DDR 60 Capsule

• To treat Erosive Oesophagitis (a condition wherein the lining of the oesophagus is damaged due to excessive stomach acid production causing ulcer formation and inflammation).
• To treat heartburn (acidity) caused by a condition known as GERD (Gastroesophageal Reflux Disease: a condition in which backward flow of acid from the stomach causes heartburn and possible injury of the oesophagus [tube between the throat and stomach]).
• To provide relief from excessive acid in the stomach
• This capsule also finds use in the maintenance of healed erosive Oesophagitis.

• If you are allergic to the active component dexlansoprazole, or any other ingredient in the capsule.
• If you are on or consuming medications that contain Rilpivirine or Atazanavir or other anti-HIV medications.
• If you are consuming herbal products like St. John's Wort (a flowering plant used to treat mood and nervous system related disorders).
• If you are on methotrexate (a medicine used in the treatment of cancer and psoriasis like skin condition).
• If you are on a blood-thinning agent like warfarin.
• If you have very low levels of vitamin B-12.

• Nausea
• Stomach ache/ abdominal pain
• Flatulence and gases
• Vomiting
• Diarrhoea
• Some rare yet serious side-effects that might need medical attention include Itching, rashes, hives on the skin; irregular/ fast heartbeats, shortness of breath; dizziness, lightheadedness, fits, severe diarrhoea with watery stools, decreased urination and /or blood in the urine

Other General Warnings

• You are pregnant or planning for a pregnancy.
• You are breastfeeding/lactating.
• You are planning for any surgery.
• You are allergic to any active or non-active ingredients in the capsule.
• You are suffering from osteoporosis or other bone-related diseases as these class of medicines tend to increase the risk of fractures.
• You are suffering from deficiency of magnesium or taking diuretic medication (class of drug prescribed to remove excess salt and water from the body) that leads to condition hypomagnesemia (low concentration of magnesium in the blood).
• You are suffering from liver disease and/ or autoimmune disease (a condition wherein our own body's defence cells attack and destroy our body cells ) like SLE (systemic lupus erythematosus).
• You have low levels of vitamin B12.
• You experience serious diarrhoea with watery stools and stomach ache, as dexlansoprazole makes an individual prone to Clostridium difficile associated diarrhoea.
• You experience pain or tenderness in your abdomen, blood in your stool and nausea as it can be a condition of stomach polyps (funidc gland polyp) generally seen on long term use of dexlansoprazole

• Take the medicine in dosage as directed by your doctor.
• Swallow the capsule as a whole with a glass of water on an empty stomach or at least 1 hour before a meal.
• It would be best if you take it at a fixed time for optimal results.

• Store Ddr Capsule at room temperature (10-30°C) in a 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 in the toilet or throw it into the drain.

Overdose

Missed a Dose

How Does It Work?

Interactions with other medicines

• Concomitant use of Anti-viral drugs like Rilpivirine or Atazanavir or other anti-HIV medications along with dexlansoprazole should be avoided as dexlansoprazole may affect the antiviral drugs.
• Do not use Ddr Capsule if you are on blood-thinning medication like warfarin or phenprocoumon as both the medicines together may lead to increased bleeding that might prove fatal.
• Ddr Capsule when used along with methotrexate for the long term have shown to have a toxic effect.
• Dexlansoprazole reduces the absorption of medicines like iron salts, erlotinib, dasatinib, nilotinib, mycophenolate mofetil, ketoconazole/itraconazole who are dependent on gastric acidity for their mechanism.
• Inform your doctor if you are on St.John's Wort (a flowering plant used to treat mood and nervous system related disorders) as it may decrease the efficiency of dexlansoprazole.
• Close monitoring is advised in patients who are on water pills (class of drug prescribed to remove excess salt and water from the body) like Bumetanide (Bumex), Furosemide (Lasix), along with Ddr Capsule as diuretics tend to cause magnesium imbalance and dexlansoprazole worsens the condition.
• Discuss with your doctor about any other medicine, herbal preparation and supplements you are taking currently to avoid any possible drug interactions.