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Introduction About PROTOPAN H TABLET

PROTOPAN H TABLET is used to manage peptic ulcers, gastroesophageal reflux disease (GERD) and reflux esophagitis. It is a combination of Domperidone and Pantoprazole which belongs to the group of medicines called Prokinetic Drugs and Proton pump inhibitors respectively. PROTOPAN H TABLET acts by reducing the production of gastric acid. It also speeds up the movement of food from the stomach to the intestines, thereby reducing the signs of nausea, vomiting and acid reflux. Due to these actions, it can also reduce the unpleasant signs of GI tract such as nausea, vomiting, indigestion, burping, bloating, acidity or heartburn.

It should be taken at least 15-30 minutes before meals. During management with PROTOPAN H TABLET your doctor will closely monitor your kidney functions, liver functions and blood magnesium levels to avoid the risk of unwanted side effects. Before taking PROTOPAN H TABLET inform your doctor if you have any liver, kidney or heart problems. You must also inform your doctor if you have any blockage or tears in the gut or have weak bones.

PROTOPAN H TABLET is not recommended for use in patients bleeding from the gut. Consult your doctor before taking PROTOPAN H TABLET if you are pregnant or breastfeeding. The most common side effects are dryness of mouth, constipation and flatulence. Consult your doctor if any of these side effect bothers you. You must also inform your doctor immediately if you experience any signs of low magnesium levels in blood (such as tiredness, abnormal muscle movements, dizziness, confusion, disorientation, irregular heartbeat).

Uses Of PROTOPAN H TABLET

It is used to manage:

Peptic ulcer
Gastrointestinal Reflux disease (GERD)
Reflux esophagitis (inflammation of the esophagus)
Nausea and Vomiting
Acidity, Heartburn
Signs of indigestion (such as burping, bloating)

How PROTOPAN H TABLET Works

PROTOPAN H TABLET contains Domperidone and Pantoprazole. Domperidone is a prokinetic medicine with anti-emetic properties which works by blocking the actions of a chemical messenger called dopamine in the gut and across the brain and spinal cord. This action stimulates the gut, reduces acid reflux and speeds up the movements of food from the stomach into the intestines. It also blocks the transmission of nerve signals between the vomiting centers and brain which reduces the onset of nausea and vomiting. Pantoprazole reduces gastric acid secretion by the blocking the actions of a protein membrane called H+K+Atpase (proton pump) present in the lining of the stomach. By reducing stomach acid production, PROTOPAN H TABLET it manages the worsening of ulcers, heals the existing ulcers and esophageal lesions and provides relief from the unpleasant symptoms of GI tract (such as acidity, bloating, burping and indigestion).

How to use PROTOPAN H TABLET

Take PROTOPAN H TABLET 15-30 minutes before meals or as advised by your physician
Swallow the medicine with a glass of water. Do not crush or chew the medicine
Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and disease condition
Do not stop taking PROTOPAN H TABLET unless your doctor advice you to stop

Side Effects Of PROTOPAN H TABLET

Common side effects of PROTOPAN H TABLET:

benign polyps in the stomach
dry mouth
headache, dizziness, drowsiness
diarrhea, constipation, stomach pain, flatulence

Stop taking PROTOPAN H TABLET and inform your doctor immediately if you experience any of the following side effects such as:

severe allergic reactions (such as skin rash, itching, swelling of the lips, face or body and difficulty in breathing or swallowing)
signs of liver problems (yellowing of the skin and eyes, dark urine and tiredness)
severe skin reactions (such as redness, blistering, peeling of skin and bleeding in the lips, eyes, mouth, nose and genitals with fever)
signs of kidney problem (such as lower back pain, painful urination)
signs of low magnesium levels in blood (such as tiredness, abnormal muscle movements, dizziness, confusion, disorientation, irregular heartbeat)
severe, persistent diarrhea
fast or irregular heartbeat, difficulty in breathing, feeling faint
fits
uncontrollable body movements (including eye and tongue), twisted neck and abnormal body posture

Warning & Precautions

Pregnancy

Monitoring required

PROTOPAN H TABLET should be used in pregnant women only if it is considered necessary by the physician.

Breastfeeding

Monitoring required

PROTOPAN H TABLET may pass through breast milk. Therefore, it should be used in breastfeeding women only if it is considered necessary by the physician.

