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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Last Updated Oct 26, 2024 | 7:08 PM IST
Arzole D 10mg/20mg Tablet is used to treat symptoms of acid reflux due to hyperacidity, stomach ulcer (Peptic ulcer disease), and Zollinger-Ellison syndrome (overproduction of acid due to a pancreatic tumour). Besides this, it is used short-term to treat gastroesophageal reflux disease (GERD) symptoms. It contains Rabeprazole and Domperidone, which helps reduce stomach acid and increases the motility of the upper gastrointestinal tract and blocks the vomiting-inducing centre (chemoreceptor trigger zone-CTZ). In adults, it may cause common side effects such as headache, diarrhoea, nausea, abdominal pain, vomiting, flatulence, dizziness, and arthralgia (joint pain). In the case of children, it may cause side effects such as upper respiratory tract infections, headache, fever, diarrhoea, vomiting, rash, and abdominal pain.
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Manufacturer/Marketer

ZEGCHEM

Consume Type

ORAL

Return Policy

Not Returnable

for this medicine

About Arzole D 10mg/20mg Tablet

Arzole D 10mg/20mg Tablet is used to treat symptoms of acid reflux due to hyperacidity, stomach ulcer (Peptic ulcer disease), and Zollinger-Ellison syndrome (overproduction of acid due to a pancreatic tumour). Besides this, it is used short-term to treat gastroesophageal reflux disease (GERD) symptoms. GERD is a condition in which the sphincter (valve) located at the uppermost part of the stomach gets irritated and damaged due to excessive stomach acid production. As a result, the stomach acid and juice flow back into the food pipe, leading to stomach upset and heartburn. Heartburn is the post-effect of acid reflux with a burning-like feeling that rises from the stomach towards the neck.

Arzole D 10mg/20mg Tablet contains two medicines, namely Rabeprazole and Domperidone. Rabeprazole is a proton pump inhibitor that helps reduce stomach acid by blocking the actions of an enzyme (H+/K+ ATPase or gastric proton pump). This gastric proton pump lies in the cells of the stomach wall. It is responsible for releasing gastric acid secretion and damaging tissues in the food pipe, stomach, and duodenum (uppermost part of the small intestine). On the other hand, Domperidone is a prokinetic agent that increases the motility of the upper gastrointestinal tract and blocks the vomiting-inducing centre (chemoreceptor trigger zone-CTZ).

It is better to take Arzole D 10mg/20mg Tablet an hour before a meal or without a meal for its best results. Arzole D 10mg/20mg Tablet should be swallowed whole with a glass of water. Do not chew, crush, or break it. 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. An adult taking Arzole D 10mg/20mg Tablet might have common side effects like headache, diarrhoea, nausea, abdominal pain, vomiting, flatulence, dizziness, and arthralgia (joint pain). In the case of children taking Arzole D 10mg/20mg Tablet, they might report upper respiratory tract infections (URI), headache, fever, diarrhoea, vomiting, rash, and abdominal pain. These side effects are temporary and may resolve after some time; however, if this persists, contact the doctor.

You can increase the efficacy of Arzole D 10mg/20mg Tablet by taking a small meal or snacks frequently. Avoid caffeine-containing beverages (coffee, tea), spicy/deep-fried/processed foods, carbonated drinks, and acidic foods like citrus fruits/vegetables (tomatoes). Tell your doctor if you have stomach or intestinal cancer, liver problems, are allergic to Arzole D 10mg/20mg Tablet or will have an endoscopy in the future. Prolonged intake of Arzole D 10mg/20mg Tablet may cause a deficiency of Vitamin B-12 and low levels of calcium, magnesium, and Vitamin D, leading to osteoporosis (brittle or weak bones).

Uses of Arzole D 10mg/20mg Tablet

Treatment of Gastro-Esophagal Reflux Disease (GERD), Acid reflux, Heartburn, Peptic ulcer, stomach ulcers, and Dyspepsia (stomach discomfort due to indigestion).

Medicinal Benefits

Arzole D 10mg/20mg Tablet helps in reducing the excess amount of stomach. In turn, it prevents the formation of an ulcer in the upper part of the intestine (duodenal ulcer), gastro-esophagal reflux disease (GERD) with or without ulcer and Zollinger-Ellison Syndrome, in which the stomach makes exceptionally high amounts of acid. Besides, the Arzole D 10mg/20mg Tablet also treats symptoms of nausea and vomiting in adults and children over 12 years of age (with at least 35 kg or more).

