Peptica Z 20mg Capsule- 10
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Manufactured By Geno Pharmaceuticals Ltd
Composition Rabeprazole (20mg)
Package Size ( 10 Capsule in a strip )
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MRP Rs 141.03
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Interactions / Warnings:
Taking a large amount of alcohol can increase acidity and cause acid reflux in the food pipe causing heartburn. This would decrease the effect of this drug and can aggravate your underlying condition.
Pregnancy interaction:
Expert advice:
Side Effects:
How to use:
How it works:
Faq for medicine:
A: No, Peptica z is not an over the counter product, it is available when prescribed by a doctor.
Q: Is Peptica z an antacid?
A: Peptica z is not an antacid. It belongs to the class of proton pump inhibitors (PPIs) which decrease the amount of acid produced in the stomach while antacids only neutralize the stomach acid by coating the stomach.
Q: Does Peptica z cause osteoporosis (thinning of bones)?
A: Yes, long term use of Peptica z can cause osteoporosis (thinning of bones). It decreases the calcium absorption leading to calcium deficiency and increases the risk of bone fractures of hip, wrist or spine. Inform your doctor if you have osteoporosis or if you are taking corticosteroids (these can increase the risk of osteoporosis) before starting your therapy. Take enough calcium and vitamin D to reduce the risk.
Q: Can I take aluminum hydroxide and magnesium carbonate or other antacids with Peptica z?
A: Peptica z can be taken with antacids like aluminum hydroxide, magnesium carbonate or sodium bicarbonate. Peptica z takes a few days to show its effect, so antacids can be taken during that time for relief of acidity and heartburn. However, antacids should be taken two hours before or one hour after taking Peptica z as antacids can increase the pH of the stomach and decrease the action of Peptica z which requires a lower pH for its action.
Q: Does Peptica z have addictive potential?
A: No, Peptica z has no addictive potential. It shows no withdrawal symptoms when you stop using this medicine.
Q: Is Peptica z safe?
A: Yes, Peptica z is safe if taken for prescribed duration in prescribed doses as advised by your doctor. However, there are some very common side effects that you can experience at effective doses like nausea, abdominal pain, constipation, diarrhea, and flatulence.
Q: Does Peptica z cause hair loss?
A: No, hair loss has not been reported as a side effect of Peptica z. Talk to your doctor in case there is excessive hair fall as it could be due to some underlying problem that needs attention.
Q: Does Peptica z cause flatulence (gas or bloating)?
A: Flatulence (gas) has been reported as a common side effect of Peptica z. Although it would be mild to moderate in nature and transient.
Q: Does Peptica z cause tinnitus (ringing in the ears)?
A: Tinnitus (ringing sensation in the ears) has not been seen as a side effect with the use of Peptica z. Talk to your doctor in case you have this problem as it could be due to some underlying condition that needs attention.
Q: Does Peptica z cause weight gain?
A: Weight gain has been reported as a rare side effect of Peptica z. Weight gain can add to your problem of acidity and heartburn. So, you must try to do some exercise and make healthy changes in your diet to control your weight.
Q: Does Peptica z expire?
A: Yes, like any other medicine, Peptica z also expires. Always check the expiry date on the pack of the medicine before using it.
Q: Does Peptica z cause constipation?
A: Constipation is a common side effect seen in patients using Peptica z. Making healthy lifestyle changes like doing yoga, taking high fiber diet and plenty of fluids will prevent constipation.
Q: Does Peptica z cause high blood pressure?
A: Peptica z is not reported to cause high blood pressure. In case you experience high blood pressure, talk to your doctor as it may need attention. Common side effects seen with Peptica z includes nausea, abdominal pain, constipation, diarrhea, and flatulence.
Q: Does Peptica z cause headache?
A: Headache is reported as one of the common side effects of Peptica z. Please consult your doctor in case you experience an intolerable headache for a prolonged duration while taking Peptica z.
Q: Can I take Peptica z with ranitidine?
A: Yes, Peptica z can be taken with ranitidine. As Peptica z show its effect after some days, Ranitidine can be taken for immediate relief. No drug-drug interactions or change in side effect profile has been reported when they are used together compared to either drug alone.
