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Pantoprazole belongs to a class of medications known as proton pump inhibitors (PPIs). It is used for the short-term treatment of adults with signs and symptoms of gastroesophageal reflux disease (GERD), such as regurgitation and heartburn. How to use Adults: The recommended dose is one tablet (20 mg) taken orally daily. children: The safety and effectiveness of this medicine have not yet been established in children. Take this medicine as directed in this leaflet or as advised by your doctor or pharmacist. Make sure to take this medicine for at least 2 to 3 consecutive days. Stop taking this medicine when you feel completely relieved from your symptoms. Do not take the medicine for more than 4 weeks unless your doctor recommends it. Take the tablet before a meal. Take the medicine at the same time every day. Swallow the tablet whole with a glass of water. Do not break or chew the tablet. Warnings and precautions Do not take pantoprazole: If you are allergic to pantoprazole or any other ingredients in this medicine, tell your doctor about the symptoms you experience. If you are taking HIV protease inhibitors (medicines used to treat HIV), such as atazanavir and nelfinavir. Warnings and precautions: Talk to your doctor or pharmacist if you experience allergic reactions to this medicine or have previously experienced allergic reactions to medicines similar to this medicine (proton pump inhibitors). Signs of allergic reactions include shortness of breath, rash, swelling of the face or neck, low blood pressure, and dizziness. Be sure to tell your doctor if you have liver problems, jaundice (yellowing of the eyes and skin), anemia, bleeding in the stomach or intestines, unintentional weight loss, difficulty swallowing, persistent vomiting or vomiting blood, and any other medical problem. Be sure to tell your doctor if you have ever had a stomach ulcer or surgery on your stomach or intestines. Consult your doctor if you are undergoing continuous treatment for symptoms of heartburn or indigestion for 4 weeks or more. Be sure to tell your doctor if your symptoms are new or have recently changed and you are over 55 years old. Be sure to follow up with your doctor regularly if you are over 55 and take over-the-counter heartburn medications almost every day. Consult your doctor if you will have an endoscopy or urea breath test before starting the medication. This medication may not provide immediate relief after taking it. It is expected to start working after one day of treatment and may take up to 7 days to provide complete relief. Side Effects Potential serious side effects of pantoprazole include signs of an allergic reaction, such as a rash; signs of serious skin reactions, such as bleeding and skin loss around the genitals, nose, mouth, or eyes, or blistering or peeling of the skin; a rash with swelling and a rash on sun exposure; signs of liver damage, such as yellowing of the eyes and skin; and signs of kidney damage, such as lower back pain with a high fever and painful urination. Common side effects include polyps in the stomach. Other uncommon or rare side effects include headache, diarrhea, feeling sick, bloating, vomiting, dry mouth, dizziness, constipation, rash, feeling tired or weak, stomach discomfort and pain, itching, fractures of the spine, hip, or wrist, sleep problems, joint or muscle pain, increased liver enzymes in a blood test, changes or loss of sense of taste, blurred vision, joint pain, weight changes, enlarged breasts in males, high body temperature, swelling of the extremities, depression, increased bilirubin and lipid levels, severe decrease in circulating granulocyte white blood cells, low platelet count (can cause easy bruising, delayed wound healing, and bleeding), loss of coordination and orientation, low white blood cells (may increase the risk of infection), decreased red blood cells, watery diarrhea, burning or numbness sensation, tingling, pins and needles, or prickling sensation, confusion, low blood magnesium and sodium levels, hallucinations, and rash with joint pain. Storage Information Do not store the medicine at extreme temperatures. Keep the medicine in its original package to protect it from moisture and light. Drug Interactions Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. If you are taking certain antifungal medications such as ketoconazole (used to treat fungal infections). If you are taking HIV protease inhibitors (medicines used to treat HIV), such as atazanavir and nelfinavir. If you are taking warfarin or phenprocoumon (blood thinners). If you are taking methotrexate (used to treat rheumatoid arthritis, psoriasis, and cancer). If you are taking other medications to reduce acid, such as another proton pump inhibitor (such as lansoprazole, omeprazole, rabeprazole) or an H2 antagonist (such as famotidine, ranitidine). Antacids (such as alginic acid, magglutinins, aluminum hydroxide, sodium bicarbonate, magnesium carbonate, or combinations) can be safely taken with this medication if needed. Ingredients Pantoprazole
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