Directions for Use

Swallow it as a whole with water; do not crush, break or chew it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Arzole D 10mg/20mg Tablet

  • Rash

  • Brittle bones

  • Low vitamin B-12

  • Loss of libido (sexual desire)

  • Cough

  • Sore throat

  • Runny nose

  • Flatulence (gas formation)

  • Back pain

  • Weakness or loss of strength

  • Sleeplessness

  • Headache

  • Dizziness

  • Benign polyps in the stomach

Drug Warnings

You should avoid taking Arzole D 10mg/20mg Tablet if you are allergic to Arzole D 10mg/20mg Tablet or proton pump inhibitors, have gastric cancer, liver disease, low magnesium level (osteoporosis), low vitamin B12, are pregnant or planning for pregnancy, and breastfeeding mothers. Arzole D 10mg/20mg Tablet may interact with a blood thinner (warfarin), antifungal (ketoconazole), anti-HIV drug (atazanavir, nelfinavir), iron supplements, ampicillin antibiotic, anti-cancer drug (methotrexate). Let your doctor know if you are taking these medicines. Prolonged intake of Arzole D 10mg/20mg Tablet may cause lupus erythematosus (an inflammatory condition in which the immune system attacks its tissues), Vitamin B-12, and magnesium deficiency. Intake of Arzole D 10mg/20mg Tablet may mask the symptom of gastric cancer, so if you have any severe stomach pain or gastric bleeding (blood in mucous or stool), immediately consult the doctor. Tell your doctor that you are using before having a specific blood test known as Chromogranin A.

Drug Interactions

Drug-Drug Interactions: Arzole D 10mg/20mg Tablet may interact with a blood thinner (clopidogrel, warfarin), antifungal (ketoconazole, voriconazole, itraconazole, fluconazole, posaconazole), anti-HIV drug (atazanavir, amprenavir, nelfinavir), antacid (magnesium hydroxide, aluminium hydroxide, cimetidine), iron supplements, antibiotics (clarithromycin, erythromycin, ampicillin, rifampicin), heart medicine (atropine, digoxin, amiodarone), blood pressure-lowering medicines (diltiazem), anti-cancer drug (methotrexate) and anti-nausea pills (aprepitant).

Drug-Food Interactions: Arzole D 10mg/20mg Tablet interacts with St John's wort plant that is used as an anti-depressant. This plant may affect the working of Arzole D 10mg/20mg Tablet. So avoid its intake with Arzole D 10mg/20mg Tablet.

Drug-Disease Interactions: Arzole D 10mg/20mg Tablet should not be given in patients with C. difficile-induced colitis, liver disease, bone fractures, low Vitamin B12 (anaemia), and low magnesium (hypomagnesemia).

Drug-Drug Interactions Checker List

  • CLOPIDOGREL
  • WARFARIN
  • KETOCONAZOLE
  • VORICONAZOLE
  • ITRACONAZOLE
  • FLUCONAZOLE
  • ATAZANAVIR
  • AMPRENAVIR
  • NELFINAVIR
  • MAGNESIUM+ALUMINIUM HYDROXIDE
  • CIMETIDINE
  • IRON
  • ERYTHROMYCIN
  • RIFAMPICIN
  • ATROPINE
  • DIGOXIN
  • AMIODARONE
  • DILTIAZEM
  • METHOTREXATE
  • CLARITHROMYCIN

Habit Forming

No

Diet & Lifestyle Advise

  • Avoid intake of acid or heartburn-triggering foods or drinks like onions, peppermint, chocolate, caffeinated beverages, citrus fruits or juices, tomatoes and high-fat and spicy foods.

  • Avoid taking alcohol and smoking cigarette. Alcohol can raise the level of production of stomach acid leading to heartburn and acid reflux. On the other hand, nicotine smoking damages the valve (sphincter), preventing stomach acid backflow into the food pipe.

  • Avoid regular sitting continuously, as it can increase stomach acid production. Try to take a break of 5 minutes in 1 hour by brisk walking or stretching.

  • Before going to sleep, try to raise your bedhead so that your head and chest are higher than your feet. Do not use piles of pillows, instead, one raised block is fine. This will not allow the stomach acid to backflow through your food pipe.

  • Include high fibre containing foods, berries, cherries, leafy green veggies (kale, spinach) and black peppers in your meal. These foods are full of antioxidants, calcium and vitamin B 12 that can help cope with the long-term effects of the medicine. Fermented dairy products like miso, sauerkraut, and kimchi contain probiotics which help in the prevention of excess stomach acid production. Cranberry juice can be beneficial in the peptic ulcer and H Pylori infection.

Special Advise

  • Do not take Arzole D 10mg/20mg Tablet for more than four weeks of duration without consulting the doctor.

