SUCRAROS 200ML SUSP

• Forms a physical protective layer over the ulcer base, shielding it from acid, pepsin and bile while it heals.
• Works locally without reducing gastric acid, so it does not carry the long-term risks of acid suppression.
• Minimal systemic absorption, which makes it a useful option in pregnancy and in patients on multiple medicines.
• Also stimulates local prostaglandin and mucus production, supporting mucosal defence.
• Widely used for stress ulcer prophylaxis in critically ill patients, where preserving gastric acidity reduces pneumonia risk.

Not everyone gets these. Most are mild and settle as the course finishes.

• Sucralfate binds many other drugs and markedly reduces their absorption — fluoroquinolones, tetracyclines, digoxin, phenytoin, levothyroxine, warfarin and others. Separate all other medicines by at least two hours.
• Take on an empty stomach, at least an hour before meals — food prevents it binding to the ulcer surface.
• Contains aluminium. Use with caution in renal impairment, where aluminium accumulates and can cause neurotoxicity and bone disease.
• Alarm features — weight loss, difficulty swallowing, vomiting blood, black stools, anaemia — need investigation.
• Do not take within thirty minutes of an antacid, which interferes with its action.
• Increase fluid and fibre to offset constipation.
• Shake well before each dose and use the measure supplied.