Alcid S Syrup: Complete Medicine Guide for Ulcers and Acid Reflux
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 vomit that looks like coffee grounds
- Black, tarry stools or blood in stool
- Severe, persistent abdominal pain
- Difficulty breathing or swelling of the face, lips, or throat
- Yellowing of the skin or eyes (jaundice)
- Decreased urine output or swelling in the legs
- Confusion, muscle weakness, or bone pain (may indicate aluminium toxicity)
If experiencing severe symptoms, call emergency services immediately.
What is gistress tablet used for?
Alcid S Syrup contains sucralfate, which forms a protective barrier over stomach ulcers to help them heal. It is taken on an empty stomach, usually four times a day, and should be separated from other medicines by at least two hours.
- Generic Name: Sucralfate (NA)
- Manufacturer: Nouveau Medicament Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 gistress tablet के बारे में (Hindi Summary)
उपयोग: यह दवा सुक्राल्फेट नामक सक्रिय तत्व से बनी एक ओरल सिरप है, जिसका उपयोग पेट और आंतों के अल्सर के इलाज और रोकथाम के लिए किया जाता है। यह पेट की परत पर एक सुरक्षात्मक परत बनाकर एसिड और पित्त के हानिकारक प्रभावों से बचाती है। यह गैस्ट्रो-एसोफेजियल रिफ्लक्स रोग (जीईआरडी) में जलन और एसिडिटी को कम करने में भी मदद करती है। यह दवा खाली पेट लेनी चाहिए, आमतौर पर भोजन से एक घंटा पहले और रात को सोने से पहले। यह केवल डॉक्टर के पर्चे पर मिलती है और डॉक्टर की सलाह के अनुसार ही लेनी चाहिए।
साइड इफेक्ट्स: इस दवा को अधिकांश लोग अच्छी तरह सहन करते हैं। सबसे आम दुष्प्रभावों में कब्ज, मुँह सूखना और हल्की पेट की तकलीफ शामिल हैं। कभी-कभी मतली, उल्टी, दस्त, अपच या पेट भरा हुआ महसूस हो सकता है। बहुत कम मामलों में चक्कर आना, नींद आना, सिरदर्द या त्वचा पर दाने हो सकते हैं। यदि कोई भी दुष्प्रभाव गंभीर या लगातार बना रहे, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। खुराक को स्वयं कम या ज्यादा न करें। अगर यह सस्पेंशन है तो उपयोग से पहले बोतल को अच्छी तरह हिलाएँ। दवा को खाली पेट, भोजन से कम से कम एक घंटा पहले और रात को सोने से पहले लें। अन्य मुँह से ली जाने वाली दवाओं को इस दवा से कम से कम दो घंटे के अंतराल पर लें। एंटासिड को इस दवा से 30 मिनट पहले या बाद में न लें। यदि आपको गुर्दे की बीमारी, मधुमेह या निगलने में कठिनाई है तो डॉक्टर को बताएं।
💊 gistress tablet Uses & Benefits
[{"condition":"Duodenal ulcer","description":"This medicine helps heal the ulcer by coating the raw area and protecting it from acid and pepsin, allowing the tissue to repair.","evidence":"Well-established"},{"condition":"Gastric ulcer","description":"This medicine forms a protective barrier over the ulcerated stomach lining, reducing pain and supporting healing.","evidence":"Well-established"},{"condition":"Gastro-oesophageal reflux disease (GERD)","description":"This medicine can soothe the irritated food pipe and reduce symptoms of acid reflux, especially when used as part of a broader treatment plan.","evidence":"Moderate"},{"condition":"Stress ulcer prophylaxis","description":"In critically ill patients, this medicine may be used to protect the stomach lining from stress-related bleeding.","evidence":"Moderate"},{"condition":"Mucosal protection during NSAID use","description":"This medicine may be prescribed to protect the stomach lining in people who must take pain relievers that can irritate the gut.","evidence":"Limited"}]
Off-label uses: [{"condition":"Oral mucositis","description":"Sometimes used as a mouth rinse to soothe painful mouth ulcers caused by cancer treatment.","evidence":"Limited"},{"condition":"Bile reflux gastritis","description":"Occasionally prescribed to protect the stomach from bile irritation after certain surgeries.","evidence":"Limited"}]
Primary treatment for: Peptic ulcer disease
Also treats: Gastro-oesophageal reflux disease, Gastritis, Stress ulcer prophylaxis
📋 Drug Information
| Generic Name(s) | Sucralfate (NA) |
| Brand Name | gistress tablet |
| Manufacturer | Nouveau Medicament Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GASTRO INTESTINAL |
| Action Class | Anti-Ulcerants |
| Route of Administration | Oral |
| Storage | Store this medicine at room temperature, between 15°C and 30°C. Protect it from direct sunlight and moisture. Do not freeze. Keep the bottle tightly closed when not in use. Keep it out of the reach of children. |
| Shelf Life | Typically 24 months from the date of manufacture, but refer to the expiry date printed on the pack. Do not use after the expiry date. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works locally in the stomach and upper intestine. When it reaches the acidic environment of the stomach, it undergoes a change and becomes a thick, paste-like substance that sticks firmly to the surface of ulcers and inflamed tissue. This physical barrier shields the raw area from stomach acid, bile salts, and digestive enzymes such as pepsin. In addition, this medicine mildly inhibits the action of pepsin and binds to bile acids, further reducing irritation. It does not significantly reduce the amount of acid produced by the stomach, so it is not a classic acid-suppressing medicine. Instead, it protects the damaged lining and creates conditions that allow natural healing to occur.
