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Pantoprazole

Proton pump inhibitor (PPI)

Also known as: Pantoloc

A proton pump inhibitor that reduces stomach acid production, used for acid reflux, ulcers and related conditions.

Uses
  • Gastro-oesophageal reflux disease (GERD)
  • Erosive oesophagitis
  • Gastric and duodenal ulcers
  • Combination therapy for H. pylori eradication
  • Zollinger-Ellison syndrome
  • NSAID-induced gastritis
Common brands available in Hong Kong
  • Pantoloc (Takeda)
  • Pantoloc Control
  • Protonix
  • Pantoprazole Sandoz (generic)
Common formulations
  • 20mg / 40mg (enteric-coated tablet)
  • 40mg (IV injection powder, hospital use)

What is Pantoprazole used for?

Pantoprazole is a proton pump inhibitor (PPI) that works by blocking the hydrogen-potassium pump in stomach lining cells, reducing acid secretion. This promotes healing of ulcers and oesophageal inflammation and relieves acid reflux symptoms. It is commonly used for GERD, peptic ulcer disease and H. pylori-associated gastritis.

How to take Pantoprazole and adjust the dose

Typical adult dosing is 40mg once daily, taken on an empty stomach before breakfast, swallowed whole (not chewed or crushed), usually for 4-8 weeks depending on the condition. For H. pylori eradication it is usually combined with antibiotics in triple/quadruple therapy for about 10-14 days. This is drawn from search-result summaries of international PPI labelling — moderate confidence; confirm with a doctor or pharmacist.

Pantoprazole side effects

  • Common: headache, diarrhoea, nausea, abdominal pain
  • Serious (less common): long-term use may increase fracture risk, kidney damage (acute interstitial nephritis), C. difficile-associated diarrhoea, vitamin B12/magnesium deficiency with prolonged use

Who should not take Pantoprazole?

  • Allergy to pantoprazole or other PPIs
  • Severe liver impairment requires dose review by a doctor
  • Long-term users should be monitored for bone health and vitamin/mineral levels
  • Pregnancy and breastfeeding — consult a doctor
  • Possible interactions with certain drugs (e.g. some antivirals, clopidogrel)
Check the Department of Health Drug Office register →

This page is general reference information only, not medical advice. Always confirm dosage, interactions, and whether this medicine is suitable for you with a pharmacist or doctor before use.

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