BSOX Gel: Complete Medicine Guide for Ulcers and Gastritis
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
- Difficulty breathing or swelling of face, lips, or throat
- Bluish discoloration of lips or skin (methemoglobinemia)
- Yellowing of eyes or skin (jaundice)
- Decreased urine output or swelling in legs (kidney issues)
- Persistent vomiting or inability to keep fluids down
If experiencing severe symptoms, call emergency services immediately.
What is Sucramax OT Suspension used for?
This medicine is a combination of sucralfate and oxetacaine used to treat peptic ulcers, gastritis, and GERD. It works by forming a protective barrier over the stomach lining and numbing pain.
- Generic Name: Sucralfate (1gm) + Oxetacaine (20mg)
- Manufacturer: Hamax Pharmaceuticals
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 Sucramax OT Suspension के बारे में (Hindi Summary)
उपयोग: यह दवा सुक्राल्फेट और ऑक्सेटाकेन का संयोजन है, जिसका उपयोग पेट के अल्सर, गैस्ट्रिटिस, और एसिड रिफ्लक्स के इलाज के लिए किया जाता है। यह पेट की परत पर एक सुरक्षात्मक परत बनाती है और दर्द को कम करती है।
साइड इफेक्ट्स: आम दुष्प्रभावों में कब्ज, मुँह सूखना, जी मिचलाना और चक्कर आना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन एलर्जी, सांस लेने में कठिनाई, या गंभीर पेट दर्द हो सकता है। किसी भी असामान्य लक्षण पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। खुराक से अधिक न लें। इसे भोजन से एक घंटा पहले या दो घंटे बाद लें। अन्य दवाओं के साथ लेने से पहले डॉक्टर से सलाह लें। गुर्दे की बीमारी, गर्भावस्था या स्तनपान के दौरान डॉक्टर से परामर्श करें।
💊 Sucramax OT Suspension Uses & Benefits
[{"condition":"Peptic ulcer disease","description":"Helps heal gastric and duodenal ulcers by forming a protective barrier and reducing pain.","evidence":"Well-established"},{"condition":"Gastritis","description":"Provides symptomatic relief from inflammation of the stomach lining.","evidence":"Well-established"},{"condition":"Gastroesophageal reflux disease (GERD)","description":"Reduces heartburn and acid regurgitation by protecting the esophageal mucosa.","evidence":"Moderate"},{"condition":"Non-ulcer dyspepsia","description":"Relieves upper abdominal discomfort and burning.","evidence":"Limited"}]
Off-label uses: [{"condition":"Radiation-induced esophagitis","description":"Sometimes used to soothe esophageal irritation from radiation therapy.","evidence":"Limited"},{"condition":"Mucositis from chemotherapy","description":"May be used off-label for oral and gastrointestinal mucositis.","evidence":"Limited"}]
Primary treatment for: Peptic ulcer disease
Also treats: Gastritis, Gastroesophageal reflux disease, Non-ulcer dyspepsia
📋 Drug Information
| Generic Name(s) | Sucralfate (1gm) + Oxetacaine (20mg) |
| Brand Name | Sucramax OT Suspension |
| Manufacturer | Hamax Pharmaceuticals |
| Packaging / Form | bottle of 100 ml Suspension (Allopathy) |
| Therapeutic Class | |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a cool, dry place. Protect from direct sunlight and moisture. |
| Shelf Life | 24 months from the date of manufacture. |
| 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 combines two active ingredients with complementary actions. Sucralfate is a complex of aluminum hydroxide and sulfated sucrose. In the acidic environment of the stomach, it polymerizes into a viscous paste that selectively binds to damaged mucosa, forming a physical barrier against acid, pepsin, and bile salts. It also inhibits pepsin activity and may stimulate local prostaglandin synthesis, enhancing mucosal defense. Oxetacaine is a local anesthetic that blocks sodium channels in nerve endings, providing rapid pain relief from the ulcerated or inflamed surface.
Mechanism Steps
💡 How to Take Sucramax OT Suspension
Strength: Oral gel containing sucralfate 1 gm and oxetacaine 20 mg per 10 mL.
