Alsar D 10mg/20mg Tablet: Complete Guide to Uses, Side Effects, and Safety
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Irregular heartbeat or palpitations
- Severe dizziness or fainting
- Muscle stiffness, tremors, or difficulty in movement
- Breast enlargement or milky discharge
- Signs of allergic reaction such as rash, swelling of face/lips/throat, or difficulty breathing
- Blood in vomit or black, tarry stools
- Severe abdominal pain
If experiencing severe symptoms, call emergency services immediately.
What is altirab-d 10mg/20mg tablet used for?
This medicine is a combination of Domperidone and Rabeprazole used to treat acid reflux, heartburn, and nausea. It works by reducing stomach acid and improving stomach emptying. It is usually taken once daily before breakfast.
- Generic Name: Domperidone + Rabeprazole
- Manufacturer: Ultra Drugs Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 altirab-d 10mg/20mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा डोम्पेरिडोन और रेबेप्राजोल का संयोजन है, जिसका उपयोग एसिड रिफ्लक्स, सीने में जलन, अपच और मतली के इलाज के लिए किया जाता है। यह पेट में एसिड को कम करती है और पेट खाली होने की प्रक्रिया को तेज करती है।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मुँह सूखना, सिरदर्द, दस्त, पेट दर्द और मतली शामिल हैं। कुछ लोगों को नींद या चक्कर आ सकते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि आपको दिल की धड़कन में अनियमितता, स्तन में दर्द या मांसपेशियों में अकड़न महसूस हो, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। इसे चबाएं या तोड़ें नहीं, पूरा निगल लें। इसे खाली पेट, नाश्ते से कम से कम 30 मिनट पहले लेना सबसे अच्छा है। इस दवा के साथ शराब न लें। यदि आपको दिल, लीवर या किडनी की कोई समस्या है, तो डॉक्टर को बताएं।
💊 altirab-d 10mg/20mg tablet Uses & Benefits
[{"condition":"Gastroesophageal reflux disease (GERD)","description":"Reduces acid reflux and heartburn by inhibiting gastric acid secretion and improving gastric emptying.","evidence":"Well-established"},{"condition":"Functional dyspepsia","description":"Helps relieve symptoms like bloating, early satiety, and upper abdominal discomfort.","evidence":"Moderate"},{"condition":"Nausea and vomiting associated with delayed gastric emptying","description":"Domperidone component enhances gastric motility and reduces nausea.","evidence":"Moderate"},{"condition":"Gastroparesis","description":"May improve symptoms of delayed stomach emptying, especially in diabetic gastroparesis.","evidence":"Limited"}]
Off-label uses: [{"condition":"Prevention of NSAID-induced ulcers","description":"Rabeprazole component may be used off-label to protect the stomach in patients on chronic NSAIDs.","evidence":"Limited"},{"condition":"Helicobacter pylori eradication","description":"Rabeprazole is sometimes included in combination regimens, but this fixed-dose product is not standard for this indication.","evidence":"Limited"}]
Primary treatment for: Gastroesophageal reflux disease (GERD)
Also treats: Functional dyspepsia, Gastroparesis, Nausea and vomiting
📋 Drug Information
| Generic Name(s) | Domperidone + Rabeprazole |
| Brand Name | Acera-D Capsule SR |
| Manufacturer | Ultra Drugs Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GASTRO INTESTINAL |
| Action Class | Prokinetic agent + Proton pump inhibitor |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep out of reach of children. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two active ingredients with complementary mechanisms. Domperidone is a peripheral dopamine D2 receptor antagonist that blocks dopamine receptors in the chemoreceptor trigger zone and the gastrointestinal tract, leading to enhanced gastric motility and reduced nausea. Rabeprazole is a proton pump inhibitor that irreversibly inhibits the H+/K+ ATPase enzyme in gastric parietal cells, thereby suppressing both basal and stimulated gastric acid secretion.
Mechanism Steps
💡 How to Take altirab-d 10mg/20mg tablet
Strength: Tablet containing Domperidone 10 mg and Rabeprazole 20 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one tablet taken orally once daily, preferably before breakfast. However, the dose and duration must be individualized by a qualified clinician based on the indication, severity of symptoms, age, and renal and hepatic function. Do not self-adjust the dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the side effects of this medicine, especially cardiac arrhythmias and extrapyramidal symptoms. Use with caution and lower doses may be considered as per clinician's judgment. |
| Renal Impairment | In patients with severe renal impairment (creatinine clearance <30 mL/min), the dose may need to be reduced or the medicine avoided. Consult a doctor for dose adjustment. |
| Hepatic Impairment | In patients with mild to moderate hepatic impairment, no dose adjustment is usually needed. However, in severe hepatic impairment, this medicine is contraindicated. Consult a doctor. |
| Maximum Daily Dose | The maximum recommended daily dose is one tablet (Domperidone 10 mg + Rabeprazole 20 mg) per day. Do not exceed this dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of altirab-d 10mg/20mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Ketoconazole | Major | |
| Clarithromycin | Major | |
| Amiodarone | Major | |
| Haloperidol | Major | |
| Warfarin | Moderate | |
| Methotrexate | Moderate | |
| Digoxin | Moderate | |
| Atazanavir | Moderate | |
| Antacids | Minor | |
| Sucralfate | Minor |
🚨 Major Interactions
- Ketoconazole
- Clarithromycin
- Amiodarone
- Haloperidol
⚡ Moderate Interactions
- Warfarin
- Methotrexate
- Digoxin
- Atazanavir
🍷 Alcohol Interaction
Alcohol may increase the risk of drowsiness, dizziness, and stomach irritation when taken with this medicine. It is advisable to avoid alcohol while on this medication.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to domperidone, rabeprazole, or any component of the formulation","Prolactin-releasing pituitary tumor (prolactinoma)","Severe hepatic impairment","Known QT prolongation or family history of long QT syndrome","Concomitant use with QT-prolonging drugs or potent CYP3A4 inhibitors","Gastrointestinal obstruction, perforation, or bleeding","Severe renal impairment (creatinine clearance
⚠️ Warnings & Precautions
["Use with caution in patients with cardiovascular disease or risk factors for QT prolongation.","Avoid in patients with electrolyte disturbances such as hypokalemia or hypomagnesemia.","May cause drowsiness; avoid driving or operating machinery until effects are known.","Use with caution in elderly patients due to increased risk of side effects.","Do not use for prolonged periods without medical supervision.","Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding.","Rabeprazole may increase the risk of bone fractures with long-term use.","May mask symptoms of gastric malignancy; rule out malignancy before starting therapy."]
