Ritz-D contains Rabeprazole 20mg and Domperidone 10mg used to treat conditions like Gastro-oesophageal reflux disease (GERD) and peptic ulcer. Rabeprazole is a proton pump inhibitor that helps to get relief from acid-related indigestion and heartburn in the stomach. Domperidone is an antiemetic agent that inhibits the chemical messengers that cause vomiting in the brain and intestine. The combination of this medicine decreases the acid secretion from the stomach and neutralizes the acid and reduces the discomfort of the stomach by easily passing the gas. Take the medicine on an empty stomach, preferably in the morning. Kindly avoid consuming spicy, fatty, and caffeinated drinks such as tea, coffee, and soft drinks. Don’t break, chew, or crush the capsule.

It is used in the treatment of the following conditions as Gastro-oesophageal reflux disease (GERD), and peptic ulcer diseases.

Gastroesophageal reflux disease (GERD)

GERD occurs due to stomach acid frequently flowing backward direction from the stomach to the esophagus, leading to developing heartburn, and acid indigestion. Primarily it can manage lifestyle changes, and use OTC (Over the counter) medicines. This medicine is used to treat this backflow acid secretion in the stomach.

Peptic ulcer disease

It is a disease caused by Helicobacter pylori bacteria. It causes gastritis and peptic ulcer disease. H.Pylori bacteria mainly affects the lining of the stomach and has less effect on acid secretion. The combination of this medicine is used to treat this condition.

Ritz-D is prescribed in the following indications as Gastro-oesophageal reflux disease (GERD) and peptic ulcer diseases.

Ritz-D contains Rabeprazole and Domperidone is a combination of two medicines. Rabeprazole is a proton pump inhibitor. It produces its action by inhibiting the H+/K+ ATP pumps which are released by parietal cells in the stomach for gastric acid secretion. By blocking these pumps reduce the acid secretion in the stomach and helps to get relief from the acidity. Domperidone is a prokinetic agent which produces its effect on the upper digestive tract to increase the movement of the stomach and intestines and allow the food to move the food easily via the stomach.

Ritz-D contains Rabeprazole and Domperidone is a combination of two medicines. Rabeprazole is a proton pump inhibitor. It produces its action by inhibiting the H+/K+ ATP pumps which are released by parietal cells in the stomach for gastric acid secretion. By blocking these pumps reduce the acid secretion in the stomach and helps to get relief from the acidity. Domperidone is a prokinetic agent which produces its effect on the upper digestive tract to increase the movement of the stomach and intestines and allow the food to move the food easily via the stomach.

• Do not take this medicine if you are allergic to rabeprazole and domperidone
• Long term use may cause Cutaneous lupus erythematosus and systemic lupus erythematosus
• Kindly avoid this drug if you have any hepatic impairment and interstitial nephritis
• It is contraindicated to use this medicine if you are suffering from liver or kidney diseases, heart problems, electrolyte imbalance, and prolactin pituitary tumors

• Headache
• Flatulence
• Rash
• Dry mouth
• Tenderness
• Diarrhea
• Dizziness
• Stomach pain  
• Rhinitis
• Insomnia
• Cough
• Flu-like symptoms

• Can the use of the Ritz-D Tablet cause abnormal heartbeat?

Yes, the use of this drug may increase the risk for developing an abnormal heartbeat and it is comparatively higher in elders who are above 60 years of age.

• Does Ritz-D Tablet treat gastric bleeding?

No, the use of this drug does not treat gastric bleeding it helps to prevent the excess production of acid in the stomach that causes acid reflux and heartburn. Immediately contact your doctor if blood is coming while you are pooping.

• Can I stop taking Ritz-D Tablet on my own when I feel better?

No, without consulting with a doctor do not stop taking the medication on your own because it may lead to reoccurrence

Alcohol

Consuming alcohol while receiving this medication is considered a caution because the use of this medicine may cause acidity which worsens the condition of patients. Kindly consult with your doctor.

