These are not all the side effects of pantoprazole. For a full list see the leaflet inside your medicine packet. Pantoprazole is not usually recommended during pregnancy as there's no clear evidence it's safe.
A medicine called omeprazole , which is similar to pantoprazole, is safe in pregnancy. However, if you're pregnant, it's better to try to treat your symptoms without taking a medicine.
Your doctor or midwife may suggest eating smaller meals more often and avoiding fatty and spicy foods. They may also suggest that you raise the head of your bed 10 to 20cm by putting something under your bed or mattress, so that your chest and head are above your waist. This helps stop stomach acid travelling up towards your throat. Pantoprazole is safe to take while you're breastfeeding. It passes into breastmilk, but only in small amounts that are not harmful to the baby.
If your baby is premature or has health problems, check with your doctor before taking pantoprazole. Some medicines can interfere with pantoprazole and make you more likely to have side effects. Tell your doctor if you're taking these medicines before you start pantoprazole treatment:.
Do not take St John's wort, the herbal remedy for depression, while you're taking pantoprazole. St John's wort may stop pantoprazole working as well as it should. Tell your doctor or pharmacist if you're taking any other medicines, including herbal medicines, vitamins or supplements. Proton pumps are tiny substances in the lining of the stomach that help it make acid to digest your food. Pantoprazole prevents proton pumps from working properly. This reduces the amount of acid the stomach makes.
You should start to feel better within 2 to 3 days. It may take up to 4 weeks for pantoprazole to work properly so you may still have some symptoms during this time. If you bought pantoprazole without a prescription, and feel no better after 2 weeks, tell your doctor. They may want to do tests or change you to a different medicine. If you take pantoprazole for more than 3 months, the levels of magnesium in your blood may fall.
This can make you feel tired, confused and dizzy and cause muscle twitches, shakiness and an irregular heartbeat. If you get any of these symptoms, tell your doctor. Taking pantoprazole for more than a year may increase your chances of certain side effects, including:. If you take pantoprazole for longer than 1 year your doctor will regularly check your health to see if you should carry on taking it.
It's not known if pantoprazole works less well the longer you take it. If you feel like it isn't working any more, talk to your doctor. A Hong Kong study published in suggested that people taking PPIs like pantoprazole for at least 3 years have a very small increased chance of developing stomach cancer. For every 10, people taking a PPI long term, it was thought an extra 4 people get stomach cancer.
However, the study didn't prove that PPIs were causing stomach cancer and the results may not apply in the UK. People who take PPIs regularly shouldn't be particularly concerned by this study. However PPIs, like most medicines, have side effects, so it's best to take them for the shortest time possible. Usually, you can stop taking pantoprazole without reducing the dose first. If you've taken pantoprazole for a long time speak to your doctor before you stop taking it.
Stopping suddenly could make your stomach produce a lot more acid, and make your symptoms come back. Reducing the dose gradually before stopping completely will prevent this happening.
Like pantoprazole, these medicines are proton pump inhibitors. They work in the same way to reduce acid in your stomach. They generally work as well and have similar side effects. However, they may be given in different doses. Sometimes, if pantoprazole isn't working or doesn't agree with you, your doctor may suggest that you try taking another proton pump inhibitor.
There are other pharmacy and prescription medicines for indigestion and heartburn. Antacids , like calcium carbonate Tums , sodium bicarbonate, Maalox and Milk of Magnesia, relieve indigestion and heartburn by neutralising the acid in your stomach. They give quick relief that lasts for a few hours. They're ideal for occasional stomach acid symptoms. Some antacids, such as Gaviscon , have an extra ingredient called alginic acid. They work by lining your stomach so that juices from it don't splash up into your food pipe.
They're especially good for relieving acid reflux. Histamine antagonists commonly called H2 blockers reduce the amount of acid made in your stomach, but they do this in a different way to PPIs.
They include famotidine Pepcid , ranitidine Zantac , cimetidine Tagamet and nizatidine Axid. In general, proton pump inhibitors like pantoprazole are used first because they are better than H2 blockers at reducing stomach acid. However, if you don't get on with a proton pump inhibitor for example, because of side effects , your doctor may prescribe an H2 blocker. You can take pantoprazole with an antacid like Gaviscon.
Take it 2 hours before or after your dose of pantoprazole. Yes, it's safe to take painkillers such as paracetamol or ibuprofen at the same time as pantoprazole. It's best to take ibuprofen with, or just after, a meal so it does not upset your stomach. There's no clear evidence to suggest that taking pantoprazole will reduce fertility in either men or women.
However, speak to a pharmacist or your doctor if you're trying to get pregnant. They may want to review your treatment. Pantoprazole does not affect any type of regular contraception, including the combined pill. It may reduce the effectiveness of one type of emergency contraception called ellaOne ulipristal and a different form of emergency contraceptive may be recommended instead. Pantoprazole can make you feel dizzy, sleepy, or affect your vision.
If this happens to you, do not drive, cycle or use machinery or tools until you feel better. You can eat and drink normally while taking pantoprazole, but it's best to take it an hour before a meal.
It's best to avoid foods that seem to make your symptoms worse, such as rich, spicy and fatty foods. It also helps to cut down on caffeinated drinks, such as tea, coffee and cola, as well as alcohol. Alcohol does not interfere with the way pantoprazole works. However, drinking alcohol makes your stomach produce more acid than normal. This can irritate your stomach lining and make your symptoms worse.
