Generic Pantoprazole (Pantodid)

WARNING & PRECAUTIONS

PREGNANCY
PANTODID 40MG TABLET should be used in pregnant women only if it is considered necessary by the physician. Therefore, consult your doctor before taking it.

BREASTFEEDING
PANTODID 40MG TABLET may pass through breast milk. Therefore, it should be used in breastfeeding women only if it is considered necessary by the physician. Consult your doctor for advice.

DRIVING AND USING MACHINES
PANTODID 40MG TABLET does not affect your ability in driving or handling heavy tools or machines. However, do not drive or handle heavy tools or machines if your ability is affected by PANTODID 40MG TABLET.

ALCOHOL
Avoid consumption of alcohol while taking PANTODID 40MG TABLET, as it could aggravate your existing condition.

KIDNEY
PANTODID 40MG TABLET should be used with caution in patients with kidney problems. Therefore, consult your doctor before taking it.

LIVER
PANTODID 40MG TABLET should be used with caution in patients with liver problems. Therefore, consult your doctor before taking it.

ALLERGY
Do not take PANTODID 40MG TABLET if you are allergic to Pantoprazole.

OTHERS
Before taking PANTODID 40MG TABLET, inform your doctor if you:

• Have osteoporosis
• Have a history of bleeding in the gut
• Have vitamin B12 deficiency (sore tongue, mouth ulcers, pale skin, depression)
• Are going to test Chromogranin A level

Use in pediatrics:

PANTODID 40MG TABLET should be used in children and adolescents (aged 12 years or above, weighing 35kg or more). It is not recommended for use in children and adolescents (aged below 12 years). However, consult your doctor before taking it.

Use in geriatrics:

PANTODID 40MG TABLET should be used with caution in elderly patients (aged 65 years and above). Therefore, consult your doctor before taking it.

USES OF PANTODID 40MG TABLET

It is used in adults and in children (aged 12 years or older weighing 35 kg or more) to treat:

• Peptic ulcer and prevents its recurrence
• Gastrointestinal Reflux disease (GERD)
• Reflux esophagitis (inflammation of the esophagus)
• Acidity, Heartburn, Pain in swallowing

HOW PANTODID 40MG TABLET WORKS
PANTODID 40MG TABLET is a proton pump inhibitor. It reduces gastric acid secretion by the blocking the actions of a protein membrane called H+K+Atpase (proton pump) across the stomach lining. As a result, it prevents the worsening of ulcers, heals the existing ulcers and esophageal lesions and provides relief from the unpleasant symptoms of GI tract (such as acidity, heartburn and acid reflux).

DIRECTIONS FOR USE
Take PANTODID 40MG TABLET 30 minutes to 1 hour before meals or as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine.

Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and disease condition. Do not stop taking PANTODID 40MG TABLET unless your doctor advice you to stop.

SIDE EFFECTS OF PANTODID 40MG TABLET

COMMON

• Benign polyps in the stomach

UNCOMMON

• Low sex drive
• Headache, dizziness, drowsiness
• Anxiety, sleeplessness
• Breast enlargement in both men and in women
• Feeling weak
• Fragile bones (risk of bone fracture)
• Nausea or vomiting
• Diarrhea, constipation, stomach pain, flatulence
• Dry mouth

RARE

• Blurred vision
• Joint pain, muscle pain
• Raised body temperature
• Swelling of the extremities (peripheral oedema)
• Depression
• Breast enlargement in males
• Low WBC count in blood
• Taste disorders

Stop taking PANTODID 40MG TABLET and contact your doctor immediately if you experience any of the following side effects:

• Severe allergic reactions (such as skin rash, itching, swelling of the lips, face or body and difficulty in breathing or swallowing)
• Signs of liver problems (yellowing of the skin and eyes, dark urine and tiredness)
• Severe skin reactions (such as redness, blistering, peeling of skin and bleeding in the lips, eyes, mouth, nose and genitals with fever)
• Signs of kidney problem (such as lower back pain, painful urination)
• Signs of low magnesium levels in blood (such as tiredness, abnormal muscle movements, dizziness, confusion, disorientation, irregular heartbeat)
• Skin rashes on sun exposed areas
• Sudden weight loss, looking pale and weak (anemia)
• Signs of bleeding in the gut (such as bloody vomits/stools)
• Chest pain
• Severe, persistent diarrhea
• Fast or irregular heartbeat, difficulty in breathing, feeling faint
• Fits
• Uncontrollable body movements (including eye and tongue), twisted neck and abnormal body posture

HOW TO MANAGE SIDE EFFECTS

• Nausea or vomiting:

Try to take PANTODID 40MG TABLET with or just after meals. Stick to simple meals and avoid oil rich or spicy foods. Consult your doctor if nausea worsens.

