Keal Sucralfate is a medication indicated for the treatment and prevention of duodenal ulcers. Thanks to its protective action, it forms a barrier on the digestive tract lining and promotes healing. Available in tablets or packets, it helps reduce stomach pain and improves daily digestive comfort.
When your stomach becomes sensitive, and you experience pain after meals or on an empty stomach, an ulcer may be the cause. Keal Sucralfate is specifically designed to address these situations, whether to treat an active duodenal ulcer or prevent it from recurring. It acts locally, directly where the digestive lining is weakened.
Its active ingredient, sucralfate, works much like a protective bandage. Imagine a sore inside your stomach: this medication settles on it to form a physical barrier. This protective layer shields the lining from acid attacks, which are often responsible for pain and inflammation.
At the same time, it stimulates certain natural defenses in the body. The result? The gastric environment becomes more conducive to healing. This helps promote daily digestive comfort, particularly by reducing feelings of burning or irritation after meals.
This treatment is particularly beneficial for people with duodenal ulcers not caused by Helicobacter pylori, or when eradication of this bacterium has not been possible. It can also be used as maintenance therapy to prevent relapses, which is essential when symptoms recur regularly.
In practice, this medication acts without entering the systemic circulation, which limits systemic effects. It remains localized in the digestive tract, where its action is most effective. You thus benefit from targeted action to soothe stomach pain and support the body’s natural healing process.
To enhance the protective effect against acidity, you can combine this treatment with Gaviscon Oral Suspension Sachets, which forms a floating barrier over the stomach contents and perfectly complements this approach.
Keal Sucralfate is taken orally, in the form of 1-gram tablets or oral suspension packets dosed at 1 gram or 2 grams. The choice of dosage depends on your specific situation and your healthcare provider’s recommendations.
To treat an active gastric or duodenal ulcer, two regimens are possible for 4 to 6 weeks:
To prevent a recurrence of a duodenal ulcer, you can:
In any case, take this medication preferably between meals: about 30 minutes to 1 hour before, or 2 hours after the evening meal. The tablets should be swallowed with a little water and may be crushed if necessary. The oral suspension, on the other hand, is ready to use and particularly suitable for children under 6 years of age.
Share your feedback on the usage instructions and dosage of Keal Sucralfate with our partner Avis Vérifiés after your purchase.
Precautions
Keal Sucralfate Oral Suspension 2 g – Sachets (box of 14): Sucralfate 2 g, Guar Gum, 70% Non-Crystallizable Sorbitol, Sodium Saccharin, Sodium Methyl Parahydroxybenzoate (9 mg/sachet), Sodium Propyl Parahydroxybenzoate (4.5 mg/sachet), Sorbic Acid, Flavor 26G55, Purified Water, Ethyl Acetate, Ethyl Alcohol, Limonene, Benzoic Aldehyde, Linalool, Nerol, Geranial, Gamma-Undecalactone, Vanillin. Excipients with Known Effects: Sorbitol (1.5 g/sachet), Methyl Parahydroxybenzoate (E218) (7.8 mg/sachet), Sodium Propyl Parahydroxybenzoate (E216) (4 mg/sachet)
Keal Sucralfate Oral Suspension 1 g – Sachets (box of 30): Sucralfate 1 g, Guar Gum, 70% Non-Crystallizable Sorbitol, Sodium Saccharin, Sodium Methyl Parahydroxybenzoate, Sodium Propyl Parahydroxybenzoate, Sorbic Acid, Flavor 26G55, Purified Water, Ethyl Acetate, Ethyl Alcohol, Limonene, Benzoic Aldehyde, Linalool, Nerol, Geranial, Gamma-Undecalactone, Vanillin. Notable Excipients: Sorbitol, Methyl Parahydroxybenzoate (E218), Propyl Parahydroxybenzoate (E216)
Keal Sucralfate 1 g Tablets – Box of 30: Sucralfate 1 g, Excipients: Guar gum, Sorbitol, Sodium saccharin, Methyl parahydroxybenzoate, Propyl parahydroxybenzoate, Sorbic Acid. Excipients with Known Effects: Sorbitol, Methyl Parahydroxybenzoate (E218), Propyl Parahydroxybenzoate (E216)
Packaging:
To maximize the effectiveness of the treatment, be sure to space out your doses of Keal Sucralfate from other medications (by at least 2 hours). This helps prevent interactions in the digestive tract. Also, consider adjusting your diet: opt for light, low-acid meals taken in small, frequent portions. Stress and certain irritating foods (coffee, alcohol, spices) can slow down healing, so it’s best to limit them while you’re taking this medication.
Does Keal Sucralfate provide quick relief from pain?
