Pantoprazole to reduce stomach acid

About pantoprazole

Acid is produced naturally in your stomach to help you digest food and to kill bacteria. This acid is irritant so your body produces a natural mucous barrier which protects the lining of your stomach. In some people, this barrier can break down allowing the acid to damage the stomach, causing inflammation, ulcers and other conditions. Other people can have a problem with the muscular band at the top of the stomach that keeps the stomach tightly closed. This may allow the acid to escape and irritate the oesophagus, causing heartburn. This is often referred to as 'acid reflux'.

Proton pump inhibitors such as pantoprazole stop cells in the lining of the stomach from producing too much acid. This helps to prevent ulcers from forming, or assists the healing process where damage has already occurred. By decreasing the amount of acid, they can also help to reduce the symptoms of acid reflux disease, such as heartburn. Pantoprazole is also given as one part of a treatment to get rid of Helicobacter pylori, a bacterium found in the stomach, which can cause ulcers.

Pantoprazole is available on prescription. You can also buy short courses of pantoprazole at a pharmacy for the treatment of reflux symptoms (such as heartburn) in adults.

Before taking pantoprazole

Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking pantoprazole it is important that your doctor or pharmacist knows:

• Wenn Sie schwanger sind, ein Kind erwarten oder stillen.

• If you have any of the following symptoms: difficulty swallowing, loss of blood, weight loss, or if you are being sick (vomiting).

• Wenn Sie Probleme mit der Funktionsweise Ihrer Leber oder Ihrer Nieren haben.

• Wenn Sie schon einmal eine allergische Reaktion auf ein Arzneimittel hatten.

• Wenn Sie andere Arzneimittel einnehmen. Dazu gehören alle Arzneimittel, die Sie einnehmen und die rezeptfrei erhältlich sind, sowie pflanzliche und ergänzende Arzneimittel.

How to take pantoprazole

• Before you start this treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about pantoprazole and will provide you with a full list of the side-effects which you may experience from taking it.

• If you have been prescribed pantoprazole, take it exactly as your doctor tells you to. There are different strengths of tablets available so your doctor will tell you which is right for you. It is usually taken once a day. If you are taking it for either Helicobacter pylori eradication or for Zollinger-Ellison syndrome, it is likely you will be asked to take two doses a day. Your doctor will tell you which dose is right for you and the directions will also be on the label of the pack to remind you.

• If you have bought pantoprazole for symptoms such as heartburn, take one tablet in the morning. You may need to take pantoprazole for a day or so to control your symptoms. If your symptoms do not improve within a few days, you should talk with your doctor about this.

• Swallow the tablets with a drink of water. Do not chew, crush or break the tablet before you swallow. Pantoprazole can be taken before or after food, although taking it before food is preferable.

• Wenn Sie vergessen haben, eine Dosis zur gewohnten Zeit einzunehmen, können Sie sie einnehmen, wenn Sie sich daran erinnern (es sei denn, es ist fast Zeit für die nächste Dosis; in diesem Fall lassen Sie die vergessene Dosis aus). Nehmen Sie nicht zwei Dosen zusammen ein, um eine vergessene Dosis nachzuholen.

Das Beste aus Ihrer Behandlung herausholen

• Try to keep your regular appointments with your doctor. This is so your progress can be checked. If you are taking pantoprazole on a long-term basis your doctor will want to review your treatment at least once a year to make sure it is still right for you.

• A typical course of treatment lasts for one or two weeks if you are taking pantoprazole for Helicobacter pylori eradication. It will last for one or two months if it is to allow an ulcer to heal. For all other reasons for taking pantoprazole, your treatment will last for as long as is necessary to control your symptoms.

• Some foods may make your symptoms worse. Foods and drinks that have been suspected of this include peppermint, tomatoes, chocolate, spicy foods, hot drinks, coffee, and alcoholic drinks. If it seems that a food is aggravating your symptoms, try avoiding it for a while to see if your symptoms improve. Also, try avoiding eating large meals, as these can make your symptoms worse too.

• Wenn Sie übergewichtig sind, übt dies zusätzlichen Druck auf Ihren Magen aus und begünstigt die Symptome von saurem Reflux. Eine Gewichtsabnahme und eine gesunde, ausgewogene Ernährung können Ihnen helfen.

• Rauchen erhöht die vom Magen produzierte Säuremenge und kann Ihre Symptome verschlimmern. Wenn Sie Raucher sind, sprechen Sie mit Ihrem Arzt oder Apotheker darüber, wie Sie mit dem Rauchen aufhören können.

• Recent studies suggest that there may be a slight increase in the risk of bone fractures when proton pump inhibitors like pantoprazole are taken for longer than a year. If this affects you, your doctor will check that you are taking enough vitamin D and calcium to reduce this risk.

• Wenn Sie rezeptfreie Arzneimittel kaufen, sollten Sie sich immer bei einem Apotheker vergewissern, dass Sie diese zusammen mit Ihren anderen Arzneimitteln einnehmen können.

Can pantoprazole cause problems?

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with pantoprazole. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.

Important: long-term use of pantoprazole (for at least three months) may lead to low levels of magnesium in your blood. Initial signs this might be happening include feeling tired, dizzy or confused and an irregular heartbeat (palpitations). Let your doctor know if you think this applies to you.

Wenn Sie andere Symptome haben, von denen Sie glauben, dass sie auf das Arzneimittel zurückzuführen sind, sprechen Sie mit Ihrem Arzt oder Apotheker, um weiteren Rat zu erhalten.

How to store pantoprazole

• Bewahren Sie alle Arzneimittel außerhalb der Reichweite und Sichtweite von Kindern auf.

• An einem kühlen, trockenen Ort aufbewahren, vor direkter Hitze und Licht schützen.
  

Wichtige Informationen über alle Arzneimittel