Description

🧾 What is it used for?

Pantolab-D Tablet by Austro Lab contains a combination of:

• Pantoprazole (40 mg) – a proton pump inhibitor (PPI)

• Domperidone (10 mg) – a dopamine antagonist and prokinetic agent

This combination is commonly used to relieve acid-related digestive issues, such as:

• Gastroesophageal reflux disease (GERD)

• Heartburn and acidity

• Peptic ulcers

• Indigestion, bloating, and gas

• Nausea or vomiting due to acid reflux

• Zollinger-Ellison syndrome (high stomach acid production)

It works by reducing excess stomach acid and improving stomach emptying.

⚠️ Common Side Effects

Some users may experience the following side effects:

• Nausea or vomiting

• Headache

• Dizziness

• Dry mouth

• Diarrhea or constipation

• Stomach pain or flatulence

• Fatigue

🚨 Serious Warnings & Precautions

• Long-term use risks: May cause vitamin B12 deficiency or low magnesium levels if taken for extended periods

• Domperidone caution: Can affect heart rhythm (QT prolongation), especially in elderly or heart patients

• Kidney or liver issues: Use cautiously and under supervision

• Bone health: Long-term PPI use may increase fracture risk

• Hormonal imbalance: Rarely, domperidone may cause breast tenderness or galactorrhea (milk secretion)

🔄 Drug & Food Interactions

• Antifungals (ketoconazole, itraconazole): Reduced effectiveness when taken with PPIs

• Blood thinners (e.g., warfarin): Risk of bleeding – monitor INR

• Antibiotics (e.g., erythromycin, clarithromycin): May increase domperidone levels

• Avoid alcohol: It can worsen acidity and stomach irritation

• Best taken before meals for maximum effect

👥 Cautionary Groups

• Pregnancy: Use only if clearly needed – consult doctor

• Breastfeeding: Caution advised due to domperidone

• Children: Use only under medical supervision

• Elderly: Higher risk of cardiac side effects – monitor closely

• Patients with heart disease: Risk of arrhythmia with domperidone – ECG may be recommended

✅ Tips for Safe Use

1. Take 15–30 minutes before meals for best results

2. Do not crush or chew the tablet – swallow whole

3. Avoid self-medication – especially for long-term use

4. Limit caffeine, spicy food, and alcohol to reduce acidity

5. Report unusual symptoms like palpitations, severe dizziness, or muscle cramps

📌 When to Consult a Doctor Immediately

• Severe or persistent stomach pain

• Irregular heartbeat or chest pain

• Muscle weakness, cramps, or tremors

• Yellowing of skin or eyes (possible liver issue)

• Severe allergic reaction: rash, swelling, difficulty breathing

🧠 Summary Table