Driving or operating machinery

No, Ritz-D Tablet is not safe to drive after administration. The combination of this capsule may cause dizziness and sleepiness which alters the ability to drive. Kindly consult with your doctor.

Pregnancy

No, the use of this medicine is considered unsafe during pregnancy because it may produce a harmful effect on the developing fetus. Kindly consult with your doctor.

Breast Feeding

No, the use of this medicine is considered unsafe during breastfeeding because it is excreted via breast milk. Kindly consult with your doctor.

Kidney Problem

The capsule should be used with caution in patients with renal impairment. The use of this medicine required dose modification. Kindly consult with your doctor.

Liver Disease

The capsule should be used with caution in patients with severe liver impairment. The use of this medicine required dose modification. Kindly consult with your doctor.

It should be taken on an empty stomach, at least one hour before the meal as prescribed by the doctor. Take this medicine at a regular interval of time. It is better, try to finish your dinner as earlier as possible at least 2 – 3 hours before going to the bed, which leads to the reduction of acid secretion in the stomach.

Take the correct dose and duration of medicine as prescribed by the doctor. Swallow the whole capsule at once. Take the capsule has fully or wholly, don’t break, cut, chew, or crush the capsule.

It is considered to be safe to use this medicine in an adult patient if the drug is prescribed by a doctor. Kindly consult with your doctor.

Ritz-D Tablet is not prescribed in children who are below 12 years old. Kindly consult with your doctor.

Ritz-D Tablet should be used with caution in patients with an elderly age group, which leads to developing further medical problems, leads to worsening the patient's health conditions. Kindly consult with your doctor. Dose modification or replacement is required based on the medical conditions of the patient.

• The use of proton pump inhibitors may increase the risk of developing salmonella and campylobacter infection
• Monitor your INR and prothrombin time when you are receiving this medicine along with warfarin
• Long-term use may cause vitamin B12 deficiency

• You have experienced pain in your joints, skin rashes, indigestion, and stomach pain
• You have a family history of stomach cancer
• You have noticed black or dark stools
• You are responding to the treatment

Ritz-D consists of Rabeprazole + Domperidone is used in the treatment of the following conditions as Gastro-oesophageal reflux disease (GERD), and peptic ulcer diseases.

Rabeprazole is an anti-ulcer agent used to relieve acid-related indigestion and heartburn in the stomach. Domperidone is an antiemetic agent that inhibits the chemical messengers that cause vomiting in the brain and intestine. The combination of this medicine decreases the acid secretion from the stomach and neutralizes the acid and reduces the discomfort of the stomach by easily passing the gas.

Drug-Drug Interaction

Erlotinib

The use of this medicine is contraindicated because the combination of the anti-ulcer drug with erlotinib may alter the upper stomach Ph and decrease its metabolism of medicine.

Atazanavir

The use of rabeprazole decreases the effect of atazanavir by increasing the gastric Ph. Use alternative drugs also reduce the concentration of drug

Methotrexate

Therapy should be administered with caution because the use of rabeprazole increases the effect of methotrexate by decreasing its renal clearance. At a higher dose, it increases the risk of developing toxicity.

Fluvoxamine

Therapy should be administered with caution because the use of fluvoxamine will increase the effect of rabeprazole by affecting the liver enzymes.

Ketoconazole

Ketoconazole is an antifungal drug used to treat fungal infections. This medication requires an acidic environment in the intestine to be absorbed. This medicine with rabeprazole affects the absorption of the drug in the intestine.

Antacids

Antacids containing aluminum and magnesium are used for indigestion. This medicine alters the action of antacids. It is better to give this medicine at least 1 hour before or 2 hours after taking antacids. Kindly consult with your doctor

Drug-Food Interaction

By using this medicine with food should be maintained time gap at least 1 hour before the meals for better effectiveness of the medicine. By using this medicine with spicy, fatty foods, alcohol, caffeinated drinks, or beverages such as coffee, tea, cola, etc, should be avoided for better effectiveness of the medicine.

