Aralfate Suspension: Complete Medicine Guide
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
- Severe abdominal pain or cramping
- Difficulty breathing or swelling of the face, lips, or throat
- Confusion, seizures, or severe drowsiness (possible aluminum toxicity)
- Persistent vomiting or inability to keep fluids down
- Signs of dehydration such as decreased urine output, dry mouth, and dizziness
If experiencing severe symptoms, call emergency services immediately.
What is sur suspension used for?
This medicine is a sucralfate oral suspension used to treat and prevent duodenal ulcers, gastric ulcers, and gastroesophageal reflux disease. It works by forming a protective barrier over damaged stomach and intestinal lining, blocking acid and pepsin from causing further irritation. It is taken on an empty stomach, usually four times a day.
- Generic Name: Sucralfate (1000mg/10ml)
- Manufacturer: Chemo Healthcare Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 sur suspension के बारे में (Hindi Summary)
उपयोग: यह दवा सुक्राल्फेट सस्पेंशन है, जिसका उपयोग पेट और छोटी आंत के अल्सर, गैस्ट्रोएसोफेजियल रिफ्लक्स डिजीज (जीईआरडी), और पेट की परत की सूजन के इलाज में किया जाता है। यह दवा पेट में एक सुरक्षात्मक परत बनाती है जो एसिड और पित्त को घाव तक पहुंचने से रोकती है, जिससे घाव जल्दी भरता है। इसे खाली पेट, आमतौर पर दिन में चार बार लिया जाता है। यह दवा तुरंत जलन या एसिडिटी से राहत नहीं देती, बल्कि धीरे-धीरे घाव को भरने में मदद करती है। किडनी की गंभीर बीमारी वाले मरीजों को यह दवा नहीं लेनी चाहिए क्योंकि इसमें एल्युमिनियम होता है।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में कब्ज, मुंह सूखना, हल्की मतली, पेट में असहजता और दस्त शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ दिनों में ठीक हो जाते हैं। कभी-कभी पेट में सख्त गांठ (बीजोर) बन सकती है, खासकर उन लोगों में जिनका पेट खाली होने में देरी होती है। किडनी की बीमारी वाले मरीजों में एल्युमिनियम जमा हो सकता है, जिससे भ्रम, हड्डियों में दर्द या कमजोरी हो सकती है। अगर आपको काले दस्त, खून की उल्टी, या गंभीर पेट दर्द हो, तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें, आमतौर पर खाली पेट, खाने से कम से कम एक घंटा पहले और रात को सोने से पहले। हर बार लेने से पहले बोतल को अच्छी तरह हिलाएं। अन्य दवाओं के साथ इस दवा को लेने से कम से कम दो घंटे का अंतर रखें, क्योंकि यह कई दवाओं के अवशोषण को कम कर सकती है। एंटासिड को इस दवा से 30 मिनट पहले या बाद में न लें। अगर आपको किडनी की समस्या है तो डॉक्टर को बताएं। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें।
💊 sur suspension Uses & Benefits
[{"condition":"Active duodenal ulcer","description":"This medicine is used to heal duodenal ulcers by forming a protective coating over the ulcer base, allowing natural healing to occur.","evidence":"Well-established"},{"condition":"Gastroesophageal reflux disease (GERD)","description":"It helps reduce symptoms of acid reflux by protecting the esophageal lining from acid and pepsin damage.","evidence":"Moderate"},{"condition":"Stress ulcer prophylaxis","description":"In critically ill patients, this medicine may be used to prevent stress-related mucosal bleeding.","evidence":"Moderate"},{"condition":"Gastric ulcer","description":"It can be used as part of therapy to treat benign gastric ulcers, though other acid-suppressing drugs are often preferred.","evidence":"Moderate"},{"condition":"Oral and esophageal mucositis","description":"Sometimes used off-label to soothe mouth and throat sores caused by chemotherapy or radiation.","evidence":"Limited"}]
Off-label uses: [{"condition":"Bile reflux gastritis","description":"This medicine may bind bile salts and protect the stomach lining in people with bile reflux.","evidence":"Limited"},{"condition":"Prevention of NSAID-induced ulcers","description":"It may be used in some patients who cannot take acid-suppressing drugs, but evidence is not strong.","evidence":"Limited"},{"condition":"Radiation proctitis","description":"Sucralfate enemas have been used to treat rectal bleeding and discomfort after pelvic radiation.","evidence":"Limited"}]
Primary treatment for: Duodenal ulcer
Also treats: Gastroesophageal reflux disease (GERD), Gastric ulcer, Stress ulcer prophylaxis
📋 Drug Information
| Generic Name(s) | Sucralfate (1000mg/10ml) |
| Brand Name | sur suspension |
| Manufacturer | Chemo Healthcare Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GASTRO INTESTINAL |
| Action Class | Anti-Ulcerants |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from freezing and direct sunlight. Keep the bottle tightly closed. |
| Shelf Life | 24 months from the date of manufacture, unless otherwise stated on the label. |
| 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
Sucralfate is a complex of aluminum hydroxide and sulfated sucrose. In the acidic environment of the stomach, it polymerizes into a sticky, paste-like substance that selectively binds to damaged mucosa and ulcer craters. This creates a physical barrier that blocks acid, pepsin, and bile salts from reaching the raw tissue. It also inhibits pepsin activity and stimulates local production of mucus, bicarbonate, and prostaglandins, which further protect the lining. Unlike acid-suppressing drugs, sucralfate does not significantly reduce stomach acid output; instead, it protects the tissue that acid can damage.
