R Sure Suspension Gel belongs to a group of medicines called antacids used to treat acidity, heartburn, indigestion, gastritis (inflammation of the stomach), and stomach upset. The stomach is usually protected from the acid by a mucous layer. In some cases, due to excess acid production, the mucous layer gets eroded, which leads to complications like acidity and heartburn. 
 
R Sure Suspension Gel is a combination of three drugs: Aluminium hydroxide, magnesium hydroxide and oxetacaine. Aluminium hydroxide and magnesium hydroxide belong to a group of antacids, whereas oxetacaine belongs to local anaesthetics. Aluminium hydroxide and magnesium hydroxide work by neutralising excess stomach acid. Oxetacaine exerts a numbing effect, thereby providing relief from pain due to ulcers or acidic injury in the stomach.
 
You are advised to take R Sure Suspension Gel for as long as your doctor has prescribed it for you, depending on your medical condition. You may experience certain common side-effects such as constipation, diarrhoea, dizziness, and drowsiness in some cases. Most of these side-effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side-effects persistently.
 
Inform your doctor before taking R Sure Suspension Gel if you have low phosphate levels, high magnesium levels, kidney or liver problems, and taking antibiotics such as doxycycline, oxytetracycline, levofloxacin, or ciprofloxacin. Consult your doctor if you are pregnant or breastfeeding. R Sure Suspension Gel should not be given to children as safety has not been established. Avoid consuming alcohol along with R Sure Suspension Gel as it could lead to increased acidity. R Sure Suspension Gel may cause dizziness and drowsiness; do not drive or operate machinery unless you are alert.

R Sure Suspension Gel belongs to a group of medicines called antacids used to treat acidity, heartburn, indigestion, gastritis (inflammation of the stomach), and stomach upset. R Sure Suspension Gel is a combination of three drugs: Aluminium hydroxide (antacid), magnesium hydroxide (antacid) and oxetacaine (local anaesthetic). Aluminium hydroxide and magnesium hydroxide work by neutralising excess stomach acid. Oxetacaine exerts a numbing effect, thereby providing relief from pain due to ulcers or acidic injury in the stomach.

• Constipation
• Diarrhoea
• Dizziness
• Drowsiness

Do not take R Sure Suspension Gel if you are allergic to any of its contents, debilitated (very weak); if you have severe stomach pain, partially or fully blocked bowel. Inform your doctor before taking R Sure Suspension Gel if you have low phosphate levels, high magnesium levels, kidney or liver problems, a low-phosphate diet or if you are taking antibiotics such as doxycycline, oxytetracycline, levofloxacin, ciprofloxacin. Avoid taking foods and drinks containing citrates with R Sure Suspension Gel as it might lead to increased serum levels of aluminium which can be harmful. Consult your doctor if you are pregnant or breastfeeding. R Sure Suspension Gel should not be given to children as safety has not been established. Avoid consuming alcohol along with R Sure Suspension Gel as it could lead to increased acidity. R Sure Suspension Gel may cause dizziness and drowsiness; do not drive or operate machinery unless you are alert.

Drug-Drug Interactions: R Sure Suspension Gel may interact with pain killers (aspirin), antibiotics (doxycycline, oxytetracycline, levofloxacin, azithromycin, ciprofloxacin), anti-asthma (albuterol, ipratropium), anti-diabetic (glipizide), and vitamins (ascorbic acid, ergocalciferol, cholecalciferol).

Drug-Food Interactions: Avoid taking citrates along with R Sure Suspension Gel as it might lead to increased serum levels of aluminium. Avoid alcohol intake as it leads to increased production of stomach acid, thereby increasing acidity and heartburn.

Drug-Disease Interactions: Inform your doctor if you have constipation, inflammatory bowel disease, intestinal obstruction disorder, and renal dysfunction.

• ASPIRIN
• DOXYCYCLINE
• OXYTETRACYCLINE
• LEVOFLOXACIN
• CIPROFLOXACIN
• AZITHROMYCIN
• ALBUTEROL+IPRATROPIUM
• GLIPIZIDE
• ASCORBIC ACID
• ERGOCALCIFEROL
• CHOLECALCIFEROL

• Eat smaller meals more often.

• Avoid smoking and alcohol consumption. Alcohol intake leads to increased production of stomach acid, thereby increases acidity and heartburn.

• Maintain a healthy weight by regular exercising.

• Avoid lying down after eating to prevent acid reflux.

• Avoid tight-fitting clothes as it might increase the pressure on the abdomen leading to acid reflux.

• Practise relaxation techniques and avoid stress by doing yoga or meditation.

• Avoid foods such as high-fat food, spicy food, chocolates, citrus fruits, pineapple, tomato, onion, garlic, tea and soda.

• Avoid sitting continuously as it may trigger acidity. Take a break of 5 minutes every hour by doing brisk walking or stretching.

The stomach is usually protected from acid by a mucous layer. In some cases, due to excess acid production, the mucous layer gets eroded, which leads to complications like acidity. Due to this, acid frequently flows back into the food pipe (oesophagus). This backflow (acid reflux) irritates the food pipe and causes heartburn. Symptoms include heartburn, sour or bitter taste in the mouth, and difficulty swallowing. Indigestion is the feeling of fullness. It occurs due to slow gastric emptying. Symptoms include stomach pain, bloating, heartburn, nausea and vomiting.