Razo D Capsule

Razo-D capsule is an anti-reflux medicine used to treat gastrointestinal reflux disease (GERD). It contains a combination of two medicines - rabeprazole and domperidone. Razo-D capsule should be taken as directed by the doctor and in doses and duration as prescribed.

Do not miss any dose or take it more often than your doctor prescribes. Along with taking medicine on time, making certain lifestyle modifications can help to manage your acidity problem better. Try eating smaller meals, eating slowly, avoiding overeating, and lying down immediately after meals.

Limit your intake of alcohol, avoid smoking, and maintain a healthy weight. Consult the doctor to understand what works best for you. Inform your doctor if you are pregnant, planning a pregnancy or breastfeeding and about all the medicines and supplements you take and all the conditions or diseases you suffer from before starting this medicine.

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

Dosage

Overdose

Symptoms of an overdose include confusion, anxiety, fits, altered consciousness, sleepiness, etc. contact your doctor immediately or visit the nearest hospital if you think you experience any of these symptoms or think you may have taken too much of Razo-D capsules,

Missed a Dose

If you have missed any dose of Razo-D capsule take it as soon as you remember. However, 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?

• 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

Razo-D capsules should be taken as a whole with a sufficient amount of water (and should not be chewed or crushed), preferably in the morning before food. It should be taken exactly as directed by the doctor. 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 Razo-D capsule during pregnancy?

Razo-D capsules should not be used in pregnancy as components of this capsule may harm your unborn baby. It is essential to always consult a doctor before starting any medicine during pregnancy.

Breast Feeding

Can I take Razo-D capsule while breastfeeding?

Components of Razo-D capsule pass into the breastmilk in small amounts and might affect your baby. 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 Razo-D capsule?

If you experience drowsiness and visual disturbances (altered vision) after taking Razo-D capsules, it is advised not to drive or use machines.

Alcohol

Can I consume alcohol with Razo-D capsule?

Consuming alcohol while on treatment with Razo-D capsule does not affect the way it works. However, you should avoid drinking alcohol in excess as it is known to increase acidity and can make your acidity worse.

Other General Warnings

Talk to your doctor if

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

Contraindications

• If you are allergic to Rabeprazole or Domperidone or any of the ingredients of Razo-D capsule.
• If you are suffering from any liver or kidney problems.
• If you have serious heart problems like heart failure, heart rhythm problems, or electrolyte imbalance.
• If you are taking any medicine that might affect the contraction of the heart muscle (QT prolongation).
• If you are suffering from bleeding in your digestive system.
• If you have any tumour of the pituitary gland (Prolactin pituitary tumours).
• If you are pregnant, think you may be or are breastfeeding.

Side effects

• Headache
• Dizziness
• Nausea
• Vomiting
• Stomach pain
• Diarrhoea
• Constipation
• Cough
• Back pain
• Lack of energy
• Skin rash
• Dry mouth
• Insomnia

Interactions

Interactions with other medicines

• There is limited information available on the interaction of Razo-D capsule with other medicines. However, as this capsule contains Omeprazole and Domperidone, any interactions seen with these two components when taken alone may occur with this combination.
• Avoid using Razo-D capsule along with medicines like Disopyramide, Amiodarone, medicines used for psychiatric problems haloperidol, Citalopram, antibiotics like Erythromycin, Levofloxacin, Azithromycin, antifungals like Pentamidine, Ketoconazole and other medicines like Cisapride, Dolasetron, Mequitazine, Rilpivirine, etc.
• Razo-D capsule interferes with the action of antiviral medicines like Rilpivirine, Atazanavir and Nelfinavir and antifungals like Posaconazole, Ketoconazole and Itraconazole and thus should be used with caution.
• Medicine used to treat heart failure like digoxin may lead to toxicity when taken with Razo-D capsules.
• Medicines used for your mental health like Diazepam, Phenytoin should also be used with caution.
• If you are taking Warfarin, caution is needed as there are chances of increased bleeding when taken along with Razo-D capsules.

Interactions with food items

Razo-D capsules should preferably be taken on an empty stomach. There are no known interactions with food or beverages. However, nicotine and caffeine (coffee, tea, chocolate and cola) can increase stomach acid or delay ulcer healing and hinder the treatment process as well.

Storage and disposal

Store Razo-D capsules in a cool and dry place, protected from direct sunlight, moisture and heat. Keep it away from children and pets. Do not use expired or damaged medicines. Discard any unused medicine properly, do not flush it in the toilet or throw it into the drain.

Frequently Asked Questions (FAQs)

I am suffering from a liver problem. Can I take Razo-D capsule?

You need to inform the doctor if you are suffering from any kind of liver or kidney problem. The doctor may suggest another medicine.

What needs to be done to avoid acidity?

You should avoid spicy, oily and packed food.

I have been taking Razo-D capsules for some months now, what should I watch for?

Take Razo-D capsules only for the duration as prescribed by your doctor. If there is relief in your symptoms, you may visit your doctor for a follow-up, where your doctor may reduce the dose.

For how long should I take Razo-D capsule?

Your doctor will decide the frequency and duration of the treatment with Razo-D capsule after assessing your condition. You should not stop taking this capsule before completing the treatment nor should you take it for a longer duration.

What is the use of Razo-D capsule?

Razo-D capsule is used for the treatment of gastrointestinal reflux disease (GERD).

When should you take Razo-D capsule after food or before?

Razo-D capsules should normally be taken before food (on an empty stomach), preferably in the morning.

Is Razo D capsule an antibiotic

No, Razo-D capsule is not an antibiotic.

Can I stop taking Razo-D capsule on my own?

No, you should never stop taking Razo-D capsule 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 recurrence.

Is Razo-D capsule addictive?

No, Razo-D capsule is not an addiction-causing medicine. However, it should be used as per the dose and duration prescribed by your doctor.

Can I take the Razo D for constipation?

No, it is not effective in constipation. Razo D is used to treat gastrointestinal reflux disease (GERD).

What are the side effects of the Razo D?

Headache, nausea, constipation, stomach pain and flatulence are a few common side effects of the Razo D. However, these symptoms resolve with time.

When should Razo D be taken?

Razo-D capsules should be taken as a whole with a sufficient amount of water (and should not be chewed or crushed), preferably in the morning before food. It should be taken exactly as directed by the doctor.

What is the difference between Razo D and Razo 20?

Razo D contains rabeprazole and domperidone whereas Razo 20 contains Rabeprazole. Both of these medicines are used to treat acidity and heartburn associated with various conditions. The doctor will decide which one to prescribe you after accessing the health condition and prescribe you a medicine depending upon the underlying disease, the severity of the disease, medical history and other parameters.

How does Razo D work?

Razo-D capsule contains a combination of two medicines - rabeprazole and domperidone.

Is Razo D safe in pregnancy?

Razo-D capsule should not be used in pregnancy. It is essential to always consult a doctor before starting any medicine during pregnancy.

Is Razo D an antacid?

Yes, Razo D capsule is an antacid and anti-emetic medicine. It reduces the amount of acid that is produced by the stomach.

Can Razo D be taken twice a day?

The recommended dose of Razo D capsule is one capsule once daily. However, this medicine can be taken twice a day only if it is recommended by your doctor.

Can I take Razo D with alcohol?

Consuming alcohol while on treatment with Razo-D capsule does not affect the way it works. However, you should avoid drinking alcohol in excess as it is known to increase acidity and can make your acidity worse.