Drug-Disease Interaction

Gastrointestinal perforation

It should be used with caution in patients with gastrointestinal perforations (intestinal problems such as internal bleeding, an obstruction, or perforation of the stomach, and intestine, etc) that lead to worsening the patient's health conditions. Kindly consult with your doctor. Dose modification or replacement is required based on the medical conditions of the patient.

Pheochromocytoma

It should be used with caution in patients with pheochromocytoma (adrenal gland tumor, leads to developing high blood pressure, sweating, fast heartbeat, etc), which leads to worsening the patient's health conditions. Kindly consult with your doctor

Liver diseases

This combinational capsule should be used with caution in patients with liver impairment, or liver diseases. Then it leads to a risk of a liver problem or liver damage. Kindly consult with your doctor. Dose modification or replacement is required based on the medical conditions of the patient.

Bone fractures

By using the medicine for a very long period of this time leads the osteoporosis (Bone fracture). To avoid osteoporosis calcium and other vitamin D supplement are given to minimize calcium and vitamin deficiency. Kindly consult with your doctor.

Vitamin B12 deficiency                               

By using the medicine for a very long period of this time leads the Vitamin B12 deficiency. Vitamin B12 supplements are given with rabeprazole to minimize this vitamin deficiency. Kindly consult with your doctor

Hypomagnesemia

By long-term use of this medicine leads to developing hypomagnesemia (low magnesium levels), which leads to developing dizziness, shivering, muscle pain, irregular heartbeat, seizures, or fits. Kindly consult with your doctor. Based on the patient clinical conditions, dose adjustment or replacement is needed.

Heart problems

For the patients with a heart problem, caution should be taken before taking the medicine otherwise leads to heart-related problems such as heart failure, etc which leads to the patient's conditions most worsening. Kindly consult with your doctor before prescribing the medicine based on the health or clinical conditions, dose adjustment or replacement is necessary.

Take the medicine as directed by the doctor don’t overdose on the medicine. If you have taken an overdose of this medicine immediately meet the doctor and rush to the nearby hospital.

Take the medicine as directed by the doctor. Do not skip the medicine, if you forgot to take the medicine or missed the dose. It is almost time for your next dose, skip the missed dose and go back to your regular schedule. Don’t take the extra dose take the regular dose immediately. Don’t use the two-dose at one time (Double Dose).

• Stored at 10-30°C room temperature.
• Protect from light and heat.
• Keep away from children and pets. Otherwise, it becomes toxic to them.
• Disposed of properly in a suitable bag.

Rabeprazole is a proton pump inhibitor, the anti-ulcer agent used to relieve acid-related indigestion, and heartburn in the stomach. Domperidone is a prokinetic agent which produces its effect on the upper digestive tract to increase the movement of the stomach and intestines and allow the food to move the food easily via the stomach.

Likewise, it is better, try to finish your dinner as earlier as possible at least 2 – 3 hours before going to the bed, which leads to the reduction of acid secretion in the stomach.

The Ritz D Tablet contains Diclofenac 50mg, Trypsin 48mg, Rutoside 100mg and Bromelain 90mg is a pain-relieving medicine used to treat pain, inflammation, and swelling like rheumatoid arthritis, ankylosing spondylitis, and Osteoarthritis. The combination of this medicine produces its action by inhibiting the release of chemical substances which cause pain and inflammation in your body and is also used to reduce fever, muscle pain, back pain, toothache.

It is used in the treatment of the pain

Pain relief

The use of this medicine helps to relieve moderate to severe pain in conditions like menstrual cramps, headaches, joints, muscles, rheumatoid arthritis, and osteoarthritis by inhibiting the chemical messengers in the brain.

The Ritz D Tablet is prescribed in the following indications as a pain reliever, rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, and toothaches.

