PULSET 20 mg. 14 tablets
The active substance in 20 mg PULSET is pantoprazole, which belongs to the group of selective inhibitors of the proton pump. Proton pump inhibitors used in the treatment of diseases due to increased acidity in the stomach and intestines.
PULSET 20 mg is used for:
Adults and adolescents over 12 years old for:
Short-term treatment of the symptoms (such as heartburn, reflux of acid into the esophagus, pain on swallowing) associated with gastroesophageal reflux disease, caused by the return of stomach acid.
2. What you need to know before taking 20 mg of PULSET
Do not take PULSET 20 mg:
If you are allergic (hypersensitive) to pantoprazole or any of the other ingredients of this medicine (listed in section 6);
If you are allergic to medicines containing other proton pump inhibitors.
Take special care with 20 mg of PULSET
If you have severe liver problems. Please tell your doctor if you have ever had liver problems. It will control your liver enzymes more frequently, especially if you are taking 20 mg of PULSET long time. In case of elevated liver enzymes the treatment should be stopped;
If you need to take long-steroidal anti-inflammatory drugs (NSAIDs) and taking PULSET 20 mg, because there is an increased risk of stomach and intestinal complications. The increased risk depends on your personal risk factors such as age (over 65 years), developed in the past ulcers of the stomach or duodenum, stomach or intestinal bleeding;
During prolonged treatment with pantoprazole in patients with reduced body stores or risk factors for reduced vitamin B12. Like all other acid reducing agents, pantoprazole can lead to reduced absorption of vitamin B12;
If you are taking a medicine containing atanazavir (to treat AIDS) pantoprazole, ask your doctor.
Warnings and Precautions
Talk to your doctor or pharmacist before taking PULSET 20 mg.
Tell your doctor immediately if before or after taking this medicine, you notice any / and the following conditions, which may be a sign of another, more serious disease:
Undesired loss of body weight, which is not related to diet or an exercise;
Vomiting, particularly if repeated;
If you notice blood in your stools, which may appear black or tarry in appearance;
Difficulty or pain when swallowing;
You look pale and feel weak (anemia);
Severe and / or persistent diarrhea, because PULSET 20 mg was associated with a small increase in infectious diarrhea.
Your doctor may decide that you need additional tests to rule out malignant disease because pantoprazole also alleviates the symptoms of cancer and can delay diagnosis.
If you need to conduct blood tests tell your doctor that you are taking this medicine.
Taking proton pump inhibitors such as PULSET 20 mg over a period longer than one year may slightly increase the risk of fractures of the hip, wrist or spine. Tell your doctor if you have osteoporosis.
For patients who do not respond to treatment for two weeks is necessary consultation with a doctor.
Other medicines and 20 mg of PULSET
Tell your doctor or pharmacist if you are taking, you have recently taken or might take any other medicines.
PULSET 20 mg may influence the effectiveness of other drugs.
Tell your doctor or pharmacist if you are taking:
Medicines such as ketoconazole, itraconazole and posaconazole (used to treat fungal infections) or erlotinib (used to treat certain types of cancer);
Warfarin and phenprocoumon, which are used to thicken or thin the blood. Maybe you'll need for further research;
Atazanavir (used to treat AIDS). You should not take PULSET mg, if you are taking atazanavir.
PULSET 20 mg with food, drinks and alcohol
PULSET 20 mg should be taken one hour before meals.
Pregnancy, lactation and fertility
If you are pregnant or breast-feeding, you think you may be pregnant or planning to become pregnant, ask your doctor or pharmacist before taking this medicine. Take 20 mg of PULSET only if your doctor considers that the benefit of treatment is greater than the potential risk to the fetus or infant.
There are no adequate data from the use of pantoprazole in pregnant women. There are reports of separation of pantoprazole in breast milk.
Driving and using machines
There are no known effects on the ability to drive and use machines.
If you experience side effects like dizziness or disturbed vision, you should not drive or operate machines.
3. How to take 20 mg of PULSET
Always take this medicine exactly as you have been told your doctor or pharmacist. If you're not sure, ask your doctor or pharmacist.
Take PULSET of 20 mg one hour before meals. You should swallow the tablet whole with some water. Do not chew or crush the tablet.
Adults and adolescents 12 years and above:
Treatment of symptoms (eg. Acid, returning the acid into the esophagus, pain on swallowing) associated with gastro-esophageal reflux disease.
