• High-strength 40mg for rapid healing of ulcers & severe erosive esophagitis
• 24-hour acid suppression with single daily dose
• Fast relief from intense heartburn & regurgitation
• First-line choice for H. pylori eradication therapy
• Proven safety profile in short- and medium-term use

1. Take one 40mg tablet once daily in the morning, 30–60 minutes before breakfast
2. Swallow whole with water – never crush, chew or split
3. For best absorption, take on an empty stomach
4. Complete the full prescribed course even if symptoms disappear earlier
5. If a dose is missed, take it as soon as possible unless close to the next scheduled dose

Q1: When is 40mg preferred over 20mg?
A1: Doctors prescribe 40mg for severe reflux, active ulcers, erosive esophagitis, or H. pylori treatment.

Q2: How quickly does it heal ulcers?
A2: Most duodenal ulcers heal in 2–4 weeks; gastric ulcers and severe esophagitis in 4–8 weeks.

Q3: Can I take it at night?
A3: Morning before food is most effective, but your doctor may advise evening dosing if needed.

Q4: Is it safe with antibiotics for H. pylori?
A4: Yes – 40mg twice daily with antibiotics is standard triple/quadruple therapy.

Q5: Will it cause weight gain?
A5: No, weight changes are not typically associated with pantoprazole.

• Use strictly as prescribed; do not use longer than 8 weeks without doctor re-evaluation
• Avoid if allergic to pantoprazole or other PPIs
• Long-term use requires monitoring for vitamin B12, magnesium deficiency, and bone fracture risk
• Use caution in severe liver disease; dose reduction may be needed
• Not recommended in pregnancy/breastfeeding unless clearly necessary
• Stop and seek help if severe diarrhoea, rash, joint pain, or kidney issues occur