Pregnancy Interaction

• Be careful when using during pregnancy.
• People usually think that pantoprazole is low-risk, but you should only use it if you really need to.
• There isn't a lot of safety data on domperidone during pregnancy, and it could be dangerous for the fetus if used without a doctor's supervision.
• Don't use it in the first trimester unless the benefits outweigh the hazards.
• If you find out you're pregnant while taking Pantosec D SR, call your doctor right away.
• If you are breastfeeding, be careful since domperidone may get into your milk.

FAQs for Medicine?
 

Q1. What is Pantosec D SR for?
For acid reflux, GERD, gastritis, heartburn, nausea, vomiting, and bloating, it is utilized.

Q2. When is the best time to take Pantosec D SR?
For the best acid-control effect, take it before meals, ideally in the morning.

Q3. Is it okay to take Pantosec D SR every day?
Yes, if a doctor says so. You need to see a doctor if you take PPIs for a long time.

Q4. Does it help right away?
Domperidone quickly relieves nausea and bloating, but pantoprazole takes a few days to work.

Q5. Can I take it with antacids?
Yes, but don't take the antacids at the same time. Leave a space of one to two hours.

Q6. Is it safe to use for a long time?
It is important to keep an eye on long-term use. PPIs might change the levels of calcium, magnesium, and vitamin B12.

Q7. Is it okay to drink while using this?
Alcohol makes the body produce more acid, which could make symptoms worse. Avoidance is better.

 

Expert Advice

• Take it on an empty stomach for optimal results.
• Don't eat spicy or greasy foods, drink tea or coffee, smoke, or drink alcohol.
• People with QT prolongation or heart rhythm problems should be careful when taking domperidone.
• Don't use PPIs like pantoprazole for long periods of time unless you really need to. Check your treatment every few months.
• Tell your doctor if you have symptoms like heart palpitations, dizziness, severe diarrhea, or constant stomach pain.
• Do not crush or chew the capsule; consume it whole.

Side effects

• Pain in the head
• Mouth that is dry
• Diarrhea or not being able to go
• Pain in the stomach
• Dizzy
• Farting
• Nausea
• Related to domperidone:
• Tenderness in the breasts
• Irregular heartbeat (not common but serious)
• Higher levels of prolactin (galactorrhea, alterations in the menstrual cycle)
• Related to pantoprazole:
• Long-term use can lead to a lack of vitamin B12.
• Low magnesium (rare)
• Pain in the joints
• If you get strong palpitations, an allergic response, or diarrhea that won't go away, see a doctor.

How It Works

• Pantoprazole (PPI):
• Stops proton pumps in the stomach wall.
• Reduces acid production, which helps with heartburn, acidity, and healing ulcers.
• Domperidone (Prokinetic):
• Makes the stomach and intestines move more.
• Helps with nausea, vomiting, and bloating, and makes the stomach empty faster.
• Action Together:
• Reduces acid and makes the stomach move better, which makes it work for GERD with nausea, regurgitation, bloating, and acid reflux.

Medicines interaction

• Antifungals like ketoconazole and itraconazole
• Antibiotics like clarithromycin and erythromycin
• Amiodarone and quinidine are heart rhythm medications.
• Antidepressants (SSRIs, TCAs)
• Warfarin and other blood thinners
• Drugs that fight HIV
• Antacids (wait 1 to 2 hours)
• Warning:
• Domperidone may change the heart's rhythm and lengthen the QT interval. Don't give it to anyone who has:
• Heart problems
• Low K⁺ and low Mg⁺⁺ levels in the body are an electrolyte imbalance.
• Strong CYP3A4 inhibitors that work at the same time (such antifungals and macrolide antibiotics)

How to use

• Take one capsule before meals, usually once a day or as indicated.
• Do not open or chew. Just swallow it whole with water.
• Wait at least 30 minutes before eating.
• Take your doses at the same time every day.
• If you have been taking it for a long time, don't stop all at once. Instead, slowly stop with your doctor's help.
• Follow dietary changes to lower acidity.

Uses/indications

• Gastroesophageal Reflux Disease (GERD)
• Reflux of acid
• Burning in the chest
• Gastritis
• Indigestion with swelling
• Nausea and vomiting because of problems with acid
• Regurgitation and pain in the epigastric region