Rabalkem-DSR Capsule

• If you are allergic to this medicine or any of the ingredients of this medicine
• If you are taking any medicine which might affect the contraction of the 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 tumour of the pituitary gland (Prolactin pituitary tumours)
• If you are pregnant or breastfeeding

• Nausea
• Headache
• Lack of energy
• Diarrhoea
• Dry mouth
• Stomach pain
• Sleeplessness
• Back pain
• Cough
• Vomiting
• Dizziness

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 the chances of developing bone fractures

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

• Rabalkem Dsr capsule is used to treat gastroesophageal reflux disease (GERD). GERD occurs when the stomach contents go back into the food pipe. It also helps in relieving symptoms such as heartburn, chest pain or acidity.
• Do not exceed the recommended dose and duration of this medicine.
• Before starting Rabalkem Dsr capsule, inform your doctor if you are pregnant, planning on becoming pregnant or breastfeeding.
• Inform your doctor about all other medicines that you take and your complete medical history.
• Rabalkem Dsr should preferably be taken before meals for optimum effectiveness.
• Avoid spicy and oily/fried food because they can cause excessive acidity.
• Regular exercises like walking, cycling or swimming can enhance circulation, lessen stress and help you keep a healthy weight.
• Additionally, limiting alcohol use and giving up smoking are recommended for improved acid reflux treatment.
• Some people who use Rabalkem Dsr capsules may have headache, nausea, vomiting, diarrhoea, flatulence and dry mouth. If these side effects worry you or do not go away, let your doctor know.
• If you experience sleepiness after taking these capsules, it is recommended to avoid driving, operating heavy machinery or performing any such tasks that require mental alertness.

Overdose

Missed a Dose

How Does It Work?

• Rabalkem DSR capsule contains two active components, rabeprazole and domperidone, which work together to control acid reflux and improve digestive function.
• Rabeprazole acts by inhibiting the gastric proton pump. This enzyme is responsible for the final step in gastric acid production. By blocking this pump, rabeprazole effectively reduces stomach acid secretion, thereby decreasing acidity and allowing the irritated oesophageal lining to heal.
• Domperidone works as a prokinetic agent by blocking dopamine (D2) receptors in the gastrointestinal tract. This action enhances gastric motility and accelerates stomach emptying. It also increases the tone of the lower oesophageal sphincter, which helps prevent the backflow of stomach contents into the food pipe.
• Together, rabeprazole reduces acid production, while domperidone improves gastrointestinal movement, resulting in relief from symptoms such as heartburn, nausea, bloating, and acid reflux.

Interactions with other medicines

• Certain medicines can interfere with the action of the Rabalkem-DSR capsule if, taken at the same time. However, as this medicine contains rabeprazole and domperidone, any interactions seen with these two components when taken alone may occur with this combination.
• Especially if you are taking anti-epileptic medicines like phenytoin or brain-related medicines such as diazepam, blood thinners like warfarin, antibiotics like clarithromycin, immunosuppressants like tacrolimus etc.
• Concomitant use of Rabalkem-DSR capsule along with antiviral medicines like rilpivirine, atazanavir, antifungals like ketoconazole and Itraconazole should be used with caution.
• Medicine used to treat heart failure like digoxin may lead to toxicity when taken with the Rabalkem-DSR capsule. If you are taking Warfarin, caution is needed as there are chances of increased bleeding when taken along with the Rabalkem-DSR capsule.

Interactions with food items