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Common Specialities
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Common Treatments
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Overview

Rithem 25 MG Tablet

Manufacturer: Cadila Pharmaceuticals Ltd
Medicine composition: Levosulpiride
Prescription vs.OTC: Prescription by Doctor required

Rithem 25 MG Tablet falls under a class of medication known as antipsychotic (also familiar as neuroleptics or tranquilizers) medicines. It is mainly used for mental disorders such as hallucinations, schizophrenia, bipolar disorder, anxiety disorder, vertigo and irritable bowel syndrome. Recently it has also come to be used in the treatment of premature ejaculation as it is believed to be a cause of both psychological as well as organic shortcomings.

On using Rithem 25 MG Tablet the associated side effects that you may suffer from are lightheadedness, insomnia, irregular menstrual periods, fatigue, abdominal pain, drowsiness, lowered sexual desire, rapid or irregular heartbeat. In certain severe cases you may experience fever, uncontrollable sweating, 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:

  • Are pregnant, or are planning to become pregnant.
  • Are nursing a baby. In case of absolute necessity of using Rithem 25 MG Tablet, it is advised that breastfeeding be stopped.
  • Are taking any prescriptive or over the counter drugs, herbals medications or dietary supplements.
  • Had a recent surgery or are scheduled for one in the near future.
  • Have pheochromocytoma or gastrointestinal perforation.
  • Have a history of cancer-related disease.
  • Have a history of epilepsy or any other kind of seizures.
  • Are allergic to any medicine, food or substance.

The dosage of Rithem 25 MG Tablet 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 Rithem 25 MG Tablet 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.

Information given here is based on the salt and content of the medicine. Effect and uses of medicine may vary from person to person. It is advicable to consult a Psychiatrist before using this medicine.

Gastroesophagal Reflux Disease
This medicine is used for the treatment of gastroesophagal reflux disease marked by increased irritation of the stomach caused by bile and acid.
This medicine is used for the treatment of irritable bowel syndrome marked by persistent stomach pain, flatulence, diarrhea, or constipation.
This medicine is not recommended for use if you have a known history of allergy to Rithem 25 MG Tablet or any other component present with it.
This medicine is not recommended for use if you suffer from epilepsy or have a history of convulsions.
This medicine is not recommended for use in patients suffering from bipolar disorder marked by frequent episodes of anxiety, agitation, depression, hallucinations etc.
This medicine is not recommended for use in patients having a tumor of the adrenal glands that causes a life threatening rise in blood pressure.
Gastrointestinal perforation
This medicine is not recommended for use if you have a condition where the food pipe and the gut is bleeding, obstructed, and perforated.
This medicine is not recommended for use if you have been diagnosed with breast cancer (malignant mastopathy).
In addition to its intended effect, Rithem 25 MG Tablet may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Drowsiness Moderate Common
Breast tenderness Moderate Common
Irregular menstrual periods Moderate Common
Gynacomastia Major Common
Cosntipation Moderate Less Common
Abdominal pain and cramps Moderate Less Common
Weight gain Moderate Less Common
Sleeplessness Minor Common
Unusual tiredness and weakness Moderate Common
Increased salivation Moderate Rare
Decrease in libido Minor Less Common
Fever Major Less Common
Excessive sweating Major Less Common
Change in heart rate Moderate Common
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 Rithem 25 MG Tablet , and hence can be used as its substitute.
Ranbaxy Laboratories Ltd
Intas Pharmaceuticals Ltd
Micro Labs Ltd
Alkem Laboratories Ltd
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.
Overdose instructions
Contact a doctor if an overdose with Rithem 25 MG Tablet is suspected. Symptoms of an overdose may include excessive drowsiness, fall in blood pressure, agitation, coma etc.
India
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 Disease Moderate
This 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.
Gastro-intestinal bleeding Major
This 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 imbalance Major
This 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) Major
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.
Asthma Moderate
This 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
Ethanol Moderate
Avoid 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 test Moderate
Report 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
Food
Information not available.
Interaction with Medicine
Diltiazem Moderate
Report 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.
Pregabalin Moderate
Report 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.
Sucralfate Moderate
Report 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.
Tramadol Major
Report 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.
Moderate
Report 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.
Ipratropium Moderate
Report 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.
Rithem 25 MG Tablet works by selectively binding to dopamine receptors in the brain and the periphery. This action results in increased tone of muscles in the gastrointestinal tract.
What are you using Rithem 25 MG Tablet for?
Gastroesophagal Reflux Disease
Irritable Bowel Syndrome
How much was the improvement?
Excellent
How long did it take before seeing improvement?
Within 2 hours
How frequently did you take this medicine?
Once a day
How did you take this medicine?
Empty stomach
What were the side effects of this medicine?
Drowsiness
Disclaimer: The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

