Twichek Capsule DR is a medicine that reduces the amount of acid produced in your stomach. It is used for treating acid-related diseases of the stomach and intestine such as acid reflux, peptic ulcer disease, and some other stomach conditions associated with excessive acid production. Twichek Capsule DR is also used to prevent stomach ulcers and acidity that may be seen with the prolonged use of painkillers. It belongs to a class of medicines known as proton pump inhibitors (PPIs). This medicine should be taken one hour before a meal, preferably in the morning. The dose will depend on your underlying condition and how you respond to the medicine. Try to take it regularly at the same time each day as advised by your doctor. You should keep on taking it as prescribed even if your symptoms disappear quickly. You may be able to help improve your symptoms by eating smaller meals more often and avoiding caffeinated drinks like tea and coffee, and spicy or fatty foods. This medicine's most common side effects include nausea, vomiting, headache, dizziness, flatulence, diarrhea, and stomach pain. These tend to be mild but talk to your doctor if they bother you or do not go away. The risk of side effects may increase the longer you take this medicine. Long-term use (more than 1 year) may increase your risk for bone fractures, especially with higher doses. Talk to your doctor about ways to prevent bone loss (osteoporosis), like taking calcium and vitamin D supplements. Low blood magnesium levels (hypomagnesemia) have been seen in some people taking this medicine for 3 months or more. This may lead to tiredness, confusion, dizziness, muscle twitches, and an irregular heartbeat. Your doctor may monitor your magnesium levels to prevent this. Twichek Capsule DR is not suitable for some people. Before taking this medicine, you need to tell your doctor if you have severe liver problems, are taking medicines for HIV, have ever had an allergic reaction to similar medicines in the past, or suffer from bone loss (osteoporosis). Pregnant or breastfeeding women should also consult their doctor before taking it. Avoid drinking alcohol as it makes your stomach produce excessive acid and can worsen your symptoms. Do not drive or use machinery or tools, if this medicine makes you feel dizzy or sleepy.

• Dizziness
• Flatulence
• Headache
• Nausea
• Sore throat
• Stomach pain
• Vomiting

If you miss a dose of Twichek Capsule DR, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

• Q. Q. What is Twichek Capsule DR used for??
  Ans: Twichek Capsule DR is used for the treatment of stomach and intestinal ulcers (gastric and duodenal ulcers), reflux esophagitis, or gastroesophageal reflux disease (GERD). It works by reducing the amount of acid made by your stomach and thus relieves your symptoms. Twichek Capsule DR also prevents acidity associated with the use of painkillers and stress ulcers in critically ill people. It is also used to treat a disease associated with excessive acid production in the stomach known as Zollinger Ellison syndrome (ZES).
• Q. Q. How long does it take for Twichek Capsule DR to work??
  Ans: Twichek Capsule DR starts working within an hour of taking it and shows maximum benefit within two to four hours. You should start feeling better within 2 to 3 days but it may take up to 4 weeks to relieve your symptoms significantly.
• Q. Q. What is the best time to take Twichek Capsule DR??
  Ans: It is best to take Twichek Capsule DR before your breakfast. If you are taking two doses, take it in the morning and evening. Twichek Capsule DR is more effective when it is taken an hour before your food.
• Q. Q. Can I stop taking Twichek Capsule DR if I feel better??
  Ans: No, do not stop taking Twichek Capsule DR before completing the full course of treatment. You will start to feel better before your treatment is complete.
• Q. Q. Does Twichek Capsule DR cause bone problems??
  Ans: Yes, long-term use of Twichek Capsule DR can cause thinning of bones, which is called osteoporosis. Twichek Capsule DR decreases the calcium absorption leading to calcium deficiency and increases the risk of bone fractures of the hip, wrist, or spine. Take an adequate amount of calcium in your diet or take the supplements as advised by your doctor to avoid any bone problems.
• Q. Q. How is Twichek Capsule DR useful in the treatment of H. pylori infection??
  Ans: Twichek Capsule DR is used along with antibiotics for the treatment of H.Pylori infection. It works by decreasing stomach acid volume and decreasing breakdown and washout of antibiotics leading to an increased antibiotic concentration and tissue penetration. It also helps in symptomatic relief by decreasing associated acidity, reflux, and heartburn.
• Q. Q. Can I take Twichek Capsule DR with vitamin D??
  Ans: Yes, vitamin D can be taken along with Twichek Capsule DR. Vitamin D is generally advised to be taken as a supplement with Twichek Capsule DR as the long-term use of Twichek Capsule DR decreases the absorption of calcium and may lead to calcium deficiency. This can lead to osteoporosis (thinning of bones) and increase the risk of bone fractures like hip, wrist, and spine fractures. Please consult your doctor to know about ways to prevent this.
• Q. Q. Can long term use of Twichek Capsule DR cause magnesium deficiency??
  Ans: Long-term use of Twichek Capsule DR can lower magnesium levels in patients taking multiple daily doses for 3 months or longer. Get your magnesium levels checked at regular intervals. Tell your doctor if you experience seizures (fits), dizziness, abnormal or fast heartbeat, jitteriness, jerking movements or shaking (tremors), muscle weakness, spasms of the hands and feet, cramps, muscle aches.
• Q. Q. Is it safe to use Twichek Capsule DR for a long period of time??
  Ans: Twichek Capsule DR should be used for as long as it has been prescribed by your doctor. Twichek Capsule DR is usually considered to be safe when taken in the recommended dose and duration. If Twichek Capsule DR is used for more than 3 months, certain long-term side effects may be seen. The most important of these is low magnesium levels in your blood, making you feel tired, confused, dizzy, shaky, or dizzy. You may also have muscle twitches or irregular heartbeat. If the use is further prolonged for more than a year, you may have an increased risk of bone fractures, stomach infections, subacute cutaneous lupus erythematosus, osteoporosis, and vitamin B12 deficiency.
• Q. Q. Can I take alcohol with Twichek Capsule DR??
  Ans: No, alcohol intake is not advised with Twichek Capsule DR. Alcohol itself does not affect the working of Twichek Capsule DR, but it can increase acid production. This may further cause worsening of your symptoms.
• Q. Q. What dietary changes should I make to get relief from acidity??
  Ans: Twichek Capsule DR is best taken 1 hour before a meal. You should avoid spicy and fatty foods while taking this medicine. It also helps to cut down on caffeinated drinks such as tea, coffee, and cola. Alcohol intake should also be avoided as it may worsen your symptoms.
• Q. Q. What other lifestyle changes should I make to get maximum benefit of Twichek Capsule DR??
  Ans: You make see better results if you make certain dietary and lifestyle changes while taking Twichek Capsule DR. Exercise regularly and eat healthily. You can consult your dietician to get a diet chart that suits you best. Eat at least 3 hours before sleeping to reduce the chances of aggravation of your symptoms at night. You should avoid spicy and fatty foods while taking this medicine. Refrain from caffeinated drinks such as tea, coffee, and cola. Alcohol intake and smoking should also be avoided as they may worsen your symptoms.
• Q. Q. Can I take antacids along with Twichek Capsule DR??
  Ans: Yes, you can take antacids along with Twichek Capsule DR. Take it 2 hours before or after you take Twichek Capsule DR.

FDC Ltd | B-8, MIDC Area, Waluj - 431 136, Dist. Aurangabad, Maharashtra