sucrafil ds oral suspension - Sucralfate (500mg/5ml) + Domperidone (5mg/5ml) medicine

Sucrafil DS Oral Suspension: Complete Medicine Guide

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🏭 Fourrts India Laboratories Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 24, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate to well-established for individual components; combination evidence is limited.
Reviewed by
SaathiMed Expert Panel | Oct 24, 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 black, tarry stools
  • Severe abdominal pain or cramping
  • Chest pain, palpitations, or fainting
  • Difficulty breathing or swelling of face, lips, or throat
  • Yellowing of skin or eyes (jaundice)
  • Decreased urine output or swelling in legs
  • Uncontrollable muscle spasms or tremors

If experiencing severe symptoms, call emergency services immediately.

What is sucrafil ds oral suspension used for?

This medicine is a combination of sucralfate and domperidone used to treat acid reflux, gastritis, and ulcers. It works by protecting the stomach lining and improving gut motility.

  • Generic Name: Sucralfate (500mg/5ml) + Domperidone (5mg/5ml)
  • Manufacturer: Fourrts India Laboratories Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 sucrafil ds oral suspension के बारे में (Hindi Summary)

उपयोग: यह दवा सूक्राल्फेट और डोम्पेरिडोन का संयोजन है, जिसका उपयोग एसिड रिफ्लक्स, गैस्ट्रिटिस और अल्सर के इलाज के लिए किया जाता है। यह पेट की परत की रक्षा करती है और पेट खाली होने में मदद करती है।

साइड इफेक्ट्स: आम दुष्प्रभावों में मुँह सूखना, कब्ज, दस्त, सिरदर्द और पेट में परेशानी शामिल हो सकती है। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी प्रतिक्रिया या मांसपेशियों में अकड़न हो सकती है।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। उपयोग से पहले बोतल को अच्छी तरह हिलाएं। खाली पेट लें, भोजन से 30-60 मिनट पहले। एंटासिड के साथ न लें। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें।

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

💊 sucrafil ds oral suspension Uses & Benefits

[{"condition":"Gastroesophageal reflux disease (GERD)","description":"Helps reduce acid reflux symptoms by protecting the esophageal lining and improving gastric emptying.","evidence":"Well-established"},{"condition":"Gastritis","description":"Soothes inflamed stomach lining and promotes healing.","evidence":"Well-established"},{"condition":"Peptic ulcer disease","description":"Forms a protective barrier over ulcers to aid healing and reduce pain.","evidence":"Well-established"},{"condition":"Functional dyspepsia","description":"Relieves symptoms like bloating, early satiety, and upper abdominal discomfort.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Nausea and vomiting of various causes","description":"Domperidone component may help reduce nausea, but not a primary indication.","evidence":"Limited"}]

Primary treatment for: Gastroesophageal reflux disease (GERD)

Also treats: Gastritis, Peptic ulcer disease, Functional dyspepsia

📋 Drug Information

Generic Name(s)Sucralfate (500mg/5ml) + Domperidone (5mg/5ml)
Brand Namesucrafil ds oral suspension
ManufacturerFourrts India Laboratories Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGASTRO INTESTINAL
Action Class
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
Take this medicine on an empty stomach, at least 30 minutes before meals, for best results.
2
Shake the bottle well before each dose to ensure uniform mixing.
3
Avoid taking antacids within 2 hours of this medicine, as they can reduce its effectiveness.
4
Do not exceed the recommended dose of domperidone (30 mg/day) to avoid heart rhythm problems.
5
If you have kidney or liver disease, inform your doctor before starting this medicine.
6
Report any signs of allergic reaction, such as rash or swelling, immediately.

🔍 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
✅
Bloating
Domperidone helps improve gastric emptying.
Likely Use
❌
Fever
This medicine is not a 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. Domperidone is rapidly absorbed after oral administration, with bioavailability around 15% due to first-pass metabolism.
DistributionSucralfate is not significantly distributed systemically; it acts locally in the gut. Domperidone is widely distributed in tissues but does not readily cross the blood-brain barrier. It is highly protein-bound.
Protein BindingSucralfate: Not applicable (minimal systemic absorption). Domperidone: Approximately 91-93% bound to plasma proteins.
MetabolismSucralfate is not metabolized systemically. Domperidone undergoes extensive hepatic metabolism via CYP3A4 and CYP1A2, as well as intestinal wall metabolism.
Half-LifeSucralfate: Not applicable. Domperidone: Approximately 7-9 hours in healthy individuals.
ExcretionSucralfate is excreted primarily in feces. Domperidone is excreted in urine and feces, with about 30% unchanged in urine.
BioavailabilitySucralfate: Low (3-5%). Domperidone: About 15% due to first-pass metabolism.
Onset of ActionSucralfate: Local protective effect begins within 30 minutes to 1 hour. Domperidone: Prokinetic effects start within 30-60 minutes.
Peak Plasma TimeDomperidone: 1-2 hours after oral administration. Sucralfate: Not applicable.
Duration of ActionSucralfate: Protective barrier lasts up to 6 hours. Domperidone: Symptomatic relief lasts 4-6 hours.

