Pantoloc Control
pantoprazole
pantoprazole
Always take this medicine exactly as described in this leaflet or as your doctor or pharmacist have told
you.
Keep this leaflet. You may need to read it again.
Ask your pharmacist if you need more information or advice.
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.
You must talk to a doctor if you do not feel better or if you feel worse after 2 weeks.
You should not take PANTOLOC Control tablets for more than 4 weeks without consulting a doctor.
What PANTOLOC Control is and what it is used for
What you need to know before you take PANTOLOC Control
How to take PANTOLOC Control
Possible side effects
How to store PANTOLOC Control
Medicinal product no longer authorised
Contents of the pack and other information
PANTOLOC Control contains the active substance pantoprazole, which blocks the ‘pump’ that produces stomach acid. Hence it reduces the amount of acid in your stomach.
PANTOLOC Control is used for the short-term treatment of reflux symptoms (for example heartburn, acid regurgitation) in adults.
Reflux is the backflow of acid from the stomach into the gullet (“foodpipe”), which may become inflamed and painful. This may cause you symptoms such as a painful burning sensation in the chest rising up to the throat (heartburn) and a sour taste in the mouth (acid regurgitation).
You may experience relief from your acid reflux and heartburn symptoms after just one day of treatment with PANTOLOC Control, but this medicine is not meant to bring immediate relief. It may be necessary to take the tablets for 2-3 consecutive days to relieve the symptoms.
You must talk to a doctor if you do not feel better or if you feel worse after 2 weeks.
if you are allergic to pantoprazole, or to any of the other ingredients of this medicine (listed in section 6).
if you are taking HIV protease inhibitors such as atazanavir, nelfinavir (for the treatment of HIV-infection). See ‘Other medicines and PANTOLOC Control’.
Talk to your doctor or pharmacist before taking PANTOLOC Control
if you have been treated for heartburn or indigestion continuously for 4 or more weeks
if you are over 55 years old and taking non-prescription indigestion treatment on a daily basis
if you are over 55 years old with any new or recently changed reflux symptoms
if you have previously had a gastric ulcer or stomach surgery
if you have liver problems or jaundice (yellowing of skin or eyes)
if you regularly see your doctor for serious complaints or conditions
if you are due to have an endoscopy or a breath test called a C-urea test.
if you have ever had a skin reaction after treatment with a medicine similar to PANTOLOC Control that reduces stomach acid.
if you are due to have a specific blood test (Chromogranin A)
if you are taking HIV protease inhibitors such as atazanavir, nelfinavir (for the treatment of HIV-infection) at the same time as pantoprazole, ask your doctor for specific advice.
Do not take this product for longer than 4 weeks without consulting your doctor. If your reflux symptoms (heartburn or acid regurgitation) persist for longer than 2 weeks, consult your doctor who will decide about the need for long-term intake of this medicine.
If you take PANTOLOC Control for longer periods, this may cause additional risks, such as:
reduced absorption of Vitamin B12, and Vitamin B12 deficiency if you already have low body stores of Vitamin B12
fracture of your hip, wrist or spine, especially if you already have osteoporosis (reduced bone
density) or if your doctor has told you that you are at risk of getting osteoporosis(for example if you are taking steroids).
Medicinal product no longer authorised
falling magnesium levels in your blood (potential symptoms: fatigue, involuntary muscle contractions, disorientation, convulsions, dizziness, increased heart rate). Low levels of magnesium can also lead to a reduction in potassium or calcium levels in the blood. You should talk to your doctor if you have been using this product for more than 4 weeks. Your doctor may decide to perform regular blood tests to monitor your levels of magnesium.
an unintentional loss of weight (not related to a diet or an exercise programme)
vomiting, particularly if repeated
vomiting blood; this may appear as dark coffee grounds in your vomit
you notice blood in your stools; which may be black or tarry in appearance
difficulty in swallowing or pain when swallowing
you look pale and feel weak (anaemia)
chest pain
stomach pain
severe and/or persistent diarrhoea, because this medicine has been associated with a small increase in infectious diarrhoea.
if you get a rash on your skin, especially in areas exposed to the sun tell your doctor as soon as you can, as you may need to stop your treatment with PANTOLOC Control. Remember to also mention any other ill-effects like pain in your joints.
Your doctor may decide that you need some tests.
If you are due to have a blood test, tell your doctor that you are taking this medicine.
You may experience relief from your acid reflux and heartburn symptoms after just one day of treatment with PANTOLOC Control, but this medicine is not meant to bring immediate relief. You should not take it as a preventive measure.
