Information page for healthcare professionals. This page concerns a food supplement and includes selected literature references.
OsaNYX logo Sonda Pharma logo
Medical-scientific information
Gastronyx Plus

Nutritional support for gastro-oesophageal comfort and digestive function

A technical information page focused on composition, practical use, rationale and selected scientific literature concerning ingredients and bioactive compounds relevant to the product. The purpose is educational, not promotional, and the content is intended to support a medical-scientific discussion [1][2][3][4][5].

30 orodispersible tablets, 500 mg each1 tablet dailyNotified to the Italian Ministry of Health, no. 170156Gluten-free and naturally lactose-free
76 mgAloysia triphylla dry extract per tablet
including 19 mg acteosides
60 mgAlthaea officinalis root extract
including 12 mg mucilage
30 mgAjuga reptans / Teupol 10P
including 3 mg teupolioside
TrentoAvailable through pharmacies and at the company premises
Via Alla Veduta 84, 38121 Trento, Italy
Clinical-use summary

What it is and when it may be considered

According to the ISF technical sheet, Gastronyx Plus is a food supplement based on Aloysia triphylla and an Ajuga reptans cell-culture extract, both used for digestive function, with Althaea officinalis supporting a soothing and emollient effect on the digestive tract [1].

Positioning

Nutritional support

It may be considered as an adjunct nutritional option, within an appropriate diet and after clinical assessment, in subjects with:

  • mild-to-moderate gastro-oesophageal reflux symptoms and heartburn;
  • functional dyspeptic complaints, slow digestion, post-prandial fullness, bloating and gas;
  • reduced mucosal comfort or irritative symptoms involving the oro-gastrointestinal tract [1].
What it is not

It does not replace therapy

This page does not present Gastronyx Plus as a pharmacological alternative to PPIs or other treatments. The product is not positioned as an antacid and is not intended to diagnose, treat or cure disease. Use should always be framed within professional clinical judgement [1][6].

Directions for use

Practical schedule

1 tablet daily, swallowed or dissolved in the mouth. Preferably in the morning on waking or in the evening before bedtime; avoid food or drink for about 15 minutes after intake. It can be taken either with or without food [1].

Formula

Composition per daily dose

IngredientAmount / 1 tabletStandardisationFunctional note
Aloysia triphylla dry extract76 mgActeosides 19 mgDigestive function [1][2]
Althaea officinalis root extract60 mgMucilage 12 mgSoothing and emollient effect on the digestive system [1]
Ajuga reptans / Teupol 10P30 mgTeupolioside 3 mgPreclinical interest in intestinal inflammatory pathways [1]
Pharmaceutical form30 orodispersible tablets, 500 mg each [1]
Rationale

Why the rationale is not centred on pH

The product rationale rests on three complementary pillars:

  • mucosal comfort and protection, due to the mucilage fraction of Althaea officinalis;
  • digestive support, consistent with the traditional use of Aloysia citrodora / triphylla in dyspeptic and gastrointestinal complaints [2];
  • biological interest in the modulation of pro-inflammatory and oxidative mediators described for acteoside/verbascoside and, in other literature, for teupolioside [1][3][4][5].

In practical terms, this medical page frames the product as nutritional support focused on mucosa, digestive function and a phytonutritional rationale, rather than as a simple acid-neutralising approach.

Scientific evidence

Literature supporting the rationale

The evidence summarised below includes preclinical studies and technical/regulatory documents on individual compounds or extracts relevant to the product profile. References are reported transparently and should not be read as definitive clinical proof for the finished product [1][2][3][4][5].

Acteoside / verbascoside

Modulation of pro-inflammatory pathways

The review by Alipieva et al. describes verbascoside as a phenylethanoid glycoside with antioxidant and anti-inflammatory activities. More recent literature, also reflected in the ISF technical sheet, discusses interactions with NF-κB, TNF-α, IL-1β, COX-2, iNOS and pathways such as MAPK and PI3K/AKT [1][3].

Traditional use of Aloysia

Recognised digestive context

The EMA assessment report on Aloysia citrodora describes a history of traditional use in the digestive area, including dyspepsia, gastrointestinal complaints, stomach ache and indigestion. This supports the traditional-use context; it is not direct clinical evidence in GERD [2].

Mucosal integrity

Preclinical experimental data

In an animal model of 5-FU-induced mucositis, verbascoside attenuated increases in inflammatory and tissue-damage biomarkers, alongside histological improvement across the gastrointestinal tract, from the oesophagus to the colon [5].

