Rabonik Plus 20 Mg Capsule (10 Cap)

RABONIK PLUS 20 MG CAPSULE

Rabonik Plus 20 mg Capsule is a combination medication manufactured by Eris Lifesciences Limited, designed to manage various gastrointestinal conditions.

• Composition Each capsule contains a combination of Levosulpiride (75 mg) and Rabeprazole (20 mg). Levosulpiride is a dopamine D2 antagonist and prokinetic agent, while Rabeprazole is a proton-pump inhibitor.

• Uses Rabonik Plus 20 mg Capsule is primarily used for the treatment of conditions related to excessive stomach acid production and impaired gastrointestinal motility. These include:

  • Gastro-esophageal Reflux Disease (GERD), including acid reflux and heartburn.
  • Intestinal ulcers (peptic and duodenal ulcers).
  • Irritable Bowel Syndrome (IBS).
  • Functional dyspepsia.
  • Zollinger-Ellison syndrome (tumors causing excessive stomach acid).
  • Diabetic gastroparesis (delayed gastric emptying due to diabetes).
  • Acidity and indigestion. It works by reducing stomach acid secretion and improving the movement of food from the stomach to the intestines.

• Dosage and Administration This medicine should be taken orally, usually once daily, preferably on an empty stomach or at least one hour before a meal, as directed by a physician. Swallow the capsule whole with water; do not crush, chew, or break it. The dosage and duration of treatment will depend on the patient's age, body weight, and medical condition.

• Side Effects Common side effects may include:

  • Nausea, vomiting, stomach pain, diarrhea, constipation, flatulence.
  • Headache, dizziness, weakness, sleepiness, flu-like symptoms.
  • Cough, runny nose, sore throat, infections.
  • Aches or back pain, benign polyps in the stomach. Serious but less common side effects can involve skin rashes, severe allergic reactions, severe diarrhea, or bone fractures with long-term use. Consult a doctor if any side effects worsen or persist.

• Precautions

  • Pregnancy and Breastfeeding: Not recommended for use in pregnant or breastfeeding women.
  • Alcohol: Avoid alcohol consumption, as it can worsen CNS depressive side effects (confusion, anxiety, dizziness, drowsiness) and stomach acid production.
  • Driving/Operating Machinery: May cause dizziness or drowsiness, so avoid activities requiring mental alertness until you know how the medicine affects you.
  • Medical Conditions: Inform your doctor if you have heart, kidney, or liver disease, a history of gastrointestinal bleeding, intestinal obstruction, or other serious health issues.
  • Children: Not recommended for use in children and adolescents below 18 years.
  • Long-term use (over 1 year) may increase the risk of bone fractures and hypomagnesemia (low magnesium levels).

• Storage Store the medicine below 30°C in a cool and dry place, away from heat and direct light. Keep it out of reach and sight of children.

Frequently Asked Questions about RABONIK PLUS 20 MG CAPSULE

RABONIK PLUS 20 MG CAPSULE by ERIS LIFESCIENCES LIMITED is a combination medicine containing Rabeprazole (20 mg) and Levosulpiride (75 mg). It is primarily used to address various gastrointestinal conditions by reducing stomach acid and improving gut motility.

1. What is RABONIK PLUS 20 MG CAPSULE used for?

RABONIK PLUS 20 MG CAPSULE is used to treat conditions such as Gastroesophageal Reflux Disease (GERD), which includes acid reflux and heartburn. It also helps manage peptic ulcers, duodenal ulcers, intestinal ulcers, Zollinger-Ellison syndrome, Irritable Bowel Syndrome (IBS) (especially with bloating and delayed gastric emptying), indigestion, and Helicobacter pylori infection.

2. How does RABONIK PLUS 20 MG CAPSULE work?

This medicine combines two active ingredients: Rabeprazole and Levosulpiride. Rabeprazole is a proton pump inhibitor (PPI) that works by blocking an enzyme in the stomach responsible for acid production, thereby reducing the amount of stomach acid. Levosulpiride is a prokinetic agent that increases the pressure of the inferior esophageal sphincter, preventing acid and food from flowing back up into the food pipe. It also enhances the movement of the stomach and intestines, helping food pass more efficiently through the digestive system.

3. What is the usual dosage for RABONIK PLUS 20 MG CAPSULE?

The typical dosage is usually one capsule daily, taken before a meal, as advised by your doctor. For optimal absorption, it is often recommended to take it on an empty stomach. The capsule should be swallowed whole with water and not chewed, crushed, or broken. Your doctor will determine the correct dose and duration of treatment based on your condition.

4. What are the possible side effects of RABONIK PLUS 20 MG CAPSULE?

Common side effects may include headache, nausea, vomiting, abdominal pain, diarrhoea, flatulence, dizziness, weakness, drowsiness, dry mouth, and constipation. More serious, though less common, side effects, especially with prolonged use, can include breast enlargement in males (gynecomastia), unusual breast milk production, altered libido, absence of menstrual periods, osteoporosis (weak bones), and hypomagnesemia (low magnesium levels). If any side effects persist or worsen, you should consult your doctor.

5. Is RABONIK PLUS 20 MG CAPSULE safe during pregnancy or breastfeeding?

RABONIK PLUS 20 MG CAPSULE is generally not recommended during pregnancy or breastfeeding. Caution is advised during pregnancy, and your doctor will prescribe it only if the potential benefits outweigh the risks. If you are breastfeeding, it is essential to discuss this with your doctor, as the medicine's components may pass into breast milk, and your doctor will decide if it can be taken.

6. Can RABONIK PLUS 20 MG CAPSULE be taken with other medications?

It is crucial to inform your doctor about all other medicines, including herbal supplements, you are currently taking to avoid potential interactions. RABONIK PLUS 20 MG CAPSULE may interact with antifungals (like ketoconazole), blood thinners (like warfarin), immunosuppressants (like cyclosporine), and certain anti-HIV medications (like atazanavir). Additionally, it should be used with caution with medicines that prolong the QT interval. High-fat meals may delay the absorption of Levosulpiride.

7. What precautions should be taken while using RABONIK PLUS 20 MG CAPSULE?

Inform your doctor about any history of gastric cancer, liver disease, kidney problems, bone fractures, low Vitamin B12, low magnesium levels, pheochromocytoma, epilepsy, mania, gastrointestinal bleeding, or intestinal obstruction. Prolonged use may increase the risk of osteoporosis-related bone fractures and lead to vitamin B12 and magnesium deficiency. This medicine may cause dizziness and drowsiness, so avoid driving or operating machinery if you are not alert. Alcohol consumption should be avoided as it can worsen heartburn and increase drowsiness. It is not recommended for children as its safety and effectiveness have not been established in this age group.

8. What happens if a dose of RABONIK PLUS 20 MG 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 double the dose to make up for a missed one.

9. How should RABONIK PLUS 20 MG CAPSULE be stored?

RABONIK PLUS 20 MG CAPSULE should be stored in a cool and dry place, away from direct sunlight, excessive heat, and moisture, ideally below 30°C. Keep it out of the reach and sight of children.

10. Does RABONIK PLUS 20 MG CAPSULE interact with alcohol or specific foods?

It is advised to avoid alcohol while taking this medicine, as it can trigger heartburn, acidity, and increase drowsiness. While it is generally considered safe to take with food, high-fat meals might delay the absorption of Levosulpiride.