It works gradually by protecting the mucous membrane. Relief may occur within a few days, but complete healing takes several weeks.
Can Keal Sucralfate be used long-term?
Yes, as maintenance therapy to prevent relapses, as recommended by your healthcare provider.
Should it be taken with an antacid?
It’s not always necessary, but combining it with a product like Gaviscon can improve comfort if you also have acid reflux.
Pharmacovigilance Report an adverse drug reaction(s)
ANSM - Updated on : 15/03/2021
KEAL 1 g, drinkable suspension in sachet
Sucralfate
Please read this leaflet carefully before taking this medicine, as it contains important information for you.
You must always take this medicine exactly as instructed in this leaflet or by your doctor or pharmacist.
- Keep this leaflet. You may need to read it again.
- Ask your pharmacist for any advice or information you may need.
- If you experience any side effects, talk to your doctor or pharmacist. This also applies to any side effects not mentioned in this leaflet. See section 4.
- You should contact your doctor if you do not feel any improvement or if you feel less well.
What does this leaflet contain?
1. What is KEAL 1 g, drinkable suspension in sachet and what is it used for?
2. What do I need to know before taking KEAL 1 g, drinkable suspension in sachet?
3. How do I take KEAL 1 g, drinkable suspension in sachet?
4. What are the possible side effects?
5. How should KEAL 1 g, Oral suspension in sachet, be stored?
6. Package contents and other information.
1. WHAT IS KEAL 1 g, drinkable suspension in sachet AND WHAT IS IT USED FOR?
ANTI-ULCEREAL (A: digestive system and metabolism)
This medicine is indicated for the treatment of gastric or duodenal ulcers and the prevention of duodenal ulcers.
2. WHAT DO I HAVE TO KNOW BEFORE TAKING KEAL 1 g, drinkable suspension in sachet?
Never take KEAL 1 g, drinkable suspension in sachet
- if you are allergic to sucralfate or to any of the other ingredients listed in section 6;
- in premature and immature newborn infants.
IF IN DOUBT, ASK YOUR DOCTOR OR CHEMIST FOR ADVICE.
Warnings and precautions
Ask your doctor or pharmacist before taking KEAL.
A few cases of bezoars (obstructions of the digestive tract) have been reported in patients hospitalized in intensive care units, mainly in association with tube feeding, and in neonates, particularly premature and immature newborns.
Use with CAUTION in cases of :
- chronic renal failure (impaired kidney function);
- decrease in blood phosphorus levels.
IF IN DOUBT, ASK YOUR DOCTOR OR PHARMACIST FOR ADVICE.
For proper use of this medicine, regular medical supervision is essential; this may include stomach examinations (fibroscopy).
Children and adolescents
Not applicable.
Other medicinal products and KEAL 1 g, drinkable suspension in sachet
Tell your doctor or pharmacist if you are taking, have recently taken or may take any other medicines.
Sucralfate may reduce the effect of certain drugs taken at the same time. Sucralfate should be taken within 2 hours of another medicine.
KEAL 1 g, oral suspension in sachet with food, drink and alcohol
Not applicable.
Pregnancy, breast-feeding and fertility
If you are pregnant or breastfeeding, think you may be pregnant or are planning to become pregnant, ask your doctor or pharmacist for advice before taking this medicine.
It is preferable not to use this medicine during pregnancy.
If you discover that you are pregnant during treatment, consult your doctor, as only he or she can decide whether you should continue.
The use of sucralfate during breast-feeding is not recommended.
Driving and using machines
Not applicable.
KEAL 1 g, suspension buvable en sachet contains sorbitol, methyl parahydroxybenzoate, propyl parahydroxybenzoate and sodium.
This medicine contains 0.75 g sorbitol per sachet.
This medicine contains 3.9 mg methyl parahydroxybenzoate and 1.99 mg propyl parahydroxybenzoate per sachet and may cause allergic reactions (possibly delayed).
This medicine contains less than 1 mmol (23 mg) sodium per sachet, i.e. it is essentially "sodium-free".
3. HOW TO TAKE KEAL 1 g, drinkable suspension in sachet?
Dosage
Gastric ulcer healing
1 sachet 4 times a day:
- 1 sachet half an hour to 1 hour before each of the 3 main meals,
- 1 sachet at bedtime, approximately 2 hours after the evening meal.
Healing duodenal ulcers
Two treatment modalities are possible:
- 1 sachet 4 times a day, or :
o 1 sachet half an hour to 1 hour before each of the 3 main meals,
o 1 sachet at bedtime, approximately 2 hours after the evening meal.
