Question about Sucralfate

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New Member

Date Joined May 2012
Total Posts : 5
   Posted 6/8/2012 8:41 PM (GMT -6)   
I had a bad flare up of stomach acid two days ago. Of course it was at 2am so off to the emergency room. I was prescribed Sucralfate 4x a day and before bed. I was also told to take Mylanta to relieve any heartburn. After reading up on this stuff I found that one of the side effects is aluminum toxicity.
Does anyone know how much of this stuff you can take before you become toxic? How long can you stay on this stuff before it becomes bad for you?
I feel like the cure may be worse than the disease.
UC Meds
Paxil (10mg per day)
Lialda (4 tablets per day)
Rowasa (nightly)
Hyoscyamine (0.125mg as needed)

Sucralfate (1gm before each meal and bed)
Gaviscon (as needed)

Veteran Member

Date Joined Jun 2011
Total Posts : 795
   Posted 6/9/2012 6:17 AM (GMT -6)   
I took sucralfate for a couple of months, and it seemed to help my stomach heal. I didn't worry about long-term side effects for that short period. I now take Pepto Bismol tabs, just one at night for my con tinued stomach tenderness. It it quite safe according to what I've read.

Forum Moderator

Date Joined Feb 2009
Total Posts : 7188
   Posted 6/9/2012 9:30 AM (GMT -6)   
Hi mbailey,
I've taken sulcrafate (mainly in the suspension form) for a long time under the recommendation of both my primary care and GI doctors.  My primary care doc, who has been practicing for 30+ years is happy that it works so well for me because it is a very safe drug that is mainly stays in the GI tract.
Sulcrafate (or Carafate as the non-generic is called) has the following warning:
"If you have kidney disease or are undergoing dialysis, you may not be able to take Carafate, as it could lead to aluminum toxicity. Other warnings and precautions for Carafate apply to people with certain allergies and women who are pregnant or breastfeeding. Also, before starting treatment, make sure your healthcare provider is aware of any other medications you are taking."
I believe it's mainly an issue for people who have kidney problems.  As long as your kidneys are functioning properly this is not an issue.
All drugs, no matter how benign, have some side effects.  We always have to measure the risk/benefit ratio.  For me Carafate/Sulcrafate has been a life-saver. I have a very reactive stomach that gets irritated easily and often.  Carafate protects the lining of the stomach and helps it to heal.  It was developed as a medication to help heal ulcers.
If you're taking other medications, be sure to follow the directions for the spacing between the Sulcrafate and whatever medication you take.
I was told the following:
Take Carafate 2 hours before or after medication
Take it 1 hour before or 2 hours after eating
There's a spacing with antacids, but you'll have to check that out. It's either a half hour or an hour.
Good luck! Hope you feel better very soon.
Best wishes,
Words of wisdom by Eckhart Tolle:
"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”
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