Please note: a valid prescription is required for all prescription medication.
Sucralfate is a gastroprotective medicine used to treat active duodenal ulcers. It forms a protective barrier over ulcer sites to support mucosal healing. You can place an order with US delivery from Canada and review options that may help pay without insurance.
What Sucralfate Is and How It Works
Sucralfate adheres to ulcer craters in the stomach or duodenum and creates a protective layer. In acidic conditions, it forms a viscous complex that shields tissue from acid and pepsin while allowing healing. It is the generic for Carafate®, and some patients refer to it as generic carafate when discussing treatment choices.
The treatment is not a proton pump inhibitor or an H2 blocker. It acts locally in the gut with minimal systemic absorption. CanadianInsulin.com is a prescription referral platform. We verify prescriptions with your prescriber when required, and licensed Canadian pharmacies dispense your order.
Who It’s For
This medicine is indicated for the short-term treatment of active duodenal ulcers. Clinicians may also use it as maintenance therapy to reduce ulcer recurrence. A sucralfate prescription is required to purchase this product in most markets.
People with a history of Duodenal Ulcer or Gastric Ulcer may be candidates if their prescriber deems it appropriate. It is not a first-line option for GERD, but some clinicians use it adjunctively in select cases. Avoid use if you have known hypersensitivity to any component.
Dosage and Usage
Always follow your prescriber’s directions and the official label. Typical adult therapy for active duodenal ulcers is 1 g four times daily on an empty stomach. Many regimens use doses one hour before meals and at bedtime. Maintenance therapy often uses 1 g twice daily if advised for relapse prevention.
Discuss sucralfate dosage with your clinician if you take multiple medicines. Separate other oral drugs from this treatment because it can reduce their absorption. Swallow tablets with water. If you use the liquid, shake the bottle well before each dose.
Antacids may be used, but avoid taking them within 30 minutes of a dose. Do not change your schedule or stop therapy without medical guidance.
Strengths and Forms
Common presentations include the 1 g tablet and an oral suspension containing 1 g per 10 mL. Availability can vary by market and manufacturer.
Some patients who have difficulty swallowing tablets may prefer liquids. In Canada, a comparable option is available as Sulcrate® Suspension Plus; your prescriber can advise if it is suitable. Actual stock and presentations may differ over time.
Missed Dose and Timing
If you miss a dose, take it when you remember unless it is close to the next scheduled dose. If it is close, skip the missed dose and resume your regular schedule. Do not double up doses. Timing matters because food and other medicines can interfere with the protective action. If you use sucralfate suspension, be consistent with meal timing to maintain coverage.
Storage and Travel Basics
Store tablets and suspension at room temperature and away from moisture. Keep the bottle tightly closed and protect the liquid from freezing. Do not store in a bathroom. Keep out of reach of children and pets.
When traveling, carry your medicine in original labeled containers. Pack extra doses in your carry-on and bring a copy of your prescription. If you take the liquid form, keep the bottle upright and sealed in a plastic bag to prevent leaks. Follow any airline rules for liquids and medication documentation.
Benefits
This medicine forms a site-specific barrier that shields ulcers from gastric acid and pepsin. It may help reduce pain related to active ulcers while healing occurs. Systemic absorption is minimal, which can be useful for patients requiring local action in the gut. Many patients appreciate that the treatment can be used alongside acid-suppressing therapies when clinically appropriate.
A sucralfate generic option can support affordability compared with some branded agents. Discuss the role of this therapy in your plan if you have recurrent ulcers or require adjunctive protection.
Side Effects and Safety
- Constipation: most commonly reported
- Nausea or upset stomach: mild, often transient
- Dry mouth: may improve with hydration
- Indigestion or gas: typically mild
- Headache or dizziness: uncommon
Serious effects are rare but can include allergic reactions and bezoar formation, especially in patients with delayed gastric emptying. Because the product contains aluminum, caution is advised in people with chronic kidney disease due to potential aluminum accumulation. Stop the medicine and seek prompt care for signs of hypersensitivity such as rash, swelling, or breathing difficulty.
Drug Interactions and Cautions
This therapy can reduce the absorption of many oral medicines. Separate dosing times for drugs such as fluoroquinolones, levothyroxine, digoxin, phenytoin, and warfarin. Take other medicines at least two hours before this product unless your prescriber instructs otherwise. Antacids should not be taken within 30 minutes before or after a dose.
