Pantocid D Capsule (10 Cap)

PANTOCID D CAPSULE

Pantocid D Capsule is a combination medicine manufactured by SUN PHARMA LABORATORIES LTD., primarily used to manage various gastrointestinal conditions.

Composition Each Pantocid D Capsule contains two active ingredients:

• Pantoprazole (20 mg): A proton pump inhibitor (PPI) that reduces the amount of acid produced in the stomach.
• Domperidone (10 mg): A prokinetic agent that increases the movement of the stomach and intestines, facilitating easier passage of food and preventing vomiting.

Uses PANTOCID D CAPSULE is prescribed for the treatment of:

• Gastroesophageal Reflux Disease (GERD), including cases not responding to pantoprazole alone.
• Acidity and Heartburn.
• Dyspepsia (indigestion) and Gastritis.
• Peptic ulcers (gastric and duodenal ulcers).
• Erosive esophagitis (inflammation of the esophagus due to acid reflux).
• Nausea and Vomiting, and associated upper abdominal discomfort.

Dosage and Administration Typically, PANTOCID D CAPSULE is taken once daily, preferably in the morning, one hour before a meal, and on an empty stomach. It should be swallowed whole with water and not crushed, chewed, or broken. The dose and duration of treatment should be strictly as advised by a healthcare professional.

Side Effects Common side effects may include:

• Diarrhea
• Stomach pain or discomfort
• Flatulence (gas)
• Dryness in the mouth
• Headache
• Dizziness and sleepiness

Consult your doctor if any side effects persist or worsen.

Precautions

• Allergies: Do not take if allergic to pantoprazole, domperidone, or any other components of the medicine.
• Medical Conditions: Inform your doctor if you have kidney, liver, or heart problems (such as congestive heart failure or heart rhythm issues), osteoporosis, or imbalanced electrolyte levels (e.g., low magnesium, potassium, or calcium).
• Drug Interactions: This medicine may interact with antifungal drugs (e.g., ketoconazole, fluconazole), certain antibiotics (e.g., clarithromycin, erythromycin), anticoagulants (e.g., warfarin), anti-anxiety medications (e.g., diazepam), antidepressants (e.g., fluoxetine), and products containing rilpivirine.
• Pregnancy and Breastfeeding: Consult your doctor if you are pregnant, planning pregnancy, or breastfeeding.
• Alcohol: Avoid consuming alcohol as it can worsen sleepiness and dizziness.
• Driving/Operating Machinery: Avoid driving or operating heavy machinery if you experience dizziness or sleepiness.
• Long-term Use: Prolonged use may increase the risk of weak bones (fractures), and deficiencies of magnesium and Vitamin B12. Regular monitoring may be advised for long-term treatment.
• Children: Not recommended for children below 12 years of age due to limited safety and efficacy data.

Storage Store PANTOCID D CAPSULE in a cool and dry place, protected from light. Keep it below 25°C or 30°C and out of the sight and reach of children and pets.

Pantocid D Capsule is a combination medicine containing Domperidone and Pantoprazole, primarily used to manage various gastrointestinal conditions related to acidity and digestive motility. It is manufactured by Sun Pharma Laboratories Ltd.

What is Pantocid D Capsule used for?

Pantocid D Capsule is used to treat conditions such as gastroesophageal reflux disease (GERD), peptic ulcers (gastric and duodenal ulcers), reflux esophagitis, acidity, heartburn, indigestion (dyspepsia), and gastritis. It also helps alleviate symptoms like nausea, vomiting, upper abdominal discomfort, bloating, and difficulty swallowing.

How does Pantocid D Capsule work?

This medicine combines two active ingredients: Domperidone and Pantoprazole. Pantoprazole is a proton pump inhibitor (PPI) that reduces the amount of acid produced in the stomach. Domperidone is a prokinetic agent that increases the movement of food through the stomach and intestines, which helps prevent vomiting and promotes easier passage of food. It also works by blocking the stimulation in the brain's "vomiting center."

What is the usual dosage for Pantocid D Capsule?

The usual dosage is one capsule per day, taken preferably in the morning, one hour before a meal. It should be swallowed whole with water and not crushed or chewed. Your doctor will determine the exact dose and duration of treatment, and it is important to complete the full prescribed course.

What are the possible side effects of Pantocid D Capsule?

Common side effects include headache, dry mouth, stomach pain or discomfort, diarrhoea, dizziness, flatulence (gas), nausea, vomiting, altered sense of taste, weakness, and skin rash. If these side effects persist or worsen, consult your doctor. Long-term use may increase the risk of bone fractures, low magnesium levels (hypomagnesaemia), vitamin B12 deficiency, and a specific type of diarrhoea called Clostridium difficile-associated diarrhoea (CDAD). In some cases, it may also cause an irregular heartbeat, especially in individuals over 60 years or those with pre-existing heart conditions.

Is Pantocid D Capsule safe during pregnancy or breastfeeding?

Pregnancy: Pantocid D Capsule is generally not recommended during pregnancy due to limited safety information and potential risks to the developing baby. It should only be used if the potential benefits outweigh the risks, and always under the guidance of a doctor.

Breastfeeding: The components of Pantocid D Capsule can pass into breast milk in small amounts. Therefore, it should be used with caution or avoided during breastfeeding, and only if deemed necessary by your doctor, considering the potential harm to the infant.

Can Pantocid D Capsule be taken with other medications?

Pantocid D Capsule can interact with several medications. Inform your doctor about all medicines, supplements, or herbal products you are taking, as interactions can occur with antifungal drugs (e.g., ketoconazole), certain antibiotics (e.g., clarithromycin), blood thinners (e.g., warfarin), some antidepressants, and antiviral medications (e.g., rilpivirine). Medications whose absorption depends on stomach acid pH (like iron salts or erlotinib) may also be affected.

What precautions should be taken while using Pantocid D Capsule?

Avoid taking Pantocid D Capsule if you are allergic to any of its ingredients. Inform your doctor if you have liver, kidney, or heart problems (including pre-existing heart conditions, QT prolongation, or congestive heart failure), bone problems (like osteoporosis), stomach/intestinal bleeding, obstruction, or a pituitary gland tumor (prolactinoma). This medicine is not recommended for children under 12 years of age. You should also avoid driving or operating heavy machinery if you experience dizziness or visual disturbances. Alcohol consumption should be avoided as it can worsen acidity and drowsiness. Do not stop the medication suddenly, especially if on long-term treatment, as symptoms may recur or worsen.

What happens if a dose of Pantocid D Capsule is missed?

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed one and continue with your regular dosing schedule. Do not take a double dose to compensate for the missed one.

How should Pantocid D Capsule be stored?

Pantocid D Capsule should be stored in a cool, dry place, protected from direct sunlight. Keep it in its original packaging and out of the sight and reach of children and pets. The recommended storage temperature is below 25°C or 30°C.