Rani-Q | Ranitidine uses, dose and side effects

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150 mg tablets
ranitidine

What Rani-Q is and what it is used for

Rani-Q provides relief of symptoms in case of temporary heartburn and acid regurgitation.

Ranitidine is histamine (H2-) receptor blocker and works by reducing the production of hydrochloric acid in the stomach. Normally, gastric juice is very acidic and can cause heartburn and acid reflux when leaking up to the esophagus. One tablet can give you symptom relief and the antacid effect lasts up to 12 hours.

Acid production can be stimulated by smoking, alcohol, spicy foods, and stress. Some medicines such as acetylsalicylic acid and other anti-inflammatory drugs for joint and muscle problems can also be the cause of heartburn and other stomach acid-related problems. Contact your pharmacy for information.

Heartburn and acid reflux can be caused by the upper stomach mouth sagging and gastric juice penetrating the esophagus at bedtime or heavy lifting. Smoking, coffee, alcohol, and certain medications can contribute to the relaxation of the upper stomach and mouth. Heartburn and acid reflux can also occur with stomach ulcers and in rare cases even in more serious diseases of the stomach or esophagus. An important measure that can provide relief in heartburn and acid reflux is to change their lifestyle. This can include reducing smoking, avoiding coffee, alcohol, spicy foods, late evening meals, and heavy lifting. You should try to get a regular and stress-free lifestyle. Raising the head end during the night can also relieve the discomfort. Another measure may be treated with over-the-counter medications that can neutralize hydrochloric acid or inhibit the production of hydrochloric acid. If these measures do not help, consult your doctor. This is especially important if you have persistent or recurrent problems, difficulty swallowing, or if your doctor has told you that you have impaired kidney function.

What you need to know before using Rani-Q

Do not use Rani-Q

  • if you are allergic to ranitidine or any of the other ingredients of this medicine (listed in section 6).

Warnings and cautions

Talk to your doctor or pharmacist before using Rani-Q if you:

  • have cancer of the stomach
  • have impaired renal or hepatic function
  • had acute porphyria (an unusual condition with increased turnover of porphyrins)
  • is older than 65 years
  • have any lung disease
  • have diabetes
  • have a problem with your immune system
  • have had stomach ulcers before and you are using non-steroidal anti-inflammatory drugs ( NSAIDs ).

Children

This medicine should not be given to children under 12 years of age.

Other medicines and Rani-Q

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.

Rani-Q tablets can affect or be affected by certain medicines that contain the following active substance/substances:

  • Procainamide or n-acetyl procainamide for heart problems
  • Warfarin or coumarin, to thin the blood
  • Glipizide, to reduce blood sugar
  • Atazanavir or delavirdine, for the treatment of HIV
  • Triazolam, for insomnia
  • Gefitinib, for the treatment of lung cancer
  • Erlotinib, for the treatment of certain types of cancer. Ranitidine contained in Rani-Q may reduce the amount of erlotinib in your blood and your doctor may need to adjust your treatment when used concomitantly.
  • Ketoconazole, against fungal infections, is sometimes used to treat cod
  • Midazolam is a medicine you can get just before an operation. Tell your doctor that you are taking ranitidine before surgery.
  • Theophylline (bronchodilator)
  • Phenytoin (used in epilepsy )
  • Non-steroidal anti-inflammatory drugs ( NSAIDs ), for pain and inflammation

Antacids and sucralfate may impair the uptake of ranitidine and therefore ranitidine should be taken approximately 2 hours before taking these drugs. The effect of alcohol can be enhanced by concomitant intake of Rani-Q.

Pregnancy and breastfeeding

Ask your doctor or pharmacist for advice before taking any medicine.

If you are pregnant, think you may be pregnant, or are planning to have a baby, do not take Rani-Q without consulting a doctor. Your doctor will assess the risks and benefits to you and your child when using Rani-Q.

Ranitidine is excreted in breast milk, which leads to an increased risk of effects on the baby. Breast-feeding should be avoided during treatment with Rani-Q.

Driving and using machines

Side effects such as headache, dizziness, and fatigue are common. Under such circumstances, the ability to react and the judge may be reduced, so that the ability to drive vehicles and use machines is impaired.

