Pantoprazole (as sodium sesquihydrate)
Consumer Medicine Information
What is in this leaflet
This leaflet answers some common questions about your medicine. It does not contain
all the available information. It does not take the place of talking to your doctor
All medicines have risks and benefits. Your doctor has weighed the risks of you using
this medicine against the benefits they expect it will have for you.
If you have any concerns about taking this medicine, ask your doctor or pharmacist.
Keep this leaflet with your medicine.
You may want to read it again.
What this medicine is used for
Pantoprazole is used for symptomatic relief of frequent heartburn and stomach acid
complaints due to gastro-oesophageal reflux.
Reflux can be caused by "washing back" (reflux) of food and acid from the stomach
into the food pipe, also known as the oesophagus.
Reflux can cause a burning sensation in the chest rising up to the throat, also known
Frequent heartburn is when you have heartburn for two or more days a week. Heartburn
that occurs frequently is a typical symptom of gastro-oesophageal reflux disease (GORD).
How it works
Pantoprazole belongs to a group of medicines called proton pump inhibitors (PPIs).
It works by decreasing the amount of acid the stomach makes to give relief from the
symptoms of reflux and heartburn.
This medicine will start to suppress acid within a few hours, however it will not
give instant symptom relief. You may need to take it for a few days before experiencing
the full effect.
This medicine is recommended for adults suffering from heartburn at least two times
a week. It is not the right medicine for you if you suffer heartburn only occasionally
(one episode of heartburn a week or less), or if you want immediate relief of heartburn.
Ask your doctor or pharmacist if you have any questions about why this medicine has
been recommended for you.
This medicine is a "Pharmacist Only Medicine". It is available without a doctor's
prescription, but your pharmacist's advice is required.
This medicine is not addictive.
There is not enough information to recommend the use of this medicine in children
under 18 years of age.
Before you take this medicine
When you must not take it
Do not take this medicine if you have an allergy to:
any other proton pump inhibitors
any of the ingredients listed at the end of this leaflet.
Some of the symptoms of an allergic reaction may include:
shortness of breath
wheezing or difficulty breathing
swelling of the face, lips, tongue, throat or other parts of the body
rash, itching or hives on the skin.
Do not take this medicine if you have severe liver disease or cirrhosis.
Do not take this medicine in combination with antibiotics or any other medicine if:
you are allergic to any of the antibiotics or medicines your doctor may prescribe
you have moderate to severe liver or kidney disease.
Do not take this medicine in combination with atazanavir or nelfinavir (anti-viral
Do not take this medicine after the expiry date printed on the pack or if the packaging
is torn or shows signs of tampering.
If it has expired or is damaged, return it to your pharmacist for disposal.
If you are not sure whether you should start taking this medicine, talk to your doctor
Before you start to take it
Tell your doctor or pharmacist if you have allergies to any other medicines, foods,
preservatives or dyes.
Tell your doctor or pharmacist if you are pregnant or breastfeeding, or plan to become
pregnant or breast-feed.
Your doctor or pharmacist will discuss the risks and benefits involved.
Tell your doctor or pharmacist if you have any of the following symptoms:
unintentional weight loss
difficulty or pain when swallowing
you look pale and feel weak
you notice blood in your stools
Your doctor may need to perform some additional tests before you take pantoprazole.
If you have not told your doctor or pharmacist about any of the above, tell them before
you start taking this medicine.
Taking other medicines
Tell your doctor or pharmacist if you are taking any other medicines, including any
that you buy without a prescription from your pharmacy, supermarket or health food
Some medicines and pantoprazole may interfere with each other. These include:
warfarin, a medicine used to prevent blood clots
atazanavir and nelfinavir, medicines used to treat viral infections such as HIV
ketoconazole, itraconazole or posaconazole, medicines used to treat fungal infection
methotrexate, a medicine used to treat arthritis and some types of cancer
erlotinib or related medicines used to treat cancer
These medicines may be affected by pantoprazole or may affect how well it works. You
may need different amounts of your medicines, or you may need to take different medicines.
Your doctor and pharmacist have more information on medicines to be careful with or
avoid while taking pantoprazole.
Other interactions not listed above may also occur.
How to take this medicine
Follow all directions given to you by your doctor or pharmacist carefully.
They may differ from the information contained in this leaflet.
If you do not understand any written instructions, ask your doctor or pharmacist for
How much to take
The dose is one tablet per day.
How to take it
Swallow the tablet whole with a full glass of water.
Do not crush or chew the tablets as they have a special coating to protect them from
the acidic contents of your stomach.
For this medicine to work effectively, this coating must not be broken.
When to take it
Take your medicine at about the same time each day.
Taking your medicine at the same time each day will have the best effect. It will
also help you remember when to take it.
It does not matter if you take this medicine before or after food.
How long to take it
Continue taking your medicine for at least 7 days, and for up to 14 days. You should
not take it for more than 14 days unless your doctor tells you.
If you forget to take it
If it is almost time for your next dose, skip the dose you missed and take your next
dose when you are meant to.
Otherwise, take it as soon as you remember, and then go back to taking your medicine
as you would normally.
Do not take a double dose to make up for the dose that you missed.
This may increase the chance of you getting an unwanted side effect.
If you have trouble remembering to take your medicine, ask your pharmacist for some
If you take too much (overdose)
Immediately telephone your doctor or the Poisons Information Centre (telephone 13
11 26) for advice, or go to Accident and Emergency at the nearest hospital, if you
think that you or anyone else may have taken too much pantoprazole.
