- Overview
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Overview
| Generic Names: | Irsogladine Maleate; Rebeprazole sodium; rabeprazole sodium |
|---|---|
| Trade Names: | AcipHex; Pariet |
| PharmGKB Accession Id: | PA451216 |
Description
Rabeprazole is an antiulcer drug in the class of proton pump inhibitors. It is a prodrug - in the acid environment of the parietal cells it turns into active sulphenamide form. Rabeprazole inhibits the H+, K+ATPase of the coating gastric cells and dose-dependent oppresses basal and stimulated gastric acid secretion. (source: Drug Bank)
Indication
For short-term treatment in the healing and symptomatic relief of erosive or ulcerative gastroesophageal reflux disease (GERD). (source: Drug Bank)
ATC Therapeutic Category
- A02BC:Proton pump inhibitors
Pharmacology, Interactions, and Contraindications
Mechanism Of Action
Rabeprazole belongs to a class of antisecretory compounds (substituted benzimidazole proton-pump inhibitors) that do not exhibit anticholinergic or histamine H2-receptor antagonist properties, but suppress gastric acid secretion by inhibiting the gastric H<sup>+</sup>/K<sup>+</sup>ATPase (hydrogen-potassium adenosine triphosphatase) at the secretory surface of the gastric parietal cell. Because this enzyme is regarded as the acid (proton) pump within the parietal cell, rabeprazole has been characterized as a gastric proton-pump inhibitor. Rabeprazole blocks the final step of gastric acid secretion. In gastric parietal cells, rabeprazole is protonated, accumulates, and is transformed to an active sulfenamide. When studied in vitro, rabeprazole is chemically activated at pH 1.2 with a half-life of 78 seconds. (source: Drug Bank)
Pharmacology
Rabeprazole prevents the production of acid in the stomach. It reduces symptoms and prevents injury to the esophagus or stomach in patients with gastroesophageal reflux disease (GERD) or ulcers. Rabeprazole is also useful in conditions that produce too much stomach acid such as Zollinger-Ellison syndrome. Rabeprazole may also be used with antibiotics to get rid of bacteria that are associated with some ulcers. Rabeprazole is a selective and irreversible proton pump inhibitor, suppresses gastric acid secretion by specific inhibition of the H<sup>+</sup>, K<sup>+</sup> -ATPase enzyme system which is found at the secretory surface of parietal cells. It inhibits the final transport of hydrogen ions (via exchange with potassium ions) into the gastric lumen. (source: Drug Bank)
Food Interactions
Take without regard to meals.
Take without regard to meals. Food may slow absorption rate but extent of absorption is not affected.
(source:
Drug Bank)
Absorption, Distribution, Metabolism, Elimination & Toxicity
Biotransformation
Hepatic (source: Drug Bank)
Protein Binding
96.3% (bound to human plasma proteins) (source: Drug Bank)
Absorption
Absolute bioavailability is approximately 52%. (source: Drug Bank)
Isomeric SMILES Code:
CC1=C(C=CN=C1C[S@](=O)C2=NC3=CC=CC=C3N2)OCCCOC (source: Drug Bank)
The following genes are in curated knowledge about this drug.
| Gene | Relationship | Evidence | |
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ATP4A |
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Publications |
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ATP4B |
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Publications |
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CYP2C19 |
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Publications |
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CYP3A4 |
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Publications |
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CYP3A43 |
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Publications |
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CYP3A5 |
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Publications |
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CYP3A7 |
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Publications |
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DRD3 |
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Publications |
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HTR1D |
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Publications |
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NR1I2 |
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Publications |
A list of non-curated publications that mention this drug along with other genes is available.
Drug Targets
| Gene | Description | |
|---|---|---|
| ATP4A |
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(source: Drug Bank) |
| ATP4B |
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(source: Drug Bank) |
PharmGKB Curated Pathways
A list of non-curated publications that mention this drug along with other drugs is available.
Drug Interactions
| Drug | Description | |
|---|---|---|
| atazanavir |
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This gastric pH modifier decreases the levels/effects of atazanavir (source: Drug Bank) |
| dasatinib |
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Possible decreased levels of dasatinib (source: Drug Bank) |
| digoxin |
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Rabeprazole increases the effect of digoxin (source: Drug Bank) |
| enoxacin |
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The agent decreases the absorption of enoxacin (source: Drug Bank) |
| indinavir |
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Omeprazole decreases the absorption of indinavir (source: Drug Bank) |
| itraconazole |
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The proton pump inhibitor decreases the absorption of imidazole (source: Drug Bank) |
| ketoconazole |
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The proton pump inhibitor decreases the absorption of imidazole (source: Drug Bank) |
Curated Information
The following diseases are in curated knowledge about this drug.
| Disease | Relationship | Evidence | |
|---|---|---|---|
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Gastroesophageal Reflux |
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Publications |
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Peptic Ulcer |
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Publications |
Non-Curated Information
A list of non-curated publications that mention this drug along with other diseases is available.
Additional Datasets
These datasets are minimally curated and are sorted alphabetically by title.
LinkOuts
Common Searches
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Non-Curated Publications
A list of non-curated publications that mention this drug is available.