You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires sharpened attention. One of the factors that can affect your ability in these respects is the use of drugs due to their effects and/or side effects. Descriptions of these effects and side effects can be found in other sections. Read all the information in this leaflet for guidance. If you are not sure, talk to your doctor or pharmacist.

How to use Rani-Q

Always use this medicine exactly as described in this leaflet or as your doctor or pharmacist has told you. Ask your doctor or pharmacist if you are unsure.

Adults and children over 12 years of age: 1 tablet (150 mg) if you need symptom relief, but not more than 2 tablets per day unless your doctor prescribes otherwise.

If you still have symptoms after taking Rani-Q for 2 weeks straight, you should consult a doctor, as your stomach problems may have another cause.

If you take more Rani-Q than you should

If you have ingested too much medicine or if e.g. If a child has ingested the medicine, contact a doctor or hospital by mistake for assessment of the risk and advice.

POSSIBLE SIDE EFFECTS

Like all medicines, Rani-Q can cause side effects, although not everybody gets them.

Symptoms you should be aware of:

Allergic reactions: These are rare in people taking Rani-Q. Symptoms include:

  • raised and itchy rash ( hives )
  • swelling, sometimes of the face and mouth ( angioedema )
  • chest pain, shortness of breath, unexplained fever, wheezing, or difficulty breathing
  • fainting sensation, especially when standing up
  • collapse.
  • → Contact a doctor immediately if you get any of these symptoms. Stop taking Rani-Q.

Severe skin reactions: These are very rare in people taking Rani-Q. Symptoms include:

  • Skin rash (erythema multiforme), which can form blisters and look like small targets (central dark dots surrounded by a lighter area, with a dark ring around the edge).
  • → Contact a doctor immediately if you get any of these symptoms. Stop taking Rani-Q.

Uncommon side effects are

These can affect up to 1 in 100 users

  • abdominal pain, constipation, nausea.

Rare side effects

These can affect up to 1 in 1000 users:

  • allergic reactions, such as hives, angioedema, fever, respiratory cramps, low blood pressure, and chest pain
  • skin reactions
  • impaired renal function (usually mild, normalizes with continued treatment)
  • transient changes in liver function tests
  • liver failure, sometimes fatal.

Very rare side effects

These can affect up to 1 in 10,000 users:

  • allergic shock
  • inflammation of the blood vessels ( vasculitis )
  • inflammation of the pancreas ( pancreatitis )
  • inflammation of the liver ( hepatitis ), sometimes with yellowing of the whites of the eyes or skin (jaundice)
  • inflammation of the kidneys (interstitial nephritis)
  • slow or irregular heartbeat ( bradycardia ), disturbance of the cardiac conduction system (atrioventricular block), increased heart rate ( tachycardia )
  • diarrhea
  • the feeling of confusion, depression, or seeing and hearing things that do not exist (hallucinations)
  • joint or muscle pain
  • headache, dizziness, blurred vision
  • unusual hair loss or thinning ( alopecia )
  • inability to get or maintain an erection ( impotence )
  • unusual secretion of breast milk or breast augmentation in men
  • low white blood cell count
  • decreased number of platelets (cells that help the blood clot)
  • decreased number of all kinds of blood cells
  • severe skin reaction (erythema multiforme)
  • involuntary movements such as tremors and muscle twitching.

No known frequency

This can not be calculated from the available data.

  • Respiratory distress.

How to store Rani-Q

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the carton after EXP. The expiration date is the last day of the specified month.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

Contents of the pack and other information

Content declaration

  • The active substance is ranitidine hydrochloride equivalent to ranitidine 150 mg.
  • The other ingredients are microcrystalline cellulose, magnesium stearate, hypromellose, titanium dioxide (E 171), polydextrose, triethyl citrate, and macrogol 8000.

What the medicine looks like and the contents of the pack

The tablet is round, biconvex, white to beige, film-coated, marked “00/30” on one side and “G” on the other.

Pack sizes: 10, 20, and 30 tablets.

Not all pack sizes may be marketed.

Marketing Authorization Holder and Manufacturer

Mylan AB

Box 23033

104 35 Stockholm 

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