Do this even if there are no signs of discomfort or poisoning.
You may need urgent medical attention.
While you are taking this medicine
Things you must do
If you are about to be started on any new medicine, remind your doctor and pharmacist
that you are taking this medicine.
Tell all doctors, dentists and pharmacists who are treating you that you are taking
Tell your doctor immediately if you become pregnant while you are taking pantoprazole.
If you are about to have any blood tests, tell your doctor that you are taking this
It may interfere with the results of some tests.
Tell your doctor if you do not feel better while taking this medicine. If symptoms
persist or recur within two weeks of completing use of this medicine, consult a doctor.
Further investigation may be recommended.
Things you must not do
Do not take this medicine to treat any other complaints unless your doctor or pharmacist
tells you to.
Do not give this medicine to anyone else, even if they have the same condition as
Things to be careful of
Be careful while driving or operating machinery until you know how this medicine affects
This medicine may cause dizziness in some people. If you have any of these symptoms,
do not drive, operate machinery or do anything else that could be dangerous.
Things that may help your condition
Some self-help measures suggested below may help your condition. Your doctor or pharmacist
can give you more information about these measures.
Alcohol - your doctor or pharmacist may advise you to limit your alcohol intake.
Aspirin and many other medicines used to treat arthritis, period pain, headaches -
these medicines may irritate the stomach and may make your condition worse. Your doctor
or pharmacist may suggest other medicines you can take.
Caffeine - your doctor or pharmacist may advise you to limit the number of drinks
which contain caffeine, such as coffee, tea, cocoa and cola drinks, because they contain
ingredients that may irritate your stomach.
Eating habits - eat smaller, more frequent meals. Eat slowly and chew your food carefully.
Try not to rush at meal times.
Smoking - your doctor or pharmacist may advise you to stop smoking or at least cut
Weight - your doctor or pharmacist may suggest losing some weight to help your condition.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you
are taking this medicine.
This medicine helps most people with heartburn and reflux, but it may have unwanted
side effects in a few people. All medicines have side effects. Sometimes they are
serious, most of the time they are not. You may need medical attention if you get
some of the side effects.
Do not be alarmed by the following list of side effects. You may not experience any
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor or pharmacist if you notice any of the following and they worry you:
nausea or vomiting
stomach pain, indigestion, excessive gas in the stomach or bowel
weakness or tiredness
increased sweating or body temperature
skin problems, such as itchiness and rash
The above list includes the more common side effects of pantoprazole.
Tell your doctor or pharmacist immediately if you notice any of the following:
unusual tiredness or weakness
high blood pressure
blood in the urine
increased or decreased need to urinate
depression, confusion or anxiety
The above list includes serious side effects that may require medical attention. Serious
side effects are rare.
If any of the following happen, tell your doctor immediately or go to Accident and
Emergency at your nearest hospital:
skin problems such as itchiness, rash with swelling, blistering or peeling of the
skin or rash when exposed to the sun, possibly with pain in the joints
swelling of the face, lips, mouth, tongue or throat which may cause difficulty in
swallowing or breathing
nausea, vomiting, loss of appetite, feeling generally unwell, fever, itching, yellowing
of the skin and eyes, and dark coloured urine
frequent infections such as fever, severe chills, sore throat or mouth ulcers
bone fracture of the hip, wrist or spine (mainly a risk in people who take high doses
of PPIs or use them long term (a year or longer))
symptoms such as seizures, abnormal or fast heartbeat or jerking/shaking movements.
These can be a sign of low magnesium levels in your blood
swelling of the legs
bleeding or bruising more easily than normal
severe and/or persistent diarrhoea, because this medicine has been associated with
a small increase in infectious diarrhoea
shortness of breath
The above list includes very serious side effects. You may need urgent medical attention
or hospitalisation. These side effects are very rare.
Tell your doctor or pharmacist if you notice anything that is making you feel unwell.
Other side effects not listed above may occur in some people.
Storage and Presentation
Keep your tablets in the pack until it is time to take them.
If you take the tablets out of the packaging they may not keep well.
Keep your medicine in a cool dry place where the temperature will stay below 25°C.
Do not store your medicine, or any other medicine, in the bathroom or near a sink.
Do not leave it on a window sill or in the car.
Heat and dampness can destroy some medicines.
Keep it where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place
to store medicines.
If your doctor or pharmacist tells you to stop taking this medicine or the expiry
date has passed, ask your pharmacist what to do with any medicine that is left over.
What APOHEALTH Pantoprazole Heartburn Relief looks like
The tablets are available in 20 mg strengths and have an acid-resistant coating called
an enteric coating.
Yellow to pale yellow, oval, biconvex enteric-coated tablets, plain on both sides.
Available in blister packs of 7 or 14 tablets.
The active ingredient in the tablets is pantoprazole (as sodium sesquihydrate).
The tablets also contain the following as inactive ingredients:
colloidal anhydrous silica
sodium starch glycollate
Eudragit L30-D55 (3700)
Opadry AMB Aqueous Moisture Barrier Coating System 80W52172 Yellow (106688).
This medicine is free of lactose, gluten, sucrose, tartrazine and other azo dyes.
Australian Registration Number
APOHEALTH Pantoprazole Heartburn Relief tablets (blisters): AUST R 229698.
*Not all pack sizes may be available.
Apotex Pty Ltd
16 Giffnock Avenue
Macquarie Park NSW 2113
APOHEALTH and APOTEX are the registered trademarks of Apotex Inc.
This leaflet was last updated in: