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. Acid reflux and anxiety can exacerbate each other. People may also confuse the symptoms. Learn more about the link between these conditions here.
Many people with gastroesophageal reflux disease GERD experience fatigue because of the ways that the disease's symptoms impact sleep. In this…. Heartburn is a common problem that often results from acid reflux. Here, learn about the causes and prevention of heartburn, as well as remedies that…. Important warnings. What is pantoprazole? Pantoprazole side effects. Pantoprazole may interact with other medications. Pantoprazole warnings. How to take pantoprazole.
Take as directed. Important considerations for taking pantoprazole. Are there any alternatives? Exposure to air pollutants may amplify risk for depression in healthy individuals. Costs associated with obesity may account for 3. Related Coverage. What is acid reflux? Medically reviewed by University of Illinois. Acid reflux and anxiety: What to know. Medically reviewed by Timothy J.
Why is this medication prescribed? How should this medicine be used? Other uses for this medicine What special precautions should I follow? What special dietary instructions should I follow? What should I do if I forget a dose? What side effects can this medication cause? What should I know about storage and disposal of this medication? Brand names. Ask your pharmacist or doctor for a copy of the manufacturer's information for the patient.
Other uses for this medicine. What special precautions should I follow? Before taking pantoprazole, tell your doctor and pharmacist if you are allergic to pantoprazole, dexlansoprazole Dexilant , esomeprazole Nexium, in Vimovo , lansoprazole Prevacid, in Prevpac , omeprazole Prilosec, in Zegerid , rabeprazole AcipHex , any other medications, or any of the ingredients in pantoprazole tablets or granules.
Ask your pharmacist for a list of the ingredients. Your doctor will probably tell you not to take pantoprazole if you are taking this medication. Be sure to mention any of the following: anticoagulants blood thinners such as warfarin Coumadin, Jantoven , atazanavir Reyataz , dasatinib Sprycel , digoxin Lanoxicaps, Lanoxin , diuretics 'water pills' , erlotinib Tarceva , iron supplements, itraconazole Onmel, Sporonox , ketoconazole Nizoral , methotrexate Trexall, Xatmep , mycophenolate mofetil Cellcept , nelfinavir Viracept , nilotinib Tasigna , and saquinavir Invirase.
Your doctor may need to change the doses of your medications or monitor you carefully for side effects. If you become pregnant while taking pantoprazole, call your doctor. Do not take this medication for a longer period of time than recommended by your doctor. Unless your doctor tells you otherwise, continue your normal diet. Pantoprazole may cause side effects. This medicine may increase your risk for fundic gland polyps abnormal tissue growth in the upper part of your stomach.
This is more likely if you are receiving this medicine for more than 1 year. Talk ti your doctor if you have concerns. Do not stop taking this medicine without first checking with your doctor, or unless told to do so by your doctor. Before you have any medical tests, tell the medical doctor in charge that you are taking this medicine. The results of some tests may be affected by this medicine. Do not take other medicines unless they have been discussed with your doctor.
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:.
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. Call your doctor for medical advice about side effects. All rights reserved. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes.
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