Mechanism Steps
💡 How to Take sur suspension
Strength: Sucralfate oral suspension, 1000 mg per 10 mL (1 g/10 mL).
Dosage Information
| Adult Dosage | The usual adult dose for active duodenal ulcer is 1 gram (10 mL of this 1000mg/10ml suspension) four times daily, taken on an empty stomach and at bedtime. For maintenance therapy, the dose is often 1 gram twice daily. For GERD, doses may range from 1 gram two to four times daily. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the prescribed dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the constipating effects and to aluminum accumulation if kidney function is reduced. Dose should be individualized by a clinician, and kidney function should be checked before and during therapy. |
| Renal Impairment | Use with caution in patients with renal impairment. In severe kidney disease or dialysis, sucralfate is generally not recommended due to the risk of aluminum toxicity. If used, dose reduction and close monitoring of aluminum levels are advised. Consult a nephrologist. |
| Hepatic Impairment | No specific dose adjustment is required for hepatic impairment, as sucralfate is not significantly metabolized by the liver. |
| Maximum Daily Dose | The maximum recommended daily dose is 8 grams (80 mL of this suspension) in divided doses, but this should not be exceeded without medical supervision. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of sur 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 | Major | |
| Antacids | Moderate | |
| Ketoconazole | Moderate | |
| Phenytoin | Moderate | |
| Warfarin | Minor | |
| Iron supplements | Minor |
🚨 Major Interactions
- Fluoroquinolone antibiotics (e.g., ciprofloxacin, levofloxacin)
- Tetracycline antibiotics
- Levothyroxine
- Digoxin
⚡ Moderate Interactions
- Antacids
- Ketoconazole
- Phenytoin
🍷 Alcohol Interaction
Alcohol can irritate the stomach lining and worsen ulcers or reflux. It is best to avoid alcohol while taking this medicine, as it may reduce the healing effect and increase the risk of stomach bleeding.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to sucralfate or any component of the formulation","Severe renal impairment or dialysis (risk of aluminum accumulation)","Complete gastrointestinal obstruction","Use in premature infants (due to aluminum content)"]
⚠️ Warnings & Precautions
["Use with caution in patients with chronic kidney disease; aluminum can accumulate.","Avoid use in patients with delayed gastric emptying or those at risk of bezoar.","Separate from other oral medications by at least 2 hours to avoid absorption interference.","Do not use for immediate relief of heartburn; it is not a rapid antacid.","Long-term use may lead to low phosphate levels; monitor if prolonged therapy.","Safety and effectiveness in children under 14 years have not been established for all indications."]
🤱 Lactation Safety
It is not known whether sucralfate passes into breast milk in significant amounts. Because systemic absorption is very low, it is unlikely to affect a breastfed infant. However, consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose with sucralfate is unlikely to cause serious toxicity because systemic absorption is minimal. However, large amounts may cause constipation, abdominal discomfort, or bezoar formation. In case of suspected overdose, contact a poison control center or seek medical attention. Treatment is supportive and symptomatic. In patients with kidney disease, aluminum toxicity may occur and may require chelation therapy.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember if it is less than half the time until your next dose. 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, usually on an empty stomach, at least one hour before meals and at bedtime. Do not crush, chew, or dilute the suspension unless your doctor or pharmacist tells you to. Shake the bottle well before each dose to ensure the medicine is evenly mixed. Separate this medicine from other oral drugs by at least two hours, because it can reduce the absorption of many medications, including antibiotics, thyroid medicines, and digoxin. Avoid taking antacids within 30 minutes before or after this medicine, as they can interfere with its protective barrier. If you have kidney problems, tell your doctor before starting this medicine, because aluminum can build up in your body. Do not start or stop any new medicine without checking with your pharmacist. Keep all follow-up appointments so your doctor can monitor your response and check for side effects. If you are pregnant, planning pregnancy, or breastfeeding, discuss the risks and benefits with your clinician before using this medicine.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more likely to have reduced kidney function, which increases the risk of aluminum accumulation from this medicine. They may also be more sensitive to constipation. Kidney function should be assessed before and during therapy, and the dose should be individualized by a clinician.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, discuss this medicine with your doctor. Available data do not show a clear increase in birth defects, but the evidence is limited. Your doctor may consider alternative treatments if needed.
