Pantoprazole

Dosage ; Reflux esophagitis; 40 mg daily (up to 80 mg daily) for 4-8 weeks.

Gastric ulcers; 40 mg daily (up to 80 mg daily) for 4-8 weeks.

Duodenal ulcer: 40 mg daily (up to 80 mg daily) for up to 4 weeks.

NB: The tablet should be swallowed whole with a full glass of water

since it is enteric-coated to prevent gastric decomposition and to increase bioavailability.

Pantoprazole Brands

Brand Name Manufacturer Name Distributor Drug Strength Packaging Formulation Formulation Strength Price
Pansec DR Ranbaxy Laboratories Pharma Specialities Ltd. 40mg 28 Tablet per tablet KES 1,006.00
Pantocid Sunlight International Trading (Africa) Co., Ltd Harley's Limited 20mg 50 Tablet per tablet KES 1,900.00
Pantocid Sunlight International Trading (Africa) Co., Ltd Harley's Limited 40mg 50 Tablet per tablet KES 3,200.00
Pantocid Sunlight International Trading (Africa) Co., Ltd Harley's Limited 40mg 1 Injection per vial KES 680.00
Pantoloc Nycomed International Management GmbH Phillips Pharmaceuticals Ltd. 20mg 28 Tablet per tablet KES 1,530.00
Pantoloc Nycomed International Management GmbH Phillips Pharmaceuticals Ltd. 40mg 14 Tablet per tablet KES 1,530.00
Pantoloc Nycomed International Management GmbH Phillips Pharmaceuticals Ltd. 40mg 5 Injection per vial KES 3,340.00
Pantotab Micro - Labs Limited Harley's Limited 40mg 30 Tablet per tablet KES 744.00
Ultop Leben Laboratories PVT Limited Harley's Limited 20mg 200 Tablet per tablet KES 1,000.00
Ultop Leben Laboratories PVT Limited Harley's Limited 40mg 200 Tablet per tablet KES 2,000.00
Zolpanz R.P.G Life Sciences Pharma Specialities Ltd. 40mg 30 Tablet per tablet KES 804
Pansalve Emcure Pharmaceuticals Limited Saicare Enterprises Ltd. 20mg 10 Tablet per tablet KES 350.00
Panopaz Aglowmed Pharmaceuticals Ltd. AB Pharmaceuticals Ltd 40mg 100 Tablet per tablet KES 1,600.00
Pantakind Mankind Pharma Limited Pharma Specialities Ltd. 40mg 60 Tablet per tablet KES 1,150.00
Pantor Torrent Pharmaceuticals Ltd. Medox Pharmaceuticals Ltd. 20mg 30 Tablet per tablet KES 810.00
Pantor Torrent Pharmaceuticals Ltd. Medox Pharmaceuticals Ltd. 40mg 30 Tablet per tablet KES 1,350.00
Sharazole Questa Care Inc. Simba Pharmaceutical Ltd. 40mg 10 Tablet per tablet KES 325.00
Pantoprazole
Mode Of Action

Proton pump inhibition

Drug Indication Duodenal ulcers, benign gastric ulcers, and prevention of peptic ulcers associated with NSAIDs, reflux oesophagitis, Zollinger-Ellison syndrome
Precautions Exclude possibility of malignancy, hepatic damage, pregnancy and breastfeeding.
Contra-Indications No experience in pregnancy and with children.
Side Effects Diarrhoea, blurred vision, depression, eosinophilia, exfoliative dermatitis, haematuria, impotence, maculopapular rash, paresthesia, photophobia, tremor or vertigo
Dosage Reflux esophagitis; 40 mg daily (up to 80 mg daily) for 4-8 weeks. Gastric ulcers; 40 mg daily (up to 80 mg daily) for 4-8 weeks. Duodenal ulcer: 40 mg daily (up to 80 mg daily) for up to 4 weeks. NB: The tablet should be swallowed whole with a full glass of water since it is enteric-coated to prevent gastric decomposition and to increase bioavailability.
Special Information Pantoprazole is a substituted benzimidazole
Pregnancy Category Category B3
Pregnancy Category Description

Drugs which have been taken by only a small number of pregnant women and women of child-bearing age with no any established rise in the frequency of malformations or other direct or indirect detrimental effects on the foetus having been noted. Studies in animals show evidence of an increased occurrence of foetal damage, the significance of which is uncertain in human

Dosing: Adult

Erosive esophagitis associated with GERD:

Oral:

Treatment: 40 mg once daily for up to 8 weeks; an additional 8 weeks may be used in patients who have not healed after an 8-week course

Maintenance of healing: 40 mg once daily

Note: Lower doses (20 mg once daily) have been used successfully in mild GERD treatment and maintenance of healing

I.V.: 40 mg once daily for 7-10 days

Hypersecretory disorders (including Zollinger-Ellison):

Oral: Initial: 40 mg twice daily; adjust dose based on patient needs; doses up to 240 mg/day have been administered

I.V.: 80 mg twice daily; adjust dose based on acid output measurements; 160-240 mg/day in divided doses has been used for a limited period (up to 7 days)

Prevention of rebleeding in peptic ulcer bleed (unlabeled use): I.V.: 80 mg, followed by 8 mg/hour infusion for 72 hours. Note: A daily infusion of 40 mg does not raise gastric pH sufficiently to enhance coagulation in active GI bleeds.

Helicobacter pylori eradication (unlabeled use): Oral: American College of Gastroenterology guidelines (Chey, 2007):

Nonpenicillin allergy: 40 mg twice daily administered with amoxicillin 1000 mg and clarithromycin 500 mg twice daily for 10-14 days

Penicillin allergy: 40 mg twice daily administered with clarithromycin 500 mg and metronidazole 500 mg twice daily for 10-14 days or 40 mg once or twice daily administered with bismuth subsalicylate 525 mg and metronidazole 250 mg plus tetracycline 500 mg 4 times/day for 10-14 days

Dosing: Pediatric

(For additional information see "Pantoprazole: Pediatric drug information" )

GERD, erosive esophagitis associated with GERD:

Oral:

Children <5 years: Dosage not established.

Children ≥5 years (unlabeled use): 20-40 mg once daily

I.V.: Dosage not established

Dosing: Geriatric

Refer to adult dosing.

Dosing: Renal Impairment

No adjustment is required. Pantoprazole is not removed by hemodialysis.

Dosing: Hepatic Impairment

No adjustment is required