- 2 sachets morning and evening:
o 2 sachets in the morning on waking, half an hour to 1 hour before breakfast,
o 2 sachets in the evening, approximately 2 hours after the evening meal.
Preventing duodenal ulcer relapses
Two treatment modalities are possible:
- 1 sachet 2 times a day, or :
o 1 sachet in the morning on waking, half an hour to 1 hour before breakfast,
o 1 sachet in the evening, either half an hour to 1 hour before the meal, or at bedtime, around 2 hours after the evening meal.
- 2 sachets in the evening, either half an hour to 1 hour before the meal, or at bedtime, approximately 2 hours after the evening meal.
Method and route of administration
Take by mouth.
To drink the contents of the sachet, open along the dotted line, then squeeze the sachet, holding the open end between the lips.
Duration of treatment
Healing of gastric or duodenal ulcers: 4 to 6 weeks.
If you have taken more KEAL 1 g, drinkable suspension in sachet than you should have
Not applicable.
If you forget to take KEAL 1 g, Oral suspension in sachet
Not applicable.
If you stop taking KEAL 1 g, Oral suspension in sachet
Not applicable.
4. WHAT ARE THE POSSIBLE SIDE EFFECTS?
Like all medicines, this product may cause undesirable effects, but they do not occur systematically in everyone.
- constipation;
- rarely: dry mouth, nausea, vomiting, rash, dizziness;
- in the case of long-term administration of high doses, there is a theoretical risk of a decrease in blood phosphorus levels;
- some cases of bezoars (obstructions of the digestive tract) have been reported in certain patients (see "Warnings and precautions").
Reporting side effects
If you experience any side effects, please tell your doctor or pharmacist. This also applies to any side effects not mentioned in this leaflet. You can also report adverse reactions directly via the national reporting system: Agence nationale de sécurité du médicament et des produits de santé (ANSM) and the network of Centres Régionaux de Pharmacovigilance - Website: www.signalement-sante.gouv.fr.
By reporting adverse reactions, you contribute to providing more information on drug safety.
5. HOW TO CONSERVE KEAL 1 g, drinkable suspension in sachet?
Keep out of sight and reach of children.
Do not use this medicine after the expiration date indicated on the packaging. The expiration date refers to the last day of that month.
Store at temperatures not exceeding +25°C.
Do not dispose of any medicine in the drain
6. CONTENTS AND OTHER INFORMATION
What KEAL 1 g, drinkable suspension in sachet, contains
- The active substance is :
sucralfate............................................................................................................................. 1 g
- The other components are :
Guar gum, 70% non-crystallizable sorbitol, sodium saccharin, sodium methyl parahydroxybenzoate, sodium propyl parahydroxybenzoate, sorbic acid, 26G55 flavoring, purified water.
What KEAL 1 g, suspension buvable en sachet is and what it contains
Marketing authorization holder
EXOD
6 PARC DE MONTRETOUT
92210 SAINT CLOUD
Marketing authorization holder
E.G. LABO - LABORATOIRES EUROGENERICS
CENTRAL PARK
9-15 RUE MAURICE MALLET
92130 ISSY-LES-MOULINEAUX
PHARMATIS
Z.I. LE FOSSÉ DE L'ETANG
BP 20
60190 ESTREES SAINT DENIS
Product names in member states of the European Economic Area
Not applicable.
The last date on which this leaflet was revised was :
[to be completed subsequently by the holder]
< {MM/YYYY}>< {month/YYYY}.>
Detailed information on this drug is available on the ANSM (France) website.
This medicine is a generic of ULCAR
This drug belongs to the anti-ulcer family. It acts by binding to the ulcer, protecting it by covering it with a film that insulates it from stomach acids. It stimulates the secretion of substances that tend to fight stomach acidity.
It is used to treat ulcers of the stomach and duodenum, and to prevent relapses of duodenal ulcers in the absence of Helicobacter pylori infection (which would justify specific treatment).
Prices do not include dispensing fees.
| p cp | p sachet | p sachet | |
| Sucralfate | 1 g | 1 g | 2 g |
| Sorbitol | 0,75 g | 1,5 g | |
| Methyl propyl parahydroxybenzoate | + | + |
Not for use in premature infants.
The disappearance of pain does not mean that the ulcer has healed: the duration of treatment must be respected.
If you suffer from renal insufficiency, tell your doctor so he/she can adjust the dosage.
It is advisable to wait at least 2 hours between taking this drug and taking an anticoagulant, a quinolone antibiotic or a drug containing phenytoin or digoxin.
The effect of this drug on the unborn child is not well known. Only your doctor can assess the need for treatment and its risk during pregnancy.