Ritz D Tablet contains Diclofenac 50mg, Trypsin 48mg, Rutoside 100mg and Bromelain 90mg. Diclofenac is an analgesic and anti-inflammatory medication. It produces its action by inhibiting the cyclooxygenase (COX-1) and (COX-2). Thus it inhibits the synthesis of prostaglandins which is responsible for pain and inflammation. It also inhibits the aggregation and activation of neutrophil and chemotaxis, decreases the proinflammatory cytokine level, and alter the activity of lymphocyte.

Rutosin is an antioxidant that helps to protect our body from the free radicals that cause damage and it also reduces swelling.

Trypsin and Bromelain is an enzyme that produces its action by increasing the blood supply and fight against the substance that causes pain and swelling.

Ritz D Tablet contains Diclofenac 50mg, Trypsin 48mg, Rutoside 100mg and Bromelain 90mg. Diclofenac is an analgesic and anti-inflammatory medication. It produces its action by inhibiting the release of chemical messengers which is responsible for pain and inflammation

Rutosin is an antioxidant that helps to protect our body from the free radicals that cause damage and it also reduces swelling.

Trypsin and Bromelain is an enzyme that produces its action by increasing the blood supply and fight against the substance that causes pain and swelling.

• Do not take this medicine if you are allergic to Diclofenac, Trypsin, Rutoside, and Bromelain
• It is contraindicated to use this medicine in patients with asthma and bleeding disorder

• Edema
• Headache
• Dizziness
• Abdominal pain
• Constipation
• Diarrhea
• Flatulence
• Heartburn
• GI ulcers
• Abnormal renal function

• Does the Ritz D Tablet make you drowsy?

Yes, the use of this medicine makes you feel drowsy, fatigue and drowsiness but it is considered a common effect.

• Is the Ritz D Tablet a good painkiller?

Yes, the use of this medicine is considered an effective treatment to relieve pain and inflammation.

• Can Ritz D Tablet damage your kidneys?

Long-term use of this medicine may cause renal damage such as protein or blood in urine and painful urination. Kindly monitor the patient's kidney function.

Alcohol

It is not clear whether it is safe to consume alcohol while you are receiving this medicine. Kindly consult with the doctor.

Driving or operating machinery

It is considered unsafe to drive while you are receiving this medicine it may affect your ability to drive. Kindly consult with your doctor.

Pregnancy

It is considered unsafe during pregnancy it may produce harmful effects on the fetus. Kindly consult with your doctor.

Breast Feeding

Limited information is available regarding the use of this medicine in patients during breastfeeding. Kindly consult with your doctor.

Kidney Problem

It is considered safe to use this medicine in patients with renal impairment. Kindly consult with the doctor.

Liver Disease

It is considered safe to use this medicine in patients with liver impairment. Kindly consult with the doctor.

The Tablet is taken orally with food. You should not chew, cut or crush the Tablet. Dissolve it in a glass of water. Take this medicine as per the dose and duration advised by your doctor. Follow the direction mentioned within the label if you probably did not understand the appliance kindly ask your doctor or pharmacist to elucidate in detail. Do not withdraw the medicine when you feel better kindly complete the course of treatment to avoid reoccurrence.

It is considered to be safe to use this medicine in an adult patient if the medicine is prescribed by a doctor. Kindly consult with your doctor.

The Tablet is considered unsafe in children who are below 18 years old. Kindly consult with your doctor.

The Tablet should be used with caution in patients with an elderly age group, which leads to developing further medical problems, leads to worsening the patient's health conditions. Kindly consult with your doctor. Dose modification or replacement is required based on the medical conditions of the patient.

