Sodium Alginate + Calcium Carbonate + Sodium Bicarbonate
Gaviscon Dual Action
Gaviscon Dual Action — oral liquid antacid, dual-action relief for heartburn and acid reflux
💊 Active: Sodium Alginate, Calcium Carbonate, Sodium Bicarbonate
⏱️ Dosage: 10–20 ml after each of 3 meals and before bed
🍽️ Timing: Take after meals only
📦 Pack: 150 ml oral liquid suspension
⚡ Benefit: Forms a gel raft that blocks acid; not absorbed into blood
🌡️ Storage: Below 30°C, away from sunlight
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What is Gaviscon Dual Action?
Gaviscon Dual Action is a dual-action liquid antacid: Sodium Alginate forms a gel raft that blocks acid from refluxing into the oesophagus while its antacids neutralise stomach acid — easing heartburn, regurgitation and post-meal fullness within minutes. Take after each of 3 meals and at bedtime, 10–20 ml per dose.
🛒 150 ml bottle · authentic · 24-hour dispatch from Intimo Life — consult a doctor or pharmacist before use.
Product Description
An antacid and alginate reflux treatment, Gaviscon Dual Action liquid combines two mechanisms: Sodium Alginate forms a gel raft that physically blocks acid from refluxing, while Calcium Carbonate and Sodium Bicarbonate neutralise excess acid immediately. It is not absorbed into the bloodstream, making it a non-systemic option for heartburn and acid reflux relief.
📊 Key facts about acid reflux and gaviscon
- Global GERD prevalence 2021: 825.6 million cases (GBD 2021, PMC12283765)
- Southeast Asia age-standardised rate: ~5,493 per 100,000 (GBD 2021)
- gaviscon significantly reduces the postprandial "acid pocket" (Rohof et al., PMC3612878)
- Nexium (Esomeprazole) or Omeprazole GPO (PPIs) suit daily chronic GERD; Gaviscon suits acute post-meal relief
🏭 Manufactured by Reckitt Benckiser Healthcare (UK) Limited. Thai registration: 2C 89/52. 150 ml bottle.
⚠️ People on sodium-restricted diets or with kidney disease should consult a pharmacist before use.
About Gaviscon Dual Action
What is Gaviscon Dual Action?
Gaviscon Dual Action is an antacid and alginate-based reflux treatment with two mechanisms.
Mechanism 1 — Alginate Raft: Sodium Alginate reacts with stomach acid within minutes, forming a thick gel that floats on stomach contents. This raft physically blocks acid from refluxing into the oesophagus.
Mechanism 2 — Acid Neutralisation: Calcium Carbonate and Sodium Bicarbonate neutralise existing stomach acid, relieving heartburn and sour belching quickly.
Gaviscon is not absorbed into the bloodstream, making it a non-systemic antacid option for managing acid reflux.
What does Gaviscon Dual Action treat?
Gaviscon Dual Action relieves symptoms from acid reflux and excess stomach acid, especially post-meal:
- Heartburn — chest burning after meals, worse when lying down
- Sour or bitter reflux — acid rising to the throat
- Indigestion — upper abdominal bloating or discomfort
- Pregnancy reflux — Gaviscon is generally safe; consult your pharmacist for guidance
Best for acute post-meal symptoms. For daily chronic GERD, a PPI may be more appropriate.
How to take Gaviscon Dual Action — Dosage
Dosage for adults and children aged 12 and over:
- Take 10–20 ml (2–4 teaspoons) after each of three meals and before bedtime
- Maximum daily dose: 80 ml (four doses of 20 ml each)
- Shake the bottle well before each use
When to take Gaviscon — before or after food? Always take it after meals. The alginate raft mechanism relies on stomach acid stimulated by food — taking it on an empty stomach produces a thinner, less effective raft. The bedtime dose protects against nocturnal reflux while lying down.
How quickly does Gaviscon work? Most people notice relief within 3–5 minutes because Sodium Alginate reacts with gastric acid immediately, without needing to be absorbed first.
Do not use Gaviscon for more than 7 consecutive days without consulting a pharmacist.
Gaviscon Dual Action side effects
Gaviscon is generally well tolerated with few side effects, largely because it is not absorbed into the bloodstream. Possible adverse effects include:
- Bloating and flatulence — Sodium Bicarbonate releases CO₂ when reacting with stomach acid; this usually passes as belching
- Mild nausea — occasional, especially at higher doses
- Constipation — Calcium Carbonate can slow bowel movements with frequent or high-dose use
Gaviscon contains sodium. People managing sodium intake due to heart disease, high blood pressure, or kidney impairment should inform their pharmacist before using this antacid.
If signs of allergy occur — such as a rash or difficulty breathing — stop use and consult a pharmacist promptly.
Contraindications and precautions for Gaviscon
Contraindications:
- Known allergy to any ingredient in Gaviscon — sodium alginate, sodium bicarbonate, or calcium carbonate
- Children under 12 years — do not use the adult formulation
Precautions:
- Pregnancy — Gaviscon is generally considered safe, but consult your doctor or pharmacist before use
- Sodium-restricted diets (kidney disease, heart disease, hypertension) — Gaviscon contains sodium; use with caution
- Concurrent medications — take Gaviscon at least 2 hours apart from other medicines to avoid affecting their absorption
- Do not use for more than 7 consecutive days — if symptoms persist, or if you experience unexplained weight loss, difficulty swallowing, or vomiting blood, seek medical attention promptly
Gaviscon Dual Action vs other antacid medications
Different antacid and reflux medications suit different symptom levels:
- Nexium (Esomeprazole) — a PPI that suppresses acid production at the source; slower onset (3–5 days) but provides all-day control; best for daily, chronic GERD
- Omeprazole GPO — a budget-friendly PPI with the same mechanism as Nexium; a cost-effective option for long-term users
- Magesto-F (Aluminium Hydroxide) — a digestive aid with mild antacid properties; suited for bloating and mild indigestion rather than moderate-to-severe acid reflux
What makes Gaviscon unique: it is not systemically absorbed, acts immediately and locally, and creates a physical gel barrier — without suppressing hormones or acid-producing enzymes.
