PIVOL LS CAPSULE

Manufacturer : AUR-AURZ PHARMA
Composition : RABEPRAZOLE-20MG+LEVOSULPIRIDE-75MG
Dose Form : CAPSULE
Description : PIVOL-LS CAP
Route Of Administration : ORAL
Pack : 10
Out of stock
SKU
PIV0009
₹150.00
Manufacturer : AUR-AURZ PHARMA
Composition : RABEPRAZOLE-20MG+LEVOSULPIRIDE-75MG
Dose Form : CAPSULE
Description : PIVOL-LS CAP
Route Of Administration : ORAL
Pack : 10

Drug Ingredient Information

RABEPRAZOLE-20MG+LEVOSULPIRIDE-75MG

RABEPRAZOLE

Information for patients
Drug Information Rabeprazole tablet contains the active ingredient rabeprazole sodium. This belongs to a group of medicines called ‘Proton Pump Inhibitors’ (PPIs). They work by lowering the amount of acid that your stomach produces. Rabeprazole tablets are used to treat the following conditions: • ‘Gastro-oesophageal reflux disease’ (GORD), which can include heartburn. GORD is caused when acid and food from your stomach escapes into your food pipe (oesophagus) • Ulcers in your stomach or the upper part of your gut (intestine). If these ulcers are infected with bacteria called ‘Helicobacter pylori’ (H. Pylori), you will also be given antibiotics. Using Rabeprazole tablets and antibiotics together gets rid of the infection and makes the ulcer heal. It also stops the infection and ulcer from coming back • Zollinger-Ellison Syndrome where your stomach produces too much acid.
Drug Alert
Alert • • • You are allergic (hypersensitive) to rabeprazole sodium, or any of the other ingredients of Rabeprazole (listed in Section 6 below) You are pregnant or think that you are pregnant You are breast-feeding.
Before Consuming the Medicine
Avoid Drug • • • You are allergic (hypersensitive) to rabeprazole sodium, or any of the other ingredients of Rabeprazole (listed in Section 6 below) You are pregnant or think that you are pregnant You are breast-feeding. Do not use Rabeprazole if any of the above applies to you. If you are not sure, talk to your doctor or pharmacist before using Rabeprazole . Also see Pregnancy and breast-feeding section. Children Rabeprazole should not be used in children
Drug Special Care Take special care with Rabeprazole Check with your doctor or pharmacist before taking Rabeprazole if: • • • You are allergic to other proton pump inhibitor medicines or ''''substituted benzimidazoles'''' Blood and liver problems have been seen in some patients but often get better when Rabeprazole is stopped You have a stomach tumour • • You have ever had liver problems. If you are taking atazanavir- for HIV infection If you are not sure if any of the above applies to you, talk to your doctor or pharmacist before using Rabeprazole . If you experience severe (watery or bloody) diarrhoea with symptoms such as fever, abdominal pain or tenderness, stop taking Rabeprazole and see a doctor straight away
Drug Drug Interactions Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines. This includes medicines obtained without a prescription, including herbal medicines. In particular, tell your doctor or pharmacist if you are taking any of the following medicines: • • Ketoconazole or itraconazole – used to treat infections caused by a fungus. Rabeprazole may lower the amount of this type of medicine in your blood. Your doctor may need to adjust your dose. Atazanavir– used to treat HIV-infection. Rabeprazole may lower the amount of this type of medicine in your blood and they should not be used together. If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before using Rabeprazole
Drug Pregnancy Interaction • Do not use Rabeprazole if you are pregnant or think you may be pregnant
Drug Breast feeding Interaction • Do not use Rabeprazole if you are breast-feeding or planning to breast-feed Ask your doctor or pharmacist for advice before taking any medicine during pregnancy or while breast- feeding
Drug Machinery Interaction You may feel sleepy while taking Rabeprazole . If this happens, do not drive or use any tools or machines.
Drug More Information
How to take the Medicine
Consumption Info Always take Rabeprazole exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure
Drug quanitty For ‘gastro-oesophageal reflux disease’ (GORD) Treatment of moderate to severe symptoms (symptomatic GORD) • The usual dose is one Rabeprazole 10 mg tablet once a day for up to 4 weeks • Take the tablet in the morning before eating • If your condition returns after 4 weeks treatment, your doctor may tell you to take one Rabeprazole 10 mg tablet as and when you require it. Treatment of more severe symptoms (erosive or ulcerative GORD) • The usual dose is one Rabeprazole 20 mg tablet once a day for 4 to 8 weeks • Take the tablet in the morning before eating. Long-term treatment of symptoms (GORD maintenance) • The usual dose is one Rabeprazole 10 mg or 20 mg tablet once a day for as long as your doctor has told you • Take the tablet in the morning before eating • Your doctor will want to see you at regular intervals to check your symptoms and dosage. For ulcers of the stomach (peptic ulcers) • The usual dose is one Rabeprazole 20 mg tablet once a day for 6 weeks • Take the tablet in the morning before eating • Your doctor may tell you to take Rabeprazole for another 6 weeks if your condition does not improve. For ulcers of the intestine (duodenal