Nexa-20

Rabeprazole Gastro Resistant Tablets IP

MARKETER: Syngex Pharma Pvt Ltd
SALT COMPOSITION: Rabeprazole

USES OF NEXA 20MG TABLET

  • Manage Gastro-Esophageal Reflux Disease
  • Manage and Manages Peptic ulcers
  • Manage Zollinger-Ellison syndrome

HOW NEXA 20MG TABLET WORKS
NEXA 20MG TABLET is a proton pump inhibitor. It reduces the amount of acid produced in the stomach by blocking the actions of an enzyme called H+ K+ ATPase (also known as proton pump) which is present in the lining of the stomach walls. As a result, it reduces the chances for acid reflux into the oesophagus, heals peptic ulcers and esophageal lesions and manages its recurrence.

INTRODUCTION ABOUT NEXA 20MG TABLET

NEXA 20MG TABLET contains Rabeprazole which belongs to the group of medicines called Proton pump inhibitors. It is used to manage Gastro-esophageal Reflux Disease (GERD), peptic ulcer and Zollinger-Ellison syndrome (tumours in the pancreas causing the stomach to secrete more acid).

GERD is a chronic digestive disease in which the stomach acid frequently flows into the oesophagus leading to the irritation of lining of the food pipe. Symptoms include heartburn, chest pain, nausea, sensation of lump in throat and stomach discomfort.

Peptic ulcers are painful sores that develop on the linings of the stomach, oesophagus and/or intestines. Symptoms include stomach pain, flatulence, indigestion, vomiting and fatigue.

Take NEXA 20MG TABLET preferably before meals or as directed by the physician. Before taking NEXA 20MG TABLET inform your doctor if you have any liver problems. You must also inform your doctor if you have vitamin B12 deficiency, osteoporosis or any tumors in your stomach.

Do not take NEXA 20MG TABLET if you are pregnant or breastfeeding without consulting your doctor. The most common side effects of taking NEXA 20MG TABLET are oral sores, constipation, indigestion, stomach pain, headache and dizziness. Consult your doctor if any of the side effect troubles you.

You must also inform your doctor immediately if you experience severe uncontrollable diarrhea with stomach pain or tenderness after taking NEXA 20MG TABLET.

DIRECTIONS FOR USE

Take NEXA 20MG TABLET as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. It is preferably taken in the mornings or at any time of the day before meals.

Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and disease condition.

SIDE EFFECTS OF NEXA 20MG TABLET

COMMON SIDE EFFECTS:

  • Mouth sores
  • Difficulty in sleeping
  • Headache, dizziness
  • Stomach pain, diarrhea, flatulence, nausea, vomiting or constipation
  • Aches or back pain
  • Polyps in the stomach

UNCOMMON SIDE EFFECTS :

  • Painful and blocked sinuses
  • Dry mouth, indigestion
  • Skin rash or redness
  • Muscle, leg or joint pain
  • Fractures involving wrist, hip and spine
  • Urinary tract infection
  • Changes in liver function

RARE SIDE EFFECTS:
Stop taking NEXA 20MG TABLET and contact your doctor immediately if you experience any of the following side effects:

  • Allergic reactions (such as skin rash, itching, swelling of your face, difficulty in breathing and low blood pressure)
  • Skin rashes on sun exposed areas
  • Signs of frequent infections (such as chills, sore throat and fever)
  • Painful ulcers in the mouth or throat
  • Bruising or bleeding easily
  • Severe watery or bloody diarrhoea with fever, stomach pain or tenderness
  • Signs of vitamin B12 deficiency (such as pale skin, oral sores, disturbed vision, irritability, depression)
  • Signs of low magnesium levels (such as fits, tremor, muscle spasms, abnormal eye movements)

HOW TO MANAGE SIDE EFFECTS

Nausea and vomiting:
Take NEXA 20MG TABLET with or just after a meal or a snack. Stick to simple meals. Avoid eating rich or spicy food. Consult your doctor if your nausea worsens.

Dizziness:
Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines completely while you are feeling dizzy. Do not consume excessive alcohol, as it could aggravate your dizziness. Consult your doctor if your dizziness worsens.

Headache:
Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as water or electrolytes. Applying a pain-relieving balm on your forehead can be beneficial. Do not consume excessive alcohol, as it could aggravate your headache. Consult your doctor if your headache worsens.

Constipation:
Eat plenty of fibre rich foods such as fresh fruits, vegetables, and cereals. Drink plenty of fluids. Exercise more regularly. Consult your doctor if this side effect bothers you.

Diarrhea:
Drink plenty of fluids, such as water or fruit juice to keep yourself hydrated. Consuming ORS can also be beneficial. Do not consume any medicine on your own without consulting your doctor. If your diarrhea worsens, contact your doctor immediately.

WARNING & PRECAUTIONS

PREGNANCY:
NEXA 20MG TABLET is generally not recommended for use in pregnant women. Therefore, consult your doctor before taking it.

BREASTFEEDING:
NEXA 20MG TABLET is generally not recommended for use in breastfeeding women. Therefore, consult your doctor before taking it.

