Rabeprazole & Domperidone Capsules

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Rabeprazole and domperidone capsules are a common combination therapy used to treat gastrointestinal disorders where acid reflux is accompanied by nausea or vomiting. They are most frequently available in a fixed-dose strength of 20 mg (enteric-coated) and 30 mg (sustained-release)

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Description

Rabeprazole Sodium (EC) & Domperidone (SR) Capsules

Healthy Inc is a specialized global supplier and exporter of advanced gastrointestinal, anti-emetic, and anti-reflux therapeutics. We provide high-purity Rabeprazole Sodium (20 mg Enteric-Coated) & Domperidone (30 mg Sustained-Release) Capsules, manufactured in WHO–GMP certified, advanced multi-particulate pelletization facilities. This “Dual-Action Anti-Reflux & Anti-Emetic” is a massive-volume, foundational export to gastroenterology centers, primary care networks, and government health ministries in Africa, LATAM, and Southeast Asia, serving as the gold-standard, highly tolerable intervention for Gastroesophageal Reflux Disease (GERD) and severe acid-induced nausea.


Product Overview

This advanced formulation combines two highly synergistic, globally trusted gastrointestinal agents: Rabeprazole Sodium (a rapidly acting Proton Pump Inhibitor) and Domperidone (a peripheral dopamine D2 receptor antagonist with potent anti-emetic properties).

The “Acid & Nausea Synergy” Specialist:

  • Mechanism 1 (Rabeprazole – Acid Suppression): Rabeprazole aggressively targets the H+/K+ ATPase enzyme system (the proton pump) at the secretory surface of the gastric parietal cell. It completely blocks the final step of gastric acid production. Because its pKa is higher than older PPIs like Omeprazole or Pantoprazole, it activates faster in the parietal canaliculi, offering significantly more rapid symptom relief.
  • Mechanism 2 (Domperidone – Peripheral Motility & Anti-Emesis): Domperidone actively blocks Dopamine D2 receptors in the upper gastrointestinal tract, increasing lower esophageal sphincter (LES) pressure and massively accelerating gastric emptying. Crucially, it also blocks D2 receptors in the Chemoreceptor Trigger Zone (CTZ) located just outside the blood-brain barrier, making it an incredibly powerful anti-emetic (anti-nausea) agent.
  • The “Brain-Safe” Prokinetic Advantage: Unlike older motility agents like Metoclopramide, Domperidone does not cross the blood-brain barrier. This almost entirely eliminates the risk of devastating central nervous system side effects (Extrapyramidal Symptoms, severe tremors, or tardive dyskinesia), making it exceptionally safe for daily, long-term prescribing.
  • The Sustained-Release Advantage: Standard Domperidone only lasts a few hours, requiring patients to take it three times a day. By utilizing a Sustained-Release (SR) formulation, this single daily capsule provides continuous 24-hour motility and nausea suppression.

Product Composition & Strength

We supply this product as a highly advanced Hard Gelatin Capsule containing Dual-Isolated Pellets, packed strictly in high-barrier Alu-Alu blister strips.

Active IngredientStrength & FormatRelease Profile Function
Rabeprazole Sodium USP/BP20 mg (Enteric-Coated Pellets)Coated to bypass stomach acid; dissolves in the alkaline duodenum for systemic absorption and profound acid blockade.
Domperidone BP/Ph.Eur.30 mg (Sustained-Release Pellets)Polymer-matrix release system providing continuous 24-hour prokinetic and anti-emetic coverage.
ExcipientsMethacrylic Acid Copolymer / HypromelloseEnteric Polymer / Sustained-Release Matrix Polymers (Ensures strict API isolation)

*Pack Sizes: 10×10 Alu-Alu Blisters (optimizing for 30-day monthly gastroenterology dispensing cycles).


Technical & Logistics Specifications

Critical data for Pharmaceutical Importers and Gastroenterology Distributors.

