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Gastro issues: Qs re. Sucralfate, Pepcid, Prilosec timing
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Virginia
Member Since:
14 March 2014
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4 September 2014 - 9:03 pm
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Hi, Dr. Pam (and anyone else who wants to chime in) -- Any guidance on optimal timing for:
-Sucralfate/Carafate
-Pepcid/Famotidine
-Pepcid/Omeprazole
in terms of how far before or after meals and other meds they should be taken; optimal sequencing and the right intervals; max daily doses for each, etc.?

Lexie's on a bunch of meds as noted in my signature, and she seems to having a bit more stomach issues than usual lately. My onco vet and primary care vets seem to have slightly different opinions on the questions I posted, so I thought I'd get your input, Dr. Pam, and see if anyone else has been given explanations by their vet or found an ideal dosing schedule that seems to work.

Thanks in advance,
Deb and Lexie

Deb and Angel Lexie* Diagnosed at age 13. Tried radiation first; wish we had amputated upon diagnosis (even with lung mets). Joined Club Tripawd April 2014 & Lexie loved life on 3 legs! Advice: Start physical therapy as soon as your vet clears it, especially hydrotherapy if available :-) See Lexie pics here.  

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22 August 2008
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4 September 2014 - 10:46 pm
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Sucralfate can block the absorption of certain drugs so ideally you should give Prilosec or Pepcid at least 30 minutes prior to sucralfate.  Having said that if you are short on time and need to give everything at once the drugs will still be pretty efficacious.

Pam

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Virginia
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14 March 2014
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4 September 2014 - 11:12 pm
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Good to know. Thanks, Pam!

Deb and Angel Lexie* Diagnosed at age 13. Tried radiation first; wish we had amputated upon diagnosis (even with lung mets). Joined Club Tripawd April 2014 & Lexie loved life on 3 legs! Advice: Start physical therapy as soon as your vet clears it, especially hydrotherapy if available :-) See Lexie pics here.  

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Orrtanna Pa.
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25 January 2014
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5 September 2014 - 6:42 am
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Ty was on both in addition to several other things. His med schedule was crazy. My vet recommended 2 hours separation between Carafate and other meds/food and 1 hour between the Pepcid and other meds/ food. I actually bought these small portion ziplock bags and put his meds in them . Hung a days worth on fridge and as I gave the meds, I put the empty bag in the back. Not sure if this helps, just thought I would chime in since Ty was on both. Hugs from, Lori and Ty

TY GUY, Best Black Lab ever! Diagnosed  and had amp in January, 2014. Kicked MRSA's butt. Earned his angel wings on April 16, 2014. Run Free my boy and don't forget a shoe. Ty is a proud member of the " April Angels". Ty sent us Daryl, a Tripawd rescue in Sept. of 2016. Daryl is 5 +or -. We are also Pawrents to Chandler, a Border Collie mix who is 15 and 1/2, Lucy, a Corgi who is 7, 2 minis, 2 horses, and a feisty cat named Zoe. Zoe had a non skeletal Osteosarcoma removed in July 2015. No Chemo, she was at least 16. She is going strong although she is now completely blind. She is now close to 20 and her hobbies are eating and sleeping in front of her personal heater. 

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Virginia



Member Since:
22 February 2013
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5 September 2014 - 10:35 am
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Lori, I remember the system you said up for issuing Ty's meds in an earlier post. So glad you repeated itnhere because Inthought it was so brilliant, eliminated chance for error and very efficient. Thanks!

Happy Hannah had a glorious additional bonus time of over one yr & two months after amp for osteo! She made me laugh everyday! Joined April's Angels after send off meal of steak, ice cream, M&Ms & deer poop!

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