Consult your doctor or pharmacist for additional information. Possible side effect Get emergency medical help if you have any of these signs of an allergy, giddy, insomnia or asthenia, fast heartbeat, convulsion or muscle pain. Drug interaction Protonix should not be taken together with atazanavir or nelfinavir. Missed dose Take the missed dose as soon as possible. Skip the missed dose if it is time for your next scheduled dose. Do not take extra medicine to make up the missed dose. Overdose Overdose symptoms are unknown.
Hypersensitive to Pantoprazole Hypersensitive to mebendazole, albendazole, or other benzimidazole medicines Proton pump inhibitors such as Protonix may put you at a greater risk to bone fracture of the spine, wrist, or hip.
This effect is recorded mostly in patients who were required to take this drug for long duration or in high dosages, and in patients who are of 50 years or older. Before using this drug for long term, discuss the risks associated it with your doctor, especially if you have osteopenia or osteoporosis. Long term use of Protonix may decrease your ability to absorb vitamin B, leading to deficiency of vitamin B Consult your doctor if you any early signs of vitamin B deficiency, which are — pale skin, tired feeling, fast heart rate, shortness of breath, or weakness.
If you are taking the tablets, you may take them with or without food. Swallow the tablets whole. Do not split, crush, or chew the medication. Doing so may destroy the drug. If you are taking the granules, take your dose 30 minutes before a meal. To take it by mouth , open the packet and mix the granules in applesauce or apple juice. Do not mix with other foods or liquids. Do not crush or chew the granules.
Sprinkle the granules on 1 teaspoon 5 milliliters of applesauce and swallow all of the mixture right away within 10 minutes. Follow with sips of water. Or you can mix the granules with 1 teaspoon 5 milliliters of apple juice in a small cup, stir for 5 seconds, and swallow all of the mixture right away.
To make sure you take the entire dose, rinse the cup once or twice with apple juice to mix any remaining granules, and swallow the juice. Do not prepare the mixture ahead of time for later use. If you are giving the granules through a tube into the stomach nasogastric or gastric tube , ask your health care professional for detailed instructions on how to properly mix and give it.
If needed, antacids may be taken along with this medication. If you are also taking sucralfate, take pantoprazole at least 30 minutes before sucralfate. Use this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day.
Continue to take this medication for the prescribed length of treatment even if you are feeling better. Tell your doctor if your condition persists or worsens. The risk of side effects goes up over time.
Ask your doctor how long you should take this medication. Who should not take Protonix? Heartburn is often confused with the first symptoms of a heart attack.
Seek emergency medical attention if you have chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, and a general ill feeling. You should not take this medication if you are allergic to Protonix or to any other benzimidazole medication such as albendazole, or mebendazole Vermox. To make sure you can safely take Protonix, tell your doctor if you low levels of magnesium in your blood. Some conditions must be treated long-term with Protonix.
The chronic use of Protonix has caused stomach cancer in animal studies, but it is not known if this medication would have the same effects in humans. Talk with your doctor about your specific risk of developing stomach cancer. Taking a proton pump inhibitor such as Protonix may increase your risk of bone fracture in the hip, wrist, or spine. This effect has occurred mostly in people who have taken the medication long term or at high doses, and in those who are age 50 and older.
It is not clear whether Protonix is the actual cause of an increased risk of fracture. Before you take this medication, tell your doctor if you have osteoporosis or osteopenia low bone mineral density. Long-term treatment with Protonix may also make it harder for your body to absorb vitamin B, resulting in a deficiency of this vitamin.
Symptoms of a vitamin B deficiency may develop slowly and include pale skin, weakness, tired feeling, shortness of breath, and a fast heart rate. Talk with your doctor if you need long-term Protonix treatment and you have concerns about vitamin B deficiency.
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