Pantoprazole – Oral

Why do I need this medicine?

Pantoprazole is a gastric medicine.

It is used to treat conditions caused by excessive acidity in your stomach, such as ulcers in the stomach or duodenum (upper portion of the small intestine), reflux disease (also known as “heartburn”, in which food or acid from your stomach backs up into your mouth, leaving a sour or bitter taste) and hypersecretory conditions such as Zollinger-Ellison syndrome (a condition in which a growth in the pancreas or duodenum or both secretes too much acid).

Pantoprazole can also be used to relieve stomach irritation and ulceration caused by certain painkillers such as non-steroidal anti-inflammatory drugs (NSAIDs).

Pantoprazole treats these conditions by reducing the amount of acid your stomach makes.

Pantoprazole may also be used together with other medicines to treat a specific type of gastric problem caused by the Helicobacter pylori bacteria.

How do I take this medicine?

Take Pantoprazole exactly as directed by your doctor or according to the instructions on the label. Do not take more or less than instructed by your doctor.

You may take Pantoprazole with or without food. Try to take it at the same time each day.

However, if you are taking the controlled-release form of Pantoprazole, take it on an empty stomach 1 hour before meals. Swallow the tablet whole, do not divide, chew or crush it.

You may need to take Pantoprazole for some time before the full benefits can be felt. Continue to take it even when you feel better and do not stop taking it unless advised by your doctor to do so.

What should I do if I have forgotten to take this medicine?

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your normal dosing schedule.

DO NOT double a dose under any circumstances.

If you often forget to take your medicine, let your doctor and pharmacist know.

What should I take note of while taking this medicine?

Inform your doctor if you have liver disease.

Let your doctor know if you are pregnant or breastfeeding.

If your gastric problem seems to be getting worse, let your doctor know. Do not take Pantoprazole for a long period of time unless instructed otherwise.

What side effects could I experience?

Pantoprazole may cause dizziness. If affected, do not drive or take part in any activity in which you need to be alert.

Other side effects include any of the following: headache, diarrhoea, abdominal pain, nausea, vomiting and wind in the stomach. These should get better or go away as your body adjusts to the medicine.

Some side effects may be serious, although they are not common. Alert your doctor quickly if you experience rashes with skin peeling or blisters.

Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.

Can I take this with other medicines?

Inform your doctor and pharmacist if you are taking any of these medicines:

– medicines for fungal infection e.g. ketoconazole, itraconazole, voriconazole

– medicines for HIV infection e.g. atazanavir, saquinavir, rilpivirine, nelfinavir

– warfarin (blood-thinning medicine)

– tacrolimus (medicine used in organ transplant or certain immune disorders)

– methotrexate (anticancer medicine)

This list does not include all medicines that may interact with Pantoprazole.

Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics such as traditional Chinese medicine, supplements and medicines that you buy without a prescription.

What special dietary instructions should I follow?

It may be helpful to discuss your diet with your doctor or dietitian. A change in diet may help improve your symptoms. For example, spicy food tends to worsen reflux and should be avoided. Likewise, carbonated (“fizzy”) drinks such as soft drinks should also be avoided.

You should also try to avoid lying down soon after eating as this will worsen the reflux symptoms.

Avoid alcohol.

How should I store this medicine?

Store in a cool, dry place away from the reach of children.

Medicines must not be used past the expiry date.