What is the active ingredient in TUMS antacids and where does it come from? A recommended dietary allowance (RDA) has not been established.Neonates and Infants < 6 months: 200 mg/day PO based on adequate intake (AI). Members are required to pay for all prescription purchases. The active ingredient in TUMS is calcium carbonate. This program is administered by Medical Security Card Company, LLC, Tucson, AZ. cart. Five-year-old children can safely take the children's version of Tums as a daily supplement. 27 Aluminum Lake, Flavor, Magnesium Stearate, Mannitol, Povidone, Sorbitol, Sugar, Talc. General Information:-NOTE: other Calcium Salts are discussed in a separate monograph. Titrate dose based on serum calcium concentrations; higher doses may be necessary.For the treatment of hyperphosphatemia associated with chronic kidney disease*:NOTE: Calcium carbonate has been designated as orphan drug by the FDA for this purpose.Oral dosage:Infants, Children, and Adolescents: 1,000 to 1,500 mg PO 3 times daily (1,200 to 1,800 mg elemental calcium/day) with each meal, initially. Adjust dosage based on patient response and serum calcium concentrations. Unlike some brands, Tums Kids are both Kosher and gluten-free, so they can be used by children who are Kosher for religious reasons or who have a gluten intolerance. Calcium is essential for the maintenance of the nervous, muscular, and skeletal systems, and for cell membrane and capillary permeability. All rights reserved. Manufacturer Coupons and Offers Available, 300MG(750) | Create an account to: This online session is about to expire due to inactivity. cart. Neonatal hypocalcemia is fairly common within the first few days of life, particularly in premature infants. TUMS is not indicated for the treatment of bloating; but, if you are experiencing heartburn and gas, you may want to try TUMS Chewy Bites with Gas Relief. It is also used to prevent osteoporosis, as a calcium supplement, and to treat high phosphate levels in patients with kidney disease. Consult a doctor before giving your child Tums Kids and ask about how the Tums may react with any of your child's other medications. Calcium carbonate also works as a phosphate binder. TUMS is not indicated for the treatment of constipation. The range of the discounts will vary depending on the type of prescription and the pharmacy chosen. Some tablet formulations are labeled for use in pediatric patients as young as 2 years of age. Antacids may interact with certain prescription drugs. DISCOUNT ONLY - NOT INSURANCE. Prescription prices may vary from pharmacy to pharmacy and are subject to change. Here are the maximum dosages recommended for pregnant woman. TUMS is the #1 OB/GYN recommended antacid and is intended to treat heartburn and acid indigestion. The control of plasma calcium concentration is primarily maintained by parathyroid hormone, thyroxine, and 1,25 dihydroxycholecalciferol. As it is a mined calcium source, it may be an appropriate option for people who cannot use calcium sourced from shellfish. Stop use and ask a doctor if symptoms last more than two weeks. When taken with meals, it combines with dietary phosphate, forming an insoluble calcium-phosphate complex, which is then eliminated in the feces. GSK assumes no responsibility for the content on the website. If you give your child Tums either as stomach relief or as a calcium supplement, be aware that some children experience side effects related to antacids. Approximately 98% of the body's calcium is stored in the bone, primarily as the hydroxyapatite. ): 24-47, age: 2-5 yrs, dose: 1 tablet.Weight (lbs. The ultrafiltratable calcium (nonprotein-bound) is distributed to the protein-poor regions of the body, such as the cerebrospinal and extracellular fluids. A recommended dietary allowance (RDA) has not been established.Infants >= 6 months: 260 mg/day PO based on adequate intake (AI). TUMS is intended to treat heartburn, and is appropriate for use when heartburn occurs. DISCLAIMER: This drug information content is provided for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Click Continue to return to page. Find the right dose on chart below based on weight (preferred), otherwise use age. If administration of calcium carbonate is needed in patients with a history of nephrolithiasis (kidney stones) or hypercalciuria, urinary calcium excretion and other appropriate testing should be monitored periodically. Here are the recommended dosages for adults and children 12 years and older. Cannot be used in conjunction with insurance. May be HSA/ FSA eligible. However, approximately 99% of filtered calcium is reabsorbed by the kidney with less than 1% excreted. Copyright 2021 GSK group of companies or its licensor. Calcium citrate offers better absorption under achlorhydria conditions; therefore, this supplement is recommended in patients receiving proton-pump inhibitors or H2 blockers. This pertains to those using Tums as an antacid and also to parents looking for a way to add calcium to their child's diet. TUMS antacids do not contain animal by-products. Do not use the maximum dosage for more than 2 weeks except under the supervision of a doctor. Sign up or log in to your free WellRx account to gain access to this and other tools to help make managing your medications and wellness easier. The active ingredient in TUMS is calcium carbonate. Ask a doctor or pharmacist before taking TUMS if you are presently taking a prescription drug. All TUMS products have been gluten tested and meet the guidelines for gluten free labeling. TUMS is indicated for adults and children 12 years and older. Clinical manifestations of hypercalcemia may include anorexia, thirst, nausea, vomiting, constipation, abdominal pain, muscle weakness (myasthenia), fatigue, mental disturbances, polydipsia, polyuria, bone pain, nephrocalcinosis, renal calculi (nephrolithiasis) and in severe cases, cardiac arrhythmias. A recommended dietary allowance (RDA) has not been established.Children 1-3 years: 700 mg/day PO is the recommended dietary allowance (RDA).Children 4-8 years: 1,000 mg/day PO is the recommended dietary allowance (RDA).Children >= 9 years and Adolescents: 1,300 mg/day PO is the recommended dietary allowance (RDA).For the treatment of hypocalcemia:Oral dosage:Neonates: 40 to 100 mg elemental calcium/kg/day PO in 4 to 6 divided doses, given with feedings. Each TUMS product has a recommended dosage for pregnant women so please refer to the product label. When your child has stomach troubles, Pepto Kid's relieves heartburn, acid indigestion, sour stomach and upset stomach.Need big relief for your kids' little tummies? TUMS bottles are made from polypropylene, and they have a #5 recycle on the bottom. Elemental Calcium ContentNOTE: Different calcium formulations are not directly exchangeable on a mg per mg basis; the different salts contain roughly the following amounts of elemental calcium (1 mEq elemental calcium is equivalent to about 20 mg elemental calcium):Calcium Formulation: (Elemental Calcium content per g)-Calcium Acetate: 250 mg (12.5 mEq) per g-Calcium Carbonate: 400 mg (20 mEq) per g-Calcium Chloride: 270 mg (13.5 mEq) per g-Calcium Citrate: 210 mg (10.5 mEq) per g-Calcium Glubionate: 64 mg (3.2 mEq) per g-Calcium Gluconate: 93 mg (4.65 mEq) per g-Calcium Lactate: 130 mg (6.5 mEq) per gFor nutritional supplementation to provide the recommended dietary allowance (RDA) in healthy individuals:Oral dosage:Premature Neonates: 150 to 220 mg/kg/day PO based on adequate intake (AI). TUMS products include an expiration date on the package label. Hypophosphatemia, though rare, can potentially occur in patients during chronic calcium carbonate therapy if dietary phosphate levels are low due to the malabsorption of phosphate from the diet as calcium carbonate binds with phosphate in the gut. When in doubt, always consult your child's doctor before giving your child even seemingly benign medications. Pepto Kid's Antacid. Yes, TUMS helps with heartburn. The corrected calcium concentration may be estimated from the following formula : -Corrected calcium (mg/dl) = serum calcium (mg/dl) + 0.8 [4- serum albumin (g/dl)]Maximum Dosage Limits:Dosage must be individualized according to indication, serum calcium concentrations, and patient response.-NeonatesGenerally, 100 mg elemental calcium/kg/day PO for hypocalcemia; tolerable upper intake level as a nutrient has not been established.