Rabijem 10

Rabidzhem 10 is a medicine used to treat diseases of the digestive system. Let's look at the instructions for this drug and all the nuances of its use.

The drug belongs to the pharmacological group of drugs for the treatment of gastroesophageal reflux disease and ulcers. It belongs to the category of proton pump inhibitors, as it is prescribed for the treatment of acid-dependent diseases. International name - rabeprazole. Manufacturer "Tulip Lab Private Limited", India.

Rabidzhem 10 is available on prescription.

Indications Rabijem 10

The main indications for the use of Rabidgem 10 are the therapeutic effect on the digestive system and metabolism. The drug is used to treat:

• Duodenal ulcer
• Gastroesophageal reflux disease
• Stomach ulcer
• Zollinger-Ellison syndrome and pathological hypersecretion
• Exacerbation of chronic gastritis (with increased acid-forming function of the stomach)
• Functional dyspepsia
• Helicobacter pylori eradication (in combination with antibacterial agents)

If the patient has malignant diseases, symptomatic improvement is observed with rabeprazole therapy. Based on this, oncology should be excluded before starting to use the tablets.

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Release form

Release form - round tablets, covered with an enteric coating. Rabidgem 10 is released in a dosage of 10 and 20 mg. Rabidgem 10 mg has a light yellow capsule, and 20 mg is red-brown. One package contains one strip of 10 tablets.

The active ingredient is rabeprazole, auxiliary substances: hydroxypropyl cellulose, magnesium oxide, diethyl phthalate, sodium croscarmellose, magnesium stearate, mannitol and others.

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Pharmacodynamics

Pharmacodynamic data of Rabidgem 10 indicate that the drug belongs to the category of antisecretory compounds, does not have the properties of H2 receptors or cholinergic antagonists, but suppresses gastric acid. Inhibition of acid secretion occurs through inhibition of gastric H + -, K + ATPase on the secretory surface of the parietal cells of the stomach.

The above enzyme is related to proton or acid pumps, so rabeprazole is classified as a gastric inhibitor. The active substance blocks the secretion of gastric acid at the last stage. In stomach cells, rabeprazole is activated at pH = 3D 1.2, the half-life is about 78 seconds.

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Pharmacokinetics

Pharmacokinetics of Rabidgem 10 allows you to find out information about the processes occurring in the body after taking the medication. Since the tablets are covered with an enteric coating, they are quickly absorbed in the intestine. Bioavailability is 52%. If the drug is taken simultaneously with fatty foods, absorption slows down for several hours, but the concentration and absorption are unchanged.

About 96.3% of the active component binds to plasma proteins. Metabolized in the liver. Excreted mainly by the kidneys in the form of metabolites - thioether and sulfone, which do not have antisecretory properties. About 10% of the drug is excreted in feces.

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Dosing and administration

The method of administration and dosage depend on the indications for use. For the treatment of duodenal ulcers (in the absence of H. pylori), take 20 mg 1-2 times a day for a month. For gastric ulcers, 20 mg 1-2 times a day for 1-2 months. For the treatment of gastroesophageal reflux disease, patients are prescribed 20 mg of rabeprazole 1-2 times a day for 4-8 weeks. As a maintenance therapy for this disease, the tablets are taken for 12 months, the dosage is selected individually.

For Helicobacter pylori eradication, combination therapy is used in combination with antibacterial agents (amoxicillin, clarithromycin, tetracycline, furazolidone, metronidazole, bismuth preparations). Zollinger-Ellison syndrome is treated with an initial dosage of 60 mg, gradually increasing to 120 mg per day. For the treatment of functional dyspepsia and chronic gastritis, 20 mg is taken 1-2 times a day for 2-3 weeks.

If the medicine is prescribed to elderly patients or people with kidney disease or liver dysfunction, the doctor will adjust the dosage, as side effects are possible. As a rule, treatment of this category of patients is carried out under the supervision of a doctor. It is not recommended to chew, crush or break the tablets. Rabidzhem should be swallowed whole with water.

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Use Rabijem 10 during pregnancy

Pregnancy and breastfeeding are contraindications for using the medication.

Contraindications

Contraindications to the use of Rabidgem 10 are based on individual sensitivity to the active substance and other components of the drug. The drug is not prescribed to patients with intolerance to rabeprazole or substituted benzimidazole.

The tablets are not used to treat gastrointestinal tract lesions in pediatric patients, as there is no information on the safety of such therapy.

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Side effects Rabijem 10

Side effects of Rabidgem 10 are possible in case of incorrectly selected dosage or duration of treatment. In general, the following reactions occur from the body: asthenia, discomfort in the abdomen and chest, bloating, swelling of the face, sensitivity to light, fever, allergic itching and rash.

The tablets may cause nausea and vomiting, migraines, arterial hypertension, constipation, dry mouth and flatulence. Disturbances are possible in all body systems. Thus, hyperthyroidism and hypothyroidism most often occur on the part of the endocrine system. Nutritional and metabolic disorders, muscle twitching and cramps, anxiety, insomnia, shortness of breath, allergic reactions are possible. To eliminate the above symptoms, it is necessary to stop taking the tablets and seek medical help.

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Overdose

Overdose symptoms occur very rarely. If this happens, patients complain of headaches and dizziness, nausea and vomiting, flatulence, constipation, diarrhea, allergic reactions on the skin.

Symptomatic therapy and supportive treatment are used to eliminate the above-described reactions. There is no specific antidote.

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Interactions with other drugs

Interaction of Rabidgem 10 with other drugs is possible only with the permission of a doctor. Since Rabidgem 10 causes significant inhibition of gastric juice secretion, it can change the effectiveness of drugs whose absorption depends on the pH level of gastric juice. For example, when used with digoxin and ketoconazole, their bioavailability and concentration in blood plasma decrease. Therefore, the doses of all drugs should be selected by a doctor.

If rabeprazole is taken simultaneously with antacids, this does not entail significant changes in the concentration of both drugs in the blood plasma.

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Storage conditions

Storage conditions for Rabidgem 10 require strict adherence to a temperature regime of 15 to 25 ºC. Tablets should be stored in the original packaging, in a dry place, protected from direct sunlight and out of the reach of children.

Failure to comply with storage rules leads to spoilage of the drug. Tablets can change their physical and chemical properties, i.e. color and smell. If this happens, the medication is prohibited to take and must be disposed of.

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Shelf life

The expiration date is 24 months. After this date, the medicine is prohibited to take, as uncontrolled side effects are possible. Expired tablets are dangerous and have no therapeutic value.

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