Anyone on Suralfate (Carafate)? Experiences? Please. Please. Please share them.

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

Uhura
Regular Member


Date Joined Nov 2005
Total Posts : 166
   Posted 9/25/2013 7:01 PM (GMT -6)   
I'm still trying to figure out how to take it and  feel like I ask the pharmacist constant questions. But I am still confused.
 
I know no one can tell me what to take/how to take it but maybe how you have taken it? I was told to make a 'slurry sludge'-which is what the directions printed on the bottle say.   Following directions I have been given and also the directions on the papers that come with the medicines from the pharmacy I am:
 
Taking Aciphex and then waiting half an hour.  Then taking Carafate. I call that sludge.  Then waiting an hour and eating breakfast.  I put the Carafate in a cup and cover it with water. I just bought a pill crusher but haven't yet tried it.
 
The pharmacist says snacking is ok.  So I snack when hungry.
 
Then maybe 6 hours later I have another sludge, wait an hour, then eat lunch.
 
Then more snacks.
 
I can't figure out how to eat dinner and be ok with snacks till bedtime. So I don't take a sludge before dinner. Actually I never ate real meals till taking this. I only snacked.
 
Before bed I take another sludge and wait an hour and then go to bed.
 
But my life is being controlled by timing medicines.  I also have to time that I have to wait an hour before I can take my vitamins and anti-seizure medicines.  Which usually gets taken with a snack.
 
I try to make a sludge as prescribed but it always seems liquidy even though I only add enough water to cover the pill.  Is the cup too wide? Or is it supposed to be something I can drink?
 
Anyway, if anyone has advice please let me know.  Or even just experiences but no advice.
 
I have a cardiac CT tomorrow since there is something else wrong besides this.
 
And the aciphex and sludge aren't working.  I will see the doctor, I am sure, after the CT.  I will have to ask him then.
 
But I would LOVE to hear from anyone who has taken these medicines.
Thanks.
 
 
 

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 9/25/2013 7:39 PM (GMT -6)   
Hi Uhura,
Ah, the Carafate conundrum.  It's a wonderful concoction that really helps my poor reactive stomach when I need it, but yes, it's a challenge.
 
Do you, by any chance, get up to use the bathroom in the wee hours?  That would be a good time for a dose.  It sounds as if you're taking the tablet form, putting it in a medicine cup and stirring it with a little water.  The point of that is so that the Carafate can coat your esophagus as well as your stomach.
 
IF you have great prescription insurance, it's worth getting the Carafate suspension form, as it's much easier and more effective in coating evenly.
 
After you take the Carafate, don't drink anything for about 10 minutes, as it takes about that long for it to adhere nicely to your esophagus (at least that's what my GI doc said.)
 
The rule of thumb is take it an hour before eating and wait two hours after eating.  If you're taking meds be sure to leave two hours between the Carafate does and the meds.  
 
I did see a pharmacist who said if you take the other med first, it's probably out of your stomach well before the two hours, but if you take the Carafate first, be sure to wait the full two hours, or you'll loose some potency of the med you're taking as the Carafate coats that as well and doesn't allow it to absorb as well.  I stick with the two hour rule, just to be safe.
 
I find that if I take it in the wee hours (4AM or so), then late morning, then mid to late afternoon, (with the tricky part being that any meds needed before dinner have to be taken 2 hours after the Carafate), then if your nighttime meds can be taken well before bedtime, you can take another dose before bed.
 
I don't know if that helps at all.  Hey, if have to miss a dose here and there, that's life.  It's a tough drug to take, but worth the effort if it makes your stomach/esophagus more comfortable.  It certainly works well for me.  I keep the suspension form around all the time, just in case I get into a problem, which I do from time to time.
 
Good luck!  Just do the best you can.  It does take some planning.
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

Uhura
Regular Member


Date Joined Nov 2005
Total Posts : 166
   Posted 9/26/2013 12:38 AM (GMT -6)   
Thank you for answering. I don't wake up in the middle of the night so end up taking the first dose about 6:00 am.

I wish it helped me the way it helps you. Insurrance reasons makes it so I have to take the pill.

