Always take Panrazol exactly as the doctor has told. Check with the doctor or pharmacist if not sure.
When and how to take Panrazol: Take the tablets 1 hour before a meal without chewing or breaking them and swallow them whole with some water.
Unless told otherwise by the doctor, the usual dose is: Adults and adolescents 12 years of age and above: EC tab 20 mg: To treat symptoms (e.g. heartburn, acid regurgitation, pain on swallowing) associated to gastro-oesophageal reflux disease: The usual dose is one tablet a day. This dose usually brings relief within 2‑4 weeks - at most after another 4 weeks. The doctor will tell how long to continue taking the medicine. After this any recurring symptoms can be controlled by taking one tablet daily, when required.
For long-term management and for preventing the return of reflux oesophagitis: The usual dose is one tablet a day. If the illness returns, the doctor can double the dose, in which case the patient can use Panrazol 40 mg tablets instead, one a day. After healing, the patient can reduce the dose back again to one tablet 20 mg a day.
EC tab 40 mg: To treat reflux oesophagitis: The usual dose is one tablet a day. The doctor may tell the patient to increase to 2 tablets daily. The treatment period for reflux oesophagitis is usually between 4 and 8 weeks. The doctor will tell the patient how long to take the medicine.
Adults: EC tab 20 mg: To prevent duodenal and stomach ulcers in patients who need to take NSAIDs continuously: The usual dose is one tablet a day.
EC tab 40 mg: For the treatment of an infection with a bacterium called Helicobacter pylori in patients with duodenal ulcers and stomach ulcers in combination with two antibiotics (Eradication therapy). One tablet, two times a day plus two antibiotic tablets of either amoxicillin, clarithromycin and metronidazole (or tinidazole), each to be taken two times a day with pantoprazole tablet. Take the first pantoprazole tablet 1 hour before breakfast and the second pantoprazole tablet 1 hour before evening meal. Follow the doctor's instructions and make sure to read the package leaflets for these antibiotics. The usual treatment period is one to two weeks.
For the treatment of stomach and duodenal ulcers: The usual dose is one tablet a day. After consultation with the doctor, the dose may be doubled.
The doctor will tell the patient how long to take the medicine. The treatment period for stomach ulcers is usually between 4 and 8 weeks. The treatment period for duodenal ulcers is usually between 2 and 4 weeks.
For the long-term treatment of Zollinger-Ellison-Syndrome and of other conditions in which too much stomach acid is produced: The recommended starting dose is usually two tablets a day. Take the two tablets 1 hour before a meal. The doctor may later adjust the dose, depending on the amount of stomach acid the patient produce. If prescribed more than two tablets a day, the tablets should be taken twice daily.
If the doctor prescribes a daily dose of more than four tablets a day, the patient will be told exactly when to stop taking the medicine.
Special patient groups: If the patient suffers from severe liver problems, he/she should not take more than one tablet 20 mg pantoprazole a day (for this purpose tablets containing 20 mg pantoprazole are available).
Children below 12 years: These tablets are not recommended for use in children below 12 years.
EC tab 40 mg: If the patient has kidney problems, moderate or severe liver problems, he/she should not take Panrazol for eradication of Helicobacter pylori.
If the patient forgets to take Panrazol: Do not take a double dose to make up for the forgotten dose. Take the next, normal dose at the usual time.
If the patient stops taking Panrazol: Do not stop taking these tablets without first talking to the doctor or pharmacist.
If the patient has any further questions about the use of the product, ask the doctor or pharmacist.