Arorab Dsr Capsule

• If you are allergic to this medicine or any of the ingredient of this medicine
• If you are taking any medicine which might affect the contraction of heart 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
• If you have any tumor of the pituitary gland (Prolactin pituitary tumours)
• If you are pregnant or breast feeding

• Nausea
• Headache
• Lack of energy
• Gas
• Skin rash
• Diarrhoea
• Dry mouth
• Stomach pain
• Sleeplessness
• Back pain
• Throat infection (Pharyngitis)
• Cough
• Vomiting
• Dizziness
• Constipation
• Breast pain and loss of sex drive

Other General Warnings

• You develop watery diarrhoea, fever after taking this medicine
• You experience black stools
• You have a stomach tumour
• 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
• You are on this medicine 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 this medicine for more than one year may increase chances of developing bone fractures

• Store below 25°C, protected from moisture and light
• Keep the medicine out of the reach of children

Overdose

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

Missed a Dose

• If you missed any dose of the medicine 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

How Does It Work?

• A pump called the proton pump in the stomach is responsible for the secretion of stomach acids. Rabeprazole binds to this proton pump in stomach cells, thus blocking acid secretion
• Domperidone increases the motility of stomach and intestines so that acid does not reflux back into the food pipe

Interactions with other medicines

• There is limited information available on the interaction of this combination with other drugs. However, as this medicine contains Omeprazole and Domperidone, any interactions seen with these two components when taken alone may occur with this combination
• Rilpivirine should never be used with this medicine
• Never take these medicines along with it: Disopyramide, Amiodarone, medicines for mental problems haloperidol, Citalopram, antibiotics like Erythromycin, Levofloxacin, Azithromycin, antifungals like Pentamidine, Ketoconazole and other medicines like Cisapride, Dolasetron, Mequitazine 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, Phenytoin
• If you are taking Warfarin, caution is needed as there are chances of increased bleeding

Interactions with food items

• It 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