Medicine Overview of Atrarab Injection
Atrarab 20 mg Injection is used in the treatment of acidity
, peptic ulcer disease and gastroesophageal reflux disease (acid reflux).
Side Effects of Atrarab are Vomiting, Headache, Stomach pain, Nausea, Flatulence, Diarrhoea.
Your doctor or nurse will give you this medicine. Kindly do not self administer.
Atrarab 20 mg Injection is a proton pump inhibitor (PPI). It works by reducing the amount of acid in the stomach which helps in relief of acid related indigestion and heartburn.
In Depth Information on Atrarab Injection
- Inform your doctor if you do not feel better after taking it for 14 days as you may be suffering from some other problem that needs attention.
- Atrarab 20 mg Injection can decrease magnesium levels in blood. Get your magnesium levels checked regularly. You may need a magnesium supplement or need to discontinue your medicine.
- Inform your doctor if you are suffering from osteoporosis as Atrarab 20 mg Injection can weaken your bones by decreasing calcium levels in blood. You may need a calcium supplement, preferably calcium citrate.
- Atrarab 20 mg Injection is a well-tolerated medicine and provides relief for a long time.
- It may take a few days to show its effect. You can take an antacid for a quick relief during this time unless your doctor has asked you not to use them.
- Once you start feeling better, do not stop taking your medicine. Take it for the duration as advised by your doctor
Atrarab Injection related warnings
WEIGH RISKS VS BENEFITS
Atrarab 20 mg Injection may be unsafe to use during pregnancy.
Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.
Atrarab 20 mg Injection is probably unsafe to use during lactation.
Limited human data suggest that the drug could represent a significant risk to the baby.
Atrarab 20 mg Injection may make you feel dizzy, sleepy, tired, or decrease alertness. If this happens, do not drive.
Atrarab 20 mg Injection is safe to use in patients with kidney disease. No dose adjustment of Atrarab 20 mg Injection is recommended.
Atrarab 20 mg Injection should be used with caution in patients with severe liver disease. Dose adjustment of Atrarab 20 mg Injection may be needed. Please consult your doctor.
If you miss a dose of Atrarab 20 mg Injection, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
Frequently asked questions about Atrarab Injection
No, Atrarab is not an over the counter product, it is available when prescribed by a doctor.
Atrarab 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.
Yes, long term use of Atrarab 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.
Atrarab can be taken with antacids like aluminum hydroxide, magnesium carbonate or sodium bicarbonate. Atrarab 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 Atrarab as antacids can increase the pH of the stomach and decrease the action of Atrarab which requires a lower pH for its action.
No, Atrarab has no addictive potential. It shows no withdrawal symptoms when you stop using this medicine.
Yes, Atrarab 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.
No, hair loss has not been reported as a side effect of Atrarab. Talk to your doctor in case there is excessive hair fall as it could be due to some underlying problem that needs attention.
Flatulence (gas) has been reported as a common side effect of Atrarab. Although it would be mild to moderate in nature and transient.
Tinnitus (ringing sensation in the ears) has not been seen as a side effect with the use of Atrarab. Talk to your doctor in case you have this problem as it could be due to some underlying condition that needs attention.
Weight gain has been reported as a rare side effect of Atrarab. 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.
Yes, like any other medicine, Atrarab also expires. Always check the expiry date on the pack of the medicine before using it.
Constipation is a common side effect seen in patients using Atrarab. Making healthy lifestyle changes like doing yoga, taking high fiber diet and plenty of fluids will prevent constipation.
Atrarab 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 Atrarab includes nausea, abdominal pain, constipation, diarrhea, and flatulence.
Headache is reported as one of the common side effects of Atrarab. Please consult your doctor in case you experience an intolerable headache for a prolonged duration while taking Atrarab.
Q. Can I take Atrarab with ranitidine?
Yes, Atrarab can be taken with ranitidine. As Atrarab 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 Atrarab with ibuprofen?
Atrarab can be taken with ibuprofen. Atrarab 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 Atrarab with paracetamol?
Atrarab can be taken with paracetamol. Atrarab 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 Atrarab metabolized?
Atrarab is metabolized in the liver mainly by microsomal CYP450 enzymes (CYP2C19 and CYP3A4). Patients with poor CYP2C19 enzymatic activity will have higher levels of Atrarab for a long time and a better suppression of stomach acid.
No, Atrarab 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 Atrarab used with cinitapride for some conditions?
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 Atrarab.
Atrarab 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.
Yes, Atrarab 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. Atrarab 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.
No, Atrarab 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.
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. Atrarab does not play any role in treating hiatus hernia, however, it can help in relieving the symptoms of acidity, heartburn and acid reflux.
Yes, vitamin D can be taken with Atrarab. Vitamin D is generally advised to be taken as a supplement with Atrarab 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.
Atrarab 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 Atrarab with domperidone?
Atrarab 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.
Long-term use of Atrarab 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.
Severely interacts with other drugs like
Taking Atrarab with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
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One of the following vendor pharmacies will deliver Atrarab 20mg Injection: PMA, ANP, JJE, PHN, NVL, HCP, SDE, BLS, DHR, WHL, THP, BNT, VNS, UHP, AYN, SVS, BBS, SPD, RPI, TFP, KNH, PRC, BHA, NTB, LHA, ANT, RHW, ABP, DGN, MPC, HBV, NSL, AAY, RKS, PHC, OLT, BHM, MKS, EEC, VTR, EMB, GMA, RGH, BBN, 9MM, SGH, BHP, USF, PWN, BRC, HTS, ESY, EAN, FGH, PTI, MDO, STA, MAK, SAF, BNA, KHC, AVB, NNP, IMC, SVH, GTC, JVN, IAD, SLN, HMP, ENP, MAP, DLP, SNG, PRL, RDH, OHM, SWP, BSN, NAS, MMS, SNH, BDI, RUS, CLT, CMC, RDR, OWP, HEX, APS, PPR, 1MH, GLD, WAD, TSS, MAM, SCH, IPL, SRG, HIP, MDH, LMS, PLT, KHD, JSL, SWA, MSD, SMN, JHC, JVO, HLT, FRM, MAX, RHL, QTM, NVY, RSA, VSL, VDH, MBP, DHP, PRN, NNH, TNH, DPL, BJP, HPC, HPP, KIS, NDP, DVH, MLC, HSM, STS, KMC, MKT, AXM, WPL, INC, ZPR, AGT, AVL, HGI, TOM, SGC, AMH, LCC, RWP, ZEL, UMP, SDM, GHR, DPP, SWT, ALC, EQN, ZVP, OIP, GPP, ADT, BDN, XMX, SSA, AMR, CPK, KAL, 4IT, BAP, GTK, EPS, VHP, AAR, AYM, BIO, KLC, HAT, NEO, BAL, SYN, SHC, ATP, AVS, HZF, GNC, RSS, TAT, WSI, JBT, BMJ, BTM, BHS, SMS, VOP, NXG, LHP, SBL, SSI, DYG, QLF, SCP, SBA, GPT, HSP, KHH, PVP, GDA, GBL, UVD, HNP, PRT, JIV, SJP, MOM, BLP, PNT, ARD, VRS, AYU, YMI, NTL, SHD, TRP, GEO, ATL, DAO, BGS, CHP, VJS, DZY, DFP, BLE, AWS, RPP, AFT, CRN