Index: Antacids
Index: Antacids
Index: Antacids
Contents
ANTACIDS
ACTION MECHANISM
INDICATIONS
SIDE EFFECTS
SOME MORE SIDE EFFECTS
HYPERACIDITY
SOME FAMOUS ANTACID BRANDS
DRUG NAMES
SOME COMMONLY USED ANTACIDS
ALUMINIUM HYDROXIDE
MAGNESIUM HYDROXIDE
CALCIUM CARBONATE
SODIUM BICARBONATE
BISMUTH SUBSALICYLATE
INVESTIGATORY EXPERIMENT
BIBLOGRAPHY
ANTACIDS
ACTION MECHANISM
Antacids perform a neutralization reaction, i.e. they buffer gastric acid,
raising the pH to reduce acidity in the stomach. When gastric hydrochloric
acid reaches the nerves in the gastrointestinal mucosa, they signal pain to
the central nervous system. This happens when these nerves are exposed,
as in peptic ulcers. The gastric acid may also reach ulcers in the esophagus
or the duodenum. Other mechanisms may contribute, such as the effect of
aluminium ions inhibiting smooth muscle cell contraction and delaying
gastric emptying. INDICATIONS Antacids are taken by mouth to relieve
heartburn, the major symptom of gastro esophageal reflux disease, or acid
indigestion. Treatment with antacids alone is symptomatic and only justified
for minor symptoms. Peptic ulcers may require H2-receptor antagonists or
proton pump inhibitors. The utility of many combinations of antacids is not
clear, although the combination of magnesium and aluminium salts may
prevent alteration of bowel habits.
SIDE EFFECTS
Other adverse effects from antacids include: Excess calcium from
supplements, fortified food and high-calcium diets, can cause the milk-alkali
syndrome, which has serious toxicity and can be fatal. In 1915, Bertram
Sippy introduced the Sippy regimen of hourly ingestion of milk and cream,
the gradual addition of eggs and cooked cereal, for 10 days, combined with
alkaline powders, which provided symptomatic relief for peptic ulcer disease.
Over the next several decades, the Sippy regimen resulted in renal failure,
alkalosis, and hypercalemia, mostly in men with peptic ulcer disease. These
adverse effects were reversed when the regimen stopped, but it was fatal in
some patients with protracted vomiting. Milk alkali syndrome declined in
men after effective treatments were developed for peptic ulcer disease. But
during the past 15 years, it has been reported in women taking calcium
supplements above the recommended range of 1200 to 1500 mg daily, for
prevention and treatment of osteoporosis, and is exacerbated by
dehydration. Calcium has been added to over-the-counter products, which
contributes to inadvertent excessive intake. The New England Journal of
In general, people with kidney problems should probably not take antacids
as this can sometimes cause a condition known as alkalosis. In other people,
side effects may occur if substances such as salt, sugar, or aspirin, are added
to a particular medication. As with all medications, always carefully read the
product label on the package and check with your doctor or pharmacist if you
have any question about potential drug interactions or side effects. Some
side effects, such as constipation and diarrhea, are fairly obvious. Other
more serious side effects, such as stomach or intestinal; bleeding, can be
more difficult to recognize.
In general, any sign of blood in the stool or the presence of vomiting is a
danger sign and should be brought to the immediate attention of a
physician. If your symptoms persist for more than 10 days to two weeks
while you are using the medication, you should stop taking it and consult
your doctor.
Persistent symptoms may indicate that you have more a serious problem
than occasional acid reflux. Pregnant or nursing baby should always consult
your doctor before taking this medication. Generally, you should not give
these medications to children under the age of 12 unless under the advice
and supervision of your doctor or the package label has indicated that the
product is safe for young children. Constant use of antacids leads to a
condition called acid rebound where the stomach begins to over secrete acid
in order to make up for the quantity that is being neutralized.
Stomach Ulcers:
Ulcers in the stomach are one of the prime causes of hyperacidity.
Once this is diagnosed, the treatment will be done by the surgical
removal of the stomach ulcers.
(ii)
(iii)
Stomach Cancers:
Stomach cancers can also cause hyperacidity as one of their
symptoms. This is a very rare case, but the mortality rate is quite
high. Hence, a hyperacidity that lasts more than two weeks must be
immediately shown to the doctor and got checked for any cancer. A
timely diagnosis can enable complete treatment of the disease.
SYMPTOMS OF HYPERACIDITY
Hyperacidity symptoms are observed a couple of hours after
eating, when the food has been digested and still excess acids are
left within the stomach. At this stage, the following symptoms are
seen:1.
2.
3.