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.

Popular Questions & Answers

Hi, My mother is 50 years old and is diabetic from Jan 2017. She is taking Glycomet Trio 2 tablets 1/2 after breakfast and Dinner. And has cholesterol for that she is taking Tonact TG. Its Normal now. She has a constipation. Before 5 years she had gallbladder stone and operated (laparoscopic surgery). Is there a chance of getting gallbladder stone again? She dose yoga for 1.5 hours but not regularly (when she does not have constipation). Is there a solution for that?

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hi, My mother is 50 years old and is diabetic from Jan 2017. She is taking Glycomet Trio 2 tablets 1/2 after breakfas...
Dear lybrate-user, hi Warm welcome to Lybrate.com I have evaluated your query thoroughly.* There is no chance of gall stone appearance again after gall bladder removal surgery.* Constipation is related to colon motility and intestinal flora issue.* Guidelines for the same - Drink plenty of liquids.- Consume high fiber diet with more of green leafy veg, whole grains, cereals,pulses, legumes.- Bulk forming laxative as Ispaghula husk 3 teaspoonful at night with a glass of lukewarm drinking water at night.- Regular walking in fresh air, exercises,YOGA are corner stone of management.- Pro biotics, prokinetic agents as levosulpiride are also best supportive agents.- Keep her blood sugar, blood pressure and cholesterol levels with body weight under control.- She must avoid excess dairy fat, oily,spicy, non veg stuffs.- Avoid stress, anxiety.- Manage to have regular sound sleep of 8 hours.- Avoid sleeping for minimum of 2 hours after meals.- Avoid late night heavy dinners, parties.- If smoking or consuming alcohol should keep refrain from that. Hope this clears your query. Wishing her fine health ahead. Regards dear take care.

Hello sir. I am suffering from silent reflux. Since and I am on levosulpiride pantoprazole and itopride since 3 month. And daflon 1000 since 1 month for hemorrhoids. Since 1 week I am suffering from erectile dysfunction it's happen due to this medicine. And if yes how long it takes to cure. I am male 27 years no BP no blood sugar.

MBBS, MS - General Surgery, FIAGES(Fellowship In Minimal Access Surgery), FMAS (Fellowship In Minimal Access Surgery)
General Surgeon, Ghaziabad
Hello sir. I am suffering from silent reflux.
Since and I am on levosulpiride pantoprazole and itopride since 3 month...
daflon may cause erectile dysfunction as it is a venotonic drug. for haemmorrhoids you can use some topical ointments. use either leosulpride or itopride. no need to use both a same time.

Gastritis treatment in ayurveda and allopathy, At present taken esomeprazole, levosulpiride and antacid syrup reflux, librax tab.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Gastritis treatment in ayurveda and allopathy, At present taken esomeprazole, levosulpiride and antacid syrup reflux,...
Hello, You may continue the same and start avoiding oily , spicy and fried fast foods completely in your diet.

Table of Content

About Rithem 25 MG Tablet
When is Rithem 25 MG Tablet prescribed?
What are the contraindications of Rithem 25 MG Tablet ?
What are the side effects of Rithem 25 MG Tablet ?
Key highlights of Rithem 25 MG Tablet
What are the substitutes for Rithem 25 MG Tablet ?
What are the dosage instructions?
Where is the Rithem 25 MG Tablet approved?
What are the interactions for Rithem 25 MG Tablet ?