🤱 Lactation Safety
Domperidone is excreted in breast milk and may cause side effects in the infant. Rabeprazole is also excreted in breast milk. Consult your doctor before breastfeeding while on this medicine.
💊 Overdose Management
Overdose may cause severe drowsiness, extrapyramidal symptoms, and cardiac arrhythmias. Seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote. Gastric lavage may be considered if within 1 hour of ingestion. Monitor ECG and vital signs.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not crush, chew, or break the tablet; swallow it whole with water. It is best taken on an empty stomach, at least 30 minutes before a meal, to maximize the effect of Rabeprazole. Avoid alcohol while taking this medicine as it may worsen stomach irritation and increase drowsiness. Do not drive or operate heavy machinery until you know how this medicine affects you. Inform your doctor if you have a history of heart rhythm problems, liver disease, or kidney disease. Do not share this medicine with others, even if they have similar symptoms.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of cardiac arrhythmias, extrapyramidal symptoms, and drug interactions. Use with caution and monitor closely. Dose adjustment may be necessary.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. It should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
🏥 Post-Surgery Considerations
After surgery, use this medicine only if prescribed by your surgeon. It may affect gastric motility and acid secretion, which could impact post-operative recovery. Inform your surgeon about all medications you are taking.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine, as it may interact with certain medications used during dental procedures. No specific precautions are established, but it is always good to disclose your medication history.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid vigorous exercise immediately after taking this medicine, especially if you experience dizziness or drowsiness. Light to moderate exercise is generally safe, but listen to your body and stay hydrated.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause drowsiness or dizziness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It is usually taken once daily, so it should not significantly interfere with your daily routine.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. If you experience severe side effects or your symptoms worsen, contact your doctor immediately. Abrupt discontinuation may lead to rebound acid hypersecretion.
📅 Long-Term Use Effects
Long-term use of this medicine may increase the risk of bone fractures, vitamin B12 deficiency, and hyperprolactinemia. Regular monitoring of symptoms and periodic blood tests may be required. Do not use for prolonged periods without medical supervision.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Dietary changes, weight loss, and elevating the head of the bed can help manage GERD symptoms.
Evidence: Well-establishedPantoprazole, omeprazole, or esomeprazole may be used as alternatives.
Evidence: Well-establishedRanitidine or famotidine may be used for milder symptoms.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific interactions with vaccines are established. However, if you are scheduled for any vaccination, inform your healthcare provider about this medicine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging along with a copy of your prescription. Store it at room temperature and protect it from extreme heat or moisture. If crossing time zones, continue taking your dose at the same time each day as close as possible. Check customs regulations for carrying prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts working within 30 to 60 minutes, but noticeable relief from symptoms may take a few days of regular use.
A: It can interact with several drugs, so always inform your doctor about all medicines you are taking.
A: Consult your doctor before taking this medicine during pregnancy. It should be used only if clearly needed.
A: If you miss a dose, take it as soon as you remember. If it's almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
🤔 Common Patient Concerns
🔄 Substitutes for altirab-d 10mg/20mg tablet
View AllAlternative brands with exact same active ingredient:
-
rado 10 mg/20 mg tabletServe Pharmaceuticals ₹5.45 90.1% CHEAPER
-
r cid d capsuleAbbott ₹7.76 85.9% CHEAPER
-
Rabifin D 10 mg/20 mg TabletInd Swift Laboratories Ltd ₹10.38 81.1% CHEAPER
-
rabby dm 10 mg/20 mg tabletGlenmark Pharmaceuticals Ltd ₹11.32 79.4% CHEAPER
-
wokarab d 10mg/20mg tabletWockhardt Ltd ₹13.12 76.1% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Alsar D is a painkiller.
Fact: Alsar D is not a painkiller; it is a combination of a prokinetic and an acid suppressant used for acidity and nausea. - Myth: You can stop Alsar D as soon as you feel better.
Fact: You should complete the prescribed course and consult your doctor before stopping, as abrupt discontinuation may cause rebound acidity. - Myth: Alsar D can be taken with alcohol.
Fact: Alcohol may increase side effects like drowsiness and stomach irritation; it is best avoided.
🔄 Alternative Options
Generic Alternatives
- Domperidone + Rabeprazole generic tablets
Brand Alternatives
- Not established from the available information.