4.
5.
6.
7.
Constipation
INTERACTIONS
Altered pH or complex formation may alter the bioavailability of other drugs,
such as tetracycline. Urinary excretion of certain drugs may also be affected.
2. Magnesium hydroxide
3. Calcium carbonate
4. Sodium bicarbonate
5. Bismuth subsalicylate
6. Histamine
7. Cimetidine
8. Ranitidine
9. Omeprazole
10. Lansoprazole
PREPARATION
The vast majority of calcium carbonate used in industry is extracted by
mining or quarrying. Pure calcium carbonate (e.g. for food or pharmaceutical
use), can be produced from a pure quarried source (usually marble).
Alternatively, calcium oxide is prepared by calcining crude calcium
carbonate. Water is added to give calcium hydroxide, and carbon dioxide is
passed through this solution to precipitate the desired calcium carbonate,
referred to in the industry as precipitated calcium carbonate (PCC):
USES
Industrial applications
The main use of calcium carbonate is in the construction industry, either as
a building material in its own right (e.g. marble) or limestone aggregate for
roadbuilding or as an ingredient of cement or as the starting material for the
preparation of builders lime by burning in a kiln. Calcium carbonate is also
used in the purification of iron from iron ore in a blast furnace. Calcium
carbonate is calcined in situ to give calcium oxide, which forms a slag with
various impurities present, and separates from the purified iron. Calcium
carbonate is widely used as an extender in paints, in particular matte
emulsion paint where typically 30% by weight of the paint is either chalk or
marble.
Calcium carbonate is also widely used as a filler in plastics. Some typical
examples include around 15 to 20% loading of chalk in unplasticized
polyvinyl chloride (uPVC) drain pipe, 5 to 15% loading of stearate coated
chalk or marble in uPVC window profile. PVC cables can use calcium
carbonate at loadings of up to 70 phr (parts per hundred parts of resin) to
improve mechanical properties (tensile strength and elongation) and
electrical properties (volume resistivity).
Polypropylene compounds are often filled with calcium carbonate to increase
rigidity, a requirement that becomes important at high use temperatures. It
also routinely used as a filler in thermosetting resins (Sheet and Bulk
moulding compounds) and has also been mixed with ABS, and other
ingredients, to form some types of compression molded clay Poker chips.
Fine ground calcium carbonate is an essential ingredient in the microporous
film used in babies diapers and some building films as the pores are
nucleated around the calcium carbonate particles during the manufacture of
the film by biaxial stretching. Calcium carbonate is known as whiting in
ceramics/glazing applications, where it is used as a common ingredient for
many glazes in its white powdered form.
When a glaze containing this material is fired in a kiln, the whiting acts as a
flux material in the glaze. It is used in swimming pools as a pH corrector for
maintaining alkalinity buffer to offset the acidic properties of the
disinfectant agent. It is commonly called chalk as it has traditionally been a
major component of blackboard chalk. Modern manufactured chalk is now
mostly gypsum, hydrated calcium sulfate CaSO42H2O.
bicarb. The word saleratus, from Latin sal ratus meaning aerated salt,
was widely used in the 19th century for both sodium bicarbonate and
potassium bicarbonate. The term has now fallen out of common usage.
HISTORY
The ancient Egyptians used natural deposits of natron, a mixture consisting
mostly of sodium carbonate decahydrate and sodium bicarbonate. The
natron was used as a cleansing agent like soap.
In 1791, a French chemist, Nicolas Leblanc, produced sodium bicarbonate as
we know it today. In 1846 two New York bakers, John Dwight and Austin
Church, established the first factory to develop baking soda from sodium
carbonate and carbon dioxide.
PRODUCTION
NaHCO3 is mainly prepared by the Solvay process, which is the reaction of
calcium carbonate, sodium chloride, ammonia, and carbon dioxide in water.
It is produced on the scale of about 100,000 ton/year (as of 2001).
NaHCO3 may be obtained by the reaction of carbon dioxide with an aqueous
solution of sodium hydroxide. The initial reaction produces sodium carbonate:
alkalinization for the treatment of aspirin overdose and uric acid renal
stones.
Sodium bicarbonate can be used to extinguish small grease or electrical fires by
being poured or dumped over the fire. However, it should not be poured or dumped
onto fires in deep fryers as it may cause the grease to splatter. Sodium bicarbonate
is used in BC dry chemical fire extinguishers as an alternative to the more corrosive
ammonium phosphate in ABC extinguishers. The alkali nature of sodium
bicarbonate makes it the only dry chemical agent, besides Purple-K, that was used
in large scale fire suppression systems installed in commercial kitchens. Because it
can act as an alkali, the agent has a mild saponification effect on hot grease, which
forms a smothering soapy foam. Dry chemicals have since fallen out of favor for
kitchen fires as they have no cooling effect compared to the extremely effective wet
chemical agents specifically designed for such hazards.
