repepsa d 30mg/10mg capsule - Domperidone (30mg) + Dexrabeprazole (10mg) medicine

Adzole D 30mg/10mg Capsule SR: Complete Medicine Guide

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🏭 Akumentis Healthcare Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 23, 2026
🤰 Pregnancy Category Not established from the available information. Use only if clearly needed and prescribed by a doctor. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for GERD and dyspepsia; limited for off-label uses.
Reviewed by
SaathiMed Expert Panel | Sep 23, 2026

When to Call Your Doctor IMMEDIATELY

  • Blood in vomit or black, tarry stools
  • Severe abdominal pain or difficulty swallowing
  • Chest pain, palpitations, or fainting
  • Sudden swelling of face, lips, or throat
  • Yellowing of skin or eyes (jaundice)
  • Uncontrolled vomiting or signs of dehydration
  • Involuntary movements of face, tongue, or limbs

If experiencing severe symptoms, call emergency services immediately.

What is repepsa d 30mg/10mg capsule used for?

This medicine is a combination of Domperidone and Dexrabeprazole used to treat acid reflux, gastritis, and related symptoms. It works by reducing stomach acid and improving stomach emptying. It is usually taken once daily before breakfast.

  • Generic Name: Domperidone (30mg) + Dexrabeprazole (10mg)
  • Manufacturer: Akumentis Healthcare Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 repepsa d 30mg/10mg capsule के बारे में (Hindi Summary)

उपयोग: यह दवा डोम्पेरिडोन और डेक्सराबेप्राजोल का संयोजन है, जिसका उपयोग एसिड रिफ्लक्स, गैस्ट्र्रिटिस, अपच और मतली जैसी समस्याओं के इलाज के लिए किया जाता है। यह पेट में एसिड का उत्पादन कम करती है और पेट खाली होने की गति को बढ़ाती है। इसे आमतौर पर दिन में एक बार नाश्ते से पहले लिया जाता है।

साइड इफेक्ट्स: आम दुष्प्रभावों में मुँह सूखना, सिरदर्द, दस्त, मतली, पेट दर्द और चक्कर आना शामिल हैं। कुछ लोगों में स्तन में दर्द या दूध का स्राव हो सकता है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि आपको दिल की धड़कन अनियमित लगे, गंभीर एलर्जी हो, या मुँह-चेहरे में सूजन आए तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। कैप्सूल को चबाएं या तोड़ें नहीं, पूरा निगल लें। इसे खाली पेट, नाश्ते से 30 मिनट पहले लेना सबसे अच्छा है। इस दवा के साथ शराब न लें। जब तक आपको इसका असर पता न चले, वाहन न चलाएं। यदि आपको हृदय, यकृत या गुर्दे की बीमारी है तो डॉक्टर को बताएं। 8 सप्ताह से अधिक इसका उपयोग बिना डॉक्टर की सलाह के न करें।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 repepsa d 30mg/10mg capsule Uses & Benefits

[{"condition":"Gastroesophageal reflux disease (GERD)","description":"Reduces acid reflux and heartburn by decreasing stomach acid production and improving stomach emptying.","evidence":"Well-established"},{"condition":"Non-ulcer dyspepsia","description":"Relieves symptoms like bloating, early satiety, and upper abdominal discomfort.","evidence":"Moderate"},{"condition":"Gastritis","description":"Helps reduce acid-related inflammation of the stomach lining.","evidence":"Moderate"},{"condition":"Nausea and vomiting associated with acid-related disorders","description":"Domperidone component helps control nausea and vomiting.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Diabetic gastroparesis","description":"Sometimes prescribed off-label to improve stomach emptying in diabetic patients.","evidence":"Limited"},{"condition":"Functional dyspepsia with reflux symptoms","description":"May be used off-label for symptom relief in functional dyspepsia.","evidence":"Limited"}]

Primary treatment for: Gastroesophageal reflux disease (GERD)

Also treats: Non-ulcer dyspepsia, Gastritis, Nausea and vomiting

📋 Drug Information

Generic Name(s)Domperidone (30mg) + Dexrabeprazole (10mg)
Brand Namerepepsa d 30mg/10mg capsule
ManufacturerAkumentis Healthcare Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGASTRO INTESTINAL
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep in the original container.
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
Take this medicine on an empty stomach, at least 30 minutes before breakfast, for best results.
2
Do not crush or chew the capsule; swallow it whole with water.
3
Avoid alcohol while taking this medicine as it can worsen side effects.
4
If you experience palpitations, fainting, or irregular heartbeat, seek medical help immediately.
5
Do not use this medicine for more than 8 weeks without consulting your doctor.
6
Inform your doctor if you have heart, liver, or kidney problems before starting this medicine.
7
Keep a record of your symptoms to help your doctor assess the effectiveness of the treatment.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

