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Is Epsirab an over the counter product? : No, Epsirab is not an over the counter product, it is available when prescribed by a doctor.|Is Epsirab an antacid? : Epsirab is not an antacid. It belongs to the class of proton pump inhibitors (PPIs) which decrease the amount of acid produced in the stomach while antacids only neutralize the stomach acid by coating the stomach.|Does Epsirab cause osteoporosis (thinning of bones)? : Yes, long term use of Epsirab can cause osteoporosis (thinning of bones). It decreases the calcium absorption leading to calcium deficiency and increases the risk of bone fractures of hip, wrist or spine. Inform your doctor if you have osteoporosis or if you are taking corticosteroids (these can increase the risk of osteoporosis) before starting your therapy. Take enough calcium and vitamin D to reduce the risk.|Can I take aluminum hydroxide and magnesium carbonate or other antacids with Epsirab? : Epsirab can be taken with antacids like aluminum hydroxide, magnesium carbonate or sodium bicarbonate. Epsirab takes a few days to show its effect, so antacids can be taken during that time for relief of acidity and heartburn. However, antacids should be taken two hours before or one hour after taking Epsirab as antacids can increase the pH of the stomach and decrease the action of Epsirab which requires a lower pH for its action. |Does Epsirab have addictive potential? : No, Epsirab has no addictive potential. It shows no withdrawal symptoms when you stop using this medicine.|Is Epsirab safe? : Yes, Epsirab is safe if taken for prescribed duration in prescribed doses as advised by your doctor. However, there are some very common side effects that you can experience at effective doses like nausea, abdominal pain, constipation, diarrhea, and flatulence.|Does Epsirab cause hair loss? : No, hair loss has not been reported as a side effect of Epsirab. Talk to your doctor in case there is excessive hair fall as it could be due to some underlying problem that needs attention.|Does Epsirab cause flatulence (gas or bloating)? : Flatulence (gas) has been reported as a common side effect of Epsirab. Although it would be mild to moderate in nature and transient.|Does Epsirab cause tinnitus (ringing in the ears)? : Tinnitus (ringing sensation in the ears) has not been seen as a side effect with the use of Epsirab. Talk to your doctor in case you have this problem as it could be due to some underlying condition that needs attention. |Does Epsirab cause weight gain? : Weight gain has been reported as a rare side effect of Epsirab. Weight gain can add to your problem of acidity and heartburn. So, you must try to do some exercise and make healthy changes in your diet to control your weight.|Does Epsirab expire? : Yes, like any other medicine, Epsirab also expires. Always check the expiry date on the pack of the medicine before using it.|Does Epsirab cause constipation? : Constipation is a common side effect seen in patients using Epsirab. Making healthy lifestyle changes like doing yoga, taking high fiber diet and plenty of fluids will prevent constipation.|Does Epsirab cause high blood pressure? : Epsirab is not reported to cause high blood pressure. In case you experience high blood pressure, talk to your doctor as it may need attention. Common side effects seen with Epsirab includes nausea, abdominal pain, constipation, diarrhea, and flatulence.|Does Epsirab cause headache? : Headache is reported as one of the common side effects of Epsirab. Please consult your doctor in case you experience an intolerable headache for a prolonged duration while taking Epsirab.|Can I take Epsirab with ranitidine? : Yes, Epsirab can be taken with ranitidine. As Epsirab show its effect after some days, Ranitidine can be taken for immediate relief. No drug-drug interactions or change in side effect profile has been reported when they are used together compared to either drug alone.|Can I take Epsirab with ibuprofen? : Epsirab can be taken with ibuprofen. Epsirab is used to prevent painkiller (NSAIDs) induced gastritis and stomach ulcers by decreasing the production of acid in the stomach. There are no reported drug interactions or harmful effects when they are used together.|Can I take Epsirab with paracetamol? : Epsirab can be taken with paracetamol. Epsirab is used to prevent painkiller (NSAIDs) induced stomach ulcers by decreasing the production of acid in the stomach. There are no reported drug interactions or harmful effects when they are used together.|How is Epsirab metabolized? : Epsirab is metabolized in the liver mainly by microsomal CYP450 enzymes (CYP2C19 and CYP3A4). Patients with poor CYP2C19 enzymatic activity will have higher levels of Epsirab for a long time and a better suppression of stomach acid.|Can Epsirab be used for the treatment of throat infection? : No, Epsirab is not meant for throat infections. However, it may be given along with antibiotics and other drugs to protect the stomach from excessive acid secretion.|Why is Epsirab used with cinitapride for some conditions? : Cinitapride increases the movement of the gut and is useful in the treatment of conditions like heartburn, dyspepsia and is also useful in the treatment of reflux esophagitis. It has much better efficacy when it is used with Epsirab.|Does Epsirab play any role in treating ulcerative colitis? : Epsirab does not have any role in the treatment of ulcerative colitis. However, it can be given if there is associated dyspepsia or increased stomach acid secretion. Talk to your doctor before taking any treatment for ulcerative colitis.|Can Epsirab be used for reflux esophagitis? : Yes, Epsirab is effective in the treatment of reflux esophagitis. It is a disease in which stomach acid or bile irritates and inflames the lining of the food pipe. Epsirab decreases the production of acid in the stomach and can help in healing the inflamed and eroded esophagus.The efficacy is better when it is given in combination with a prokinetic agent like domperidone.|Is Epsirab being used for treating weight loss? : No, Epsirab is not used for the treatment of weight loss. It is a proton pump inhibitor and is used for the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers.|Is there any role of Epsirab in treating hiatus hernia? : A hiatus hernia is the bulging of the stomach into the chest through an esophageal opening in the diaphragm which is larger than the normal size. A hiatus hernia is associated with acidity and heartburn. Epsirab does not play any role in treating hiatus hernia, however, it can help in relieving the symptoms of acidity, heartburn and acid reflux.|Can I take Epsirab with vitamin D? : Yes, vitamin D can be taken with Epsirab. Vitamin D is generally advised to be taken as a supplement with Epsirab as its long-term use decreases the absorption of calcium and cause calcium deficiency. This can lead to osteoporosis (thinning of bones) and increase the risk of bone fractures like hip, wrist and spine fractures.|How is Epsirab useful in the treatment of Hpylori? : Epsirab 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 the symptomatic relief by decreasing associated acidity, reflux, and heartburn.|Can I take Epsirab with domperidone? : Epsirab can be safely taken with domperidone as no harmful effects have been reported clinically. A fixed-dose combination of these two medicines is also available. Domperidone increases gut motility and Rabeprazole decreases the acid production in the stomach. So, this combination is very effective in the treatment of reflux esophagitis associated with acidity, heartburn, intestinal and stomach ulcers.|Can long term use of Epsirab cause magnesium deficiency? : Long-term use of Epsirab can lower magnesium levels in patients taking multiple daily doses for a year or longer (at least 3 months). Get your magnesium levels checked at regular intervals. Tell your doctor if you experience seizures, dizziness, abnormal or fast heartbeat, jitteriness, jerking movements or shaking (tremors), muscle weakness, spasms of the hands and feet, cramps, muscle aches or spasm of the voice box.