5.BISMUTH SUBSALICYLATE
Bismuth subsalicylate, with a chemical formula C7H5BiO4, is a drug used to
treat nausea, heartburn, indigestion, upset stomach, diarrhea, and other
temporary discomforts of the stomach and gastrointestinal tract. Commonly
known as pink bismuth, it is the active ingredient in popular medications
such as Pepto-Bismol and modern (since 2003) Kaopectate.
PHARMACOLOGY
As a derivative of salicylic acid, bismuth salicylate displays antiinflammatory action and also acts as an antacid.
ADVERSE EFFECTS AND CONTRAINDICATIONS
There are some adverse effects. It can cause a black tongue and black stools
in some users of the drug, when it combines with trace amounts of sulfur in
saliva and the gastrointestinal tract. This discoloration is temporary and
harmless.
Some of the risks of salicylism can apply to the use of bismuth subsalicylate.
Children should not take medication with bismuth subsalicylate while recovering
from influenza or chicken pox, as epidemiologic evidence points to an association
between the use of salicylate-containing medications during certain viral infections
and the onset of Reyes syndrome. For the same reason, it is typically
recommended that nursing mothers not use medication containing bismuth
subsalicylate (such as Pepto-Bismol) because small amounts of the medication are
excreted in breast milk and pose a theoretical risk of Reyes syndrome to nursing
children.
RADIOACTIVITY
While bismuth is technically radioactive, its half life is so long, on the order
of hundreds of billions of years, that its radioactivity presents absolutely no
threat under all medical and other ordinary purposes.
DECOMPOSITION
Bismuth subsalicyclate is the only active ingredient in an over the counter
medication that will actually leave a shiny metal slag behind.
INVESTIGATORY EXPERIMENT
OBJECTIVE :
To analyse the given samples of commercial antacids by determining the
amount of hydrochloric acid they can neutralize.
REQUIREMENTS :
Burettes, pipettes, titration flasks, measuring flasks, beakers, weight box,
fractional weights, sodium hydroxide, sodium carbonate, hydrochloric acid,
phenolphthalein.
PROCEDURE :
1. Prepare 1 litre of approximately HCl solution by diluting 10 ml of the
concentrated acid for one litre.
2. Similarly, make 1 litre of approximately NaOH solution by dissolving4.0g of
NaOH to prepare one litre of solution.
3. Prepare Na2CO3 solution by weighing exactly 1.325 g of anhydrous
sodium carbonate and then dissolving it in water to prepare exactly 0.25
litres (250 ml) of solution.
4. Standardize the HCl solution by titrating it against the standard Na2CO3
solution using methyl orange as indicator.
5. Similarly, standardize NaOH solution by titrating it against standardized
HCl solution using phenolphthalein as indicator.
6. Powder the various samples of antacid tablets and weigh 1.0 g of each.
Initial
Final
1
0.0ml
15.0ml
0.0ml
15.1ml
0.0ml
15.0ml
0.0ml
15.0ml
Normality of HCl,
N1 = = 0.133 N
Standardisation of NaOH solution :
Volume of the given NaOH solution taken = 20.0 ml
Antacid
Gelusil
Volume of NAOH
solution used to
neutralize unused HCl
12.1ml
Digene
16.0ml
16.2ml
Aludrox
19.3ml
18.9ml
Logas
24.3ml
24.4ml
Ranitidine
21.4ml
21.7ml
Ocid 20
22.7ml
21.9ml
CONCLUSION :
The antacid which has maximum volume of HCl is used for neutralizing i.e.
OCID 20 is more effective.
Bibliography
1.Websights
I.
II.
III.
IV.
https://en.wikipedia.org/wiki/Antacid
http://projects.icbse.com/chemistry-260
www.pharmaceutical-drugmanufacturers.com
http://www.nhs.uk/conditions/antacidmedicines/Pages/Definition.aspx
2. Books
I.
II.
III.
ACKNOWEDEGEMENT
I would like to express my special thanks of
gratitude to my teacher MRS Anjali Singh who gave
me the golden opportunity to do this wonderful
CERTIFICATE
This is to be certified that the Chemistry Project
titled
Date:
Signature of External
Internal
Signature of
Session: 2015-2016
Project: Comparative study of antacids
Submitted To
Submitted by
Shantanu
Jadhav