Thanks for the information about not drinking anything for 10 minutes. No one told me that. How thick is the 'concoction' supposed to be? I had been just covering the pill but that means it is still something to drink and is a liquid. Then I had been adding a little water and drinking that to get the leftover pill powder that might have stuck to the cup. But if I shouldn't drink anything for 10 minutes, then maybe skip that part? Now that I have a pill crusher, it might change how thick it is, or how to drink it. I'm still confused about that part.

By your sentence that starts with the 'rule of thumb', do you mean wait two hours after eating to take other medicines? I know the one hour means the distance between the sludge and food.

Now the only other problem is to figure out what the message on my machine about preparing for the cardiac scan means. One message says to take medicine with a sip of water. I was told since I take my medicines at the same time each day and that time would be in the middle of the scan, that I should take both aciphex and carafate afterwards. Ok. But the paper that describes what to do before says says to drink about a quart of water but doesn't say if I need to do it right before or spread it out. It's an 8:00 am appointment so hopefully I can get hold of someone earlier.

Thanks.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 9/26/2013 6:46 AM (GMT -6)   
Hi Uhura,
Sorry I didn't get back to you sooner, but I was asleep!  LOL.  If you put the tablet in a medicine cup and cover it with water, it should dissolve quickly.  Just stir it with a toothpick.  And yes, add a little water to get the extra out.  (I used to take those tablets, so I know exactly what you're saying.)
 
When I say don't drink water after, I mean a lot of water--like a glassful.
 
Take the Carafate 2 hours after eating, or 2 hours after taking meds.  I've never taken Aciphex, so I don't know what the rules are, but with Protonix, Prilosec, and Nexium, you need to take it an hour before eating, on an empty stomach.  The reason for this is it gives the medication time to shut off the acid pumps before food enters your stomach.  If you don't take it that way, you only get a fraction of the effect.  Here's a link to an article that discusses how to take PPIs properly:
 
And yes, wait an hour to eat after taking the Carafate sludge/slurry.
Good luck with your CT.  Let us know how it goes!
Best wishes,
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

StephanieJean
Veteran Member


Date Joined Jun 2013
Total Posts : 500
   Posted 9/26/2013 7:28 AM (GMT -6)   
Denise pretty much covered it!

I was on carafate for awhile. I used to set alarms so I could take my carafate in the middle of the night and also get two doses down in the middle of the day.
I liked it because it helped with my sore throat pre-surgery so I would gargle it. I had the pills first which dissolve easily in a shot glass with water, then I got the liquid because it was easier to take than dissolving the pills.

Its a pain planning out your day with medications, eating and carafate, but when the carafate works its a great and safe medication to take.

Uhura
Regular Member


Date Joined Nov 2005
Total Posts : 166
   Posted 9/26/2013 10:01 AM (GMT -6)   
I just finished the cardiac scan. It's not an experience I want to repeat.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 9/26/2013 7:26 PM (GMT -6)   
Hi Uhura,
Well, it's behind you now.  You can chalk it up to another experience survived!
Hope you get some good results.  Let us know how it goes.
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

reet22
Regular Member


Date Joined Jan 2013
Total Posts : 146
   Posted 9/27/2013 6:01 AM (GMT -6)   
Hi Uhura I have also been taking carafate or antepsin as it is called here in uk. I take the pill form just breaking it in half if I wanted to disolve it the instructions say in 10-15 ml of water. According to instructions it can be taken one tablet four times a day before meals and bedtime OR two tablets after waking and two tablets at bedtime. I have tried both ways which means with the first way eating at certain times to allow for the hours wait. The second way is much easier just set alarm clock in morning and as I have my main meal at lunch time I only have snack for tea then tablets before bed. Hope this helps you Rita
New Topic Post Reply Printable Version
Forum Information
Currently it is Thursday, June 21, 2018 8:05 PM (GMT -6)
There are a total of 2,974,316 posts in 326,167 threads.
View Active Threads


Who's Online
This forum has 161236 registered members. Please welcome our newest member, resendizhildred.
433 Guest(s), 9 Registered Member(s) are currently online.  Details
HappyRick, Psilociraptor, logoslidat, rocketphd, Solaris719, Fl Drifter, countess18, Girlie, Serfr