Heartburn
This medicine is commonly prescribed for acid reflux.
Likely Use
Bloating and early fullness
Domperidone improves gastric emptying.
Likely Use
Nausea
Domperidone helps control nausea.
Likely Use
Fever
This medicine is not a fever reducer.
Not Primary
Headache
This medicine is not for headache relief.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionDexrabeprazole is rapidly absorbed after oral administration, with peak plasma concentrations reached within 2 to 4 hours. Domperidone is also rapidly absorbed, with peak levels occurring within 30 to 60 minutes. Food may delay the absorption of domperidone but does not significantly affect dexrabeprazole.
DistributionBoth drugs are widely distributed in body tissues. Dexrabeprazole is highly protein-bound, while domperidone has moderate protein binding. Domperidone does not readily cross the blood-brain barrier.
Protein BindingDexrabeprazole is approximately 96% bound to plasma proteins. Domperidone is about 91-93% bound to plasma proteins.
MetabolismDexrabeprazole is extensively metabolized in the liver by cytochrome P450 enzymes, primarily CYP2C19 and CYP3A4. Domperidone undergoes extensive first-pass metabolism in the liver and gut wall via CYP3A4 and CYP1A2.
Half-LifeThe elimination half-life of dexrabeprazole is approximately 1 to 2 hours. Domperidone has an elimination half-life of about 7 to 9 hours in healthy individuals.
ExcretionDexrabeprazole metabolites are excreted mainly in urine (about 90%) and feces (about 10%). Domperidone is excreted in urine (about 31%) and feces (about 66%) as metabolites.
BioavailabilityThe oral bioavailability of dexrabeprazole is approximately 52% due to first-pass metabolism. Domperidone has a low oral bioavailability of about 13-17% due to extensive first-pass metabolism.
Onset of ActionDexrabeprazole begins to suppress acid secretion within 1 hour of oral administration, with maximum effect after 2 to 4 hours. Domperidone starts improving gastric motility within 30 to 60 minutes.
Peak Plasma TimeDexrabeprazole reaches peak plasma concentration in about 2 to 4 hours. Domperidone peaks in about 30 to 60 minutes.
Duration of ActionDexrabeprazole provides acid suppression for up to 24 hours. Domperidone's prokinetic effect lasts about 6 to 8 hours.

How It Works

This medicine combines two active ingredients with complementary actions. Dexrabeprazole is a proton pump inhibitor that irreversibly blocks the hydrogen-potassium ATPase enzyme in the stomach's parietal cells, suppressing both basal and stimulated acid secretion. Domperidone is a peripheral dopamine D2 receptor antagonist that enhances gastric motility and accelerates gastric emptying without crossing the blood-brain barrier significantly. Together, they reduce acid exposure and improve stomach emptying, providing relief from reflux and dyspeptic symptoms.

Mechanism Steps

1
Proton pump inhibition: Dexrabeprazole accumulates in the acidic environment of parietal cells and binds irreversibly to the H+/K+ ATPase enzyme, blocking the final step of acid secretion.
2
Dopamine receptor blockade: Domperidone blocks dopamine D2 receptors in the gastrointestinal tract, which increases acetylcholine release and enhances smooth muscle contractions.
3
Improved gastric motility: The enhanced contractions lead to faster gastric emptying and increased lower esophageal sphincter pressure, reducing reflux and bloating.
4
Symptom relief: The combined effects reduce acid exposure to the esophagus and improve stomach emptying, alleviating heartburn, nausea, and early fullness.

💡 How to Take repepsa d 30mg/10mg capsule

Strength: Capsule containing Domperidone 30 mg and Dexrabeprazole 10 mg.

1Take the capsule whole with a glass of water.
2Do not crush, chew, or break the capsule.
3Take it on an empty stomach, at least 30 minutes before breakfast.
4If you forget, take it as soon as you remember unless it's almost time for the next dose.
5Follow your doctor's instructions exactly.

Dosage Information

Adult DosageThe usual adult dose is one capsule taken orally once daily on an empty stomach, at least 30 minutes before breakfast, or as directed by your doctor. The dose may be adjusted based on your condition and response. Do not exceed the recommended dose. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the side effects of this medicine, especially cardiac effects and drowsiness. Use with caution and monitor closely. Dose adjustment may be needed based on renal and hepatic function.
Renal ImpairmentIn patients with severe renal impairment (creatinine clearance <30 mL/min), domperidone should be used with caution and dose reduction may be necessary. Dexrabeprazole does not require dose adjustment in renal impairment. Consult your doctor.
Hepatic ImpairmentIn patients with mild to moderate hepatic impairment, no dose adjustment is needed for dexrabeprazole. However, domperidone should be used with caution. In severe hepatic impairment, this medicine is contraindicated. Consult your doctor.
Maximum Daily DoseThe maximum recommended daily dose is one capsule (Domperidone 30 mg + Dexrabeprazole 10 mg) per day. Do not exceed this dose.

