Derek L Capsule SR

Derek L Capsule SR is a combination medication, primarily used for treating ulcerative GERD. It is also prescribed for erosive healing, maintenance of ulcerative GERD, duodenal ulcers, irritable bowel syndrome and chronic gastritis. Recently, it has also come to be used in the treatment of hypersecretory conditions that include Zollinger-Ellison syndrome.

On using Derek L Capsule SR the associated side effects that you may suffer from are disorientation, delirium, the elevation of thyroid-stimulating hormone (TSH), rhabdomyolysis, bullous, erythema multiforme, drug-induced diarrhoea, twitching, tremor, weight gain or akathisia.

In certain severe cases, you may experience jaundice, interstitial pneumonia, tardive dyskinesia, gynecomastia (a disorder of the endocrine system where there is an enlargement of the male breast size). In the latter case it will be necessary for you to seek medical attention.

Before using this medication it is advised that you consult your doctor and tell him/her if you had/have or are:

• Pregnant, or are planning to become pregnant.
• Nursing a baby
• Taking any prescriptive or over the counter drugs, herbals medications or dietary supplements.
• A recent surgery or are scheduled for one in the near future.
• Pheochromocytoma or gastrointestinal perforation.
• A history of cancer-related disease.
• A history of epilepsy or any other kind of seizures.
• Allergic to any medicine, food or substance.

The dosage of this medication will be as prescribed by your doctor as per the severity of your condition, your age, gender and overall medical history. But commonly a dose of 25 mg of this medicine is prescribed which needs to be taken three times in a day. Results may start to show within an hour or two of using. In case of drug overdose notify your physician right away.

• Gastroesophageal Reflux Disease

  This medicine is used for the treatment of gastroesophagal reflux disease marked by increased irritation of the stomach caused by bile and acid.

• Irritable Bowel Syndrome (Ibs)

  This medicine is used for the treatment of irritable bowel syndrome marked by persistent stomach pain, flatulence, diarrhea, or constipation.

• Duodenal Ulcer

  This medicine is used for the treatment of duodenal ulcer marked by severe abdominal pain, heartburn, indigestion, bloating, belching, nausea or vomiting.

• Allergy

• Epilepsy

• Bipolar Disorder

• Pheochromocytoma

• Gastrointestinal Perforations

• Breast Cancer

• Nausea

• Headache

• Diarrhoea

• Dizziness

• Weakness

• Sleepiness

• Flatulence

• How long is the duration of effect?

  The effect of this medicine lasts for an average duration of 5-8 hours upon oral administration.

• What is the onset of action?

  The effect of this medicine can be observed within 1-2 hours of oral administration.

• Are there any pregnancy warnings?

  Use of this medicine during pregnancy is not recommended unless absolutely necessary. It is advised to use this medicine only when the benefits outweigh the risks involved.

• Is it habit forming?

  No habit forming tendencies were reported.

• Are there any breast-feeding warnings?

  Use of this medicine by breastfeeding women is not recommended. However, if it is absolutely necessary to use this medicine, then breastfeeding should be discontinued. Consult your doctor before using this medicine.

• Is it safe to drive while on this medicine?

  This medicine affects the consciousness of the patient, thus driving must be avoided while taking this medicine.

• Does this affect kidney function?

  Only limited information is available regarding its use in patients with kidney disease. Kindly consult your doctor before taking it.

• Does this affect liver function?

  Caution must be taken in patients with liver disease. Adjustment of dose is needed. Kindly consult your doctor before taking this medicine.

Below is the list of medicines, which have the same composition, strength and form as Derek L Capsule SR , and hence can be used as its substitute.

• Cyra-Ls Tablet Sr

  Systopic Laboratories Pvt Ltd

• Acera L 75Mg/20Mg Tablet Sr

  Ipca Laboratories Ltd

• Zaxid-L 75Mg/20Mg Capsule Sr

  Akumentis Healthcare Ltd

• Rabifast-Xl Capsule

  Zuventus Healthcare Ltd

• Superia L Capsule Sr

  Sun Pharmaceutical Industries Ltd

• Happi-L Capsule Sr

  Zydus Cadila

• Drego Ls 75 Mg/20 Mg Capsule Sr

  USV Ltd

• Rabonik Plus Capsule SR

  Eris Life Sciences Pvt Ltd

• Neopride Total Capsule Sr

  Intas Pharmaceuticals Ltd

• Rekool-L Tablet Sr

  Alembic Pharmaceuticals Ltd

• Are there any missed dose instructions?

