Generic Name: pantoprazole (pan-TOE-pra-zole)
Brand Name: Protonix
Pantoprazole suspension is used for:
Treating irritation of the esophagus caused by gastroesophageal reflux disease (GERD). It may be used to treat conditions that cause your body to make too much stomach acid (eg, Zollinger-Ellison syndrome). It may also be used for other conditions as determined by your doctor.
Pantoprazole suspension is a proton pump inhibitor (PPI). It works by decreasing the amount of acid produced in the stomach.
Do NOT use pantoprazole suspension if:
- you are allergic to any ingredient in pantoprazole suspension or to another PPI (eg, omeprazole)
- you are taking atazanavir, dasatinib, nelfinavir, or rilpivirine
Contact your doctor or health care provider right away if any of these apply to you.
Before using pantoprazole suspension:
Some medical conditions may interact with pantoprazole suspension. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you have low blood potassium or magnesium levels, low blood vitamin B12 levels or vitamin B12 deficiency, liver problems, or stomach or bowel cancer
- if you have osteoporosis (weak bones), a family history of osteoporosis, or other risk factors of osteoporosis (eg, smoking, poor nutrition)
Some MEDICINES MAY INTERACT with pantoprazole suspension. Tell your health care provider if you are taking any other medicines, especially any of the following:
- Diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood magnesium levels may be increased
- Anticoagulants (eg, warfarin), digoxin, methotrexate, or saquinavir because the risk of their side effects may be increased by pantoprazole suspension
- Ampicillins, atazanavir, bosutinib, clopidogrel, dasatinib, erlotinib, indinavir, iron, itraconazole, ketoconazole, mycophenolate, nelfinavir, nilotinib, posaconazole, rilpivirine, or sorafenib because their effectiveness may be decreased by pantoprazole suspension
This may not be a complete list of all interactions that may occur. Ask your health care provider if pantoprazole suspension may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use pantoprazole suspension:
Use pantoprazole suspension as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Pantoprazole suspension comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get pantoprazole suspension refilled.
- Take pantoprazole suspension by mouth on an empty stomach about 30 minutes before a meal.
- Do not crush or chew pantoprazole suspension.
- Do not divide the contents of the packet to make a smaller dose.
- Only mix pantoprazole suspension with applesauce or apple juice. Do not mix with water or other liquids or foods.
- If you are mixing pantoprazole suspension with applesauce, sprinkle the contents of the packet onto 1 teaspoonful of applesauce. Swallow within 10 minutes after mixing. Take sips of water to make sure the granules are washed down into the stomach.
- If you are mixing pantoprazole suspension with apple juice, empty the contents of the packet into a small cup containing 5 mL (1 teaspoonful) apple juice. Stir for 5 seconds and then swallow immediately. To be sure you receive all the medicine, rinse the container once or twice with apple juice and swallow immediately.
- If the patient is taking pantoprazole suspension through a nasogastric (NG) tube or gastric tube, follow the instructions for use in the extra patient leaflet.
- You may take antacids while you are using pantoprazole suspension if you are directed to do so by your doctor.
- Continue to take pantoprazole suspension even if you feel well. Do not miss any doses.
- If you miss a dose of pantoprazole suspension, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use pantoprazole suspension.
Important safety information:
- Pantoprazole suspension may cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use pantoprazole suspension with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
- Do NOT change your dose, stop taking pantoprazole suspension, or take pantoprazole suspension for longer than prescribed without checking with your doctor.
- Contact your doctor if you have any symptoms of a bleeding ulcer, such as black, tarry stools or vomit that looks like coffee grounds; or if you experience throat pain, chest pain, severe stomach pain, or trouble swallowing.
- Pantoprazole suspension may increase the risk of a serious form of diarrhea. Contact your doctor right away if stomach pain or cramps, severe or persistent diarrhea, or bloody or watery stools occur. Discuss any questions or concerns with your doctor.
- Pantoprazole suspension may increase the risk of hip, wrist, and spine fractures in patients with weak bones (osteoporosis). The risk may be greater if you use pantoprazole suspension in high doses or for longer than a year, or if you are older than 50 years old. Contact your doctor if you have any questions about this information.
- Low blood magnesium levels have been reported rarely in patients taking PPIs for at least 3 months. In most cases, this effect was seen after a year of treatment. If you will be taking pantoprazole suspension for a long time, or if you take certain other medicines (eg, digoxin, diuretics), your doctor may perform lab tests to check for low blood magnesium levels. Seek medical attention right away if you experience symptoms of low blood magnesium levels (eg, dizziness; fast or irregular heartbeat; involuntary muscle movements; jitteriness or tremors; muscle aches, cramps, pain, spasms, or weakness; seizures).
- Long-term treatment (eg, longer than 3 years) with medicines like this one has rarely caused low vitamin B12 levels. Discuss any questions or concerns with your doctor.
- Check with your doctor to see whether you should take a calcium and vitamin D supplement while you use pantoprazole suspension.
- Pantoprazole suspension may interfere with certain lab tests. Be sure your doctor and lab personnel know you are taking pantoprazole suspension.
- Pantoprazole suspension should be used with caution in Asian patients; the risk of side effects may be increased in these patients.
- Use pantoprazole suspension with caution in the ELDERLY; they may be more sensitive to its effects, especially hip, wrist, and spine fractures.
- PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using pantoprazole suspension while you are pregnant. Pantoprazole suspension is found in breast milk. Do not breast-feed while taking pantoprazole suspension.
Possible side effects of pantoprazole suspension:
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Seek medical attention right away if any of these SEVERE side effects occur:
Gas; headache; joint pain; mild diarrhea or stomach pain; nausea; symptoms of upper respiratory tract infection (eg, cough, runny or stuffy nose, sneezing) in children; vomiting.
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, hands, eyes, throat, or tongue; unusual hoarseness); bloody or watery stools; bone pain; chest pain; fast or irregular heartbeat; fever, chills, or sore throat; red, swollen, blistered, or peeling skin; severe or persistent diarrhea or stomach pain; severe or persistent nausea or vomiting; stomach cramps; symptoms of kidney problems (eg, not able to pass urine, change in the amount of urine produced, blood in the urine, a big weight gain); symptoms of liver problems (eg, yellowing of the skin or eyes, dark urine, pale stools, nausea, loss of appetite, unusual tiredness); unexplained weight loss; unusual bruising or bleeding; vision changes.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.Proper storage of pantoprazole suspension:
Store pantoprazole suspension at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep pantoprazole suspension out of the reach of children and away from pets.
- If you have any questions about pantoprazole suspension, please talk with your doctor, pharmacist, or other health care provider.
- Pantoprazole suspension is to be used only by the patient for whom it is prescribed. Do not share it with other people.
- If your symptoms do not improve or if they become worse, check with your doctor.
- Check with your pharmacist about how to dispose of unused medicine.
This information should not be used to decide whether or not to take pantoprazole suspension or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about pantoprazole suspension. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to pantoprazole suspension. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using pantoprazole suspension.
Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.
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