ulcers) • The usual dose is one Rabeprazole 20 mg tablet once a day for 4 weeks • Take the tablet in the morning before eating • Your doctor may tell you to take Rabeprazole for another 4 weeks if your condition does not improve. For ulcers caused by H. Pylori infection and to stop them coming back • The usual dose is one Rabeprazole 20 mg tablet twice a day for seven days • Your doctor will also tell you to take antibiotics called amoxicillin and clarithromycin For further information on the other medicines used for the H. Pylori treatment, see the individual product information leaflets. Zollinger-Ellison Syndrome where excess acid is produced in the stomach • The usual dose is three Rabeprazole 20 mg tablets once a day to start with • The dose may then be adjusted by your doctor depending on how you respond to the treatment. If you are on long-term treatment you will need to see your doctor at regular intervals for review of your tablets and symptoms. Children. The product should not to be used in children. Patients with liver problems. You should consult your doctor who will take special care when beginning treatment with Rabeprazole and while you continue to be treated with Rabeprazole
Drug Dose Taking this medicine • Only remove a tablet from the blister strip when it is time to take your medicine • Swallow your tablets whole with a drink of water. Do not chew or crush the tablets • Your doctor will tell you how many tablets to take and how long to take them for. This will depend on your condition • If you are taking this medicine for a long time, your doctor will want to monitor you.
Excess Drug Consumption If you take more Rabeprazole than you should, talk to a doctor or go to a hospital straight away. Take the medicine pack with you
Forgot Drug Consumption • If you forget to take a dose, take it as soon as you remember it. However, if it is almost time for your next dose, skip the missed dose and continue as usual • If you forget to take your medicine for more than 5 days, talk to your doctor before taking any more medicine • Do not take a double dose (two doses at the same time) to make up for a forgotten dose
Stop Drug Consumption Relief of symptoms will normally occur before the ulcer has completely healed. It is important that you do not stop taking the tablets until told to do so by your doctor. If you have any further questions on the use of this product, ask your doctor or pharmacist
Possible Side Effects
General Information Like all medicines, Rabeprazole can cause side effects, although not everybody gets them. The side effects are usually mild and improve without you having to stop taking this medicine. Stop taking Rabeprazole and see a doctor straight away if you notice any of the following side effects - you may need urgent medical treatment: • Allergic reactions – the signs may include: sudden swelling of your face, difficulty breathing or low blood pressure which may cause fainting or collapse • Frequent infections, such as a sore throat or high temperature (fever), or ulcers in your mouth or throat • Bruising or bleeding easily Severe skin blistering, or soreness or ulcers in your mouth and throat.
Common Drug Side Effects • Infections • Difficulty sleeping • Headache or feeling dizzy • Cough, runny nose or sore throat (pharyngitis) • Effects on your stomach or gut such as stomach pain, diarrhoea, wind (flatulence), feeling sick (nausea), being sick (vomiting) or constipation • Aches or back pain • Weakness or flu-like symptoms.
Rare Drug Side Effects • Feeling nervous or drowsy • Chest infection (bronchitis) • Painful and blocked sinuses (sinusitis) • Dry mouth • Indigestion or belching • Skin rash or redness • Muscle, leg or joint pain • Bladder infection (urinary tract infection) • Chest pain • Chills or fever • Changes in how your liver is working (shown in blood tests)
Very Rare Drug Side Effects • Loss of appetite (Anorexia) • Depression • Hypersensitivity (includes allergic reactions) • Visual disturbance • Sore mouth (stomatitis) or taste disturbance • Upset stomach or stomach pain • Liver problems including yellowing of your skin and whites of your eyes (jaundice) • Itchy rash or blistering skin • Sweating • Kidney problems • Weight gain • Changes in white blood cells (shown in blood tests) which may result in frequent infection. • Reduction in blood platelets resulting in bleeding or bruising more easily than normal
Drug Side Effects Symptoms • breast swelling in men • fluid retention • Low blood levels of sodium which can cause tiredness and confusion, muscle twitching, fits and coma. • Patients who have previously had liver problems may very rarely get encephalopathy (a brain disease)”. Do not be concerned by this list of side effects. You may not get any of them. If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist
How to Store the Medicine
How to Store the Medicine Keep out of the reach and sight of children. Do not store this medicine above 25° C. Do not refrigerate. Do not use Rabeprazole after the expiry date which is stated on the carton and blister foil. The expiry date refers to the last day of that month. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines that are no longer required. These measures will help to protect the environment