-InfantsGenerally, 80 mg elemental calcium/kg/day PO for hypocalcemia; tolerable upper intake level as a nutrient has not been established.-ChildrenGenerally, 80 mg elemental calcium/kg/day PO for hypocalcemia; tolerable upper intake level as a nutrient is 2500 mg/day of elemental calcium (6250 mg/day as calcium carbonate).-AdolescentsGenerally, 80 mg elemental calcium/kg/day PO for hypocalcemia; tolerable upper intake level as a nutrient is 2500 mg/day of elemental calcium (6250 mg/day as calcium carbonate).Patients with Hepatic Impairment DosingSpecific guidelines for dosage adjustments in hepatic impairment are not available; it appears that no dosage adjustments are needed. Antacids may interact with certain prescription drugs. Mineral release during the process of bone resorption buffers hydrogen ions. Your 5-year-old child may have special dietary concerns that make antacid use unsafe or inappropriate. You need to log into the site to use this feature. Can TUMS antacids be taken by people who cannot tolerate dairy products? It may also be used to increase calcium levels in your body. Following IV treatment, oral calcium supplements such as calcium carbonate are frequently necessary; however, liquid oral calcium formulations should be avoided in infants at high risk for necrotizing enterocolitis (i.e., premature infants) due to the high osmolality. Affected cytochrome P450 isoenzymes: none-Route-Specific PharmacokineticsOral RouteAbsorption of calcium is optimal when it is taken in a dose of <= 500 mg. Calcium carbonate vs. citrateBioavailability studies of calcium carbonate compared to calcium citrate have reported variable results. Insulin, thyroxine, growth hormone, androgens, estrogens, adrenal corticosteroids, and inorganic phosphate also contribute. Turn CVS.com into myCVS. Unlike some other commercial antacids, Tums can also be used as a calcium supplement. Medical Security Card Company, LLC All Rights Reserved. If you overuse antacids you also run the risk of the medication becoming less effective over the course of time. Use an oral syringe or other calibrated oral dosing device to measure and administer an accurate dosage. *Average and up to savings percentages are based on all discounted prescriptions that were run through the WellRx program in 2020. You may contact customer care anytime with questions or concerns, to cancel your registration, or to obtain further information. Follow each dose with appropriate fluid intake.-Because calcium carbonate, like other antacids or calcium-containing products, may interfere with the absorption of other medicines, separate administration of calcium carbonate from other medications according to recommendations for the potentially interacting medication.Oral Solid Formulations-Chewable tablets: Instruct patient to chew thoroughly before swallowing.Oral Liquid Formulations-Oral suspension: Shake well before each administration. TUMS are intended to be chewed and swallowed, but they come in different forms and strengths; so you should always follow the dosing directions on the specific TUMS product label you are using. Usual Max: 5,000 mg/day (2,000 mg/day of elemental calcium). Talk to your doctor or pharmacist if you are uncertain whether a TUMS product is appropriate for you. Its role in bone structure and muscle contraction is well known, but calcium is also important for blood coagulation, nerve conduction, and electrical conduction in the myocardium. Submit your own observations and experiences to benefit others. TUMS Chewy Bites with Gas Relief includes the active ingredient simethicone, which relieves gas associated with heartburn, sour stomach or acid indigestion. Bone undergoes constant remodeling and turnover. Patients with a history of preexisting hypercalcemia, renal disease (renal failure), or dehydration are predisposed to developing milk-alkali syndrome and calcinosis. In order to manage your prescriptions and ExtraCare rewards online, you need to sign in or create a CVS.com account. Another study reported better bioavailability with calcium citrate when given with food. Changing your store will remove Rx items from your Nausea may be associated with these conditions; however, there are other conditions that may also cause