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INTRODUCTION
RACIPER 20MG contain esomeprazole which belongs to a group of medicine called proton pump inhibitors. It is used to treat gastroesophageal reflux disease (GERD), stomach ulcers or intestinal ulcers caused by helicobacter pylori infection in both adults and adolescents and stomach ulcers and intestinal ulcers caused by NSAIDs (Non-Steroidal Anti-Inflammatory Drugs), Zollinger-Ellison syndrome and Prolonged treatment after prevention of rebleeding of ulcers with intravenous esomeprazole in adults.
Gastroesophageal reflux disease is a condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (oesophagus) which can irritate the lining of your esophagus. In Zollinger-Ellison syndrome, tumor in your pancreas or the upper part of your small intestine (duodenum) called gastrinomas, secrete large amounts of the hormone gastrin, which cause your stomach to produce too much acid.
Always take RACIPER 20MG exactly as your doctor has told you. This medicine must be taken with food or on an empty stomach. It is strictly not recommended for use in children under the age of 12 years. Before taking this medicine tell your doctor if you have ever had kidney disease, heart disease, liver problems. Pregnant and breastfeeding women should consult their doctor before taking this medicine.
USES OF RACIPER 20MG
- Treat Gastroesophageal reflux disease (GERD) in both adults and adolescents
- Treat stomach ulcers or intestinal ulcers caused by helicobacter pylori infection and NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) in both adults and adolescents
- Treat Zollinger-Ellison syndrome in adults
- Prolonged treatment after prevention of rebleeding of ulcers with intravenous esomeprazole in adults
HOW RACIPER 20MG WORKS
RACIPER 20MG works by reducing the amount of acid in the stomach which helps in relief of acid related indigestion and heartburn.
DIRECTIONS FOR USE
Always take RACIPER 20MG exactly as your doctor has told you. This medicine must be taken with food or on an empty stomach. Try to take this medicine at the same time each day. It should be swallowed whole with water. Do not crush or chew the medicine.
SIDE EFFECTS OF RACIPER 20MG
SERIOUS
- severe allergic reaction (such as sudden wheezing, swelling of your lips, tongue and throat or body, rash, fainting or difficulties in swallowing)
- reddening of the skin with blister or peeling
- liver problems (such as yellow skin, dark urine, and tiredness)
- chronic inflammation of the stomach lining
- vitamin B-12 deficiency
- low magnesium level in your body (symptoms such as seizures, dizziness, abnormal or fast heartbeat, jitteriness, jerking movements or shaking (tremors), muscle weakness, spasms of the hands and feet, cramps or muscle ache, spasm of the voice box)
COMMON
- headache
- diarrhoea
- stomach pain
- constipation
- wind (flatulence)
- nausea, vomiting
- benign polyps in the stomach
- dry mouth
- drowsiness
RARE
- blood problem such as reduced number of white cells or platelet
- low levels of sodium in the blood
- feeling agitated, confused, or depressed
- taste changes
- eyesight problems such as blurred vision
- suddenly feeling wheezy or short of breath
- inflammation of the inside of the mouth
- thrush infection
- hair loss (alopecia)
- skin rash on exposure to sunshine
- joint pains (arthralgia) or muscle pains (myalgia)
- generally feeling unwell and lacking energy
- increased sweating
HOW TO MANAGE SIDE EFFECTS
Headache:
Apply hot or cold-water bag on your head. Take rest in a quiet and dark room. Drink tea or coffee.
Diarrhoea:
Drink lot of fluid such as water or juice, to avoid dehydration. Do not take any medicines without speaking to a doctor.
Stomach pain:
Try to rest and relax. eat and drink slowly and smaller and frequent meals. Applying a heat pad or covered hot water bottle on your stomach may also help. If still pain persists, speak to your doctor.
Constipation:
Take fibre rich foods such as fresh fruit, vegetables and cereals, and drink plenty of water. Exercise more regularly.
Nausea and vomiting:
Keep try taking this medicine with, or just after, a meal or snack and stick to simple meals and do not eat rich or spicy food.
WARNING & PRECAUTIONS
PREGNANCY
RACIPER 20MG should be used with caution in pregnant women. Consult your doctor before taking this medicine.
