Extreme Tablet 20 mg (Pantoprazole Sodium Sesquihydrate)

Adult dose

1. Treatment of mild reflux esophageal disease and associated symptoms: Administer pantoprazole 20 mg orally once daily before breakfast. Symptom relief generally occurs within 2 ∼ 4 weeks, and healing can usually be achieved with 4 weeks of treatment. If healing does not occur, an additional 4 weeks of treatment may achieve healing. 2. Long-term maintenance therapy to prevent recurrence of reflux esophagitis: Administer pantoprazole 20 mg once daily before breakfast. If recurrence occurs, increase the daily dose to 40 mg of pantoprazole, then reduce it back to 20 mg daily after healing. 3. Prevention of gastroduodenal ulcers caused by nonsteroidal anti-inflammatory drugs in patients requiring continuous NSAID treatment: Administer pantoprazole 20 mg once daily. ◯ No dose adjustment is necessary in elderly patients or patients with renal impairment. ◯ Patients with hepatic impairment Do not exceed 20 mg of this drug once daily in patients with severe hepatic impairment.

This medication should not be administered to certain patients. For example, individuals who are allergic to this medication or any of its components, or have experienced hypersensitivity reactions, should not use it. Additionally, patients taking certain antiviral drugs or women in early pregnancy or breastfeeding should not take this medication. Various side effects may occur with this medication. Common side effects may include abdominal pain, constipation, diarrhea, nausea, fatigue, and fever. Rarely, a range of symptoms including liver function abnormalities, skin rashes, muscle pain, headaches, dizziness, insomnia, depression, and kidney problems may present. In severe cases, anaphylactic shock or serious skin conditions may occur; thus, if unusual symptoms arise, immediate consultation with a physician is advised. Regular monitoring is required during long-term use of this drug. In particular, liver function tests should be conducted regularly, and if liver enzyme levels increase, medication should be discontinued. This medication is not used for mild stomach pain, and prolonged use may lead to vitamin B12 absorption issues. Moreover, this medication may interact with specific drugs. Caution is needed when used alongside certain antiviral agents or anticoagulants, as the concentration of the medication may change, and a doctor's guidance is necessary. During the use of this medication, it is essential to inform healthcare personnel of any other medications being taken. It is advisable that pregnant or breastfeeding women do not take this medication, and it is not recommended for children under 12 years old. There are no specific symptoms reported in case of overdose; however, if symptoms do arise, immediate medical attention should be sought for appropriate treatment. This medication should be swallowed whole without chewing or crushing, and during prolonged use, benefits and risks must be carefully considered. When storing, keep it out of the reach of children and do not transfer it to another container. Finally, there have been reports of potential cancer risks associated with this medication in animal testing, so caution is advised during long-term use.

Anaphylaxis, anaphylactic shock, angioedema, bronchospasm, acute interstitial nephritis, urticaria, upper abdominal pain, constipation, distension, diarrhea, gastric polyps, nausea, vomiting, belching, dry mouth, fatigue, weakness, lassitude, edema, elevated body temperature, fever, elevated liver enzyme levels, increased bilirubin, liver failure, arthralgia, myalgia, rhabdomyolysis, bone fracture, headache, dizziness, visual disturbances, dysgeusia, insomnia, sleep disturbances, depression, hallucinations, confusion, disorientation, interstitial nephritis, pruritus, skin redness, angioedema, mucocutaneous syndrome, Stevens-Johnson syndrome, erythema multiforme, toxic epidermal necrolysis, photosensitivity, hyperglycemia, agranulocytosis, leukopenia, thrombocytopenia, pancytopenia, gynecomastia, hyperlipidemia, lipid elevation, weight changes, hyponatremia, hypomagnesemia, elevated CK, anxiety, lethargy, low back pain, bronchitis, chest pain, increased cough, dyspepsia, dyspnea, flu symptoms, gastroenteritis, gastrointestinal disorders, tension, infection, migraine, cervical pain, pain, pharyngitis, rectal disorders, rhinitis, elevated AST, sinusitis, upper respiratory infection, frequent urination, urinary tract infection, abscess, allergic reaction, chills, pharyngitis, facial edema, general edema, warmth, hernia, abnormal clinical laboratory tests, lethargy, monilia infection, tumors, nonspecific drug reactions, ECG abnormalities, angina, arrhythmia, atrial fibrillation, coronary artery disease, congestive heart failure, bleeding, hypertension, hypotension, myocardial infarction, myocardial ischemia, palpitations, retinal vascular disease, syncope, tachycardia, phlebitis, thrombosis, vasodilation, appetite suppression, aphthous stomatitis, colitis, duodenitis, swallowing disorder, enteritis, esophageal hemorrhage, esophagitis, gastric-duodenal tumor, gastric-duodenal bleeding, gastric-duodenal moniliasis, gingivitis, halitosis, hematemesis, increased appetite, melena, oral ulcers, oral moniliasis, periodontal abscess, periodontitis, rectal bleeding, gastric ulcer, bowel movement abnormalities, tongue discoloration, ulcerative colitis, diabetes, goiter, gallbladder pain, hyperbilirubinemia, cholecystitis, cholelithiasis, jaundice, hepatitis, elevated ALP, anemia, petechiae, eosinophilia, iron deficiency anemia, leukocytosis, dehydration, gout, thirst, weight gain, weight loss, arthritis, bone diseases, joint diseases, leg cramps, bursitis, tendinitis, abnormal dream, confusion, convulsions, dry mouth, speech disorder, hyperactivity, decreased libido, agitation, neuralgia, neuritis, neuropathy, dysesthesia, diminished reflexes, abnormal perception, tremor, asthma, epistaxis, hiccups, laryngitis, respiratory distress, pneumonia, voice alteration, acne, alopecia, contact dermatitis, eczema, fungal dermatitis, herpes simplex, herpes zoster, lichen planus dermatitis, papular rash, skin disorders, skin ulcers, sweating, amblyopia, cataracts, hearing loss, diplopia, otalgia, paralysis, glaucoma, otitis externa, tinnitus, albuminuria, balanitis, mastalgia, cystitis, menstrual irregularities, urination disorders, epididymitis, hematuria, erectile dysfunction, kidney stones, nephralgia, nocturia, prostate disorders, pyelonephritis, scrotal swelling, urethral pain, urethral disorders, urological anomalies, vaginitis, Clostridium difficile-associated diarrhea, hypocalcemia, hypokalemia, DRESS syndrome, microscopic colitis, systemic lupus erythematosus, cutaneous lupus erythematosus

This medication should be stored in a tightly closed container that blocks light and kept at room temperature between 1 and 30 degrees. Proper storage will help maintain the drug's effectiveness for an extended period.

Appearance

Yellow, enteric-coated oval tablet

Package unit

28 tablets per bottle