Eracid-d Cap

ERACID-D CAP is a prescription medication used to manage various gastrointestinal conditions.

Name

• Common Name: ERACID-D CAP
• Brand Name: ERACID-D CAP by MANEESH HEALTHCARE (INSPIRA) (Often referred to as Eracid D 30 mg/40 mg Capsule SR).

Composition

ERACID-D CAP contains a combination of two active ingredients:

• Domperidone: 30 mg (a prokinetic agent).
• Pantoprazole: 40 mg (a proton pump inhibitor).

Uses

ERACID-D CAP is primarily prescribed for the treatment of:

• Gastroesophageal Reflux Disease (GERD) / Acid Reflux: Including erosive esophagitis (inflammation of the esophagus due to acid reflux). It reduces stomach acid production and relieves symptoms like heartburn and acid reflux.
• Dyspepsia (Indigestion): Relieving symptoms such as upper abdominal discomfort, bloating, and gas.
• Gastritis: Helps treat by reducing gastric acid, managing symptoms, and enhancing digestive function.
• Peptic Ulcers: Including gastric and duodenal ulcers, by reducing acid production and promoting healing.
• Nausea and Vomiting: Domperidone helps control vomiting and speeds up the movement of food through the digestive system.

Dosage and Administration

• ERACID-D CAP should be taken orally, as a whole capsule, with a sufficient amount of water. Do not chew, crush, or break it.
• It is generally advised to take this medicine without food, preferably in the morning, 15-30 minutes or 30-60 minutes before meals.
• The dose and duration of treatment are determined by a doctor based on the patient's condition and response to the medicine.

Side Effects

Common side effects may include:

• Diarrhea.
• Stomach pain.
• Flatulence (gas).
• Dryness in the mouth.
• Headache.
• Dizziness.
• Sleepiness/Drowsiness.
• Weakness/Fatigue.
• Skin rash.

Serious but less common side effects that require immediate medical attention include:

• Severe allergic reactions (e.g., skin rash, itching, swelling of face/lips, difficulty breathing).
• Signs of liver problems (e.g., yellowing of skin/eyes, dark urine).
• Severe skin reactions (e.g., redness, blistering).
• Signs of kidney problems (e.g., lower back pain, painful urination).
• Signs of low magnesium levels in blood (e.g., tiredness, abnormal muscle movements, irregular heartbeat).

Precautions

• Allergies: Do not take if allergic to Domperidone, Pantoprazole, or any other ingredients.
• Medical Conditions:
  • Contraindicated in patients with severe liver impairment, blockage or bleeding in the gut, pituitary tumors, or certain heart conditions (e.g., heart failure, irregular heart rhythm).
  • Use with caution in patients with kidney disease or mild to moderate liver impairment.
  • Inform your doctor if you have incorrect levels of magnesium, potassium, or calcium in the blood.
• Pregnancy and Breastfeeding: Consult a doctor before use if pregnant or breastfeeding; it may be unsafe or requires caution.
• Alcohol: Caution is advised with alcohol consumption as it can worsen sleepiness.
• Driving/Operating Machinery: May cause dizziness and sleepiness; avoid driving or activities requiring mental focus until you know how it affects you.
• Drug Interactions: Inform your doctor about all other medications being taken, especially anti-HIV medicines (e.g., Rilpivirine), cardiac glycosides, and some antiviral agents, as they can interact with ERACID-D CAP.
• Monitoring: Your doctor may monitor kidney functions, liver functions, and blood magnesium levels during treatment.

Storage

• Store below 30°C.
• Keep in a cool and dry place, away from direct sunlight and moisture.
• Keep out of sight and reach of children.

ERACID-D CAP is a combination medicine containing Pantoprazole and Domperidone. It is manufactured by MANEESH HEALTHCARE (INSPIRA).

What is ERACID-D CAP used for?

ERACID-D CAP is primarily used to treat acid reflux, also known as Gastroesophageal Reflux Disease (GERD). It helps alleviate symptoms like heartburn, indigestion, chest pain, and discomfort associated with acid reflux. It is also prescribed for stomach and intestinal ulcers, erosive esophagitis (inflammation of the esophagus due to acid reflux), and conditions like Zollinger-Ellison syndrome, which involves excessive acid production. Additionally, it helps relieve nausea, vomiting, and upper abdominal discomfort by improving gut movement.

How does ERACID-D CAP work?

ERACID-D CAP combines two active ingredients: Pantoprazole and Domperidone.

• Pantoprazole is a proton pump inhibitor (PPI) that works by reducing the amount of acid produced in the stomach. It achieves this by blocking an enzyme system called H+/K+ ATPase in the gastric parietal cells responsible for secreting stomach acid.
• Domperidone is a prokinetic agent that acts on the upper digestive tract to increase the movement of the stomach and intestines. This helps food move more easily through the digestive system, preventing acid from flowing back into the food pipe and reducing symptoms like nausea and vomiting.

What is the usual dosage?

ERACID-D CAP should be taken as a whole capsule with a sufficient amount of water. It is generally advised to take it in the morning, preferably on an empty stomach, before food. The dose, duration, and frequency of use will be decided by your doctor based on your condition and response to the medicine. Do not chew, crush, or open the capsule.

What are the possible side effects?

Common side effects of ERACID-D CAP can include headache, dizziness, diarrhea, nausea, vomiting, stomach pain, flatulence (gas), dry mouth, rash, and fatigue. Most of these side effects are temporary and usually resolve over time. If you experience persistent or worsening side effects, consult your doctor.

Is it safe during pregnancy or breastfeeding?

Pregnancy: ERACID-D CAP should not be used during pregnancy unless specifically recommended by a doctor, who will assess the benefits against potential risks to the unborn child. Breastfeeding: The medicine passes into breast milk in small amounts. It should be used with caution during breastfeeding, and only if the benefits outweigh the risks, as advised by your doctor. Breastfeeding might need to be held until the treatment is completed and the drug is eliminated from the mother's body.

Can it be taken with other medications?

ERACID-D CAP can interact with certain other medications. It is important to inform your doctor about all medications, supplements, or herbal remedies you are currently taking or plan to take.

• Antacids: Take antacids at least half an hour before or after ERACID-D CAP as they can affect its absorption.
• Anti-HIV medicines: Medicines like Rilpivirine and lamivudine can interact with ERACID-D CAP.
• Blood thinners: Medications such as warfarin may interact with pantoprazole, potentially affecting the anticoagulant's function.
• Antibiotics: Some antibiotics like clarithromycin or rifampicin may alter how domperidone and pantoprazole work.
• Antifungals: Antifungal medications like ketoconazole might have reduced effectiveness due to interactions with domperidone.

What precautions should be taken?

• Inform your doctor if you have liver, kidney, or heart problems, a history of fractures, osteoporosis, or are taking steroids.
• Avoid taking this medicine if you have a blockage, obstruction, or bleeding in your digestive tract, or a tumour called prolactin pituitary tumour.
• Prolonged use (over a year) may increase the risk of bone fractures and can cause blood magnesium levels to drop, requiring regular monitoring by your doctor.
• If you experience dizziness, drowsiness, or visual disturbances, avoid driving or operating machinery.
• Limit alcohol intake as it can worsen acidity symptoms and increase sleepiness.
• Do not stop the medication early, as symptoms may return or worsen.

What happens if a dose is missed?

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

How should it be stored?

Store ERACID-D CAP below 25°C or 30°C in a cool, dry place. Keep it out of reach of children and pets, and protect it from moisture and light.