Raciper D Capsule

Raciper D capsule is an anti-reflux medicine and is used to treat gastroesophageal reflux disease (GERD), which does not respond to esomeprazole medication alone. GERD is a condition in which acid from the stomach comes back up to the food pipe and causes heartburn, belching, nausea, and chest pain. Raciper D capsule contains esomeprazole and domperidone.

It works by decreasing the amount of acid produced in the stomach and improves mortality in the gut. Thus, it reduces the backflow of stomach content to the food pipe. Take this medicine as per the prescribed duration.

It should preferably be taken at least an hour before the meal. Headache, dizziness, nausea, diarrhoea, stomach pain, weakness, skin rash, dry mouth are some side effects that you may experience after taking the Raciper D capsule. Most of these are temporary but if you feel the side effects persist or your condition worsens, you should contact your doctor immediately.

This medicine is not recommended for use in patients below 18 years old.

Dosage

Overdose

Symptoms of overdose include nausea, vomiting, indigestion, diarrhoea, constipation, weakness, confusion, agitation, anxiety, fits, altered consciousness, sleepiness, etc. In case of an overdose, contact your doctor immediately or visit the nearest hospital.

Missed a Dose

If you miss any dose of Raciper D capsule, take it as soon as you remember. If it's time for your next dose, skip the missed dose and continue with your regular dose schedule. Do not take a double dose of this medicine to compensate for the missed one. Skipping doses or not finishing the full course of therapy may reduce the effectiveness of the treatment.

Mode of Action

How Does It Work?

• A pump called the proton pump in the stomach is responsible for the flow of stomach acids.
• Esomeprazole works by binding to this proton pump in stomach cells and blocks the acid secretion.
• Domperidone acts by increasing the motility of the stomach and intestines so that acid does not reflux back into the food pipe.

Directions for Use

Raciper D capsule should be taken as directed by the doctor. It should be swallowed as a whole with a sufficient amount of water at least 1 hour before meals. These capsules should not be opened, chewed or crushed. You should take this medicine regularly at a fixed time and as directed by your doctor. Do not consume it more than the prescribed dose.

Precautions and Warnings

Pregnancy

Can I take Raciper D capsule during pregnancy?

You should consult your doctor before using the Raciper D capsule as there is limited information about its safety during pregnancy. Your doctor will only prescribe you this medicine if considered essential after assessing the benefits over risks.

Breast Feeding

Can I take Raciper D capsule while breastfeeding?

Components of the Raciper D capsule pass into the breastmilk in small amounts, thus consult your doctor if you are breastfeeding. After assessing the benefits over the risks, your doctor might change the medicine, ask you to stop breastfeeding or closely monitor the baby.

Driving

Can I drive if I have consumed Raciper D capsule?

Raciper D capsule may make you feel dizzy, sleepy or even blur your vision for a temporary basis. You should avoid driving if you do not feel well or are unable to be alert.

Alcohol

Can I consume alcohol with Raciper D capsules?

You should avoid consuming alcohol while on treatment with Raciper D capsule as it is known to increase acidity and can make your acidity worse.

Other General Warnings

Talk to your doctor if

• You have any liver and kidney-related diseases.
• You have a specific blood test (Chromogranin A).
• You experience black stools or have a stomach tumour.
• You have a history of fractures or have osteoporosis or taking steroids.
• You develop skin lesions, especially in the sun-exposed area after taking this medicine.
• You are taking medicines to treat HIV or apomorphine (used to treat muscle stiffness).
• You have heart problems and associated symptoms like palpitations, difficulty in breathing and unconsciousness.
• You experience stomach pain or indigestion, unexplained weight loss, have problems while swallowing, vomit out food or blood after taking this medicine.
• 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.
• You are on these capsules for long-term treatment (more than three months), your blood magnesium levels may decrease. Hence, your doctor may perform regular tests for the same.
• Raciper D capsule is not recommended for patients below the age of 18 years.
• Taking this medicine for more than one year may increase the chances of developing bone fractures.
• Raciper D capsule may lead to a slightly increased risk of bacterial infections due to Salmonella and Campylobacter.

