Carafate question

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Chris K.
Regular Member


Date Joined Mar 2013
Total Posts : 197
   Posted 5/15/2013 1:47 PM (GMT -6)   
Hi all, I was diagnosed with Gastritis in early March. Was told by my GI doc to go on PPI (aciphex). I was on aciphex for 2 1/2 but the PPI affected my ability to digest food properly so I stopped taking it about a week ago because I am getting a bit better. But I am afraid that the acid rebound will cause heartburn and also make my gastritis worse again. Right now, I am having good days and bad days.


I keep seeing old posts recommending carafate as the best med at giving your stomach a chance to heal from the gastritis. So I am thinking about asking either my PCP or GI for a prescription of carafate. Any input is welcomed.

DOGGBONES
Veteran Member


Date Joined Apr 2012
Total Posts : 707
   Posted 5/15/2013 1:52 PM (GMT -6)   
The liquid form is awesome for healing gastritis. I struggled with gastritis for about 3/4 yrs and nothing got rid of it until I took carafate.

DOGGBONES
Veteran Member


Date Joined Apr 2012
Total Posts : 707
   Posted 5/15/2013 1:56 PM (GMT -6)   
ppis don't heal stomach lining inflammation, they only lower stomach acid.

Chris K.
Regular Member


Date Joined Mar 2013
Total Posts : 197
   Posted 5/15/2013 3:12 PM (GMT -6)   
Doggbones, have you tried the generic pill form? Do you know how effective they are compared to the liquid form?

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 5/15/2013 6:01 PM (GMT -6)   
Hi Chris,
 
I'm a huge proponent of Carafate suspension.  The biggest benefit of the suspension form is that it coats the esophagus as well as the stomach.  I would think that if you're ONLY getting symptoms in the stomach, the pill form could work for you.  I have a reactive stomach, and because of that I always have Carafate suspension on hand. 
 
Actually, PPIs can help your gastritis.  They keep the acid down while it has a chance to heal.  Whenever my stomach starts to act up for some reason (antibiotics are one big trigger, but there are others), I take an extra PPI dose, and in my case it really makes a difference.
 
I have found that Carafate suspension helps healing and can also make my stomach more comfortable in the meantime.  Give the tablets a try, since they're a lot cheaper.  See what happens.  DOGGBONES, I agree...the suspension form is definitely superior.  It's very expensive, though, and requires some good prescription insurance.
 
Good luck!
Denise
GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"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.”
Eckhart Tolle

Recoveryme2day
Regular Member


Date Joined Jul 2012
Total Posts : 335
   Posted 5/16/2013 3:00 AM (GMT -6)   
I Looked up Carafate and thought this side effect should be of interest to any taking or thinking about taking this.

Kidney function declines as you grow older. This medication contains aluminum, which is normally removed by your kidneys. Therefore, elderly people may be at greater risk for developing high aluminum levels while using this drug with other products that contain aluminuOsteomalacia was reported in a 42-year-old female with normal renal and hepatic function. Chronic treatment of peptic ulcer disease with sucralfate (the active ingredient contained in Carafate) resulted in severe hypophosphatemia, elevated alkaline phosphatase levels, and elevated 1,25-dihydroxyvitamin D levels. Subsequent osteomalacia and microfractures occurred.m (e.g., antacids).
Metabolic side effects have included hypophosphatemia and aluminum toxicity. Sucralfate (the active ingredient contained in Carafate) has been reported to decrease the absorption of thyroxine (T4). Sucralfate suspension has been associated with hyperglycemia in diabetic patients.
Nervous system side effects have included headache, vertigo, dizziness, and rare reports of encephalopathy secondary to aluminum accumulation.

It never ceases to amaze what they don't think we need to know. of course if i made that much money I could afford not to care either.

List of websites I got the info from:
http://www.rxlist.com/carafate-drug.htm
http://www.drugs.com/sfx/carafate-side-effects.html
Crainiotomy Lg. Meningioma Dec.02, Bi-Polar 2004, SMI 06, Gluten/Wheat/Dairy Intolerance, IBS 06, Migraines w/pseudo-seizures 07, Dev. Septum Sur. Sept.07, 2nd Men./Tumor Gamma Knife Rad. Dec.08, Radical Hysterectomy Sept.09 w/instant Menopause, Fibromyalgia 09, Disability since 09, EBV/CFS 11,Vomiting/Multiple Ulcers, Vertigo 12, Chronic Fatigue Moderator 2013.No meds list I ran out of space.

DOGGBONES
Veteran Member


Date Joined Apr 2012
Total Posts : 707
   Posted 5/16/2013 6:37 AM (GMT -6)   
Chris,
I have not tried the generic pill form. Dencha has advised ppl who take the pill form to desolve it in a little glass of water, stir with toothpick and slam it back like a shot. I have to agree with Dencha that the liquid form is the way to go if you can.
 
I'm sure carafate, like anything else can't be all good for you. Having said that, I'll be happy to take my chances given the help I have got from it. This is the first I have heard of any type of ill effects from it, I wouldn't be too worried.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 5/16/2013 8:49 AM (GMT -6)   
Recoveryme2day,
If you look at the side effects/risks of all drugs you wouldn't take any.  Just like antacids and every other thing you take, if you have kidney function issues, you need to discuss it with your doctor.  Every drug has a long list of problems attached.  There is not a single drug you can find without a pamphlet filled with contraindications and "side effects".  (My asthma doc says that when they're doing drug testing they have to report every single reported side effect.  In one case when he was involved in a study, he had to report that a person had black and blue toe--it had been stubbed--and that side effect went into the paperwork). 
 
I can tell you this.  My PCP was very happy that I found Carafate suspension helpful, as it is a "very benign" drug.  Most is excreted and not absorbed systemically.
 
There is a risk-benefit to everything you put into your body, including foods.  The biggest problem with Carafate suspension that I can see, is the fact that it needs to be taken 2 hours before and after taking any other medication to ensure it doesn't interfere with absorption, and an hour before or two hours after meals.  It makes it tricky to take. 
 
Anyone who's suffered with gastritis and/or esophagitis won't find anything that works quite as well.  It coats, protects, soothes, and encourages healing.  If those are things you're looking for, take Carafate.  I always keep it on hand, just in case.
 
Take care,
Denise
GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"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.”
Eckhart Tolle

Chris K.
Regular Member


Date Joined Mar 2013
Total Posts : 197
   Posted 5/16/2013 10:08 PM (GMT -6)   
Dencha, I feel the same way about side effects.  No drugs will be without them.  It's up to us to be informed and discontinue right away if you happen to be affected by it.
 
Anyway, to my surprise, I was given the liquid form when I went to pick up the prescription today.  I got my hopes up, doggbone.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 5/17/2013 8:26 AM (GMT -6)   
Hi Chris,
Be patient...it takes a long time to heal gastritis.  Baby that stomach. My GI doc said that when my stomach felt perfect for two weeks, I could reintroduce more challenging foods one at a time.  Don't eat foods that aren't creamy/liquid when it enters the stomach. Part of digestion is the stomach contracting and mashing foods.  If your stomach is irritated, you won't want scratchy, rough things in there when it contracts.
Hang in there!
Denise
GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"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.”
Eckhart Tolle

Chris K.
Regular Member


Date Joined Mar 2013
Total Posts : 197
   Posted 5/17/2013 10:35 AM (GMT -6)   
Hi Denise, yes I am trying to be patient but this thing has been going on for nearly 3 months and it's frustrating. But yes, I know what you are saying.

Getting back to Carafate, do you have any idea on taking carafate and when to drink?
For instance, I took liquid Carafate this morning at 6:30AM. By 7:30AM, I got really thirsty and wanted to drink water but if carafate works by coating the stomach, I was afraid that I will be minimizing the effects of the drug by washing it away with water. Any inputs?

DOGGBONES
Veteran Member


Date Joined Apr 2012
Total Posts : 707
   Posted 5/17/2013 10:47 AM (GMT -6)   
Chris,
Carafate is tricky to take......Must be 1hr before food and/or 2hrs after food, 2hrs away from meds or supplements, 1/2 hr away from antiacids.

Chris K.
Regular Member


Date Joined Mar 2013
Total Posts : 197
   Posted 5/17/2013 11:37 AM (GMT -6)   
Doggbones, in your opinion, would water count as food?

DOGGBONES
Veteran Member


Date Joined Apr 2012
Total Posts : 707
   Posted 5/17/2013 12:24 PM (GMT -6)   
Chris,
IMO, yes and no....I would wait at least 30 to 45 min. to drink water after I take carafate and maybe about 30 before I take the carafate I would stop drinking water. You can rinse your mouth out after about 5/10 min. after taking it, just don't swallow. I spilt alittle on my pants once and about 5 min or so later the spot was white coated (washed out ok), it was kind of cool.
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