Q: Can I take Peptica z with ibuprofen?
A: Peptica z can be taken with ibuprofen. Peptica z is used to prevent painkiller (NSAIDs) induced gastritis and stomach ulcers by decreasing the production of acid in the stomach. There are no reported drug interactions or harmful effects when they are used together.
Q: Can I take Peptica z with paracetamol?
A: Peptica z can be taken with paracetamol. Peptica z is used to prevent painkiller (NSAIDs) induced stomach ulcers by decreasing the production of acid in the stomach. There are no reported drug interactions or harmful effects when they are used together.
Q: How is Peptica z metabolized?
A: Peptica z is metabolized in the liver mainly by microsomal CYP450 enzymes (CYP2C19 and CYP3A4). Patients with poor CYP2C19 enzymatic activity will have higher levels of Peptica z for a long time and a better suppression of stomach acid.
Q: Can Peptica z be used for the treatment of throat infection?
A: No, Peptica z is not meant for throat infections. However, it may be given along with antibiotics and other drugs to protect the stomach from excessive acid secretion.
Q: Why is Peptica z used with cinitapride for some conditions?
A: Cinitapride increases the movement of the gut and is useful in the treatment of conditions like heartburn, dyspepsia and is also useful in the treatment of reflux esophagitis. It has much better efficacy when it is used with Peptica z.
Q: Does Peptica z play any role in treating ulcerative colitis?
A: Peptica z does not have any role in the treatment of ulcerative colitis. However, it can be given if there is associated dyspepsia or increased stomach acid secretion. Talk to your doctor before taking any treatment for ulcerative colitis.
Q: Can Peptica z be used for reflux esophagitis?
A: Yes, Peptica z is effective in the treatment of reflux esophagitis. It is a disease in which stomach acid or bile irritates and inflames the lining of the food pipe. Peptica z decreases the production of acid in the stomach and can help in healing the inflamed and eroded esophagus.The efficacy is better when it is given in combination with a prokinetic agent like domperidone.
Q: Is Peptica z being used for treating weight loss?
A: No, Peptica z is not used for the treatment of weight loss. It is a proton pump inhibitor and is used for the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers.
Q: Is there any role of Peptica z in treating hiatus hernia?
A: A hiatus hernia is the bulging of the stomach into the chest through an esophageal opening in the diaphragm which is larger than the normal size. A hiatus hernia is associated with acidity and heartburn. Peptica z does not play any role in treating hiatus hernia, however, it can help in relieving the symptoms of acidity, heartburn and acid reflux.
Q: Can I take Peptica z with vitamin D?
A: Yes, vitamin D can be taken with Peptica z. Vitamin D is generally advised to be taken as a supplement with Peptica z as its long-term use decreases the absorption of calcium and cause calcium deficiency. This can lead to osteoporosis (thinning of bones) and increase the risk of bone fractures like hip, wrist and spine fractures.
Q: How is Peptica z useful in the treatment of Hpylori?
A: Peptica z is used along with antibiotics for the treatment of H.Pylori infection. It works by decreasing stomach acid volume and decreasing breakdown and washout of antibiotics leading to an increased antibiotic concentration and tissue penetration. It also helps in the symptomatic relief by decreasing associated acidity, reflux, and heartburn.
Q: Can I take Peptica z with domperidone?
A: Peptica z can be safely taken with domperidone as no harmful effects have been reported clinically. A fixed-dose combination of these two medicines is also available. Domperidone increases gut motility and Rabeprazole decreases the acid production in the stomach. So, this combination is very effective in the treatment of reflux esophagitis associated with acidity, heartburn, intestinal and stomach ulcers.
Q: Can long term use of Peptica z cause magnesium deficiency?
A: Long-term use of Peptica z can lower magnesium levels in patients taking multiple daily doses for a year or longer (at least 3 months). Get your magnesium levels checked at regular intervals. Tell your doctor if you experience seizures, dizziness, abnormal or fast heartbeat, jitteriness, jerking movements or shaking (tremors), muscle weakness, spasms of the hands and feet, cramps, muscle aches or spasm of the voice box.