Macralfate-O Sugar Free Suspension 200 ml

Macralfate-O Sugar Free Suspension 200 ml belongs to a group of medicine called 'ulcer protectants' primarily used to treat peptic ulcers or gastrointestinal ulcers. It also treats hyperacidity, heartburn, indigestion, and gastritis (inflammation of the stomach). The stomach is usually protected from acid by a mucous layer. In some cases, due to excess acid production, the mucous layer gets eroded, which leads to complications like acidity and heartburn. A peptic ulcer is a sore on the stomach's lining or the first part of the small intestine (duodenum). Ulcers or sores of the stomach region are called gastric ulcers, while the duodenum ulcer is known as a duodenal ulcer.

Macralfate-O Sugar Free Suspension 200 ml is a combination of two medicines: Sucralfate and Oxetacaine. Sucralfate is a gastrointestinal protectant that works by forming a protective barrier or coat over the ulcer so that digestive enzymes, acid and bile salts cannot further irritate the lining of the stomach duodenum. This protects the ulcer from the acid of the stomach, allowing it to heal. Besides this, Oxetacaine is a local anaesthetic that exerts a numbing effect, thereby providing relief from pain due to ulcers or acidic injury in the stomach.

It is better to take Macralfate-O Sugar Free Suspension 200 ml an hour before a meal or without a meal for its best results. Your doctor will advise you on how often you take Macralfate-O Sugar Free Suspension 200 ml based on your medical condition. Some people may experience common side effects like constipation, dizziness, sleepiness, dry mouth, blurred vision, and diarrhoea. Most of these side effects of Macralfate-O Sugar Free Suspension 200 ml do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

If you are known to be allergic to Macralfate-O Sugar Free Suspension 200 ml or active and inactive ingredients present on it, please tell your doctor. If you are pregnant or breastfeeding, it is advised to consult a doctor before using Macralfate-O Sugar Free Suspension 200 ml. Macralfate-O Sugar Free Suspension 200 ml should not be given to children as safety has not been established. Try not to stop taking Macralfate-O Sugar Free Suspension 200 ml of your own. Stopping a sudden intake of Macralfate-O Sugar Free Suspension 200 ml will not influence the frequency or severity of future ulceration. Avoid taking aluminium and magnesium-containing antacids with Macralfate-O Sugar Free Suspension 200 ml. Aluminium-containing antacids and Macralfate-O Sugar Free Suspension 200 ml could lead to constipation and intestinal obstruction, whereas magnesium-containing antacids might cause diarrhoea.  Avoid consuming alcohol along with Macralfate-O Sugar Free Suspension 200 ml as it could lead to increased acidity.

Macralfate-O Sugar Free Suspension 200 ml belongs to a group of anti-ulcerants used to treat acidity, heartburn, gas and stomach ulcers. Macralfate-O Sugar Free Suspension 200 ml is a combination of two medicines: Sucralfate (anti-ulcer) and Oxetacaine (Local anaesthetic). Sucralfate works by forming a protective barrier or coat over the ulcer to pepsin and bile and inhibiting gastric acid diffusion. This protects the ulcer from the acid of the stomach, allowing it to heal. It exhibits a cytoprotective effect and forms a viscous, adhesive barrier on the intact intestinal mucosa and stomach surface. It also stimulates the synthesis and release of gastric mucosal prostaglandins and bicarbonate and the epidermal growth factor that stimulates healing and formation of new healthy skin. On the other hand, Oxetacaine exerts a numbing effect, thereby provides relief from pain due to ulcers or acidic injury in the stomach. It does not lose its activity even in strongly acidic conditions and provides prolonged anaesthetic action.

• Constipation
• Dizziness
• Sleepiness
• Dry Mouth
• Nausea

You should avoid taking Macralfate-O Sugar Free Suspension 200 ml if you are allergic to Macralfate-O Sugar Free Suspension 200 ml or other ingredients present in it.  Inform your doctor before taking Macralfate-O Sugar Free Suspension 200 ml if you have a history of appendicitis, blockage of the bowel, rectal bleeding, kidney problems, low-magnesium diet, or if you have undergone recent bowel surgery. Caution is required before giving Macralfate-O Sugar Free Suspension 200 ml to elderly patients. Sucralfate in Macralfate-O Sugar Free Suspension 200 ml contains aluminium, which is normally removed by your kidney. Therefore, older adults and people who have kidney problems may be at greater risk for developing high aluminium levels while using this drug with other products that contain aluminium (e.g. antacids). Do not take Macralfate-O Sugar Free Suspension 200 ml if you are pregnant or breastfeeding unless prescribed by the doctor. The safety and effectiveness in children are not established, please consult your doctor before giving them Macralfate-O Sugar Free Suspension 200 ml. Avoid consuming alcohol along with Macralfate-O Sugar Free Suspension 200 ml as it could lead to increased acidity. 

Drug-Drug Interaction: Macralfate-O Sugar Free Suspension 200 ml interact with the antacid drug (aluminium hydroxide, magnesium hydroxide), anti-HIV drug (dolutegravir), vitamin D analogs (doxercalciferol, paricalcitol), antibiotic (ciprofloxacin, gemifloxacin, levofloxacin), antidiabetic (acarbose, metformin, glipizide, glimepiride, glyburide), blood thinner (warfarin).

Drug-Food Interaction: Drinking alcohol and nicotine (tobacco) with Macralfate-O Sugar Free Suspension 200 ml may cause dehydration and elevate the level of stomach acid thereby decreasing Macralfate-O Sugar Free Suspension 200 ml efficacy.

Drug-Disease Interaction: Before taking Macralfate-O Sugar Free Suspension 200 ml it is better to inform your doctor if you have any kidney or liver disease as a dose of Macralfate-O Sugar Free Suspension 200 ml needs to be adjusted.

• ALUMINIUM HYDROXIDE
• MAGNESIUM HYDROXIDE
• DOLUTEGRAVIR
• DOXERCALCIFEROL
• PARICALCITOL
• CIPROFLOXACIN
• GEMIFLOXACIN
• LEVOFLOXACIN
• ACARBOSE
• METFORMIN
• GLIPIZIDE
• GLIMEPIRIDE
• GLYBURIDE
• WARFARIN

• Avoid intake of acid or heartburn triggering foods or drinks like peppermint, chocolate, onions, caffeinated beverages, citrus fruits or juices, tomatoes, and high-fat and spicy foods.
• Eating five or six smaller meals throughout the day rather than three large meals. It can help reduce the production of stomach acid.
• Avoid taking alcohol and smoking cigarettes and red meat. It increases the production of stomach acid and makes symptoms worse. It can also cause erosion of the stomach lining.
• Include the high fiber-containing foods, leafy green veggies (kale, spinach), green tea in your meal. Fermented dairy products like miso, sauerkraut, and kimchi contain probiotics which help in the prevention of excess acid production.
• Cranberry juice can be beneficial in peptic ulcer and H. pylori infections.

• If your condition does not improve even after taking Macralfate-O Sugar Free Suspension 200 ml for 4-5 weeks, please consult your doctor.  Do not take Macralfate-O Sugar Free Suspension 200 ml for more than 8 weeks. 
• Sucralfate in Macralfate-O Sugar Free Suspension 200 ml contains aluminium, so if you are a kidney patient, let your doctor know about this before taking Macralfate-O Sugar Free Suspension 200 ml.

Gastrointestinal ulcer: The stomach is usually protected from acid by a mucous layer. In some cases, due to excess acid production, the mucous layer gets eroded, which leads to complications like acidity. Due to this, acid frequently flows back into the food pipe (oesophagus). This backflow (acid reflux) irritates the food pipe and causes heartburn. Symptoms include heartburn, a sour or bitter taste in the mouth, and difficulty swallowing. Indigestion is the feeling of fullness. It occurs due to slow gastric emptying. Symptoms include stomach pain, bloating, heartburn, nausea and vomiting. A peptic ulcer is a sore on the stomach's lining or the first part of the small intestine (duodenum). Ulcers or sores of the stomach region are called gastric ulcers, while the duodenum ulcer is known as a duodenal ulcer.