Levirab 20mg Tablet is a medicine that reduces the amount of acid produced in your stomach. It is used in the treatment of acid-related diseases of the stomach and intestine such as acid reflux, peptic ulcer disease, and Zollinger-Ellison syndrome. It provides relief from symptoms and promotes healing.

Levirab 20mg Tablet medicine should be taken one hour before a meal, preferably in the morning. The dose will depend on your underlying condition and how you respond to the medicine. Try to take it regularly at the same time each day as advised by your doctor. You should keep on taking it as prescribed even if your symptoms disappear quickly. You may be able to help improve your symptoms by eating smaller meals more often and avoiding caffeinated drinks like tea and coffee, and spicy or fatty foods.

This medicine's most common side effects include nausea, vomiting, headache, dizziness, flatulence, diarrhea, and stomach pain. These tend to be mild but talk to your doctor if they bother you or do not go away. The risk of side effects may increase the longer you take this medicine. Long-term use (more than 1 year) may increase your risk for bone fractures, especially with higher doses. Talk to your doctor about ways to prevent bone loss (osteoporosis), like taking calcium and vitamin D supplements.

Low blood magnesium levels (hypomagnesemia) have been seen in some people taking this medicine for 3 months or more. This may lead to tiredness, confusion, dizziness, muscle twitches, and an irregular heartbeat. Your doctor may monitor your magnesium levels to prevent this.

Levirab 20mg Tablet is not suitable for some people. Before taking this medicine, you need to tell your doctor if you have severe liver problems, are taking medicines for HIV, have ever had an allergic reaction to similar medicines in the past, or suffer from bone loss (osteoporosis). Pregnant or breastfeeding women should also consult their doctor before taking it. Avoid drinking alcohol as it makes your stomach produce excessive acid and can worsen your symptoms. Do not drive or use machinery or tools, if this medicine makes you feel dizzy or sleepy.

Uses of Levirab Tablet

Acidity
Gastroesophageal reflux disease (Acid reflux)
Peptic ulcer disease
Treatment of Zollinger-Ellison syndrome

Benefits of Levirab Tablet

In Treatment of Zollinger-Ellison syndrome

Zollinger-Ellison syndrome is a rare disorder where excessive stomach acid production leads to multiple peptic ulcers. Symptoms include abdominal pain, diarrhea, and heartburn. Levirab 20mg Tablet By reducing the production of stomach acid, it helps alleviate symptoms such as abdominal pain, heartburn, and diarrhea. Esomeprazole also aids in the healing of peptic ulcers, which are common in this condition. By controlling the excessive acid secretion associated with Zollinger-Ellison syndrome, esomeprazole helps improve the overall digestive health and prevents complications such as gastrointestinal bleeding.

Side effects of Levirab Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Levirab

Diarrhea
Dizziness
Flatulence
Headache
Nausea
Sore throat
Stomach pain
Vomiting

How to use Levirab Tablet

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. Levirab 20mg Tablet is to be taken empty stomach.

How Levirab Tablet works

Levirab 20mg 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.

Safety advice

Alcohol

CAUTION

Caution is advised when consuming alcohol with Levirab 20mg Tablet. Please consult your doctor.

Pregnancy

CONSULT YOUR DOCTOR

Levirab 20mg Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

Breast feeding

CONSULT YOUR DOCTOR

Levirab 20mg Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.

Driving

UNSAFE

Levirab 20mg Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.

Kidney

SAFE IF PRESCRIBED

Levirab 20mg Tablet is safe to use in patients with kidney disease. No dose adjustment of Levirab 20mg Tablet is recommended.

Liver

SAFE IF PRESCRIBED

Levirab 20mg Tablet is safe to use in patients with liver disease. No dose adjustment of Levirab 20mg Tablet is recommended.

What if you forget to take Levirab Tablet?

If you miss a dose of Levirab 20mg 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.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.

