Epsirab-L sr 75mg/20mg Tablet is used to treat gastro-oesophageal reflux disease (GERD), acidity, heartburn, Zollinger-Ellison syndrome, Helicobacter pylori infection, irritable bowel syndrome, indigestion, duodenal and gastric ulcers. The stomach is usually protected from acid by a mucous layer. In some cases, due to excess acid production, the mucous layer gets eroded, which leads to acidity. 
 
Epsirab-L sr 75mg/20mg Tablet is a combination of two drugs: Rabeprazole (proton pump inhibitor) and Levosulpiride (prokinetic agent). Rabeprazole works by blocking an enzyme called the gastric proton pump, which is responsible for acid production. Levosulpiride works by increasing the pressure of the inferior oesophageal (food pipe) sphincter, thereby preventing the backflow of food and acid into the mouth. Together, Epsirab-L sr 75mg/20mg Tablet helps in preventing acid reflux, thereby providing relief from acidity and heartburn.
 
You are advised to take Epsirab-L sr 75mg/20mg Tablet for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side effects, such as headache, nausea, vomiting, gas, abdominal pain, dizziness, and diarrhoea. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
 
Inform your doctor if you have a history of gastrointestinal bleeding or intestinal obstruction. On long-term treatment, Epsirab-L sr 75mg/20mg Tablet may cause osteoporosis and hypomagnesemia. Consult a doctor if you are pregnant or breastfeeding. Epsirab-L sr 75mg/20mg Tablet may cause drowsiness and dizziness, so drive only if you are alert. Epsirab-L sr 75mg/20mg Tablet is not recommended for children as safety and effectiveness have not been established. Avoid consuming alcohol along with Epsirab-L sr 75mg/20mg Tablet as it could lead to increased drowsiness and elevate stomach acid production.

Epsirab-L sr 75mg/20mg Tablet is a combination of two drugs: Rabeprazole and Levosulpiride. Epsirab-L sr 75mg/20mg Tablet belongs to a group of medicines called gastrointestinal agents used to treat gastro-oesophageal reflux disease (GERD), acidity, heartburn, Zollinger-Ellison syndrome, Helicobacter pylori infection, irritable bowel syndrome, indigestion, duodenal and gastric ulcers. Rabeprazole is a proton pump inhibitor that works by blocking an enzyme called gastric proton pump, which is responsible for the production of acid. Levosulpiride is a prokinetic agent that increases the pressure of the inferior oesophageal (food pipe) sphincter, thereby preventing the backflow of food and acid into the mouth. Together, Epsirab-L sr 75mg/20mg Tablet helps in preventing acid reflux, thereby providing relief from acidity and heartburn. 

• Headache
• Nausea
• Vomiting
• Flatulence
• Abdominal pain
• Dizziness
• Diarrhoea 

Do not take Epsirab-L sr 75mg/20mg Tablet if you are allergic to any of its components. Inform your doctor if you have a history of pheochromocytoma (tumour of the adrenal gland), epilepsy, mania, gastrointestinal bleeding, intestinal obstruction, or severe kidney or liver impairment. Epsirab-L sr 75mg/20mg Tablet may cause osteoporosis (weak and brittle bones) and hypomagnesemia (low magnesium levels) on long-term treatment. Consult a doctor if you are pregnant or breastfeeding. Epsirab-L sr 75mg/20mg Tablet may cause dizziness and drowsiness, so drive only if you are alert. Epsirab-L sr 75mg/20mg Tablet is not recommended for children as safety and effectiveness have not been established.

• Eat smaller meals more often.

• Avoid smoking and alcohol consumption. Alcohol intake leads to increased production of stomach acid, thereby increases acidity and heartburn.

• Maintain a healthy weight by regular exercising.

• Avoid lying down after eating to prevent 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.