Dosage Timeline

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

🍽️ Food Timing Guide

Empty stomach
Take 30 minutes before breakfast
Maximizes absorption and effectiveness.
High-fat meals
Avoid taking with them
May delay domperidone absorption.
Grapefruit juice
Avoid
May increase dexrabeprazole levels.

⏰ What to Do If You Miss a Dose

📌 Less than 12 hours have passed since the missed dose
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than 12 hours have passed since the missed dose
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of repepsa d 30mg/10mg capsule

✅ Common Side Effects

Dry mouth (Common (5-10%))
Sip water frequently and maintain good oral hygiene. Consult doctor if persistent.
Headache (Common (5-10%))
Usually resolves on its own. If severe or persistent, consult your doctor.
Diarrhea (Common (5-10%))
Stay hydrated. If diarrhea is severe or contains blood, seek medical advice.
Nausea (Common (5-10%))
Take the medicine as prescribed. If nausea worsens, contact your doctor.
Abdominal pain (Common (5-10%))
Report persistent or severe pain to your doctor.
Dizziness (Common (5-10%))
Avoid driving or operating machinery until you know how it affects you.

🚨 Serious Side Effects

Irregular heartbeat (QT prolongation) (Rare (<0.1%))
Seek immediate medical attention if you experience palpitations, fainting, or shortness of breath.
Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Call emergency services if you develop rash, swelling of face/lips/throat, or difficulty breathing.
Tardive dyskinesia (Rare (<0.1%))
Report involuntary movements of face, tongue, or limbs to your doctor immediately.
Severe skin reactions (Stevens-Johnson syndrome) (Very rare (<0.01%))
Seek immediate medical care if you notice painful rash, blistering, or peeling skin.

⚠️ Rare Side Effects

Galactorrhea (breast milk secretion)
Consult your doctor if this occurs; dose adjustment or alternative may be needed.
Gynecomastia (breast enlargement in men)
Report to your doctor; usually reversible after stopping the medicine.
Blood disorders (leukopenia, thrombocytopenia)
Seek medical attention if you experience unusual bruising, bleeding, or infections.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Ketoconazole Major
Atazanavir Major
Methotrexate Major
Amiodarone Major
Clopidogrel Moderate
Warfarin Moderate
Digoxin Moderate
Anticholinergics Moderate
Antacids Minor
Sucralfate Minor

🚨 Major Interactions

  • Ketoconazole, itraconazole
  • Atazanavir, nelfinavir
  • Methotrexate
  • QT-prolonging drugs (e.g., amiodarone, sotalol)

⚡ Moderate Interactions

  • Clopidogrel
  • Warfarin
  • Digoxin
  • Anticholinergic drugs

🍷 Alcohol Interaction

Alcohol may worsen stomach irritation and increase the risk of drowsiness and dizziness. It is advisable to avoid alcohol while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to domperidone, dexrabeprazole, or any component of the formulation","Gastrointestinal bleeding, mechanical obstruction, or perforation","Prolactin-releasing pituitary tumor (prolactinoma)","Severe hepatic impairment","Severe renal impairment (creatinine clearance

⚠️ Warnings & Precautions

["Use with caution in patients with cardiovascular disease or electrolyte imbalances.","Avoid in patients with known QT prolongation or family history of sudden cardiac death.","May cause drowsiness; avoid driving or operating machinery until effects are known.","Do not use for more than 8 weeks without medical review.","May increase risk of bone fractures with long-term use.","May cause low magnesium levels with prolonged use; monitor if needed.","Inform your doctor if you have liver or kidney disease.","Not recommended for children unless prescribed by a pediatrician."]

🤱 Lactation Safety

Domperidone passes into breast milk and may cause side effects in the infant. Dexrabeprazole may also pass into breast milk. Consult your doctor before breastfeeding while on this medicine.

💊 Overdose Management

Overdose may cause severe drowsiness, irregular heartbeat, and extrapyramidal symptoms. 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

General Safety

Take this medicine exactly as prescribed by your doctor. Do not crush, chew, or break the capsule; swallow it whole. It is best taken on an empty stomach, at least 30 minutes before breakfast, unless your doctor advises otherwise. 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 heart problems, liver disease, kidney disease, or electrolyte imbalances. Do not use this medicine for more than 8 weeks without medical review. Keep out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more prone to side effects like drowsiness, dizziness, and cardiac arrhythmias. Use with caution and monitor renal and hepatic function. Dose adjustment may be necessary.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy or are pregnant, consult your doctor before taking this medicine. It should be used only if clearly needed. Discuss alternative treatments if necessary.