It may be possible to ease symptoms caused by too much stomach acid by making a few changes to your diet and lifestyle:. Page last reviewed: 12 November Next review due: 12 November Pantoprazole On this page About pantoprazole Key facts Who can and cannot take pantoprazole How and when to take it Side effects How to cope with side effects Pregnancy and breastfeeding Cautions with other medicines Common questions. About pantoprazole Pantoprazole reduces the amount of acid your stomach makes.
Pantoprazole comes as tablets. It also comes as liquid that you swallow. Help us improve our website Can you answer a quick question about your visit today? It's usual to take pantoprazole once a day in the morning.
Common side effects include headaches, constipation or diarrhoea, wind, stomach pain, feeling or being sick. These tend to be mild and go away when you stop taking the medicine.
If you've bought pantoprazole without a prescription and your symptoms don't improve after 2 weeks, see a doctor before taking any more. Pantoprazole isn't usually recommended during pregnancy. Pantoprazole is also called by the brand name Pantoloc Control. To make sure that it is safe for you, tell your doctor if you: have ever had an allergic reaction to pantoprazole or any other medicine have liver problems are due to have an endoscopy Ask your doctor if you should stop taking pantoprazole a few weeks before your endoscopy.
Dosage Each tablet contains 20mg or 40mg of pantoprazole. The usual dose to treat: heartburn and acid reflux is 20mg a day gastro-oesophageal reflux disease is 20mg to 40mg a day stomach ulcers is 20mg to 40mg a day Zollinger-Ellison syndrome is 40mg to 80mg a day — this can increase to mg a day depending on how well it works for you Will my dose go up or down? How long will I take it for? After 2 weeks: if your symptoms have improved — you can take it for another 2 weeks if your symptoms have not improved — or they are worse, speak to a doctor before taking any more pantoprazole Do not take pantoprazole for more than 4 weeks without speaking to your doctor first.
What if I forget to take it? If you usually take it: once a day — take the missed dose as soon as you remember, unless your next dose is due in less than 12 hours in which case skip the missed dose. Take your next dose at the usual time, and then carry on as normal. It is also used to treat conditions where the stomach produces too much acid, such as Zollinger-Ellison syndrome in adults.
Pantoprazole is in a class of medications called proton-pump inhibitors. It works by decreasing the amount of acid made in the stomach. Pantoprazole comes as a delayed-release releases the medication in the intestine to prevent break-down of the medication by stomach acids tablet and as delayed-release granules to take by mouth.
The packets of delayed-release granules must be mixed with applesauce or apple juice and taken by mouth or given through a feeding tube. For the treatment and maintenance of GERD, pantoprazole is usually taken once a day.
For the treatment of conditions where the stomach produces too much acid, pantoprazole is usually taken twice a day. The delayed-release tablets are usually taken with or without food, and the granules are usually taken 30 minutes before a meal. Take pantoprazole at around the same time s every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand.
Take pantoprazole exactly as directed. Do not take more or less of it or take it more often or for a longer period of time than prescribed by your doctor. Swallow the tablets whole; do not split, chew, or crush them. If your doctor has prescribed the 40 mg tablet and it is too big for you to swallow, ask your doctor to prescribe two of the 20 mg tablets instead.
To take the granules, open the packet and either sprinkle the granules onto one teaspoonful of applesauce or into a cup containing one teaspoonful of apple juice. Do not mix the granules with water, other liquids, or other foods. Use all of the granules in the packet; do not divide the granules into smaller doses.
If you sprinkle the granules into apple juice, stir the mixture for 5 seconds. Swallow the mixture of applesauce or apple juice and medication right away within 10 minutes without chewing or crushing the granules.
If you sprinkled the granules on applesauce, take several sips of water to wash the granules down to your stomach. If you sprinkled the granules into apple juice, rinse the cup once or twice with apple juice and drink the apple juice right away to be sure you swallow any leftover granules. Pantoprazole granules mixed with apple juice may be given through a feeding tube. If you have a feeding tube, ask your doctor how you should take pantoprazole.
Continue to take pantoprazole even if you feel well. Do not stop taking pantoprazole without talking to your doctor. If your condition does not improve or gets worse, call your doctor. This medication may be prescribed for other uses; ask your doctor or pharmacist for more information. Take the missed dose as soon as you remember it. However, if it is almost time for your next dose, skip the missed dose and continue your regular dosing schedule.
Do not take a double dose to make up for a missed dose. Pantoprazole may cause other side effects. Call your doctor if you have any unusual problems while taking this medication. People who take proton pump inhibitors such as pantoprazole may be more likely to fracture their wrists, hips, or spine than people who do not take one of these medications.
People who take proton pump inhibitors may also develop fundic gland polyps a type of growth on the stomach lining. These risks are highest in people who take high doses of one of these medications or take them for one year or longer. Talk to your doctor about the risks of taking pantoprazole. Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture not in the bathroom.
It is important to keep all medication out of sight and reach of children as many containers such as weekly pill minders and those for eye drops, creams, patches, and inhalers are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location — one that is up and away and out of their sight and reach.
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