How do you instruct patients taking sucralfate?

I have been prescribing carafate for many years now and to this day I don't know if it helps patients or if compliance is possible. I would be curious to know what the experts think.

I have actually been quite surprised with the effectiveness of carafate slurry 4 times a day. So many patients are anxious about narcotics these days, and getting folks through chemo + radiation to the chest is challenging. I find carafate is a good intermediate point between PPIs/antacids and narcotics. I still have patients trial narcotics when their odynophagia pain is 3-5/10 (if they don't have previous experience with narcotic analgesia) just to make sure they tolerate my choice. I find "ma...