Riopan contains the active ingredient magaldrate and binds excess stomach acid.

Application

What is Riopan and what is it used for?

Riopan contains the active ingredient magaldrate and binds excess stomach acid. Excessive acid binding, which would lead to increased acid excretion into the stomach, is avoided. The natural digestive function is maintained, and the bile acids that in some cases flow back into the stomach are bound. The
effect of Riopan usually lasts for several hours.

Riopan is used for heartburn and acid regurgitation.

Children and adolescents under 18 years of age may only take Riopan on doctor's orders.

If you do not feel better or even worse after 14 days, consult your doctor.

How is it applied?

What is Riopan and what is it used for?

Riopan contains the active ingredient magaldrate and binds excess stomach acid. Excessive acid binding, which would lead to increased acid excretion into the stomach, is avoided. The natural digestive function is maintained, and the bile acids that in some cases flow back into the stomach are bound. The
effect of Riopan usually lasts for several hours.

Riopan is used for heartburn and acid regurgitation.

Children and adolescents under 18 years of age may only take Riopan on doctor's orders.

If you do not feel better or even worse after 14 days, consult your doctor.

What should you pay attention to before taking it?

What should you be aware of before taking Riopan?

Riopan must not be taken
- if you are allergic to magaldrate or any of the other ingredients of the medicinal product listed in section 6,
- in case of pathological muscle weakness (myasthenia gravis)
.- reduced phosphate levels in the blood (hypophosphataemia)

Warnings and Precautions
You must only take Riopan under regular medical supervision of certain blood levels (aluminium, magnesium) if:
- your kidney function is severely reduced, especially if you need dialysis,
Riopan 800 mg - Chewable Tablets 1-19161 GI.- you have Alzheimer's disease or other forms of dementia (reduction in mental capacity),
- you need to follow a low phosphate diet or have impaired bone metabolism,
or long-term use.

If your symptoms last longer than 2 weeks or only partially subside
and/or recur at more frequent intervals, further investigations should be carried out to rule out a serious illness.

If you do not feel better or even worse after 14 days, contact your doctor.

Talk to your doctor
- if you lose weight unintentionally, if you feel tired and weak as this may be a sign of anaemia, if there is bleeding in the gastrointestinal tract, difficulty swallowing, persistent vomiting or vomiting of blood as these may be signs of a serious illness.
- if you have had a stomach ulcer or surgery on the stomach or intestines in the past.
- if you have jaundice, impaired liver function or liver disease.
- if you have any other serious condition that affects your general wellbeing.
- if you are over 55 years of age and suffer from new or recently changed signs of illness.

Visit a doctor if you repeatedly suffer from indigestion or heartburn over a long period of time. Inform him that you are taking non-prescription medicines for indigestion or heartburn.

Do not take Riopan permanently, there is a risk of increased aluminium storage.
Suitable for patients with elevated blood pressure because of the minor sodium content.

Do not take Riopan as a preventive medicine.

Take Riopan with other medicines
Inform your doctor or pharmacist if you are taking, have recently taken or are planning to take any other medicines.

Because Riopan may interfere with the absorption of medicines given at the same time, an interval of 2 hours should always be observed between taking Riopan and other medicines.

Take Riopan only after consulting your doctor or pharmacist if you are taking any of the following medicines:
- certain antibiotics (medicines for infectious diseases, e.g. tetracyclines,
quinolones such as ciprofloxacin, ofloxacin, norfloxacin)
- iron preparations
- isoniazid (a medicine for tuberculosis)
- chlorpromazine (used for psychoses)
- certain tranquillisers (benzodiazepines)
- Digoxin (heart medicine)
- Bile acids (cheno and ursodeoxycholic acid)
- Certain painkillers with indometazine as the active ingredient
Riopan 800 mg - Chewable Tablets 1-19161 GI.- Cimetidine (another medicine used to neutralise stomach acid)
- Coumarin derivatives (certain blood thinners)
- Salicylates
- Calcium carbonate, when used as a medicine to treat high levels of phosphate in the blood (hyperphosphataemiaRiopan with food and drink
Avoid taking acidic drinks (fruit juices, wine, etc.) at the same time as Riopan.These increase the absorption of aluminium salts in the intestine. Effervescent tablets also contain fruit acids which may increase aluminium absorption.