nausea. Constant bone remodeling and turnover of the skeleton release calcium into the systemic circulation which is then re-accumulated by the bone on a daily basis. Number of tablets varies depending on formulation.Children 6-11 years: 750 to 800 mg (300 to 320 mg of elemental calcium) PO; repeat as needed (Max: 2,400 to 3,000 mg/day; 960 to 1,200 mg of elemental calcium). Approximately 50% of serum calcium is ionized, which is considered the physiologically active form. Regular Tums antacids should not be taken by children younger than the age of 12, unless under the direction of a doctor. It belongs to a group of medications called antacids. TUMS contains calcium carbonate, and it is indicated for use in humans. Do not take more than 3 tablets (ages 2-5) or 6 tablets (ages 6-11) in a 24-hour period, or use the maximum dosage for more than two weeks, except under the advice and supervision of a doctor.Weight (lbs. TUMS is an antacid that goes to work immediately by neutralizing acid on contact. Tums also makes a product called Tums Kids, which is designed specifically for children between the ages of 2 and 11, making them safe for 5-year-olds. TUMS is an antacid used to relieve heartburn, sour stomach, acid indigestion, and upset stomach associated with these symptoms. Description: Calcium is the most abundant cation and the fifth most common inorganic element in the human body. Hypercalcemia from any cause including, but not limited to, hyperparathyroidism, hypercalcemia of malignancy (neoplastic disease), or sarcoidosis would contraindicate therapy with calcium carbonate. Like adults, many 5-year-old children experience the occasional bout of stomach upset or heartburn. TUMS does not contain aluminum as an active ingredient. Talk to your doctor or pharmacist if you need calclum supplementation to determine the appropriate option for your needs. Get answers to all of your TUMS antacid questions. In fact, TUMS is the #1 doctor recommended treatment for heartburn. If you have any questions, be sure to ask your child's pediatrician, HIGH QUALITY: As a part of the P&G family, Pepto Bismol has high quality standards for all our products, 100 YEARS: Pepto Bismol has been a trusted brand for the treatment of upset stomachs for over 100 years. Source: https://www.chpa.org/Monograph_FSA_CARES.aspx. For the best experience on our site, be sure to turn on Javascript in your browser. If you are experiencing diarrhea, you should consult with your doctor or pharmacist to determine what is the best treatment option for you. While some parents may be tempted to give their children regular adult-strength Tums, adult medication is rarely safe or appropriate for 5-year-old children. Edit Store, Out of Stock Rite Aid Rewards is not valid on photo purchases. Ionized calcium is the physiologically active form. Edit Store. Basic metabolic functions involve the cardiac, neuromuscular, structural, and blood coagulation systems. Patients should always consult their physician with any questions regarding a medical condition and to obtain medical advice and treatment. How much calcium is in TUMS? Adjust dosage based on patient response and serum calcium concentrations.Patients with Renal Impairment DosingSpecific guidelines for dosage adjustments in renal impairment are not available; it appears that no dosage adjustments are needed. What is the maximum dosage of TUMS for pregnant women? Thus, bone serves as a calcium depot and as a reservoir for electrolytes and buffers. Patients with electrolyte imbalances and renal impairment or dehydration are predisposed to developing the milk-alkali syndrome, characterized by hypercalcemia and metabolic alkalosis and, if left untreated, renal failure. Although we have cleaning procedures in place, we cannot guarantee that some small trace of the Smoothies Assorted Fruit flavors would not be present in the other flavors. This feature requires registration. (Not recommended if on a shared computer. CALCIUM CARBONATE (KAL see um KAR bon ate) is a calcium salt. We want to help our customers stay educated about the medications they are taking. Calcium is primarily excreted in the feces and bile (80%). TUMS is not indicated for the treatment of diarrhea. ), Tums