You've surely heard that  “timing is everything”.

This is true when administering sucralfate to your horse.

Sucralfate takes time to absorb into the horse's system to create a barrier of defence around ulcers.

Ideally, sucralfate is given at least 30 minutes to an hour before or after giving a large feed and other medications.


What is Sucralfate and why is it used?

Sucralfate is a sucrose octasulfate hydroxy aluminium salt that functions by attaching to the mucosal lining of the colon and stomach. It acts as a band-aid over ulcerated tissue, shielding ulcerative craters from more harm from stomach acid and digestive enzymes.

Sucralfate medication promotes healing of the stomach lining and pain relief. Sucralfate is administered to heal ulcers in the right dorsal colon and hindgut of horses.

When used in conjunction with omeprazole, both medications treat and heal ulcers of the lower stomach known as glandular/pyloric ulcers.

Due to its minimal long-term side effects, sucralfate has been used as an ongoing ulcer treatment for horses.


Timing suggestions for Sucralfate dosage:

The timing is to prevent interactions with other medications or supplements as it can interfere with the metabolism and absorption of sucralfate.

It is recommended that a horse's stomach should never be empty, it's known that a horse's stomach is least empty in the morning. Therefore giving sucralfate in the morning before giving any feed or treatment is best, then again in the evening.

Sucralfate is not enteric coated and can be administered with water, or hidden in treats – banana, carrot or small amounts of feed (chaff).

Before feeding your horse a main meal, it's best to wait an hour after dosing. Even at 30 minutes, it will be beneficial.


Ideal sucralfate dosage for horses?

Average Horse (500 kg/1100lb) :  3 x sachets up to 3 times a day

Average Pony:  (400kg/   880lb) :  2 x sachets up to 3 times a day


*3 doses a day is the optimum amount - and for some people, that’s just not possible.

Don't sweat and stress the 3 times per day dose, sucralfate will still be effective with 2 doses per day.


Here is a handy dosage calculator to work out the ideal dose for your horse by weight.


Sucralfate dosage for horses: for how long?

Hindgut and glandular ulcers can take up to 6 weeks or longer to heal.

Each Sucralfate dose is effective for 6 to 8 hours. Treatment normally is for up to 21- 28 days and then follow up with a maintenance dose for the best results.

Maintenance doses are half of the treatment doses or at least one sachet/scoop per day ongoing.  

Read more here about sucralfate ulcer treatment for horses!