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|Titralac Plus Chewable Tablets

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Titralac Plus Chewable Tablets

Generic Name: Calcium/Simethicone Chewable Tablets (KAL-see-uhm/si-METH-i-kone)
Brand Name: Examples include Titralac Plus and Tums Plus

Titralac Plus Chewable Tablets is used for:

Treating acid indigestion, heartburn, gas, and sour stomach. It may also be used for other conditions as determined by your doctor.

Titralac Plus Chewable Tablets is an antacid and antiflatulent. It works by neutralizing acid in the stomach. It also helps to break up gas bubbles in the stomach, allowing it to be passed through the system more comfortably.

Do NOT use Titralac Plus Chewable Tablets if:

you are allergic to any ingredient in Titralac Plus Chewable Tablets
you are also taking citrate salts (found in some calcium supplements, antacids, and laxatives)
you have a history of high blood calcium levels

Contact your doctor or health care provider right away if any of these apply to you.

Before using Titralac Plus Chewable Tablets:

Some medical conditions may interact with Titralac Plus Chewable Tablets. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

if you are pregnant, planning to become pregnant, or are breast-feeding
if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
if you have allergies to medicines, foods, or other substances
if you have Alzheimer disease, kidney problems, appendicitis, diarrhea, a stomach blockage, or an ileostomy
if you have recently had stomach bleeding

Some MEDICINES MAY INTERACT with Titralac Plus Chewable Tablets. Tell your health care provider if you are taking any other medicines, especially any of the following:

Cation exchange resins (eg, sodium polystyrene sulfonate) and citrate salts (found in some calcium supplements, antacids, and laxatives) because the actions and side effects of Titralac Plus Chewable Tablets may be increased
Anticoagulants (eg, warfarin), quinidine, or sulfonylureas (eg, glyburide) because the actions and side effects of these medicines may be increased
Angiotensin-converting enzyme (ACE) inhibitors (eg, enalapril), beta-blockers (eg, propranolol), bisphosphonates (eg, risedronate), cephalosporins (eg, cephalexin), corticosteroids (eg, hydrocortisone), cyclosporine, delavirdine, digoxin, imidazoles (eg, ketoconazole), mycophenolate, penicillamine, quinolones (eg, ciprofloxacin), tetracyclines (eg, doxycycline), thyroid hormones (eg, levothyroxine), or verapamil because the effectiveness of these medicines may be decreased, especially when taken at the same time as Titralac Plus Chewable Tablets

This may not be a complete list of all interactions that may occur. Ask your health care provider if Titralac Plus Chewable Tablets may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Titralac Plus Chewable Tablets:

Use Titralac Plus Chewable Tablets as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Titralac Plus Chewable Tablets may be taken with or without food.
Chew thoroughly before swallowing. Drink a glass of water after swallowing.
Do not use Titralac Plus Chewable Tablets within 2 hours before or after taking a beta-blocker (eg, propranolol), bisphosphonate (eg, risedronate), cephalosporin (eg, cephalexin), corticosteroid (eg, hydrocortisone), delavirdine, digoxin, imidazole (eg, ketoconazole), penicillamine, or sulfonylurea (eg, glyburide) because Titralac Plus Chewable Tablets may decrease the effectiveness of these medicines.
If you miss a dose of Titralac Plus Chewable Tablets and you are taking it regularly, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Titralac Plus Chewable Tablets.

Important safety information:

Do not exceed the recommended dose or use the maximum dose for more than 2 weeks without checking with your doctor.
If your symptoms do not improve within 2 weeks or if they become worse, or if you experience black, tarry stools or vomit that looks like coffee grounds, check with your doctor.
PREGNANCY and BREAST-FEEDING: If you become pregnant while taking Titralac Plus Chewable Tablets, discuss with your doctor the benefits and risks of using Titralac Plus Chewable Tablets during pregnancy. If you are or will be breast-feeding while you are using Titralac Plus Chewable Tablets, check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Titralac Plus Chewable Tablets:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Constipation; diarrhea.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); loss of appetite; muscle weakness; nausea; slow reflexes; vomiting.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately.

Proper storage of Titralac Plus Chewable Tablets:

Store Titralac Plus Chewable Tablets in a tightly closed container at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Titralac Plus Chewable Tablets out of the reach of children and away from pets.

General information:

If you have any questions about Titralac Plus Chewable Tablets, please talk with your doctor, pharmacist, or other health care provider.
Titralac Plus Chewable Tablets is to be used only by the patient for whom it is prescribed. Do not share it with other people.
If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Titralac Plus Chewable Tablets. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: November 1, 2006

Database Edition 06.4.1.002

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