Levorab 75mg/20mg Capsule SR is a prescription medicine which is used in the treatment of gastroesophageal reflux disease (acid reflux), intestinal ulcers, and irritable bowel syndrome. It reduces excess acid production in the stomach and prevents the reflux of stomach acid into the food pipe.
Levorab 75mg/20mg Capsule SR is taken with or without food in a dose and duration as advised by the doctor. The dose you are given will depend on your condition and how you respond to the medicine. You should keep taking this medicine for as long as your doctor recommends. If you stop treatment too early your symptoms may come back and your condition may worsen. Let your healthcare team know about all other medications you are taking as some may affect, or be affected by this medicine.
The most common side effects are nausea, stomach pain, diarrhea, flatulence, constipation, headache, weakness, and flu-like symptoms. Most of these are temporary and usually resolve with time. Contact your doctor straight away if you are at all concerned about any of these side effects. It may also cause dizziness and sleepiness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. Avoid drinking alcohol while taking this medicine as it can worsen your sleepiness.
Lifestyle modifications like having fiber-rich diet, avoiding foods that trigger your symptoms, increasing fluid intake and regular exercise can help you to get better results. Before taking it, you should tell your doctor if you have any kidney or liver diseases. You should also tell your doctor if you are pregnant, planning pregnancy or breastfeeding.
Intestinal ulcers are painful sores that develop in the inner lining of the stomach or gut (intestine). Levorab 75mg/20mg Capsule SR reduces the amount of acid your stomach makes which prevents further damage to the ulcer as it heals naturally. You may be given other medicines along with this medicine depending on what caused the ulcer. You need to keep taking Levorab 75mg/20mg Capsule SR as prescribed by the doctor for it to be effective, even if the symptoms seem to disappear.
In Treatment of Irritable bowel syndrome
Irritable bowel syndrome is a chronic (long-term) inflammatory disease of the large intestine (colon) that usually needs long term management. This can lead to bleeding, frequent diarrhea, bloating, flatulence, cramps and stomach pain. Levorab 75mg/20mg Capsule SR relaxes the muscles in your stomach and gut (intestine) and relieves these symptoms effectively. Usually, it is used along with other medicines for management of your condition. Continue taking it for as long as the doctor may advise you to. You need to take this medicine regularly to get the most out of it. Take a fiber-rich diet, avoid oily or spicy food and drink plenty of fluids while taking it to make sure you stay hydrated.
In Treatment of Gastroesophageal reflux disease (Acid reflux)
Gastroesophageal reflux disease (GERD) is a chronic (long-term) condition in which there is an excess production of acid in the stomach. Levorab 75mg/20mg Capsule SR reduces the amount of acid your stomach makes and relieves the pain associated with heartburn and acid reflux. You should take it exactly as it is prescribed for it to be effective. Some simple lifestyle changes can help reduce the symptoms of GERD. Think about what foods trigger heartburn and try to avoid them; eat smaller, more frequent meals; try to lose weight if you are overweight and try to find ways to relax. Do not eat within 3-4 hours of going to bed.
Side effects of Levorab Capsule SR
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 Levorab
Weakness
Flatulence
Vomiting
Nausea
Abdominal pain
Diarrhea
Headache
Dizziness
Breast enlargement in male
Drowsiness
Altered libido
Absence of menstrual periods
Unusual production of breast milk in women and men
Cough
Back pain
How to use Levorab Capsule SR
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. Levorab 75mg/20mg Capsule SR is to be taken empty stomach.
How Levorab Capsule SR works
Levosulpiride is a prokinetic which works by increasing the release of acetylcholine (a chemical messenger). This increases the movement of stomach and intestines, and prevents reflux (acid going up to the food pipe). Rabeprazole is a proton pump inhibitor (PPI). It works by reducing the amount of acid in the stomach which helps in the relief of acid-related indigestion and ulcers.
Safety advice
Alcohol
UNSAFE
It is unsafe to consume alcohol with Levorab 75mg/20mg Capsule SR.
Pregnancy
CONSULT YOUR DOCTOR
Levorab 75mg/20mg Capsule SR 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
Information regarding the use of Levorab 75mg/20mg Capsule SR during breastfeeding is not available. Please consult your doctor.