Dosage Information
| Adult Dosage | The usual adult dose is 10 mL (containing 1 gm sucralfate and 20 mg oxetacaine) taken orally four times a day, preferably one hour before meals and at bedtime, or as directed by your doctor. The dose may be adjusted based on the severity of the condition and response to treatment. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of this medicine. Use with caution, especially in those with renal impairment. Dose adjustment may be necessary as per clinical judgment. |
| Renal Impairment | Use with caution in patients with renal impairment. Sucralfate may accumulate and cause aluminum toxicity. Dose reduction or alternative therapy may be considered. Consult a nephrologist. |
| Hepatic Impairment | No specific dose adjustment is established for hepatic impairment. Use with caution and monitor liver function if prolonged use is required. |
| Maximum Daily Dose | The maximum recommended daily dose is 40 mL (4 gm sucralfate and 80 mg oxetacaine) in divided doses, but this may vary based on clinical judgment. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of Sucramax OT Suspension
✅ 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 | Moderate | |
| Warfarin | Moderate | |
| Ketoconazole | Moderate | |
| Antacids | Minor | |
| Phenytoin | Minor |
🚨 Major Interactions
- Fluoroquinolone antibiotics (e.g., ciprofloxacin, levofloxacin)
- Tetracycline antibiotics
- Levothyroxine
⚡ Moderate Interactions
- Digoxin
- Warfarin
- Ketoconazole
🍷 Alcohol Interaction
Alcohol can irritate the stomach lining 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 or dialysis","Suspected gastrointestinal obstruction or perforation"]
⚠️ Warnings & Precautions
["Use with caution in patients with kidney disease due to risk of aluminum accumulation.","May interfere with absorption of many drugs; separate administration times.","Avoid use in patients with known intolerance to aluminum salts.","Do not use for prolonged periods without medical supervision.","Oxetacaine may rarely cause methemoglobinemia; monitor for symptoms."]
🤱 Lactation Safety
It is not known whether sucralfate or oxetacaine pass into breast milk. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose is unlikely to cause serious effects due to limited systemic absorption. However, if large amounts are ingested, seek medical attention. Treatment is symptomatic and supportive. In case of aluminum toxicity, chelation therapy may be considered.
⏰ 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 to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration of treatment. Shake the gel well before use if it is a suspension. Take it at least one hour before or two hours after meals and other medicines, as sucralfate can interfere with the absorption of many drugs. Avoid taking antacids within two hours of this medicine. Inform your doctor if you have kidney problems, diabetes, or are pregnant or breastfeeding. Do not drive or operate heavy machinery if you feel dizzy. Keep out of reach of children. Store in a cool, dry place away from direct sunlight.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more susceptible to side effects like constipation and dizziness. Renal function should be monitored, and dose adjustment may be necessary.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before using this medicine. The safety of this combination during pregnancy is not well established.
🏥 Post-Surgery Considerations
This medicine may be used after surgery to protect the stomach lining, especially if you are on other medications that can cause ulcers. Follow your surgeon's instructions.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine. It is generally safe for dental procedures, but your dentist may need to know about your medication history.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Moderate exercise is generally safe, but avoid strenuous activities that increase intra-abdominal pressure, which can worsen acid reflux. Listen to your body and rest if you feel discomfort.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It should not significantly impact your daily work if taken as prescribed.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. If you experience severe side effects or your symptoms worsen, contact your doctor immediately. The duration of treatment depends on your condition and response.
📅 Long-Term Use Effects
Long-term use of sucralfate may lead to aluminum accumulation, especially in patients with kidney disease. Regular monitoring of renal function is advised. Oxetacaine is generally safe for short-term use. Prolonged use should be under medical supervision.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Reduce stomach acid production and promote healing.
Evidence: Well-establishedReduce acid secretion and provide symptom relief.
Evidence: Well-establishedDiet changes, stress reduction, and weight management can complement medical therapy.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions reported. 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 it in a cool, dry place away from direct sunlight. If traveling across time zones, adjust dosing times gradually as advised by your doctor. Keep it in your carry-on luggage to avoid temperature extremes. Check customs regulations for carrying prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Oxetacaine provides pain relief within minutes, while sucralfate starts protecting the stomach lining immediately. Full healing may take several weeks.
A: It can interact with many drugs. Always separate this medicine from other medications by at least 2 hours and consult your doctor.
A: Consult your doctor before using this medicine during pregnancy or breastfeeding.
🤔 Common Patient Concerns
🔄 Substitutes for Sucramax OT Suspension
View AllAlternative brands with exact same active ingredient:
-
solafate oral suspensionSantiago Lifesciences Pvt Ltd ₹71.25 1.5% COSTLIER
-
sucan o syrupAlna Biotech Pvt Ltd ₹72.19 2.8% COSTLIER
-
craft-o 1gm/20mg syrupQuest Pharmaceuticals ₹78.00 11.1% COSTLIER
-
genocid-os oral suspensionElkos Healthcare Pvt Ltd ₹88.00 25.4% COSTLIER
-
precool-os suspensionMetamorf Lifesciences ₹95.00 35.3% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be taken with any other medicine without spacing.
Fact: Sucralfate can interfere with absorption of many drugs; separate by at least 2 hours. - Myth: This medicine is safe for long-term use without monitoring.
Fact: Prolonged use may lead to aluminum accumulation, especially in kidney disease.
🔄 Alternative Options
Generic Alternatives
- Sucralfate + Oxetacaine oral gel (generic)
Brand Alternatives
- BSOX Gel