Levirab 20mg Tablet

₹5.72/Tablet

Rabekind 20 Tablet

Mankind Pharma Ltd

₹4.4/tablet

23% cheaper

Rebozen 20mg Tablet

Leeford Healthcare Ltd

₹5.18/tablet

9% cheaper

Razo 20 Tablet

Dr Reddy's Laboratories Ltd

₹16.4/tablet

187% costlier

Cyra 20mg Tablet

Systopic Laboratories Pvt Ltd

₹2.7/tablet

53% cheaper

Rabium 20 Tablet

Intas Pharmaceuticals Ltd

₹9.87/tablet

73% costlier

View all substitutes

Quick tips

It is a well-tolerated medicine and provides relief for a long time.
Some healthy tips to prevent acidity from happening:
- Avoid excessive intake of carbonated beverages/soft drinks, citrus juices, fried food, caffeinated beverages like tea and coffee.
- Avoid alcohol and smoking.
- Avoid eating late at night or before bedtime.
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 of Levirab 20mg Tablet can cause weak bones and a deficiency of minerals such as magnesium. Take adequate dietary intake of calcium and magnesium or their supplements as prescribed by your doctor.
Consult your doctor right away if you develop decreased urination, edema (swelling due to fluid retention), lower back pain, nausea, fatigue, and rash or fever. These could be signs of a kidney problem.
Levirab 20mg Tablet should be taken 1 hour before a meal, preferably in the morning.
It is a well-tolerated medicine and provides relief for a long time.
Some healthy tips to prevent acidity from happening:
- Avoid excessive intake of carbonated beverages/soft drinks, citrus juices, fried food, caffeinated beverages like tea and coffee.
- Avoid alcohol and smoking.
- Avoid eating late at night or before bedtime.
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 of Levirab 20mg Tablet can cause weak bones and a deficiency of minerals such as magnesium. Take adequate dietary intake of calcium and magnesium or their supplements as prescribed by your doctor.
Consult your doctor right away if you develop decreased urination, edema (swelling due to fluid retention), lower back pain, nausea, fatigue, and rash or fever. These could be signs of a kidney problem.

Fact Box

Chemical Class

Sulfinylbenzimidazole Derivative

Habit Forming

Therapeutic Class

GASTRO INTESTINAL

Action Class

Proton-Pump Inhibitors

Patient concerns

Heartburn Mental disorder Depression Frequent persistent heartburn Gastroesophageal reflux disease Irritable bowel syndrome Indigestion Back flow of acid from stomach Difficulty in swallowing Inflammation of esophagus Excess acid secretion by stomach Intestinal or stomach ulcers

Dr. Sunil Sekhri

Diabetology

You need to be examined in clinic to reach a diagnosis and then appropriate medicine can be prescribed

Moderate Throat Pain in left side Moderate Ear pain. Acid reflux too often

Dr. Vijay Verma

ENT

it may be due to acidity also you may have got some ulcer or infection in that region visit ent specialist near you for proper examination

Suffering from acid reflux disease due to which pain in throat and right side of lower abdomen

Dr. Saurav Arora

Homeopathy

Dear sir for the time being you can take Robinia 30, 04 drops in half cup water and Nixocid tab 2 tab thrice daily for a month, but as this case needs supervision, discussion and examination you need to visit a homeopath so that he can discuss your case in detail, get some investigations, do examination and guide you accordingly,

FAQs

Q. What is Levirab 20mg Tablet used for?

Levirab 20mg Tablet is used for the treatment of stomach and intestinal ulcers (gastric and duodenal ulcers), reflux esophagitis, or gastroesophageal reflux disease (GERD). It works by reducing the amount of acid made by your stomach and thus relieves your symptoms. Levirab 20mg Tablet also prevents acidity associated with the use of painkillers and stress ulcers in critically ill people. It is also used to treat a disease associated with excessive acid production in the stomach known as Zollinger Ellison syndrome (ZES).

Q. How long does it take for Levirab 20mg Tablet to work?

Levirab 20mg Tablet starts working within an hour of taking it and shows maximum benefit within two to four hours. You should start feeling better within 2 to 3 days but it may take up to 4 weeks to relieve your symptoms significantly.

Q. What is the best time to take Levirab 20mg Tablet?

It is best to take Levirab 20mg Tablet before your breakfast. If you are taking two doses, take it in the morning and evening. Levirab 20mg Tablet is more effective when it is taken an hour before your food.

Q. Can I stop taking Levirab 20mg Tablet if I feel better?

No, do not stop taking Levirab 20mg Tablet before completing the full course of treatment. You will start to feel better before your treatment is complete.

