Antacids that contain aluminium contribute
aluminium to the diet but may cause constipation or
lead to phosphorous deficiency where as on long
term or inappropriate use can lead to aluminium
toxicity. Calcium containing antacids contribute
calcium to diet and may produce constipation.
Magnesium containing antacids contribute
magnesium to diet and produce a side effect of
diarrhea on prolonged use may even lead to
magnesium toxicity (Gunawan et al., 2009). It is
reported that SB should be avoided even though it is
a potent neutralizer of acid as it contains significant
amounts of sodium and may alter the systemic pH.
One major fact that should be considered while
selecting an antacid for the treatment is its drug
interactions. Significant interactions occur with
quinolone antibiotics, tetracycline and iron sulphate
(Tsung-Hsiu et al., 2010). Hence considering the side
effects and drug interactions of antacids, the herbal
drugs having fewer side effects should be identified
as an alternative for the treatment of peptic ulcers. It
is widely understood that herbal medicines have
recently generated an increased interest in the
treatment of gastritis. Hence in our present study we
had applied the titration method of Wu the modified
model of Vatier’s artificial stomach, which mimic
the regular physiological functioning of a human
stomach, to explore the antacid effects of clove
leaves that were well known for its potency to cure
all types of wounds.
Clove leaves ethanol extract syrup has antacid
and anti-flatulent activity. Eugenol inside this
formula was expected to have antacid and anti-
flatulent. It included in polyphenol group that has
pKa of 10.19, thus it was considered as a weak base.
So, it had the same mechanism of action as antacid
drugs which are also considered as weak base by
reacting with hydrochloric acid to form salts and
neutralize gastric acid. In comparison to negative
controls, Remington stated that if the pH has
reached 2.3 then it has been able to neutralize gastric
acid by 90% (Hoover & John, 2005).
Anti-flatulent test was also performed in this
study due to the ability of high gastric acid to cause
flatulence. Thus, it can be concluded that good
antacids are the one that has high efficacy, few side
effects, and able to reduce bloating stomach.
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