discomfort return and increase some time after taking the medication.

Is Phosphalugel allowed during pregnancy, including in early periods?

According to the medical manual, Phosphalugel can be used at all periods of gestation and during breastfeeding in therapeutic dosages. The US Food and Drug Administration (FDA) did not determine the category of action of aluminum phosphate (and the drug itself) on the fetus. In general, the use of nonabsorbable antacids, which includes Phosphalugel, is considered safe.

However, there are clinical data that taking pregnant women with antacid drugs in excessive doses can increase the tendon reflexes in the fetus (or in the newborn) or cause an excess of calcium and magnesium in the children's body.

Thus, Fosfalyugel is approved for use by expectant mothers, but a woman should first consult with a doctor. Only a specialist will be able to set the duration of therapy and the dosage of the drug.. The course of treatment is determined depending on:

  • severity of symptoms
  • the presence or absence of chronic diseases of the digestive system,
  • gestational age
  • health of the future mother.

Heartburn and other indications

The presence of a pronounced triple effect from the intake of Phosphalugel significantly expands the range of application of this drug. During pregnancy, antacid gel is most often taken in such conditions as:

  • heartburn,
  • early toxicosis,
  • food poisoning
  • stomach pain resulting from diet changes.

In addition, there are general indications for the use of the drug, which include:

  • peptic ulcer disease of the gastrointestinal tract,
  • acute or chronic gastritis (inflammatory processes in the gastric mucosa),
  • esophagitis (damage to the mucous layer of the esophagus),
  • duodenitis (inflammatory disease of the duodenum),
  • bowel disorders, manifested as bloating, diarrhea,
  • reflux esophagitis (damage to the mucous layer of the esophagus due to the casting of stomach contents into the esophagus),
  • hiatal hernia,
  • acute or chronic inflammation of the pancreas,
  • enterocolitis (inflammation of the colon and small intestine),
  • sigmoiditis (lesion of the sigmoid colon),
  • proctitis (inflammatory processes that occur in the rectum),
  • diverticulitis (inflammation of the hernial protrusions of the intestinal walls).

You must understand that heartburn or stomach pain can be a sign of various gastroenterological diseases. Therefore, at the first unpleasant symptoms, the expectant mother needs to consult a doctor, who will diagnose and prescribe proper treatment.

Safety instructions

The drug is a homogeneous white gel with a pleasant citrus flavor and aroma. For ease of use, the tool is packaged in packages of 16 or 20 grams.

The dosage, frequency and duration of treatment with phosphalugel will be determined by the attending physician after examining a pregnant woman. During the period of childbearing, the drug is usually prescribed not as a course, but sporadically, that is, as an ambulance in case of unpleasant symptoms.

Application of Phosphalugel during pregnancy at different periods: benefit or harm?

Phosphalugel is an antacid. Its main task is to suppress the activity of hydrochloric acid produced in the gastrointestinal tract in an excess amount, which leads to unpleasant symptoms: burning and chest pain, regurgitation due to increased gas formation. In addition, Phosphalugel coats the stomach, creating a layer that protects against acid and toxic substances that irritate the mucous membrane.

The main active ingredient of the drug is aluminum phosphate, therefore Phosphalugel is referred to as aluminum-containing drugs. It does not eliminate hydrochloric acid immediately after application, but the effect is observed within 1–4 hours. The gel manifests itself the stronger, the higher the acidity in the stomach. In this case, the antacid is not absorbed and supports the natural processes of digestion, helps prevent the appearance of excess gases, removes pathogenic microorganisms and toxic substances from the digestive system, acting as an absorbent.

Phosphalugel - a safe means for receiving during pregnancy

The instructions for the drug noted that Phosphalugel can be taken while carrying a child. In practice, it has found widespread use in all trimesters of pregnancy, both to eliminate unpleasant symptoms associated with impaired digestive system and to treat diseases of the gastrointestinal tract.

