Rabemac-DSR Capsule

Rabemac-DSR capsules are used to treat gastroesophageal reflux disease (GERD), a condition where stomach acid flows back into the oesophagus. This combination medicine contains rabeprazole, which reduces stomach acid production, and domperidone, which improves stomach emptying. By neutralising excess acid, Rabemac-DSR helps relieve symptoms like heartburn and stomach discomfort.

Rabemac-DSR capsules work by combining the effects of Rabeprazole and Domperidone. Rabeprazole reduces excess stomach acid by blocking the proton pump, while Domperidone improves stomach and intestinal motility, thereby preventing acid reflux into the oesophagus. The common side effects of Rabemac-DSR capsules may include headache, dizziness, nausea, vomiting, stomach pain, and diarrhoea.

These effects are usually mild and temporary, resolving on their own with time. However, consult your doctor promptly if any side effect concerns you. Since this medicine may cause dizziness or sleepiness, avoid driving, operating machinery, or doing tasks that require full attention until you know how it affects you.

It is also advisable to avoid alcohol, as it can increase drowsiness. For better results, simple lifestyle changes, such as drinking cold milk, avoiding hot tea, coffee, spicy foods, and chocolate, may help manage acidity and reflux more effectively. Take Rabemac-DSR as directed by your doctor, typically 30 minutes before meals.

Do not skip doses or increase the prescribed dosage. Possible side effects include headache, diarrhoea, and stomach pain, which usually subside. Before starting Rabemac-DSR, inform your doctor about all medications, supplements, and medical conditions, especially if you are pregnant, planning a pregnancy, or breastfeeding.

Some other capsules containing rabeprazole and domperidone are Razo D capsule , Rabekind DSR capsule , Rabesec DSR capsule , and Rabium DSR capsule .

Dosage

Overdose

Symptoms of overdose include confusion, anxiety, fits, altered consciousness, sleepiness, etc. If you think you have taken too much of Rabemac-DSR capsule, contact your doctor immediately or visit the nearest hospital.

Missed a Dose

If you missed any dose of Rabemac-DSR capsule take it as soon as you remember. If it's time for your next dose, then skip the missed dose and continue with your regular dose schedule. Do not take a double dose of medicine to compensate for the missed one.

Mode of Action

How Does It Work?

• Rabemac-DSR capsule works by the combined action of both its active ingredients - rabeprazole and domperidone.
• Rabeprazole belongs to the class of medicines called proton pump inhibitors. The lining of the stomach secretes acid by certain processes that involve the intake of ions via a proton pump in the cells. Rabeprazole reduces the intake of the ions in the stomach cells that are necessary for the production of digestive acids in the stomach and hence leads to reduced acid production.
• Domperidone increases the motility of the stomach and intestines so that acid does not reflux back into the food pipe.

Directions for Use

• Rabemac-DSR capsule should be taken exactly as directed by the doctor. It should be swallowed as a whole with a glass of water (and should not be chewed or crushed), preferably in the morning before food.
• It would be best if you took it at a fixed time for optimal results and should not consume it more than that prescribed by your doctor.

Precautions and Warnings

Pregnancy

Can I take Rabemac-DSR Capsule during pregnancy?

Rabemac-DSR capsule should not be used in pregnancy as there is limited safety information available, thus consult your doctor before starting this medicine during pregnancy.

Breast Feeding

Can I take Rabemac-DSR Capsule while breastfeeding?

Components of Rabemac-DSR capsule pass into the breastmilk in small amounts, thus consult your doctor if you are breastfeeding. After assessing the benefits over risks your doctor might change the medicine, ask you to stop breastfeeding or closely monitor the baby for any side effects.

Driving

Can I drive if I have consumed Rabemac-DSR Capsule?

If you experience drowsiness and visual disturbances after taking Rabemac-DSR capsule, it is advised not to drive or use machines.

Alcohol

Can I consume alcohol with Rabemac-DSR Capsule?

Drinking alcohol when you are taking Rabemac-DSR capsules does not affect the way it works. However, you should avoid drinking large quantities of alcohol as it is known to increase acidity and can make your acidity worse.

Other General Warnings

Talk to your doctor if

• You develop watery diarrhoea, and fever after taking Rabemac-DSR capsule.
• You experience black stools
• You have a stomach tumor
• You have a history of fractures or have osteoporosis or taking steroids.
• You have liver and kidney disease or kidney failure.
• You have heart problems and associated symptoms like palpitations, difficulty in breathing, unconsciousness, etc.
• You are on Rabemac-DSR capsules for more than three months. Your blood magnesium levels may drop. Your doctor may perform regular tests for the same.
• You develop skin lesions especially in the sun-exposed area after taking this medicine.
• You are taking medicines to treat HIV
• You should not give this medicine to children of 12 years and below.
• You have low levels of vitamin B12. This medicine is known to reduce the absorption of vitamin B12 after long-term use. Supplements may be needed.
• Taking Rabemac-DSR capsules for more than one year may increase the chances of developing bone fractures.

Contraindications

• If you are allergic to rabeprazole, domperidone, or any of the ingredients of Rabemac-DSR capsule.
• If you are taking any medicine which might affect the contraction of theheart muscle (QT prolongation).
• If you are suffering from bleeding in the digestive system.
• If you are suffering from liver or kidney disorder.
• If you have serious heart problems like congestive heart failure, heart rhythm problems, electrolyte imbalance, etc.
• If you have any tumor of the pituitary gland (Prolactin pituitary tumors).
• If you are pregnant or breastfeeding.

Side effects

• Headache
• Cough
• Dizziness
• Nausea
• Vomiting
• Stomach pain
• Diarrhoea
• Constipation

Interactions

Interactions with other medicines

• There is limited information available on the interaction of Rabemac-DSR capsule with other medicines. However, as this medicine contains rabeprazole and domperidone, any interactions seen with these two components when taken alone may occur with this combination.
• Never take these medicines along with Rabemac-DSR capsule - Disopyramide, Amiodarone, medicines for mental problems haloperidol, Citalopram, antibiotics like Erythromycin, Levofloxacin, Azithromycin, antifungals like Pentamidine, Ketoconazole and other medicines like Cisapride, Dolasetron, Mequitazine, Rilpivirine, etc.
• This medicine interferes with the action of antiviral medicines like Rilpivirine, Atazanavir and Nelfinavir and antifungals like Posaconazole, Ketoconazole and Itraconazole.
• Medicine used to treat heart failure like digoxin may lead to toxicity when taken with this medicine.
• Medicines used for mental disorders like Diazepam and Phenytoin.
• If you are taking Warfarin, caution is needed as there are chances of increased bleeding.

Interactions with food items

It is recommended to take Rabemac DSR Capsules preferably on an empty stomach, about 30 minutes to 1 hour before meals. This timing helps maximize the effectiveness of the medication by ensuring optimal absorption and action.

Storage and disposal

• Store Rabemac-DSR capsules below 25°C, protected from moisture and light.
• Keep the medicine out of the reach of children.

Frequently Asked Questions (FAQs)

I am suffering from a liver problem. Is Rabemac-DSR capsule safe for me?

Tell your doctor if you have any liver or kidney problems. The doctor may suggest you an alternative.

I get acidity quite often, what should I do to avoid it?

Avoid spicy, oily and packed food.

I have been taking this medicine for some months now, what should I watch for?

Take Rabemac-DSR capsules only for the duration as prescribed by your doctor. If you relieve your symptoms, you may visit your doctor for a follow-up, where your doctor may reduce the dose.

For how many days should I take Rabemac-DSR capsule?

Your doctor will decide the frequency and duration of the treatment with Rabemac-DSR capsule after assessing your condition. You should not stop taking this medicine before the treatment is complete and neither should you take it for too long.

What is the use of Rabemac-DSR Capsule?

Rabemac-DSR capsule is used for the treatment of gastrointestinal reflux disease (GERD).

When should I take Rabesec DSR?

Rabemac-DSR Capsule should normally be taken before food (on an empty stomach), preferably in the morning.

Are Pan-D and Rabemac-DSR capsules, compositions the same?

No, Rabemac-DSR capsule is a combination of Rabeprazole and Domperidone, whereas Pan-D capsule contains Pantoprazole and Domperidone. Both of these medicines are used for the treatment of stomach acid reflux disease. Your doctor will decide which one to prescribe you after assessing your health condition and prescribe you a medicine depending upon the underlying disease, the severity of the disease and other parameters.

Is Rabemac DSR capsule an antibiotic?

No, it is not an antibiotic medicine.

Can I stop taking Rabemac-DSR capsules on my own?

No, you should never stop taking Rabemac-DSR capsules until advised by the doctor, even if you are feeling good. If you stop taking this medicine in between the treatment, it may not completely cure your condition and can lead to reoccurrence.

Is Rabemac-DSR Capsule habit-forming?

No, Rabemac-DSR Capsule is not habit-forming.

Does Rabemac-DSR help in treating gastric bleeding?

No, it reduces the amount of acid your stomach makes and decreases the symptoms of acid reflux due to hyperacidity and stomach ulcer.

Does Rabemac DSR cause constipation?

Constipation or diarrhoea is one of the common side effects that can be seen during the treatment. However, not everyone experiences the same. Side effects often improve as your body gets used to the medicine.

What are the contents present in Rabemac DSR?

The contents present in Rabemac DSR are rabeprazole and domperidone, that work by reducing the backflow of stomach content to the food pipe.

What is the work of Rabemac DSR?

Rabemac-DSR capsule works by the combined action of both its active ingredients - rabeprazole and domperidone.

What is the dose of Rabemac DSR per day?

The dose and frequency of Rabemac DSR vary among individuals depending on the condition it is being taken for. You should not consume more than the recommended daily dose by the doctor.