LEVOSULPIRIDE

Information for patients
Drug Information Abdominal distention, upper abdominal distress, heartburn, belching and vomiting
Drug Alert
Alert Should be use with caution in patients receiving antihypertensive, hypnotic and analgesic drugs, because concurrent use may increase the effects of these drugs.
Before Consuming the Medicine
Avoid Drug Phaeochromocytoma, epilepsy, manic states, hyperprolactinaemia, mammary dysplasia, malignant mastopathies, cardiac impairment. GI bleeding, mechanical obstruction or perforation.
Drug Special Care Hypersensitivity to sulpiride Pre-existing breast cancer or other prolactin-dependent tumors Phaeochromocytoma Intoxication with other centrally active drugs Concomitant use of levodopa Pre-existing Parkinson's Disease Patients below 18 years of age (insufficient clinical data) Pre-existing severe heart disease/bradycardia, or hypokalemia (predisposing to long QT syndrome and severe arrhythmias) Patients with pre-existing epilepsy. Anticonvulsant therapy should be maintained.
Drug Drug Interactions Reduced bioavailability with sucralfate, aluminium- and magnesium-containing antacids. Effect on GI motility may be antagonised by anticholinergic agents, narcotics and analgesics. Avoid alcohol.
Drug Pregnancy Interaction Pregnancy: Animal studies did not reveal any embryotoxicity or fetotoxicity, nor did limited human experience. Due to insufficient human data, pregnant women should be treated with sulpiride only if strictly indicated. Additionally, the newborns of treated women should be monitored, because isolated cases of extrapyramidal side effects have been reported.
Drug Breast feeding Interaction Lactation: Sulpiride is found in the milk of lactating women. Since the consequences are unclear, women should not breastfeed during treatment.
Drug Machinery Interaction
Drug More Information
How to take the Medicine
Consumption Info
Drug quanitty Schizophrenia 200-300 mg/day. Dyspeptic syndrome; Functional dyspepsia; GERD; Irritable bowel syndrome; Cytotoxic-induced nausea and vomiting; Vasomotor headache; Vertigo 25 mg 3 times/day. IV Cytotoxic-induced nausea and vomiting 25-50 mg 30 min prior, during and 30 mins after end of chemotherapy. IV/IM Dyspeptic syndrome; Functional dyspepsia; Nausea and vomiting due to motility disorders; Vasomotor headache; Vertigo 25 mg 2-3 times/day
Drug Dose
Excess Drug Consumption Sulpiride has a relatively low order of acute toxicity. Substantial amounts may cause severe but reversible dystonic crises with torticollis, protrusion of the tongue, and/or trismus. In some cases all the classical symptoms typical of severe Parkinson's Disease may be noted; in others, over-sedation/coma may occur. The treatment is largely symptomatic. Some or all extrapyramidal reactions may respond to the application of anticholinergic drugs such as biperiden or benztropine. All patients should be closely monitored for signs of long-QT syndrome and severe arrhythmias.
Forgot Drug Consumption
Stop Drug Consumption
Possible Side Effects
General Information Amenorrhoea, gynaecomastia, galactorrhoea, changes in libido. Potentially Fatal: Neuroleptic malignant syndrome.
Common Drug Side Effects
Rare Drug Side Effects
Very Rare Drug Side Effects
Drug Side Effects Symptoms
How to Store the Medicine
How to Store the Medicine Store at 15-30°C (59-86°F).

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