Pantocid HP(L)

Introduction About PANTOCID HP(L)

PANTOCID HP(L) is a combination of Clarithromycin, Pantoprazole and Amoxicillin
which belongs to the group of medicines called Antibiotics and Antiulcer agents.
It is used to eradicate a bacteria called Helicobacter pylori in patients with
active chronic gastritis, stomach and intestinal ulcers.

Along management with PANTOCID HP(L) your doctor might want you to make some
lifestyle changes such as eating less spicy foods. Before starting the
management with PANTOCID HP(L) your doctor might ask you to take some diagnostic
tests to understand the existing condition.

Before taking PANTOCID HP(L) inform your doctor if you have liver, kidney or
heart disease. PANTOCID HP(L) should be taken with caution in patients having
fungal infections, glandular fever, problems in urinating, joint pains and due
to take Chromogr

PANTOCID HP(L) should be used with caution in pregnant and breast-feeding women.
The most common side effects of taking PANTOCID HP(L) are nausea, vomiting,
diarrhea, vomiting, indigestion and dry mouth. Talk to your doctor if any of
these worsen or doesn’t improve.

Uses Of PANTOCID HP(L)

• Eradicates Helicobacter pylori in patients with active chronic gastritis, stomach and intestinal ulcers

How PANTOCID HP(L) Works

PANTOCID HP(L) effectively eradicates H. Pylori and manages ulcers, where
Clarithromycin which belongs to a group of medicine called macrolide antibiotics
which enters the bacteria and stop its growth thus relieving the infection.
Amoxicillin is a penicillin antibiotic which interferes with the important life
cycle of the bacteria leading to its destruction. Pantoprazole is a selective
proton pump inhibitor, which acts on the cells present in the lining of the
stomach and reduces the amount of acid produced in the stomach.

How to use PANTOCID HP(L)

Take PANTOCID HP(L) as advised by your physician. Swallow the medicine with a
glass of water. Do not crush or chew the medicine. Your doctor will decide the
correct dose and duration of PANTOCID HP(L) for you depending upon your age,
body weight and disease condition.

Side Effects Of PANTOCID HP(L)

Common

• headache
• nausea, vomiting
• abdominal pain
• diarrhoea, constipation
• indigestion, heartburn
• dry mouth
• benign polyps in the stomach
• skin rash, discomfort

How To Manage Side Effects

Headache:

Drink ample amount of water and avoid skipping meals. Get adequate rest. Try to
be relaxed and stress free. Apply pain relieving balm on your forehead if
necessary. Consult your doctor if the symptom does not improve.

Stomach pain:

Try to rest and relax. Eat and drink slow or try to have smaller and frequent
meals. Keep a heat pad on your stomach. If the symptom does not improve, contact
your doctor.

Constipation:

Try to eat more high-fiber foods such as fresh fruit, vegetables, cereals and
drink plenty of water. If this does not help, inform your doctor for receiving
alternate management for constipation.

Diarrhoea:

Drink lot of fluids such as water to keep yourself hydrated. Avoid eating
high-fat or spicy foods. Inform your doctor if the symptom gets worse.

Dry mouth:

Sip water regularly and other sugar free liquids. Do not use mouthwashes that
contain alcohol because they can make your mouth dry, use mouthwash that is used
only for dry mouth. Limit your caffeine intake. Avoid smoking or using tobacco
products. Consult your doctor if the symptom does not improve.

Warning & Precautions

!### Pregnancy

PANTOCID HP(L) should be used with caution in pregnant women. Consult your
doctor before taking it.

!### Breastfeeding

PANTOCID HP(L) should be used with caution in breastfeeding women. Consult your
doctor before taking it.

!### Driving and Using Machines

Do not drive or operate any machines if you feel dizzy or disturbed vision after
taking PANTOCID HP(L).

!### Kidney

PANTOCID HP(L) should be used with caution in patients with kidney problems.
Consult your doctor before taking PANTOCID HP(L).

!### Liver

PANTOCID HP(L) is not recommended for use in patients with severe liver disease.
It should be used with caution in patients with other liver disease. Consult
your doctor before taking PANTOCID HP(L).

!### Allergy

Do not take PANTOCID HP(L) if you are allergic to Clarithromycin, Pantoprazole
or Amoxicillin.

!### Heart Disease

PANTOCID HP(L) is not recommended for use in patients having heart rhythm
disorders. It should be used with caution in patients with heart problems such
as heart failure, an unusually slow heart rate. Consult your doctor before
taking PANTOCID HP(L).

Others

Before taking PANTOCID HP(L), inform your doctor if you:

• have fungal infections
• have glandular fever (sore throat, fever, swollen glands and extreme tiredness)
• have problems in urinating
• have joint pain
• are due to have blood test called Chromogr
• have reduced Vitamin B12
• have rashes in areas exposed to sun

Use in Paediatrics:

Your child’s doctor will advise the correct dose and duration of PANTOCID HP(L)
depending upon the child’s age, weight and disease condition.

