Pantosec-D Tablet

• If you are allergic to pantoprazole or domperidone or any of the ingredients of Pantosec-D tablet.
• If you are taking any product containing Rilpivirine.
• If you have stomach or intestinal bleeding or obstruction.
• If you are suffering from liver or kidney disorder.
• If you have any tumour of the pituitary gland (prolactin pituitary tumours).
• If you have serious heart problems like congestive heart failure, heart rhythm problems or electrolyte imbalance.

• Diarrhoea
• Dry mouth
• Headache
• Weakness
• Rash
• Polyps in the stomach

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 taking steroids.
• On exposure to the sun, if you get rash on your skin, stop your treatment and inform your doctor as soon as you can.
• You are on this medicine for a long time. Your blood magnesium levels may drop. Your doctor may perform regular tests for the same.
• Taking this medicine for more than one year may increase the chances of developing bone fractures.
• 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.
• You need to go through a regular checkup if you are taking this medicine for the last year.

• Store Pantosec D below 25°C
• Protect it from light
• Keep it out of the reach of children

• Pantosec-D tablet is used to treat gastroesophageal reflux disease (GERD). GERD occurs when the stomach contents go back into the food pipe. Do not take this medicine for any other condition than that specified by your doctor.
• Take this medicine in the exact dose and duration as recommended. Do not take more than the prescribed dose.
• Before starting Pantosec-D, inform your doctor if you are pregnant, planning on becoming pregnant or breastfeeding. Also, inform your doctor about all other medicines that you take and your complete medical history.
• This medicine should preferably be taken before meals for optimum effectiveness.
• Headache, dizziness, diarrhoea, nausea and vomiting may occur in some individuals with this medicine. Inform your doctor if these effects bother you or do not go away.
• 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 acid reflux.

Overdose

• Overdose symptoms may lead to uncontrolled muscle movements, aggression, fits, sleepiness, slurred speech, anxiety, etc.
• If you think you have taken too much of Pantosec D, contact your doctor immediately or visit the nearest hospital.

Missed a Dose

• If you missed any dose of medicine, take it as soon as you remember.
• If it's time for your next dose, then skip the missed dose and continue with your regular dosing schedule.
• Do not take a double dose of medicine to compensate for the missed one.

How Does It Work?

• A pump called the proton pump in the stomach is responsible for the secretion of stomach acids.
• Pantoprazole binds to this proton pump in stomach cells, thus blocking acid secretion.
• Domperidone increases the motility of the stomach and intestines; so that acid does not reflux back into the food pipe.

Interactions with other medicines

• Pantosec-D tablet contains Pantoprazole and Domperidone. Any interactions seen with these two components when taken alone may occur with this combination.
• Pantosec-D tablet reduces the effect of medicines used to treat HIV infection like Atazanavir when used together.
• Concomitant use of medicines used to thin the blood like Warfarin and Pantosec-D tablets may increase the risk of bleeding.
• Do not take this medicine along with Methotrexate as it may increase the risk of side effects associated with Methotrexate.
• The effect of medicines used to treat fungal infections like Ketoconazole is reduced when used together with Pantosec-D tablet.
• Concomitant use of medicines used to treat heart disorders like Disopyramide, medicine for psychotic disorders like haloperidol and anti-allergic medicines such as mequitazine with Pantosec D may result in unwanted side effects associated with the heart. Hence these combinations should be avoided.

Interactions with food items