adunile suspension - Sucralfate (1000mg) + Oxetacaine (10mg) medicine

Avigel O Oral Suspension: Complete Medicine Guide

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🏭 Assure Lifescience Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 21, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate
Reviewed by
SaathiMed Expert Panel | Oct 21, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Blood in vomit or stool
  • Severe abdominal pain
  • Difficulty breathing or swelling of face, lips, or throat
  • Chest pain
  • Severe constipation with inability to pass stool
  • Yellowing of skin or eyes
  • Decreased urine output

If experiencing severe symptoms, call emergency services immediately.

What is adunile suspension used for?

This medicine is a combination of sucralfate and oxetacaine used to treat gastritis, GERD, and peptic ulcers. It works by forming a protective barrier over the stomach lining and numbing the area to relieve pain.

  • Generic Name: Sucralfate + Oxetacaine
  • Manufacturer: Assure Lifescience Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 adunile suspension के बारे में (Hindi Summary)

उपयोग: यह दवा सुक्राल्फेट और ऑक्सेटाकेन का संयोजन है, जिसका उपयोग गैस्ट्रिटिस, एसिड रिफ्लक्स, और पेप्टिक अल्सर के इलाज के लिए किया जाता है। यह पेट की परत पर एक सुरक्षात्मक परत बनाकर और दर्द को सुन्न करके राहत देती है।

साइड इफेक्ट्स: आम दुष्प्रभावों में कब्ज, मुँह सूखना, मतली और चक्कर आना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी प्रतिक्रियाएँ हो सकती हैं।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार लें। उपयोग से पहले बोतल को अच्छी तरह हिलाएँ। अन्य दवाओं के साथ लेने से पहले 2 घंटे का अंतराल रखें। गर्भवती या स्तनपान कराने वाली महिलाएँ डॉक्टर से सलाह लें।

💡 Did You Know? India has the highest number of USFDA-compliant plants outside the USA.

💊 adunile suspension Uses & Benefits

[{"condition":"Gastritis","description":"Relieves inflammation of the stomach lining and associated pain.","evidence":"Well-established"},{"condition":"Gastroesophageal reflux disease (GERD)","description":"Reduces symptoms of acid reflux and heartburn by protecting the esophagus.","evidence":"Well-established"},{"condition":"Peptic ulcer disease","description":"Helps heal ulcers by forming a protective barrier over the ulcer surface.","evidence":"Well-established"},{"condition":"Esophagitis","description":"Provides relief from pain and irritation in the esophagus.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Mucositis due to chemotherapy or radiation","description":"Sometimes used to soothe oral and gastrointestinal mucositis.","evidence":"Limited"},{"condition":"Stress ulcer prophylaxis","description":"Occasionally used in critically ill patients to prevent stress ulcers.","evidence":"Limited"}]

Primary treatment for: Gastritis

Also treats: Gastroesophageal reflux disease, Peptic ulcer disease, Esophagitis

📋 Drug Information

Generic Name(s)Sucralfate + Oxetacaine
Brand NameAxid O Suspension
ManufacturerAssure Lifescience Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGASTRO INTESTINAL
Action ClassGastrointestinal protective agent
Route of AdministrationOral
StorageStore at room temperature (15-30°C). Protect from light and moisture. Do not freeze.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine on an empty stomach, at least 1 hour before or 2 hours after meals.
2
Shake the bottle well before each use to ensure proper mixing.
3
Do not take this medicine within 2 hours of other medications, especially antibiotics and thyroid medicines.
4
Increase fiber and fluid intake to prevent constipation.
5
Avoid alcohol while taking this medicine to prevent worsening of stomach irritation.
6
Consult your doctor if symptoms persist beyond 7 days.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Heartburn
This medicine is commonly prescribed for this.
Likely Use
✅
Stomach pain
This medicine can help relieve stomach pain associated with ulcers.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionSucralfate is minimally absorbed from the gastrointestinal tract; only about 3-5% of an oral dose is absorbed systemically. Oxetacaine is also poorly absorbed, exerting its effects locally.
DistributionBecause of minimal absorption, systemic distribution of both components is negligible. Sucralfate may bind to proteins in the ulcer base.
Protein BindingNot established from the available information.
MetabolismSucralfate is not significantly metabolized; it is excreted unchanged in feces. Oxetacaine is likely metabolized locally or systemically to a small extent, but specific data are not available.
Half-LifeNot established from the available information.
ExcretionMost of sucralfate is excreted in the feces. Any absorbed portion is excreted unchanged in the urine. Oxetacaine excretion is not well characterized.
BioavailabilityLow; sucralfate has about 3-5% oral bioavailability. Oxetacaine bioavailability is not established.
Onset of ActionOxetacaine provides local anesthesia within minutes. Sucralfate begins to form a protective barrier immediately upon contact with gastric acid.
Peak Plasma TimeNot established from the available information.
Duration of ActionSucralfate's protective effect lasts for approximately 6 hours. Oxetacaine's anesthetic effect lasts for about 20-30 minutes.