Use in Geriatrics:

Your doctor will advise the correct dose and duration of PANTOCID HP(L) for you
depending upon your age, disease condition and body weight.

Interactions

A. Drug – Drug Interactions:

Before taking PANTOCID HP(L), inform your doctor if you are taking any of the
following medicines:

• medicines used for the management of heart problems (Ex. digoxin, disopyramide, quinidine), lower cholesterol (Ex. atorvastatin, rosuvastatin), high blood pressure (Ex. verapamil, amlodipine, diltiazem)
• medicines used for the management of epilepsy (Ex. carbamazepine, valproate, phenobarbital, phenytoin)
• medicines used in patients with breathing difficulties such as asthma (Ex. theophylline)
• sedatives (Ex. triazolam, alprazolam or midazolam)
• medicines used to manage poor circulation (Ex. cilostazol)
• corticosteroid (Ex. methylprednisolone) (used to manage inflammatory condition)
• medicines used for thinning the blood (Ex. warfarin, dabigatran, rivaroxaban, apixaban)
• medicines used to lower blood glucose levels (Ex. nateglinide, pioglitazone, repaglinide, rosiglitazone, gliclazide, glimepiride, insulin)
• medicines used for management of cancer (Ex. vinblastine, erlotinib)
• immune suppressants (Ex. ciclosporin, sirolimus, tacrolimus) (used to manage organ rejection after transplant)
• medicines used in the management of HIV (Ex. ritonavir, efavirenz, etravirine, nevirapine, zidovudine, atazanavir, saquinavir)
• medicines used for management of certain bacterial infections (Ex. rifampicin, rifapentine, rifabutin, lincomycin)
• fluconazole, itraconazole, clindamycin, ketoconazole, itraconazole, posaconazole  (used to manage fungal infections)
• medicines used for managing overactive bladder (Ex. tolterodine)
• medicines used for impotence in adult males or for use in pulmonary arterial hypertension (Ex. sildenafil, vardenafil, tadalafil)
• herbal product used to manage depression (Ex. St John’s Wort)
• medicine used to manage rheumatoid arthritis, psoriasis and cancer (Ex. methotrexate)
• medicine used to manage depression and other psychiatric diseases (Ex. fluvoxamine)
• medicines used to manage gout (Ex. probenecid, allopurinol)

Overdosage:

If you or anyone else accidentally take too much of PANTOCID HP(L), consult your
doctor immediately or visit the nearby hospital.

Synopsis

Drug	:	Clarithromycin, Pantoprazole and Amoxicillin
Pharmacological Category	:	Macrolides, Proton Pump Inhibitors, Penicillin
Therapeutic Indication	:	Eradicates Helicobacter pylori with active chronic gastritis, stomach and intestinal ulcers
Dosage Forms	:	Tablet

More Information

• Keep PANTOCID HP(L) out of reach of children
• Store at room temperature

FAQs About PANTOCID HP(L)

Q: What is PANTOCID HP(L) and why is it given?

A: PANTOCID HP(L) is a combination of Clarithromycin, Pantoprazole and
Amoxicillin which belongs to the group of medicines called Antibiotics and
Antiulcer agents. It is used to eradicate a bacteria called Helicobacter pylori
in patients with active chronic gastritis, stomach and intestinal ulcers.

Q: Can PANTOCID HP(L) cause diarrhoea?

A: Diarrhoea is a common side effect of taking PANTOCID HP(L). For symptomatic
relief, drink lot of fluids such as water, squash or fruit juice to keep
yourself hydrated. Do not consume any medicine by yourself without consulting
your doctor.Q:Is PANTOCID HP(L) safe for pregnant and breast-feeding women?

A: PANTOCID HP(L) should be used with caution in pregnant women and
breast-feeding mother. Ask for your doctor’s advice before taking PANTOCID HP(L)
if you are pregnant, planning to get pregnant and breast-feeding your child.

Q:For how long should I take PANTOCID HP(L)?

A: Take PANTOCID HP(L) for as long as your doctor has prescribed for you. It
depends on your specific condition, age and body weight. Do not stop taking
without the doctor’s consultation and do not take it for prolonged periods as
well.

Q: What should I tell my doctor before taking PANTOCID HP(L)?

A: Before taking PANTOCID HP(L) inform your doctor if you have any liver, kidney
or heart disease, fungal infections, glandular fever (sore throat, fever,
swollen glands and extreme tiredness), problems in urination, joint pain, due to
have Chromogr

Useful Diagnostic Tests

• Endoscopy
• Complete Blood Count