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H2 receptor antagonists and proton pump inhibitors are thought to be more appropriate in the older foal. Sucralfate is used to treat gastric ulcers and ulcers of the right dorsal colon in adult horses. It usually is used with an H2 receptor antagonist or a proton pump inhibitor such as omeprazole. Sucralfate appears to provide significant pain relief in horses that show abdominal pain due to ulcers.