The usual dose is one tablet PULSET 20 mg daily until symptoms. If there is no improvement in symptoms within two weeks of continuous treatment, consult your doctor. Villas doctor will tell you how long to take the drug. Disappearance of symptoms is achieved when taking PULSET 20 mg once daily for a period of 2-4 weeks.
If you suffer from severe liver problems, you should not take more than one 20 mg tablet per day;
Children under 12 years of age. These tablets are not recommended for use in children below 12 years of age.
If you take more dose of 20 mg PULSET
If you take more dose of 20 mg PULSET immediately contact your doctor. There are no known symptoms of overdose.
If you forget to take 20 mg of PULSET
If you forget to take 20 mg of PULSET take the next tablet as you follow the prescribed treatment.
Do not take a double dose to make up for a forgotten tablet.
If you stop taking 20 mg of PULSET
Do not stop taking PULSET of 20 mg without you tell your doctor or pharmacist.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
In this leaflet, when side effects are described as "common" this means that they have been reported in more than 1 in every 100 patients but less than 1 in every 10 patients.
When side effects are described as "uncommon", this means that they were reported in more than 1 in 1000 patients but less than 1 out of 100 patients.
When side effects are described as "rare", this means that they were reported in more than 1 in 10 000 patients, but less than 1 in 1000 patients.
When side effects are described as "very rare", this means that they have been reported in less than 1 in every 10,000 patients.
Serious allergic reactions (rare):
Swelling of the tongue and / or throat, difficulty in swallowing, difficulty in breathing (breathlessness), urticaria (nettle rash), allergic facial swelling (Quincke's edema / angioedema), severe dizziness with very fast heartbeat and heavy sweating.
Serious skin reactions (frequency not known):
Blistering of the skin and rapid deterioration of general condition, ulcers (incl. Slight bleeding) in the eyes, nose, mouth / lips and external genital organs (Stevens-Johnson) and sensitivity to light.
Other serious conditions (frequency not known):
Yellowing of the skin and whites of the eyes (severe damage to liver cells, jaundice), fever, rash, enlarged kidneys, sometimes with painful urination and lower back pain.
Other side effects are:
Uncommon side effects:
Headache, dizziness, fatigue, diarrhea, nausea, vomiting, bloating and release a large amount of gas, constipation, dry mouth, cramps and discomfort, skin rash, skin redness, lumpy rash, itching, weakness, feeling fatigue or malaise, sleep disturbance, fracture of the hip, wrist or spine.
Rare side effects:
Visual disturbances (eg double vision), joint pain, muscle pain, changes in body weight, increased body temperature (high fever), swelling of the extremities (peripheral edema), allergic reactions, depression, breast enlargement in men.
Very rare side effects:
Hallucinations, reduced level of sodium in the blood, confusion.
If you are taking 20 mg of PULSET more than three months it is possible to decrease the levels of magnesium in the blood, which manifests as fatigue, involuntary muscle contractions, disorientation, seizures, dizziness, increased heart rate.
Side effects identified through blood tests:
Uncommon - increase in liver enzymes;
Rare - increase in bilirubin, increased fats in the blood;
Very rare - a reduction in platelet count, which can lead to bleeding or easy bruising than usual, reducing the number of white blood cells which can lead to more frequent infections.
As reported side effects, you can do your bit to obtain more information on the safety of this medicine.
5. How to store PULSET of 20 mg
Keep out of reach of children.
Store in the original container.
Do not store above 30 ° C.
Do not use this medicine after the expiry date stated on the carton and blister. The expiry date refers to the last day of that month.
Do not dispose of medications in wastewater or household waste. Ask your pharmacist how to dispose of medicines you no longer use. These measures will help to protect the environment.
6. Contents of the pack and further information
What PULSET of 20 mg
The active substance is pantoprazole. Each tablet contains 20 mg of pantoprazole (as sodium sesquihydrate).
Other ingredients are:
Tablet core: Anhydrous tri sodium phosphate, isomalt, carmellose sodium, crospovidone, sodium stearyl fumarate.
Film-coating: Hypromellose, povidone, propylene glycol, titanium dioxide, yellow iron oxide, methacrylic acid copolymer - ethyl acrylate (1: 1), 30 percent dispersion, triethyl citrate, simethicone.
Looks PULSET 20 mg and contents of the pack
Light yellow to yellow, oval, biconvex gastro-resistant tablets.
PULSET 20 mg is available in Al / Al blisters.
Package size: 14 gastro-resistant tablets.