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Acidity and ulcers

Pantoprazole

Also sold as: Protonix, Controloc

Prescription neededAcidity and ulcers
Comes as:TabletInjection

Usual adult dose

Usual adult dose: 20 to 40 mg once a day before breakfast for 4 to 8 weeks. Swallow the tablet whole. For H. pylori it is combined with antibiotics as prescribed.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • headache
  • stomach pain
  • nausea
  • diarrhoea
  • wind

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • severe or watery diarrhoea that does not stop
  • low magnesium with long use (muscle cramps
  • irregular heartbeat)
  • bone fractures with long use
  • severe skin reaction

Do not take it, or take care, if

  • Warning signs such as weight loss, trouble swallowing, vomiting blood or black stools — see a doctor first
  • Severe liver disease (use with caution)
  • Long-term use only if your doctor advises

Interactions

Medicines that can react with this one.

Moderate2 medicinesTake together only with care. Ask your doctor or pharmacist.
  • Itraconazole

    Reduced stomach acid lowers absorption of itraconazole capsules.

  • Methotrexate

    Can raise methotrexate levels, especially with high doses.

Minor1 medicineUsually not a problem, but tell your doctor.
  • Warfarin

    INR may change; check it when starting or stopping pantoprazole.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category B

No risk seen in animal studies, but there are few studies in pregnant women. Usually considered safe when needed.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

  • OmeprazoleNo prescription needed
  • Esomeprazole
  • Lansoprazole
Check with my other medicines

Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.