Products

HASANLOC 40

Uses For pantoprazole

Pantoprazole is used to treat certain conditions in which there is too much acid in the stomach. It is used to treat erosive esophagitis or "heartburn" caused by gastroesophageal reflux disease (GERD), a condition where the acid in the stomach washes back up into the esophagus. pantoprazole may also be used to treat Zollinger-Ellison syndrome, a condition where the stomach produces too much acid .

Pantoprazole works by decreasing the amount of acid produced by the stomach .

pantoprazole is available only with your doctor's prescription .

Before Using pantoprazole

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For pantoprazole, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to pantoprazole or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies have not been performed on the relationship of age to the effects of pantoprazole in the pediatric population. Safety and efficacy have not been established .

Geriatric

Appropriate studies performed to date have not demonstrated geriatrics-specific problems that would limit the usefulness of pantoprazole in the elderly .

Pregnancy

	Pregnancy Category	Explanation
All Trimesters	B	Animal studies have revealed no evidence of harm to the fetus, however, there are no adequate studies in pregnant women OR animal studies have shown an adverse effect, but adequate studies in pregnant women have failed to demonstrate a risk to the fetus.

Breast Feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with Medicines

Using pantoprazole with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

Atazanavir
Clopidogrel
Dasatinib
Erlotinib
Mycophenolate Mofetil
Nelfinavir

Using pantoprazole with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

Cranberry
Itraconazole
Methotrexate
Warfarin

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Proper Use of pantoprazole

Swallow the delayed-release tablet whole. Do not split, crush, or chew it. You may take the tablet with or without food .

The delayed-release oral suspension granules should only be mixed with applesauce or apple juice. Do not mix the granules with water, other liquids, or food. Do not chew or crush the granules. Take the mixture at least 30 minutes before a meal. If you have a nasogastric feeding tube, make sure the tube is not clogged before you put pantoprazole in the tube with apple juice .

Dosing

The dose of pantoprazole will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of pantoprazole. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

For oral dosage form (delayed-release tablets or suspension):
- For erosive esophagitis:
  - Adults—40 milligrams (mg) once a day for up to 8 weeks. Your doctor may want you to take pantoprazole for more than 8 weeks for certain conditions.
  - Children—Use and dose must be determined by your doctor .
- For Zollinger-Ellison syndrome:
  - Adults—At first, 40 milligrams (mg) two times a day. Your doctor may increase your dose if needed.
  - Children—Use and dose must be determined by your doctor .

Missed Dose

If you miss a dose of pantoprazole, 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 dosing schedule. Do not double doses.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions While Using pantoprazole

It is very important that your doctor check your progress at regular visits to make sure pantoprazole is working properly and to check for unwanted effects .

Before you have any medical tests, tell the medical doctor in charge that you are taking pantoprazole. The results of some tests may be affected by pantoprazole .

Taking pantoprazole for a long time may make it harder for your body to absorb vitamin B-12. Tell your doctor if you have concerns about vitamin B-12 deficiency .

Pantoprazole Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Less common

Abdominal pain
blurred vision
dry mouth
fatigue
flushed, dry skin
fruit-like breath odor
increased hunger
increased thirst
increased urination
nausea
sweating
troubled breathing
unexplained weight loss
vomiting

Incidence not known

Absence of or decrease in body movements
blindness
blistering, peeling, or loosening of skin
bloating
bloody or cloudy urine
bloody, black, or tarry stools
blurred vision
chills
clay-colored stools
constipation
continuous ringing or buzzing or other unexplained noise in ears
cough
dark-colored urine
decreased vision
diarrhea
difficulty with speaking
difficulty with swallowing
dizziness or lightheadedness
fast heartbeat
feeling of constant movement of self or surroundings
fever
general feeling of tiredness or weakness
greatly decreased frequency of urination or amount of urine
headache
hearing loss
high fever
hives
indigestion
itching
joint pain
large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
light-colored stools
loss of appetite
mood or mental changes
muscle cramps or spasms
muscle pain or stiffness
pains in the stomach, side, or abdomen, possibly radiating to the back
pale skin
puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
red skin lesions, often with a purple center
red, irritated eyes
sensation of spinning
shortness of breath
skin rash
sore throat
sores, ulcers, or white spots on the lips or in the mouth
stomach pain, continuing
swelling of the feet or lower legs
swollen glands
tightness in the chest
unexplained bleeding or bruising
unpleasant breath odor
unusual tiredness or weakness
vomiting of blood
wheezing
yellow eyes or skin

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: