Rabeprazole
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rabin Bista, M.B.B.S. [2]
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Overview
Rabeprazole is a proton-pump inhibitor (PPI) that is FDA approved for the treatment of Gastroesophageal Reflux Disease (GERD), Duodenal Ulcers, Helicobacter pylori Eradication, Pathological Hypersecretory Conditions including Zollinger-Ellison Syndrome.. Common adverse reactions include pain, flatulence, infection, constipation..
Adult Indications and Dosage
FDA-Labeled Indications and Dosage (Adult)
- Healing of Erosive or Ulcerative GERD in Adults
- Rabeprazole is indicated for short-term (4 to 8 weeks) treatment in the healing and symptomatic relief of erosive or ulcerative gastroesophageal reflux disease (GERD). For those patients who have not healed after 8 weeks of treatment, an additional 8-week course of Rabeprazole may be considered.
- Maintenance of Healing of Erosive or Ulcerative GERD in Adults
- Rabeprazole is indicated for maintaining healing and reduction in relapse rates of heartburn symptoms in patients with erosive or ulcerative gastroesophageal reflux disease (GERD Maintenance). Controlled studies do not extend beyond 12 months.
- Treatment of Symptomatic GERD in Adults
- Rabeprazole is indicated for the treatment of daytime and nighttime heartburn and other symptoms associated with GERD in adults for up to 4 weeks.
- Healing of Duodenal Ulcers in Adults
- Rabeprazole is indicated for short-term (up to four weeks) treatment in the healing and symptomatic relief of duodenal ulcers. Most patients heal within four weeks.
- Helicobacter pylori Eradication to Reduce the Risk of Duodenal Ulcer Recurrence in Adults
- Rabeprazole, in combination with amoxicillin and clarithromycin as a three drug regimen, is indicated for the treatment of patients with H. pylori infection and duodenal ulcer disease (active or history within the past 5 years) to eradicate H. pylori. Eradication of H. pylori has been shown to reduce the risk of duodenal ulcer recurrence.
- In patients who fail therapy, susceptibility testing should be done. If resistance to clarithromycin is demonstrated or susceptibility testing is not possible, alternative antimicrobial therapy should be instituted
- Treatment of Pathological Hypersecretory Conditions, Including Zollinger-Ellison Syndrome in Adults
- Rabeprazole is indicated for the long-term treatment of pathological hypersecretory conditions, including Zollinger-Ellison syndrome.
- Short-term Treatment of Symptomatic GERD in Adolescent Patients 12 Years of Age and Older
- Rabeprazole is indicated for the treatment of symptomatic GERD in adolescents 12 years of age and above for up to 8 weeks.
- Treatment of GERD in Pediatric Patients 1 to 11 Years of Age
- Rabeprazole is indicated for treatment of GERD in children 1 to 11 years of age for up to 12 weeks.
Off-Label Use and Dosage (Adult)
Guideline-Supported Use
Condition1
- Developed by:
- Class of Recommendation:
- Strength of Evidence:
- Dosing Information
- Dosage
Condition2
There is limited information regarding Off-Label Guideline-Supported Use of Rabeprazole in adult patients.
Non–Guideline-Supported Use
Condition1
- Dosing Information
- Dosage
Condition2
There is limited information regarding Off-Label Non–Guideline-Supported Use of Rabeprazole in adult patients.
Pediatric Indications and Dosage
FDA-Labeled Indications and Dosage (Pediatric)
Condition1
- Dosing Information
- Dosage
Condition2
There is limited information regarding FDA-Labeled Use of Rabeprazole in pediatric patients.
Off-Label Use and Dosage (Pediatric)
Guideline-Supported Use
Condition1
- Developed by:
- Class of Recommendation:
- Strength of Evidence:
- Dosing Information
- Dosage
Condition2
There is limited information regarding Off-Label Guideline-Supported Use of Rabeprazole in pediatric patients.
Non–Guideline-Supported Use
Condition1
- Dosing Information
- Dosage
Condition2
There is limited information regarding Off-Label Non–Guideline-Supported Use of Rabeprazole in pediatric patients.
Contraindications
- Condition1
Warnings
- Description
Precautions
- Description
Adverse Reactions
Clinical Trials Experience
There is limited information regarding Clinical Trial Experience of Rabeprazole in the drug label.
Body as a Whole
Cardiovascular
Digestive
Endocrine
Hematologic and Lymphatic
Metabolic and Nutritional
Musculoskeletal
Neurologic
Respiratory
Skin and Hypersensitivy Reactions
Special Senses
Urogenital
Miscellaneous
Postmarketing Experience
There is limited information regarding Postmarketing Experience of Rabeprazole in the drug label.
Body as a Whole
Cardiovascular
Digestive
Endocrine
Hematologic and Lymphatic
Metabolic and Nutritional
Musculoskeletal
Neurologic
Respiratory
Skin and Hypersensitivy Reactions
Special Senses
Urogenital
Miscellaneous
Drug Interactions
- Drug
- Description
Use in Specific Populations
Pregnancy
- Pregnancy Category
- Australian Drug Evaluation Committee (ADEC) Pregnancy Category
There is no Australian Drug Evaluation Committee (ADEC) guidance on usage of Rabeprazole in women who are pregnant.
Labor and Delivery
There is no FDA guidance on use of Rabeprazole during labor and delivery.
Nursing Mothers
There is no FDA guidance on the use of Rabeprazole with respect to nursing mothers.
Pediatric Use
There is no FDA guidance on the use of Rabeprazole with respect to pediatric patients.
Geriatic Use
There is no FDA guidance on the use of Rabeprazole with respect to geriatric patients.
Gender
There is no FDA guidance on the use of Rabeprazole with respect to specific gender populations.
Race
There is no FDA guidance on the use of Rabeprazole with respect to specific racial populations.
Renal Impairment
There is no FDA guidance on the use of Rabeprazole in patients with renal impairment.
Hepatic Impairment
There is no FDA guidance on the use of Rabeprazole in patients with hepatic impairment.
Females of Reproductive Potential and Males
There is no FDA guidance on the use of Rabeprazole in women of reproductive potentials and males.
Immunocompromised Patients
There is no FDA guidance one the use of Rabeprazole in patients who are immunocompromised.
Administration and Monitoring
Administration
- Oral
- Intravenous
Monitoring
There is limited information regarding Monitoring of Rabeprazole in the drug label.
- Description
IV Compatibility
There is limited information regarding IV Compatibility of Rabeprazole in the drug label.
Overdosage
Acute Overdose
Signs and Symptoms
- Description
Management
- Description
Chronic Overdose
There is limited information regarding Chronic Overdose of Rabeprazole in the drug label.
Pharmacology
There is limited information regarding Rabeprazole Pharmacology in the drug label.
Mechanism of Action
Structure
Pharmacodynamics
There is limited information regarding Pharmacodynamics of Rabeprazole in the drug label.
Pharmacokinetics
There is limited information regarding Pharmacokinetics of Rabeprazole in the drug label.
Nonclinical Toxicology
There is limited information regarding Nonclinical Toxicology of Rabeprazole in the drug label.
Clinical Studies
There is limited information regarding Clinical Studies of Rabeprazole in the drug label.
How Supplied
Storage
There is limited information regarding Rabeprazole Storage in the drug label.
Images
Drug Images
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Package and Label Display Panel
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Patient Counseling Information
There is limited information regarding Patient Counseling Information of Rabeprazole in the drug label.
Precautions with Alcohol
- Alcohol-Rabeprazole interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication.
Brand Names
- ®[1]
Look-Alike Drug Names
- A® — B®[2]
Drug Shortage Status
Price
References
The contents of this FDA label are provided by the National Library of Medicine.
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