aDirab 5 mg Tablet belongs to a class of drugs called 'proton pump inhibitors' used to treat gastroesophageal reflux disease (GERD), peptic ulcers and Zollinger-Ellison syndrome. Gastroesophageal reflux disease (GERD) occurs when stomach acid frequently flows back into the food pipe (oesophagus). Peptic ulcers are sores that develop on the inner lining of the intestine and stomach. Zollinger-Ellison syndrome is characterised by the formation of tumours in the upper part of the small intestine, which leads to excess acid production.

Dirab 5 mg Tablet contains 'Dexrabeprazole' that works by blocking the action of proton pumps that are involved in producing stomach acid. Thereby, Dirab 5 mg Tablet reduces the amount of acid produced by the stomach and prevents excess acid from flowing back into the food pipe. Thus, it provides relief from heartburn symptoms related to acid reflux.

Take Dirab 5 mg Tablet as prescribed by your doctor. You are advised to take Dirab 5 mg Tablet for as long as your doctor has prescribed it for you based on your medical condition. In some cases, you may experience diarrhoea, nausea, vomiting, headache, dizziness, stomach pain or constipation. Most of these side effects of Dirab 5 mg Tablet do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

If you are allergic to Dirab 5 mg Tablet or any other medicines, please tell your doctor. Dirab 5 mg Tablet is not recommended for children as safety and effectiveness were not established. If you are pregnant or breastfeeding, please inform your doctor before taking Dirab 5 mg Tablet . Drive only if you are alert as Dirab 5 mg Tablet may cause drowsiness. Avoid alcohol consumption as it may lead to increased production of stomach acid, thereby increasing acidity and heartburn. Inform your doctor if you have any risk factors for reduced vitamin B12 as Dirab 5 mg Tablet may reduce the absorption of vitamin B12. If you get any skin rash, particularly in areas exposed to sun or pain in joints, inform your doctor.

Dirab 5 mg Tablet contains Dexrabeprazole used to treat gastroesophageal reflux disease (GERD), peptic ulcers, and Zollinger-Ellison syndrome. Dirab 5 mg Tablet blocks the action of proton pumps that are involved in producing stomach acid. Thereby, Dirab 5 mg Tablet reduces the amount of acid produced by the stomach and prevents excess acid from flowing back into the food pipe. Thus, it provides relief from heartburn symptoms related to acid reflux. Also, Dirab 5 mg Tablet may be used in combination with clarithromycin and amoxicillin (antibiotics) to eradicate Helicobacter pylori (a type of bacteria) from the stomach in patients with peptic ulcers.

• Diarrhoea
• Nausea
• Vomiting
• Headache
• Dizziness
• Stomach pain
• Constipation

If you are allergic to Dirab 5 mg Tablet or any other medicines, please tell your doctor. Dirab 5 mg Tablet is not recommended for children as safety and effectiveness were not established. If you are pregnant or breastfeeding, please inform your doctor before taking Dirab 5 mg Tablet . If you have a stomach tumor, liver problems, low magnesium levels in the blood, osteoporosis (weak and brittle bones), or lupus (an autoimmune disorder), inform your doctor before taking Dirab 5 mg Tablet . Inform your doctor if you have any risk factors for reduced vitamin B12 as Dirab 5 mg Tablet may reduce the absorption of vitamin B12. If you get any skin rash, particularly in areas exposed to sun or pain in joints, inform your doctor. If you are taking Dirab 5 mg Tablet for more than 1 year, it may increase the risk of fracture of the spine, hip, or wrist. Drive only if you are alert as Dirab 5 mg Tablet may cause drowsiness. Avoid alcohol consumption as it may lead to increased production of stomach acid, thereby increasing acidity and heartburn. Dirab 5 mg Tablet may decrease magnesium levels in the blood, especially if taken for more than 3 months. Therefore, regular blood tests are recommended to monitor magnesium levels. If you experience bloody or watery diarrhea with symptoms such as stomach pain, fever, or tenderness, contact your doctor immediately.

Drug-Drug Interaction: Dirab 5 mg Tablet may interact with anti-HIV drug (atazanavir), antifungals (ketoconazole, itraconazole), anticancer drug (methotrexate), heart-related medicine (digoxin), blood thinner (warfarin).

Drug-Food Interaction: Dirab 5 mg Tablet may interact with St. John’s wort (herbal supplement used to treat depression). Avoid alcohol consumption as alcohol intake leads to increased production of stomach acid, thereby irritating the stomach lining and worsening the symptoms.

Drug-Disease Interaction: If you have a stomach tumor, liver problems, low magnesium levels in the blood, osteoporosis (weak and brittle bones), or lupus (an autoimmune disorder), inform your doctor before taking Dirab 5 mg Tablet .

• ATAZANAVIR
• KETOCONAZOLE
• ITRACONAZOLE
• METHOTREXATE
• DIGOXIN
• WARFARIN

• Eat smaller meals more often.
• Maintain a healthy weight by regular exercising.
• Avoid lying down after eating as it causes acid reflux.
• Avoid tight-fitting clothes as it might increase the pressure on the abdomen leading to acid reflux.
• Practice relaxation techniques and avoid stress by doing yoga or meditation.
• Avoid foods such as high-fat food, spicy food, chocolates, citrus fruits, pineapple, tomato, onion, garlic, tea, and soda.
• Avoid sitting continuously as it may trigger acidity. Take a break of 5 minutes every hour by doing brisk walking or stretching.
• Avoid smoking and alcohol consumption. Alcohol intake leads to increased production of stomach acid, thereby increasing acidity and heartburn.

• Regular blood tests are recommended while taking Dirab 5 mg Tablet to monitor magnesium levels in the blood.
• Dirab 5 mg Tablet may cause some abnormal liver enzyme and blood values. These changes are temporary and may return to normal after treatment with Dirab 5 mg Tablet is discontinued.

Gastroesophageal reflux disease (GERD): The stomach is usually protected from acid by a mucous layer. In some cases, due to excess acid production, the mucous layer gets irritated or eroded, which leads to complications like GERD, hyperacidity, peptic ulcers, and heartburn. Gastroesophageal reflux disease (GERD) occurs when stomach acid frequently flows back into the food pipe (esophagus). This backflow (acid reflux) irritates the food pipe and causes heartburn. Symptoms include heartburn, a sour or bitter taste in the mouth, and difficulty swallowing.

Peptic ulcers: These are sores that develop on the lining of the stomach and intestine due to erosion of the stomach's protective lining. Symptoms include nausea, changes in appetite, bloody or dark stools, unexplained weight loss, vomiting, and indigestion.

Zollinger-Ellison syndrome: It is characterized by the formation of tumors in the upper part of the small intestine, which leads to excess acid production. Symptoms include bloating, burping, weight loss, loss of appetite, nausea, and vomiting.