🏥 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 recovery. Inform your surgeon about all medicines you are taking.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine. It may increase the risk of bleeding during dental procedures due to potential interactions with anticoagulants. Your dentist may need to adjust your treatment plan.

💚 Lifestyle Tips for Better Results

🏃
Eat smaller, more frequent meals to reduce acid reflux.
🥗
Avoid lying down immediately after eating; wait at least 2-3 hours.
😴
Elevate the head of your bed to prevent nighttime reflux.
💧
Maintain a healthy weight to reduce abdominal pressure.
🧘
Avoid trigger foods like spicy, fatty, and acidic foods.
🌞
Quit smoking and limit alcohol consumption.
🚭
Manage stress through relaxation techniques like yoga or meditation.

🏋️ Exercise Considerations

Avoid vigorous exercise immediately after meals as it may worsen reflux. Light walking after meals can aid digestion. Consult your doctor before starting any new exercise regimen.

🥗 Diet Recommendations

Include high-fiber foods like fruits, vegetables, and whole grains.
Choose lean proteins such as chicken, fish, and tofu.
Avoid spicy, fried, and fatty foods.
Limit caffeine and carbonated drinks.
Stay well hydrated by drinking water throughout the day.

💼 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 may also cause frequent urination or diarrhea, which can affect work. Plan your dose timing to minimize impact.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. If you experience severe side effects or no improvement after the prescribed course, contact your doctor. Abrupt discontinuation may cause rebound acid hypersecretion.

📅 Long-Term Use Effects

Long-term use of this medicine may lead to low magnesium levels, increased risk of bone fractures, and vitamin B12 deficiency. Domperidone may cause hyperprolactinemia with prolonged use. Regular monitoring and periodic review by a doctor are recommended. Do not use for more than 8 weeks without medical supervision.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Lifestyle modifications

Diet changes, weight loss, and elevating the head of the bed can reduce reflux symptoms.

Evidence: Well-established
Other acid-suppressing medicines

H2 blockers or other PPIs may be alternatives if this combination is not suitable.

Evidence: Well-established
Prokinetic agents alone

If acid suppression is not needed, domperidone alone may be used.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interactions with vaccines are known. However, if you are scheduled for vaccination, inform your healthcare provider about all medicines you are taking.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight and moisture

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from moisture. If traveling across time zones, consult your doctor about adjusting the timing. Keep enough supply for the entire trip. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 42-year-old man with chronic heartburn and bloating
He was prescribed this medicine once daily before breakfast. After two weeks, his heartburn episodes reduced significantly, and he felt less bloated after meals. He noted that taking it on an empty stomach was key to its effectiveness.
💡 Lesson: Consistent timing on an empty stomach improves symptom control.
👤 A 55-year-old woman with gastritis and nausea
She started this medicine as prescribed. Her nausea subsided within a few days, and her appetite improved. She experienced mild dry mouth, which resolved after a week. She was advised not to stop the medicine abruptly.
💡 Lesson: Mild side effects often resolve; complete the prescribed course and follow up with your doctor.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Dexrabeprazole starts reducing acid within 1 hour, and domperidone improves motility within 30-60 minutes. Symptom relief may take a few days.

Q: Can I take it with food?

A: It is best taken on an empty stomach, 30 minutes before breakfast. Food may delay domperidone absorption.

Q: What if I miss a dose?

A: If less than 12 hours have passed, take it as soon as you remember. If more than 12 hours, skip it and continue with your regular schedule. Do not double dose.

Q: Is it safe during pregnancy?

A: Consult your doctor. It is not recommended unless clearly needed.

Q: Can I stop taking it suddenly?

A: Do not stop without consulting your doctor, as symptoms may rebound.

🤔 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?

🔄 Substitutes for repepsa d 30mg/10mg capsule

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can be taken for immediate relief of heartburn.
    Fact: This medicine is not for immediate relief; it takes time to reduce acid production and improve motility.
  • Myth: It is safe to take this medicine indefinitely.
    Fact: Long-term use should be under medical supervision due to potential side effects.
  • Myth: This medicine can be taken with alcohol without any issues.
    Fact: Alcohol may worsen side effects and should be avoided.

🔄 Alternative Options

Generic Alternatives

  • Domperidone + Dexrabeprazole capsule

📊 Comparison with Similar Medicines

[{"medicine":"Domperidone + Dexrabeprazole","composition":"Domperidone 30 mg + Dexrabeprazole 10 mg","release_type":"Immediate release","frequency":"Once daily"},{"medicine":"Domperidone + Rabeprazole","composition":"Domperidone 30 mg + Rabeprazole 20 mg","release_type":"Immediate release","frequency":"Once daily"},{"medicine":"Domperidone + Pantoprazole","composition":"Domperidone 30 mg + Pantoprazole 40 mg","release_type":"Immediate release","frequency":"Once daily"}]

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