  Take the missed dose as soon as you remember. If it is almost time for the next scheduled dose, then the missed dose can be skipped.

• Are there any overdose instructions?

  Contact a doctor if an overdose with Derek L Capsule SR is suspected. Symptoms of an overdose may include excessive drowsiness, fall in blood pressure, agitation, coma etc.

This medicine is a combination of Levosulpiride and Rabeprazole. These two belongs to neuroleptic and PPI class respectively. Thus this medicine works via the dual mechanism.

Firstly, it works by selectively binding to dopamine receptors in the brain and the periphery. This action results in an increased tone of muscles in the gastrointestinal tract. Secondly, it binds to H+/K+-exchanging ATPase in gastric parietal cells, resulting in blockage of acid secretion.

Whenever you take more than one medicine, or mix it with certain foods or beverages, you"re at risk of a drug interaction.

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• Interaction with Alcohol

  Avoid or limit the uptake of alcohol while taking this medicine as the risk of adverse effects are increasingly high. Contact your doctor if an excess of drowsiness is experienced.

• Interaction with Lab Test

  Prolactin test

  Report the use of this medicine before undergoing a laboratory test to determine the levels of the hormone prolactin in the body. This medicine can interfere with the test and yield false positive results.

• Interaction with Medicine

  This medication reacts with ketoconazole, phenytoin, warfarin, nelfinavir and digoxin.

• Interaction with Food

  Information not available.

• Interaction with Disease

  Patients suffering from liver disease, osteoporosis and hypomagnesemia should not use this medication.

• Ques : What is Derek L Capsule SR?

  Ans : This medicine is a combination of levosulpiride and rabeprazole. It is primarily used for the treatment of Gastroesophageal reflux disease and irritable bowel syndrome.

• Ques : What is the use of Derek L Capsule SR?

  Ans : It is prescribed for treating the following-

  • Healing of erosive or ulcerative gastro-oesophageal reflux disease (GERD)
  • Maintenance of healing of erosive or ulcerative GERD
  • Healing of duodenal ulcers
  • Treatment of pathological hypersecretory conditions, including Zollinger- Ellison syndrome
  • Irritable bowel syndrome
  • Chronic gastritis

• Ques : What are the side effects of Derek L Capsule SR?

  Ans : This medication has many common side effects such as Nausea, Stomach pain, Diarrhea, Flatulence, Constipation, Headache, Dizziness, Weakness, Sleepiness, Flu-like symptoms. In case of patients having any of the side effects or issues like allergic reactions or skin rashes. It is advised to stop the consumption of this medicine and contact to doctor as soon as possible.

• Ques : How long do I need to use Derek L Capsule SR before I see improvement in my condition?

  Ans : This medication should be consumed, until the complete eradication of the disease. Thus it is advised to use, till the time directed by your doctor. Also taking this medication longer than it was prescribed, can cause an inadequate effect on the patient's condition. So please consult your doctor.

• Ques : At what frequency do I need to use Derek L Capsule SR?

  Ans : The duration of effect for this medicine is dependent on the severity of the patient’s condition. Therefore the frequency of usage of this medication will vary from person to person. It is advised to follow the proper prescription of the doctor, directed according to the patient's condition.

• Ques : Should I use Derek L Capsule SR empty stomach, before food or after food?

  Ans : This medication is advised to be consumed orally. The salts involved in this medication react properly if it is taken after having food. If you take it on an empty stomach, it might upset the stomach. Please consult the doctor before using it.

• Ques : What are the instructions for the storage and disposal of Derek L Capsule SR?

  Ans : This medication contains salts which are suitable to store only at room temperature, as keeping this medication above or below that, can cause an inadequate effect. Protect it from moisture and light. Keep this medication away from the reach of children. It is advised to dispose of the expired or unused medication, for avoiding its inadequate effect.

• Levosulpiride- Drug Information Portal [Internet]. druginfo.nlm.nih.gov. 2020 [Cited 23 January 2020]. Available from:

  https://druginfo.nlm.nih.gov/drugportal/name/levosulpiride

• Rabeprazole- Drug Information Portal [Internet]. druginfo.nlm.nih.gov. 2020 [Cited 23 January 2020]. Available from:

  https://druginfo.nlm.nih.gov/drugportal/rn/117976-89-3

• New Drugs Approved by CDSCO, Central Drugs Standard Control Organisation, Government of India [Internet]. cdscoonline.gov.in [Cited 23 January 2020]. Available from:

  https://cdscoonline.gov.in/CDSCO/Drugs