Pantoprazole-Mepha gastro Filmtabl 20 mg 7 pcs

What is Pantoprazole-Mepha gastro and when is it used?

The active substance of Pantoprazole-Mepha gastro, pantoprazole, belongs to the class of proton pump inhibitors. It inhibits the enzyme responsible for releasing acid in the stomach (the proton pump).Pantoprazole-Mepha gastro is used in adults for the short-term treatment of symptoms of burning in the stomach and acid reflux caused by reflux of Stomach acid can be traced back to the esophagus.

When must Pantoprazole-Mepha gastro not be used?

Pantoprazole-Mepha gastro must not be used if there is a known hypersensitivity to the active ingredient pantoprazole, others Proton pump inhibitors or one of the excipients of Pantoprazole-Mepha gastro.Pantoprazole-Mepha gastro must not be taken by children and adolescents. During pregnancy and breastfeeding, Pantoprazole-Mepha gastro should only be taken after consulting a doctor.

When is caution required when taking Pantoprazole-Mepha gastro?

Please inform your doctor immediately in the following situations:

• unintentional, unexplained weight loss,unexplained pale appearance and feeling weak (anaemia),if you have blood in your stool or if your stool is black in colour,difficulty swallowing,repeated vomiting,vomiting blood, Stomach pain,severe and/or persistent diarrhoea.A rash appears, especially in sun-exposed areas of the skin, as you have stopped treatment with Pantoprazole gastro should therefore possibly cancel. Do not forget to mention other symptoms such as joint pain.

Please talk to your doctor before taking Pantoprazole-Mepha gastro in the following situations:

• if you have had a stomach ulcer or an operation on the gastrointestinal tract,if you have been taking medicine for upset stomach or heartburn continuously for 4 weeks or more burping,if you have jaundice or liver problems,if you have another serious condition,if you are about to have an endoscopic examination (e.g. gastroscopy or breath test). ,You are older than 55 years and treat digestive disorders with non-prescription medicines on a daily basis.You are older than 55 years and have new or recently changed symptoms.If you have ever experienced skin reactions as a result of treatment with a medicine similar to Pantoprazole, which also reduces stomach acid.

Pantoprazole can affect the way other medicines work. Therefore, inform your doctor, pharmacist or druggist if you are taking other medicines, such as

• medicines for fungal infections
• Erlotinib to treat certain types of cancerMethotrexate to treat cancerMedicines to thin the blood or medicines to treat HIV infection (e.g. atazanavir, ritonavir).

Concomitant use of these medicines should be avoided.Do not take Pantoprazole-Mepha gastro with other medicines that reduce the amount of acid in the stomach, such as other proton pump inhibitors (omeprazole, lansoprazole or rabeprazole) or an H2- antagonists (e.g. ranitidine).However, if necessary, you may not take Pantoprazole-Mepha gastro together with antacids (e.g. magaldrate, alginic acid, sodium bicarbonate, Aaluminum hydroxide, magnesium carbonate or combinations thereof).If you experience side effects such as dizziness or blurred vision, you should not drive or use machines.If you take Pantoprazole-Mepha gastro for more than 3 months, it is possible that the levels of magnesium in your blood may fall. Low magnesium levels are manifested by fatigue, involuntary muscle tension, confusion, cramps, dizziness and increased heart rate. If you experience any of these side effects, please tell your doctor immediately. Low magnesium levels can also lead to a decrease in potassium and calcium levels in the blood. Your doctor may do regular blood tests to monitor your magnesium levels.Taking proton pump inhibitors such as Pantoprazole-Mepha gastro, especially for more than a year, can increase the risk of Slightly increase fractures in the hip, wrist or spine. Tell your doctor if you have osteoporosis or are taking corticosteroids (these medicines can increase the risk of osteoporosis).Tell your doctor, pharmacist or druggist before starting treatment if you are having specific blood tests (chromogranin A).Tell your doctor, pharmacist or druggist if you

• suffer from other diseases,have allergies ortake other medicines (including those you bought yourself!) or use them externally!
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This medicinal product contains less than 1 mmol sodium (23 mg) per film-coated tablet, i.e. it is virtually «sodium-free».

Can Pantoprazole-Mepha gastro be taken during pregnancy or while breastfeeding?

If you are pregnant or want to become pregnant, or if you are breastfeeding, you must not take Pantoprazole-Mepha gastro without consulting your doctor.

How to use Pantoprazole-Mepha gastro?

Always take Pantoprazole-Mepha gastro as described here. Check with your doctor, pharmacist, or druggist if you are not sure.The adult dosage is one gastro-resistant film-coated tablet per day.It is It is possible that the film-coated tablets have to be taken for 2-3 consecutive days to improve the symptoms. Stop taking the film-coated tablet when you are completely free of symptoms.If your symptoms do not improve within 2 weeks of uninterrupted treatment, you should consult your doctor.Without a doctor's consultation treatment should not last longer than 4 weeks.

