Pantoloc

The recommended dose of Pantoloc (Pantoprazole) to treat reflux esophagitis is 40 mg once daily in the morning for 4 to 8 weeks. Treatment may be continued at a dose of 20 mg to 40 mg once daily to prevent the symptoms from returning.

To treat GERD or heartburn, the recommended dose is 40 mg once daily for up to 4 weeks.

To prevent stomach ulcers associated with NSAID use, the dose is 20 mg once daily in the morning.

To treat duodenal (intestinal) ulcers, the recommended dose is 40 mg once daily in the morning for 2 to 4 weeks.

To treat gastric (stomach) ulcers, the recommended dose is 40 mg once daily in the morning for 4 to 8 weeks.

To treat duodenal (intestinal) ulcers caused by H. pylori in adults, the dose of Pantoloc (Pantoprazole) is 40 mg twice daily taken with amoxicillin 1,000 mg twice daily and clarithromycin 500 mg twice daily, or Pantoloc (Pantoprazole) 40 mg twice daily taken with Metronidazole 500 mg twice daily and clarithromycin 500 mg twice daily. The usual duration of this treatment is 7 days.

Do not chew or crush the tablets. Swallow them whole with a glass of water in the morning either before, during, or after breakfast.

Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.

It is important that Pantoloc (Pantoprazole) be taken exactly as prescribed by your doctor. If you miss a dose, take it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Store Pantoloc (Pantoprazole) at room temperature and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

In addition to its desired action, this medication may cause some adverse effects, notably: it may cause headaches; it may cause diarrhea; it may cause dizziness - use caution when getting up from a lying or sitting position and use caution if driving. Each person may react differently to a treatment. If you think this medication may be causing adverse effects (including those described here, or others), talk to your health care professional. He or she can help you to determine whether or not the medication is the source of the problem.

20 mg
Each enteric-coated, yellow, oval, biconvex tablet, marked "P20" on one side, contains 20 mg of Pantoloc (Pantoprazole) (as 22.6 mg Pantoloc (Pantoprazole) sodium sesquihydrate). Nonmedicinal ingredients: anhydrous sodium carbonate, calcium stearate, crospovidone, ferric oxide, mannitol, methylhydroxypropyl cellulose, poly (ethylacrylate, methacrylic acid), polysorbate 80, polyvidone, propylene glycol, sodium lauryl sulfate, titanium dioxide, and triethyl citrate.

40 mg
Each enteric-coated, yellow, oval, biconvex tablet, marked "P40" on one side, contains 40 mg of Pantoloc (Pantoprazole) (as 45.1 mg Pantoloc (Pantoprazole) sodium sesquihydrate). Nonmedicinal ingredients: anhydrous sodium carbonate, calcium stearate, crospovidone, ferric oxide, mannitol, methylhydroxypropyl cellulose, poly (ethylacrylate, methacrylic acid), polysorbate 80, polyvidone, propylene glycol, sodium lauryl sulfate, titanium dioxide, and triethyl citrate.

Do not take Pantoloc (Pantoprazole) if you:

• are allergic to Pantoloc (Pantoprazole) or any ingredients of the medication
• are taking the medication rilpivirine

There may be an interaction between Pantoloc (Pantoprazole) and any of the following:

• amphetamines
• Apalutamide
• "azole" antifungals (e.g., itraconazole, ketoconazole, Voriconazole)
• bisphosphonates (e.g., Alendronate, etidronate, Risedronate)
• Capecitabine
• cefuroxime
• Clopidogrel
• delavirdine
• dexmethylphenidate
• doxycycline
• Enzalutamide
• HIV protease inhibitors (e.g., atazanavir, indinavir, ritonavir, saquinavir)
• iron salts
• ledipasvir
• Mesalamine
• methotrexate
• Methylphenidate
• multivitamins with minerals
• mycophenolate
• raltegravir
• rifampin
• rilpivirine
• Riociguat
• certain tyrosine kinase inhibitors (e.g., Bosutinib, Dabrafenib, Dasatinib, Pazopanib, Nilotinib)
• velpatasvir
• Warfarin

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

• stop taking one of the medications,
• change one of the medications to another,
• change how you are taking one or both of the medications, or
• leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with Pantoloc (Pantoprazole). Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the Nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Pantoloc (Pantoprazole).