It is not known whether this drug passes into breast milk. Do not use while breast-feeding without medical advice.
This medicine is best taken half an hour to an hour before meals, or two hours after the evening meal.
Tablets should be swallowed whole with a little water, or crushed if swallowing is difficult.
The drinkable suspension should be taken as it is. Only this form can be used in children under 6 years of age.
Varies according to indication: 2 to 4 g daily, usually in 1 to 4 doses.
Treatment of ulcers lasts at least 4 to 6 weeks, even if symptoms diminish or disappear before that.
If you are a smoker, continued smoking will impair the efficacy of the treatment.
Taking this medication does not exempt you from any dietary measures that your doctor may advise.
Aspirin, anti-inflammatory drugs and corticosteroids can be harmful to the stomach: do not take them without your doctor's advice.
Constipation.
Rarely: dry mouth, nausea, vomiting, dizziness, skin rash.
Drug that fights inflammation. It can be either cortisone-derived (steroidal anti-inflammatory) or non-cortisone-derived (non-steroidal anti-inflammatory or NSAID).
Substance capable of blocking the multiplication of certain bacteria or killing them. The spectrum of an antibiotic is the set of bacteria on which the product is usually active. Unlike bacteria, viruses are not sensitive to antibiotics. The first antibiotics were extracted from fungal cultures: penicillium (penicillin), streptomyces (streptomycin). Today, they are produced by chemical synthesis. Antibiotics are divided into families: penicillins, cephalosporins, macrolides, tetracyclines (cyclins), sulfonamides, aminoglycosides, lincosanides, phenicoles, polymyxins, quinolones, imidazoles and others.
Inappropriate use of antibiotics can encourage the emergence of resistance: use antibiotics only when prescribed by a doctor, respect their dosage and duration, and do not give or advise another person to take an antibiotic you have been prescribed.
See article: Antibiotic families
A drug that prevents blood from clotting, thus preventing the formation of clots in blood vessels.
Anticoagulants are mainly used to treat or prevent phlebitis and pulmonary embolism, particularly after surgery. They are also used to prevent the formation of clots in the heart during rhythm disorders such as atrial fibrillation, or in patients with artificial heart valves.
There are three categories of anticoagulants:
Anticoagulants should not be confused with antiaggregants such as aspirin, which fight blood clots by a different mechanism and do not have the same indications.
See article: Anticoagulant treatments
Slowing of intestinal transit resulting in fewer stools.
See article: Constipation in adults or Constipation in babies and children
A substance similar to cortisone. Natural corticoids, necessary for the body to function properly, are produced by the adrenal glands. Synthetic corticoids, chemical derivatives of cortisone, are used as powerful anti-inflammatories.
Part of the intestine into which food from the stomach enters.
Appearance of pimples or patches on the skin. These lesions may be caused by a food or a drug, and may reflect an allergy or toxic effect. Many viruses can also cause rashes: rubella, roseola and measles are the best known.
Bacteria involved in the development of stomach or duodenal ulcers. It prevents healing and favors recurrence when treatment is discontinued. Its elimination enables definitive healing. Treatment combining anti-ulcer drugs with antibiotics represents a major advance for patients suffering from chronic stomach or duodenal ulcers.
Inability of the kidneys to eliminate waste products or drug substances. Advanced renal failure does not necessarily mean a reduction in the quantity of urine eliminated. Only a blood test and creatinine level can reveal this condition.
Quantity and distribution of a drug dose according to the patient's age, weight and general condition.
A family of antibiotics used to treat urinary tract, genital, gastrointestinal and respiratory infections. They include pefloxacin, ciprofloxacin, ofloxacin and sparfloxacin. Also known as fluoroquinolones, these antibiotics are effective against a wide range of germs. Their use is contraindicated in pregnant and breastfeeding women, and in children, due to their possible toxicity on cartilage growth.
See article: Quinolones.
Can be cut or divided.
Sorbitol is a sugar found in certain fruits (prunes, for example). Because it has fewer calories than industrial sugar (sucrose), it is used as a sweetener (under the acronym E420) and also as a stabilizer, for example in certain medicines. During digestion, sorbitol is converted into fructose (fruit sugar). Some people have difficulty digesting fructose, and consequently experience intestinal problems (diarrhoea) when ingesting products containing sorbitol.
Disturbance experienced by a person suffering from an illness. The same symptom may reflect different illnesses, and the same illness does not necessarily give rise to the same symptoms in all sufferers.
A sunken lesion in the skin, mucous membranes or cornea.
A symptom that may refer to an impression of loss of balance (common sense) or, more strictly, a sensation of spinning around oneself or the environment (medical sense).
See article: Vertigo.
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