RAZO L CAP

RAZO L CAP is a prescription medication manufactured by Dr. Reddy's Laboratories Ltd., used to manage various gastrointestinal conditions.

• Name: Razo L Capsule (brand name), containing Levosulpiride and Rabeprazole (common names of active ingredients).

• Composition: Each capsule contains Levosulpiride 75 mg and Rabeprazole 20 mg. Rabeprazole is a proton pump inhibitor (PPI) that reduces stomach acid production, while Levosulpiride is a prokinetic agent that improves gastrointestinal motility and prevents acid reflux.

• Uses: It is primarily prescribed for:

  • Gastroesophageal Reflux Disease (GERD), including acid reflux, heartburn, and erosive esophagitis.
  • Intestinal ulcers and peptic ulcers.
  • Irritable Bowel Syndrome (IBS).
  • Zollinger-Ellison syndrome (a condition causing excessive acid production).
  • Functional dyspepsia and diabetic gastroparesis.

• Dosage and Administration: Typically, one capsule is taken daily on an empty stomach, preferably in the morning, or as advised by a healthcare professional. The capsule should be swallowed whole with water and not crushed or chewed. The dosage and duration depend on the patient's condition and response to treatment.

• Side Effects: Common side effects may include:

  • Nausea, stomach pain, diarrhea, flatulence, constipation.
  • Headache, dizziness, weakness, sleepiness, flu-like symptoms.
  • Other less common side effects can include cough, back pain, breast enlargement in males, altered libido, absence of menstrual periods, and unusual breast milk production in women and men. Most side effects are temporary.

• Precautions:

  • Avoid alcohol consumption as it can increase the risk of stomach damage and worsen drowsiness.
  • Caution is advised in pregnant or breastfeeding women; consult a doctor.
  • Patients with severe liver or kidney impairment should use with caution.
  • May cause dizziness or sleepiness, so avoid driving or operating machinery if affected.
  • Long-term use may increase the risk of osteoporosis-related fractures and hypomagnesemia; regular monitoring is necessary.
  • Inform your doctor about any pre-existing conditions like pheochromocytoma, epilepsy, mania, gastrointestinal bleeding, or intestinal obstruction.
  • Interactions may occur with psychotropic medicines (e.g., amitriptyline, fluoxetine) and antifungal medicines (e.g., ketoconazole, itraconazole).

• Storage: Store at room temperature, ideally below 25°C or 30°C, in a cool, dry place, away from direct sunlight, heat, and moisture. Keep out of reach of children.

Here are frequently asked questions about RAZO L CAP:

What is RAZO L CAP used for?

RAZO L CAP is a prescription medicine primarily used to treat gastroesophageal reflux disease (GERD), also known as acid reflux. It is also used for intestinal ulcers and irritable bowel syndrome. This medicine helps reduce excess acid production in the stomach and prevents the reflux of stomach acid into the food pipe. It can also manage heartburn, acidity, indigestion, and aid in the healing of erosive esophagitis and peptic ulcers.

How does RAZO L CAP work?

RAZO L CAP contains two active ingredients: Rabeprazole and Levosulpiride. Rabeprazole is a proton pump inhibitor (PPI) that works by reducing the amount of acid produced in the stomach. Levosulpiride is a prokinetic agent that increases the movement of the stomach and intestines, which helps prevent acid from flowing back into the food pipe and improves digestion. Together, these actions relieve acidity and improve digestion.

What is the usual dosage and how should it be taken?

RAZO L CAP should be taken as directed by your doctor. The typical dosage is usually one capsule once daily. It is generally recommended to take the capsule on an empty stomach, preferably in the morning, about 30-60 minutes before a meal, swallowed whole with a glass of water. Do not chew, crush, or break the capsule.

What are the possible side effects of RAZO L CAP?

Common side effects of RAZO L CAP may include headache, nausea, diarrhea, flatulence, abdominal pain, dizziness, and drowsiness. Other reported side effects can include cough, back pain, altered libido, breast enlargement in males, absence of menstrual periods, or unusual production of breast milk in women and men. If any side effects persist or worsen, it is advised to consult your doctor.

Is RAZO L CAP safe during pregnancy or breastfeeding?

RAZO L CAP may be unsafe to use during pregnancy and is not recommended unless the benefits outweigh the risks, as animal studies suggest possible harm to the baby's development. Information regarding its use during breastfeeding is limited or suggests it may pass into breast milk, so it is advised to consult your doctor before using it while breastfeeding.

Can RAZO L CAP be taken with other medications?

Yes, but caution is advised as Razo-L CAP can interact with certain medications. It is important to inform your doctor about all medicines, supplements, or herbal products you are currently taking. Specifically, it may alter the effects of anti-fungal medicines (like ketoconazole or itraconazole), anti-HIV medicines (like atazanavir, nelfinavir, saquinavir), and some medicines for brain and heart-related disorders. Antacids and medicines for ulcers, such as sucralfate, should be taken with at least a 2-hour gap. Concomitant use with methotrexate may elevate its serum levels, potentially leading to toxicities.

What precautions should be taken while using RAZO L CAP?

Avoid consuming alcohol while taking RAZO L CAP as it can worsen sleepiness, increase the risk of stomach damage, and exacerbate acidity. This medicine may cause dizziness and sleepiness, so avoid driving or operating machinery until you know how it affects you. Long-term use of RAZO L CAP may increase the risk of weak or broken bones (osteoporosis) and low magnesium levels (hypomagnesemia), so adequate intake of dietary calcium and vitamin D may be recommended. Inform your doctor if you have kidney or liver diseases, a history of epilepsy, mental disorders, pheochromocytoma, gastrointestinal bleeding, or intestinal obstruction.

What happens if a dose is missed?

If you miss a dose of RAZO L CAP, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to compensate for the missed one.

How should it be stored?

RAZO L CAP should be stored in a cool and dry place, below 30°C, away from direct sunlight and heat. Keep it out of the reach and sight of children. It is best to follow the specific storage instructions provided on the medication packaging or by your pharmacist.