Rabeprazole


Concise Prescribing Info
Indications/Uses
Listed in Dosage.
Dosage/Direction for Use
Adult: PO Peptic ulcer 20 mg once daily for 4-8 weeks (duodenal ulcer) or for 6-12 weeks (gastric ulcer). Gastro-oesophageal reflux disease Usual dose: 20 mg once daily for 4-8 weeks. Maintenance: 10 or 20 mg daily depending on the response. In patients with symptomatic disease without oesophagitis: 10 or 20 mg once daily for 4 weeks. Once symptoms have resolved, 10 mg once daily as needed. Erosive oesophagitis 20 mg daily for 4-8 weeks. Maintenance: 10 or 20 mg daily depending on patient response. Zollinger-Ellison syndrome 60 mg daily, may titrate up to 100 mg daily as single dose or up to 120 mg daily in 2 divided doses if necessary. Eradication of H. pylori associated with peptic ulcer disease In combination with clarithromycin 500 mg bid and amoxicillin 1g bid: 20 mg bid for 7 days.
Administration
Delayed-release: May be taken with or without food.
Contraindications
Concomitant use with rilpivirine.
Special Precautions
Patients at risk of osteoporosis, reduced body stores or with risk factors for vitamin B12 malabsorption, PPI-induced autoimmune disease. Severe hepatic impairment. Children and elderly. Pregnancy and lactation. Patient Counselling This drug may cause somnolence, if affected, do not drive or operate machinery. Monitoring Parameters Monitor magnesium levels prior to initiation of therapy and periodically thereafter on long-term treatments or in patients taking digoxin, diuretics or other drugs that cause hypomagnesaemia.
Adverse Reactions
Significant: New-onset or exacerbation of subacute cutaneous and systemic lupus erythematosus, osteoporosis-related bone fractures, fundic gland polyps, acute interstitial nephritis, Clostridium difficile-associated diarrhoea (hospitalised patients). Rarely, hypomagnesaemia, vitamin B12 deficiency. Gastrointestinal disorders: Diarrhoea, vomiting, nausea, abdominal pain, constipation, flatulence. General disorders and administration site conditions: Back pain, asthenia, influenza-like illness. Hepatobiliary disorders: Hepatic encephalopathy, hepatitis. Infections and infestations: Infection (e.g. Salmonella, Campylobacter). Investigations: Increased liver enzymes. Nervous system disorders: Headache, dizziness. Psychiatric disorders: Insomnia. Respiratory, thoracic and mediastinal disorders: Cough, pharyngitis, rhinitis.
Drug Interactions
May decrease serum concentration of ketoconazole, itraconazole, atazanavir, nelfinavir. Increased INR and prothrombin time with concomitant use of warfarin. Increased serum concentrations of methotrexate, tacrolimus, saquinavir.
ATC Classification
A02BC04 - rabeprazole ; Belongs to the class of proton pump inhibitors. Used in the treatment of peptic ulcer and gastro-oesophageal reflux disease (GERD).
Disclaimer: This information is independently developed by CIMS based on rabeprazole from various references and is provided for your reference only. Therapeutic uses, prescribing information and product availability may vary between countries. Please refer to CIMS Product Monographs for specific and locally approved prescribing information. Although great effort has been made to ensure content accuracy, CIMS shall not be held responsible or liable for any claims or damages arising from the use or misuse of the information contained herein, its contents or omissions, or otherwise. Copyright © 2020 CIMS. All rights reserved. Powered by CIMSAsia.com
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