Diarrhea: When gastric acid is decreased, the number of bacteria normally in the digestive system increases. Occasionally, this can cause serious infection in the digestive tract. If you experience severe watery or bloody diarrhea, fever, or abdominal pain while taking Pantoloc (Pantoprazole), contact your doctor as soon as possible.

Electrolyte balance: Long term use of Pantoloc (Pantoprazole) may cause the levels of electrolytes such as potassium, calcium, and magnesium in the blood to decrease. If you experience symptoms of fluid and electrolyte imbalance such as muscle pains or cramps; Dry Mouth; numb hands, feet, or lips; or racing heartbeat, contact your doctor as soon as possible. Your doctor may do blood tests periodically to monitor the levels of these electrolytes in your blood while you are taking Pantoloc (Pantoprazole).

Kidney function: If you have Kidney Disease or decreased kidney function, discuss with your doctor how Pantoloc (Pantoprazole) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Pantoloc (Pantoprazole), and whether any special monitoring is needed.

Liver function: People with severe liver disease should generally not take more than 20 mg of Pantoloc (Pantoprazole) daily. If you have liver disease or decreased liver function, discuss with your doctor how Pantoloc (Pantoprazole) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Pantoloc (Pantoprazole), and whether any special monitoring is needed.

Methotrexate interaction: Pantoloc (Pantoprazole), like other medications in this group, may interact with methotrexate when the two medications are used at the same time. This combination may lead to higher than expected amounts of methotrexate in the body and can cause serious side effects, including kidney damage, irregular heartbeat, Anemia, or infection. If you take Pantoloc (Pantoprazole) and are also going to receive a dose of methotrexate, discuss with your doctor how Pantoloc (Pantoprazole) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Pantoloc (Pantoprazole), and whether any special monitoring is needed.

Osteoporosis fractures: Long term use of Pantoloc (Pantoprazole) may be related to an increased risk of bone fractures in the hip, wrist, or spine, as a result of weakened bones. This risk is further increased if you are at risk of developing osteoporosis. If you have osteoporosis or have risk factors for developing osteoporosis, discuss with your doctor how Pantoloc (Pantoprazole) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Pantoloc (Pantoprazole), and whether any special monitoring is needed.

Severe stomach problems: If you have recurrent vomiting, difficulty swallowing, blood in the stool, significant unintentional weight loss, fatigue (anemia), or are coughing up blood, check with your doctor right away. Long term use of Pantoloc (Pantoprazole) (longer than 1 year) has been associated with growth of polyps (abnormal growths) in the stomach.

Skin conditions: Subacute cutaneous Lupus erythematosus is a skin condition that may develop in certain people taking Pantoloc (Pantoprazole) or other similar medications. If you develop a rash on areas of skin that are exposed to the sun, such as the face, arms, or shoulders, check with your doctor as soon as possible.

Vitamin B12: Long-term use of Pantoloc (Pantoprazole) may lead to vitamin B12 deficiency. If you are a vegetarian or have low vitamin B12 levels, discuss with your doctor whether any special monitoring is required.

Pregnancy: Pantoloc (Pantoprazole) should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking Pantoloc (Pantoprazole), contact your doctor immediately.

Breast-feeding: Pantoloc (Pantoprazole) passes into breast milk. If you are a breast-feeding mother and are taking Pantoloc (Pantoprazole), it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Children: The safety and effectiveness of using Pantoloc (Pantoprazole) has not been established for children.

This medication is typically used only once a day. However, your pharmacist may have suggested a different schedule that is more appropriate for you. Take it regularly and continuously to maintain its beneficial effects. This medication should be swallowed whole. It should not be split, crushed or chewed. Avoid using or consuming substances that may irritate your stomach, such as: Cigarettes Alcohol and alcohol-containing products Coffee, tea and chocolate Acidic or spicy food Fried foods If you forget a dose, take it as soon as you remember -- unless it is almost time for your next dose. In that case, skip the missed dose. Do not double the next dose to catch up. This medication may be taken with or without food. However, to maximize its effectiveness, this medication should be taken 30 to 60 minutes before the first meal of the day.