Somac
Somac contains pantoprazole, which reduces stomach acid to treat diseases of the stomach and intestines caused by too much acid.
Form
enterotabletti
Strength
40 mg
Active Ingredient
Pantoprazole sodium sesquihydrate
Manufacturer
Takeda GmbH
How to Use
Dosage
Typically, one tablet daily, but your doctor may adjust the dose up to two tablets daily depending on your condition.
Method
Take one tablet whole with a little water, 1 hour before a meal. Do not chew or crush it.
Important
The typical maximum daily dose is two 40 mg tablets, though your doctor might prescribe a higher dose for certain conditions.
Possible Side Effects
COMMON
- •Benign polyps in the stomach.
RARE
- •Headache
- •Dizziness
- •Diarrhea
- •Nausea
- •Vomiting
- •Stomach bloating or gas
- •Constipation
- •Dry mouth
- •Stomach pain or discomfort
- •Skin rash
- •Hives
- •Itching
- •Feeling weak or tired
- •General unwellness
- •Sleep problems
- •Hip, wrist, or spine fractures (bone fractures)
- •Increased liver enzyme levels
- •Changes in taste
- •Blurred vision
- •Joint pain
- •Muscle pain
- •Weight changes
- •Fever
- •Swelling in arms or legs (edema)
- •Allergic reactions (non-severe)
- •Depression
- •Enlarged breasts in men (gynecomastia)
- •Increased bilirubin levels
- •Increased blood fat levels
- •Low white blood cell count (more infections)
- •Disorientation
- •Hallucinations
- •Confusion (especially if you've had it before)
- •Numbness, tingling, burning sensation, or loss of sensation
- •Inflammation of the large intestine causing persistent watery diarrhea
- •Low platelet count (easy bleeding or bruising)
- •Low red and white blood cell count with low platelets
- •Low sodium in blood
- •Low magnesium in blood
- •Low calcium in blood
- •Low potassium in blood
Important Warnings
- Contact your doctor if you experience unexplained weight loss.
- Contact your doctor if you have repeated vomiting, especially if it's frequent.
- Contact your doctor if you vomit blood or material that looks like coffee grounds.
- Contact your doctor if you have black, tarry stools.
- Contact your doctor if you have difficulty or pain when swallowing.
Show 10 more warnings
- Contact your doctor if you feel pale and weak (signs of anemia).
- Contact your doctor if you experience chest pain or stomach pain.
- Contact your doctor if you have severe or persistent diarrhea, as it might be linked to an infection.
- Tell your doctor if you have severe liver problems or have had them in the past.
- Consult your doctor if you feel extremely tired, tingly, have a sore red tongue, mouth sores, muscle weakness, vision problems, memory issues, confusion, or depression, as these could be signs of low vitamin B12.
- If you take this medicine for more than a year, especially if you have osteoporosis or risk factors, you might have a slightly increased risk of hip, wrist, or spine fractures. Discuss this with your doctor.
- Taking Somac for more than three months can lower magnesium levels in your blood, causing tiredness, muscle cramps, confusion, dizziness, or a fast heartbeat. Contact your doctor immediately if you have these symptoms.
- Stop taking this medicine and get immediate medical help if you experience a severe allergic reaction, such as swelling of the tongue/throat, difficulty swallowing, hives, breathing problems, severe dizziness, or fast heartbeat and sweating.
- Stop taking this medicine and get immediate medical help if you develop severe skin reactions like blistering, rapid worsening of general condition, sores in eyes, nose, mouth/lips or genitals, skin sensitivity to light, red raised patches, target-like spots, peeling skin, mouth sores, or widespread rash with high fever and swollen lymph nodes. These can be serious conditions.
- Stop taking this medicine and get immediate medical help if your skin or eyes turn yellow (jaundice), you have fever, or you experience rash and enlarged kidneys, sometimes with painful urination and lower back pain (signs of severe kidney inflammation or kidney failure).
Use in Elderly Patients
Category A
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)