RABEPRAZOLE

Substituted benzimidazole proton pump inhibitor that prevents gastric acid secretion

Dosage Forms

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Injection

20 mg

Uses

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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

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All uses

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

Preparation

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  • 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

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  • Hypersensitivity to rabeprazole

Side Effects

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  • 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

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  • Atazanavir (reduced plasma concentration of atazanavir)

Patient Instructions

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

Pregnancy

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  • Do not use

Breast-feeding

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  • Do not use

⚠️ Caution

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  • 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