How It Works

Sucralfate works by forming a complex with proteins in the ulcer base, creating a protective barrier that shields the damaged tissue from acid, pepsin, and bile. It also inhibits pepsin activity and binds bile acids. Domperidone is a peripheral dopamine D2 receptor antagonist that enhances gastric motility and accelerates gastric emptying without crossing the blood-brain barrier significantly, thus reducing nausea and vomiting.

Mechanism Steps

1
Sucralfate barrier formation: Sucralfate polymerizes in the acidic environment of the stomach to form a viscous paste that adheres to ulcerated mucosa, creating a physical barrier against acid and pepsin.
2
Pepsin inhibition: Sucralfate binds to pepsin, reducing its proteolytic activity and further protecting the mucosa.
3
Bile acid binding: Sucralfate also binds bile acids, which can be irritating to the stomach and esophagus.
4
Domperidone D2 antagonism: Domperidone blocks dopamine D2 receptors in the chemoreceptor trigger zone and gastrointestinal tract, enhancing peristalsis and reducing nausea.
5
Improved gastric emptying: By antagonizing D2 receptors, domperidone promotes coordinated contractions of the stomach and duodenum, speeding up gastric emptying and reducing reflux.

💡 How to Take sucrafil ds oral suspension

Strength: Each 5 mL of oral suspension contains sucralfate 500 mg and domperidone 5 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, 30-60 minutes before meals.
4Swallow the suspension directly; do not mix with liquids unless advised.
5Follow the dosing schedule as prescribed by your doctor.

Dosage Information

Adult DosageThe usual adult dose is 10 mL of the suspension (containing sucralfate 500 mg and domperidone 5 mg per 5 mL) taken three to four times daily, preferably on an empty stomach, 30 minutes to 1 hour before meals and at bedtime. However, the exact dose and duration must be individualized by a qualified clinician based on the indication, severity of symptoms, age, weight, renal and hepatic function, and response to treatment.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the side effects of domperidone, especially cardiac effects. Use with caution and adjust dose as needed under medical supervision.
Renal ImpairmentSucralfate may accumulate in renal impairment. Use with caution and monitor renal function. Dose adjustment may be necessary.
Hepatic ImpairmentDomperidone is metabolized in the liver; use with caution in hepatic impairment. Dose adjustment may be required.
Maximum Daily DoseThe maximum recommended daily dose of domperidone is 30 mg (which corresponds to 30 mL of this suspension per day). Do not exceed this dose without medical advice.

Dosage Timeline

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

🍽️ Food Timing Guide

Meals
Take 30-60 minutes before meals
Sucralfate works best on an empty stomach to form a protective barrier.
Alcohol
Avoid
May worsen stomach irritation and reduce efficacy.

⏰ 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 sucrafil ds oral suspension

✅ Common Side Effects

Dry mouth (Common (1-10%))
Sip water or chew sugarless gum. Consult doctor if persistent.
Constipation (Common (1-10%))
Increase fiber and fluid intake. Consult doctor if severe.
Diarrhea (Common (1-10%))
Stay hydrated. Consult doctor if it persists.
Headache (Common (1-10%))
Rest and hydrate. Consult doctor if severe.
Abdominal pain (Common (1-10%))
Take with food. Consult doctor if severe.

🚨 Serious Side Effects

Allergic reaction (rash, itching, swelling, difficulty breathing) (Rare (<0.1%))
Seek immediate medical attention.
Extrapyramidal symptoms (tremors, muscle stiffness) (Very rare (<0.01%))
Discontinue and consult doctor immediately.
Prolactin elevation (breast tenderness, galactorrhea) (Uncommon (0.1-1%))
Consult doctor if symptoms occur.

⚠️ Rare Side Effects

Neuroleptic malignant syndrome
Seek emergency care.
QT prolongation and arrhythmias
Seek immediate medical attention if palpitations or fainting occur.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Ketoconazole Major
Clarithromycin Major
Amiodarone Major
Antacids Moderate
Warfarin Moderate
Digoxin Minor

🚨 Major Interactions

  • Ketoconazole, itraconazole, clarithromycin, ritonavir
  • QT-prolonging drugs (e.g., amiodarone, sotalol)

⚡ Moderate Interactions

  • Antacids
  • Warfarin

🍷 Alcohol Interaction

Alcohol may increase stomach irritation and worsen the condition being treated. 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 domperidone","Gastrointestinal obstruction, perforation, or bleeding","Prolactin-releasing pituitary tumor (prolactinoma)","Severe renal impairment (for sucralfate)","Concomitant use with strong CYP3A4 inhibitors or QT-prolonging drugs"]

⚠️ Warnings & Precautions

["Use with caution in elderly patients due to increased risk of side effects.","Avoid in patients with pre-existing QT prolongation or cardiac disease.","Sucralfate may reduce absorption of other drugs; separate administration by 2 hours.","Domperidone should be used at the lowest effective dose for the shortest duration.","Monitor renal function in patients with kidney disease."]

