PANTOPRAZOLE

COMMON BRAND NAME(S): Protonix

GENERIC NAME(S): PANTOPRAZOLE SODIUM

Description: Pantoprazole is a proton pump inhibitor which block acid secretion of the stomach, by inhibiting H+/K+ ATPase enzyme system in gastric parietal cell. Duration: >24 hr.

Pharmacokinetics:

Absorption: Rapidly absorbed. Time to peak plasma concentration: Approx 2-2.5 hr after oral dose. Oral bioavailability: Approx 77%.

Distribution: Volume of distribution: 11-24 L. Plasma protein binding: Approx 98% (mainly to albumin).

Metabolism: Extensive hepatic metabolism, mainly by CYP2C19 isoenzyme to desmethylpantoprazole and slightly by CYP3A4, CYP2D6 and CYP2C9 isoenzymes.

Excretion: Mainly via urine (approx 80%), the remainder in faeces (via the bile). Elimination half-life: Approx 1 hr (prolonged in hepatic impairment; in patients w/ cirrhosis the elimination half-life is 3-6 hr).

Uses

Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux). It works by decreasing the amount of acid your stomach makes. This medication relieves symptoms such as heartburn, difficulty swallowing, and persistent cough. It helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Pantoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs).

OTHER USES:

This medication may also be used to treat and prevent stomach and intestinal ulcers. It is also used to treat erosive esophagitis, or the damage to the esophagus due to the reflux of acid from the stomach; and other conditions that involves excess stomach acid such as Zollinger-Ellison syndrome.

How to use pantoprazole:

Read the Medication Guide provided by your pharmacist before you start taking pantoprazole and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

Take 40 mg of this medication by mouth as directed by your doctor, usually once daily for 8 weeks. Dosage and length of treatment are based on your medical condition and response to treatment.

If you are taking the tablets, you may take them with or without food. Swallow the tablets whole. Do not split, crush, or chew the medication. Doing so may destroy the drug.

If you are taking the granules, take your dose 30 minutes before a meal. To take it by mouth, open the packet and mix the granules in applesauce or apple juice. Do not mix with other foods or liquids. Do not crush or chew the granules. Sprinkle the granules on 1 teaspoon (5 milliliters) of applesauce and swallow all of the mixture right away (within 10 minutes). Follow with sips of water. Or you can mix the granules with 1 teaspoon (5 milliliters) of apple juice in a small cup, stir for 5 seconds, and swallow all of the mixture right away. To make sure you take the entire dose, rinse the cup once or twice with apple juice to mix any remaining granules, and swallow the juice. Do not prepare the mixture ahead of time for later use.

If you are giving the granules through a tube into the stomach (nasogastric or gastric tube), ask your health care professional for detailed instructions on how to properly mix and give it.

If needed, antacids may be taken along with this medication. If you are also taking sucralfate, take pantoprazole at least 30 minutes before sucralfate.

Use this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day. Continue to take this medication for the prescribed length of treatment even if you are feeling better.

Tell your doctor if your condition persists or worsens.

Warning

Pregnancy Risk: Category B (No proven risk in humans)

Side effects

Headache or diarrhea may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including: symptoms of a low magnesium blood level (such as unusually fast/slow/irregular heartbeat, persistent muscle spasms, seizures).

This medication may rarely cause a severe intestinal condition (Clostridium difficile-associated diarrhea) due to a type of bacteria. Do not use anti-diarrhea products or narcotic pain medications if you have any of the following symptoms because these products may make them worse. Tell your doctor right away if you develop: persistent diarrhea, abdominal or stomach pain/cramping, fever, blood/mucus in your stool.

Rarely, proton pump inhibitors (such as pantoprazole) have caused vitamin B-12 deficiency. The risk is increased if they are taken every day for a long time (3 years or longer). Tell your doctor right away if you develop symptoms of vitamin B-12 deficiency (such as unusual weakness, sore tongue, or numbness/tingling of the hands/feet).

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing, kidney problems (such as change in the amount of urine).

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions

Precautions:

Before taking pantoprazole, tell your doctor or pharmacist if you are allergic to it; or to similar drugs (such as lansoprazole, omeprazole); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: liver disease.

Some symptoms may actually be signs of a more serious condition. Get medical help right away if you have: heartburn with lightheadedness/sweating/dizziness, chest/jaw/arm/shoulder pain (especially with shortness of breath, unusual sweating), unexplained weight loss.

Proton pump inhibitors (such as pantoprazole) may increase your risk for bone fractures, especially with longer use, higher doses, and in older adults. Talk with your doctor or pharmacist about ways to prevent bone loss/fracture, such as by taking calcium (such as calcium citrate) and vitamin D supplements.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

This medication passes into breast milk. Consult your doctor before breast-feeding.

Interactions:

Overdose & Brands

Overdose:

If overdose is suspected, contact a poison control center or emergency room immediately.

Notes

Do not share this medication with others.

If your doctor instructs you to use this medication regularly for a long time, laboratory and medical tests (such as a magnesium blood test, vitamin B-12 levels) may be performed periodically to monitor your progress or check for side effects. Keep all regular medical and laboratory appointments.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Storage

Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

Brands:

Available Brands:

Acernix [ OEP Phils ]

Acrid 40 [ Medchem Int’l ]

Amphoter [ Chandra Bhagat Pharma ]

Antaxid [ Ranbaxy ]

Clessol [ SRS Pharma ]

Durazol [ Torrent ]

Extream [ Phil Shin Poong ]

Marozel [ ACME ]

Pantocar-40 [ Brown & Burk Phils ]

Pantocare [ NCPC ]

Pantokem [ Alkem Lab ]

Pantoloc [ Takeda ]

Pantopraz [ Domesco ]

Pantoprix [ Shou Chan ]

Pantopron [ Pharma Nutria ]

Pantor-20/Pantor-40 [ Torrent ]

Panzole [ United Biotech ]

Pentowin [ XL Lab ]

Prazobloc [ Tianjin Pharma ]

Prazole IV [ Multicare ]

Suppi [ Amegh Pharma ]

Vexprazole 40 [ VE Pharma ]

Also marketed as:

Esopan [ Naprod ]

Marozel Powder for Injection [ ACME ]

Panlox [ XL Lab ]

PanPure [ Kalbe International Phils ]

Pantasur [ Galpha Lab ]

Pantazol [ Synergen ]

Pantolan [ Windlas ]

Pantolax [ Swiss Parenterals ]

Pantomax [ XL Lab ]

Pantozim [ Intas ]

Pantozol 40 Injection [ Jiangsu Kingsley ]

Pantozol-20/Pantozol 40 [ Shine Pharma ]

Panzel [ EON Pharmatek ]

Panzol-40 [ Okasa ]

Ulcepraz [ A. Menarini ]

Zolpra [ Sel-J Pharma ]