Pantoprazole Norameda
This medicine helps by reducing stomach acid to treat issues like ulcers and acid reflux.
How to Use
Dosage
For ulcers or acid reflux: 40 mg (one vial) once a day. For conditions with too much stomach acid (like Zollinger-Ellison syndrome): 80 mg (two vials) a day.
Method
A nurse or doctor will give you this medicine as an injection into a vein. It takes about 2 to 15 minutes.
If you have severe liver problems, your daily dose should not be more than 20 mg (half a vial). For quick acid control, a doctor might temporarily give more than 160 mg (four vials).
Possible Side Effects
- •Inflammation of the vein wall or blood clot at the injection site.
- •Benign polyps in the stomach.
- •Headache.
- •Dizziness.
- •Diarrhea.
- •Nausea.
- •Vomiting.
- •Bloating and gas.
- •Constipation.
- •Dry mouth.
- •Stomach pain or discomfort.
- •Rash, skin eruption, or itching.
- •Feeling weak, tired, or generally unwell.
- •Sleep disorders.
- •Hip, wrist, or spine fracture.
- •Taste disturbance or complete loss of taste.
- •Visual disturbances, such as blurred vision.
- •Hives.
- •Joint pain.
- •Muscle pain.
- •Changes in weight.
- •Increased body temperature or high fever.
- •Swelling of limbs (e.g., arms or legs).
- •Allergic reactions.
- •Depression.
- •Breast enlargement in men.
- •Disorientation (confusion about time and place).
- •Hallucinations or confusion (especially in patients who have had these symptoms before).
- •Tingling, burning, prickling sensation, or numbness.
- •Rash with possible associated joint pain.
- •Inflammation of the large intestine, causing persistent watery diarrhea.
- •Increased liver enzyme levels (seen in blood tests).
- •Increased bilirubin or blood fat levels (seen in blood tests).
- •Sudden decrease in a type of white blood cells (granulocytes), associated with high fever.
- •Decreased number of platelets, which may lead to easier bleeding or bruising.
- •Decreased number of white blood cells, which may lead to infections.
- •Simultaneous abnormal decrease in red blood cells, white blood cells, and platelets.
- •Decreased blood sodium or magnesium levels.
Important Warnings
- Do not use this medicine if you are allergic to pantoprazole, any other ingredient in it, or similar stomach acid-reducing medicines.
- Tell your doctor if you have, or have had, serious liver problems. Your doctor will check your liver.
- Talk to your doctor if you are taking medicines for HIV, like atazanavir.
- Using this medicine for over a year might slightly increase the risk of bone fractures (in your hip, wrist, or spine). Tell your doctor if you have weak bones (osteoporosis) or take steroid medicines.
- If you use this medicine for more than three months, your blood magnesium levels might drop. Symptoms include tiredness, muscle twitching, confusion, seizures, dizziness, or a fast heartbeat. Tell your doctor right away if you notice any of these.
Show 3 more warnings
- Tell your doctor as soon as possible if you get a rash, especially in sun-exposed areas, or if you have had a skin reaction to similar stomach acid-reducing medicines.
- Inform your doctor if you are going to have a specific blood test called Chromogranin A.
- Tell your doctor right away if you notice any of these serious symptoms: unexplained weight loss, repeated vomiting, vomiting blood (looks like dark coffee grounds), black or tarry stools, trouble swallowing, pale skin, weakness, chest pain, stomach pain, or severe/long-lasting diarrhea.
Use in Elderly Patients
Suitable for older adults. For short-term use only. Consider the numerous potential interactions. Avoid long-term use. Long-term use carries an increased risk of adverse effects. Risk of hypomagnesemia in prolonged use. (updated 10.11.2025)