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Coliwin R Capsule

Capsule
As per Ministry of Health and Family Welfare
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Composition FOR Coliwin R

Chlordiazepoxide(5mg),Clidinium(2.5mg),Dicyclomine(10mg),Rabeprazole(10mg)

food interaction for Coliwin R

alcohol interaction for Coliwin R

pregnancy interaction for Coliwin R

lactation interaction for Coliwin R

food
alcohol
pregnancy
lactation
Coliwin R Capsule is to be taken empty stomach.
Take it preferably 30 minutes before food.
None
CAUTION
It is unsafe to consume alcohol with Coliwin R Capsule.
UNSAFE
Coliwin R Capsule is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
CONSULT YOUR DOCTOR
Coliwin R Capsule is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
CONSULT YOUR DOCTOR

SALT INFORMATION FOR Coliwin R

Chlordiazepoxide(5mg)

Uses

Chlordiazepoxide is used in the treatment of severe anxiety and alcohol withdrawal.

How it works

Chlordiazepoxide is a benzodiazepine. It works by increasing the action of a chemical messenger (GABA) which suppresses the abnormal and excessive activity of the nerve cells in the brain.

Common side effects

Confusion, Dizziness, Fatigue, Headache, Jaundice, Sedation, Sleepiness, Unsteadiness, Urinary retention, Abnormality of voluntary movements, Balance disorder (loss of balance), Bone marrow depression, Anaphylactic reaction, Vertigo, Hypotension (low blood pressure), Visual impairment, Rash, Erectile dysfunction, Respiratory depression, Increased appetite, Increased bilirubin in the blood, Increased transaminase level in blood, Increased alkaline phosphatase level in blood, Anterograde amnesia, Drug dependence, Psychiatric disturbances, Paradoxical reactions
Clidinium(2.5mg)

Uses

Clidinium is used in the treatment of abdominal pain.

How it works

Clidinium is an anticholinergic medication. It works by relaxing the muscles in the stomach and gut (intestine). It stops sudden muscle contractions (spasms), thereby relieving cramps, pain, bloating, and discomfort.

Common side effects

Nausea, Weakness, Dizziness, Blurred vision, Dryness in mouth, Sleepiness, Nervousness
Dicyclomine(10mg)

Uses

Dicyclomine is used in the treatment of abdominal pain and irritable bowel syndrome.

How it works

Dicyclomine is an anticholinergic medication. It works by relaxing the muscles in the stomach and gut (intestine). It stops sudden muscle contractions (spasms), thereby relieving cramps, pain, bloating, and discomfort.

Common side effects

Nausea, Dizziness, Blurred vision, Dryness in mouth, Nervousness, Drowsiness, Headache, Vomiting, Constipation, Psychosis, Diarrhea, Photophobia, Dyspepsia, Abdominal pain, Insomnia (difficulty in sleeping), Confusion, Hallucination, Dry skin, Reduced bronchial secretions, Palpitations, Fast heart rate, Cycloplegia (paralysis of the ciliary muscle of the eye), Dilatation of pupil, Discomfort when urinating, Rash
Rabeprazole(10mg)

Uses

Rabeprazole is used in the treatment of acidity, gastroesophageal reflux disease (acid reflux) and peptic ulcer disease.

How it works

Rabeprazole is a proton pump inhibitor (PPI). It works by reducing the amount of acid in the stomach which helps in relief of acid related indigestion and heartburn.

Common side effects

Diarrhea, Dizziness, Flatulence, Headache, Nausea, Vomiting, Abdominal pain, Weakness, Nervousness, Bronchitis (inflammation of the airways), Sinus inflammation, Sleepiness, Vertigo, Rash, Dryness, Increased liver enzymes, Dermatitis, Itching, General discomfort, Decreased white blood cell count (neutrophils), Decreased white blood cell count, Low blood platelets, Increased white blood cell count, Decreased appetite, Depression, Visual disturbance, Stomach inflammation, Stomatitis (Inflammation of the mouth), Taste change, Sweating, Weight gain

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Expert advice FOR Coliwin R

  • The addiction / habit-forming potential of this medicine is very high. Take it only as per the dose and duration advised by your doctor
  • It may cause dizziness. Do not drive or do anything that requires mental focus until you know how this medicine affects you.
  • Avoid consuming alcohol as it may increase dizziness and drowsiness.
  • Inform your doctor if you are pregnant, planning to conceive or breastfeeding.
  • Do not stop taking medication suddenly without talking to your doctor as that may lead to nausea, anxiety, agitation, flu-like symptoms, sweating, tremor, and confusion.

