Panorma 40mg tablets- Everything you must know
Panorma 40mg is an oral only pantoprazole by Deurali-Janta Pharmaceuticals Private Limited. Panorma is a proton pump inhibitor. It acts by inhibiting H+/K+ ATPase in the stomach. It is one of the most popular drugs in Nepal. We assume this prescription to be more than a million per year. This has been possible due to its catchy name and familiarity amongst all doctors.
When to take Panorma 40mg ?
Your physician may prescribe this medicine on several occasions. The most common one is a pain abdomen due to peptic ulcers. You may have to take for a month or two for this condition. Your doctor may prescribe once or twice daily depending on the severity.
Besides that, it may be a part of a triple regimen for treating Helicobacter pylori infection as well. It is also a choice in stress ulcers, bleeding ulcers, GERD and Zollinger Ellison syndrome. Doctors also use this drug for prophylaxis of aspiration pneumonia
Which age group is this drug suitable for?
Panorma 40mg can be taken by children more than 5 years and adults of any age. It may be taken for one year. Studies more than one year on the use of this drug are lacking. It can also be taken by pregnant women, because it is category B. However, ask your physician before consuming in lactation period. Studies on use of this drug in lactation is questionable.
How does Panorma 40mg work in your illness?
In Peptic Ulcers
Panorma 40mg works best for peptic ulcers when you take it once daily. You should take this drug at least one hour before the meal for the best results. The basis by which this great medicine works is by reducing the amount of gastric acid produced in your stomach. After you start this medicine, there is a decrease in the further growth of your ulcer. You may have to use other drugs alongside as well depending upon the severity.
In Gastroesophageal Reflux disease (GERD)
In GERD, there will be chronic reflux of gastric acid towards your esophagus. By reducing the amount of this acid, there will be a decrease in your symptoms like pain. However, this may take some weeks to manifest. Besides, taking this medicine, you must also make lifestyle changes. This includes taking ample amounts of water, weight loss. Similarly, avoiding food at least 4-5 hours of bed will be synergistic to the drug’s effect.
In Stress ulcers
Taking Panorma in stress ulcers reduces the amount of gastric acid. This will improve your conditions. Stress ulcers occur in various traumatic and non-traumatic conditions in your body. So, other medicines, proper rest and stress relief are equally important to allow your body heal.
Side effects of Panorma 40mg
Nausea, abdominal pain and dizziness may be present in 3-5%. Rarely rashes may appear as an adverse effect. Use of more than one year may lead to atrophic gastritis and hypergastrinemia. Long term use may also lead to osteoporosis and decrease in magnesium levels. Rare reports of gynaecomastia and erectile dysfunction can also be found in literature. Consult your doctor to clear any confusion.
How to use Panorma tablets?
You must take this drug in an empty stomach at least one hour before the meal. Do not chew, crush or break this enteric coated tablet.
How much time will it take Panorma to show action?
As per literature, it will take a minimum of one hour. At two hours, maximum effect will be seen. The effect is still half maximal at 24 hours and will last for three days.
Do not take this drug with alcohol. Panorma 40mg is safe in pregnancy. Considering lactation, contact your doctor before use. You can use this drug while driving. This drug is safe in kidney and liver diseases
What to do if you forget to take Panorma?
Take it as soon as possible if you forget at any instance. If you forget one day or two, take it the next time and continue taking it. We do not recommend to double or triple the dose in this context.
Superiority over other Drugs
Panorma 40mg is equally efficacious as other brands of pantoprazole. However, it is superior to omeprazole. Though the mechanism of action is similar, pantoprazole has less affinity for cytochrome P450 (CYP2C19). Hence drug interactions are less. Further it is more acid stable and has more oral bioavailability.
- Take this medicine in the morning. Avoid any food (solid or liquid), for at least one hour after intake.
- You can well tolerate this medicine. But, you must take in time and avoid certain things.
- Avoid beverages, alcohol and smoking while taking this drug for best results.
- Consult your doctor if you don’t see any effect for 2 weeks.
- Don’t stop taking this medicine before consulting your doctor.
- Call your doctor immediately if you develop edema, decreased urination, severe vomiting and rashes
FAQs about Panorma 40mg
What is the use of Panorma 40?
It is a brand name of a pantoprazole, which belongs to the class of proton pump inhibitors. It works by decreasing the production of gastric acid. It’s use are chiefly in peptic ulcer, GERD and heartburn.
How long does it take for work?
Action starts within one hour. But to get ample relief you will have to take this drug for at least 2-4 weeks. You may still have some symptoms during this time.
Is Panorma safe?
Yes, it is safe in most of the conditions. We recommend talking to your doctor to get best results in this scenario.
What is the best time to take Panorma?
The best time is in the early morning, as soon as you get off the bed. If you have to take twice, take this drug at least one hour before your meal both in the morning and evening. Don’t take any fluids or solid meals during this period.
Can I take this drug if I am fasting?
Yes, you can take Panorma, if you are fasting or even intermittent fasting.
Can I stop taking Panorma if I feel better?
We don’t recommend this. If you stop taking this medicine abruptly, there may be a surge of acid production. This will worsen your condition. Consult your physician before stopping this drug
What if I overdose this drug?
Contact your health personnel immediately in this regard. Though there are no such systemic toxicity and antidotes for this drug, we request you be vigilant.
Does this drug cause weight gain?
There are only a few reports that may cause weight gain while intaking this drug. So, consult your doctor for any weight gain concerns
Can I take Panorma 40mg with alcohol?
Alcohol doesn’t interfere in the mechanism of action of this drug. But it may increase acid production as a side effect. To prevent further worsening of your stomach, don’t take alcohol with this drug.
Can I take painkillers with Panorma?
Panorma 40 and other brands are frequently prescribed together with painkillers. NSAIDS are known to cause stress ulcers. Hence, we recommend taking this drug along with painkillers. The dose and duration remains the same as above.
Can I take antacids with this drug?
You can take antacids with this drug. But please take them at least two hours prior or after.
What other dietary changes should I make while taking this drug?
We recommend you take a lot of fibers, decrease excess oil and fat consumption. Refrain from caffeine and carbonated beverages.
What are other alternatives?
These are: Pantop 40mg
Summarizing Panorma 40mg
- Manufacturer: Deurali Janta Pharmaceuticals Private Limited. Division: Divyam
- Available in combination: No
- Addiction: None
- Bioavailability: 70-80%
- Metabolism: Liver
- Excretion: Faeces, Urine
- Therapeutic class: Gastrointestinal
- Action class: PPI
- Chemical Class: Sulfinylbenzimidazole
- Price: Eight Rupees
- License Number:
- Drug Type: Category C
- Availability: In all pharmacies, Online
- Prescription Required? : No