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A Aluminum and Magnesium based compound.
Both substances do not concentrate into breast milk.
Naturally occurring, the mean Magnesium concentration in the milk is 31 mg/L (range 15 – 64 mg/L) and not affected by the ingestion of Magnesium.
After ingestion of antacids the Aluminum plasma levels increase from a basal-point of 7 μg/L to 55 μg/L at half-an-hour with a return to previous level 3 hours later.
Although a minimal amount of Aluminum may be found in the milk, there are not shown side-effects in the infant. Mother's milk has a mean concentration of 49 μg/L of Aluminum which is much lower than the amount of 180-700 μg/L found in artificial formulas.
Because of a low oral bioavailability the pass from the breast milk toward the infant's plasma is hampered, except in premature and newborn infants who may exhibit a higher intestinal absorption due to an increased permeability.
Avoid chronic or excessive use.
WHO Model List of Essential Medicines 2002: Aluminum hydroxide and Magnesium hydroxide are compatible with breastfeeding.