Pantaz

Pantaz

pantoprazole

Manufacturer:

Medley Pharma

Distributor:

Unimed
Concise Prescribing Info
Contents
Pantoprazole Na
Indications/Uses
H pylori eradication in patients w/ peptic ulcers. Duodenal & gastric ulcer. Moderate & severe reflux esophagitis. Zollinger-Ellison syndrome & other pathological hypersecretory conditions.
Dosage/Direction for Use
Adult & adolescent ≥12 yr Moderate & severe reflux esophagitis, gastric & duodenal ulcer 40 mg daily, may be increased to 2-tab 40 mg daily. H pylori eradication in duodenal or gastric ulcers 40 mg bd + amoxicillin 1,000 mg bd + clarithromycin 500 mg bd, or 40 mg bd + metronidazole 500 mg bd + clarithromycin 500 mg bd or 40 mg bd + amoxicillin 1,000 mg bd + metronidazole 500 mg bd. Long-term management of Zollinger-Ellison syndrome & other pathological hypersecretory conditions Initially 80 mg daily, may be titrated up or down as needed. Duration of treatment: H pylori eradication 7 days up to max: 2 wk. Duodenal ulcer 2 wk. Gastric ulcer & reflux esophagitis 4 wk up to max: 8 wk. Severe hepatic impairment Not to exceed 20 mg daily.
Administration
May be taken with or without food: Swallow whole, do not chew/crush.
Contraindications
Hypersensitivity. Not to be used in combination treatment for H pylori eradication in patients w/ moderate to severe hepatic or renal dysfunction.
Special Precautions
Exclude gastric malignancy prior to therapy. Increased risk of subacute cutaneous lupus erythematosus; osteoporosis-related hip, wrist or spine fractures; Clostridium difficile-associated diarrhea; hypomagnesaemia. Long-term use. Ensure adequate intake of vit D & Ca. Discontinue use 5 days prior to chromogranin A measurements. Vit B12 malabsorption due to long-term therapy (>3 yr). Not recommended w/ HIV PIs eg, atazanavir, nelfinavir. Concomitant use w/ digoxin or drugs causing hypomagnasaemia eg, diuretics; high-dose MTX. May affect ability to drive & use machines. Severe hepatic impairment. Not to be used during pregnancy. Lactation. Not recommended in childn <12 yr.
Adverse Reactions
Drug Interactions
Interfered absorption of pH-dependent drugs. Reduced bioavailability of HIV PIs eg, atazanavir, nelfinavir. Elevated & prolonged serum levels of MTX &/or its metabolite. Increased whole blood levels of tacrolimus. Increased systemic exposure w/ fluvoxamine. Increased INR & prothrombin time w/ coumarin anticoagulants eg, warfarin or phenprocoumon.
MIMS Class
Antacids, Antireflux Agents & Antiulcerants
ATC Classification
A02BC02 - pantoprazole ; Belongs to the class of proton pump inhibitors. Used in the treatment of peptic ulcer and gastro-oesophageal reflux disease (GERD).
Presentation/Packing
Form
Pantaz EC tab 40 mg
Packing/Price
1 × 14's;10 × 10's
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