Contraindications

• If you are allergic to esomeprazole or domperidone or any other ingredients of Raciper D capsule.
• If you have a blockage or tear in the intestines.
• If you are suffering from liver or kidney disorder.
• If you are suffering from bleeding in the digestive system.
• If you have any tumour of the pituitary gland (Prolactin pituitary tumours).
• If you have severe heart problems such as congestive heart failure, heart rhythm problems, electrolyte imbalance.
• If you are taking any medicine which might affect the contraction of the heart muscle (QT prolongation).
• If you are taking medicines such as Nelfinavir (used in HIV infection), Clarithromycin (antibiotic), Ketoconazole (antifungal) or Verapamil (used in high blood pressure and chest pain).

Side effects

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

Interactions

Interactions with other medicines

• There is limited information available on the interaction of this medicine with other medicines. However, as this pill contains Esomeprazole and Domperidone, and any interactions with these two components when taken alone, may occur with this combination.
• This medicine should not be taken concomitantly along with medicines such as Nelfinavir (used to treat HIV infection), Amiodarone (used to treat muscle stiffness), Clarithromycin (antibiotic), Ketoconazole (antifungal) or Verapamil (used in high blood pressure, chest pain).
• This capsule should also not be taken along with medicines used to treat heart problems (Quinidine, Sotalol), psychiatric illness (Haloperidol, Citalopram), antifungals (Pentamidine), antimalarials (Halofantrine, Lumefantrine), medicines used to treat allergies (Mizolastine), medicines to treat in cancer (Toremifene, Vandetanib), gastric emptying medicines (Cisapride) and other medicines like Diphemanil and Methadone.
• Concomitant use of this capsule with medicines used to treat psychiatric illness (Diazepam), used to treat fits (Phenytoin) is not recommended as it may increase the side effects of the medicines.
• Medicine used to treat heart failure like Digoxin may lead to toxicity when taken with this medicine.
• If you are taking Warfarin (blood-thinner) along with this medicine, caution is needed as there are chances of increased bleeding.
• Other medicines like Rifampicin, Methotrexate, Tacrolimus, Voriconazole, Cilostazol, Clopidogrel, Azithromycin, St John's wort, etc. should be used cautiously along with Raciper D capsule.

Interactions with food items

It is recommended to take Raciper D on an empty stomach or at least 30 minutes before meals. Avoid high-fat foods.

Storage and disposal

Store Raciper D capsule below 25°C in a clean and dry place, protected from direct sunlight, moisture, and heat. Keep this medicine away from children and pets. Discard expired medicines or any unused medicine properly, do not flush in the toilet or throw it into the drain.

Frequently Asked Questions (FAQs)

What is the use of Raciper D capsule?

Raciper D capsule is used to treat gastroesophageal reflux disease (GERD) in adults when GERD does not respond to esomeprazole medicine alone. This condition leads to acid regurgitating from the stomach into the food pipe, causing heartburn, chest discomfort, and acidity.

Can Raciper D capsule be taken after food?

Raciper D capsule should not be taken after food as food interacts with the absorption of this medicine. Hence, it should preferably be taken at least 1 hour before food.

How much time does it take for Raciper D capsule to act?

It takes approximately 1 hour after taking a dose for this medicine to act.

Can we take cap Raciper D along with Itraconazole?

You should avoid taking Raciper D capsule with Itraconazole as it reduces the absorption of Itraconazole, reducing its effect. You should consult your doctor before taking Itraconazole when on treatment with this medicine.

How long can I take Raciper D capsules?

The doctor decides the frequency and duration of the treatment with the Raciper D capsules after accessing the condition. You must not stop taking the medicine before the treatment is complete neither should you take it for too long.

Can I stop taking Raciper D capsules on my own?

No, avoid stopping the Raciper D capsules until advised by the doctor, even if you are feeling good. If you stop taking the medicine in between the treatment, it may not completely cure the condition and lead to reoccurrence.

What is the composition of Raciper D?

Raciper D composition includes esomeprazole and domperidone, as its active component.

What is the dose the Raciper D?

The doctor will decide the dose of the Raciper D on the basis of the underlying condition and medical history. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered.