Cyra-Ls Tablet is a combination medication, primarily used for treating ulcerative GERD. It is also prescribed for erosive healing, maintenance of ulcerative GERD, duodenal ulcers, irritable bowel syndrome and chronic gastritis. Recently, it has also come to be used in the treatment of hypersecretory conditions that include Zollinger-Ellison syndrome.
On using Cyra-Ls Tablet the associated side effects that you may suffer from are disorientation, delirium, the elevation of thyroid-stimulating hormone (TSH), rhabdomyolysis, bullous, erythema multiforme, drug-induced diarrhoea, twitching, tremor, weight gain or akathisia.
In certain severe cases, you may experience jaundice, interstitial pneumonia, tardive dyskinesia, gynecomastia (a disorder of the endocrine system where there is an enlargement of the male breast size). In the latter case it will be necessary for you to seek medical attention.
Before using this medication it is advised that you consult your doctor and tell him/her if you had/have or are:
- Pregnant, or are planning to become pregnant.
- Nursing a baby
- Taking any prescriptive or over the counter drugs, herbals medications or dietary supplements.
- A recent surgery or are scheduled for one in the near future.
- Pheochromocytoma or gastrointestinal perforation.
- A history of cancer-related disease.
- A history of epilepsy or any other kind of seizures.
- Allergic to any medicine, food or substance.
The dosage of this medication will be as prescribed by your doctor as per the severity of your condition, your age, gender and overall medical history. But commonly a dose of 25 mg of this medicine is prescribed which needs to be taken three times in a day. Results may start to show within an hour or two of using. In case of drug overdose notify your physician right away.
The medicine is useful against the following conditions:
Gastroesophageal Reflux DiseaseThis medicine is used for the treatment of gastroesophagal reflux disease marked by increased irritation of the stomach caused by bile and acid.
- stomach pain, flatulence, diarrhea, or constipation.
Duodenal UlcerThis medicine is used for the treatment of duodenal ulcer marked by severe abdominal pain, heartburn, indigestion, bloating, belching, nausea or vomiting.
How long is the duration of effect?The effect of this medicine lasts for an average duration of 5-8 hours upon oral administration.
What is the onset of action?The effect of this medicine can be observed within 1-2 hours of oral administration.
Are there any pregnancy warnings?Use of this medicine during pregnancy is not recommended unless absolutely necessary. It is advised to use this medicine only when the benefits outweigh the risks involved.
Is it habit forming?No habit forming tendencies were reported.
Are there any breast-feeding warnings?Use of this medicine by breastfeeding women is not recommended. However, if it is absolutely necessary to use this medicine, then breastfeeding should be discontinued. Consult your doctor before using this medicine.
Below is the list of medicines, which have the same composition, strength and form as Cyra-Ls Tablet , and hence can be used as its substitute.
Are there any missed dose instructions?Take the missed dose as soon as you remember. If it is almost time for the next scheduled dose, then the missed dose can be skipped.
Are there any overdose instructions?Contact a doctor if an overdose with this medication is suspected. Symptoms of an overdose may include excessive drowsiness, fall in blood pressure, agitation, coma, etc.
This medicine is a combination of Levosulpiride and Rabeprazole. These two belongs to neuroleptic and PPI class respectively. Thus this medicine works via the dual mechanism.
Firstly, it works by selectively binding to dopamine receptors in the brain and the periphery. This action results in an increased tone of muscles in the gastrointestinal tract. Secondly, it binds to H+/K+-exchanging ATPase in gastric parietal cells, resulting in blockage of acid secretion.
Whenever you take more than one medicine, or mix it with certain foods or beverages, you"re at risk of a drug interaction.
Interaction with Disease
Heart DiseasesThis medicine should be used with caution in patients suffering from a disease of the heart and blood vessels. You may require an adjusted dose and safety monitoring to safely use this medicine.
Gastrointestinal BleedingThis medicine should be used with extreme caution in patients suffering from perforation and bleeding of the stomach and the intestine. Report any instance of fever with chills, nausea, vomiting, presence of blood in stool to the doctor.
Prolactin ImbalanceThis medicine should not be used in patients having an abnormal level of the hormone prolactin. Breast cancer due to a high level of prolactin should be ruled out before treatment with this medicine is initiated.
