ducaine suspension sugar free - Oxetacaine (5mg/5ml) + Aluminium Hydroxide (150mg/5ml) medicine

Ducaine Suspension Sugar Free: Complete Medicine Guide

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🏭 SKN Organics 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 16, 2026
⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for symptomatic relief of acid-related disorders and local pain.
Reviewed by
SaathiMed Expert Panel | Oct 16, 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

  • Difficulty breathing or swelling of face, lips, or throat
  • Severe abdominal pain or vomiting blood
  • Blood in stool or black tarry stools
  • Yellowing of skin or eyes (jaundice)
  • Decreased urine output or swelling in legs
  • Confusion, muscle twitching, or seizures
  • Persistent vomiting or inability to keep fluids down

If experiencing severe symptoms, call emergency services immediately.

What is ducaine suspension sugar free used for?

This medicine is a combination of oxetacaine (a local anaesthetic) and aluminium hydroxide (an antacid) used to relieve pain and acidity in conditions like mouth ulcers, sore throat, and acid reflux. It works by numbing the area and neutralising stomach acid.

  • Generic Name: Oxetacaine + Aluminium Hydroxide
  • Manufacturer: SKN Organics
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 ducaine suspension sugar free के बारे में (Hindi Summary)

उपयोग: यह दवा ऑक्सेटाकेन और एल्युमिनियम हाइड्रॉक्साइड का संयोजन है, जिसका उपयोग मुँह के छालों, गले में खराश, एसिड रिफ्लक्स, गैस्ट्रिटिस और हार्टबर्न में दर्द और जलन से राहत देने के लिए किया जाता है। ऑक्सेटाकेन एक स्थानीय एनेस्थेटिक है जो प्रभावित क्षेत्र को सुन्न करता है, जबकि एल्युमिनियम हाइड्रॉक्साइड पेट के एसिड को बेअसर करता है। यह दवा चीनी-मुक्त है, इसलिए मधुमेह रोगी भी इसका उपयोग कर सकते हैं।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में कब्ज, जी मिचलाना और मुँह में चॉकी जैसा स्वाद शामिल हो सकता है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन एलर्जी, सूजन, सांस लेने में कठिनाई हो सकती है। लंबे समय तक उपयोग से फॉस्फेट की कमी हो सकती है। किसी भी गंभीर लक्षण पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को अपनी किडनी या लीवर की बीमारी और एलर्जी के बारे में बताएं। बिना डॉक्टर की सलाह के दो सप्ताह से अधिक इसका उपयोग न करें। अन्य दवाओं के साथ लेने से पहले 2 घंटे का अंतराल रखें। गर्भवती और स्तनपान कराने वाली महिलाएं डॉक्टर से परामर्श करें। शराब का सेवन न करें।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 ducaine suspension sugar free Uses & Benefits

[{"condition":"Mouth ulcers","description":"Provides local anaesthetic relief and reduces acidity that may irritate ulcers.","evidence":"Well-established"},{"condition":"Sore throat","description":"Numbs the throat and reduces discomfort.","evidence":"Well-established"},{"condition":"Acid reflux and heartburn","description":"Neutralises stomach acid and provides symptomatic relief.","evidence":"Well-established"},{"condition":"Gastritis","description":"Reduces gastric acidity and relieves pain associated with inflammation of the stomach lining.","evidence":"Well-established"},{"condition":"Peptic ulcer disease","description":"Used as an adjunct to reduce pain and acidity, but not as a primary treatment.","evidence":"Limited"}]

Off-label uses: [{"condition":"Radiation-induced oral mucositis","description":"Sometimes used to relieve pain from oral mucositis in cancer patients undergoing radiation therapy.","evidence":"Limited"},{"condition":"Dyspepsia of unknown cause","description":"May be used for symptomatic relief when no specific cause is identified.","evidence":"Limited"}]

Primary treatment for: Gastroesophageal reflux disease (GERD)

