RABEPRAZOLE

Substituted benzimidazole proton pump inhibitor that prevents gastric acid secretion

Dosage Forms

Injection

20 mg

Uses

Only use when oral administration is not possible and in acute or severe attacks of:

  • Active duodenal ulcer
  • Active benign gastric ulcer
  • Gastro-oesophageal reflux disease

Dose and Duration

All uses

Adult and child over 12 years: by slow IV injection or IV infusion over 15–30 minutes, 20 mg once daily

Preparation

  • Reconstitute with 5 ml of water for injections. Dilute with normal saline to be used as an infusion
  • Compatible with water for injections and sodium chloride 0.9% (normal saline) solutions only

Contra-indications

  • Hypersensitivity to rabeprazole

Side Effects

  • Infection
  • Insomnia, headache, dizziness
  • Cough, pharyngitis, rhinitis
  • Diarrhoea, vomiting, nausea, abdominal pain
  • Constipation, flatulence
  • Non-specific pain, back pain
  • General weakness, influenza-like syndrome
  • Stevens-Johnson syndrome
  • Hepatic encephalopathy

Interactions

  • Atazanavir (reduced plasma concentration of atazanavir)

Patient Instructions

  • Consult your doctor if signs of hypomagnesaemia such as fatigue, convulsions, intermittent muscular spasms (tetany) or dizziness occur

Pregnancy

  • Do not use

Breast-feeding

  • Do not use

⚠️ Caution

  • Use with caution in severe hepatic dysfunction
  • Risk of cross-sensitivity with other proton pump inhibitors or substituted benzimidazoles
  • Serious hypomagnesaemia requiring discontinuation of rabeprazole and magnesium supplementation may occur after treatment for 3 months to 1 year. Signs include fatigue, tetany, delirium, convulsions, dizziness and ventricular arrhythmia