ZECRAL Suspension 200ml

Introduction About ZECRAL SUSPENSION

ZECRAL SUSPENSION contains Sucralfate, which belongs to the group of medicines called Anti-ulcer agents. It is used for the short-term (up to 8 weeks) management of active duodenal ulcers (part of the small intestine), prophylaxis of gastrointestinal haemorrhage due to stress ulceration in critically ill patients, gastric and benign ulcers.

ZECRAL SUSPENSION should be used with caution in patients with chronic renal failure, dialysis patients and diabetes. ZECRAL SUSPENSION should be used with caution in pregnant and breastfeeding women. The safety and effectiveness of ZECRAL SUSPENSION for use in children have not been established.

ZECRAL SUSPENSION should be used with caution in elderly patients above 65 years of age. The most common side effect of taking ZECRAL SUSPENSION is constipation. Consult your doctor if any of your symptoms get worse or persist.

Uses Of ZECRAL SUSPENSION

• Management of active duodenal ulcer, benign and gastric ulcers
• Prophylaxis management of gastrointestinal haemorrhage

How ZECRAL SUSPENSION Works

ZECRAL SUSPENSION works by forming a protective layer around the ulcer saving it from the further attack of acid, pepsin or bile. It increases growth factor production, promoting tissue growth, regeneration, thereby facilitating repair.

How to use ZECRAL SUSPENSION

Take ZECRAL SUSPENSION as advised by your physician. Shake well before each use. Take ZECRAL SUSPENSIONon an empty stomach at least 1 hour before or 2 hours after a meal for best results. Your doctor will determine the correct dose and duration for you based on your age, body weight and disease condition.

Side Effects Of ZECRAL SUSPENSION

How To Manage Side Effects

Constipation:

Consume fiber-rich foods such as fresh fruits, vegetables and cereals. Consume lots of water and exercise more regularly. Contact your doctor if your symptom doesn’t improve.

Warning & Precautions

Pregnancy

ZECRAL SUSPENSION should be used with caution in pregnant women or women planning to have a baby. It will be given to you by the doctor only if clearly needed. Contact your doctor before taking ZECRAL SUSPENSION.

Breastfeeding

ZECRAL SUSPENSION should be used with caution in breastfeeding women as it is not known whether it passes into breast milk. Contact your doctor before taking ZECRAL SUSPENSION.

Driving and Using Machines

Do not drive or operate any machines if you feel any unusual effects after taking ZECRAL SUSPENSION.

Kidney

ZECRAL SUSPENSION should be used with caution in patients with chronic kidney failure and patients undergoing dialysis. Contact your doctor before taking ZECRAL SUSPENSION.

Allergy

Do not take ZECRAL SUSPENSION if you are allergic to Sucralfate or any of the other ingredients in this medicine.

Interactions

A. Drug-Drug interactions:

Before taking ZECRAL SUSPENSION, inform your doctor if you are taking any of the following medicine:

• ranitidine, cimetidine (medicine used to manage stomach acidity and peptic ulcer)
• digoxin (a medicine used to manage heart failure), quinidine (a medicine used to manage irregular heart rate)
• antibiotics like fluoroquinolone, ciprofloxacin, norfloxacin, ofloxacin, ketoconazole and tetracycline (medicines used to manage bacterial infections)
• l-thyroxine (a medicine used to manage low thyroid hormone)
• phenytoin (a medicine used to manage epilepsy)
• theophylline (medicine used to manage wheezing, shortness of breath and chest tightness)
• warfarin (to manage blood clots)

Overdosage:

If you or anyone else accidentally take too much of ZECRAL SUSPENSION, consult your doctor immediately or visit the nearby hospital. Symptoms of overdosage are nausea, vomiting, indigestion and abdominal pain.

Synopsis

More Information

• Keep ZECRAL SUSPENSION out of reach from children
• Store ZECRAL SUSPENSION below 30°C

FAQs About ZECRAL SUSPENSION

What is ZECRAL SUSPENSION used for?

ZECRAL SUSPENSION is used for the short-term (up to 8 weeks) management of active duodenal ulcer (part of the small intestine), prophylaxis of gastrointestinal haemorrhage due to stress ulceration in critically ill patients, gastric and benign ulcers.

Is ZECRAL SUSPENSION safe in pregnancy?

ZECRAL SUSPENSION should be used with caution in pregnant women or women planning to have a baby. It will be given to you by the doctor only if clearly needed. Contact your doctor before taking ZECRAL SUSPENSION.

Can ZECRAL SUSPENSION be used in elderly patients?

ZECRAL SUSPENSION should be used with caution in elderly patients aged 65 years or above, especially with decreased liver, kidney and cardiac function or other diseases. Contact your doctor before taking ZECRAL SUSPENSION.

How ZECRAL SUSPENSION work?

ZECRAL SUSPENSION works by forming a protective layer around the ulcer, saving it from further attack by acid, pepsin or bile. It increases growth factor production, promoting tissue growth, regeneration, thereby facilitating repair.

Can ZECRAL SUSPENSION be used in patients with kidney problems?

ZECRAL SUSPENSION should be used with caution in patients with chronic kidney failure and patients undergoing dialysis. Contact your doctor for more information before taking it.

References

1. KD Tripathi. Drugs for Peptic Ulcer and Gastroesophageal Reflux Disease. Essentials of Medical Pharmacology. Seventh Edition, 2013. Page - 656.

2. Wallace JL, Sharkey KA. Pharmacotherapy of Gastric Acidity, Peptic Ulcers and Gastroesophageal Reflux Disease. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. Page - 1315.

3. Kudaravalli P, John S. Sucralfate. StatPearls [Internet]. NIH National Library of Medicine. National Center for Biotechnology Information. [Revised in February 2022] [Accessed on 18th October 2022] https://www.ncbi.nlm.nih.gov/books/NBK551527/

4. R N Brogden, R C Heel, T M Speight, G S Avery. Sucralfate. A review of its pharmacodynamic properties and therapeutic use in peptic ulcer disease. NIH National Library of Medicine. National Center for Biotechnology Information. Pubmed.gov 1984. [Accessed on 18th October 2022] https://pubmed.ncbi.nlm.nih.gov/6368184/#:~:text=Sucralfate%20is%20a%20basic%20aluminium%20salt%20of%20sulphated,effects%20of%20pepsin%2C%20acid%20and%20possibly%20bile%20salts.

5. Aptalis Pharma US, Inc. U.S. Food & Drug Administration. [Revised in March 2013] [Accessed on 18th October 2022] https://www.accessdata.fda.gov/drugsatfda_docs/label/2013/018333s034,019183s016lbl.pdf

6. Sucralfate. Pharmaceutical Associates, Inc. [Revised in January 2022] [Accessed on 18th October 2022] https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=fa6e4661-1bee-4a64-b982-9d44dbdb8498&type=display

7. Sucralfate. Amneal Pharmaceuticals LLC. [Revised in February 2021] [Accessed on 18th October 2022] https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=4350b771-76a9-4e00-93f0-a18c71288f83

8. Sucralfate. Aptalis Pharma Canada Inc. [Revised in September 2013] [Accessed on 18th October 2022] https://allerganwebcdnprod.azureedge.net/allergancanadaspecialty/allergancanadaspecialty/media/actavis-canada-specialty/en/products/pms/sulcrate_pm_12sep2013_eng.pdf

9. Zuventus Healthcare Ltd. Ancool SF (Sucralfate 500mg). [Accessed on 18th October 2022] http://www.zuventus.co.in/patient_wise_products_selected.aspx?Medi_Id=256

10. Fourrts India Laboratories Pvt Ltd. Sucralfate. [Accessed on 18th October 2022] https://www.fourrts.com/sucrafil/

11. Wellona Pharma. Sucralfate. [Accessed on 18th October 2022] https://wellonapharma.com/product/finished/sucralfate-suspension

Useful Diagnostic Tests

• Kidney function test

Author Details

Written By Dr. Dhivakaran R - BDS

Reviewed For Accuracy By Dr. Vrushabhakumar Jitendra Shah. - MBBS

Last updated on 27 Oct 2022 | 10:44 AM(IST)