🤱 Lactation Safety

Domperidone may pass into breast milk. Sucralfate is minimally absorbed. Consult your doctor before breastfeeding.

💊 Overdose Management

Overdose may cause drowsiness, extrapyramidal symptoms, and QT prolongation. Seek immediate medical attention. Treatment is supportive and symptomatic. Activated charcoal may be considered if within 1 hour of ingestion.

⏰ 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 the 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 suspension is mixed properly. Measure the dose with the provided measuring cup or spoon, not with a regular household spoon. Avoid taking this medicine within two hours of antacids or other medications, as sucralfate can reduce their absorption. Do not use this medicine for longer than recommended without medical supervision. Inform your doctor if you have kidney or liver disease, heart problems, or if you are pregnant or breastfeeding. Avoid alcohol while taking this medicine as it may worsen stomach irritation. Keep out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more prone to side effects like cardiac arrhythmias and extrapyramidal symptoms. Use with caution and monitor closely.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor. The safety of this combination in pregnancy is not well established. Alternative treatments may be considered.

🏥 Post-Surgery Considerations

Consult your doctor before using this medicine after surgery, especially if you have had gastrointestinal surgery.

🦷 Dental Procedures

No specific precautions. Inform your dentist about all medicines you are taking.

💚 Lifestyle Tips for Better Results

🏃
Eat smaller, more frequent meals to reduce reflux.
🥗
Avoid lying down immediately after eating.
😴
Elevate the head of your bed to prevent nighttime reflux.
💧
Maintain a healthy weight to reduce abdominal pressure.
🧘
Avoid trigger foods like spicy, fatty, or acidic items.
🌞
Quit smoking and limit alcohol consumption.

🏋️ Exercise Considerations

Avoid vigorous exercise immediately after meals, as it may worsen reflux. Light activities like walking are beneficial.

🥗 Diet Recommendations

Include high-fiber foods like fruits and vegetables.
Avoid spicy, greasy, and acidic foods.
Stay well hydrated with water.
Limit caffeine and carbonated drinks.

💼 Impact on Daily Work & Life

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

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. If you experience severe side effects or your symptoms resolve, your doctor may advise tapering or stopping.

📅 Long-Term Use Effects

Long-term use of this medicine should be under medical supervision. Prolonged use of domperidone may increase the risk of cardiac side effects and hyperprolactinemia. Sucralfate may cause aluminum accumulation in patients with renal impairment. Regular monitoring is advised.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Dietary modifications

Avoiding trigger foods can reduce symptoms.

Evidence: Well-established
Weight loss

Reduces abdominal pressure and reflux.

Evidence: Well-established
Stress management

Stress can worsen digestive symptoms.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with vaccines. Continue routine vaccinations as advised by your doctor.

📦 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 traveling across time zones, adjust dosing times gradually to maintain consistent intervals. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 40-year-old man with chronic acid reflux
He was prescribed this medicine for GERD. After taking it regularly before meals for two weeks, his heartburn and regurgitation significantly reduced. He also noticed less bloating after meals.
💡 Lesson: Taking the medicine consistently before meals and avoiding trigger foods greatly improves symptom control.
👤 A 55-year-old woman with gastritis
She experienced stomach pain and nausea. Her doctor prescribed this suspension. Within a few days, her pain decreased, and she felt more comfortable. She was advised to avoid spicy foods and alcohol.
💡 Lesson: Combining medication with dietary changes leads to better outcomes in gastritis.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start feeling relief within 30-60 minutes, but full effects may take a few days of regular use.

Q: Can I take it with other medicines?

A: Some medicines may interact. Always inform your doctor about all medicines you are taking.

Q: Is it safe during pregnancy?

A: Consult your doctor. The safety profile in pregnancy is not well established.

🤔 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 sucrafil ds oral 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 antacids.
    Fact: Antacids can reduce the effectiveness of sucralfate. Separate doses by at least 2 hours.
  • Myth: It is safe to take this medicine for long periods without supervision.
    Fact: Long-term use should be monitored by a doctor due to potential side effects.

🔄 Alternative Options

Generic Alternatives

  • Sucralfate + Domperidone oral suspension

📊 Comparison with Similar Medicines

[{"medicine":"Sucralfate + Domperidone","composition":"Sucralfate 500mg/5ml + Domperidone 5mg/5ml","uses":"GERD, gastritis, ulcers","notes":"Combines mucosal protection and prokinetic action."},{"medicine":"Omeprazole + Domperidone","composition":"Omeprazole 20mg + Domperidone 10mg","uses":"GERD, gastritis","notes":"Acid suppression plus prokinetic."}]

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