Coolem L 75mg/20mg Tablet is a prescribed pharmaceutical compound intended to manage conditions such as Gastroesophageal Reflux Disease (Acid Reflux), intestinal ulcers, and Irritable Bowel Syndrome. Its purpose is to regulate abnormal movements in the intestine and control excessive production of stomach acids.

This particular pharmaceutical solution is notable within the sphere of prescribed drugs for its effectiveness in handling anomalies in gastrointestinal motility and excessive stomach acid production. It is efficient in controlling Gastroesophageal Reflux Disease, intestinal ulcers, and Irritable Bowel Syndrome.

Functioning as a prokinetic agent, it aids the natural motion of the stomach and intestines. Concurrently, Rabeprazole, a proton pump inhibitor, diminishes the production of stomach acid. This double action mechanism regulates the digestion process, providing relief from symptoms such as acidity and discomfort tied to gastrointestinal complications.

For maximum therapeutic benefits, adherence to the recommended dosage and instructions from healthcare professionals is paramount.

The common adverse reactions may encompass nausea, abdominal discomfort, diarrhea, excessive gas, constipation, headache, dizziness, weakness, and sleepiness.

Extra care should be taken, especially by those individuals diagnosed with myasthenia gravis. Sufficient hydration is essential during the course of treatment to mitigate side effects.

If a dose is missed, take it as soon as it is remembered. However, if the time for the next dose is nearing, it is advised to bypass the forgotten dose. 

If a dose is missed, take it as soon as remembered, or skip if it's almost time for the next dose.