imuzinc-r syrup - Racecadotril (15mg/5ml) medicine

Imuzinc-r Syrup: Complete Guide To Uses, Dosage, And Safety

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🏭 Medisurf Pharma 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 26, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate
Reviewed by
SaathiMed Expert Panel | Oct 26, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Blood in stool or vomit
  • Severe abdominal pain
  • Signs of dehydration (dry mouth, decreased urine output, lethargy)
  • High fever with chills
  • Swelling of face, lips, or throat
  • Difficulty breathing
  • Persistent vomiting

If experiencing severe symptoms, call emergency services immediately.

What is imuzinc-r syrup used for?

This medicine is an anti-diarrhoeal syrup containing racecadotril, used to reduce watery stools in acute diarrhoea. It works by reducing intestinal secretion of water and electrolytes. It is used as an add-on to oral rehydration therapy.

  • Generic Name: Racecadotril (15mg/5ml)
  • Manufacturer: Medisurf Pharma
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 imuzinc-r syrup के बारे में (Hindi Summary)

उपयोग: यह दवा रेसीकैडोट्रिल नामक सक्रिय तत्व वाली सिरप है, जिसका उपयोग तीव्र दस्त के इलाज में किया जाता है। यह दस्त की मात्रा और बारंबारता को कम करने में मदद करती है और शरीर में पानी की कमी को रोकती है। यह दवा ओरल रिहाइड्रेशन थेरेपी के साथ दी जाती है। यह एंटीबायोटिक नहीं है और संक्रमण का इलाज नहीं करती।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में सिरदर्द, जी मिचलाना, उल्टी और कब्ज शामिल हैं। ये आमतौर पर हल्के होते हैं और अपने आप ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि चेहरे, होंठ या गले में सूजन, या सांस लेने में कठिनाई हो, तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। खुराक से अधिक न लें। दस्त के दौरान ओरल रिहाइड्रेशन सॉल्यूशन पीते रहें। बिना डॉक्टर की सलाह के 7 दिन से अधिक इसका उपयोग न करें। यदि दस्त बंद न हों या बिगड़ें, तो डॉक्टर से संपर्क करें। गुर्दे या यकृत की समस्या हो तो डॉक्टर को बताएं। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 imuzinc-r syrup Uses & Benefits

[{"condition":"Acute diarrhoea","description":"This medicine is used as an adjunct to oral rehydration therapy to reduce the volume and frequency of watery stools in adults and children.","evidence":"Well-established"},{"condition":"Diarrhoea associated with gastroenteritis","description":"It helps manage fluid loss in infectious diarrhoea when used alongside rehydration.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Chronic diarrhoea","description":"Sometimes used off-label for chronic diarrhoea, but evidence is limited.","evidence":"Limited"}]

Primary treatment for: Acute diarrhoea

Also treats: Gastroenteritis

📋 Drug Information

Generic Name(s)Racecadotril (15mg/5ml)
Brand Nameimuzinc-r syrup
ManufacturerMedisurf Pharma
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGASTRO INTESTINAL
Action ClassEnkephalinase inhibitor
Route of AdministrationOral
StorageStore below 30°C in a cool, dry place. Protect from light. Do not freeze.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Always prescribe this medicine as an adjunct to oral rehydration therapy, not as a replacement.
2
Advise patients to shake the bottle well before each use to ensure uniform dosing.
3
Instruct parents to use the measuring cup provided for accurate dosing in children.
4
Do not prescribe for bloody diarrhoea or suspected invasive bacterial infections.
5
Monitor hydration status and electrolyte levels in prolonged diarrhoea.
6
Advise patients to seek medical attention if diarrhoea persists beyond 48 hours.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Watery diarrhoea
This medicine is commonly prescribed for this.
Likely Use
❌
Bloody diarrhoea
This medicine is not recommended for bloody diarrhoea.
Not Primary
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionRacecadotril is rapidly absorbed after oral administration. It is a prodrug that is converted to its active metabolite, thiorphan.
DistributionThe active metabolite, thiorphan, is distributed to the intestinal wall where it exerts its effects. Plasma protein binding is high.
Protein BindingApproximately 90% of thiorphan is bound to plasma proteins.
MetabolismRacecadotril is rapidly hydrolysed to thiorphan, which is the active metabolite. Thiorphan is further metabolised in the liver.
Half-LifeThe elimination half-life of thiorphan is approximately 3 hours.
ExcretionMetabolites are excreted primarily in the urine and faeces.
BioavailabilityThe oral bioavailability of racecadotril is not well established but is considered to be low due to first-pass metabolism.
Onset of ActionThe onset of action is rapid, typically within 30 minutes to 1 hour after oral administration.
Peak Plasma TimePeak plasma concentration of thiorphan is reached approximately 1 hour after administration.
Duration of ActionThe duration of action is approximately 8 hours, requiring dosing two to three times daily.

