Finger Which one can be taken first, rabeprazole or bismuth pectin. The instructions of Rabeprazole and Pectin Bismuth do not specify which one should be taken first, so either one can be taken first, but Rabeprazole is required to be taken on an empty stomach, while Pectin Bismuth needs to be taken before 1 hour before meals or before bedtime. Rabeprazole is used to treat acid-related diseases, such as gastric ulcers, duodenal ulcers, anastomotic ulcers, reflux esophagitis, Zuo – Ai syndrome, etc. Its adverse reactions include anaphylaxis, hematologic, such as pancytopenia and thrombocytopenia. It is contraindicated for those who have allergy to rabeprazole sodium or any excipients in the prescription, history of hemorrhage, hemophilia, cerebral hemorrhage and severe hepatic and renal insufficiency. Bismuth pectin is mainly used for the treatment of chronic gastritis and the relief of stomach pain, heartburn, acid reflux caused by hyperacidity, its adverse reactions include feces can be lusterless black-brown color, which can be normalized after stopping the drug, and is prohibited for people with severe renal insufficiency and pregnant women. When taking the above two drugs to treat related diseases, need to be taken under the guidance of a physician to identify the evidence, do not take blindly, so as not to damage the body and aggravate the condition.