The appointment and duration of the drug during pregnancy

Phosphalugel is prescribed for acid-related diseases of the digestive tract:

  • язве двенадцатипёрстной кишки и желудка,
  • гастрите — воспалении слизистой желудка,
  • заболеваниях, связанных с оттоком содержимого желудка обратно в пищевод,
  • синдроме раздражённого кишечника,
  • диарее,
  • заболеваниях толстого кишечника, когда он не выполняет свою функцию (запор),
  • расстройствах пищеварения при отравлении и интоксикации алкоголем, лекарственными средствами,
  • ощущении тяжести и переполненного желудка в подложечной области.

The drug can be used as the main drug to treat these diseases in the initial stages or relieve the symptoms of heartburn and chest pain, and also as a supplement to other medications, if necessary.

It is during pregnancy Fosfalugel helps to cope with:

  • early toxicosis,
  • stomach pain due to a change of diet
  • late heartburn due to squeezing of the stomach by the growing uterus,
  • acute poisoning and its consequences.

Forms of release of Phosphalugel

Phosphalugel is available in disposable bags with different weights: 16 and 20 grams. To relieve heartburn, gas in the stomach and other unpleasant symptoms, it is enough for pregnant women to take a gel containing a smaller amount of the active substance. If this dose does not help, the doctor may advise to increase the number of sachets per day or use a form of the drug containing more aluminum phosphate in its composition.

Sachets of 20 grams are usually used for diseases of the gastrointestinal tract, accompanied by painful symptoms.

Phosphalugel is a white gel with an orange smell

The dosage of Phosphalugel and the frequency of administration per day is selected individually in each case. The gel is dissolved in a glass of water or used in its pure form, but before opening the bag, it is necessary to stretch the bag in your hands so that you get a homogeneous mass.

More than 100 grams of the drug per day is dangerous to use both for the mother and the baby because of the high risk of side effects.

FDA on drug safety

In the world, speaking of the risk category of prescribing drugs for pregnant women, it is customary to rely on the Food and Drug Administration (FDA) classification. Antacid medicines during the period of childbearing, this authoritative organization recommends taking short courses and only after consulting a doctor. Otherwise, there is a danger of violation of the tendon reflexes (instantaneous contraction of the muscles when they are hit) in the fetus in the womb and after birth. The mother has low pressure and weak cardiac activity, increases the level of magnesium in the body (it becomes toxic, the kidneys suffer, muscles weaken, the nervous system slows down). In addition, decreases the amount of calcium and phosphorus, so necessary for the growth of the child.

Preparations approved for use during pregnancy - table

  • allergic to the components of the drug,
  • constipation or diarrhea
  • sodium alginate
  • sodium bicarbonate,
  • calcium carbonate
  • suspension,
  • chewable tablets
  • intolerance to the components of the drug,
  • phenylketonuria (for tablets)
  • aluminum hydroxide,
  • magnesium hydroxide
  • severe renal failure
  • hypersensitivity to active substances and other components of the drug,
  • fructose intolerance,
  • hypophosphatemia,
  • glucose-galactose malabsorption syndrome, sucrase / isomaltase deficiency (for chewable tablets)
  • hypersensitivity reactions, anaphylactic reactions,
  • itching, urticaria,
  • diarrhea, constipation,
  • hypermagnemia, hyperallinemia, hypophosphatemia
  • aluminum hydroxide-magnesium carbonate gel,
  • magnesium hydroxide
  • severe renal failure
  • Alzheimer's disease,
  • hypophosphatemia,
  • lactose intolerance, lactase deficiency or glucose-galactose malabsorption,
  • hypersensitivity to salts of aluminum, magnesium or other components of the drug
  • nausea,
  • constipation,
  • diarrhea,
  • change in taste,
  • allergic reactions
  • suspension,
  • lozenges
  • prolactin-secreting pituitary tumor (prolactinoma),
  • the simultaneous administration of oral forms of ketoconazole, erythromycin or other strong inhibitors of the CYP3A4 isoenzyme causing prolongation of the QT interval, such as fluconazole, voriconazole, clarithromycin, amiodarone and telithromycin,
  • in cases where the stimulation of the motor function of the stomach can be dangerous, for example, with gastrointestinal bleeding, mechanical obstruction or perforation,
  • dysfunction of the liver moderate or severe,
  • phenylketonuria,
  • hypersensitivity to domperidone or any of the components of the drug
  • anaphylactic reactions, including anaphylactic shock,
  • nervousness,
  • angioedema, urticaria,
  • urine retention
  • deviations of laboratory parameters of liver function, increase in the level of prolactin in the blood