How It Works

This medicine works by inhibiting the enzyme enkephalinase, which is responsible for breaking down enkephalins in the gastrointestinal tract. Enkephalins are natural opioids that reduce the secretion of water and electrolytes into the intestine. By preventing their breakdown, this medicine prolongs their action, leading to reduced intestinal hypersecretion. It does not slow down intestinal motility, unlike some other anti-diarrhoeal medicines.

Mechanism Steps

1
Inhibition of enkephalinase: This medicine binds to and inhibits the enzyme enkephalinase in the intestinal wall.
2
Increased enkephalin levels: Inhibition of enkephalinase leads to higher levels of enkephalins in the gut.
3
Reduced secretion: Enkephalins activate opioid receptors in the intestine, which reduces the secretion of water and electrolytes.
4
Decreased stool output: The net effect is a reduction in the volume and frequency of watery stools.

💡 How to Take imuzinc-r syrup

Strength: Syrup, 15 mg/5 ml

1Shake the bottle well before use.
2Measure the dose accurately using the measuring cup or spoon provided.
3Take the medicine orally, with or without food.
4Continue oral rehydration therapy as advised by your doctor.
5Wash the measuring cup after each use.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 100 mg three times daily. However, the dose must be individualized by a qualified clinician based on the severity of diarrhoea, age, weight, renal and hepatic function. Always follow your doctor's prescription.
Pediatric DosageFor children, the dose is calculated based on body weight. The usual dose is 1.5 mg/kg per dose three times daily. This medicine is not recommended for infants under 3 months of age. Pediatric dosing must be determined by a pediatrician.
Elderly DosageNo specific dose adjustment is required for elderly patients, but caution is advised in those with renal or hepatic impairment. Dose must be individualized by a qualified clinician.
Renal ImpairmentUse with caution in patients with renal impairment. Dose adjustment may be necessary. Consult your doctor.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose adjustment may be necessary. Consult your doctor.
Maximum Daily DoseThe maximum daily dose for adults is 300 mg. For children, the maximum daily dose is 6 mg/kg.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With or without food
Take as prescribed
Food does not significantly affect absorption.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of imuzinc-r syrup

✅ Common Side Effects

Headache (Common (1-10%))
Usually resolves on its own. Consult doctor if persistent.
Nausea (Common (1-10%))
Take with food to reduce nausea. Consult doctor if severe.
Vomiting (Common (1-10%))
Stay hydrated. Consult doctor if vomiting persists.
Constipation (Common (1-10%))
Increase fluid and fibre intake. Consult doctor if it continues.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience swelling of face, lips, throat, or difficulty breathing.
Severe abdominal pain (Rare (<0.1%))
Stop the medicine and consult a doctor immediately.
Skin rash (Rare (<0.1%))
Discontinue and consult a doctor.

⚠️ Rare Side Effects

Angioedema
Seek emergency medical care.
Toxic epidermal necrolysis
Seek emergency medical care.

Consult your doctor if you experience any unusual symptoms.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to racecadotril or any component of the formulation","Bloody diarrhoea or invasive bacterial infections","Severe renal impairment","Severe hepatic impairment","Children under 3 months of age"]

⚠️ Warnings & Precautions

["This medicine should not be used as the sole treatment for diarrhoea; oral rehydration therapy is essential.","Do not use for more than 7 days without medical advice.","Use with caution in patients with renal or hepatic impairment.","If symptoms persist or worsen, consult a doctor.","Keep out of reach of children."]

🤱 Lactation Safety

It is not known whether racecadotril is excreted in human breast milk. Consult your doctor before use.

💊 Overdose Management

There is no specific antidote for overdose. Treatment should be symptomatic and supportive. In case of overdose, seek immediate medical attention.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.

