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Pantoprazole is a medication that belongs to a class of drugs known as "proton pump inhibitors."
It is used for the short-term treatment of adult patients who have signs and symptoms of acid reflux, such as regurgitation and heartburn.
• If you are allergic to pantoprazole or any other ingredients contained in this medication. Inform your doctor about any symptoms you have experienced.
• If you are taking protease inhibitors for HIV (medications used to treat HIV), such as atazanavir and nelfinavir.
• Talk to your doctor or pharmacist if you have had allergic reactions to this medication or have previously experienced allergic reactions to similar drugs (proton pump inhibitors). Signs of allergic reactions include difficulty breathing, rash, swelling of the face or neck, low blood pressure, and dizziness.
• Make sure to inform your doctor if you have liver problems, jaundice (yellowing of the eyes and skin), anemia, stomach or intestinal bleeding, unintended weight loss, difficulty swallowing, persistent vomiting or vomiting blood, or any other medical condition.
• Make sure to inform your doctor if you have previously had a stomach ulcer or surgery on your stomach or intestines.
• Consult your doctor if you are undergoing continuous treatment for heartburn or indigestion symptoms lasting 4 weeks or more.
• Make sure to inform your doctor if your symptoms are new or have recently changed and you are over 55 years old.
• Make sure to follow up regularly with your doctor if you are over 55 years old and take over-the-counter heartburn medications almost daily.
• Consult your doctor if you are going to undergo an endoscopy or urea breath test before starting the medication.
• This medication may not provide immediate relief after taking it. It is expected to start working after one day of treatment and up to 7 days for full relief.
• Do not take this medication as a preventive measure for acid reflux.
• Do not take any other heartburn medication with this drug unless your doctor tells you to.
• This medication may increase the risk of stomach or intestinal infections caused by bacteria. Make sure to inform your doctor if you develop signs of gastrointestinal infection, such as severe and persistent diarrhea, nausea, and vomiting.
• This medication may increase the risk of subacute cutaneous lupus erythematosus (SCLE), a skin disorder that usually develops on sun-exposed parts of the body, such as the shoulders, upper back, neck, outstretched arms, and upper trunk, manifesting as a red, raised, and scaly rash. Contact your doctor immediately if you experience any side effects such as rash or joint pain.
• This medication may interfere with some laboratory tests required during investigations for neuroendocrine tumors (tumors arising from hormones and the nervous system), so your doctor may recommend stopping this medication at least 5 days before testing if necessary. Make sure to inform your doctor if you are scheduled for a specific blood test (chromogranin A).
• This medication is usually used for up to 4 weeks unless your doctor recommends a longer duration.
• This medication may affect your ability to absorb vitamin B12 if used for a long time.
• This medication may increase the risk of bone fractures if taken in high doses and for long periods (more than one year). The risk is higher in elderly patients, those with osteoporosis (low bone density), and those taking corticosteroids. Your doctor may recommend calcium and vitamin D supplements depending on your condition.
• This medication may cause low magnesium levels if used for three months or more. Signs of low magnesium include uncontrolled involuntary muscle movements, fatigue, confusion, seizures, irregular heartbeat, and dizziness.
Make sure to contact your doctor if you experience any of these signs.
Your doctor may recommend measuring magnesium levels before starting this medication, especially if you are at higher risk of low magnesium levels (such as long-term treatment or taking other medications with this drug that may worsen low magnesium levels).
Low magnesium levels may also lead to low calcium or potassium levels in the blood.
• Make sure to inform your doctor if you do not feel better after two weeks of starting this medication.
• Make sure to inform your doctor if you are taking this medication for more than 4 weeks.
• Make sure to talk to your doctor immediately if you experience signs such as vomiting, especially if it is bloody or recurrent (appearing as dark coffee grounds), pale skin, weakness, black or bloody stools, stomach pain, unintended weight loss not related to exercise or diet, difficulty or pain when swallowing, and chest pain.
• Your doctor may recommend some blood tests. Make sure to inform your doctor if you are scheduled for any blood tests that you are currently taking this medication.
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