Neege (40mg) 10ml, 1 Vial Injection

Pantoprazole 40mg injection acts by inhibiting the gastric H+/K+-ATPase (proton pump), thereby suppressing gastric acid secretion. It specifically targets the proton pump, which is responsible for the final step of gastric acid secretion, effectively reducing the production of hydrochloric acid in the stomach. This mechanism of action is achieved through the formation of a covalent bond with the sulfhydryl group of the proton pump, leading to its irreversible inhibition. By blocking the action of the proton pump, pantoprazole significantly decreases gastric acid output, providing rapid and effective relief from conditions associated with excessive acid secretion.

Proton pump inhibitor.

Injection

The following are the uses of Pantoprazole 40mg injection:

• Used for treating severe acid-related conditions like Zollinger-Ellison Syndrome.
• Used for quick relief in erosive esophagitis.
• Used to manage gastroesophageal reflux disease (GERD) when oral medication isn't feasible.
• Used to reduce stomach acid and allow healing in severe peptic ulcers.
• Used for short-term treatment of upper gastrointestinal bleeding.
• Used in combination with antibiotics for eradicating Helicobacter pylori infections.
• Used to prevent acid aspiration during anesthesia.

Tailoring Treatment for Optimal Health, Prescribed Medication Dosage is:

• Heartburn or Gastroesophageal Reflux Disease (GERD)- 40 mg once daily in the morning for 4–8 weeks
• Zollinger-Ellison Syndrome- Initially, 40 mg once daily with the potential to increase up to 240 mg once daily depending on severity
• Duodenal Ulcer- 20-40 mg once daily for 4 weeks with the option of 20 mg IV infusion over 30 minutes once daily for 7 days for those who cannot take oral medication
• Panulcerative Colitis Maintenance Therapy- 20-40 mg once daily (in combination with Asacol HD® 6-MP or Azulfidine®)

In the case of an overdose of Pantoprazole 40mg injection, it is important to recognize the potential symptoms and seek medical advice promptly. Overdose may lead to an increase in adverse effects, including severe gastrointestinal disturbances, dizziness, and confusion. Timely intervention is essential, and healthcare professionals should be contacted immediately for guidance on managing the specific symptoms presented by the patient. Immediate medical assessment and appropriate treatment can help mitigate the risks associated with this medication overdose.

In the case of a missed dose of Pantoprazole 40mg injection, it is important to administer the medication as soon as you remember. If it is almost time for the next scheduled dose, skip the missed dose and continue with the regular dosing schedule. Do not double the dose to make up for the missed one. However, if you miss several doses, contact your healthcare professional for advice on how to safely resume the medication without compromising its effectiveness. It is crucial to maintain consistency in taking this medication as prescribed to ensure optimal therapeutic benefits.

To administer Pantoprazole 40mg injection, prepare the medication by following the instructions provided, then inject it slowly into a vein or as directed by your healthcare professional, ensuring the entire dose is delivered over the recommended time frame.

Here are the conditions or situations when Pantoprazole 40mg injection should not be used:

• Avoid using if the patient has a known allergy to Pantoprazole or other proton pump inhibitors (PPIs).
• Do not administer if the patient has severe liver impairment or liver failure.
• Contraindicated in patients with low magnesium levels (hypomagnesemia).
• Not recommended for individuals with osteoporosis or who are at high risk of bone fractures.
• Should not be used if the patient has an acute stomach ulcer or gastrointestinal bleeding until the cause is determined.
• Avoid using Pantoprazole injection if the patient has an acute infection or systemic disease without proper medical evaluation.
• Not suitable for long-term use without regular medical assessment, especially in elderly patients.

The side effects of Pantoprazole 40mg injection may include:

• Diarrhea
• Nausea and vomiting
• Abdominal pain or discomfort
• Headache
• Dizziness
• Skin rashes or itching
• Fatigue and weakness
• Increased liver enzymes

Following are the precautions and warnings for Pantoprazole 40mg injection:

• This medication should not be used in patients with known hypersensitivity or severe allergic reactions to Pantoprazole or other proton pump inhibitors.
• Long-term use of Pantoprazole may lead to vitamin B12 deficiency, especially in patients with risk factors. Regular monitoring is recommended.
• Caution is advised in patients with liver problems, as Pantoprazole is primarily metabolized by the liver. Dosage adjustments might be necessary.
• Elderly patients may be more susceptible to hip, wrist, and spine fractures with prolonged use of Pantoprazole.
• It may cause interference in certain lab tests, so inform your doctor about Pantoprazole use before undergoing any tests.
• Patients with low magnesium levels or those at risk of magnesium deficiency should be monitored regularly during treatment.
• Pantoprazole may interact with other medications; inform your doctor about all the medicines you are taking, especially anticoagulants and anti-retroviral drugs.

