Zinemac 150 Tablet
Macro Pharmaceuticals

prescription required

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In-stock 15 tablets in 1 strip
5.23

NOTICE: unsafe with : Alcohol

USED FOR:
Acidity Heartburn Stomach ulcers

COMPOSITION:
Ranitidine (150mg)

Therapeutic Uses:
gastro intestinal

Related Warnings
CAUTION
Alcohol
CAUTION

Alcohol use can increase acid secretion, acid reflux in food pipe causing heartburn and decreasing effect of this drug. Zinemac 150 Tablet can also decrease alcohol breakdown and increase its level in blood.

PROBABLY SAFE
Pregnancy
PROBABLY SAFE

Zinemac 150 Tablet is probably safe to use during pregnancy.Animal studies have shown low or no adverse effect on the foetus, however, there are limited human studies. Please consult your doctor.

Lactation

Zinemac 150 Tablet is probably safe to use during lactation. Limited human data suggests that the drug does not represent a significant risk to the baby.

SAFE
Driving
SAFE

Zinemac 150 Tablet does not usually affect your ability to drive.

CAUTION
Kidney
CAUTION

Zinemac 150 Tablet should be used with caution in patients with kidney disease. Dose adjustment of Zinemac 150 Tablet may be needed. Please consult your doctor.

CAUTION
Liver
CAUTION

Zinemac 150 Tablet should be used with caution in patients with liver disease. Dose adjustment of Zinemac 150 Tablet may be needed. Please consult your doctor.

Ranitidine   150mg

Uses of Zinemac 150 Tablet
Zinemac 150 Tablet is used in the treatment of acidity, heartburn, stomach ulcers and intestinal ulcers.

How to use Zinemac 150 Tablet
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Zinemac 150 Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Zinemac 150 Tablet works
Zinemac 150 Tablet is an H2 blocker. It works by reducing the amount of acid in the stomach which helps in relief of acid-related indigestion and heartburn.

Side Effects:

Common Fatigue, Drowsiness, Headache, Constipation, Diarrhoea, Muscle pain.

Expert advice for Zinemac 150 Tablet
Zinemac 150 is a well tolerated and safe medicine with a very low incidence of side effects. Take Zinemac 150 before going to bed if you are taking this medicine once a day as it is very effective in controlling stomach acid released in the midnight. If you are also taking an antacid, take it two hours before or after taking Zinemac 150. Avoid taking soft drinks, citrus fruits like orange and lemon, which can irritate the stomach and increase acid secretion. Inform your doctor if you do not feel better after taking Zinemac 150 for two weeks or 14 days as you may be suffering from some other problems. Inform your doctor if you have ever been diagnosed with kidney or liver disease. Dose of your medicine may need to be adjusted.

Frequently Asked Questions

Q. Is Zinemac 150 an over the counter (OTC) drug?
No, Zinemac 150 is not an over-the-counter product. It is a prescription medicine and is available only when prescribed by a physician.

Q. Can I take Zinemac 150 with azithromycin?
Yes, Zinemac 150 can be taken with azithromycin. Zinemac 150 may be given to lower the acid secretion caused by gastritis or stomach irritation caused by azithromycin. No drug-drug interactions or any additional harmful effects have been seen when they are used together compared to when they are used alone.

Q. Can the use of Zinemac 150 cause constipation?
Yes, the use of Zinemac 150 can cause constipation. It is one of the common side effect seen with Zinemac 150. Taking high fiber diet and plenty of fluids can help in relieving constipation and can also help in decreasing acidity.

Q. Can I take Zinemac 150 with prednisone?
Yes, Zinemac 150 can be taken with prednisone. No drug-drug interactions or any change in side effect profile have been when these are used together compared to when each drug is used alone.

Q. Can I take Zinemac 150 with metoprolol?
Yes, Zinemac 150 can be taken with metoprolol. No drug-drug interactions or any change in side effect profile have been reported compared to when they are used alone.

Q. Is Zinemac 150 an antacid?
No, Zinemac 150 is not an antacid. It belongs to the class of H2 blockers (antihistamines) which decrease the amount of acid produced in the stomach while antacids only neutralize the stomach acid by coating the stomach.

Q. Can I take Zinemac 150 for the treatment of allergies or hives (urticaria)?
Zinemac 150 can help in decreasing the redness of the allergies or hives (urticaria) when used along with antihistaminics like cetirizine by narrowing the blood vessels. However, this is not an approved use of Zinemac 150 and should be used only when advised by a doctor.

Q. Does Zinemac 150 expire?
Yes, Zinemac 150 does expire. Please check the expiry date written on the pack and it refers to the last day of that month. Do not use Zinemac 150 after the expiry date.