Total gastric lesion area in the cold-restraint stress model
Figure 1. Selected data from Table 2 in López-Rodríguez et al. In the cold-restraint stress gastric ulcer model, total gastric lesion area was 47.36 ± 9.80 mm² in the vehicle group and 0.05 ± 0.02 mm² in the verbascoside 1 mg/kg group; the comparator misoprostol was 0.06 ± 0.01 mm². The figure is provided for informational purposes as support for the biological rationale of acteoside/verbascoside and is not clinical evidence on the finished product [4].
Reading the figure

What the preclinical model suggests

López-Rodríguez et al. evaluated fractions and isolated compounds from Castilleja tenuiflora in an experimental stress-induced gastric lesion model. In that setting, verbascoside markedly reduced ulcerated area, with inhibition close to 99.8% compared with the vehicle group [4].

Correct interpretation: the finding is useful because it confirms the gastroprotective interest of verbascoside in a preclinical setting; however, it refers to an animal model and to a single active compound, not to direct clinical evidence on the marketed product.
2025 verbascoside study

Reasoned summary of the 5-FU mucositis model

In the 2025 Medical Oncology study, 5-fluorouracil induced widespread biochemical and histological alterations in the gastrointestinal tract. Verbascoside attenuated these changes, with a trend towards better outcomes at the higher dose [5].

ParameterEffect of 5-FUReported effect of verbascoside
TNF-α, IL-1βIncreaseAttenuation of the increase [5]
MMP-1, MMP-2, MMP-8IncreaseReduction / attenuation [5]
TIMP-1DecreaseTrend towards recovery [5]
ALP, AST, LDHIncreaseAttenuation [5]
Oesophagus-to-colon histologyDegeneration and desquamationImproved organisation / re-epithelialisation [5]
Traditional use and regulatory context

What the EMA report adds on Aloysia citrodora

The EMA/HMPC report on Aloysia citrodora provides regulatory and historical context for interpreting the formulation. The document refers to traditional uses associated with:

  • dyspepsia and gastrointestinal complaints;
  • stomach ache and indigestion;
  • antispasmodic / digestive use in traditional literature [2].

Value of the data: it supports the digestive-use coherence of Aloysia within the formula, while remaining distinct from specific clinical proof in reflux disease.

Practical information

Practical points for medical-scientific discussion

Potential areas of interest

The internal technical sheet suggests the product as an adjunct in gastric reflux symptoms, heartburn, gastritis, slow digestion and difficult digestion [1]. In this conservative medical page, it is positioned mainly as nutritional support for digestive and gastro-oesophageal discomfort.

Warnings

Food supplements should not be used as a substitute for a varied, balanced diet and a healthy lifestyle. Keep out of reach of children under 3 years of age. Excessive consumption may have laxative effects. Store in a cool, dry place [1].

Availability

Gastronyx Plus is available through pharmacies and directly at the company’s operational premises in Trento: Via Alla Veduta 84, 38121 Trento, Italy. Local availability and access can be checked through the company.

Sources

References cited on this page

  1. Sonda Pharma. TDS GastroNYX Plus ISF. Internal technical / ISF sheet: composition per tablet, directions for use, warnings and summary rationale.
  2. European Medicines Agency (EMA/HMPC). Assessment report on Aloysia citrodora Paláu (syn. Aloysia triphylla), folium. EMA/HMPC/376761/2019, 6 May 2020.
  3. Alipieva K, Korkina L, Orhan IE, Georgiev MI. Verbascoside — A review of its occurrence, (bio)synthesis and pharmacological significance. Biotechnology Advances / Research review paper.
  4. López-Rodríguez R, Herrera-Ruiz M, Trejo-Tapia G, et al. In Vivo Gastroprotective and Antidepressant Effects of Iridoids, Verbascoside and Tenuifloroside from Castilleja tenuiflora Benth. Molecules. 2019;24:1292. Data from Table 2 used for the chart.
  5. Chukwunyere U, Sayıner S, Mercan M, et al. Verbascoside restores gastrointestinal integrity and attenuates inflammation in a rat model of 5-FU-induced mucositis. Medical Oncology. 2025;42:267.
  6. Internal Pharmaceutical Commission, ASL CN2 Alba-Bra. Practical guide to prescribing and using proton pump inhibitors (PPIs). Context document for appropriate PPI use in clinical practice.