Gastalfet 500 - Tablet Sucralfate - 500mg 10 Tablet(s) / Strip Beximco Pharmaceuticals Ltd. Introduction: Gastalfet 500 is a prescription medicine used in the treatment of ulcers in the stomach and intestine. It forms a coating over ulcers and creates a physical barrier thereby promotes healing of ulcer. Gastalfet 500 is taken one hour before meals preferably at bedtime in a dose and duration as advised by the doctor. You should keep taking this medicine for as long as your doctor recommends. If you stop treatment too early your symptoms may come back and your condition may worsen. Let your doctor know about all other medications you are taking as some may affect, or be... Uses of Gastalfet 500: Intestinal ulcersStomach ulcers Side effects of Gastalfet 500: Constipation How to use Gastalfet 500: Take this medicine in the dose and duration as advised by your doctor. Check the label for directions before use. Measure it with a measuring cup and take it by mouth. Shake well before use. Gastalfet 500 is to be taken empty stomach. How Gastalfet 500 works: Gastalfet 500 forms a coating over the ulcer or any other raw surface. This creates a physical barrier that protects the ulcer/raw surface from the gastric acid or any other injury, allowing it to heal. What if you forget to take Gastalfet 500?: If you miss a dose of Gastalfet 500, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose. Indication: Peptic ulcer, Chronic gastritis, GI haemorrhage from stress ulceration Administration: Should be taken on an empty stomach. Take on an empty stomach 1 hr before or 2 hr after meals. Adult Dose: Oral Chronic gastritis; Peptic ulcer Adult: 1 g 4 times daily or 2 g bid for 4-8 wk, may extend up to 12 wk if necessary. Maintenance dose of 1 g bid may be given to prevent the recurrence of duodenal ulcers. Max: 8 g daily. Prophylaxis of gastrointestinal haemorrhage from stress ulceration Adult: 1 g 6 times daily. Not to exceed 8 g daily. Child Dose: Oral Chronic gastritis; Peptic ulcer Child: 1 mth-2 yr: 250 mg 4-6 times daily; 2-12 yr: 500 mg 4-6 times daily and 12-18 yr: 1 g 4-6 times daily. Prophylaxis of gastrointestinal haemorrhage from stress ulceration Child: 1 mth-2 yr: 250 mg 4-6 times daily; 2-12 yr: 500 mg 4-6 times daily and 12-18 yr: 1 g 4-6 times daily. Renal Dose: Renal failure: Use with caution; aluminum salt may accumulate Contraindication: Hypersensitivity. Mode of Action: Sucralfate protects GI lining against peptic acid, pepsin and bile salts by binding with positively-charged proteins in exudates forming a viscous paste-like adhesive substance thus forming a protective coating. Precaution: Systemic aluminum toxicity may occur in patients with chronic renal failure. Neonates, children; pregnancy and lactation. Lactation: Probably safe because drug is minimally absorbed; unknown whether drug is excreted in breast milk Side Effect: 1-10% Constipation (2%) <1% Diarrhea,Dizziness,Dry mouth,Flatulence,Headache,Indigestion,Insomnia,Nausea,Vertigo,Vomiting Frequency Not Defined Bezoars formation,Gastrointestinal discomfort Interaction: Avoid antacids within 30 min of sucralfate admin. May reduce absorption of tetracyclines, ranitidine, ketoconazole, theophylline, phenytoin, cimetidine and digoxin (ensure a dosing interval of at least 2 hr between admin of sucralfate and other non-antacid medications).