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21 Feb 2020 | 03:31 PM (IST)
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BE 20mg Injection

Prescription Required

Overview

Introduction

BE 20mg Injection is a medicine that reduces the amount of acid produced in your stomach. It is used for treating acid-related diseases of the stomach and intestine such as heartburn, acid reflux, indigestion, peptic ulcer disease, and some other stomach conditions associated with excessive acid production.

BE 20mg Injection is fast-acting and provides quick relief from acidity-related problems. It is also used to prevent stress ulcers in seriously ill patients and is administered before anesthetic medication to help prevent aspiration-related complications. It belongs to a class of medicines known as proton pump inhibitors (PPIs).

This medicine is administered into a vein by a healthcare professional and will only be given to you if your doctor thinks that an injection is more suitable for you at the moment than a tablet. The dose will depend on your underlying condition and how you respond to the medicine. Your doctor will decide the duration of treatment but you should keep on taking it as prescribed, even if your symptoms disappear quickly. You can increase the efficiency of the treatment by eating smaller meals more often and avoiding caffeinated drinks (like tea and coffee), and spicy or fatty foods.

The most common side effects observed with this medicine include nausea, vomiting, headache, dizziness, flatulence, diarrhea, stomach pain, and thrombophlebitis (pain, redness, and swelling of the vein). These symptoms are generally mild but if they bother you or do not go away, consult your doctor. Long-term use of this medicine may lead to an increased risk of side effects. For instance, using this medicine for more than 1 year may increase your risk for bone fractures, especially with higher doses. Talk to your doctor about ways to prevent bone loss (osteoporosis), like taking calcium and vitamin D supplements.

Low blood magnesium levels (hypomagnesemia) have been observed in some people taking this medicine for 3 months or more. These reduced levels of magnesium may lead to tiredness, confusion, dizziness, muscle twitches, and an irregular heartbeat. Your doctor may monitor your magnesium levels to prevent this.

BE 20mg Injection is not suitable for some people. Before taking this medicine, you need to tell your doctor if you have severe liver problems, are taking medicines for HIV, have ever had an allergic reaction to similar medicines in the past or suffer from bone loss (osteoporosis). Pregnant or breastfeeding women should also consult their doctor before taking it. Avoid drinking alcohol as it makes your stomach produce excessive acid and can worsen your symptoms. Do not drive or use machinery or tools, if this medicine makes you feel dizzy or sleepy.

Uses of BE Powder for Injection

Side effects of BE Powder for Injection

Common
  • Diarrhea
  • Dizziness
  • Flatulence
  • Headache
  • Nausea
  • Sore throat
  • Stomach pain
  • Vomiting

How to cope with side effects?

The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist.

  • Coping with Diarrhea
    Keep up your intake of fluids and electrolytes (sugars and salts) to avoid getting dehydrated. Eat less fiber (avoid raw fruits, fruit juice and vegetables). Talk to your doctor about possible medication to manage diarrhea. Ask about reducing the dosage of your drug or other suitable treatments.
  • Coping with Dizziness
    This is usually short-lived and should go away within a few days. If this happens, stop what you are doing and sit or lie down until you feel better. Lying still in a dark, quiet room may help reduce the spinning feeling. Sleep with your head slightly raised on two or more pillows. Get up slowly from a lying or sitting position. Get plenty of rest and try to relax as being anxious can make it worse. Try taking this medicine at bedtime to reduce the symptoms. Drinking plenty of water and ginger tea may also help. Avoid alcohol, caffeine and smoking as it will make you feel worse. Avoid driving or using tools or machinery until you feel better.
  • Coping with Flatulence
    Try eating small and frequent meals. Drink and chew your food slowly. Exercise regularly to improve how your body digests food. Try not to swallow too much air. This can happen when you talk and eat at the same time. Avoid drinking with a straw, chewing gum and smoking as these can also make you swallow air. Try to limit foods that are hard to digest or produce gas (such as fried and fatty foods, cheese, beans, cabbage, onion, whole grains and many others). Avoid drinking alcohol, carbonated soft drinks and fruit juices. If you wear dentures, make sure they fit properly. Some over-the-counter medicines can help. Talk to your doctor about possible medication if your condition does not improve.
  • Coping with Headache
    Make sure you rest and drink plenty of fluids. Rest in a quiet, dimly lit room. Do not sleep more than you normally would. Do not strain your eyes (for example by looking at a screen). Do not drink alcohol. Headaches are usually temporary and usually go away with time. But, if they last longer or get worse, ask your doctor to recommend a painkiller.
  • Coping with Nausea
    You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop from feeling sick. Speak to your doctor if your condition does not improve.
  • Coping with Sore throat
    Try gargling with warm salt water as it can help soothe a scratchy throat and relieve the discomfort. Stay hydrated by drinking plenty of water. Consider lozenges or hard candy. Avoid caffeine and alcohol, as they can dry out your throat and aggravate the symptoms. Also, avoid smoking or smoky places. Warm tea that is sweetened with honey can also soothe your irritated throat. Get plenty of rest and consider using a humidifier if the air in your home is dry. If it does not get better or get worse, talk to your doctor for advice.
  • Coping with Stomach pain
    Try to get plenty of rest and relax. Putting a heat pad or covered hot water bottle on your stomach may relieve the stomach pain. It may help if you eat and drink slowly and have smaller and more frequent meals. Reduce your intake of coffee, tea and alcohol as these can make the pain worse. If you are in a lot of pain, speak to your doctor about possible medication. Your doctor may be able to prescribe some over-the-counter medicines to help reduce the pain.
  • Coping with Vomiting
    You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop feeling sick. Speak to your doctor if your condition does not improve.

How to use BE Powder for Injection

Your doctor or nurse will give you this medicine. Kindly do not self administer.

How BE Powder for Injection works

BE 20mg 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.

Safety Advice

Alcohol
CAUTION
Caution is advised when consuming alcohol with BE 20mg Injection. Please consult your doctor.
Pregnancy
CONSULT YOUR DOCTOR
BE 20mg Injection may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breastfeeding
CONSULT YOUR DOCTOR
BE 20mg Injection is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Driving
CONSULT YOUR DOCTOR
It is not known whether BE 20mg Injection alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react.
Kidney
SAFE IF PRESCRIBED
BE 20mg Injection is safe to use in patients with kidney disease. No dose adjustment of BE 20mg Injection is recommended.
Liver
CAUTION
BE 20mg Injection should be used with caution in patients with severe liver disease. Dose adjustment of BE 20mg Injection may be needed. Please consult your doctor.

What if you forget to take BE Powder for Injection?

If you miss a dose of BE 20mg Injection, please consult your doctor.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
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Quick Tips

  • Your doctor will administer it to you as an injection into a vein over a period of 2 -15 minutes.
  • It is a well-tolerated medicine and provides relief for a long time.
  • Some healthy tips to prevent acidity from happening:
    • Avoid excessive intake of carbonated beverages/soft drinks, citrus juices, fried food, caffeinated beverages like tea and coffee.
    • Avoid alcohol and smoking.
    • Avoid eating late at night or before bedtime.
  • Inform your doctor if you get watery diarrhea, fever or stomach pain that does not go away.
  • Long-term use of BE 20mg Injection can cause weak bones and a deficiency of minerals such as magnesium. Take adequate dietary intake of calcium and magnesium or their supplements as prescribed by your doctor.
  • Consult your doctor right away if you develop decreased urination, edema (swelling due to fluid retention), lower back pain, nausea, fatigue, and rash or fever. These could be signs of a kidney problem.