Q. Can I take Zinemac 150 with tramadol?
Yes, Zinemac 150 can be taken with the tramadol. Zinemac 150 may be given to lower the acid secretion caused by gastritis or stomach irritation caused by tramadol. No drug-drug interactions or any change in side effect profile has been reported compared to when they are used alone.

Q. Is Zinemac 150 an antihistaminic drug?
Yes, Zinemac 150 is an antihistaminic drug. It acts on histamine receptors in the stomach and blocks the action of a chemical messenger histamine (causes acid secretion in stomach) and hence decreases the acid production in the stomach.

Q. Is Zinemac 150 safe?
Yes, Zinemac 150 is safe if used at prescribed doses for the prescribed duration as advised by the doctor. However, there are some very common side effects that you can experience at the doses advised like nausea, abdominal pain, constipation, diarrhea, and flatulence.

Q. Can I take Zinemac 150 with doxycycline?
Yes, Zinemac 150 can be taken with doxycycline. Zinemac 150 may be given to lower the acid secretion caused by gastritis or stomach irritation caused by doxycycline. No drug-drug interactions or any change in side effect profile has been reported compared to when they are used alone.

Q. Does Zinemac 150 interfere with H. pylori test results?
A significant number of patients infected with Helicobacter pylori can have negative test results if they are using Zinemac 150 as it interferes with the urea breath test, which is done to identify H. Pylori infection.

Q. Can I take Zinemac 150 with Rabeprazole?
Yes, Zinemac 150 and Rabeprazole can be taken together. As Rabeprazole show its effect after some days, Zinemac 150 can be taken along with for immediate relief. No drug-drug interactions or change in side effect profile has been reported when they are used together compared to either drug alone.

Q. Can I take Zinemac 150 with sertraline?
Yes, Zinemac 150 can be taken with sertraline. No drug-drug interactions or any change in side effect profile has been reported compared to the effect of the individual drug when used alone.

Q. Does Zinemac 150 cause glaucoma?
Zinemac 150 itself does not cause glaucoma. However, there are some rare reports that Zinemac 150 can increase the intraocular pressure in patients who have glaucoma. Inform your doctor in case you have glaucoma or high intraocular pressure before taking this medicine.

Q. Can I take Zinemac 150 with steroids?
Yes, Zinemac 150 can be taken with steroids. No drug-drug interactions or any change in side effect profile has been reported compared to the effect of the individual drug when used alone.

Q. Can I take Zinemac 150 with famotidine?
Both Zinemac 150 and famotidine lower gastric acid secretion by blocking the H2 (histamine) receptor in the stomach. It is not advisable to take them together as they have a similar action and use and when used together, there could be an increased risk of side effects.

Q. Can Zinemac 150 be used to treat gastritis?
Yes, Zinemac 150 can be used for the short-term treatment of gastritis. It helps by decreasing the amount of acid released into the stomach and relieving stomach pain and acid reflux.

Q. Can I take Zinemac 150 with vitamin B?
Yes, Zinemac 150 can be taken with vitamin B. No drug-drug interactions have been reported between this medicine and vitamin B.

Q. Can a patient of hepatitis B take Zinemac 150?
Caution should be exercised when Zinemac 150 is given to patients with a liver disease like hepatitis B as it is metabolized in the liver. Zinemac 150 can be taken by a patient of hepatitis B if it is really essential and advised by a doctor. Very rare reports of hepatitis with or without jaundice have been documented in patients taking Zinemac 150.

Q. Why Zinemac 150 is given along with vitamin B12?
Long term use of Zinemac 150 can cause vitamin B12 deficiency as it decreases the acid secretion in the stomach which is required for the absorption of Vitamin B12. To prevent this deficiency, vitamin B12 may be advised by your doctor along with this medicine.

Q. Can I take Zinemac 150 with vitamin C?
Yes, you can take Zinemac 150 with vitamin C. No drug-drug interactions or change in side effect profile has been reported when they are used together compared to either drug alone.

Q. Can a patient with hepatitis C take Zinemac 150?
Yes, a patient of hepatitis C can take Zinemac 150, however, this should be taken under medical supervision. Zinemac 150 belongs to the group of drugs called H2 blockers which have been seen to increase the risk of hepatic encephalopathy in hepatitis C patients. So, this group of medicines should be used with caution in patients with underlying liver disease.

Q. Can Zinemac 150 be used with vitamin D?
Yes, vitamin D can be taken with Zinemac 150. It is generally advised to be taken as a supplement as the long-term use of Zinemac 150 decreases the absorption of calcium and cause calcium deficiency leading to osteoporosis (thinning of bones) and increasing the risk of bone fractures like hip, wrist and spine fractures.

