What Is Pantosec D SR?

Pantosec D SR is a combination medication used to treat conditions related to excess stomach acid and problems with food movement in the digestive system.

The “SR” in the name typically stands for Sustained Release or Prolonged Release, meaning the medication is designed to release slowly over time for a longer-lasting effect.

Active Ingredient:

The active ingredients of the Pantosec D SR tablet (Wounds) are a combination of two medicines:

• Pantoprazole (typically 40 mg)

Class: Proton Pump Inhibitor (PPI)

Function: Reduces the production of acid in the stomach.

• Domperidone (typically 30 mg)

Class: Prokinetic Agent

Function: Increases the movement of the stomach and intestines to help food and gas pass more easily, and prevents acid from flowing back into the food pipe.

Uses

Pantosec D SR is a combination medicine containing Pantoprazole and Domperidone.

It is primarily prescribed to treat a range of upper gastrointestinal conditions where both excessive acid production and poor digestive movement are issues.

It treats the chronic condition where stomach acid flows back into the oesophagus, causing symptoms like heartburn, chest discomfort, and acid regurgitation.

How it works

The Pantosec D SR tablet works by utilising a powerful dual mechanism that addresses the two primary issues causing acid-related digestive problems, acid and impaired gut motility.

Pantoprazole is a Proton Pump Inhibitor (PPI). This is the part that reduces the amount of acid your stomach makes.  Domperidone is a Prokinetic Agent. This is the part that helps move food and prevents acid backflow.

How to take 

• It is generally recommended to take the capsule once daily, preferably in the morning on an empty stomach.
• Taking it before food allows Pantoprazole to be fully effective in blocking the acid pumps before they are activated by eating.
• The capsule must be swallowed whole with a glass of water.

Side Effects

Most side effects are mild and temporary. Common ones include:

• Dry mouth 
• Headache
• Flatulence (gas)
• Stomach pain
• Dizziness

Drug Interactions

Pantosec D SR can interact with other medications, potentially affecting their efficacy or increasing the risk of side effects. Key interactions include:

Antifungals: Medicines like Ketoconazole and Itraconazole. Pantoprazole can reduce its absorption.

Blood Thinners: Such as Warfarin. Close monitoring of blood clotting time is necessary.

HIV Medicines: Especially Atazanavir and Rilpivirine.

Heart Rhythm Medications: The concomitant use of other drugs that can prolong the QT interval should be avoided due to the Domperidone component.

Safety Information and Warnings

While generally safe, Pantosec D SR is a prescription medication, and certain precautions and potential risks must be considered.

• Known allergy to Pantoprazole, Domperidone, or any other ingredients in the capsule.
• Patients with pre-existing heart rhythm problems or congestive heart failure.
• Domperidone has been associated with a small risk of serious cardiac side effects.
• Patients with moderate to severe liver impairment, or those with stomach bleeding, obstruction, or perforation.

Summary

Pantosec D SR is an effective combination medicine for serious acid-related and motility disorders. Its dual action helps relieve symptoms and promote healing.

However, its use requires adherence to the doctor’s especially regarding dosage, timing, and awareness of potential side effects and interactions.

FAQs

What should I do if I miss a dose?

If you remember the missed dose soon after the scheduled time, take it as soon as you remember. If it is almost time for your next scheduled dose, skip the missed dose and continue with your regular schedule.

Can I take Pantosec D SR with alcohol?

Caution is advised. While Pantosec D SR may not have a direct major interaction with alcohol, alcohol itself increases stomach acid production.

Can I take Pantosec D SR for a long time?

Long-term use, typically over one year, should be strictly under medical supervision. Your doctor will periodically re-evaluate the need for continued therapy.

Can I take this medicine if I have any of the following conditions?

It is crucial to inform your doctor if you have a history of:

• Liver or Kidney disease.
• Any bleeding or blockage in your stomach or intestines.
• A pituitary gland tumour (Prolactinoma).