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Mechanisms
› Mucosal barrier
Mucosal barrier
Ulcer-adherent mucosal barrier
Forms an adherent barrier over ulcerated mucosa
Binding is non-selective — other drugs are bound too
Drugs with this mechanism (2)
Bismuth subsalicylate
— OTC mucosal protectant and antidiarrheal; salicylate toxicity and interactions still apply.
Sucralfate
— Sucrose-aluminum complex that polymerizes on ulcer craters; binds other drugs.
All mechanisms
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