Your doctor or nurse will give you this medicine. Kindly do not self administer.

- Alcohol : CAUTION

Alcohol should be used with caution while taking Actorab 20mg Powder for Injection. | - Pregnancy : CONSULT YOUR DOCTOR

The safety of Actorab 20mg Powder for Injection during pregnancy has not been established. There are no adequate and well-controlled studies in pregnant women, and animal data on reproductive toxicity are insufficient. Your doctor will weigh the benefits and any potential risks before prescribing. | - Breast feeding : CONSULT YOUR DOCTOR

Actorab 20mg Powder for Injection may be unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby. It should be used only if the expected benefit outweighs the potential risk. Please consult your doctor. | - Driving : CONSULT YOUR DOCTOR

It is not known whether Actorab 20mg Powder for Injection alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react. Please consult your doctor. | - Kidney : SAFE IF PRESCRIBED

Actorab 20mg Powder for Injection is safe to use in patients with kidney disease. No dose adjustment is recommended. | - Liver : CAUTION

Actorab 20mg Powder for Injection should be used with caution in patients with severe liver disease. Dose adjustment may be needed.

If you miss a dose of Actorab 20mg Powder for Injection, please consult your doctor.

What is Actorab 20mg Powder for Injection used for?::: Actorab 20mg Powder for Injection 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. Actorab 20mg Powder for Injection also prevents acidity associated with 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). Actorab 20mg Powder for Injection is also helpful as a preanesthetic medication (medicine given just before anesthesia) to reduce the chances of aspiration related complications like lung injury.| Can I stop taking Actorab 20mg Powder for Injection if I feel better?::: No, do not stop taking Rekool before completing the full course of treatment. You will start to feel better before your treatment is complete. Actorab 20mg Powder for Injection is given into a vein, only if oral administration is not possible, for upto 7 days. As soon as the person is able to take it orally, intravenous administration is stopped and oral form is prescribed. Take Actorab 20mg Powder for Injection only as prescribed by your doctor to get maximum benefit.| Is Actorab 20mg Powder for Injection safe?::: Yes, Actorab 20mg Powder for Injection is relatively safe. Most of the people who take Actorab 20mg Powder for Injection do not get a side effect. It is advised to be taken as directed by the doctor for maximum benefits.| What is Actorab 20mg Powder for Injection used for?::: Actorab 20mg Powder for Injection 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. Actorab 20mg Powder for Injection 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).| How long does it take for Actorab 20mg Powder for Injection to work?::: Actorab 20mg Powder for Injection 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.| What is the best time to take Actorab 20mg Powder for Injection?::: It is best to take Actorab 20mg Powder for Injection before your breakfast. If you are taking two doses, take it in the morning and evening. Actorab 20mg Powder for Injection is more effective when it is taken an hour before your food.| Is it safe to use Actorab 20mg Powder for Injection for a long period of time?::: Actorab 20mg Powder for Injection should be used for as long as it has been prescribed by your doctor. Actorab 20mg Powder for Injection is usually considered to be safe when taken in the recommended dose and duration. If Actorab 20mg Powder for Injection 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.| Does Actorab 20mg Powder for Injection cause bone problems?::: Yes, long-term use of Actorab 20mg Powder for Injection can cause thinning of bones, which is called osteoporosis. Actorab 20mg Powder for Injection 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.| Can I take Actorab 20mg Powder for Injection with vitamin D?::: Yes, vitamin D can be taken along with Actorab 20mg Powder for Injection. Vitamin D is generally advised to be taken as a supplement with Actorab 20mg Powder for Injection as the long-term use of Actorab 20mg Powder for Injection 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.| How is Actorab 20mg Powder for Injection useful in the treatment of H. pylori infection?::: Actorab 20mg Powder for Injection 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.| Can long term use of Actorab 20mg Powder for Injection cause magnesium deficiency?::: Long-term use of Actorab 20mg Powder for Injection 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.| Can I stop taking Actorab 20mg Powder for Injection if I feel better?::: No, do not stop taking Actorab 20mg Powder for Injection before completing the full course of treatment. You will start to feel better before your treatment is complete.| What dietary changes should I make to get relief from acidity?::: Actorab 20mg Powder for Injection 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.| Can I take alcohol with Actorab 20mg Powder for Injection?::: No, alcohol intake is not advised with Actorab 20mg Powder for Injection. Alcohol itself does not affect the working of Actorab 20mg Powder for Injection, but it can increase acid production. This may further cause worsening of your symptoms.| Can I take antacids along with Actorab 20mg Powder for Injection?::: Yes, you can take antacids along with Actorab 20mg Powder for Injection. Take it 2 hours before or after you take Actorab 20mg Powder for Injection.| What other lifestyle changes should I make to get maximum benefit of Actorab 20mg Powder for Injection?::: You make see better results if you make certain dietary and lifestyle changes while taking Actorab 20mg Powder for Injection. 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.

Actorab 20mg Powder for Injection 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.

-Erlotinib (Oral Route): Severe

Do not consume Erlotinib with Rabeprazole. Rabeprazole may reduce blood levels of Erlotinib.

| -Methotrexate (Injection Route): Severe

Please consult with your doctor. Doctor may monitor liver function and blood cell counts. Concurrent use may increase the risk of serious side effects of Methotrexate.

| -Methotrexate (Injection Route): Severe

Please consult with your doctor. Doctor may monitor liver function and blood cell counts. Concurrent use may increase the risk of serious side effects of Methotrexate.

| -Methotrexate (Injection Route): Severe

Please consult with your doctor. Doctor may monitor liver function and blood cell counts. Concurrent use may increase the risk of serious side effects of Methotrexate.

| -Methotrexate (Injection Route): Severe

Please consult with your doctor. Doctor may monitor liver function and blood cell counts. Concurrent use may increase the risk of serious side effects of Methotrexate.

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