Interaction with Drugs

Taking BE with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Brand(s): Atazor, Atavir, Virataz
LIFE-THREATENING
Brand(s): Pencil, Cilobact, Vascilol
LIFE-THREATENING
Brand(s): Inbec, Indease, Indivan
LIFE-THREATENING
Brand(s): Nel
LIFE-THREATENING

Patient Concerns

arrow
Heartburn Mental disorder Depression Frequent persistent heartburn Gastroesophageal reflux disease Irritable bowel syndrome Indigestion Back flow of acid from stomach Difficulty in swallowing Inflammation of esophagus Excess acid secretion by stomach Intestinal or stomach ulcers
Dr. Sunil Sekhri
Diabetology
You need to be examined in clinic to reach a diagnosis and then appropriate medicine can be prescribed
My cough is not getting cured since 4-6 months. Tried some doctors, their medicines work for some time and the dry cough starts again. Though it happens occasionally, but i still cough
Dr. Shubhra Chandan Pradhan
ENT
It can be allergic cough or acid reflux disease. Can't give more opinion without seeing
arrow
Do you have any questions related to BE 20mg Injection ?

FAQs

Q. What is BE used for?

BE is used for the treatment of stomach and intestinal ulcers (gastric and duodenal ulcers), reflux esophagitis or gastroesophageal reflux disease (GERD). It works by reducing the amount of acid made by your stomach and thus relieves your symptoms. BE also prevents acidity associated with use of painkillers and stress ulcers in critically ill people. It is also used to treat a disease associated with excessive acid production in the stomach known as Zollinger Ellison syndrome (ZES). BE is also helpful as a preanesthetic medication (medicine given just before anesthesia) to reduce the chances of aspiration related complications like lung injury.

Q. What dietary changes should I make to get relief from acidity?

BE is best taken 1 hour before a meal. You should avoid spicy and fatty foods while taking this medicine. It also helps to cut down on caffeinated drinks such as tea, coffee and cola. Alcohol intake should also be avoided as it may worsen your symptoms.

Q. Does BE cause bone problems?

Yes, long term use of BE can cause thinning of bones, which is called osteoporosis. BE decreases the calcium absorption leading to calcium deficiency, and increases the risk of bone fractures of hip, wrist or spine. Take an adequate amount of calcium in your diet or take the supplements as advised by your doctor to avoid any bone problems.

Q. What other lifestyle changes should I make to get maximum benefit of BE?

You make see better results if you make certain dietary and lifestyle changes while taking BE. Exercise regularly and eat healthy. You can consult your dietician to get a diet chart that suits you best. Eat at least 3 hours before sleeping to reduce the chances of aggravation of your symptoms at night. You should avoid spicy and fatty foods while taking this medicine. Refrain from caffeinated drinks such as tea, coffee and cola. Alcohol intake and smoking should also be avoided as it may worsen your symptoms.

Q. Can I take alcohol with BE?

No, alcohol intake is not advised with BE. Alcohol itself does not affect the working of BE, but it can increase the acid production. This may further cause worsening of your symptoms.

Q. Can I take antacids along with BE?

Yes, you can take antacids along with BE. Take it 2 hours before or after you take BE.

Q. How long does it take for BE to work?

BE starts working within an hour of taking it and shows maximum benefit within two to four hours. You should start feeling better within 2 to 3 days but it may take upto 4 weeks to relieve your symptoms significantly.

Q. Can I stop taking BE if I feel better?

No, do not stop taking Rekool before completing the full course of treatment. You will start to feel better before your treatment is complete. BE is given into a vein, only if oral administration is not possible, for upto 7 days. As soon as the person is able to take it orally, intravenous administration is stopped and oral form is prescribed. Take BE only as prescribed by your doctor to get maximum benefit.

Q. Is BE safe?

Yes, BE is relatively safe. Most of the people who take BE do not get a side effect. It is advised to be taken as directed by the doctor for maximum benefits.

Related Products

Disclaimer: 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.
References
  1. Wallace JL, Sharkey KA. Pharmacotherapy of Gastric Acidity, Peptic Ulcers, and Gastroesophageal Reflux Disease. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman's: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: The McGraw-Hill Companies, Inc.; 2011. [Accessed 24 Jan. 2019] (online) Available from:External Link
  2. Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006. Rabeprazole. [Updated 2019 Jun 3]. [Accessed 20 Feb. 2020] (online) Available from:External Link
  3. Central Drugs Standard Control Organisation (CDSCO). [Accessed 28 Mar. 2019] (online) Available from:External Link
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