Medicine Overview of Nisirab Tablet
Side Effects of Nisirab are Vomiting, Headache, Stomach pain, Nausea, Flatulence, Diarrhoea.
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Nisirab 20 mg Tablet may be taken with or without food, but it is better to take it at a fixed time.
Nisirab 20 mg Tablet 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 Nisirab Tablet
- Inform your doctor if you get watery diarrhea, fever, or stomach pain that does not go away.
- 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.
- Long-term use can cause weak bones and deficiency of minerals such as magnesium. Take adequate dietary intake of calcium and magnesium or their supplements as prescribed by your doctor.
- You have been prescribed Nisirab 20 mg Tablet to reduce stomach acid and heal stomach ulcers.
- Take it one hour before the meal, preferably in the morning.
- It is a well-tolerated medicine and provides relief for a long time.
Nisirab Tablet related warnings
WEIGH RISKS VS BENEFITS
Nisirab 20 mg Tablet 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.
Nisirab 20 mg Tablet is probably unsafe to use during lactation.
Limited human data suggest that the drug could represent a significant risk to the baby.
Nisirab 20 mg Tablet may make you feel dizzy, sleepy, tired, or decrease alertness. If this happens, do not drive.
Nisirab 20 mg Tablet is safe to use in patients with kidney disease. No dose adjustment of Nisirab 20 mg Tablet is recommended.
Nisirab 20 mg Tablet should be used with caution in patients with severe liver disease. Dose adjustment of Nisirab 20 mg Tablet may be needed. Please consult your doctor.
If you miss a dose of Nisirab 20 mg Tablet, 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.
Questions Related to Nisirab
Now I am taking esomeprazole-40mg once in the morning in empty stomach. What is the best medicine in ayurveda for acidity?What should be best medicine in stead of allopathic?
Dr. Aanchal Maheshwari
there are a lotbof medicines to cure acidity in Ayurveda. syrup smllapitta mishran 10 ml thrice before meal, and powder anago 1 spoon befre meal twice. Anago powder is my self prepared medicine and is very effective. follow a healthy lifestyle, avoid junk spicy oily food
I have acidity &lots of gases problemsI am waiting. Thanku
Dr. Pushkar Mani
take RABEKIND DSR twice daily 1 hour before breakfast and 1 hour before dinner for 4 weeksTab ZINCOVIT once daily after breakfast for 4 weeksSyrup ULGEL 10ml twice daily with meals for 2 weeks
I have a hyper acidity and gastric problem I don't have a gall bladder as it was operated and removed please suggest me what can I do.
Dr. Manju Singh
On the basis of information you have provided you can consider following homeopathic medicines:1. ADEL 49 - apo-ENTERIT DropsDosage: 20 drops in half cup of water 3 times daily. LINK: http://www.1mgayush.com/products/ADEL49-apo-ENTERIT/Standard2. Nux Vomica 30, Dilution, ADELDosage: 4 drops in 1 teaspoon of water, 3 times a day. LINK: http://www.1mgayush.com/products/Nux-Vomica./Standard
I want to loose some weight want tu reduce fatness of stomach and hips too.i had generally acidity problems.also have digesticI want to loose some weight want tu reduce fatness of stomach
Dr. Shamika Desai
Sure. Make sure you manage small and frequent meals. Include vegetables in your diet. Have a healthy breakfast and start your day with Fruits . Dinners a has to be light and early.Make sure you manage PLANKS daily. Min 2 min hold. Start Surya Namaskar and For hips start with Lunges and squats min 2 -3 sets
Hello Doctor . Sir/Mam I have major issues in digestion. My tummy is starting bulging out and high fat is increasing rapidly . how to control it. and What should i eat and in what manner to prevent indignation , Gas , acidity
Dr. Shikha Mishra
eat 6-7 meals per day, which consist fruits, nuts, buttermilk,sprouts,idly,curd eggs,sprouts homecooked food. Drink 3-4 litters of water limit your sugar consumption to 2 spoon per day. Be active whole day do minimum 45 min exercise everyday like yoga, cardio,
Sir / Madam, I am a diabetic patient from 3 years now under control by the Grace of Almighty. I got acidity more often a day, it makes lot mental disturbances while being the moment I got this acidity inside and I am very much perturbed. Pls pls help me or suggest to get out from this. Regards, PATIENT
Dr. Deepak Kumar Soni
Take triphala 1/2 teaspoon with mild hot water at nighthttp://www.1mgayush.com/Digestion/products/AMLANT_TABLETS/Standard
Hello sir/mdm good evening I am having hiatal hernia and cause GERD and acidity I am taking SOMPRAZ D in the morning and FAMTAC 40 during bedtime It is not possible for me to survive without these medicine I want to ask u if these medicines are good to take for a long duration?? (Until operation is not done) Reports are as attached in photos
Dr. Sfurti Mann
Yes u may need to take the medicines for longEat small frequent meals Avoid oily spicy heavy meals
