Didn't work as expected after Sucralfate in horses

The FDA has received 384 reports of didn't work as expected in horses after Sucralfate. That is 98% of all reports for this medicine, compared with 23% across reports for all horse medicines, so it is reported unusually often with this medicine.

384Reports
0.3%Marked serious
14%Recovered
0.3%Died or euthanised
32 daysTypical onset
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How soon it started

Same day
11 2.9%
1–2 days
1 0.3%
3–7 days
3 0.8%
1–4 weeks
152 40%
Over a month
213 56%

How the animals did

Recovered
53 14%
Still unwell when reported
162 42%
Euthanised
1 0.3%
Not known
168 44%

Problems reported at the same time

Overdose
7 1.8%
Inappropriate schedule of drug administration
5 1.3%
Pr-stomach, lesion(s)
2 0.5%
Underdose
2 0.5%
Death
1 0.3%
Decreased packed cell volume (pcv)
1 0.3%
Intestinal disorder
1 0.3%
Abnormal rectal palpation
1 0.3%

Age of the animals

Under 1 year
1
1–3 years
12
4–7 years
104
8–11 years
106
12+ years
122

About this medicine

Type: medicine.

Questions owners ask

Can Sucralfate cause didn't work as expected in horses?
384 reports link the two, but a report alone does not prove the medicine was the cause: other illnesses, other medicines or coincidence can be involved. Your vet can judge it for your animal.
How soon after a dose was it reported?
In half of the reports with dates, it started within 32 days of the first dose.
What should I do?
Don't give another dose until you've spoken to your vet, and keep the packaging so you can tell them the product and dose. Your vet can also report it to the FDA (or you can, through the manufacturer or FDA form 1932a).

Didn't work as expected with similar medicines

All reported side effects of Sucralfate in horses · Medicines most reported with didn't work as expected