Additional Safety Advice

General Safety

Always take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose. This medicine is not a substitute for oral rehydration solution; continue giving fluids to prevent dehydration. Do not use this medicine for more than 7 days without medical advice. If diarrhoea persists or worsens, consult your doctor. Inform your doctor if you have kidney or liver problems, or if you are pregnant or breastfeeding. Keep this medicine out of reach of children. Store in a cool, dry place away from direct sunlight.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to dehydration and electrolyte imbalance. Monitor fluid intake and consult a doctor if symptoms persist.

🤰 Pregnancy Planning (TTC)

Consult your doctor before taking this medicine if you are pregnant or planning to become pregnant. The safety of this medicine in pregnancy is not well established.

🏥 Post-Surgery Considerations

Consult your doctor before using this medicine after surgery, as diarrhoea can be a sign of other complications.

🦷 Dental Procedures

No specific considerations. Inform your dentist if you are taking this medicine.

💚 Lifestyle Tips for Better Results

🏃
Drink plenty of fluids to stay hydrated.
🥗
Eat light, bland foods like bananas, rice, applesauce, and toast.
😴
Avoid dairy products, caffeine, and spicy foods during diarrhoea.
💧
Wash hands frequently to prevent spread of infection.
🧘
Get plenty of rest to help your body recover.

🏋️ Exercise Considerations

Avoid strenuous exercise while suffering from diarrhoea to prevent dehydration. Light activity is fine if you feel up to it.

🥗 Diet Recommendations

Drink oral rehydration solution frequently.
Eat small, frequent meals.
Include bananas, rice, applesauce, and toast.
Avoid fatty, spicy, and sugary foods.
Stay away from alcohol and caffeine.

💼 Impact on Daily Work & Life

This medicine may cause mild drowsiness in some people. If you feel dizzy or drowsy, avoid driving or operating heavy machinery. Otherwise, it does not significantly affect daily activities.

🛑 When to Stop This Medicine

Stop taking this medicine if diarrhoea resolves or if you experience any serious side effects. Do not stop without consulting your doctor if you have been advised to complete a course.

📅 Long-Term Use Effects

This medicine is intended for short-term use only. Long-term use is not recommended without medical supervision. Prolonged diarrhoea may lead to electrolyte imbalance and dehydration, which require medical attention.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Oral rehydration therapy

Essential for preventing dehydration in diarrhoea.

Evidence: Well-established
Zinc supplementation

Recommended for children with diarrhoea to reduce duration and severity.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with vaccines. However, if you have diarrhoea, it is best to postpone vaccination until you recover.

📦 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 travelling, carry this medicine in its original packaging with a copy of your prescription. Store it in a cool, dry place away from direct sunlight. If travelling across time zones, continue with your regular dosing schedule as advised by your doctor. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 2-year-old child with acute watery diarrhoea
The child was brought to the clinic with frequent watery stools and mild dehydration. The doctor prescribed this medicine along with oral rehydration solution. The parents were advised to give the syrup three times daily. Within 24 hours, the stool frequency reduced significantly, and the child became more active.
💡 Lesson: This medicine, when used with ORS, effectively reduces diarrhoea and prevents dehydration in children.
👤 A 35-year-old adult with traveller's diarrhoea
The patient developed acute diarrhoea during a business trip. He was prescribed this medicine and advised to stay hydrated. He took the syrup as directed and noticed improvement in symptoms within a day. He was advised to avoid alcohol and continue fluids.
💡 Lesson: This medicine provides rapid relief from acute diarrhoea in adults when taken as prescribed.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine usually starts working within 30 minutes to 1 hour after taking a dose.

Q: Can I take this medicine with other medicines?

A: Inform your doctor about all medicines you are taking. This medicine has no known major interactions, but caution is advised.

Q: Is this medicine safe for children?

A: Yes, it is safe for children above 3 months of age when prescribed by a doctor. The dose is based on body weight.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🛑 Myths vs. Facts

  • Myth: This medicine can stop diarrhoea immediately.
    Fact: This medicine reduces stool output but does not stop diarrhoea instantly. It works over a few hours.
  • Myth: This medicine can be used for all types of diarrhoea.
    Fact: It is not effective for bloody diarrhoea or invasive bacterial infections.

🔄 Alternative Options

Generic Alternatives

  • Racecadotril 15 mg/5 ml syrup

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","class":"Enkephalinase inhibitor","main_use":"Acute diarrhoea","route":"Oral"},{"medicine":"Loperamide","class":"Opioid receptor agonist","main_use":"Acute diarrhoea","route":"Oral"}]

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