DRIVING AND USING MACHINES:
Do not drive or operate any machines if you feel sleepy after taking NEXA 20MG TABLET.

LIVER:
NEXA 20MG TABLET should be used with caution in patients who have or ever had any liver problems. Therefore, consult your doctor before taking it.

ALLERGY:
Do not take NEXA 20MG TABLET if you are allergic to Rabeprazole or to any other proton pump inhibitors (such as omeprazole, esomeprazole).

OTHERS:
Before taking NEXA 20MG TABLET, inform your doctor if you:

  • Have a tumor in your stomach
  • Had a skin reaction after management with a medicine similar to NEXA 20MG TABLET
  • Have osteoporosis (weak bones)
  • Are going to have a specific blood test (Chromogranin A)

Use in pediatrics:
NEXA 20MG TABLET is not recommended for use in children and adolescents (aged below 18 years). Therefore, consult your doctor for advice before administration.

Use in geriatrics:
NEXA 20MG TABLET should be used with caution in elderly patients. Therefore, consult your doctor before taking it.

INTERACTIONS

Drug – Drug Interactions:

  • Before taking NEXA 20MG TABLET, inform your doctor if you are taking any of the following medicines such as:
  • Medicines used to manage fungal infections (Ex. ketoconazole or itraconazole)
  • Medicines used to manage HIV-infection (Ex. atazanavir)
  • Chemotherapy medicine used in high doses to manage cancer (Ex. methotrexate)
  • Corticosteroids (used to manage pain and inflammation) such as prednisolone

Overdosage:
If you or anyone else accidentally took more NEXA 20MG TABLET, consult your doctor immediately or visit the nearby hospital.

SYNOPSIS

  • Drug : RabepNexale
  • Pharmacological Category : Proton Pump Inhibitors
  • Therapeutic Indication : GERD, Peptic ulcer, Zollinger-Ellison Syndrome
  • Dosage Forms : Tablet, Capsule, Powder, Injection, Infusion

MORE INFORMATION

  • Keep NEXA 20MG TABLET out of reach of children
  • Store NEXA 20MG TABLET at room temperature

FAQs ABOUT NEXA 20MG TABLET

NEXA 20MG TABLET is used to manage Gastro-esophageal Reflux Disease (GERD), peptic ulcer and Zollinger-Ellison syndrome (tumours in the pancreas causing the stomach to secrete more acid).

NEXA 20MG TABLET is a proton pump inhibitor. It reduces the amount of acid produced in the stomach by blocking the actions of an enzyme called H+ K+ ATPase (also known as proton pump) which is present in the lining of the stomach walls. As a result, it reduces the chances for acid reflux into the oesophagus, heals peptic ulcers and esophageal lesions and manages its recurrence.

The time taken for healing depends on the severity of the disease. You may notice improvement in your condition within 1-2 days of therapy with NEXA 20MG TABLET. However, it may take several weeks for NEXA 20MG TABLET to completely heal the ulcers.

NEXA 20MG TABLET should be taken on an empty stomach in the mornings. It can also be taken before a meal. Swallow NEXA 20MG TABLET with a glass of water.

Taking NEXA 20MG TABLET especially over the time of a year can slightly increase the risk of hip, wrist, or spine fracture. Inform your doctor if you suffer from osteoporosis or if you are taking corticosteroids which can increase the risk of osteoporosis. It may also cause vitamin B12 deficiency and low magnesium levels in the blood.

Do not stop taking NEXA 20MG TABLET without consulting your doctor even if you feel better during the midway of the therapy. Make sure to take NEXA 20MG TABLET for the stipulated duration recommended by your doctor to achieve complete healing of ulcers.

NEXA 20MG TABLET should be taken while you are on an empty stomach in the morning. It can also be taken before a meal.

If you have missed a dose of NEXA 20MG TABLET, take it as soon as you remember. However, if it is time for the next dose of NEXA 20MG TABLET, skip the missed dose and take the next one regularly. Do not take a double dose of NEXA 20MG TABLET to compensate for the missed ones.

Before taking NEXA 20MG TABLET inform your doctor if you have any liver problems. You must also inform your doctor if you have vitamin B12 deficiency, osteoporosis or any tumours in your stomach. Do not take NEXA 20MG TABLET if you are pregnant or breastfeeding without consulting your doctor. Regularly visit your doctor and take all the necessary blood tests recommended by your doctor without fail. You must also inform your doctor immediately if you experience severe uncontrollable diarrhoea with stomach pain or tenderness after taking NEXA 20MG TABLET.

Avoid consumption of alcohol while taking NEXA 20MG TABLET as it could aggravate your ulcers and delays the healing process.

Take NEXA 20MG TABLET as advised by your physician. Your doctor will evaluate your health and suggest whether you can take NEXA 20MG TABLET every day or not.

Yes. NEXA 20MG TABLET may affect the way your liver works. Therefore, it should be used with caution in patients with liver problems. Consult your doctor before taking it.

NEXA 20MG TABLET is not recommended for use in pregnant women. Therefore, consult your doctor before taking it.

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