Raciper 40 Mg Tablet (15 Tab)

RACIPER 40 MG TABLET

RACIPER 40 MG TABLET, manufactured by Sun Pharmaceutical Industries Ltd., is a medication used to manage conditions associated with excessive stomach acid production.

• Name

  • Common Name: Esomeprazole 40 mg Tablet
  • Brand Name: Raciper 40 Tablet. An equivalent brand name in the USA is Nexium.

• Composition

  • Active Ingredient: Esomeprazole (40 mg).
  • Class: Proton Pump Inhibitor (PPI).

• Uses RACIPER 40 MG TABLET is prescribed for medical conditions that involve high stomach acid levels.

  • Gastroesophageal Reflux Disease (GERD): Treatment of symptoms like heartburn, acid reflux, and healing of erosive esophagitis (inflammation of the food pipe due to acid reflux).
  • Peptic Ulcer Disease: Treatment of stomach and duodenal ulcers.
  • Zollinger-Ellison Syndrome: Management of this rare condition characterized by excessive stomach acid production due to a tumor.
  • Prevention of NSAID-induced Ulcers: Used to prevent stomach ulcers caused by certain nonsteroidal anti-inflammatory drugs (NSAIDs).
  • Helicobacter pylori Infection: Used in combination with antibiotics to eradicate H. pylori bacteria, which can cause ulcers.

• Dosage and Administration

  • RACIPER 40 MG TABLET should be taken orally, typically once daily.
  • It is generally advised to take the tablet on an empty stomach, preferably in the morning, at least one hour before a meal.
  • Swallow the tablet whole with water; do not chew, crush, or break it.
  • The dose and duration of treatment are determined by the doctor based on the medical condition. For GERD, a typical course duration may be up to 8 weeks. Long-term use may be prescribed for specific conditions like Zollinger-Ellison syndrome under medical supervision.

• Side Effects

  • Common Side Effects: Headache, nausea, vomiting, diarrhea, constipation, stomach pain, abdominal pain, and flatulence. These are usually mild and may resolve over time.
  • Serious Side Effects (with prolonged use or in rare cases):
    • Low magnesium levels (hypomagnesaemia), which can cause tiredness, confusion, dizziness, muscle twitches, or irregular heartbeat.
    • Increased risk of bone fractures.
    • Vitamin B12 deficiency.
    • Severe allergic reactions (e.g., sudden wheezing, swelling of the face/lips/tongue/throat, rash, fainting, difficulty swallowing).
    • Skin reactions like Stevens-Johnson syndrome or toxic epidermal necrolysis (reddening of skin with blisters or peeling).
    • Liver problems (yellow skin, dark urine, tiredness).
    • Kidney problems (decreased urination, swelling, lower back pain, nausea, fatigue, rash, or fever).
    • Dizziness and blurred vision.

• Precautions

  • Inform your doctor if you have severe liver problems, severe kidney failure, or osteoporosis.
  • This medicine is generally not recommended for children under 12 years of age, though for specific conditions like erosive esophagitis, it may be prescribed for children aged 5-16 years.
  • Consult your doctor if you are pregnant or breastfeeding, as its use may be unsafe during pregnancy and caution is advised during breastfeeding.
  • Avoid alcohol and limit intake of spicy, fatty foods, and caffeinated drinks, as these can worsen symptoms.
  • Exercise caution when driving or operating machinery if you experience dizziness or blurred vision.
  • Long-term use may require regular monitoring of magnesium and Vitamin B12 levels by a doctor.
  • Inform your doctor about all other medications you are taking, especially anti-HIV medicines (like atazanavir or nelfinavir), blood thinners (e.g., warfarin, clopidogrel), antifungals (e.g., ketoconazole, voriconazole), methotrexate, phenytoin, diazepam, cisapride, cilostazol, tacrolimus, digoxin, iron supplements, and anti-cancer medications, as interactions may occur.

• Storage

  • Store RACIPER 40 MG TABLET in a cool and dry place, away from direct sunlight, at a temperature below 25°C or 30°C.
  • Keep out of the sight and reach of children and pets.

RACIPER 40 MG TABLET contains Esomeprazole, a proton pump inhibitor (PPI), as its active ingredient. It is used to reduce the amount of acid produced in the stomach.

Here are some frequently asked questions about RACIPER 40 MG TABLET:

What is RACIPER 40 MG TABLET used for?