Reviews on the use of phosphalugel in pregnant women

I encountered this remedy during pregnancy, when I had heartburn in the fifth month, although I did not have it before. My impressions of the preparation: the smell and taste is not very good, but it relieves heartburn quickly, it is convenient to take tea bags with you.


I was assigned to receive this drug by a therapist in the LCD, when I was registered for pregnancy. The doctor told me that since my period of the abdomen is simply not there, the child puts a lot of pressure on the stomach, which is why I suffer from severe heartburn. Heartburn began, it was worth only to lie down, well, in the evening before bedtime, by itself. Opened the first bag, as I hit the nose with a strong chemical smell of orange. Before pregnancy and during the time, I was just a maniac on eating oranges, mandarins and generally all citrus fruits (lemons, grapefruits, pomelo). And then such a setup with a chemical orange ((. Well, I think, okay, the smell, the main thing is that the taste was pleasant orange. But it was not there. The taste with orange was not around (sorry, who likes this taste like orange, but During pregnancy, my taste and olfactory receptors were exacerbated, and this taste and smell were on solid two.) Immediately after the similarity to an orange, for some reason I lit up in my mouth as if from alcohol, and I felt a spirit aftertaste. the whole bag of this "miracle remedy" and drink it altogether later, was not. In general, the remains of an open bag, I eventually thrown out, and a bag or suffering in the fridge. I wanted to throw out, but he has a shelf life of one more year, let it lie, do not ask, who may need it.


I got registered for pregnancy, and the doctor filled out a dispensary card of a pregnant woman, asking about all the diseases I could ever have. Calling a stomach ulcer, and could not understand that the exacerbation will not take long to wait. The doctor immediately discussed all possible medications for pregnant women for my problems. Called Phosphalugel for stomach pain. Well, I bought just in case a pair of bags (individually) and forgot about it all. And only a few days later I had stomach pains after eating green onions with salt (somehow I didn’t think that there could be an exacerbation), and from the morning of the next day I “finished” on a hungry stomach with fresh tomatoes))) ) ... In short, there were immediately severe stomach pains, bloating, strong belching ... .. These bags were useful to me. Saw half an hour before meals 2 times a day and on an empty stomach at night. So it was 4 days. Feeling relieved, she began taking Phosphalugel only for the night on an empty stomach. Now the pain has receded, although there is an unpleasant smell from the mouth. But I still take 1 bag at night. I will make a reservation that I began to take much less “dangerous” products for the stomach and added oatmeal to the diet in the water and in the morning jelly. I recommend this ambulance to pregnant women. I have no constipation, I drink a lot of water, as advised by the gynecologist, and also I like fruits and yogurts.


The wife is drinking it now, the 7th month, was having heartburn. For her sake of preservation of calcium, this Phosphalugel was assigned to her, so she also does not part with it, even puts it to sleep next to the bed ...


She took the drug for heartburn during pregnancy. It can be said that all 3 trimesters suffered from heartburn and nausea. I tried everything that was possible, nothing helped. Once again, she came to the pharmacy with a view of doom, and the pharmacist suggested Fosfalyugel to try. I was so glad when this drug helped. The last 2 months have not parted with him already. So for the last 2 months I have felt like a man.


Do not be afraid to take Phosphalugel during pregnancy. If you follow the dosage of the drug, then the negative effects of its use will be absent, and the health of the future mother will noticeably improve.