I haven't forgotten about
you, but my life has been extra busy, as my husband had a cardiac catheterization and ended up with four stents (totally unexpected by him and his cardiologist). That meant a day of testing/procedure and most of the next day in the hospital. He's home and doing well right now, though.
My husband started on Protonix because his Prilosec interferes with the Plavix he now has to take. I was reading the Protonix information, and was shocked to see that it said to take Sulcralfate a half hour after the Protonix before meals. I also saw that on Drugs.com in their information about
the medications, when I was doing some research for your situation. Also, as I said earlier, my pharmacist said that it wouldn't take two hours for the Protonix to get out of your stomach, so you could shorten up the time between it and Carafate (rather than the two hour wait).
So. What to do. I'm no doctor, so keeping that in mind, I would definitely take the Protonix first. Personally, I would feel uncomfortable taking the Carafate as early as a half-hour later. I'd probably wait at least an hour, but that's me. Why don't you do some exploring yourself and see what you'd be comfortable with.
Not knowing if you work, or when you get up, this is also just hypothetical:
So let's assume an hour after taking the Protonix you take the Carafate. Then you need to wait an hour for eating. So if you got up at 5:00, take Protonix immediately, then get ready for the day. At 6:00 you take the Carafate, and at 7:00 you can eat breakfast (always including a high protein food with your first bites).
Two to three hours after breakfast, take your second dose of Carafate. Wait an hour and eat lunch.
Evening meal is easier, I'd presume...set your phone to remind you to take the Protonix. As long as it has been 2-3 hours since you have eaten, you can take the Protonix way ahead of your meal. I have taken it mid-afternoon often. Then wait the 1-2 hours and take the Carafate, making sure it's one hour before you eat.
The third dose is dependent upon what your doctor has recommended. It is supposed to last 6 hours as a protective coating (which is why it's so much better than something like Maalox.) You could take it before bed. If you have nighttime medications, work around them...take them first, earlier in the evening, and take the Carafate at least an hour-two hours later, just before going to sleep.
I don't know if that helps, but I've done my best to offer one possibility. Good luck with getting things healed. I know how challenging it is. Patience! It'll happen. Be very careful what you eat, and chew, chew, chew your foods thoroughly. Don't eat anything that is rough after chewing, as it can further irritate your esophagus and stomach. No alcohol, acidic foods, etc.Best wishes!
PS...email me by clicking the envelope icon under my username and I'll send you the document I have about
how to get the most out of your PPI. It's great information.
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.”
Post Edited (dencha) : 8/14/2015 7:27:23 AM (GMT-6)