Pregnancy and breast-feeding
If you are pregnant or breast-feeding, or if you suspect you may be pregnant or intend to become pregnant, ask your doctor or pharmacist for advice before taking this medicine.

Pregnancy:
Use only for a short time and at the lowest possible dose to avoid exposing the baby to aluminium.

Lactation:
Aluminium compounds pass into breast milk. No risk to the newborn is assumed as only very small amounts are absorbed.

Driving and ability to operate machinery
Riopan 800mg Chewable Tablets have no or negligible effect on driving and ability to operate machinery.

Important information about certain other ingredients of Riopan
Riopan 800 mg Chewable Tablets contains approximately 0.8 g sorbitol (0.07 BE) per chewable tablet and is permitted for diabetics.

Please only take Riopan 800mg Chewable Tablets after consulting your doctor if you are known to suffer from a sugar intolerance.

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How should the medicine be taken?

How to take Riopan?

Always take this medicine exactly as described in this leaflet or as your doctor or pharmacist has told you. Ask your doctor or pharmacist if you are not sure.

The recommended dose is:
Take 1 chewable tablet as needed for mild stomach complaints (e.g. heartburn, acid regurgitation).

The symptoms usually occur after meals or at night (when lying down), so the usual dose is 1 chewable tablet one hour after each main meal or before going to bed (= 1 tablet).

If acute symptoms occur between doses, you can increase the dose up to 8 doses daily.
You should not take more than 8 chewable tablets daily (equivalent to 6400 mg Magaldrate).

In some cases, taking one dose can bring freedom from symptoms. Stop taking the tablets when you are free of symptoms.

How to take:
You can suck the chewable tablets or chew them well.
Riopan 800 mg - Chewable Tablets 1-19161 GI
Duration of treatment:
You can stop taking it when you are free of symptoms.
Riopan must not be taken for more than 14 days in a row. Consult your doctor if your symptoms do not subside within this period, last longer than 14 days or get worse, or if you experience additional symptoms. He will arrange for a diagnostic work-up to rule out other diseases.

Maximum daily dose:
You should not take more than 8 chewable tablets daily (equivalent to 6400 mg magaldrate).

Application in case of renal dysfunction:
In case of severely impaired renal function, due to the risk of chronic aluminium poisoning, long-term and higher-dose use should only be made under medical supervision with regular aluminium and magnesium blood level determinations.

Use in children and adolescents:
No sufficient information is available for children under 12 years of age, therefore they should not take Riopan. In adolescents aged 12 to 18 years, Riopan should only be used on the express prescription of a doctor.

If you have taken a larger amount of Riopan than you should
Acute symptoms of poisoning with Riopan are not known.

If you forget to take Riopan
Do not take a double dose if you have forgotten to take it before. Take the next dose as needed.

If you stop taking Riopan
You can stop taking it at any time if you are free of symptoms.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

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What are the possible side effects?

How to store Riopan?

Do not store above 30°C.

Keep this medicine out of the reach of children.

Do not use this medicinal product after the expiry date which is stated on the carton and blister after "EXP" and "EXP:" respectively. The expiry date refers to the last day of the month indicated.

Do not dispose of medicines in waste water or household waste. Ask your pharmacist how to dispose of the medicine when you stop using it. In doing so, they contribute to the protection of the environment.

Special instructions for storage

How to store Riopan?

Do not store above 30°C.

Keep this medicine out of the reach of children.

You must not use this medicinal product after the expiry date which is stated on the outer carton and blister after ,,Exp. by" and ,,Exp. by:" respectively. The expiry date refers to the last day of the month indicated.

Do not dispose of medicines in waste water or household waste. Ask your pharmacist how to dispose of the medicine when you stop using it. In doing so, they contribute to the protection of the environment.

Special notes on the content

Contents of the pack and other information

What Riopan contains
The active substance is: magaldrate.
1 chewable tablet contains 800 mg magaldrate, anhydrous.
The other ingredients are: Sorbitol, macrogol 4000, maltol, caramel flavour, cream flavour, calcium behenate.

What Riopan looks like and contents of the pack
White, round, flat chewable tablet embossed with "800" in PVC/PVC.Riopan 800 mg - Chewable Tablets 1-19161 GI

Packs of 20, 50 and 100
Riopan 800 mg - Chewable Tablets 1-19161 GI

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