Also treats: Gastritis, Peptic ulcer disease, Mouth ulcers, Sore throat

📋 Drug Information

Generic Name(s)Oxetacaine + Aluminium Hydroxide
Brand NameAcicaine Oral Gel
ManufacturerSKN Organics
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGASTRO INTESTINAL
Action ClassAntacid + Local Anesthetic
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. 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
Shake the bottle well before each dose to ensure uniform mixing of the suspension.
2
Take this medicine after meals and at bedtime for best results.
3
Separate this medicine from other medications by at least 2 hours to avoid absorption interference.
4
Do not use for more than 2 weeks without consulting a doctor.
5
If you have kidney disease, inform your doctor before taking this medicine.
6
Avoid alcohol while taking this medicine as it may worsen stomach irritation.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Mouth ulcers
This medicine is commonly prescribed for this.
Likely Use
✅
Sore throat
This medicine provides local anaesthetic relief.
Likely Use
✅
Heartburn
This medicine neutralises stomach acid.
Likely Use
❌
Fever
This medicine is not a fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionOxetacaine is poorly absorbed from the gastrointestinal tract when taken orally; its action is primarily local. Aluminium hydroxide is minimally absorbed; most of it remains in the gut and is excreted in faeces. Small amounts of aluminium may be absorbed, especially in patients with renal impairment.
DistributionOxetacaine is not significantly distributed systemically due to its local action and poor absorption. Aluminium ions, if absorbed, are distributed to tissues such as bone, lungs, and brain, but this is minimal in healthy individuals.
Protein BindingNot established from the available information.
MetabolismOxetacaine is likely metabolised in the liver, but specific pathways are not well established. Aluminium hydroxide is not metabolised; it is excreted unchanged.
Half-LifeNot established from the available information.
ExcretionOxetacaine and its metabolites are primarily excreted in urine. Aluminium hydroxide is mainly excreted in faeces, with a small amount excreted in urine.
BioavailabilityNot established from the available information.
Onset of ActionOxetacaine provides local anaesthetic effect within minutes of application. Aluminium hydroxide begins neutralising acid within minutes of ingestion.
Peak Plasma TimeNot established from the available information.
Duration of ActionThe local anaesthetic effect of oxetacaine lasts for approximately 20-30 minutes. The antacid effect of aluminium hydroxide lasts for about 30-60 minutes when taken on an empty stomach, but may last longer if taken after meals.

How It Works

This medicine combines two active ingredients with complementary actions. Oxetacaine is a local anaesthetic that blocks nerve impulses by inhibiting sodium ion channels in the nerve membrane, thereby providing rapid pain relief when applied to mucous membranes. Aluminium hydroxide is an antacid that neutralises gastric acid by reacting with hydrochloric acid to form aluminium chloride and water, raising the pH of the stomach contents and reducing irritation. Together, they provide both symptomatic pain relief and acid reduction.

Mechanism Steps

1
Local anaesthetic action: Oxetacaine reversibly blocks sodium channels in the nerve cell membrane, preventing the generation and conduction of nerve impulses, leading to loss of sensation in the applied area.
2
Acid neutralisation: Aluminium hydroxide reacts with hydrochloric acid in the stomach to form aluminium chloride and water, thereby reducing the acidity of gastric contents.
3
Symptom relief: The combined effects reduce pain and irritation in the mouth, throat, and stomach, providing relief from ulcers, sore throat, and acid-related discomfort.

💡 How to Take ducaine suspension sugar free

Strength: Each 5 mL contains Oxetacaine 5 mg and Aluminium Hydroxide 150 mg.

1Shake the bottle well before each use.
2Measure the dose using the provided measuring cup or spoon.
3Take orally, preferably after meals and at bedtime.
4Do not exceed the recommended dose.
5Rinse mouth after use to prevent dental erosion.

