Astepan D Tablet

• Gastro-oesophageal reflux disease (GERD)
• Erosive oesophagitis (EE)
• Stomach and intestinal ulcers
• For relieving symptoms of nausea, vomiting and fullness
• To reduce stomach discomfort and regurgitation of gastric contents

• If you are allergic to Pantoprazole, Domperidone, or any of the ingredients of this medicine.
• If you are taking an anti-HIV medicine containing Rilpivirine (if you are not sure, ask your doctor).
• If you have blockage or obstruction in any part of your digestive tract.
• If you have or ever had bleeding in the stomach or intestine.
• If you have any liver or kidney-related problems or diseases.
• If you have a tumour called prolactin pituitary tumours of pituitary glands.
• If you have heart-related disease or problems such as heart failure or irregular heart rhythm problems.
• If you have been told that your body has salt or electrolyte imbalance.

• Dry mouth
• Headache
• Weakness
• Diarrhoea
• Gas
• Rash
• Fatigue

Other General Warnings

• You develop watery diarrhoea or fever after taking this medicine.
• You experience black stools.
• You have a stomach tumour or cancer.
• You have a history of fractures or have osteoporosis, or are taking steroids.
• You develop a rash on your skin after exposure to the sun, stop your treatment and inform your doctor as soon as possible.
• You have been taking this medicine for a long time. Your blood magnesium levels may drop, and your doctor may perform regular tests for this.
• You have serious heart problems like congestive heart failure, heart rhythm problems and electrolyte imbalance.
• You have liver and kidney disease or kidney failure.
• You are taking medicines to treat an infection, or you have HIV.

• Take Astepan D tablet as a whole with a sufficient amount of water.
• It should be preferably taken in the morning before food.

• Store it below 25°C, in a cool and dry place.
• Keep it out of the reach of children and pets.

• It is recommended to use this medicine as prescribed. However, anti-reflux medicines should preferably be taken on an empty stomach or with food for optimum effectiveness in the morning.
• You can make certain lifestyle modifications like preventing excess intake of foods that cause acidity, like carbonated drinks and oily/fried food, regular exercise, and maintaining a healthy weight.
• It is also advised to limit alcohol intake and quit smoking for better treatment of your acidity.
• It is advised to reduce stress and get good sleep each night.
• Inform your doctor if you have been using this medicine continuously to treat acidity for more than four weeks or if the symptoms are persistent even after taking the medicine.
• This medicine can hamper the actions of other medicines taken at the same time. Inform your doctor if you are using any other medicines.
• Consult your doctor if you experience effects like nausea, fullness, and bloating, especially after food intake, even after taking this medicine.
• You should undergo a regular checkup if you've been using this medication for over a year as it may increase the risk of bone fractures.

Overdose

Missed a Dose

How Does It Work?

Interactions with other medicines

• Certain medicines can affect the way this medicine works or this medicine itself can reduce the effectiveness of other medicines taken along. Inform your doctor about all the medications, supplements, or herbal supplements you are currently taking or may be taking to avoid any potential interactions.
• In particular, if you are taking anti-HIV medicine, a blood thinner, immunomodulators, anti-infectives, or medicines for high blood pressure or heart-related conditions.

Interactions with food items