BREASTFEEDING
RACIPER 20MG is not recommended for use in breastfeeding women unless necessary. Discuss the risks and benefits with your doctor.
DRIVING AND USING MACHINES
Do not drive or operate machinery while taking this medicine, since it may cause dizziness and blurred vision.
ALCOHOL
Consumption of alcohol is not recommended during treatment with RACIPER 20MG.
KIDNEY
RACIPER 20MG should be used with caution in patients suffering from active kidney diseases. Consult your doctor for advice.
LIVER
RACIPER 20MG should be used with caution in patients suffering from liver function impairment or active liver diseases. Consult your doctor for advice.
ALLERGY
Do not take RACIPER 20MG if you are allergic (hypersensitive) to esomeprazole or any other ingredients in this medicine.
INTERACTIONS
Talk to your doctor if you are taking,
- nelfinavir, atazanavir, saquinavir (used to treat HIV infection)
- clopidogrel (used to prevent blood clots)
- ketoconazole, itraconazole or voriconazole (used to treat fungal infection)
- erlotinib, methotrexate (used to treat cancer)
- citalopram, imipramine, clomipramine (used to treat depression)
- diazepam (used to treat anxiety, relax muscles)
- phenytoin (used to treat epilepsy)
- warfarin (used for thin blood)
- cilostazol (used to treat intermittent claudication)
- cisapride (used to treat indigestion and heartburn)
- digoxin (used to treat heart problems)
- tacrolimus, mycophenolate mofetil (used for organ transplantation)
- rifampicin (used to treat tuberculosis)
- St. John’s wort (Hypericum perforatum) (used to treat depression)
SYNOPSIS
| Drug | : | Esomeprazole |
| Pharmacological Category | : | Proton Pump Inhibitor |
| Therapeutic Indication | : | Gastroesophageal reflux disease, stomach ulcers or intestinal ulcer, Zollinger-Ellison syndrome, rebleeding of ulcers |
| Dosage Forms | : | Tablet, Injection |
MORE INFORMATION
Store below 20-25°C and keep out of reach of children.
FAQs ABOUT RACIPER 20MG
Can I take antacids along with RACIPER 20MG?
Yes, it can take antacids along with this medicine.
Can RACIPER 20MG cause headache?
Yes, this medicine may cause headache in some individuals. Apply hot or cold-water bag on your head. Take rest in a quiet and dark room. Drink tea or coffee.
Is it safe to drive or operate heavy machinery when consuming RACIPER 20MG?
No, do not drive or operate machinery while taking this medicine, since it may cause dizziness and blurred vision.
REFERENCES
1. KD Tripathi. Drugs for Peptic Ulcer and Gastroesophageal Reflux Disease. Essentials of Medical Pharmacology. seventh edition.2013. Page - 653.
2. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. Page -1428-1432.
3. Evangelos Kalaitzakis 1, Einar Björnsson. A review of esomeprazole in the treatment of gastroesophageal reflux disease (GERD). NIH: National Library of Medicine, National center of biotechnology Information Pubmed.gov. Aug 2007. [Accessed 05 Nov 2020] https://pubmed.ncbi.nlm.nih.gov/18472988/
4. Sun Pharmaceutical Industries Europe B.V; Electronic Medicines Compendium (EMC); [Revised on May 2020] [Accessed 05 Nov 2020] https://www.medicines.org.uk/emc/files/pil.2326.pdf
5. AstraZeneca UK Ltd; Electronic Medicines Compendium (EMC); [Revised on Feb 2020] [Accessed 05 Nov 2020] https://www.medicines.org.uk/emc/files/pil.4658.pdf
6. Wilmington, AstraZeneca LP 1989; U.S. Food & Drug Administration; [Revised Dec 2014] [Accessed 05 Nov 2020] https://www.accessdata.fda.gov/drugsatfda_docs/label/2014/022101s014021957s017021153s050lbl.pdf
7. BALKANPHARMA DUPNITSA AD; Electronic Medicines Compendium (EMC); [Revised on Dec 2017] [Accessed 05 Nov 2020] https://www.accord- healthcare.com/ie/sites/default/files/pil/app_bbba1601_esomeprazole_20mg_40mg_tabs_pil_ie_no_sign.pdf
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