How It Works

This medicine combines two active ingredients with complementary actions. Sucralfate works locally by forming a viscous paste that adheres to ulcerated or inflamed mucosa, creating a physical barrier against acid, pepsin, and bile salts. It also inhibits pepsin activity and binds bile acids. Oxetacaine is a local anesthetic that numbs the mucosal surface, providing rapid relief from pain and discomfort.

Mechanism Steps

1
Barrier formation: Sucralfate polymerizes in the acidic environment of the stomach to form a protective coating over ulcers and inflamed areas.
2
Acid neutralization: The barrier prevents further damage from acid and pepsin, allowing natural healing processes to occur.
3
Local anesthesia: Oxetacaine diffuses into the mucosal tissue and blocks nerve conduction, providing rapid pain relief.

💡 How to Take adunile suspension

Strength: Each 10 mL of suspension contains sucralfate 1000 mg and oxetacaine 10 mg.

1Shake the bottle well before each use.
2Measure the prescribed dose using the provided measuring cup or spoon.
3Take the medicine on an empty stomach, at least 1 hour before or 2 hours after meals.
4Do not take within 2 hours of other medications.
5Swallow the suspension; do not chew or crush.
6Follow your doctor's instructions regarding duration of treatment.

Dosage Information

Adult DosageThe usual adult dose is 10 mL of the suspension taken orally four times a day, preferably on an empty stomach, or as directed by your physician. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may require dose adjustment based on renal function. Consult your doctor.
Renal ImpairmentUse with caution in patients with renal impairment. Dose adjustment may be necessary. Consult your doctor.
Hepatic ImpairmentNo specific dose adjustment recommended for hepatic impairment. Consult your doctor.
Maximum Daily DoseThe maximum recommended daily dose is 40 mL of the suspension (4000 mg sucralfate and 40 mg oxetacaine). Do not exceed without medical advice.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

Any food
Take on an empty stomach
Food may reduce the protective barrier formation of sucralfate.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of adunile suspension

✅ Common Side Effects

Constipation (Common (5-10%))
Increase fiber and fluid intake. Consult doctor if persistent.
Dry mouth (Common (5-10%))
Sip water frequently. Usually resolves on its own.
Nausea (Common (5-10%))
Take with food. Consult doctor if severe.
Dizziness (Uncommon (1-5%))
Avoid driving if affected. Consult doctor if persistent.

🚨 Serious Side Effects

Allergic reactions (rash, itching, swelling, difficulty breathing) (Rare (<0.1%))
Seek immediate medical attention.
Severe constipation leading to bowel obstruction (Rare (<0.1%))
Seek medical attention if you have severe abdominal pain or inability to pass stool.

⚠️ Rare Side Effects

Metallic taste
Usually resolves with continued use.
Headache
Consult doctor if severe or persistent.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Ciprofloxacin Major
Tetracycline Major
Levothyroxine Major
Digoxin Moderate
Warfarin Moderate
Antacids Minor

🚨 Major Interactions

  • Fluoroquinolone antibiotics (e.g., ciprofloxacin, levofloxacin)
  • Tetracycline antibiotics
  • Levothyroxine

⚡ Moderate Interactions

  • Digoxin
  • Warfarin

🍷 Alcohol Interaction

Alcohol may increase stomach irritation and worsen the condition being treated. It is advisable to avoid alcohol while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to sucralfate or oxetacaine","Severe renal impairment (creatinine clearance

⚠️ Warnings & Precautions

["Use with caution in patients with renal impairment.","Avoid taking within 2 hours of other medications.","Do not exceed prescribed dose.","May cause constipation; increase fluid and fiber intake.","Not recommended for long-term use without medical supervision."]