Q. Can the use of Zinemac 150 cause gastroparesis (partial paralysis of the stomach)?
No, the use of Zinemac 150 is not known to cause gastroparesis (partial paralysis of the stomach), however in case you experience signs and symptoms of gastroparesis like persistent nausea, vomiting (especially of undigested food) and abdominal pain or a feeling of fullness after eating even small amount of food, consult your doctor as it may be due to some condition that needs attention.

Q. Can the use of Zinemac 150 make you feel high?
No, Zinemac 150 does not make you feel high. However, use of Zinemac 150 can cause mental confusion, irritability, depression, though very rarely. These undesirable side effects occur usually in elderly or severely ill or kidney disease patients.

Q. Can the use of Zinemac 150 cause high blood pressure?
Zinemac 150 is not reported to cause high blood pressure. In case you experience high blood pressure,inform your doctor as it may need attention. Common side effects seen with Zinemac 150 include nausea, abdominal pain, constipation, and diarrhea.

Q. Can I use Zinemac 150 for treating warts?
No, Zinemac 150 is not used for treating warts as it is not approved for this disease condition. However, some research studies have shown that Zinemac 150 can improve the effect of medicines used for the treatment of this condition. Warts are a viral condition in which the patient has small, rough, and hard growths like raised bumps on the skin. Avoid self-medication and talk to a doctor for the right treatment of warts as it may bleed or get infected or spread to other body parts if not treated properly.

Q. Can I use Zinemac 150 for stomach pain?
Stomach pain can be due to many reasons and Zinemac 150 can help in this condition if the stomach pain is due to an underlying acid-peptic disorder.

Q. Can the use of Zinemac 150 cause headache?
Headache is reported as one of the common side effects of Zinemac 150. Inform your doctor in case you experience headache for a prolonged duration while taking Zinemac 150.

Q. Why does Zinemac 150 cause pneumonia?
Patients using Zinemac 150 are two times more prone to develop pneumonia (infection of the lung) than the normal patients. Zinemac 150 by means of its acid suppressing ability may allow growth of bacteria in the gut which can move to the respiratory tract (lungs) following breathing. So inform your doctor if you have or a history of lung disease as your dosage may need to be adjusted.

Q. What is the role of Zinemac 150 in critically ill patients?
Zinemac 150 may be used in critically ill patients to decrease stomach acid secretion and lower the risk of acid aspiration into the lungs. It also helps in decreasing stomach ulcers and gastrointestinal bleeding in these patients.

Q. What foods should be avoided when you are taking Zinemac 150?
You should preferably avoid foods that cause acidity and heartburn as they would aggravate your disease condition, for example: fried foods, prepared in butter or oil, fat rich foods, tomato-based foods and juices, caffeinated drinks like cola, tea, drinks from citrus fruits like lemon water or orange juice and alcohol-containing drinks.

Q. Can Zinemac 150 be used for reflux esophagitis?
Yes, Zinemac 150 is effective in the treatment of reflux esophagitis. It is a disease in which stomach acid or bile irritates and inflames the lining of the food pipe. Zinemac 150 decreases the production of acid in the stomach and this can help to heal the inflamed and eroded esophagus. The efficacy is better when it is given in combination with a prokinetic agent like domperidone.

Q. Can I take Zinemac 150 with paracetamol?
Yes, you can take Zinemac 150 with paracetamol. Zinemac 150 is used to prevent paracetamol (painkillers) induced gastritis and stomach ulcers by decreasing the production of acid in the stomach. There are no clinically significant drug-drug interactions or harmful effects seen when they are used together.

Q. Why is Zinemac 150 given with cancer drugs?
Zinemac 150 may be used for multiple reasons in cancer patients. It can lower stomach acid volume in patients undergoing chemotherapy to prevent aspiration and lower the risk of stomach ulceration and bleeding. According to some studies, Zinemac 150 can potentiate white blood cell against cancer cells and can be helpful in the treatment of cancer.

Q. Does Zinemac 150 treat irritable bowel syndrome (IBS)?
Zinemac 150 is not routinely used for the treatment of irritable bowel syndrome (IBS). It is given if there is associated dyspepsia or increased stomach acid secretion. IBS is managed with a combination of antispasmodics (to relieve stomach pain), laxatives (to relieve constipation), and anti motility drugs (to relieve diarrhea).

Q. Is Zinemac 150 used to treat nausea?
Zinemac 150 is used for the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers and can help in providing relief in nausea that may happen due to acid reflux. It is not used to treat nausea due to any other cause. Rather, nausea is one of the most common side effects of Zinemac 150.