Frequently asked questions FOR Coliwin R

Chlordiazepoxide

Q. Does Chlordiazepoxide work and what does Chlordiazepoxide treat?
Chlordiazepoxide is used for the short-term (2-4 weeks only) treatment of severe anxiety, which may occur alone or in association with sleeping problems (insomnia) or personality/behavioral disorders. It may also be used to treat muscle spasms, and to relieve alcohol withdrawal symptoms
Q. Is chlordiazepoxide/chlordiazepoxide + clidinium a narcotic/controlled drug or substance?
Chlordiazepoxide is not a narcotic drug. Chlordiazepoxide is classified by the Drug Enforcement Administration as a Schedule IV controlled substance. Any medicine which contains chlordiazepoxide alone or in combination with other drugs will be treated as a controlled substance and will require prescription for purchase
Q. Is Chlordiazepoxide a benzodiazepine?
Chlordiazepoxide belongs to a group of medicines known as benzodiazepines
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Q. Is Chlordiazepoxide addictive?
Yes. Chlordiazepoxide is not recommended for long term use as it may increase the risk of dependence
Q. Is chlordiazepoxide the same as diazepam?
No. Chlordiazepoxide and diazepam are not the same; however, they both belong to the same class of drug known as benzodiazepines
Q. Is Chlordiazepoxide stronger than Xanax?
Xanax is a trade name for active drug alprazolam which belongs to the same group of medicines as Chlordiazepoxide called benzodiazepines. Chlordiazepoxide used to treat anxiety disorders, alcohol withdrawal symptoms, or muscle spasms. Xanax (alprazolam) is used to treat severe anxiety and severe anxiety associated with depression
Q. Can I take ibuprofen with chlordiazepoxide?
Chlordiazepoxide has no known harmful interaction with ibuprofen. Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required
Q. Does Chlordiazepoxide make you sleepy?
Yes, Chlordiazepoxide may make you sleepy
Q. Does Chlordiazepoxide cause weight gain/constipation?
Chlordiazepoxide is not known to cause weight gain/ constipation
Q. Does Chlordiazepoxide get you high?
Chlordiazepoxide does have the risk of causing dependence on long term use due to the calming effects, which may be described by some as ‘getting high
Q. Does Chlordiazepoxide expire?
Yes. Chlordiazepoxide drug has expiry date. Refer to the label instruction of the medicine for detailed information regarding expiry of the drug.

Clidinium

Q. What is Clidinium-chlordiazepoxide/Clidinium CDP/Clidinium bromide?
Clidinium and chlordiazepoxide is generally given in a combination. CDP stands for chlordiazepoxide. Clidinium bromide is a salt of Clidinium which is used in the medication
Q. Is clidinium-chlordiazepoxide safe?
Clidinium-chlordiazepoxide is safe, if strictly used only as per doctor's instructions
Q. Is Clidinium a controlled drug or a narcotic?
Clidinium is not a controlled drug or narcotic. However, it is always given in combination with chlordiazepoxide which is a controlled drug
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Q. How does Clidinium work?
Clidinium belongs to a class of medication call anticholinergics. It works by reducing the secretion of acids and relieving cramps and spasms in the stomach and intestine.

Dicyclomine

Q. Is Dicyclomine safe?
Dicyclomine is safe if used at prescribed doses for the prescribed duration as advised by your doctor
Q. Is Dicyclomine gluten free?
Dicyclomine active drug does not contain gluten. Read the label instruction of the brands your doctor prescribes you, for gluten content
Q. Does Dicyclomine help nausea?
Dicyclomine is not known to relieve nausea. Nausea is a common side effect of Dicyclomine.
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Q. Does Dicyclomine help constipation or trigger constipation?
Dicyclomine may cause constipation.
Q. Is Dicyclomine an opiate/steroid/antacid/NSAID/benzodiazepine?
Dicyclomine is not an opiate, steroid, or an antacid. It is neither a NSAID not a benzodiazepine
Q. Is Dicyclomine a muscle relaxer?
Yes, Dicyclomine is a smooth muscle relaxant. It has a direct effect on muscles of the stomach and intestine. It does not relax the skeletal/voluntary muscles
Q. Can I take Dicyclomine for diarrhea?
Dicyclomine has no known effects in treating diarrhea.
Q. Can I take Dicyclomine for menstrual cramps?
Dicyclomine mainly acts on the smooth muscles of the intestine. Hence, it is used to relieve cramps or spasms of the stomach and intestines (gut). It is not known whether it can be used for menstrual cramps
Q. Does Dicyclomine make you drowsy?
Dicyclomine may cause drowsiness and make you feel sleepy
Q. Can I take dicyclomine with Advil (ibuprofen)/ amoxicillin/ Pepto (bismuth subsalicylate)/ tramadol/ Vicodin (acetaminophen and hydrocodone)/ oxycodone/ Tylenol (paracetamol)?
There are no known serious drug interactions between dicyclomine and Advil (ibuprofen)/ amoxicillin/ Pepto (bismuth subsalicylate)/ Tramadol/ Vicodin (acetaminophen and hydrocodone)/ oxycodone/ Tylenol (paracetamol). Dicyclomine is often available in combination with pain killers like paracetamol Consult your doctor about all medications currently taken before starting and while on dicyclomine.