🤱 Lactation Safety

It is not known whether sucralfate or oxetacaine pass into breast milk. Consult your doctor before breastfeeding.

💊 Overdose Management

Overdose is unlikely to cause serious effects due to poor absorption. However, if large amounts are ingested, seek medical attention. Symptoms may include gastrointestinal discomfort. Treatment is supportive.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Shake the bottle well before each use to ensure the medicine is mixed properly. Measure the dose using the provided measuring cup or spoon. Do not take this medicine within two hours of taking other medications, as sucralfate can reduce their absorption. Avoid alcohol while taking this medicine, as it may worsen stomach irritation. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine. Keep this medicine out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to constipation and renal effects. Dose adjustment may be needed based on kidney function.

🤰 Pregnancy Planning (TTC)

Consult your doctor before planning pregnancy. The safety of this medicine during pregnancy is not well established.

🏥 Post-Surgery Considerations

Consult your surgeon before taking this medicine after surgery, as it may interact with other medications.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine, as it may affect absorption of other medications used during dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Avoid spicy and acidic foods that can irritate the stomach.
🥗
Eat smaller, more frequent meals.
😴
Avoid lying down immediately after eating.
💧
Maintain a healthy weight.
🧘
Quit smoking and limit alcohol consumption.
🌞
Manage stress through relaxation techniques.

🏋️ Exercise Considerations

Moderate exercise is generally safe. Avoid vigorous exercise immediately after meals to prevent reflux.

🥗 Diet Recommendations

Include fiber-rich foods to prevent constipation.
Stay well hydrated.
Avoid caffeine and carbonated drinks.
Limit fatty and fried foods.

💼 Impact on Daily Work & Life

This medicine may cause dizziness in some people. Avoid driving or operating heavy machinery if you feel dizzy. Otherwise, it should not significantly impact daily activities.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor. If you experience severe side effects, contact your doctor immediately.

📅 Long-Term Use Effects

Long-term use of this medicine should be monitored by a doctor. Prolonged use may lead to constipation or aluminum accumulation in patients with kidney disease. Regular follow-up is recommended.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Dietary changes

Avoiding trigger foods can reduce symptoms.

Evidence: Well-established
Stress management

Stress reduction techniques can help manage symptoms.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions reported. Consult your doctor for routine vaccinations.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from light. If traveling across time zones, adjust dosing times gradually. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 45-year-old man with chronic gastritis
He was prescribed this medicine for persistent stomach pain and burning. After taking it regularly for a week, he noticed significant relief. He learned to take it on an empty stomach and avoid alcohol.
💡 Lesson: Consistent use on an empty stomach and avoiding alcohol improves outcomes.
👤 A 60-year-old woman with GERD
She experienced heartburn and regurgitation. Her doctor prescribed this medicine along with lifestyle changes. She found that taking it before meals reduced her symptoms dramatically.
💡 Lesson: Combining medicine with dietary changes can effectively manage GERD.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Oxetacaine provides pain relief within minutes, while sucralfate starts protecting the stomach lining immediately. Full healing may take several days to weeks.

Q: Can I take this medicine with food?

A: It is best taken on an empty stomach, at least 1 hour before or 2 hours after meals, to allow the protective barrier to form.

Q: What should I do if I miss a dose?

A: If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for adunile suspension

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can be taken with food.
    Fact: It should be taken on an empty stomach for best effect.
  • Myth: It is safe to take indefinitely.
    Fact: Long-term use should be monitored by a doctor.

🔄 Alternative Options

Generic Alternatives

  • Sucralfate + Oxetacaine suspension

Brand Alternatives

  • Avigel O
  • Sucrafil O
  • Ulgel
  • Oraflox

📊 Comparison with Similar Medicines

[{"medicine":"Sucralfate alone","difference":"Lacks local anesthetic; only protective."},{"medicine":"Oxetacaine alone","difference":"Only numbs; does not protect mucosa."},{"medicine":"Antacids","difference":"Neutralize acid but do not form protective barrier."}]

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