Introduction
Rubiwin-L SR is a prescription medication that contains the active ingredients Levosulpiride and Esomeprazole. Levosulpiride is a medication used to treat various gastrointestinal disorders, while Esomeprazole is a proton pump inhibitor (PPI) that helps reduce the production of stomach acid.
Uses
Rubiwin-L SR is primarily prescribed for the following conditions:
- Gastroesophageal reflux disease (GERD): It helps relieve symptoms such as heartburn, acid reflux, and regurgitation caused by excessive stomach acid.
- Dyspepsia: It can provide relief from symptoms like bloating, indigestion, and discomfort in the upper abdomen.
- Gastric and duodenal ulcers: It may aid in the healing of ulcers in the stomach and the first part of the small intestine.
- Functional dyspepsia: It may help alleviate symptoms of functional dyspepsia, which can include pain or discomfort in the upper abdomen, early satiety, and bloating.
Dosage and Administration
Rubiwin-L SR should be taken as directed by your healthcare provider. The dosage may vary depending on your specific condition, medical history, and other factors. Follow the instructions provided by your doctor or pharmacist.
The tablets are usually taken once daily, preferably before a meal. Swallow the tablet whole with a glass of water. Do not crush or chew the tablet, as it is designed to release the medication slowly over time.
If you are unsure about the correct dosage or have any questions, consult your healthcare professional.
Mechanism of Action
Levosulpiride, one of the active ingredients in Rubiwin-L SR, works by blocking certain dopamine receptors in the brain and gastrointestinal tract. This action helps regulate the movement of food through the digestive system and reduces symptoms such as nausea, vomiting, bloating, and abdominal pain.
Esomeprazole, the other active ingredient, belongs to a class of medications known as proton pump inhibitors. It works by reducing the production of stomach acid, which can help relieve symptoms associated with conditions like GERD and gastric ulcers.
Side Effects
Common side effects may include:
- Nausea
- Diarrhea
- Headache
- Dizziness
- Abdominal pain or discomfort
- Dry mouth
If any of these side effects persist or worsen. Inform your healthcare provider.
In rare cases, Rubiwin-L SR may cause more serious side effects. These can include:
- Allergic reactions such as rash, itching, or swelling
- Severe stomach pain
- Difficulty swallowing or breathing
- Irregular heartbeat
If you experience any of these serious side effects, seek immediate medical attention.
Drug Interactions
Rubiwin-L SR may interact with other medications or substances. Inform your healthcare provider about all the medications you are currently taking, including prescription drugs, over-the-counter medications, and herbal supplements. Some common drug interactions include:
- Medications that affect stomach acid production, such as antacids or histamine H2-receptor antagonists, may interact with Esomeprazole.
- Levosulpiride may interact with medications that affect the central nervous system, such as sedatives, antipsychotics, or antidepressants.
Discuss potential drug interactions with your healthcare provider to ensure the safe and effective use of Rubiwin-L SR.
Precautions
Before starting Rubiwin-L SR, inform your healthcare provider about any known allergies, medical conditions, or medications you are currently taking.
- If you have a history of liver or kidney problems, use Rubiwin-L SR with caution and under the guidance of a healthcare professional.
- Rubiwin-L SR is not recommended for use in pregnant or breastfeeding women unless specifically prescribed by a healthcare provider.
- avoid alcohol consumption while taking Rubiwin-L SR, as it may increase the risk of side effects.
Storage
Rubiwin-L SR should be stored at room temperature, away from direct sunlight and moisture. Keep the medication out of reach of children and pets. Do not use the medication if it has passed the expiration date printed on the packaging.
Patient Tips
Here are some additional tips for patients using Rubiwin-L SR:
- Take the medication at the same time each day to maintain a consistent level of the medication in your body.
- If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double dose to make up for a missed one.
- If you experience any unusual or persistent symptoms while taking Rubiwin-L SR, consult your healthcare provider.
- Follow a healthy lifestyle, including a balanced diet and regular exercise, to support the effectiveness of the medication.
- Attend regular follow-up appointments with your healthcare provider to monitor your progress and discuss any concerns or questions you may have.
Please note that this description, as well as the other content on our website is for educational purposes only. We do not provide medical advice. For specific medical advices, diagnoses and treatment options you should consult with your doctor.
References
- Esomeprazole: medicine to lower stomach acid (NHS UK) [Accessed 18 Jun. 2024] (online) Available at:
- Boots Heartburn and Acid Reflux Control 20mg Gastro-Resistant Capsules (Health Professionals SmPC) Available at:
- Esomeprazole (Drugs.com) [Accessed 3 Jun. 2024] (online) Available at:
- esomeprazole mag-glycerin kit, capsule delayed release and spray (kit, dr spray) (RX) [Accessed 27 Jun. 2024] (online) Available at:
- Omeprazole (MedlinePlus) [Accessed 8 Jun. 2024] (online) Available at:
- Qi Q, Wang R, Liu L, Zhao F, Wang S. Comparative effectiveness and tolerability of esomeprazole and omeprazole in gastro-esophageal reflux disease: A systematic review and meta-analysis. Int J Clin Pharmacol Ther. 2015 Oct;53(10):803-10. doi: 10.5414/CP202396. [Accessed 15 Jun. 2024] Available at:
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