Driving
UNSAFE
Levorab 75mg/20mg Capsule SR may cause side effects which could affect your ability to drive.
Kidney
CONSULT YOUR DOCTOR
There is limited information available on the use of Levorab 75mg/20mg Capsule SR in patients with kidney disease. Please consult your doctor. However, limited data suggest a cautious use of this medicine in these patients.
Liver
CAUTION
Levorab 75mg/20mg Capsule SR should be used with caution in patients with severe liver disease. Dose adjustment of Levorab 75mg/20mg Capsule SR may be needed. Please consult your doctor.
What if you forget to take Levorab Capsule SR?
If you miss a dose of Levorab 75mg/20mg Capsule SR, 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.
It is a well-tolerated medicine and provides relief for a long time.
Take it one hour before the meal, preferably in the morning.
Inform your doctor if you get watery diarrhea, fever, or stomach pain that does not go away.
Do not consume alcohol while taking Levorab 75mg/20mg Capsule SR as it can increase the risk of stomach damage.
Long-term use may cause weak or broken bones. Take adequate intake of dietary calcium and vitamin D or their supplements. Do not take Levorab 75mg/20mg Capsule SR for longer than prescribed.
It is a well-tolerated medicine and provides relief for a long time.
Take it one hour before the meal, preferably in the morning.
Inform your doctor if you get watery diarrhea, fever, or stomach pain that does not go away.
Do not consume alcohol while taking Levorab 75mg/20mg Capsule SR as it can increase the risk of stomach damage.
Long-term use may cause weak or broken bones. Take adequate intake of dietary calcium and vitamin D or their supplements. Do not take Levorab 75mg/20mg Capsule SR for longer than prescribed.
Fact Box
Habit Forming
No
Therapeutic Class
GASTRO INTESTINAL
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
Patient needs to take medication for duration which varies from one patent to other and there are different medications available. I would suggest that you visit the clinic
Which is the best time to take Levorab 75mg/20mg Capsule SR?
Take the Levorab 75mg/20mg Capsule SR exactly as directed by your doctor. It is best to take one capsule daily on an empty stomach.
What are the contraindications associated with the use of Levorab 75mg/20mg Capsule SR?
Use of Levorab 75mg/20mg Capsule SR should be avoided in patients with known allergy to any of the components or excipients of this medicine.
Can the use of Levorab 75mg/20mg Capsule SR cause dizziness?
Yes, the use of Levorab 75mg/20mg Capsule SR can cause dizziness (feeling faint, weak, unsteady or lightheaded) in some patients. If you feel dizzy or lightheaded, it is better to rest for sometime and resume once you feel better.
Does the use of Levorab 75mg/20mg Capsule SR lead to increased risk of fractures?
Several studies in adults suggest that treatment with Levorab 75mg/20mg Capsule SR may be associated with an increased risk of osteoporosis-related fractures of the hip, wrist or spine. The risk of fracture was increased in patients who received high dose. High dose can mean multiple daily doses, and long-term therapy (a year or longer).
Can I drive while taking Levorab 75mg/20mg Capsule SR?
No, taking Levorab 75mg/20mg Capsule SR may make you feel sleepy, dizzy or could affect your eyesight. So do not drive or use machines until you know how this medicine affects you.
What are the instructions for the storage and disposal of Levorab 75mg/20mg Capsule SR?
Keep this medicine in the packet or the container it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.
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References
Rabeprazole. Charlotte, North Carolina: FSC Laboratories; 1999 [revised Dec. 2014]. [Accessed 12 Apr. 2019] (online) Available from:
ScienceDirect. Levosulpiride. [Accessed 12 Apr. 2019] (online) Available from:
Rabeprazole Sodium and Levosulpiride [Patient Information Sheet]. Solan, Himachal Pradesh: M/s. Acme Generics Private Limited; 2022. [Accessed 14 Aug. 2024] (online) Available from:
The list of available options shown with the same composition has been prepared upon the advice of registered medical practitioners, pharmacists affiliated with TATA 1MG. TATA 1MG does not promote any pharmaceutical product of any particular company, and all recommendations are based on the medical opinion, advisories from specialist medical and pharmaceutical professionals.