Because it doesn't work.
Once upon a time there was Rebagit. This is such a medicine. It is made here, in India and elsewhere in Asia, including Japan. I will make a reservation right away that there will be no treatment details in this article. If you want to undergo treatment, then contact your doctor.
So, there lived and there was Rebagit. Rather, it was his working pseudonym. And his real name is rebamipid. Rebamipide's life has been closely associated with prostaglandins.
Good and bad prostaglandins
If you remember, then we have already discussed these prostaglandins in the story about high body temperature and anti-inflammatory drugs.
These same prostaglandins often spoil our lives: they raise the temperature, maintain inflammation. But they also know how to wonderfully protect our kidneys from damage and the stomach from ulcers. You can read about it at the links below.
Without prostaglandins, our stomachs would quickly become covered with holes.
So doctors have long guessed to protect the stomachs of their patients with prostaglandins. They are literally given in pill form. Then the idea came up not to slip a ready-made prostaglandin, but to force the gastric mucosa to produce it. And they came up with the same rebamipid.
Rebamipide actually has many different stomach health benefits. And for this they fell in love with us, as well as in India and other Asian countries.
Japanese approach
Personally, among Asian gastroenterologists, I trust the Japanese more. They have great medicine, and they, poor fellows, suffer a lot from stomach ailments. This is probably why the Japanese make a bunch of stomach medicine.
And when I did not find anything about rebamipide in European and American recommendations, I looked into the current Japanese guidelines for the treatment of stomach ulcers. You can read it at the link below.
It turned out that no one there openly speaks about rebamipid. Well, that is, there are literally 18 pages of text with capacious recommendations and names of drugs, but there is no rebamipide. There are only mentions in the list of references and that, they say, they used it in Japan, and it seems to help. But there are no official guidelines. That's it.
So why is it needed at all?
For the past 20 years, rebamipide has remained an experimental treatment.
And we cannot say that this is a dummy. It is increasingly remembered as a medicine for the treatment of recurrent mouth ulcers or dry eye syndrome.
That is, rebamipide actually protects the mucous membranes in the mouth and eyes. But in the treatment of a sick stomach, he never found his place. Somehow he doesn't work very well there.
Have you already been recommended Rebagit?
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Link to current Japanese leadership.