If you have been suffering from repetitive heartburn or indigestion symptoms for some time, remember to see your doctor regularly.
PANTOLOC Control should not be used by children and adolescents under 18 years of age due to a lack of safety information in this younger age group.
Tell your doctor or pharmacist if you are using, have recently used or might use any other medicines. PANTOLOC Control may stop certain other medicines from working properly. Especially medicines containing one of the following active substances:
HIV protease inhibitors such as atazanavir, nelfinavir (for the treatment of HIV-infection). You must not use PANTOLOC Control if you are taking HIV protease inhibitors. See ‘Do not take PANTOLOC Control’.
ketoconazole (used for fungal infections).
warfarin and phenprocoumon (used to thin blood and prevent clots). You may need further blood tests
methotrexate (used to treat rheumatoid arthritis, psoriasis, and cancer) – if you are taking methotrexate your doctor may temporarily stop your PANTOLOC Control treatment because pantoprazole can increase levels of methotrexate in the blood.
Do not take PANTOLOC Control with other medicines which limit the amount of acid produced in your stomach, such as another proton pump inhibitor (omeprazole, lansoprazole or rabeprazole) or an H2 antagonist (e.g. ranitidine, famotidine).
However, you may take PANTOLOC Control with antacids (e.g. magaldrate, alginic acid, sodium
bicarbonate, aluminium hydroxide, magnesium carbonate, or combinations thereof), if needed.
You should not take this medicine if you are pregnant or while breast-feeding.
Medicinal product no longer authorised
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
If you experience side effects like dizziness or disturbed vision, you should not drive or use machines.
This medicine contains less than 1 mmol sodium (23 mg) per tablet, that is to say essentially ‘sodium-free’.
Always take this medicine exactly as described in this leaflet or as your doctor or pharmacist have told you. Check with your doctor or pharmacist if you are not sure.
The recommended dose is one tablet a day. Do not exceed this recommended dose of 20 mg pantoprazole daily.
You should take this medicine for at least 2-3 consecutive days. Stop taking PANTOLOC Control when you are completely symptom-free. You may experience relief from your acid reflux and heartburn symptoms after just one day of treatment with PANTOLOC Control, but this medicine is not meant to bring immediate relief.
If you have no symptom-relief after taking this medicine for 2 weeks continuously, consult your doctor.
Do not take PANTOLOC Control tablets for more than 4 weeks without consulting your doctor. Take the tablet before a meal, at the same time every day. You should swallow the tablet whole with
some water. Do not chew or break the tablet.
Tell your doctor or pharmacist if you have taken more than the recommended dose. If possible take your medicine and this leaflet with you.
Do not take a double dose to make up for the forgotten dose. Take your next, normal dose, the next day, at your usual time.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
Like all medicines, this medicine can cause side effects, although not everybody gets them.
which may cause difficulty in swallowing or breathing, hives (nettle rash), severe dizziness with very fast heartbeat and heavy sweating.
Medicinal product no longer authorised
you may notice one or more of the following - rash with swelling, blistering or peeling of the
skin, losing skin and bleeding around eyes, nose, mouth or genitals and rapid deterioration of your general health, or rash particularly in areas of skin exposed to the sun. You may also have joint pain or flu-like symptoms, a fever, swollen glands (e.g. in the armpit) and blood tests may show changes in certain white blood cells or liver enzymes.
yellowing of the skin and eyes (due to severe liver damage), or kidney problems such as painful urination and lower back pain with fever.
Other side effects include:
- Common side effects (may affect up to 1 in 10 people) benign polyps in the stomach
headache; dizziness; diarrhoea; feeling sick, vomiting; bloating and flatulence (wind); constipation; dry mouth; bellyache and discomfort; skin rash or hives; itching; feeling weak, exhausted or generally unwell; sleep disorders; increase in liver enzymes in a blood test; fracture in the hip, wrist or spine.
distortion or complete lack of the sense of taste; disturbances in vision such as blurred vision; pain in the joints; muscle pains; weight changes; raised body temperature; swelling of the extremities; depression; increased bilirubin and fat levels in blood (seen in blood tests), breast enlargement in males; high fever and a sharp drop in circulating granular white blood cells (seen in blood tests).
disorientation; reduction in the number of blood platelets, which may cause you to bleed or bruise more than normal; reduction in the number of white blood cells, which may lead to more frequent infections; coexisting abnormal reduction in the number of red and white blood cells, as well as platelets (seen in blood tests).
hallucination, confusion (especially in patients with a history of these symptoms); decreased level of sodium, magnesium, calcium or potassium in blood (see section 2); rash, possibly with pain in the joints; feeling of tingling, prickling, pins and needles, burning sensation or numbness, inflammation in the large bowel, that causes persistent watery diarrhoea.
