Neoceptin R

Generic Name: Ranitidine
Dosage Form: Tablet & Syrup
TG Name: Gastrointestinal

1. What Neoceptin^® R is and what it is used for?
Ranitidine belong to a group of medicines called “H2-antagonists”. They reduce the amount of acid in your stomach and are used to:

• treat ulcers in the stomach or first part of the small intestine (duodenum)
• stop ulcers form bleeding
• help clear up infections in your stomach, when taken with antibiotic medicines
• treat problems caused by acid in the food passage (reflux esophagitis)
• treat a condition in which there is increased production of the hormone gastrin (Zollinger-Ellusion syndrome)
• heal and stop problems caused by acid in the food pipe (esophagus) or too much acid in the stomach. Both of these can cause pain or discomfort sometimes known as ‘indigestion’, ‘dyspepsia’ or ‘heartburn’.
• to prevent stomach ulcers when they are a side effect of some medicines
• to stop acid coming up from the stomach while under anesthetic during an operation

For children (3 to 18 years) Ranitidine is used to:
Heal ulcer in the stomach, or the part of the gut it empties into (the duodenum).
Heal and stop problems caused by acid in the food pipe (esophagus) or too much acid in the stomach. Both of these can cause pain or discomfort sometimes known as “indigestion”, “dyspepsia” or “heartburn”.

2. Before you take Neoceptin^® R
Do not take this medicine and tell your doctor if:
You are allergic (hypersensitive) to ranitidine hydrochloride or any of the other ingredients in the product.

Take special care with Neoceptin^® R. Check with your doctor before taking this medicine if:

• you have stomach cancer
• kidney problems. You may need different dose of Ranitidine Tablets
• you have had stomach ulcer and you are taking non-steriodal anti-inflammatory medicines (NSAID) such as aspirin or ibuprofen
• you have rare condition called acute porphyria
• you are over 65 years old
• you have lung disease
• you are diabetic
• you have any problems with you immune system

If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before taking this medicine.

Taking other medicines
Please tell your doctor if you are taking or have recently taken any other medicines, including those obtained without prescription.
In particular, tell your doctor if you are taking any of the following as they may not work effectively if taking Ranitidine Tablets:

• Ketoconazole (an antifungal agent)
• Drugs used for HIV: Atazanavir, Delaviridine.
• Gefitnib (drug used in the treatment of certain types of cancer.)
• Drugs which induce sleep: Triazolam, Midazolam. Midazolam may be given to you before surgery. Tell your doctor that you are taking Ranitide Tablets before surgery in case your doctor wants to give you midazolam.
• Glipizide (used to treat diabetes)
• Theophylline (used in the treatment of asthma)
• Lidocaine (local anesthetic),
• Phenytoin (treatment of epilepsy.)
• Propanolol (treatment of hypertension)
• Antacids (drug that reduces or neutralizes stomach acid)
• Procainamide (for irregular heart beat).
• Blood thinning agents: warfarin
• Non-steriodal anti-inflammatory medicines (NSAIDS) such as aspirin or ibuprofen
• Diazepam, medicine used to treat anxiety
• Glipizide, medicine used to lower blood glucose

If you are not sure that any of the above apply to you, talk to your doctor before taking this medicine.

Pregnancy and breast-feeding
Although Ranitidine is unlikely to cause problems, but remember to tell your doctor if you are planning to become pregnant or are breast-feeding.

3. How to take Neoceptin^® R?
Taking this medicine
Always use Tearon exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.

How much to take?
By mouth:
ADULT and CHILD over 12 years: Usual dose is 150 mg twice daily.
CHILD 3–12 years: 2–4 mg/kg (max. 150 mg) twice daily.
By intramuscular injection: 50mg every 6–8 hours.
By slow intravenous injection: ADULT and CHILD over 12 years, 50mg diluted to 20ml and given over at least 2 minutes; may be repeated every 6–8 hours.
For detailed guideline, consult your doctor.

If you take more Neoceptin^® R than you should
It is important to stick to the dose recommended by your doctor. Taking more than this is unlikely to be dangerous unless a lot of medicine is taken at once.
In that case, do not delay; ask your doctor what to do or contact your nearest hospital emergency department.

If you forget to take Neoceptin^® R
If you forget to take a dose, take it as soon as you remember it. However, if it is nearly time for the next dose, skip the missed dose. Do not take a double dose to make up for a forgotten dose

If you stop taking Neoceptin^® R
Do not stop taking this medicine without talking to your doctor. You should not stop taking Tearon just because you feel better. This is because the problem may come back or get worse again.
If you have any further questions on the use of this product, ask your doctor or pharmacist.

4. Possible side effects
Along with its needed effects, a medicine may cause unwanted effects. Most people taking this medicine find it causes them no problems.
A few people can be allergic to some medicines; if any of the following side effects come on soon after taking the syrup, STOP the syrup and tell your doctor immediately:

• Sudden wheeziness or tightness in the chest.
• Swelling of eyelids, face or lip; with or without a lumpy skin rash (“hives”) anywhere on the body.

Also check with your doctor as soon as possible if any of these side effects are noticed:

• Skin rash (red spots)
• Jaundice (yellow colour of skin)
• Confusion

Tell your doctor if any of the side effects gets serious or lasts longer than a few days, or if you notice any side effects not listed in this leaflet.

5. How to store Neoceptin^® R?
Store in a cool and dry place, away from light and heat.
Keep out of reach of children