Q. Does Levirab 20mg Tablet cause bone problems?

Yes, long-term use of Levirab 20mg Tablet can cause thinning of bones, which is called osteoporosis. Levirab 20mg Tablet decreases the calcium absorption leading to calcium deficiency and increases the risk of bone fractures of the hip, wrist, or spine. Take an adequate amount of calcium in your diet or take the supplements as advised by your doctor to avoid any bone problems.

Q. How is Levirab 20mg Tablet useful in the treatment of H. pylori infection?

Levirab 20mg Tablet 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 symptomatic relief by decreasing associated acidity, reflux, and heartburn.

Q. Can I take Levirab 20mg Tablet with vitamin D?

Yes, vitamin D can be taken along with Levirab 20mg Tablet. Vitamin D is generally advised to be taken as a supplement with Levirab 20mg Tablet as the long-term use of Levirab 20mg Tablet decreases the absorption of calcium and may lead to calcium deficiency. This can lead to osteoporosis (thinning of bones) and increase the risk of bone fractures like hip, wrist, and spine fractures. Please consult your doctor to know about ways to prevent this.

Q. Can long term use of Levirab 20mg Tablet cause magnesium deficiency?

Long-term use of Levirab 20mg Tablet can lower magnesium levels in patients taking multiple daily doses for 3 months or longer. Get your magnesium levels checked at regular intervals. Tell your doctor if you experience seizures (fits), dizziness, abnormal or fast heartbeat, jitteriness, jerking movements or shaking (tremors), muscle weakness, spasms of the hands and feet, cramps, muscle aches.

Q. Is it safe to use Levirab 20mg Tablet for a long period of time?

Levirab 20mg Tablet should be used for as long as it has been prescribed by your doctor. Levirab 20mg Tablet is usually considered to be safe when taken in the recommended dose and duration. If Levirab 20mg Tablet is used for more than 3 months, certain long-term side effects may be seen. The most important of these is low magnesium levels in your blood, making you feel tired, confused, dizzy, shaky, or dizzy. You may also have muscle twitches or irregular heartbeat. If the use is further prolonged for more than a year, you may have an increased risk of bone fractures, stomach infections, subacute cutaneous lupus erythematosus, osteoporosis, and vitamin B12 deficiency.

Q. Can I take alcohol with Levirab 20mg Tablet?

No, alcohol intake is not advised with Levirab 20mg Tablet. Alcohol itself does not affect the working of Levirab 20mg Tablet, but it can increase acid production. This may further cause worsening of your symptoms.

Q. What dietary changes should I make to get relief from acidity?

Levirab 20mg Tablet is best taken 1 hour before a meal. You should avoid spicy and fatty foods while taking this medicine. It also helps to cut down on caffeinated drinks such as tea, coffee, and cola. Alcohol intake should also be avoided as it may worsen your symptoms.

Q. What other lifestyle changes should I make to get maximum benefit of Levirab 20mg Tablet?

You make see better results if you make certain dietary and lifestyle changes while taking Levirab 20mg Tablet. Exercise regularly and eat healthily. You can consult your dietician to get a diet chart that suits you best. Eat at least 3 hours before sleeping to reduce the chances of aggravation of your symptoms at night. You should avoid spicy and fatty foods while taking this medicine. Refrain from caffeinated drinks such as tea, coffee, and cola. Alcohol intake and smoking should also be avoided as they may worsen your symptoms.

Q. Can I take antacids along with Levirab 20mg Tablet?

Yes, you can take antacids along with Levirab 20mg Tablet. Take it 2 hours before or after you take Levirab 20mg Tablet.

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References

Wallace JL, Sharkey KA. Pharmacotherapy of Gastric Acidity, Peptic Ulcers, and Gastroesophageal Reflux Disease. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman's: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: The McGraw-Hill Companies, Inc.; 2011. [Accessed 24 Jan. 2019] (online) Available from:
Rabeprazole. Charlotte, NC: FSC Laboratories; 1999 [revised Dec. 2014]. [Accessed 28 Mar. 2019] (online) Available from:
Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006. Rabeprazole. [Updated 2019 Jun 3]. [Accessed 20 Feb. 2020] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). [Accessed 28 Mar. 2019] (online) Available from:
CiplaMed. Rabeprazole sodium [Prescribing Information]. [Accessed 25 Jul. 2023] (online) Available from:

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