Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Pantoprazole Magnesium.
Diarrhea: When gastric acid is decreased, the number of bacteria normally in the digestive system increases. Occasionally, this can cause serious infection in the digestive tract. If you experience severe, watery or bloody diarrhea; fever; or abdominal pain while taking pantoprazole, contact your doctor as soon as possible.
Electrolyte balance: Long term use of pantoprazole may cause the levels of electrolytes such as potassium, calcium, and magnesium in the blood to decrease. If you experience symptoms of fluid and electrolyte imbalance such as muscle pains or cramps; Dry Mouth; numb hands, feet, or lips; or racing heartbeat, contact your doctor as soon as possible. Your doctor may do blood tests periodically to monitor the levels of these electrolytes in your blood while you are taking Pantoprazole Magnesium.
Kidney function: The kidneys are responsible for removing pantoprazole magnesium from the body. If you have reduced kidney function or Kidney Disease, discuss with your doctor how Pantoprazole Magnesium may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Pantoprazole Magnesium, and whether any special monitoring is needed.
Liver function: If you have severe liver disease, discuss with your doctor how Pantoprazole Magnesium may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Pantoprazole Magnesium, and whether any special monitoring is needed.
If you experience symptoms of liver problems such as fatigue, feeling unwell, loss of appetite, nausea, yellowing of the skin or whites of the eyes, dark urine, pale stools, abdominal pain or swelling, and itchy skin, contact your doctor immediately.
Methotrexate interaction: Pantoprazole magnesium, like other medications in this group, may interact with methotrexate when the two medications are used at the same time. This combination may lead to higher than expected amounts of methotrexate in the body and can cause serious side effects, including kidney damage, irregular heartbeat, Anemia, or infection. If you take pantoprazole and are also going to receive a dose of methotrexate, discuss with your doctor how Pantoprazole Magnesium may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Pantoprazole Magnesium, and whether any special monitoring is needed.
Osteoporosis fractures: Long-term use of pantoprazole may be related to an increased risk of bone fractures in the hip, wrist, or spine, as a result of weakened bones. This risk is further increased if you are at risk of developing osteoporosis. If you have osteoporosis or have risk factors for developing osteoporosis, discuss with your doctor how Pantoprazole Magnesium may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Pantoprazole Magnesium, and whether any special monitoring is needed.
Severe stomach problems: If you experience recurrent vomiting, difficulty swallowing, blood in the stool (dark stools), significant unintentional weight loss, fatigue, or are coughing up blood, contact your doctor right away. These may be symptoms of other medical problems that should be checked out by your doctor.
Skin conditions: Some people taking pantoprazole magnesium or other similar medications may develop a skin condition called subacute cutaneous Lupus erythematosus. If you develop a rash on areas of skin that are exposed to the sun, such as the face, arms, or shoulders, check with your doctor as soon as possible.
Vitamin B12: Long-term use of pantoprazole magnesium may lead to vitamin B12 deficiency. If you are a vegetarian or have low vitamin B12 levels, discuss with your doctor whether any special monitoring is required.
Pregnancy: Pantoprazole Magnesium should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking Pantoprazole Magnesium, contact your doctor immediately.
Breast-feeding: Pantoprazole Magnesium may pass into breast milk. If you are a breast-feeding mother and are taking pantoprazole magnesium, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children: The safety and effectiveness of using Pantoprazole Magnesium have not been established for children.