Neuroleptic Malignant Syndrome (Nms)Use of this medicine is not recommended if the patient suffers from Neuroleptic malignant syndrome. Introduction or reintroduction of this medicine should be done with caution in patients having a known history of this syndrome.
AsthmaThis medicine should be used with caution if you have asthma. Report any instances of difficulty in breathing, wheezing, chest pain etc to the doctor immediately.
Interaction with Alcohol
EthanolAvoid or limit the uptake of alcohol while taking this medicine as the risk of adverse effects are increasingly high. Contact your doctor if an excess of drowsiness is experienced.
Interaction with Lab Test
Prolactin testReport the use of this medicine before undergoing a laboratory test to determine the levels of the hormone prolactin in the body. This medicine can interfere with the test and yield false positive results.
Interaction with Food
FoodInformation not available.
Interaction with Medicine
DiltiazemReport the use of diltiazem or any other medicine taking for managing high blood pressure to the doctor. These medicines should be used with caution as the risk of adverse effects are increasingly high. Your doctor may determine the best course of treatment after assessing the conditions.
PregabalinReport the use of either of the medicine to the doctor. You may require a dose adjustment and more frequent monitoring while using these medicines together. Do not stop the use of any medicine without consulting your doctor.
SucralfateReport the use of either of the medicine to the doctor. You may require a dose adjustment and frequent clinical monitoring while using these medicines together. Do not stop the use of any medicine without consulting your doctor.
TramadolReport the use of any narcotic pain-killer medicine to the doctor. These medicines should be used with extreme caution as the risk of adverse effects are significantly high. Your doctor may decide the best course of treatment after assessing the conditions.
Aluminium Hydroxide/Magnesium HydroxideReport the use of any aluminum or magnesium containing antacids to the doctor before receiving this medicine. You may need a dose adjustment and frequent clinical monitoring to safely use these medicines together.
IpratropiumReport the use of either of the medicine to the doctor. You may require a dose adjustment and more frequent monitoring while using these medicines together. Do not stop the use of any medicine without consulting your doctor.
WarfarinConcomitant use of this medication with warfarin causes increase in INR and prothombin time. This leads to abnormal bleeding and even death.
CyclosporineIf concomitantly administered, this medication inhibits the metabolism of cyclosporine and creates its concentration to be over 50 times higher than its normal Cmax.
Other medicationsBioavailability of this medication is reduced in presence of aluminium- and magnesium-containing antacids and with sucralfate. Its action on GI motility could also be antagonized by concomitant use of narcotics, anticholinergic agents and analgesics.
Ques: What is Cyra-Ls Tablet?
Ques: What are the uses of Cyra-Ls Tablet?
- Healing of erosive or ulcerative gastro-oesophageal reflux disease (GERD)
- Maintenance of healing of erosive or ulcerative GERD
- Healing of duodenal ulcers
- Treatment of pathological hypersecretory conditions, including Zollinger- Ellison syndrome
- Irritable bowel syndrome
- Chronic gastritis
Ques: What are the Side Effects of Cyra-Ls Tablet?
Ques: What are the instructions for storage and disposal Cyra-Ls Tablet?
Ques: How long do I need to use Cyra-Ls Tablet before I see improvement of my conditions?
Ques: What are the contraindications to Cyra-Ls Tablet?
Ques: Is Cyra-Ls Tablet safe to use when pregnant?
Ques: Will Cyra-Ls Tablet be more effective if taken in more than the recommended dose?
Levosulpiride- Drug Information Portal [Internet]. druginfo.nlm.nih.gov. 2019 [Cited 26 April 2019]. Available from:https://druginfo.nlm.nih.gov/drugportal/name/levosulpiride
Gupta, S., Garg, G.R., Halder, S. and Sharma, K.K., 2007. Levosulpiride: a review. Delhi Psychiatry Journal, 10(2), pp.144-146 [Cited 23 May 2019]. Available from:http://medind.nic.in/daa/t07/i2/daat07i2p144.pdf
Rabeprazole- Drug Information Portal [Internet]. druginfo.nlm.nih.gov. 2019 [Cited 24 April 2019]. Available from:https://druginfo.nlm.nih.gov/drugportal/rn/117976-89-3
Rabeprazole: Uses, Side Effects, Dosage- Drugs Bank [Internet]. drugsbanks.com. 2017 [Cited 24 April 2019]. Available from:https://www.drugsbanks.com/important-information-about-rabeprazole/
Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.
Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.