The American journal of gastroenterology Jul; 7 —9. Why HPS? Client Login. Sign up for the Newsletter. All rights reserved. Privacy Policy. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. Manage consent. Close Privacy Overview This website uses cookies to improve your experience while you navigate through the website.
Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. We also use third-party cookies that help us analyze and understand how you use this website. These cookies will be stored in your browser only with your consent. You also have the option to opt-out of these cookies. 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. What if I take too much? However, you should check with your doctor if you have taken too much and have any of these symptoms: flushed skin feeling sweaty a fast heartbeat feeling sleepy blurred vision feeling confused or agitated. Talk to your pharmacist or doctor if these side effects bother you or don't go away: headaches diarrhoea feeling sick or being sick nausea or vomiting constipation stomach pain or wind Serious side effects Serious side effects are rare and happen in less than 1 in 1, people.
Call a doctor straight away if you have: joint pain and a red skin rash, especially in parts of your body exposed to the sun, such as your arms, cheeks and nose. These can be signs of a rare condition called subacute cutaneous lupus erythematosus. This can happen even if you've been taking pantoprazole for a long time.
Information: You can report any suspected side effect using the Yellow Card safety scheme. Visit Yellow Card for further information. What to do about: headaches — make sure you rest and drink plenty of fluids.
Do not drink too much alcohol. Ask your pharmacist to recommend a painkiller. Headaches usually go away after the first week of taking pantoprazole. Lois Obert, DNP ,. Jonathan Obert, MD. Related Topics. Potential Effects on Gastrointestinal Health PPIs not only affect oral medications in a variety of ways, they also alter gut flora by increasing the pH of the stomach, allowing ingested bacteria to survive the usual harsh acid environment.
Clopidogrel and proton pump inhibitors-where do we stand in ? World J Gastroenterol. Elsevier Inc. The comparative effects of single intravenous doses of omeprazole and famotidine on intragastric pH.
J Gastroenterol. Early effects of intravenous administrations of lansoprazole and famotidine on intragastric pH. Managing potential drug-drug interactions between gastric acid-reducing agents and antiretroviral therapy: experience from a large HIV-positive cohort.
Diana G, Gregory H. Minor effect of multiple dose omeprazole on the pharmacokinetics of digoxin after a single oral dose. Br J ClinPharmacol. Tetsuhide I, Robert J. Association of long-term proton pump inhibitor therapy with bone fractures and effects on absorption of calcium, vitamin B12, iron, and magnesium. Curr Gastroenterol Rep. Emmae N, Ramsay, Nicole L, et al.
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