Pantoprazole-Mepha gastro gastro-resistant film-coated tablets should be swallowed whole and unbroken 1 hour before a meal with some water.

If you take more than If you have taken the recommended dose of 1 film-coated tablet per day, tell your doctor, pharmacist or druggist. There are no known symptoms of overdose.If you forget to take a tablet, do not double the dose. Instead, take the next dose at the usual time.Stick to the dosage given in the package leaflet or as prescribed by your doctor. If you think the medicine is too weak or too strong, talk to your doctor, pharmacist or druggist.

What side effects can Pantoprazole-Mepha gastro have?Common (affects 1 to10 in 100 users)

Benign growths of the gastric mucosa.

Uncommon (affects 1 to 10 in 1000 users)

Sleep disorders, headache, dizziness, diarrhea, nausea and vomiting, gas and bloating, constipation, dry mouth, abdominal pain and discomfort, rash, reddening of the skin, itching, feeling weak, tired or generally feeling unwell.

Rare (affects 1 to 10 users in 10,000) h4>

Immediate-type hypersensitivity reactions (dizziness, increased heart rate, sweating), weight changes, depressive moods and worsening of pre-existing depression, taste disorders, visual disturbances and blurred vision, nettle rash (severely itchy skin rash, hives), joint and muscle pain, enlargement of the male chest, increased body temperature and swelling of the arms and legs due to fluid retention (oedema).

Very rare (affects less than 1 in 10,000 users)

Disorientation and worsening of existing disorientation especially in people who are predisposed accordingly.

Individual cases

Delusions and confusion in predisposed people. If these symptoms already exist, they can be aggravated by Pantoprazole-Mepha gastro.

Decrease in certain minerals in the blood, rash, possibly associated with pain in the joints.

Inflammation of the large intestine, which causes a persistent watery causes diarrhea.Side effects found in blood tests include:

• Raised liver function tests have been reported uncommonly.Rarely, an increase has occurred bilirubin and blood fat levels.There have been very rare reports of a decrease in blood platelets, which may cause increased bleeding or bruising, and a decrease in the number of white blood cells, which may cause more infections.

If you experience the following side effects, you should immediately stop taking Pantoprazole-Mepha gastro and see your doctor immediately:

• Severe allergic reactions: swelling of the tongue or throat, difficulty swallowing, hives, difficulty breathing, allergic swelling of the face and throat (Quincke's edema, angioedema), severe drowsiness with rapid heartbeat and profuse sweating.
• Serious skin changes such as blistering and rapid deterioration of your general condition, skin damage (including minor bleeding) of the eyes, nose, mouth and lips or genitals (Stevens-Johnson syndrome, Lyell's syndrome, erythema multiforme) and sensitivity to light.

Other serious conditions: yellowing of the skin or eyes (severe damage to liver cells, jaundice), fever, rash and enlarged kidneys sometimes accompanied by pain when urinating and pain in the lower back (severe inflammation of the kidneys). If you notice side effects, contact your doctor, pharmacist or druggist. This also applies in particular to side effects that are not listed in this leaflet.

What else should be observed?

The medicinal product may only be used up to the end of the period marked "EXP" on the container Date are used.

Storage instructions

Store in the original packaging, protected from moisture and at room temperature (15-25°C). Keep out of the reach of children.Your doctor, pharmacist or druggist can provide you with further information. These people have the detailed technical information.

What does Pantoprazole-Mepha gastro containen?Active ingredients

1 gastro-resistant film-coated tablet Pantoprazole-Mepha gastro 20 mg contains 20 mg pantoprazole as pantoprazole sodium sesquihydrate.

Excipients

Tablet core: Mannitol, Sodium starch glycolate (Type A), Butylmethacrylic acid basic copolymer, Sodium carbonate anhydrous, Calcium stearate.

Film-coating: Hypromellose, Titanium dioxide (E171), Talc, Macrogol 400, Sodium laurilsulfate, Methacrylic acid ethyl acrylate -Copolymer (1:1) dispersion 30%, propylene glycol, yellow iron oxide (E172).

Authorization number

59483 (Swissmedic).

Where can you get pantoprazole -Mepha gastro? Which packs are available?

In pharmacies and drugstores without a doctor's prescription.

Blister packs with 7 and 14 enteric-coated film-coated tablets.

Marketing authorization holder

Mepha Pharma AG, Basel.This leaflet was last checked by the drug authority (Swissmedic) in January 2020.Internal version number: 7.1