• Nonsteroidal anti-inflammatory drugs may increase the risk of developing cardiovascular thrombotic events, myocardial infarction, and stroke
• The use of this medicine also increase the risk of developing serious GI adverse events including bleeding, ulceration, and gastric perforation
• Therapy should be administered with caution in patients with bronchospasm, cardiac diseases, hepatic porphyria, hypertension, fluid retention, severe renal impairment, smoking, and systemic lupus erythematosus
• The use of this medicine decrease platelet aggregation and may prolong the bleeding time
• Therapy should be administered with caution in patients with blood dyscrasias, and bone marrow depression
• The use of this medicine may increase the risk of hyperkalemia and aseptic meningitis

• You have a history of gastrointestinal disease
• You are not responding to the treatment
• You have experienced any allergic reaction like rashes and itching
• You are suffering from anemia
• You have watery diarrhea, stomach pain, and fever

Diclofenac 50mg, Trypsin 48mg, Rutoside 100mg and Bromelain 90mg is a pain-relieving medicine used to treat pain, inflammation, and swelling like rheumatoid arthritis, ankylosing spondylitis, and Osteoarthritis. The combination of this medicine produces its action by inhibiting the release of chemical substances which cause pain and inflammation in your body and is also used to reduce fever, muscle pain, back pain, toothache.

Drug-Drug Interaction

Apixaban

The use of this drug is contraindicated because the combination of this drug increases the effect of anticoagulation

Captopril

Use alternative drug because the use of the non-steroidal anti-inflammatory drug may decrease the effectiveness of the antihypertensive drug and the combination of these drugs also decrease the renal functions

Aliskiren

Therapy should be administered with caution because the use of diclofenac will decrease the effect of aliskiren by other

Drug-Food Interaction

Alcohol

The use of alcohol should be avoided in patients who are taking NSAIDs because it may increase the risk of bleeding in the stomach which includes tarry, bloody stools, or coughing up blood while vomiting.  Do not withdraw the medication without consulting with the doctor

Drug-Disease Interaction

Asthma

Therapy should be administered with caution in patients who are having asthma because the use of the non-steroidal anti-inflammatory drug (NSAIDs) to an asthma patient may cause nasal polyposis, pansinusitis, eosinophilia, and rhinitis. Before initiating the therapy ask the patients whether they are allergic to salicylate salts.

Heart failure

Therapy should be administered with caution in patients with heart failure because the use of NSAIDs may cause fluid retention and edema

Hepatotoxicity

Therapy should be administered with caution in a patient with liver diseases because the use of NSAIDs may increase the serum transaminases, LDH, and alkaline phosphatase. And in rare cases, it may cause hepatotoxicity including liver cirrhosis, jaundice, and hepatic failure

Hypertension

Therapy should be administered with caution in patients with hypertension because the use of NSAIDs may increase blood pressure and cardiovascular events. During this course of treatment monitor the patient blood pressure

Renal toxicities

Therapy should be administered with caution in a patient with renal diseases because the use of NSAIDs may increase the serum creatinine, BUN, tubular necrosis, glomerulus, renal papillary necrosis, nephrotic syndrome, and cause renal failure.

Take the medicine as directed by the doctor don’t overdose on the medicine. If you have taken an overdose of this medicine immediately meet the doctor and rush to the nearby hospital.

Take the medicine as directed by the doctor. Do not skip the medicine, if you forgot to take the medicine or missed the dose. It is almost time for your next dose, skip the missed dose and go back to your regular schedule. Don’t take the extra dose take the regular dose immediately. Don’t use the two-dose at one time (Double Dose).

• Stored at 10-30°C room temperature.
• Protect from light and heat.
• Keep away from children and pets. Otherwise, it becomes toxic to them.
• Disposed of properly in a suitable bag.

• The Tablet contains Diclofenac 50mg, Trypsin 48mg, Rutoside 100mg and Bromelain 90mg is a pain-relieving medicine used to treat pain
• It produces its action by inhibiting the release of chemical substances which cause pain and inflammation in your body.
• Kindly inform your doctor if you have a history of heart disease or stroke
• The Tablet is taken orally by mouth with food
• Monitor the patient's kidney functions, liver function, and levels of blood components
• Avoid consuming alcohol because it may cause excessive drowsiness and stomach problems