Dosage Information

Adult DosageThe usual adult dose is 5-10 mL (one to two teaspoons) taken three to four times daily, preferably after meals and at bedtime, or as directed by a physician. Shake the bottle well before use. 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 be more sensitive to the effects of aluminium hydroxide, especially if renal function is impaired. Use with caution and consult a doctor for appropriate dosing.
Renal ImpairmentUse with caution in patients with renal impairment. Aluminium hydroxide may accumulate; dose adjustment may be necessary. Consult a doctor.
Hepatic ImpairmentNo specific dose adjustment established. Use with caution in severe hepatic impairment.
Maximum Daily DoseThe maximum daily dose should not exceed 40 mL in adults, unless directed by a physician.

Dosage Timeline

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

🍽️ Food Timing Guide

With meals
Take after meals
Enhances antacid effect and reduces stomach upset.
Spicy foods
Avoid
May worsen acidity and irritation.
Citrus fruits
Limit
May increase stomach acid.

⏰ 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 ducaine suspension sugar free

✅ Common Side Effects

Constipation (Common (5-10%))
Increase dietary fibre and fluid intake. Consult doctor if persistent.
Nausea (Common (5-10%))
Take with food or milk to reduce nausea. Consult doctor if severe.
Chalky taste (Common (5-10%))
Rinse mouth after taking. Usually resolves with continued use.

🚨 Serious Side Effects

Allergic reactions (rash, itching, swelling, difficulty breathing) (Rare (<0.1%))
Seek immediate medical attention.
Aluminium toxicity (in renal impairment) (Rare (<0.1%))
Monitor aluminium levels if kidney disease. Seek medical advice if symptoms like confusion, muscle weakness occur.
Hypophosphatemia (low phosphate) (Rare (<0.1%))
Prolonged use may cause; monitor phosphate levels. Consult doctor if weakness, bone pain.

⚠️ Rare Side Effects

Metabolic alkalosis
Seek medical attention if symptoms like confusion, muscle twitching, nausea.
Encephalopathy (aluminium accumulation)
Report confusion, seizures, or personality changes immediately.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Tetracycline Major
Fluoroquinolones Major
Iron supplements Major
Digoxin Moderate
Ketoconazole Moderate
Corticosteroids Moderate
Aspirin Minor
Benzodiazepines Minor

🚨 Major Interactions

  • Tetracycline antibiotics
  • Fluoroquinolone antibiotics
  • Iron salts

⚡ Moderate Interactions

  • Digoxin
  • Ketoconazole
  • Corticosteroids

🍷 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 oxetacaine or aluminium hydroxide","Severe renal impairment","Hypophosphatemia"]

⚠️ Warnings & Precautions

["Do not use for more than 2 weeks without medical advice.","Use with caution in patients with kidney disease.","May interfere with absorption of other medications; separate by 2 hours.","Avoid alcohol during treatment.","Consult doctor if symptoms persist or worsen."]

🤱 Lactation Safety

It is not known whether oxetacaine or aluminium hydroxide passes into breast milk. Consult your doctor before use.

💊 Overdose Management

Overdose may cause constipation, nausea, and electrolyte imbalances. Seek immediate medical attention. Treatment is symptomatic and 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

Before taking this medicine, inform your doctor if you have kidney disease, liver disease, or any allergies. Do not take this medicine for more than two weeks without consulting a doctor. Avoid taking other medications within two hours of this medicine, as it may affect their absorption. Pregnant and breastfeeding women should consult their doctor before use. Keep out of reach of children. Do not exceed the recommended dose. If symptoms persist or worsen, seek medical advice. This medicine may cause dizziness; avoid driving or operating machinery until you know how it affects you. Alcohol may increase stomach irritation; it is best to avoid alcohol while taking this medicine.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the effects of aluminium hydroxide, especially if renal function is impaired. Use with caution and monitor for signs of aluminium toxicity.

🤰 Pregnancy Planning (TTC)

Consult your doctor before use if you are planning pregnancy or are pregnant. The safety of this medicine during pregnancy is not well established.

🏥 Post-Surgery Considerations

Consult your doctor before use after surgery, especially if you are on other medications or have renal impairment.

🦷 Dental Procedures

This medicine may be used for pain relief after dental procedures, but consult your dentist or doctor for appropriate use.