Frequently asked questions about Nisirab Tablet
Q. Is Nisirab an over the counter product?
No, Nisirab is not an over the counter product, it is available when prescribed by a doctor.
Q. Is Nisirab an antacid?
Nisirab 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 Nisirab cause osteoporosis (thinning of bones)?
Yes, long term use of Nisirab 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 Nisirab?
Nisirab can be taken with antacids like aluminum hydroxide, magnesium carbonate or sodium bicarbonate. Nisirab 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 Nisirab as antacids can increase the pH of the stomach and decrease the action of Nisirab which requires a lower pH for its action.
Q. Does Nisirab have addictive potential?
No, Nisirab has no addictive potential. It shows no withdrawal symptoms when you stop using this medicine.
Yes, Nisirab 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 Nisirab cause hair loss?
No, hair loss has not been reported as a side effect of Nisirab. 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 Nisirab cause flatulence (gas or bloating)?
Flatulence (gas) has been reported as a common side effect of Nisirab. Although it would be mild to moderate in nature and transient.
Q. Does Nisirab cause tinnitus (ringing in the ears)?
Tinnitus (ringing sensation in the ears) has not been seen as a side effect with the use of Nisirab. Talk to your doctor in case you have this problem as it could be due to some underlying condition that needs attention.
Q. Does Nisirab cause weight gain?
Weight gain has been reported as a rare side effect of Nisirab. 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, Nisirab also expires. Always check the expiry date on the pack of the medicine before using it.
Q. Does Nisirab cause constipation?
Constipation is a common side effect seen in patients using Nisirab. Making healthy lifestyle changes like doing yoga, taking high fiber diet and plenty of fluids will prevent constipation.
Q. Does Nisirab cause high blood pressure?
Nisirab 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 Nisirab includes nausea, abdominal pain, constipation, diarrhea, and flatulence.
Q. Does Nisirab cause headache?
Headache is reported as one of the common side effects of Nisirab. Please consult your doctor in case you experience an intolerable headache for a prolonged duration while taking Nisirab.
Q. Can I take Nisirab with ranitidine?
Yes, Nisirab can be taken with ranitidine. As Nisirab 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 Nisirab with ibuprofen?
Nisirab can be taken with ibuprofen. Nisirab 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 Nisirab with paracetamol?
Nisirab can be taken with paracetamol. Nisirab 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 Nisirab metabolized?
Nisirab is metabolized in the liver mainly by microsomal CYP450 enzymes (CYP2C19 and CYP3A4). Patients with poor CYP2C19 enzymatic activity will have higher levels of Nisirab for a long time and a better suppression of stomach acid.
Q. Can Nisirab be used for the treatment of throat infection?
No, Nisirab 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 Nisirab 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 Nisirab.
Q. Does Nisirab play any role in treating ulcerative colitis?
Nisirab 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 Nisirab be used for reflux esophagitis?
Yes, Nisirab 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. Nisirab 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 Nisirab being used for treating weight loss?
No, Nisirab 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 Nisirab in treating hiatus hernia?
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. Nisirab 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 Nisirab with vitamin D?
Yes, vitamin D can be taken with Nisirab. Vitamin D is generally advised to be taken as a supplement with Nisirab 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 Nisirab useful in the treatment of H. pylori?
Nisirab 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 Nisirab with domperidone?
Nisirab 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 Nisirab cause magnesium deficiency?
Long-term use of Nisirab 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 Nisirab with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
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Medicines with composition Roxithromycin: Zuroxy, Roxilim, Rox Thro, Ani Rox, Enirox, Serox, Marox, Roxup, Roxiden, P Rox
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