pantoprazole delayed-release - oral, Protonix (cont.)

HOW TO USE: Take this medication by mouth, usually once daily or as directed by your doctor. Swallow the medication whole. Do not split, crush, or chew the medication. Doing so may destroy the drug and prevent it from treating your condition. If you are using the tablets, you may take them with or without food. If you are using the granules, take them 30 minutes before a meal.Mix the granules into apple juice or applesauce. Do not use other liquids or foods to mix this medication. Sprinkle the granules on 1 teaspoon of applesauce and swallow all of the mixture immediately (within 10 minutes). Or mix the granules into 1 teaspoon of apple juice, stir for 5 seconds, and swallow all of the mixture immediately. Rinse the container once or twice with apple juice to remove any remaining granules, and swallow the rinsing juice immediately. Do not crush or chew the granules in either mixture. Do not prepare a supply in advance.The granules may also be given through a tube into the stomach (nasogastric or gastric tube). If you are giving this medication through a tube, consult your health care professional for detailed instructions on how to properly mix and give it.You may take an antacid with this medication, if needed.The dosage and length of treatment is based on your medical condition and response to treatment.Use this medication regularly to get the most benefit from it. Remember to use it at the same time each day. Continue to take this medication for the whole time prescribed by your doctor, even if you are feeling better.Tell your doctor if your condition persists or worsens.

SIDE EFFECTS: Headache, diarrhea, nausea, vomiting, or stomach/abdominal pain may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.Tell your doctor immediately if any of these unlikely but serious side effects occur: signs of increased blood sugar levels (e.g., increased thirst, increased urination, confusion).If you have been taking this drug for a long time (more than 3 years), tell your doctor immediately if any of these rare but very serious side effects occur: signs of low levels of vitamin B12 (e.g., unusual weakness, sore tongue, numbness or tingling of the hands/feet).A serious allergic reaction to this drug is rare. However, seek immediate medical attention you have any of the following symptoms of a serious allergic reaction: rash, itching/swelling (especially of the face/tongue/throat), dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Report Problems to the Food and Drug Administration

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

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