II. Indications

  1. Peptic Ulcer Disease
  2. Gastroesophageal Reflux
  3. Erosive Esophagitis
  4. Zollinger-Ellison Syndrome

III. Contraindications

  1. Hypersensitivity to Proton Pump Inhibitors
  2. Use with caution in severe liver disease

IV. Dosing: Adult

  1. See Helicobacter Pylori Treatment
  2. Background
    1. May take regardless of food timing
    2. When using for Helicobacter Pylori, take with meals
  3. Gastroesophageal Reflux
    1. Take 20 mg orally daily for 4 to 16 weeks
  4. Duodenal Ulcer
    1. Take 20 mg orally daily for 4 weeks
  5. Zollinger Ellison Syndrome
    1. Take 60 mg orally daily (up to twice daily)

V. Dosing: Child

  1. Age 1 to 11 years
    1. Weight <15 kg: Give 5 mg orally once daily (maximum 10 mg/day) for up to 8 weeks
    2. Weight >15 kg: Give 10 mg orally once daily for up to 8 weeks
  2. Age >=12 years
    1. Give 20 mg orally daily for up to 8 weeks

VI. Pharmacokinetics

  1. All PPIs have short plasma half life of 1-2 hours
  2. Effect is delayed 5-7 days until proton pumps are fully blocked
  3. Metabolized by CYP2C19 and CYP3A4

VII. Mechanism

VIII. Adverse Effects:

IX. Precautions

X. Safety

  1. Pregnancy Category B
  2. Unknown safety in Lactation

XI. Efficacy

XII. Drug Interactions

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Related Studies

Cost: Medications

rabeprazole (on 12/21/2022 at Medicaid.Gov Survey of pharmacy drug pricing)
RABEPRAZOLE SOD DR 20 MG TAB Generic $0.20 each
aciphex (on 9/1/2022 at Medicaid.Gov Survey of pharmacy drug pricing)
ACIPHEX DR 20 MG TABLET Generic $0.20 each

Ontology: rabeprazole (C0378482)

Definition (MSH) A 4-(3-methoxypropoxy)-3-methylpyridinyl derivative of timoprazole that is used in the therapy of STOMACH ULCERS and ZOLLINGER-ELLISON SYNDROME. The drug inhibits H(+)-K(+)-EXCHANGING ATPASE which is found in GASTRIC PARIETAL CELLS.
Definition (NCI) An alpha-pyridylmethylsulfinyl benzimidazole and a selective and irreversible proton pump inhibitor with antisecretory property. Rabeprazole enters the parietal cell and accumulates in the acidic secretory canaliculi where the agent is activated by a proton-catalyzed process that results in the formation of a thiophilic sulfonamide or sulfenic acid. The activated rabeprazole forms covalent bonds with the sulfhydryl amino acids cysteine on the extracellular domain of the proton pump (H+/K+ ATPase) at the secretory surface, thereby inhibiting the transport of hydrogen ions, via exchange with potassium ions, into the gastric lumen. Binding to cysteine 813, in particular, is essential for inhibition of gastric acid production.
Concepts Pharmacologic Substance (T121) , Organic Chemical (T109)
MSH D064750
SnomedCT 421279008, 422225001
LNC LP171632-5
English Rabeprazole (product), Rabeprazole (substance), 2-(((4-(3-Methoxypropoxy)-3-methyl-2-pyridinyl)methyl)sulfinyl)-1H-benzimidazole, RABEprazole, 2-((4-(3-methoxypropoxy)-3-methylpyridin-2-yl)methylsulfinyl)-1H-benzimidazole, Rabeprazole, rabeprazole, Rabeprazole [Chemical/Ingredient], RABEPRAZOLE
Spanish rabeprazol (producto), rabeprazol, rabeprazol (sustancia)
Czech Rabeprazol
French Rabéprazole
German Rabeprazol, 2-((4-(3-Methoxypropoxy)-3-methyl-2- pyridyl)methylsulfinyl)benzimidazol, Rabeprazolum
Italian Rabeprazolo
Russian PARIET, ПАРИЕТ, DEKSRABEPRAZOL, LY-307640, АЦИФЕКС, ATSIFEKS, РАБЕПРАЗОЛ, E 3810, RABEPRAZOL, ДЕКСРАБЕПРАЗОЛ

Ontology: Aciphex (C0875952)

Concepts Pharmacologic Substance (T121) , Organic Chemical (T109)
MSH D064750
English aciphex, AcipHex, Aciphex