Q. What is the benefit of taking Zinemac 150 with pantoprazole?
Both Zinemac 150 and pantoprazole lower gastric acid secretion, however, they work by different mechanisms. If you have been advised to take pantoprazole, you can also take Zinemac 150 initially for rapid relief of heartburn and acid reflux as pantoprazole may take a few days to show its effect and provide relief.

Q. Can I take Zinemac 150 with pain killers?
Yes, Zinemac 150 can be taken with painkillers. Zinemac 150 can help to prevent painkillers induced gastritis and stomach ulcers by decreasing the production of acid in the stomach. Moreover, there are no clinically significant interactions of Zinemac 150 with painkillers.

Q. What are the serious side effects associated with the use of Zinemac 150?
Some serious side effects associated with the use of Zinemac 150 are bone marrow hypoplasia (decreased formation of blood cell components), anaphylactic shock (severe allergic reactions) sinus bradycardia (lowering of heart rate) and acute pancreatitis (inflammation of the pancreas).

Q. Why does Zinemac 150 cause diarrhea?
Use of Zinemac 150 lowers the natural stomach acid which normally helps to kill bacteria. So, use of Zinemac 150 leads to overgrowth of the harmful bacteria like clostridium difficile which can cause diarrhea. This is known as clostridium difficile–associated diarrhea (CDAD). Inform your doctor if you have loose stools many times in a day and for many days with stomach cramps and fever.

Q. Is Zinemac 150 effective?
Zinemac 150 would be effective only if used for the right indication in the dose and for the duration as advised by the doctor. In case you do not find any change in your disease condition while taking this medicine, please talk to your doctor. Do not change the dose or stop taking the medicine without consulting your doctor.

Q. Is Zinemac 150 useful in the prevention of painkiller (NSAID) induced gastric ulcers?
Yes, Zinemac 150 is useful for the prevention of painkiller (non-steroidal anti-inflammatory drug - NSAID) induced gastric ulcers. These may cause dull pain in the stomach, sudden weight loss, loss of appetite, nausea, vomiting or bloating. Avoid stress and spicy foods as they can make your symptoms worse.

Q. Can I smoke while taking Zinemac 150?
It is better to avoid cigarette smoking when you are taking Zinemac 150. As studies have shown that the effectiveness of Zinemac 150 is lower in smokers compared to non-smokers. Moreover, smoking may add to gastric problems leading to more production of gastric acid.

Q. Does Zinemac 150 increase uric acid levels and cause gout-like symptoms?
Zinemac 150 can increase blood uric acid levels and cause gout-like symptoms like pain, redness, and inflammation of joints and cause difficulty in movement of joints. Regular monitoring of uric acid levels may be advised if you are taking this medicine for a long term.

Q. Can I take Zinemac 150 with warfarin?
Yes, Zinemac 150 can be taken with warfarin. However, they should be used with caution as there could be an increase in warfarin levels which can increase the risk of bleeding from your gums, nose, skin (unusual bruising), or gut (dark stools). Stop taking the medicine and inform your doctor if you have any of these signs or symptoms.

Q. Can I take Zinemac 150 with gabapentin?
Yes, Zinemac 150 can be taken with gabapentin. There are no reported drug interactions or harmful effects when they are used together.

Q. Can I take Zinemac 150 with cetirizine?
Yes, Zinemac 150 can be taken with cetirizine. There are no reported drug interactions or harmful effects when they are used together.

Q. Is Zinemac 150 a proton pump inhibitor (PPI)?
No, Zinemac 150 is not a proton pump inhibitor (PPI) as it has no known inhibitory effect on proton pumps in the stomach.

Q. Can the use of Zinemac 150 cause iron deficiency?
Yes, use of Zinemac 150 can cause iron deficiency and a decrease in hemoglobin levels as it decreases the acidic environment of the stomach needed for the absorption of iron. However, there are no recommendations on the regular monitoring of iron levels or taking iron supplements when the patient is taking Zinemac 150 but you can maintain good dietary nutrition so that no deficiency occurs.

Q. Is there any known role of Zinemac 150 before surgery?
Zinemac 150 is given as a part of pre-anesthetic medication before surgery to decrease the stomach acid secretion so that stomach acid is not aspirated into the lungs during surgery as this may complicate or delay the procedure.

Q. Does Zinemac 150 cause flatulence (gas or bloating)?
Flatulence (gas) has been reported as a common side effect of Zinemac 150. Although it would be mild to moderate in nature and it goes away once you stop taking Zinemac 150.