Driving and Using Machines

Use with Caution

PROTOPAN H TABLET does not affect your ability in driving or handling heavy tools or machines. However, do not drive or handle heavy tools or machines if your ability is affected by the medicine.

Alcohol

Consult your doctor

Avoid consumption of alcohol while taking PROTOPAN H TABLET, as it could aggravate your existing condition.

Kidney

Use with Caution

PROTOPAN H TABLET should be used with caution in patients with kidney problems.

Liver

Consult your doctor

PROTOPAN H TABLET is not recommended for use in patients with moderate or severe liver impairment. It should be used with caution in patients with other mild liver problems.

Allergy

Contraindicated

Do not take PROTOPAN H TABLET if you are allergic to Domperidone, Pantoprazole or to any other ingredients of this medicine.

Heart Disease

Contraindicated

PROTOPAN H TABLET is not recommended for use in patients with heart problems such as prolongation of QT interval or congestive heart failure.

Use In Pediatrics

Contraindicated

PROTOPAN H TABLET is not recommended for use in children and adolescents (aged below 18 years).

Use In Geriatrics

Use with Caution

PROTOPAN H TABLET should be used with caution in elderly patients (aged 65 years and above).

Others

PROTOPAN H TABLET is not recommended for use if you:

have bloody stools or bleeding in the gut
have blockage or tear in the intestines
have severe fluid or electrolyte disturbances
have prolactinoma (a non-cancerous tumor of pituitary gland)
have low blood potassium or magnesium levels

Before taking PROTOPAN H TABLET inform your doctor if you:

have osteoporosis
have vitamin B12 deficiency (sore tongue, mouth ulcers, pale skin, depression)
are going to test Chromogranin A level

Interactions

A. Drug-Drug interactions:

Before taking PROTOPAN H TABLET inform your doctor if you are taking any of the following medicines such as:

Aminobenzamides (Ex. cisapride, dolasetron, prucalopride, diphemanil)
Cardiac glycosides (Ex. digoxin, apomorphine, disopyramide, hydroquinidine, quinidine, amiodarone, dofetilide, dronedarone, ibutilide, sotalol, diltiazem or verapamil)
Anti-viral agents (Ex. atazanavir, nelfinavir, saquinavir, telaprevir)
Antifungal (Ex. ketoconazole, itraconazole, posaconazole)
Anti-coagulants (Ex. warfarin, phenprocoumon)
Antipsychotics (Ex. haloperidol, pimozide, sertindole)
Antidepressants (Ex. escitalopram or citalopram, fluvoxamine, St John’s wort)
Antibiotics (Ex. moxifloxacin, erythromycin, levofloxacin, clarithromycin, telithromycin or amoxicillin)
Phenanthrene class (Ex. halofantrine, lumefantrine)
Antihistamines (Ex. mizolastine, mequitazine)
Anti-cancer agents (Ex. toremifene, vandetanib, vincamine, erlotinib, dasatinib, nilotinib)
Antimetabolites (Ex. methotrexate)
Anti-arrhythmic (Ex. bepridil)
Opiate (narcotic) analgesics (Ex. methadone)
Iron salts
Immunosupressants (Ex. tacrolimus or mycophenolate mofetil)
Anti-infective (Ex. pentamidine)
Anti-TB agents (Ex. rifampicin)

Overdosage:

If you or anyone else accidentally took more PROTOPAN H TABLET, contact your doctor immediately or go to a hospital straight away. Symptoms of overdosage might include sleepiness, confusion, uncontrollable body movements (including eye and tongue), twisted neck and abnormal body posture.

Synopsis

Drug	:	Domperidone, Pantoprazole
Pharmacological Category	:	Dopamine D2 antagonists, Proton-pump inhibitors
Therapeutic Indication	:	Peptic ulcer, GERD, Reflux esophagitis
Dosage Forms	:	Tablet, Capsule

More Information

FAQs About PROTOPAN H TABLET

Q: What is PROTOPAN H TABLET used for?

A: PROTOPAN H TABLET is used to manage peptic ulcers, GERD and reflux esophagitis. It can also be used to manage nausea, vomiting, bloating, burping, acidity and heartburn.

Q: How and when to take PROTOPAN H TABLET?

A: Take PROTOPAN H TABLET at least 15-30 minutes before meals. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and disease condition.

Q: How long should I take PROTOPAN H TABLET?

A: You need to take PROTOPAN H TABLET for the stipulated duration prescribed by your doctor. Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and disease condition.