Rabeprazole

Q. What is Rabeprazole used for?
Rabeprazole is used for the treatment of stomach and intestinal ulcers (gastric and duodenal ulcers), reflux esophagitis, or gastroesophageal reflux disease (GERD). It works by reducing the amount of acid made by your stomach and thus relieves your symptoms. Rabeprazole also prevents acidity associated with the use of painkillers and stress ulcers in critically ill people. It is also used to treat a disease associated with excessive acid production in the stomach known as Zollinger Ellison syndrome (ZES).
Q. How long does it take for Rabeprazole to work?
Rabeprazole starts working within an hour of taking it and shows maximum benefit within two to four hours. You should start feeling better within 2 to 3 days but it may take up to 4 weeks to relieve your symptoms significantly.
Q. What is the best time to take Rabeprazole?
It is best to take Rabeprazole before your breakfast. If you are taking two doses, take it in the morning and evening. Rabeprazole is more effective when it is taken an hour before your food.
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Q. Is it safe to use Rabeprazole for a long period of time?
Rabeprazole should be used for as long as it has been prescribed by your doctor. Rabeprazole is usually considered to be safe when taken in the recommended dose and duration. If Rabeprazole is used for more than 3 months, certain long-term side effects may be seen. The most important of these is low magnesium levels in your blood, making you feel tired, confused, dizzy, shaky, or dizzy. You may also have muscle twitches or irregular heartbeat. If the use is further prolonged for more than a year, you may have an increased risk of bone fractures, stomach infections, subacute cutaneous lupus erythematosus, osteoporosis, and vitamin B12 deficiency.
Q. Does Rabeprazole cause bone problems?
Yes, long-term use of Rabeprazole can cause thinning of bones, which is called osteoporosis. Rabeprazole decreases the calcium absorption leading to calcium deficiency and increases the risk of bone fractures of the hip, wrist, or spine. Take an adequate amount of calcium in your diet or take the supplements as advised by your doctor to avoid any bone problems.
Q. Can I take Rabeprazole with vitamin D?
Yes, vitamin D can be taken along with Rabeprazole. Vitamin D is generally advised to be taken as a supplement with Rabeprazole as the long-term use of Rabeprazole decreases the absorption of calcium and may lead to calcium deficiency. This can lead to osteoporosis (thinning of bones) and increase the risk of bone fractures like hip, wrist, and spine fractures. Please consult your doctor to know about ways to prevent this.
Q. How is Rabeprazole useful in the treatment of H. pylori infection?
Rabeprazole is used along with antibiotics for the treatment of H.Pylori infection. It works by decreasing stomach acid volume and decreasing breakdown and washout of antibiotics leading to an increased antibiotic concentration and tissue penetration. It also helps in symptomatic relief by decreasing associated acidity, reflux, and heartburn.
Q. Can long term use of Rabeprazole cause magnesium deficiency?
Long-term use of Rabeprazole can lower magnesium levels in patients taking multiple daily doses for 3 months or longer. Get your magnesium levels checked at regular intervals. Tell your doctor if you experience seizures (fits), dizziness, abnormal or fast heartbeat, jitteriness, jerking movements or shaking (tremors), muscle weakness, spasms of the hands and feet, cramps, muscle aches.
Q. Can I stop taking Rabeprazole if I feel better?
No, do not stop taking Rabeprazole before completing the full course of treatment. You will start to feel better before your treatment is complete.
Q. What dietary changes should I make to get relief from acidity?
Rabeprazole is best taken 1 hour before a meal. You should avoid spicy and fatty foods while taking this medicine. It also helps to cut down on caffeinated drinks such as tea, coffee, and cola. Alcohol intake should also be avoided as it may worsen your symptoms.
Q. Can I take alcohol with Rabeprazole?
No, alcohol intake is not advised with Rabeprazole. Alcohol itself does not affect the working of Rabeprazole, but it can increase acid production. This may further cause worsening of your symptoms.
Q. Can I take antacids along with Rabeprazole?
Yes, you can take antacids along with Rabeprazole. Take it 2 hours before or after you take Rabeprazole.
Q. What other lifestyle changes should I make to get maximum benefit of Rabeprazole?
You make see better results if you make certain dietary and lifestyle changes while taking Rabeprazole. Exercise regularly and eat healthily. You can consult your dietician to get a diet chart that suits you best. Eat at least 3 hours before sleeping to reduce the chances of aggravation of your symptoms at night. You should avoid spicy and fatty foods while taking this medicine. Refrain from caffeinated drinks such as tea, coffee, and cola. Alcohol intake and smoking should also be avoided as they may worsen your symptoms.

Content on this page was last updated on 16 December, 2024, by Dr. Varun Gupta (MD Pharmacology)