Panum Dsr Capsule 10

Panum Dsr Capsule 10 interacts with the following medicines:

• CYP3A4 inhibitors: These can raise domperidone levels, amplifying its side effects. This class encompasses a variety of medications, including antihypertensives like verapamil and diltiazem; antibiotics like clarithromycin and erythromycin; and anticancer medications like tamoxifen and irinotecan.

• Medicines requiring an acidic gastric environment: Pantoprazole reduces acid secretion in the stomach, potentially impairing the absorption and efficacy of medicines including antifungal medicines like ketoconazole, iron salts like ferric pyrophosphate, and cardiac glycosides like digoxin.

Panum Dsr Capsule 10 has interactions with some foods:

• High-fat meals: They can slow down the absorption of domperidone, reducing its effectiveness.

Panum Dsr Capsule 10 interacts with the following diseases:

• Liver disease: Both domperidone and pantoprazole are extensively metabolised in the liver. Patients with severe liver dysfunction may require a dose adjustment.

• Hypomagnesemia: Long-term use of pantoprazole can lead to low magnesium levels. Regular monitoring of serum magnesium levels is recommended for these patients.

• Arrhythmic conditions: Domperidone may prolong the QT interval, increasing the risk of serious cardiac arrhythmias. It's not recommended for patients with prolonged QT syndrome or significant electrolyte disturbances.

The daily dose of Panum Dsr Capsule 10 should be followed as prescribed by your doctor. Your dosage is based on the severity of your condition and how you respond to the medicine. It's crucial to stick to the prescribed dosage and not alter it.

If you mistakenly take more than the prescribed dose of Panum Dsr Capsule 10, you might experience overdose symptoms like headaches, dizziness, and upset stomach. If these symptoms persist or worsen, inform your doctor.

In case you miss a dose of Panum Dsr Capsule 10, take it as soon as you remember. However, if it's nearly time for your next dose, skip the missed one and continue your usual dosing schedule. Never increase your dosage without consulting your doctor.