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Acidity and ulcers

Sucralfate

Also sold as: Carafate, Antepsin

Prescription neededAcidity and ulcers
Comes as:TabletSuspension

Usual adult dose

Usual adult dose: 1 g four times a day (1 hour before meals and at bedtime), or 2 g twice a day, for 4 to 8 weeks. Do not take antacids within 30 minutes of it.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • constipation
  • dry mouth
  • nausea

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • severe allergic reaction
  • high blood sugar in diabetes (suspension)
  • muscle weakness or confusion in kidney disease

Do not take it, or take care, if

  • Severe kidney disease (aluminium can build up)
  • Difficulty swallowing (tablets can stick — use the liquid)
  • Take other medicines at least 2 hours before sucralfate

Interactions

Medicines that can react with this one.

Serious1 medicineDo not take these together unless your doctor says so.
  • Ciprofloxacin

    Sucralfate greatly reduces ciprofloxacin absorption; take ciprofloxacin at least 2 hours before.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category B

No risk seen in animal studies, but there are few studies in pregnant women. Usually considered safe when needed.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

Moderate3 medicinesTake together only with care. Ask your doctor or pharmacist.
  • Digoxin

    Sucralfate can reduce digoxin absorption; take digoxin 2 hours before.

  • Levothyroxine

    Sucralfate reduces levothyroxine absorption; separate doses by at least 4 hours.

  • Warfarin

    Sucralfate may reduce the effect of warfarin; INR should be checked.

Omeprazole
No prescription needed
  • FamotidineNo prescription needed
  • Check with my other medicines

    Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.