Why is this medication prescribed?

Carafate (generic name sucralfate) is prescribed primarily for the treatment of duodenal ulcers and gastric ulcers. It works by forming a protective coating over these ulcers, which helps to protect them from stomach acid and allows them to heal.

How should this medicine be used?

How Carafate should be used:

• Dosage: The typical dosage of Carafate is 1 gram (g) four times a day, usually taken on an empty stomach (at least 1 hour before meals and at bedtime), or as directed by your doctor.
• Administration: Carafate is usually taken orally in tablet or liquid suspension form. The tablets should be swallowed whole, not chewed or crushed.
• Timing: It is important to take Carafate on an empty stomach to maximize its effectiveness. This means taking it 1 hour before meals or 2 hours after meals, as well as at bedtime.
• Duration: The duration of treatment with Carafate depends on the severity and type of ulcer being treated. It is typically prescribed for 4 to 8 weeks for duodenal ulcers.
• Follow doctor’s instructions: Always follow your doctor’s instructions regarding dosage and frequency of Carafate. Do not adjust the dosage or stop taking it without consulting your doctor first.
• Adverse effects: While generally well tolerated, Carafate may cause constipation or dry mouth in some individuals. If you experience severe or persistent side effects, inform your doctor.
• Monitoring: Your doctor may schedule follow-up visits to monitor your progress and evaluate the healing of ulcers.

As with any medication, it is important to use Carafate exactly as prescribed by your doctor to ensure the best results and minimize potential side effects. If you have any questions or concerns about how to take Carafate, do not hesitate to discuss them with your healthcare provider.

Other uses for this medicine

• Gastroesophageal Reflux Disease (GERD): It can help in managing symptoms by coating the esophagus and reducing acid irritation.
• Esophagitis: Inflammation of the esophagus can benefit from the protective coating provided by Carafate.
• Prevention of Stress Ulcers: In hospitalized patients, particularly those in intensive care, Carafate may be used to prevent stress-induced ulcers.

What special precautions should I follow?

Special precautions for Carafate:

• Drug interactions: Carafate can bind to and reduce the absorption of other medications taken orally, such as antibiotics, antacids, and some vitamins and minerals. It is important to take Carafate at least 2 hours before or after other medications. Your doctor or pharmacist can advise you on the best timing for your medications.
• Pregnancy and breastfeeding: It is essential to inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding before taking Carafate. The potential risks and benefits should be carefully considered.
• Kidney function: Individuals with impaired kidney function may need dosage adjustments or close monitoring while taking Carafate, as it is excreted mainly through the kidneys.
• Allergies: Inform your doctor about any allergies you have, especially to aluminum, which is a component of Carafate tablets.
• Side effects: While generally well tolerated, Carafate can cause constipation or dry mouth in some individuals. If these symptoms persist or worsen, consult your doctor.
• Medical conditions: If you have diabetes, discuss with your doctor how Carafate might affect your blood sugar levels, as it can interfere with the absorption of some sugars.
• Duration of treatment: Use Carafate exactly as prescribed by your doctor. Do not take it for longer than recommended unless instructed to do so.

Always follow your healthcare provider’s instructions and inform them about all medications (prescription and over-the-counter), vitamins, and supplements you are taking before starting Carafate to avoid potential interactions or complications.

What special dietary instructions should I follow?

• Timing of Meals: Since Carafate should be taken on an empty stomach, it’s important to schedule your meals accordingly. Take Carafate 1 hour before meals or 2 hours after meals.
• Avoid Certain Foods and Beverages: While there are no specific dietary restrictions with Carafate, it’s generally recommended to avoid consuming large amounts of acidic foods and beverages (like citrus fruits, tomatoes, coffee, and alcohol) that can irritate the stomach lining.

What should I do if I forget a dose?

If you forget to apply Carac Cream at your usual time, apply it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular application schedule. Do not apply extra cream to make up for a missed dose.

What side effects can this medication cause?

Carafate (sucralfate) is generally well tolerated, but like any medication, it can cause side effects in some individuals. The most commonly reported side effects of Carafate include:

• Constipation: This is the most common side effect. It can usually be managed by ensuring an adequate intake of fluids and dietary fiber.
• Dry mouth: Some people may experience a sensation of dryness in the mouth while taking Carafate.

Less commonly, Carafate may cause:

• Nausea
• Vomiting
• Indigestion
• Flatulence (gas)
• Dizziness
• Back pain
• Itching or rash

Serious allergic reactions to Carafate are rare but may include symptoms such as rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, or trouble breathing. If you experience any severe side effects, seek immediate medical attention.

It’s important to note that these lists of side effects are not exhaustive, and other side effects may occur. If you notice any new or unusual symptoms while taking Carafate, especially if they are persistent or bothersome, inform your doctor promptly.

Additionally, Carafate can interact with other medications by binding to them in the digestive tract and reducing their absorption. This can affect the effectiveness of certain medications, so it’s important to discuss all medications (including over-the-counter drugs, vitamins, and supplements) with your doctor before starting Carafate.

Always follow your doctor’s instructions regarding the use of Carafate and report any concerns or side effects to your healthcare provider for proper management.

What should I know about storage and disposal of this medication?

Storage of Carafate:

• Room Temperature: Store Carafate tablets or suspension at room temperature, away from moisture and heat.
• Avoid Freezing: Do not freeze the Carafate suspension.
• Keep Out of Reach of Children: Store Carafate in a safe place where children or pets cannot access it.
• Container: Keep Carafate in its original container, tightly closed when not in use.
• Expiration: Check the expiration date on the label and do not use Carafate beyond the expiration date.

Disposal of Carafate:

• Unused Medication: Dispose of any unused or expired Carafate tablets or suspension properly.
• Guidelines: Follow local regulations or specific disposal instructions provided by your pharmacist or healthcare provider.
• Do Not Flush: Do not flush medications down the toilet unless instructed to do so. Proper disposal helps prevent accidental ingestion by pets, children, or others.

In case of emergency/overdose

• Symptoms of Overdose: Symptoms of Carafate overdose may include nausea, vomiting, stomach pain, and constipation.
• Seek Medical Attention: If you suspect an overdose of Carafate, contact your local poison control center (1-800-222-1222 in the United States) or emergency room immediately.
• Treatment: Treatment of Carafate overdose typically involves supportive care, which may include monitoring of vital signs and symptomatic treatment.

What other information should I know?

• Follow Instructions: Take Carafate exactly as prescribed by your doctor. Do not adjust the dosage or stop taking it without consulting your healthcare provider.
• Medical Tests: Inform healthcare professionals (such as doctors or dentists) that you are taking Carafate before undergoing any medical tests or surgeries.
• Regular Monitoring: Your doctor may schedule regular visits to monitor your condition and response to Carafate treatment.
• Avoid Alcohol: Limit alcohol consumption while taking Carafate, as alcohol can increase the risk of stomach irritation.
• Inform Your Doctor: Inform your doctor about any other medications, vitamins, or supplements you are taking, as they may interact with Carafate.
• Patient Education: Educate yourself about the potential side effects of Carafate and what to do if you experience them.

Always keep your healthcare provider informed about your medication use and any concerns you may have. Following these guidelines will help ensure safe and effective use of Carafate as part of your treatment plan.