Simple guide: Acute heartburn after a meal → Gaviscon (fast, local) | Daily chronic GERD → PPI such as Nexium or Omeprazole GPO
Bottle or sachet — which Gaviscon Dual Action format suits you?
Gaviscon Dual Action comes in two formats with the exact same formula — only the packaging and per-dose amount differ:
- Gaviscon Dual Action 150 ml bottle (this page) — best for regular use at home, measured with the included cap or spoon
- Gaviscon Dual Action Sachets — 10 ml per sachet, easy to carry to work or while travelling, tear and take with no measuring
If heartburn mostly strikes at home, the bottle is more convenient. If you need to carry a dose with you, the sachet format suits you better.
How quickly does Gaviscon Dual Action work?
Gaviscon is one of the fastest-acting antacid reflux treatments available, because its mechanism is physical rather than biochemical:
- 3–5 minutes — heartburn relief typically begins once the gel raft forms and blocks acid from rising
- 2–4 hours — the alginate raft persists in the stomach before being broken down by normal digestive processes
- Compared to PPIs — PPI medications such as Nexium or Omeprazole require 1–4 weeks to reach full effect; Gaviscon is therefore useful for bridging acute symptom relief while a PPI takes effect
If symptoms do not improve within 30 minutes or are severe, consult a pharmacist for further guidance.
Where to buy Gaviscon Dual Action?
Where to buy Gaviscon Dual Action?
Order Gaviscon Dual Action antacid online at Intimo Life. We deliver across Thailand within 1–3 business days. All orders are packed discreetly — no product name printed on the outer packaging.
⚠️ Disclaimer
The content in this article is for general educational purposes only. It is not intended to replace professional advice, diagnosis, or treatment from a doctor or pharmacist. If you have any questions about symptoms or medication use, always consult a doctor or pharmacist first.
References
- NHS UK. Gaviscon. NHS. 2024.
- Electronic Medicines Compendium. Gaviscon Double Action Mint Oral Suspension — Summary of Product Characteristics (SmPC). EMC. 2024.
- Rohof WO, et al. An alginate-antacid formulation (Gaviscon Double Action Liquid) can eliminate the postprandial acid pocket. Aliment Pharmacol Ther. PubMed Central. 2013.
- Global, regional, and national burden of gastroesophageal reflux disease (1990–2021): age-period-cohort and Bayesian projections. PubMed Central. 2025.
- Randomised clinical trial: alginate-antacid (Gaviscon Double Action) vs placebo in symptomatic GERD. PubMed Central. 2016.
Frequently Asked Questions
If you forget a dose, take it as soon as you remember, even if it is later than usual. Gaviscon does not need to maintain a steady blood level like chronic medications, so a missed or delayed dose is not dangerous. However, do not double the dose to compensate — stick to the normal 10–20 ml amount.
Yes, always shake the Gaviscon bottle before use as the suspension may settle. Measure 10–20 ml (1–2 tablespoons) using the bottle cap or measuring cup provided. Swallow directly without chasing with water if possible — a small sip is fine, but large amounts of water may dilute the alginate and reduce its raft-forming effectiveness.
No. Gaviscon only relieves symptoms — it does not treat the underlying cause of reflux, such as a weak lower oesophageal sphincter or excess body weight. If reflux is frequent or severe, consider lifestyle changes, weight management, and consult a doctor about whether a long-term PPI is needed.
Once opened, Gaviscon should be used within 1–2 months and stored below 30°C away from direct sunlight. If the colour or smell changes, or sediment does not dissolve after shaking, stop using it. Always check the expiry date printed on the label as well.
Gaviscon targets acid reflux specifically: Sodium Alginate forms a gel raft that blocks acid from rising into the oesophagus. A plain antacid only neutralises existing stomach acid with no physical barrier against reflux. Gaviscon therefore addresses the reflux mechanism directly.
Gaviscon is generally safe in pregnancy — Sodium Alginate is not absorbed and does not cross the placenta. NHS UK recommends it for pregnancy heartburn. As it contains sodium, consult your pharmacist before long-term use, especially in the first trimester.
Each Gaviscon colour is a different formula, not just a different dye: green (Original/Peppermint) uses the alginate raft mechanism alone, with a peppermint flavour; orange (Advance) has double-strength alginate but almost no antacid, suited for nighttime control; pink (Dual Action), used in this bottle, combines the alginate raft with a higher dose of Calcium Carbonate and Sodium Bicarbonate — giving both a physical acid barrier and immediate acid neutralisation in one formula, suited for more severe heartburn.
Yes — the bedtime dose is recommended on the label (one of four daily doses). When lying down, acid refluxes more easily, so the alginate raft offers overnight protection against nocturnal heartburn.
Take Gaviscon immediately after a meal or within 20–30 minutes. Stomach acid is most active during this window, so Sodium Alginate forms the thickest raft — giving the best relief from heartburn and acid reflux.
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