• Headache:

Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as water or electrolytes. Applying a pain-relieving balm on your forehead can be beneficial. Do not consume excessive alcohol, as it could aggravate your headache. Consult your doctor if your headache worsens.

• Dizziness:

Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines completely while you are feeling dizzy. Do not consume excessive alcohol, as it could aggravate your dizziness. Consult your doctor if your dizziness worsens.

• Constipation:

Taking PANTODID 40MG TABLET with meals may reduce the chances of constipation. However, if you experience constipation, eat plenty of fiber rich foods such as fresh fruits, vegetables and cereals. Drink plenty of fluids. Exercise more regularly. Consult your doctor if this side effect bothers you.

FAQs ABOUT PANTODID 40MG TABLET

How and when to take PANTODID 40MG TABLET?

Take PANTODID 40MG TABLET at least 1 hour before meals. Swallow the medicine with a glass of water. Do not cursh or chew the medicine. Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and disease condition.

How long should I take PANTODID 40MG TABLET?

You need to take PANTODID 40MG TABLET for the stipulated duration prescribed by your doctor. Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and disease condition.

What is the best time to take PANTODID 40MG TABLET?

PANTODID 40MG TABLET must be taken before meals to avoid gastrointestinal side effects.

What to do if I forgot to take a dose of PANTODID 40MG TABLET?

If you forgot to take a dose of PANTODID 40MG TABLET, take it as soon as you remember. However, if it is time for the next dose of PANTODID 40MG TABLET, skip the missed dose and take the next one regularly. Do not take a double dose of PANTODID 40MG TABLET to compensate the missed ones.

Can I stop taking PANTODID 40MG TABLET without consulting your doctor?

No. You should not stop taking PANTODID 40MG TABLET without consulting your doctor because it may lead to reversal of symptoms. If you feel better after using PANTODID 40MG TABLET, consult your doctor for advice.

Will taking a higher dose of PANTODID 40MG TABLET be more effective?

No, taking a higher dose of PANTODID 40MG TABLET will not be effective rather it can lead to toxicity. Always take the dose prescribed by your doctor. If the prescribed dose is not effective for you, consult your doctor for advice. Your doctor might increase the dose or suggest an alternative therapy.

Can I take medication for high blood pressure along with PANTODID 40MG TABLET?

It is not advisable to take medicines to control blood pressure while taking PANTODID 40MG TABLET without consulting your doctor as they have known interactions with PANTODID 40MG TABLET.

Can PANTODID 40MG TABLET be used in pregnant women?

PANTODID 40MG TABLET should be used in pregnant women only if it is considered necessary by the physician. Therefore, consult your doctor before taking it.

How to take PANTODID 40MG TABLET?

You must take PANTODID 40MG TABLET as advised by your physician. Try to take PANTODID 40MG TABLET 30 minutes before and swallow it with a glass of water. Do not crush or chew the medicine.

How much PANTODID 40MG TABLET should I take?

PANTODID 40MG TABLET should be used only under medical supervision. Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body condition and severity of the disease condition.

Can PANTODID 40MG TABLET cause constipation?

Yes. Constipation is a common side effect of using PANTODID 40MG TABLET. Eat plenty of fiber rich foods such as fresh fruits, vegetables, cereals as well as drink plenty of water and exercise more regularly when taking this medicine. Contact your doctor if this side effect bothers you.

Can PANTODID 40MG TABLET cause dry mouth?

Yes. Dry mouth is a common side effect of using PANTODID 40MG TABLET. Contact your doctor if this side effect bothers you.

INTERACTIONS

A. Drug-drug interactions:

Before taking PANTODID 40MG TABLET inform your doctor if you are taking any of the following medicines such as:

• Medicines used to treat fungal infections (such as ketoconazole, itraconazole and Posaconazole)
• Erlotinib (a medicine used to treat cancer)
• Warfarin and phenprocoumon (medicines used for blood thinning)
• Methotrexate (a medicine used to treat cancer and autoimmune diseases)
• Atazanavir (a medicine used to treat HIV infection)
• Fluvoxamine (a medicine used to treat depression)
• Rifampicin (a medicine used to treat tuberculosis)
• St. John’s wort (an herbal medicine used to treat depression)

Overdosage:

If you or anyone else accidentally took more PANTODID 40MG TABLET, consult your doctor immediately or visit the nearby hospital.