Tums

Generic Drug
Calcium carbonate antacids

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Dosage Forms

Tums tablets: Calcium carbonate 500 mg
Tums extra strength tablets: Calcium carbonate 750 mg
Tums ultra tablets: Calcium carbonate 1000 mg

Adult Dosing Guidelines

  • Chewable tablets 500 to 1000 mg: Take 2 to 4 tablets as symptoms occur, repeating hourly if symptoms persist.

Pediatric Dosing Guidelines

  • Consult Physician.

Triage Questions About Treatment or Related Issues

  • Has the problem persisted for more than two weeks?
  • Is the patient under the age of 12?
  • Does the patient have a history of heart disease?
  • Is the patient taking any other medications including OTC, herbals, or prescription drugs?
  • Has the patient taken any other products for the condition and what was the result?

General Information

  • MOA: Acts in the stomach and the small intestines by breaking down to Calcium and bicarbonate. Bicarbonate, which is a base, neutralizes stomach acid.
  • For fast relief of acid indigestion, heartburn, sour stomach and upset stomach associated with these symptoms. Only for mild to moderate causes of heartburn
  • Store at room temperature away from heat, direct light, and moisture.
  • Do not exceed more than 10 tablets in 24 hours except under the advice and supervision of a physician.
  • If you miss a dose take the missed dose as soon as possible.
  • If it is almost time for the next dose, wait until the next dose and skip that missed dose.
  • Do not take two doses as the same time.

Adverse Reactions/Side Effects

  • Hypocalemia
  • Constipation
  • Can cause rebound milk-alkali syndrome (symptom include irritable, alkalosis, headache, vertigo, nausea, vomiting, weakness and myalgia)
  • Overuse can cause kidney stones
  • Avoid drinking carbonated beverages such as sodas and soft drinks or eat foods that may cause stomach acid secretion.
  • Can decrease absorption of a number of drugs due to increased stomach acid or chelation. Call prescriber to check.

Nutritional Products or Nutritional Interactions

Do not take in large quantities of milk or calcium containing products