Disease/Condition Glossary

Usually, a thick layer of mucous usually protects the stomach against its acid secretion. But, in the long run, it gets eroded by excessive stomach acid production leading to complications like GERD, peptic ulcer, and Zollinger Ellison syndrome. Gastroesophageal reflux disease (GERD) is a gastrointestinal problem that occurs when stomach acid frequently flows back into the food pipe (oesophagus). This backflow (acid reflux) irritates the food pipe that causes heartburn. On the other hand, a peptic ulcer is a painful condition followed by the development of sores or ulcers in the stomach lining or duodenum (first part of the small intestine) (the duodenum). Zollinger Ellison syndrome is a rare condition in which a gastrin-secreting pancreas tumour causes excessive acid production leading to peptic ulcers.

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Alcohol

Caution

Drinking alcohol with Arzole D 10mg/20mg Tablet may cause dehydration and elevate the level of stomach acid, thereby decreasing its efficiency. So try to avoid, limit alcohol or contact a doctor before intake of Arzole D 10mg/20mg Tablet.

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Pregnancy

Caution

It is not known whether the Arzole D 10mg/20mg Tablet affects the baby or not. So, contact a doctor before intake of Arzole D 10mg/20mg Tablet. Your doctor will weigh the benefits and potential risks before prescribing them.

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Breast Feeding

Caution

Domperidone present in Arzole D 10mg/20mg Tablet passes into the breast milk. However, no evidence of risk has been reported. Please consult your doctor before intake of Arzole D 10mg/20mg Tablet. Your doctor will weigh the benefits and potential risks before prescribing them.

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Driving

Caution

In some cases, Arzole D 10mg/20mg Tablet may cause dizziness, sleepy, or blur vision. If you observe these symptoms do not drive or operate heavy machinery until you feel better.

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Liver

Caution

If u have or had history or evidence of any liver-related diseases, please consult the doctor before taking medicine.

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Kidney

Caution

If u have or had history or evidence of any kidney-related diseases, please consult the doctor before taking medicine.

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Children

Caution

Arzole D 10mg/20mg Tablet is not recommended for use in children due to a lack of data on safety and efficacy. Please consult your doctor.

Country of origin

India

Manufacturer/Marketer address

Plot No. 4, Pocket B8, Near-Saroj Medical Institute, Jail Road, Rohini, Delhi - 110089, India
Other Info - AR72955

Author Details

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FAQs

Arzole D 10mg/20mg Tablet is used to treat Gastro-Esophagal Reflux Disease (GERD), acid reflux, heartburn, peptic ulcer, stomach ulcers, and dyspepsia (stomach discomfort due to indigestion). It works by blocking the actions of the gastric proton pump, increasing the motility of the upper gastrointestinal tract and blocking the vomiting-inducing centre (chemoreceptor trigger zone-CTZ).
No. Arzole D 10mg/20mg Tablet prevents excess production of stomach acid causing acid reflux and heartburn. If blood is coming in your stool or mucous immediately contact the doctor.
Yes, Arzole D 10mg/20mg Tablet can cause dry mouth and it is due to domperidone. In case you fell excessive thirsty, please increase your fluid intake and do frequent mouth rinses.
Diarrhoea might be a side-effect of Arzole D 10mg/20mg Tablet. Drink enough fluids and eat non-spicy food if you experience diarrhoea. Consult your doctor if you have severe diarrhoea or any other discomfort.
Avoid lying down immediately after meals to prevent acid reflux. Raise the head of the bed 10-20cm by putting on a pillow so that the head and chest are above the waist. This helps in preventing acid reflux.
Arzole D 10mg/20mg Tablet is contraindicated in patients with a known hypersensitivity to domperidone or rabeprazole or any other inactive ingredients of Arzole D 10mg/20mg Tablet. Arzole D 10mg/20mg Tablet should be used with caution in patients with underlying liver or kidney disease.
Store Arzole D 10mg/20mg Tablet at room temperature in a cool and dry place protected from light. Keep it out of reach of children.
Yes, Arzole D 10mg/20mg Tablet is safe for most of the patients. However, in some patients it may cause common side effects such as stomach pain, diarrhea, flatulence (gas), dryness in mouth, headache, dizziness, and other uncommon and rare side effects. If these side effects persist or worsen, please consult your doctor.
It is preferable to take Arzole D 10mg/20mg Tablet on an empty stomach or before the first meal of the day.
Yes, Arzole D 10mg/20mg Tablet may increase the risk of developing irregular heartbeat (serious arrhythmias). Although, it is a serious side effect, it is extremely unlikely to occur. Patients aged above 60 years are at higher risk.

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