Mechanism Steps
💡 How to Take gistress tablet
Strength: Alcid S Syrup is an oral liquid containing sucralfate. The strength is typically 1 gram per 10 mL, but refer to the product label for the exact concentration.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 1 gram (10 mL of the syrup) taken four times a day, on an empty stomach, one hour before meals and at bedtime. For maintenance therapy, your doctor may reduce the frequency to twice daily. The exact dose and duration depend on the condition being treated, your response to therapy, and your kidney function. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not adjust the dose without medical advice. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Older adults may be more sensitive to the effects of this medicine, especially if kidney function is reduced. Your doctor may start with a lower dose and monitor you closely. Dose must be individualized by a qualified clinician based on kidney function and other medical conditions. |
| Renal Impairment | This medicine should be used with caution in people with kidney disease. In mild to moderate impairment, your doctor may prescribe the usual dose but monitor you for signs of aluminium accumulation. In severe kidney impairment or dialysis, this medicine is generally avoided. Dose must be individualized by a qualified clinician based on renal function. |
| Hepatic Impairment | No specific dose adjustment is usually needed for liver disease, as this medicine is not significantly metabolised by the liver. However, consult your doctor for personalized advice. |
| Maximum Daily Dose | The maximum recommended adult dose is 8 grams per day (80 mL of the syrup), but this should only be used under medical supervision. Do not exceed the dose prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of gistress tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Ciprofloxacin | Major | |
| Tetracycline | Major | |
| Levothyroxine | Major | |
| Digoxin | Major | |
| Antacids | Moderate | |
| Ketoconazole | Moderate | |
| Phenytoin | Moderate | |
| Warfarin | Moderate | |
| Iron supplements | Minor | |
| Calcium supplements | Minor |
🚨 Major Interactions
- Fluoroquinolone antibiotics (e.g., ciprofloxacin, levofloxacin)
- Tetracycline antibiotics
- Levothyroxine
- Digoxin
⚡ Moderate Interactions
- Antacids
- Ketoconazole
- Phenytoin
- Warfarin
🍷 Alcohol Interaction
Alcohol can irritate the stomach lining and worsen the very condition this medicine is trying to treat. Drinking alcohol while taking this medicine may reduce its effectiveness and increase the risk of stomach bleeding. It is best to avoid alcohol completely during treatment, especially if you have an ulcer.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy or hypersensitivity to sucralfate or any ingredient of this medicine","Severe kidney impairment or dialysis, due to risk of aluminium accumulation","Complete obstruction of the gastrointestinal tract","Inability to swallow or tolerate oral liquids","Use in premature infants or neonates"]
⚠️ Warnings & Precautions
["Tell your doctor if you have kidney disease before taking this medicine.","This medicine can reduce the absorption of many other medicines. Separate the doses by at least two hours.","Do not take antacids within 30 minutes before or after this medicine.","If you have diabetes, check the sugar content of the syrup if you are on a controlled diet.","Do not use this medicine for longer than prescribed without medical review.","If you are pregnant, planning pregnancy, or breastfeeding, consult your doctor before use.","Keep out of reach of children.","Do not drive or operate machinery if you feel dizzy or drowsy after taking this medicine."]
🤱 Lactation Safety
It is not known whether this medicine passes into breast milk in significant amounts. Because it is poorly absorbed from the gut, the amount that could reach breast milk is likely to be very small. However, consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
If you accidentally take more than the prescribed dose of this medicine, contact your doctor or a poison control centre immediately. Overdose may cause stomach upset, nausea, or constipation. In severe cases, especially in people with kidney disease, aluminium toxicity may occur. Treatment is supportive and based on symptoms. Do not try to vomit unless instructed by a medical professional.
