Raciper Plus Capsule (10 Cap)

RACIPER PLUS CAPSULE (10 CAP) by SUN PHARMACEUTICAL IND.LTD.

RACIPER PLUS CAPSULE is a combination medication designed to manage conditions related to excessive stomach acid and certain digestive motility disorders. It is manufactured by Sun Pharmaceutical Industries Ltd.

• Name:

  • Brand Name: Raciper Plus Capsule, Raciper Plus Capsule SR
  • Common Name: Esomeprazole and Levosulpiride capsules

• Composition:

  • Each capsule contains Esomeprazole 40 mg and Levosulpiride 75 mg.
  • Esomeprazole is a proton pump inhibitor (PPI) that reduces stomach acid production.
  • Levosulpiride is a prokinetic agent that enhances stomach and intestinal movement and increases the pressure of the lower esophageal sphincter, thereby preventing the backflow of food and acid.

• Uses: RACIPER PLUS CAPSULE is primarily used for the treatment of:

  • Gastroesophageal Reflux Disease (GERD), including heartburn, acid reflux, stomach irritation, and difficulty swallowing.
  • Acidity.
  • Peptic ulcers.
  • Dyspepsia (indigestion) and related symptoms like bloating, nausea, and vomiting caused by gastric issues.

• Dosage and Administration:

  • Swallow the capsule whole with a glass of water. Do not chew or crush it.
  • It is generally recommended to take this medicine at least one hour before a meal, preferably in the morning, or as directed by your doctor.
  • The dose and duration will depend on your health status and response to the medicine, and should always be adhered to as prescribed by a doctor.

• Side Effects:

  • Common Side Effects: Headache, diarrhea, nausea, abdominal pain, constipation, dry mouth, dizziness, flatulence, vomiting, and sleepiness.
  • Serious Side Effects (Rare): Allergic reactions, irregular heartbeat, severe diarrhea, fundic gland polyps, and an increased risk of bone fractures with long-term, high-dose use. Consult your doctor if any side effects persist or worsen.

• Precautions:

  • Pregnancy and Breastfeeding: Caution is advised. It is generally not recommended for use during pregnancy or breastfeeding due to a lack of established safety and potential adverse effects on the baby. Consult a doctor.
  • Alcohol: Avoid alcohol consumption as it can intensify some side effects and increase stomach acid production.
  • Liver and Kidney Disease: Use with caution in patients with severe liver or kidney impairment.
  • Driving and Machinery: This medicine may cause dizziness or drowsiness; avoid driving or operating heavy machinery if you experience these effects.
  • Drug Interactions: Inform your doctor about all other medications, supplements, or herbal preparations you are taking, especially anti-fungal medicines, anti-HIV medicines (like nelfinavir, which is contraindicated), immunosuppressants (like tacrolimus), antiplatelet agents (like clopidogrel), cardiac glycosides (like digoxin), and cancer medications (like methotrexate). Antacids should be taken with at least a 2-hour gap.
  • Other Conditions: Contraindicated in patients with known hypersensitivity to its components, pheochromocytoma, epilepsy, mania, porphyria, or cardiac impairment. Use with caution in Parkinson's disease. Long-term use may increase the risk of bone fractures; adequate intake of dietary calcium and vitamin D is recommended.

• Storage:

  • Store in a cool, dry place with temperatures not exceeding 30°C.
  • Protect from moisture and light.
  • Keep out of sight and reach of children.

What is Raciper Plus Capsule used for?

Raciper Plus Capsule is primarily used to reduce stomach acid and treat conditions such as Gastroesophageal Reflux Disease (GERD), which includes symptoms like heartburn, acid reflux, stomach irritation, and difficulty swallowing. It also helps manage peptic ulcers and functional dyspepsia by lowering acid production and promoting healing.

How does Raciper Plus Capsule work?

Raciper Plus Capsule contains two active ingredients: Esomeprazole (40 mg) and Levosulpiride (75 mg). Esomeprazole is a proton pump inhibitor that works by blocking an enzyme system in the stomach responsible for acid production, thereby suppressing gastric acid secretion. Levosulpiride is a prokinetic agent that increases the movement of the stomach and intestines and enhances the pressure of the lower esophageal sphincter, preventing the backflow of food and acid into the food pipe.

What is the usual dosage for Raciper Plus Capsule?

The recommended dosage for Raciper Plus Capsule should be followed as directed by your doctor, as it can vary based on your health status. Generally, it is taken once daily, preferably one hour before a meal, usually in the morning, on an empty stomach. The capsule should be swallowed whole with water and not chewed or crushed.

What are the possible side effects of Raciper Plus Capsule?

Common side effects may include headache, diarrhea, nausea, vomiting, abdominal pain, constipation, dry mouth, dizziness, flatulence, and sleepiness. In some cases, prolonged use may be associated with an increased risk of bone fractures and fundic gland polyps. More rarely, it might cause irregular menstrual periods or gynecomastia.

Is Raciper Plus Capsule safe during pregnancy or breastfeeding?

Raciper Plus Capsule is generally not recommended for use during pregnancy or breastfeeding. Caution is advised, and it should only be used if the potential benefits outweigh the risks, following consultation with a doctor. Animal studies have indicated possible harm to the developing baby, and the medicine may pass into breast milk, potentially affecting the infant.

Can Raciper Plus Capsule be taken with other medications?

Raciper Plus Capsule can interact with several medications. It may increase the levels of digoxin, tacrolimus, and methotrexate. Its effectiveness might be reduced when taken with clopidogrel. It is contraindicated with anti-HIV medicines like nelfinavir. Other interactions include certain antifungal medicines, antacids (which should be taken with at least a 2-hour gap), and medicines for brain and heart-related disorders. Always inform your doctor about all medications, supplements, or herbal preparations you are taking to avoid potential interactions.

What precautions should be taken while using Raciper Plus Capsule?

You should inform your doctor about any existing medical conditions, such as severe liver or kidney problems, heart disease, pheochromocytoma, Parkinson's disease, or pituitary tumors. Avoid consuming alcohol while on this medication, as it can worsen side effects and increase stomach acid production. Since it may cause dizziness and drowsiness, refrain from driving or operating heavy machinery if you experience these symptoms. Raciper Plus Capsule is not recommended for children under 18 years. Long-term use may increase the risk of bone fractures, so ensure adequate intake of calcium and Vitamin D.

What happens if a dose of Raciper Plus Capsule is missed?

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for the forgotten one.

How should Raciper Plus Capsule be stored?

Raciper Plus Capsule should be stored in a cool, dry place at temperatures not exceeding 30°C. It should be protected from moisture and light, and kept out of the sight and reach of children.