Pregnancy Interaction

• Safe to use during pregnancy, but only if you really need to.
• There haven't been any serious bad effects documented, but you should only take PPIs under a doctor's care.
• Don't take medicine on your own in the first few weeks of pregnancy.
• Let your doctor know if you are going to get pregnant or breastfeed.

Faq For Medicine

Q1: What is Rabalkem 20mg for?

It is used to treat acid reflux, GERD, ulcers, and acidity.

Q2. Should I eat it before or after?

For optimal effects, take it 30 minutes before breakfast.

Q3. How long does it take to work?

You might feel better in one to two hours and get the full benefit in one to two days.

Q4. Is it okay to take it every day?

Yes, but only for the time that has been set.

Q5. Is it okay to take antacids with this?

Yes, but leave a two-hour gap.

Q6. Is it safe to use for a long time?

Long-term use may lead to a shortage in Vitamin B12 or low magnesium; adhere strictly to the instructions.

Q7: Is it okay to drink beer while taking this?

Alcohol makes your body make more acid, so stay away from it or limit how much you drink.

Expert Advice

• Take it on an empty stomach, 30 minutes before you eat.
• Don't chew or break the tablet.
• Stay away from late-night meals and foods that are spicy or greasy.
• Don't stop using it for a long time without talking to a doctor beforehand.
• Tell your doctor if you have serious liver disease.
• If you use it for a long time, you may need to keep an eye on your Vitamin B12, magnesium, and bone health.
• Making changes to your lifestyle, including losing weight, cutting out caffeine, and sleeping with your head up, can help.

Side Effects

• A lot of times:
• Pain in the head
• Feeling sick
• Pain in the stomach
• Having trouble going to the bathroom or having too many bowel movements
• Gas
• Weakness
• Irritation in the throat
• Not as common, but serious:
• Low magnesium (muscle cramps, heartbeats that aren't regular)
• Lack of vitamin B12 (tingling, tiredness)
• Severe allergic reaction (swelling, rash)
• Diarrhea caused by Clostridium difficile
• Risk of bone fractures with long-term use

 How It Works

• Rabeprazole stops the proton pump in the lining of the stomach.
• This lowers the amount of acid generated and keeps it under control for a long time.
• Helps ulcers heal and stops acid reflux symptoms.

Medicine Interaction

• Stay away from or be careful with:
• Ketoconazole with Itraconazole (less absorption)
• Warfarin (may make bleeding more likely)
• Methotrexate (levels may go up)
• Digoxin (higher risk of toxicity)
• HIV medications (atazanavir, rilpivirine - diminished efficacy)
• Antacids (take them two hours apart)
• Let your doctor know if you are taking:
• Supplements with iron
• Steroids
• Drugs that stop seizures
• Diuretics (reduced magnesium risk)

 How to Use

• Take one pill per day or as directed.
• It's best to take it 30 minutes before breakfast.
• Drink water and swallow entire.
• Don't go over the time limit.
• Even if your symptoms go better, keep taking the complete course.

 Uses / indications

• Gastroesophageal Reflux Disease (GERD)
• Heartburn and acidity
• Peptic ulcers
• Ulcers in the Duodenum
• The Zollinger–Ellison Syndrome
• Esophagitis that causes damage
• How to stop and treat ulcers caused by NSAIDs