🏥 Post-Surgery Considerations
After surgery, this medicine may be used to prevent stress ulcers, especially in critically ill patients. It should be administered under medical supervision. If you are recovering from surgery and have difficulty swallowing, inform your doctor, as the suspension may need to be given through a feeding tube.
🦷 Dental Procedures
This medicine does not typically interfere with dental procedures. However, if you are scheduled for dental work, inform your dentist about all medicines you are taking. No specific precautions are required.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Moderate exercise is generally safe while taking this medicine. However, if you experience dizziness, weakness, or abdominal pain, avoid strenuous activities and consult your doctor. Stay hydrated during exercise.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine is unlikely to affect your ability to drive or operate machinery. However, if you experience dizziness or confusion (a sign of aluminum toxicity in kidney patients), avoid these activities and seek medical advice. The dosing schedule may require planning around meals, but it generally does not interfere with daily work.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience severe side effects such as allergic reactions, signs of aluminum toxicity, or persistent constipation, contact your doctor immediately. The duration of therapy depends on the condition being treated and should be determined by your clinician.
📅 Long-Term Use Effects
Long-term use of this medicine is generally safe for people with normal kidney function, but it may cause constipation and, rarely, low phosphate levels. In patients with kidney disease, prolonged use can lead to aluminum accumulation, which may cause bone pain, anemia, or neurological symptoms. Periodic monitoring of kidney function and phosphate levels is advised for long-term therapy. Do not continue beyond the prescribed duration without medical review.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Drugs like omeprazole reduce stomach acid production and are often used for ulcers and GERD.
Evidence: Well-establishedDrugs like ranitidine or famotidine reduce acid secretion and can be alternatives.
Evidence: Well-establishedAvoiding trigger foods, reducing stress, and quitting smoking can complement medical therapy.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. You can receive routine vaccinations while taking this medicine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate or freeze
✅ DO
Keep in original container with cap tightly closed
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight and heat
❌ DON'T
Do not store in bathroom cabinet
✅ DO
Shake well before each use
❌ DON'T
Do not use if the suspension has changed color or consistency
✈️ Traveling with This Medicine
When traveling, 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 for international travel. Keep the bottle in a cool, dry place away from direct sunlight. If crossing time zones, maintain the same dosing intervals as closely as possible; consult your doctor for specific advice. Do not pack it in checked luggage if you need it during the flight. Check customs regulations for carrying liquid medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: The protective barrier forms within minutes, but symptom relief may take several days. Ulcer healing typically occurs over 4 to 8 weeks.
A: No, it should be taken on an empty stomach, at least 1 hour before meals or 2 hours after meals, to work effectively.
A: If you remember within half the time until your next dose, take it. Otherwise, skip it and continue your regular schedule. Do not double dose.
A: It contains aluminum and should be used with caution in kidney disease. Inform your doctor if you have kidney problems.
A: Avoid taking antacids within 30 minutes before or after this medicine, as they can reduce its effectiveness.
🤔 Common Patient Concerns
🔄 Substitutes for sur suspension
View AllAlternative brands with exact same active ingredient:
-
fate syrupWinmac Laboratories Ltd ₹60.94 1.5% CHEAPER
-
enlacid 1000mg suspensionNilkanth Lifescience Pvt Ltd ₹65.00 5% COSTLIER
-
sucraz suspensionGenetic Pharma ₹65.63 6.1% COSTLIER
-
Sucrec SuspensionReco Drugs ₹70.00 13.1% COSTLIER
-
sucralto syrupTotal Healthcare ₹70.31 13.6% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Sucralfate works like an antacid and gives instant heartburn relief.
Fact: Sucralfate is not an antacid. It forms a protective barrier but does not neutralize acid quickly, so it does not provide immediate relief. - Myth: You can take sucralfate with any other medicine at the same time.
Fact: Sucralfate can bind to many medicines and reduce their absorption. Always separate it by at least 2 hours from other oral drugs. - Myth: Sucralfate is safe for everyone, including kidney patients.
Fact: Sucralfate contains aluminum and should be avoided in severe kidney disease because aluminum can accumulate and cause toxicity.
🔄 Alternative Options
Generic Alternatives
- Sucralfate oral suspension 1 g/10 mL (various manufacturers)
Brand Alternatives
- Aralfate suspension