⏰ Missed Dose
If you miss a dose of this medicine, take it as soon as you remember, provided there is enough time before your next scheduled dose. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not change the dose or stop it on your own. Shake the bottle well before each use if it is a suspension. Measure the dose with the spoon or cup provided, not with a household spoon. Take this medicine on an empty stomach, at least one hour before meals and at bedtime, unless your doctor advises otherwise. Separate this medicine from other oral medicines by at least two hours, because it can reduce their absorption. Avoid taking antacids within half an hour before or after this medicine. Tell your doctor if you have kidney disease, diabetes, or difficulty swallowing. Do not use this medicine for longer than prescribed without medical review. Keep all follow-up appointments so your doctor can check your response and adjust treatment if needed.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults may have reduced kidney function, which can increase the risk of aluminium accumulation from this medicine. Your doctor may monitor your kidney function more closely and adjust the dose if needed. Report any confusion, muscle weakness, or bone pain promptly.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, discuss this medicine with your doctor. It is generally considered safe but should only be used if clearly needed. Your doctor may recommend alternative treatments or adjust your dose.
🏥 Post-Surgery Considerations
After surgery, this medicine may be used to protect the stomach lining, especially if you are at risk of stress ulcers. Follow your surgeon's instructions regarding when to start and how to take it. Inform your surgical team about all medicines you are taking.
🦷 Dental Procedures
This medicine does not usually interfere with dental procedures. However, inform your dentist about all medicines you are taking. If you are scheduled for dental surgery, your dentist may consult your doctor about any precautions.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Moderate exercise is generally safe while taking this medicine. However, if you experience dizziness or drowsiness, avoid strenuous activities or exercises that require balance. Listen to your body and rest if you feel unwell. Consult your doctor before starting any new exercise routine.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine is unlikely to affect your ability to work. However, if you experience dizziness or drowsiness, avoid driving or operating heavy machinery until you know how the medicine affects you. You may need to adjust your work schedule to take doses on an empty stomach, but this is usually manageable with planning.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. Even if you feel better, stopping early may allow the ulcer to return. Your doctor will decide when it is safe to stop based on your healing and symptoms. If you experience serious side effects, contact your doctor immediately for advice.
📅 Long-Term Use Effects
Long-term use of this medicine is generally safe for people with normal kidney function. However, because it contains aluminium, prolonged use in people with kidney disease can lead to aluminium accumulation, which may cause bone pain, muscle weakness, or confusion. Regular monitoring of kidney function and symptoms is advised for long-term users. If you need to take this medicine for more than a few weeks, your doctor will review your condition periodically to ensure it is still appropriate.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
These medicines reduce stomach acid production and are often used for ulcers and reflux.
Evidence: Well-establishedThese medicines also reduce acid production and can be used for similar conditions.
Evidence: Well-establishedAvoiding trigger foods, reducing stress, and quitting smoking can complement medical treatment.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. You can receive vaccinations as scheduled. However, always inform your healthcare provider about all medicines you are taking before any vaccination.
📦 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
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after expiry date
✈️ Traveling with This Medicine
When travelling, carry this medicine in its original packaging with the prescription label intact. Bring a copy of your prescription or a letter from your doctor, especially if you are crossing international borders. Keep the bottle in your hand luggage to avoid extreme temperatures in checked baggage. Store it at room temperature and protect it from direct sunlight. If you are travelling across time zones, try to maintain the dosing schedule as close to every 6 hours as possible, but do not double dose. If you are unsure, consult your doctor or pharmacist before travelling.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts forming a protective barrier within one to two hours, but relief from ulcer pain may take several days of regular use.
A: No, this medicine should be taken on an empty stomach, at least one hour before meals, because food reduces its effectiveness.
A: If you remember within a few hours, take the missed dose. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.
A: Consult your doctor before using this medicine during pregnancy. It should only be used if clearly needed.
A: No, antacids can reduce the protective effect of this medicine. Do not take them within 30 minutes before or after this medicine.
🤔 Common Patient Concerns
🔄 Substitutes for gistress tablet
View AllAlternative brands with exact same active ingredient:
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ulcecure gelAnglo-French Drugs & Industries Ltd ₹13.47 34.7% CHEAPER
-
pepsigard t tabletSAF Fermion Ltd ₹28.13 36.4% COSTLIER
-
alcid s syrupAlkem Laboratories Ltd ₹29.37 42.4% COSTLIER
-
Sucrazen CreamElysium Pharmaceuticals Ltd ₹37.36 81.1% COSTLIER
-
Sufet P SuspensionParker Robinson Pvt Ltd ₹44.06 113.6% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Alcid S Syrup is a painkiller for any stomach pain.
Fact: This medicine is not a general painkiller. It is a gastroprotective agent used specifically for ulcers and acid-related irritation. - Myth: You can take Alcid S Syrup with antacids for faster relief.
Fact: Antacids can reduce the protective effect of this medicine. They should not be taken within 30 minutes before or after this medicine. - Myth: Alcid S Syrup can be taken with meals for convenience.
Fact: This medicine works best on an empty stomach. Food reduces its ability to coat the stomach lining. - Myth: Alcid S Syrup is safe for everyone, including those with kidney disease.
Fact: People with severe kidney disease should avoid this medicine because it contains aluminium, which can accumulate and cause harm.
🔄 Alternative Options
Generic Alternatives
- Sucralfate oral suspension
Brand Alternatives
- Alcid S Syrup