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For Surrey PAD, please go to https://surreyccg.res-systems.net/PAD.
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PAD Profile : Rabeprazole sodium - Acid suppression (Adults) Important
Keywords :
GORD, gastro-oesophageal reflux disease, indigestion, PPIs, Proton pump inhibitors, gastric ulcer, stomach ulcer, dyspepsia
Brand Names Include :
Pariet
Important Information :
2nd line in adults without swallowing difficulties. (Suitable for patients that cannot have animal-derived products / capsules.)
Traffic Light Status
Status 1 of 1.
Guidelines
The following guidelines are available for this indication.
Other Drugs
- Esomeprazole
- Ranitidine hydrochloride
- Lansoprazole
- Omeprazole
- Pantoprazole
- Cimetidine
- Nizatidine
- Famotidine
Other Indications
No indications returned.
Additional Documents
Type
Document
Review Date
Information
01 September 2025
Committee Recommendations
Date
Committee Name
Narrative
07 September 2022
Surrey Heartlands Integrated Care System Area Prescribing Committee (APC)
The Surrey Heartlands Integrated Care System Area Prescribing Committee (APC) has agreed that rabeprazole tablets should be restricted for use in patients that cannot have annimal-derived products.
Crushing is not recommended as stomach acid can destroy the active drug
For people with no swallowing difficulties:
- 1st Line: Lansoprazole capsules/Omeprazole capsules
- 2nd line: Pantoprazole tablets (Suitable for patients that cannot have animal-derived products)
- 2nd line: Rabeprazole tablets (Suitable for patients that cannot have animal-derived products)
- 3rd line: Esomeprazole capsules – not for new initiation
For patients who cannot swallow tablets/have swallowing difficulties:
- 1st Line: lansoprazole orodispersible tablets
- 2nd line: lansoprazole capsules/omeprazole capsules (opened, and granules dispersed in water/yoghurt/apple puree)
- 3rd line: esomeprazole granule sachets
For patients with enteral feeding tubes:
- 1st line: lansoprazole orodispersible tablets
- 2nd line: lansoprazole capsules
- 3rd line: esomeprazole granule sachets (do not use if tube is less than 6F)
Associated BNF Codes
01. Gastro-Intestinal System
01.03.05. Proton pump inhibitors