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Pantoprazol för att minska magsyra

Pantoprazole reduces the amount of acid produced in your stomach.

Swallow the tablet whole - do not chew or crush it before you swallow.

The most common side-effects are stomach upset and headache. These effects are generally mild and do not last long.

Överblick

  • Pantoprazole is a medicine used to reduce the amount of acid your stomach produces.

  • It can be used to treat stomach ulcers, acid reflux and heartburn.

  • It is usually taken once a day; swallow the tablets whole with water.

  • You can buy short courses for reflux at a pharmacy, or get it on prescription.

  • Speak to your doctor if symptoms do not improve within a few days or you have certain other symptoms.

About pantoprazole

Typ av medicin

Proton pump inhibitor

Används för

Healing or prevention of gastric or duodenal ulcers; gastro-oesophageal reflux disease;

Helicobacter pylori

infection; Zollinger-Ellison syndrome

Tillgänglig som

Tablets and injection

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, sår 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 'halsbränna'.

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:

  • Om du är gravid, försöker bli gravid eller ammar.

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

  • If you have any problems with the way your liver works, or with the way your kidneys work.

  • Om du någonsin har haft en allergisk reaktion mot en medicin.

  • Om du tar några andra läkemedel. Detta inkluderar alla läkemedel du tar som finns att köpa utan recept, samt växtbaserade och komplementära läkemedel.

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.

  • If you forget to take a dose at your usual time, you can take it when you remember (unless it is nearly time for your next dose, in which case leave out the missed dose). Do not take two doses together to make up for a forgotten dose.

Få ut det mesta av din behandling

  • 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.

  • If you are overweight, it puts extra pressure on your stomach and encourages the symptoms of acid reflux. Losing some weight and eating a healthy balanced diet may help you.

  • Rökning ökar mängden syra som produceras av magen och kan förvärra dina symtom. Om du är rökare, prata med din läkare eller apotekare om hur du kan sluta.

  • 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.

  • If you buy any medicines 'over the counter', always check with a pharmacist that they are safe to take alongside your other medicines.

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.

Pantoprazole side-effects (these affect fewer than 1 in 100 people)

Vad kan jag göra om jag upplever detta?

Stomach upset (such as feeling sick (nausea), stomach ache, or wind), tummy (abdominal) pain, being sick (vomiting)

Stick to simple meals - avoid rich or spicy foods. If symptoms are severe or do not go away, let your doctor know

Diarré

Drink plenty of water. If it continues or becomes severe, let your doctor know

Förstoppning

Try to eat a well-balanced diet and drink several glasses of water each day

Huvudvärk

Drick mycket vatten och be din apotekare rekommendera en lämplig smärtstillande. Om huvudvärken fortsätter, informera din läkare

Feeling dizzy or tired

Kör inte och använd inte verktyg eller maskiner förrän du mår bättre

Dry mouth, itchy skin rash, sleeping problems

If any of these become troublesome, let your doctor know

Viktigt: 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.

Om du upplever några andra symtom som du tror kan bero på medicinen, tala med din läkare eller apotekare för vidare råd.

How to store pantoprazole

  • Förvara alla läkemedel utom räckhåll och synhåll för barn.

  • Förvara på en sval, torr plats, borta från direkt värme och ljus.

Viktig information om alla läkemedel

Viktig information om alla läkemedel

Ta aldrig mer än den föreskrivna dosen. Om du misstänker att du eller någon annan kan ha tagit en överdos av denna medicin, gå till akutmottagningen på ditt lokala sjukhus. Ta med behållaren, även om den är tom.

Denna medicin är för dig. Ge den aldrig till andra människor även om deras tillstånd verkar vara detsamma som ditt.

Om du ska genomgå en operation eller någon tandbehandling, informera den som utför behandlingen om vilka mediciner du tar.

Behåll inte föråldrade eller oönskade mediciner. Ta dem till ditt lokala apotek som kommer att ta hand om dem åt dig.

Om du har några frågor om denna medicin, fråga din apotekare.

Rapportera biverkningar av ett läkemedel eller vaccin

Om du upplever biverkningar kan du rapportera dem online via Yellow Card webbplats.

symptomkontroll

Osäker på att blanda mediciner?

Kontrollera möjliga interaktioner mellan läkemedel, kosttillskott och livsmedel innan du tar dem tillsammans.

Vanliga frågor

Can I buy pantoprazole without a prescription?

Yes, short courses of pantoprazole can be purchased from a pharmacy without a prescription specifically for treating reflux symptoms like heartburn in adults. However, for other conditions or long-term use, it is available on prescription only.

How long should I expect to take pantoprazole?

The duration of your treatment with pantoprazole depends on the condition being treated. For Helicobacter pylori eradication, a typical course is one to two weeks. If it's for healing an ulcer, it usually lasts one to two months. For all other reasons, your treatment will continue for as long as needed to control your symptoms effectively.

What common issues can be caused by long-term use of pantoprazole?

Long-term use of pantoprazole, specifically for at least three months, may lead to low levels of magnesium in your blood. Initial signs of this can include feeling tired, dizzy, or confused, and experiencing an irregular heartbeat (palpitations). Additionally, studies suggest a slight increase in the risk of bone fractures if proton pump inhibitors like pantoprazole are taken for longer than a year. Your doctor may check your vitamin D and calcium levels to mitigate this risk.

What should I do if I forget a dose of pantoprazole?

If you miss a dose of pantoprazole at your usual time, you can take it as soon as you remember. However, if it's almost time for your next scheduled dose, you should skip the missed dose entirely. Do not take two doses together to compensate for the one you forgot.

Are there any lifestyle changes that can help improve my symptoms while taking pantoprazole?

Yes, some lifestyle changes can help. Certain foods and drinks like peppermint, tomatoes, chocolate, spicy foods, hot drinks, coffee, and alcoholic beverages may worsen symptoms, so try avoiding them if they seem to aggravate your condition. Eating smaller meals instead of large ones can also be beneficial. If you are overweight, losing weight can reduce pressure on your stomach and improve acid reflux symptoms. Quitting smoking is also recommended as it increases stomach acid production.

Vidare läsning och referenser

Om författarenVisa fullständig biografi

Författarbild

Michael Stewart, MRPharmS

Ansvarig för granskning av medicinbroschyrer – Konsult, Apotekare

BPharm (Hons), MRPharmS

Michael är en apotekare som arbetar i Midlands och South Yorkshire med mer än 20 års erfarenhet av att ge råd om läkemedel och medicinska tillstånd. Han har en stark bakgrund inom vårdutbildning och har producerat och levererat utbildningskurser för apoteksteam och personal inom vårdboenden, inklusive sjuksköterskor. Han har också bidragit till apoteksrådgivande styrelser för hantering av mindre allvarliga tillstånd i samhället.

Om recensenten

Författarbild

Sid Dajani

Sultan Dajani tog examen vid London School of Pharmacy 1994 och blev den yngsta valda medlemmen i Royal Pharmaceutical Society-rådet sedan dess grundande 1842.

Artikelhistorik

Informationen på denna sida är skriven och granskad av kvalificerade kliniker.

  • Nästa granskning: 3 jan 2028
  • 4 Jul 2023 | Senaste versionen

    Senast uppdaterad av

    Michael Stewart, MRPharmS

    Granskad av

    Sid Dajani
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