Rabium-20

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  • Brand Name: Rabium-20
  • Manufacturer: Intas Pharmaceuticals Ltd.
  • Generic Name: Rabeprazole Sodium 20 mg
  • Class of Drug: Proton Pump Inhibitor (PPI)
  • Indications: Treatment of acidity, gastroesophageal reflux disease (GERD), peptic ulcer disease, and Zollinger-Ellison syndrome
  • Dosage: 20 mg orally once daily
  • Mechanism of Action (MOA): Rabeprazole Sodium inhibits the H⁺/K⁺ ATPase enzyme system (proton pump) in the gastric parietal cells, leading to suppression of gastric acid secretion.

  • Dosage and Administration:

    • Acidity and GERD: 20 mg orally once daily for 4 to 8 weeks; an additional 8-week course may be considered if necessary.
    • Peptic Ulcer Disease: 20 mg orally once daily after the morning meal for 4 weeks; some patients may require additional therapy.
    • Zollinger-Ellison Syndrome: Starting dose of 60 mg orally once daily; doses up to 100 mg once daily or 60 mg twice daily have been administered.
  • Side Effects:

    • Common: Headache, diarrhea, abdominal pain, nausea, vomiting.
    • Serious: Clostridium difficile-associated diarrhea, osteoporosis-related fractures, hypomagnesemia.
  • Drug Interactions:

    • Drugs Dependent on Gastric pH: May affect absorption of drugs like digoxin (increased plasma levels) and ketoconazole (decreased concentrations).
  • Precautions:

    • Hypersensitivity: Contraindicated in patients with known hypersensitivity to rabeprazole or substituted benzimidazoles.
    • Long-term Use: May be associated with an increased risk of osteoporosis-related fractures and hypomagnesemia; monitor as necessary.

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