Tell your clinician about all products you use, including vitamins and antacids. If nausea is significant, your prescriber may consider adjunctive options such as Metoclopramide based on your diagnosis. For context on weight-loss medicines and heartburn, see our discussion of GLP-1 therapies in GLP-1 GI Effects and related reflux concerns in Wegovy Heartburn.
What to Expect Over Time
Symptom relief may be gradual. Consistent dosing on an empty stomach supports the protective barrier at the ulcer site. Your prescriber may check progress and adjust your plan based on healing and symptoms. Keep follow-up appointments and report any persistent pain, black stools, or vomiting.
Adherence matters. Use reminders, dose schedules, or pillboxes to reduce missed doses. If you need long-term protection, your clinician may add or adjust acid-suppressing therapy.
Compare With Alternatives
Acid suppression with a proton pump inhibitor such as Omeprazole can reduce acid secretion at its source. H2 blockers like Famotidine decrease acid production and may be used for symptom control. This medicine differs by forming a local barrier rather than primarily reducing acid.
Pricing and Access
Canadian pricing can help lower the overall cost of sucralfate for eligible orders. You can compare options, view the current price range, and see cash-pay estimates before checkout. If you have questions about savings without insurance, our team can guide site navigation and documentation.
At checkout, you use encrypted checkout and upload your prescription if required. If you are looking for current deals, visit our Promotions page for available offers. Final amounts depend on quantity, form, and dispensing pharmacy rules.
Availability and Substitutions
Availability can change due to supply and manufacturer updates. If an item is unavailable, your prescriber may recommend an alternative form or a different class, such as an acid suppressant. Do not substitute products without clinical approval.
Patient Suitability and Cost-Saving Tips
Good candidates are adults with active duodenal ulcers who can take the medicine on an empty stomach. Patients with severe renal impairment need careful oversight because of aluminum content. Tell your clinician if you have swallowing difficulties, feeding tubes, or delayed gastric emptying.
For savings, consider larger fills when appropriate, since multi-month orders may reduce per-unit cost. Set refill reminders to avoid gaps in therapy. Ask about tablets versus liquid sucralfate if price or convenience differs for your situation.
Questions to Ask Your Clinician
- Is this therapy suitable for my specific ulcer type?
- What schedule should I follow with meals and bedtime?
- How should I separate this from my other medicines?
- Do I also need an acid-suppressing drug, and for how long?
- What signs mean I should stop and call you?
- Could a different form be better for me, such as a liquid?
- When should we review progress and maintenance therapy?
Authoritative Sources
For prescribing information and patient counseling details, review the FDA label on DailyMed: DailyMed sucralfate labeling and dosing information.
Manufacturer information for the branded reference can provide additional guidance: FDA Carafate label reference document.
Health Canada’s Drug Product Database lists Canadian products and statuses: Health Canada DPD search for sucralfate products.
Order online today for prompt, express shipping with temperature-controlled handling when required. Medical disclaimer: This content is for informational purposes only and is not a substitute for professional medical advice.
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What is sucralfate used for?
It is used for short-term treatment of active duodenal ulcers and for maintenance therapy to reduce recurrence when your clinician recommends it. It acts locally in the gut to protect ulcer sites.
How do I take sucralfate in relation to meals?
Take doses on an empty stomach, typically one hour before meals and at bedtime. Follow your prescriber’s schedule and avoid antacids within 30 minutes of a dose unless instructed otherwise.
Can I crush sucralfate tablets?
Tablets are usually swallowed whole with water. If swallowing is difficult, ask your clinician or pharmacist about approved methods or whether the oral suspension is a better option.
How long does sucralfate take to work?
Symptom improvement may be gradual. Healing of ulcers often requires several weeks of consistent use. Your clinician will advise on duration and follow-up.
What medicines interact with sucralfate?
It can bind to and reduce absorption of some drugs, including fluoroquinolones, levothyroxine, digoxin, phenytoin, and warfarin. Separate dosing times, typically by at least two hours.
Is sucralfate safe during pregnancy or breastfeeding?
Human data are limited. Your clinician will weigh potential benefits and risks for your situation. Do not start or stop therapy during pregnancy or breastfeeding without medical advice.
What is the difference between tablets and suspension?
Tablets provide a solid 1 g dose, while the oral suspension delivers 1 g per 10 mL. Choice depends on swallowing needs, dosing preferences, and prescriber guidance.
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