RACIPER 40 MG TABLET is primarily used to treat conditions caused by excessive stomach acid production. These include Gastroesophageal Reflux Disease (GERD), which causes heartburn and acid reflux, peptic ulcer disease (sores in the stomach or intestine lining), and Zollinger-Ellison syndrome, a rare condition causing the stomach to make too much acid. It can also be used to heal stomach ulcers caused by certain medications and as part of combination therapy to eradicate Helicobacter pylori bacteria, which can cause ulcers.

How does RACIPER 40 MG TABLET work?

RACIPER 40 MG TABLET works by blocking the "proton pumps" in the lining of your stomach. These proton pumps are enzymes (specifically H+/K+ ATPase) responsible for producing stomach acid. By inhibiting these pumps, Esomeprazole reduces the amount of acid your stomach makes, thereby alleviating symptoms and allowing damaged tissues to heal.

What is the usual dosage for RACIPER 40 MG TABLET?

The dosage of RACIPER 40 MG TABLET (Esomeprazole 40 mg) varies depending on the condition being treated and its severity. For adults with GERD, a typical dosage might be 20 mg once daily, but for other conditions or severe cases, 40 mg once daily might be prescribed. When used to treat ulcers caused by H. pylori, it is typically taken in combination with antibiotics, often twice a day. Always follow your doctor's specific instructions for dosage and duration. The tablet should be swallowed whole and not chewed, crushed, or split.

What are the possible side effects of RACIPER 40 MG TABLET?

Common side effects can include headache, abdominal pain, sore throat, gas, constipation, diarrhea, nausea, and vomiting. More serious, though less common, side effects that can occur with long-term use (generally beyond 3 months to a year) include:

• Low magnesium levels: This can lead to muscle spasms, abnormal heart rhythms, or seizures.
• Bone fractures: Increased risk of fractures of the hip, wrist, or spine, particularly with high doses or prolonged use.
• Clostridium difficile-associated diarrhea (CDAD): Severe, watery diarrhea caused by bacterial infection.
• Vitamin B12 deficiency: Occurs with prolonged use, as stomach acid is needed for proper absorption of vitamin B12.
• Lupus erythematosus: Can cause or worsen cutaneous or systemic lupus erythematosus.
• Kidney injury: Rarely, can cause acute tubulointerstitial nephritis. If you experience any severe or persistent side effects, contact your doctor immediately.

Is RACIPER 40 MG TABLET safe during pregnancy or breastfeeding?

RACIPER 40 MG TABLET (Esomeprazole) is generally not recommended during pregnancy due to limited information regarding its use. It should only be used if clearly needed and under the direct supervision of a healthcare provider, where the benefits outweigh the potential risks. Small amounts of Esomeprazole may pass into breast milk, so it's advisable to consult your doctor before using this medication while breastfeeding. A similar medicine, omeprazole, may be recommended as more safety information is available.

Can RACIPER 40 MG TABLET be taken with other medications?

RACIPER 40 MG TABLET can interact with several other medications. It is crucial to inform your doctor about all prescription, over-the-counter, vitamin, and herbal supplements you are taking. Some medications that may interact with Esomeprazole include:

• HIV drugs: Such as atazanavir, nelfinavir, and rilpivirine, as Esomeprazole can significantly reduce their effectiveness.
• Antifungal drugs: Such as ketoconazole and itraconazole, as their absorption can be affected by reduced stomach acid.
• Blood thinners: Like warfarin, as it can increase the risk of bleeding.
• Methotrexate: Esomeprazole can increase methotrexate levels, leading to increased side effects.
• Digoxin, Iron supplements, and certain tyrosine kinase inhibitors. Your doctor will determine if adjustments to your medications are needed.

What precautions should be taken with RACIPER 40 MG TABLET?

• Swallowing: Swallow the tablet whole. Do not chew, crush, or split it, as this can affect how the medicine is released and works.
• Long-term use: If you are prescribed this medication for a long period, your doctor may monitor for potential side effects such as low magnesium, bone fractures, or vitamin B12 deficiency.
• Existing conditions: Inform your doctor if you have liver problems, lupus, or a history of low magnesium, calcium, or potassium levels in your blood.
• Diarrhea: Do not treat severe or watery diarrhea with over-the-counter products without consulting your doctor, as it could be a sign of a serious infection.

What happens if a dose is missed?

If you miss a dose of RACIPER 40 MG TABLET, 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 two doses at once to make up for a missed dose.

How should RACIPER 40 MG TABLET be stored?

Store RACIPER 40 MG TABLET at room temperature, typically between 59°F and 86°F (15°C and 30°C). Keep it in a closed container, away from heat, moisture, and direct light. Do not store it in moist or damp areas like bathrooms, and keep it out of the reach of children.