HS Code3004.90.99 (Medicaments containing other active substances)
CAS Numbers117976-89-3 (Rabeprazole Sodium) / 57808-66-9 (Domperidone)
Dosage FormHard Gelatin Capsule containing EC & SR Pellets
PackagingAlu-Alu Blister (CRITICAL). Rabeprazole Sodium is intensely sensitive to moisture and light. Standard PVC packaging will result in rapid API degradation, blackening, and therapeutic failure.
StorageStore strictly below 25°C in a dry place. Protect from Light and Moisture.
CertificatesWHO-GMP, COPP, Free Sale Certificate

Manufacturing Authority

Marketed and Distributed by Healthy Inc from WHO-GMP & ISO 9001:2015 certified units.

  • Dual-Kinetic Pelletization Engineering: Rabeprazole is rapidly destroyed by gastric acid. Our specialized fluid-bed coating machinery applies a rigorous methacrylic acid enteric-coating to the Rabeprazole pellets, ensuring they pass through the stomach unharmed. Simultaneously, the Domperidone is coated in a specialized sustained-release hypromellose matrix. This capsule-in-capsule level of technology guarantees two completely different pharmacokinetic release profiles perfectly synchronized for a 24-hour therapeutic window.
  • Assay Validation: Rigorous multi-stage dissolution testing (in both acidic and buffer mediums) is performed via HPLC on every batch to guarantee the physical integrity of the enteric coating and the slow-release matrix, preventing Domperidone dose-dumping.

Therapeutic Indications (Human Use)

Indicated for the comprehensive management of high-volume gastrointestinal motility and acid disorders:

  • Gastroesophageal Reflux Disease (GERD): Treatment of erosive or ulcerative GERD that is unresponsive to PPI monotherapy, especially when accompanied by severe regurgitation or delayed gastric emptying.
  • Functional Dyspepsia: Management of chronic upper abdominal pain, post-prandial fullness, severe bloating, and early satiety.
  • Nausea & Vomiting: Highly effective in managing acid-peptic induced nausea or vomiting associated with impaired GI motility.

Dosage & Administration

Recommended Dosage (Strictly as per Physician):

  • Administration (TIMING IS CRITICAL): Must be taken orally, once daily, approximately 30 to 45 minutes BEFORE breakfast. Taking the capsule on an empty stomach ensures the enteric-coated Rabeprazole passes swiftly into the duodenum for absorption before the heavy acid-secretion phase begins.
  • Swallowing Protocol (CRITICAL): The capsule MUST be swallowed whole. It must not be crushed, chewed, or opened. Destroying the capsule compromises both the enteric coating and the SR matrix.

Safety Warnings (CRITICAL):

  • Cardiac Risk (QT Prolongation): Domperidone has been associated with a small increased risk of QT interval prolongation and serious ventricular arrhythmias. It should be used with extreme caution in older patients, those with underlying cardiac disease, or those concurrently taking potent CYP3A4 inhibitors (e.g., Ketoconazole, Erythromycin) which drastically raise Domperidone blood levels.
  • Endocrine Disruption (Hyperprolactinemia): Peripheral D2 blockade elevates prolactin levels. Prolonged use can occasionally cause galactorrhea (abnormal milk production) or gynecomastia (breast enlargement in men).
  • Clostridioides difficile-Associated Diarrhea: Profound acid suppression by Rabeprazole increases the risk of severe intestinal infections.

Global Export & Contract Manufacturing Services

Healthy Inc stands as a premier Pharmaceutical Exporter in India, dedicated to serving the needs of international Pharma Traders, Wholesalers, and Bulk Drug Distributors. As a verified Medicine Supplier in Mumbai, we offer flexible Third Party Manufacturing (Contract Manufacturing) services for Advanced Gastroenterology Formulations, allowing brands to launch high-quality generic medicines under their own label. Whether you are looking for a reliable Hospital Tender Supplier for government procurement in LATAM or a B2B Pharma Marketplace partner for Africa, our logistics network ensures timely delivery. We actively support Pharmaceutical Drop Shipping models and bulk indenting, ensuring that every Generic Medicine Wholesaler receives WHO-GMP certified products at competitive rates.

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