Almasilate

A compound based on a hydrated Aluminum and Magnesium silicate mixture. It is an antacid with general properties similar to those of aluminum hydroxide and magnesium carbonate. Oral administration.

Aluminum and magnesium from antacids are not concentrated in breast milk. ^{(Mahadevan 2006, Richter 2005)}

The average natural concentration of magnesium in milk is 31 mg/L (15 to 64 mg/L) and is little affected by magnesium administration.^{(Cruikshank 1982, Dórea 2000, Nagy 1994, Feeley 1983)}

Following the intake of aluminum-containing antacids plasma aluminum values rise from basal 7 μg/L to 55 μg/L within half an hour to fall back to their previous value 3 hours later.

Although trace amounts of aluminum may be found in milk, it has no adverse effects on the infant. Breast milk contains an average of 49 μg/L aluminum, much lower than the 180-700 μg/L in artificial formulas. ^{(Burrell 2010, Simmer 1990)}

Its low oral bioavailability means that the passage to infant plasma from ingested breast milk is scarce, except in premature infants and immediate neonatal period, in which there may be greater intestinal absorption.

The manufacturer and expert authors consider its use compatible with breastfeeding. ^{(Hale, Rotapharm 2008, Mahadevan 2006, Richter 2005, Broussard 1998)}

Avoid chronic or excessive use. List of essential medicines WHO 2002: aluminum and magnesium hydroxides compatible with breastfeeding.^{(WHO 2002)}

See below the information of this related product:

• Magnesium Hydroxide (Safe product and/or breastfeeding is the best option.)