Following are the drug interactions for Pantoprazole 40mg Injection:

• May reduce absorption of drugs that require stomach acidity for bioavailability, such as ketoconazole, ampicillin esters, and iron salts.
• Can decrease the effectiveness of drugs that require an acidic environment for activation, like atazanavir and amphetamine salts.
• Co-administration with digoxin can increase serum digoxin levels, requiring monitoring.
• May reduce the metabolism of drugs metabolized by CYP2C19 and CYP3A4 enzymes, including diazepam, warfarin, and phenytoin, leading to increased drug concentrations.
• Concomitant use with methotrexate may elevate and prolong serum methotrexate levels, increasing toxicity risk.
• Pantoprazole can decrease the absorption of mycophenolate mofetil, reducing its effectiveness.
• It may interact with clopidogrel, potentially reducing its antiplatelet effect.

Following are the food interactions for Pantoprazole 40mg injection:

• Grapefruit and grapefruit juice consumption should be avoided as they can significantly increase the levels of Pantoprazole in the blood, leading to potential toxicity.
• Alcohol intake should be minimized or avoided as it can increase the acidity in the stomach, reducing the effectiveness of Pantoprazole.
• Dairy products like milk and yogurt can decrease the absorption of Pantoprazole, so it is advisable to separate the medication and dairy intake by a few hours.
• High-fat meals may delay the absorption of Pantoprazole, so it is recommended to take the medication on an empty stomach.
• Caffeinated beverages like coffee and tea may stimulate acid production and reduce the efficacy of Pantoprazole, so reducing caffeine intake is advisable.
• Spicy foods can irritate the stomach lining and counteract the effects of Pantoprazole, so it is best to avoid or minimize their consumption.
• Avoid excessive salt intake as it can increase stomach acid production and potentially reduce the medication's effectiveness.
• Always follow healthcare provider's instructions regarding specific dietary recommendations while using Pantoprazole.

Pantoprazole 40mg injection should be stored in a controlled room temperature environment, typically between 20°C and 25°C (68°F to 77°F), ensuring it is protected from light and moisture. It is crucial to keep the injection in its original packaging, tightly sealed, to maintain its integrity and sterility. Avoid exposing the medication to freezing temperatures or direct heat sources, as this can compromise its effectiveness. Always check the expiration date on the packaging, and properly dispose of any unused or expired injections. Do not attempt to flush or pour the medication down the drain; instead, follow local guidelines or consult a healthcare professional for safe disposal methods. Keep the injection out of the sight and reach of children to prevent accidental exposure.

Following are the quick tips for Pantoprazole 40mg injection:

• Ensure the injection is administered by a trained medical professional.
• Verify the medication label for correct dosage and patient information.
• Administer the injection as prescribed, typically once daily.
• Do not mix with other medications unless advised by a doctor.
• Store the injection at room temperature, away from direct sunlight.
• Inform your doctor if you experience any unusual pain or discomfort at the injection site.
• Report any side effects or allergic reactions immediately to your healthcare provider.
• Dispose of used needles and syringes safely in designated sharps containers.

Pantoprazole is a proton pump inhibitor (PPI) commonly used to treat several conditions involving excess stomach acid. Before starting this medication, your doctor may recommend certain lab tests to rule out underlying conditions and prevent adverse drug interactions. These may include a complete blood count (CBC), comprehensive metabolic panel (CMP), and serum electrolytes. Kidney function tests may also be necessary, as Pantoprazole is excreted through the kidneys. Your doctor may monitor serum creatinine and BUN (blood urea nitrogen) levels to ensure your kidneys are functioning properly. PPIs can inhibit calcium and vitamin B-12 absorption, so your doctor may recommend periodic blood tests to monitor these levels, especially if you have existing deficiencies or osteoporosis. Rarely, PPIs may cause liver damage, and your doctor may perform liver function tests if you have a history of liver disease or symptoms. It's important to note that lab tests are not routine with Pantoprazole; your doctor will determine which tests are appropriate based on your individual health and other factors. Consulting with your doctor or pharmacist is essential to determine which lab tests are right for you when starting this medication.