💚 Lifestyle Tips for Better Results

🏃
Avoid spicy, oily, and acidic foods that can trigger acidity.
🥗
Eat smaller, more frequent meals.
😴
Avoid lying down immediately after eating.
💧
Maintain good oral hygiene to prevent mouth ulcers.
🧘
Reduce stress through relaxation techniques like yoga or meditation.
🌞
Quit smoking and limit alcohol consumption.

🏋️ Exercise Considerations

No specific exercise restrictions. However, if you experience dizziness, avoid strenuous activities until you know how the medicine affects you.

🥗 Diet Recommendations

Include fibre-rich foods to prevent constipation.
Stay well hydrated.
Avoid caffeine and carbonated drinks.
Eat a balanced diet with plenty of fruits and vegetables.

💼 Impact on Daily Work & Life

This medicine may cause dizziness in some individuals. Avoid driving or operating heavy machinery until you know how it affects you. Otherwise, it generally does not interfere with daily activities.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if symptoms persist beyond 2 weeks, if you experience severe side effects, or if you have kidney disease and notice symptoms of aluminium toxicity.

📅 Long-Term Use Effects

Prolonged use of this medicine without medical supervision may lead to low phosphate levels, aluminium accumulation (especially in kidney disease), and constipation. Regular monitoring of phosphate and aluminium levels may be required. Use only as directed and for the recommended duration.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Lifestyle modifications

Dietary changes, weight loss, and avoiding trigger foods can help manage acid reflux.

Evidence: Well-established
Proton pump inhibitors

For more severe acid-related conditions, PPIs may be prescribed.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with vaccines.

📦 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 direct sunlight. If travelling across time zones, continue your regular dosing schedule as prescribed. Check customs regulations for carrying medications.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with recurrent mouth ulcers
She was prescribed this medicine for painful mouth ulcers. She reported significant pain relief within minutes of application. She was advised to avoid spicy foods and to maintain oral hygiene. The ulcers healed within a week.
💡 Lesson: This medicine provides rapid symptomatic relief for mouth ulcers, but addressing dietary triggers and oral hygiene is important for prevention.
👤 A 50-year-old man with acid reflux and heartburn
He took this medicine after meals and at bedtime. His heartburn symptoms reduced significantly within a few days. He was advised to avoid late-night meals and alcohol. He experienced mild constipation, which resolved with increased fibre intake.
💡 Lesson: This medicine effectively relieves acid reflux symptoms when taken as directed. Lifestyle modifications enhance its effectiveness.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Oxetacaine provides local anaesthetic effect within minutes, while aluminium hydroxide starts neutralising acid within minutes of ingestion.

Q: Can I take this medicine with other medications?

A: This medicine may interact with other drugs by reducing their absorption. Separate administration by at least 2 hours and consult your doctor.

Q: Is it safe for diabetics?

A: Yes, this is a sugar-free formulation, making it suitable for diabetic patients.

🤔 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?

🛑 Myths vs. Facts

  • Myth: This medicine can cure ulcers permanently.
    Fact: This medicine provides symptomatic relief but does not cure the underlying cause of ulcers. Proper treatment requires addressing the root cause, such as H. pylori infection.
  • Myth: It is safe to take this medicine indefinitely.
    Fact: Prolonged use without medical supervision can lead to side effects like low phosphate levels and aluminium accumulation. Use only as directed.

🔄 Alternative Options

Generic Alternatives

  • Oxetacaine + Aluminium Hydroxide suspension (various manufacturers)

Brand Alternatives

  • Ducaine Suspension Sugar Free

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Oxetacaine + Aluminium hydroxide","key_feature":"Local anaesthetic + antacid, sugar-free"},{"medicine":"Aluminium hydroxide + Magnesium hydroxide","composition":"Aluminium hydroxide + Magnesium hydroxide","key_feature":"Antacid only, no local anaesthetic"},{"medicine":"Sucralfate","composition":"Sucralfate","key_feature":"Coats ulcers, no local anaesthetic"}]

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