Q: What is the best time to take PROTOPAN H TABLET?

A: PROTOPAN H TABLET must be taken before meals to avoid gastrointestinal side effects.

Q: What to do if I forgot to take a dose of PROTOPAN H TABLET?

A: If you forgot to take a dose of PROTOPAN H TABLET, take it as soon as you remember. However, if it is time for the next dose of PROTOPAN H TABLET, skip the missed dose and take the next one regularly.

Q: What are the most common side effects of taking PROTOPAN H TABLET?

A: The most common side effects are dryness of mouth, constipation and flatulence. Consult your doctor if any of these side effect bothers you.

Q: Will taking a higher dose of PROTOPAN H TABLET be more effective?

A: No, taking a higher dose of PROTOPAN H TABLET will not be effective rather it can lead to toxicity. Always take the dose prescribed by your doctor. If the prescribed dose is not effective for you, consult your doctor for advice. Your doctor might increase the dose or suggest an alternative therapy.

Q: What precautions do I need to follow while taking PROTOPAN H TABLET?

A: Make sure to take PROTOPAN H TABLET 30 minutes before meals. Before taking PROTOPAN H TABLET inform your doctor if you have any liver, kidney or heart problems. You must also inform your doctor if you have any blockage or tears in the gut or have weak bones.

Q: Can I take medication for high blood pressure along with PROTOPAN H TABLET?

A: It is not advisable to take medicines to control blood pressure while taking PROTOPAN H TABLET without consulting your doctor as they have known interactions with the medicine.

Q: Can PROTOPAN H TABLET be used in pregnant women?

A: PROTOPAN H TABLET should be used in pregnant women only if it is considered necessary by the physician.

Q: Can PROTOPAN H TABLET cause constipation?

A: Yes. Constipation is a common side effect of using PROTOPAN H TABLET. Eat plenty of fiber rich foods such as fresh fruits, vegetables, cereals as well as drink plenty of water and exercise more regularly when taking this medicine. Contact your doctor if this side effect bothers you.

Q: Can PROTOPAN H TABLET cause dry mouth?

A: Yes. Dry mouth is a common side effect of using PROTOPAN H TABLET. Contact your doctor if this side effect bothers you.

References

1. KD. Tripathi. Antiemetic, Prokinetic and Digestant drugs & Drugs for Peptic Ulcer and Gastroesophageal Reflux Disease. Essentials of medical pharmacology. Seventh edition. 2013. Page – 666 & 653.

2. Nur Fathurah Zamani, Afifah Sjamun Sjahid, Tuan Hairulnizam Tuan Kamauzaman, Yeong Yeh Lee and Md Asiful Islam. Efficacy and Safety of Domperidone in Combination with Proton Pump Inhibitors in Gastroesophageal Reflux Disease: A Systematic Review and Meta-Analysis of Randomised Controlled Trials. Journal of Clinical Medicine. August 2022. [Accessed on 21st October 2022] click here

3. Cipla Ltd. NEW PANTOSEC D SR Capsules (Pantoprazole Gastro-resistant + Domperidone Prolonged Release Capsules IP). Ciplamed.com. [Revised in April 2020] [Accessed on 21st October 2022] click here

4. Panacea Biotec Limited. OD-PEP-D CAPSULES. [Revised in July 2019]. [Accessed on 21st October 2022] click here

5. Milpharm Limited. Electronic Medicines Compendium (EMC). [Revised in March 2021]. [Accessed on 21st October 2022] click here

6. Takeda GmbH. Electronic Medicines Compendium (EMC). [Revised in April 2022]. [Accessed on 21st October 2022] click here

7. Milpharm Limited. Electronic Medicines Compendium (EMC). [Revised in November 2021]. [Accessed on 21st October 2022] click here

8. Leeford Healthcare Ltd. Pantafol-D. [Accessed on 21st October 2022] click here

9. Hetero Healthcare Ltd. Pantin RD Tablet. [Accessed on 21st October 2022] click here

10. Central Drugs Standard Control Organization. Pantoprazole+Domperidone SR. [Revised in December 2004] [Accessed on 21st October 2022] click here

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Author Details

Written By Srilekha. R - B.Pharm

Reviewed For Accuracy By Dr. Vrushabhakumar Jitendra Shah. - MBBS

Last updated on 20 Nov 2024 | 09:50 AM(IST)