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the national reporting system listed in Appendix V. By reporting side effects you can help provide more information on the safety of this medicine.
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date, which is stated on the carton and the blister after ‘EXP’. The expiry date refers to the last day of that month.
Medicinal product no longer authorised
Store in the original package in order to protect from moisture.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.
The active substance is pantoprazole. Each tablet contains 20 mg pantoprazole (as sodium sesquihydrate).
The other ingredients are:
Core: sodium carbonate (anhydrous), mannitol (E421), crospovidone, povidone K90, calcium stearate.
Coating: hypromellose, povidone, titanium dioxide (E171), yellow iron oxide (E172), propylene glycol, methacrylic acid-ethyl acrylate copolymer, sodium lauril sulfate, polysorbate 80, triethyl citrate.
Printing ink: shellac, red, black and yellow iron oxide (E172), and ammonia solution, concentrated.
The gastro-resistant tablets are yellow, oval, biconvex film-coated tablets imprinted with “P20” on one side.
PANTOLOC Control is available in Alu/Alu blisters with or without cardboard reinforcement. Packs containing 7 or 14 gastro-resistant tablets. Not all pack sizes may be marketed.
Takeda GmbH
Byk-Gulden-Straße 2, 78467 Konstanz Germany
Takeda GmbH
Production site Oranienburg Lehnitzstraße 70-98, 16515 Oranienburg Germany
For any information about this medicine, please contact the local representative of the Marketing Authorisation Holder:
Takeda Belgium
Tél/Tel: + 32 2 464 06 11
Takeda, UAB
Tel: +370 521 09070
Такеда България
Teл.: + 359 (2) 958 27 36
Takeda Belgium
Tél/Tel: + 32 2 464 06 11
Takeda Pharmaceuticals Czech Republic s.r.o. Tel: + 420 234722722
Takeda Pharma A/S Tlf: + 45 46 77 11 11
Takeda Italia S.p.A. Tel: +39 06 502601
Medicinal product no longer authorised
Takeda GmbH
Tel: +49 (0) 800 825 3324
Takeda Nederland bv Tel: +31 20 203 5492
Takeda Pharma AS Tel: +372 617 7669
Takeda AS
Tlf: + 47 6676 3030
TAKEDA ΕΛΛΑΣ Α.Ε Τηλ: +30 210 6729570
Takeda Pharma Ges.m.b.H. Tel: +43 (0)800-20 80 50
Takeda Farmacéutica España S.A. Tel: + 34 917 90 42 222
Takeda Pharma sp. z o.o. Tel.: + 48 22 608 13 00
Takeda France SAS Tél: +33 1 40 67 33 00
Takeda Pharmaceuticals Croatia d.o.o. Tel: +385 1 377 88 96
Takeda - Farmacêuticos Portugal, Lda. Tel: + 351 21 120 1457
Takeda Pharmaceuticals SRL Tel: + 40 21 335 03 91
Takeda Products Ireland Limited Tel: + 353 16 42 00 21
Takeda GmbH, Podružnica Slovenija Tel: + 386 (0) 59 082 480
Vistor hf.
Sími: +354 535 7000
Takeda Pharmaceuticals Slovakia s.r.o. Tel: +421 (2) 20 602 600
Takeda Italia S.p.A. Tel: +39 06 502601
Takeda Oy
Puh/Tel: + 358 20 746 5000
TAKEDA ΕΛΛΑΣ Α.Ε Τηλ: +30 210 6729570
Takeda Pharma AB Tel: + 46 8 731 28 00
Takeda Latvia SIA Tel: + 371 67840082
Takeda UK Limited
Tel: +44 (0)1628 537 900
Medicinal product no longer authorised
The following recommendations for lifestyle and dietary changes may also help to relieve heartburn or acid related symptoms.
Avoid large meals
Eat slowly
Stop smoking
Reduce alcohol and caffeine consumption
Reduce weight (if overweight)
Avoid tight-fitting clothing or belts
Avoid eating less than three hours before bedtime
Elevate bedhead (if you suffer from nocturnal symptoms)
Reduce intake of food that can cause heartburn. These might include: Chocolate, peppermint, spearmint, fatty and fried food, acidic food, spicy food, citrus fruits and fruit juices, tomatoes.