Chewy Bites: Chewable tablet (750mg), Tums Lasting Effects: Chewable tablet (500mg), Maalox Antacid Barrier: Chewable tablet (500mg), Tums Smooth Dissolve: Chewable tablet (750mg), Alka-Seltzer Heartburn Relief: Chewable tablet (750mg), Access your valuable ExtraCare Savings & Rewards, Get answers to Frequently Asked Questions (FAQs), Find additional patient usage statistics. Do TUMS antacids contain animal by-products? Urinary excretion accounts for the remainder (20%). Keep this and all drugs out of the reach of children. Yes, TUMS is indicated to treat acid indigestion as well as heartburn and upset stomach. You should always consult your doctor to determine if TUMS is appropriate for you while pregnant. Use products as directed. For the best experience on our site, be sure to turn on Javascript in your browser. Your plan details may vary; so save your receipt and check with your benefits or health provider for eligibility. TUMS contains calcium carbonate, and individual product strengths include 500 mg, 750 mg, and 1000 mg. Calcium carbonate contains 40% elemental calcium which is the highest amount of elemental calcium of all calcium forms. Choosing over the counter heartburn medication, Gut Health Foods: How to Keep Your Gut Happy, https://www.chpa.org/Monograph_FSA_CARES.aspx. The calcium carbonate in TUMS antacid is processed from pure limestone, resulting in a high degree of purity. JavaScript seems to be disabled in your browser. Common GI adverse reactions associated with calcium carbonate therapy include flatulence, gastric distension, constipation, and eructation. It provides fast relief from heartburn and upset stomach. You can use your HSA and FSA tax-preferred savings account to purchase certain OTC products including TUMS. Medicare Part D Prescription Drug Coverage, Children's Pepto Chewable Antacid Tablets, Bubble Gum - 24 ct, Skip to the beginning of the images gallery, Hearing or Speech Disabled Dial 711 to reach us thru National Telecommunications Relay, MULTI-SYMPTOM RELIEF: Pepto Kids Antacid Chewable Tablets provide effective relief from acid indigestion, heartburn, sour stomach, and upset stomach, BUBBLE GUM FLAVOR: Pepto Kids Antacid Chewable Tablets are safe, chewable, and taste like bubble gum, FOR AGES 2 AND UP: Pepto Kids was created specifically for your children, to ease their acid-related tummy troubles. This means that they can be used by children with lactose intolerance but are not safe for children with severe milk allergies. Chewable Tablet | 96 chewable tablets. You are leaving the main Rite Aid website to visit our photo site. The store will not work correctly in the case when cookies are disabled. One study reported similar bioavailability between the 2 formulations (approximately 28% for 500-mg dose and 36% for 1000-mg dose). Click Continue to start a new session. When this happens, acid reflux occurs which is what causes heartburn symptoms. This in turn lowers serum phosphorus concentrations. CALCIUM/Tums Smoothies CARBONATE (KAL see um KAR bon ate) treats heartburn, indigestion, upset stomach, or other conditions caused by too much stomach acid. Yes, with a few exceptions. If you are pregnant, follow the recommended dosing for use during pregnancy. ): 48-95, age: 6-11 yrs, dose: 2 tablets. It is used as an antacid to relieve the symptoms of indigestion and heartburn. Whereas, the formation of bone generates hydrogen ions. TUMS products are available in a range of forms and dosage strengths (500 mg, 750 mg, and 1000 mg). By clicking the link(s) above, you will be taken to an external website that is independently operated and not managed by GSK. It works by reducing the amount of acid in the stomach. Calcium carbonate suspension is not labeled for use in children; however, it is widely used in pediatric patients as young as neonates. Calcium blood concentrations should be monitored routinely in such patients who are receiving calcium carbonate therapy. What are TUMS used for and how do they work? Most TUMS products are Kosher Pareve and receive a Kosher Certificate from Diamond K. This also includes TUMS SmoothiesTM, TUMS Sugar Free and TUMS Naturals Coconut Pineapple.
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