Package	Per tablet	Savings	Price
180 tablets	$0.31	$16	$72 $56
150 tablets	$0.32	$12	$60 $48
120 tablets	$0.33	$9	$48 $39
90 tablets	$0.34	$5	$36 $31
60 tablets	$0.37	$2	$24 $22
30 tablets	$0.40	–	$12

What is this medicine?

PAZOM D is a combination medicine that contains Pantoprazole (a proton pump inhibitor) and Domperidone (a prokinetic and antiemetic agent). This medicine is used to treat acid reflux, gastroesophageal reflux disease (GERD), indigestion, heartburn, nausea, and vomiting. Pantoprazole reduces the amount of acid in the stomach, and Domperidone helps move food through the stomach faster and prevents nausea.

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What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• liver disease

• kidney disease

• heart disease or history of irregular heartbeat

• low magnesium, potassium, or calcium levels

• history of gastrointestinal bleeding or obstruction

• pituitary tumor (prolactinoma)

• osteoporosis or risk of bone fractures

• problems with swallowing, vomiting blood, or black/tarry stools

• an unusual or allergic reaction to pantoprazole, domperidone, other medications, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

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How should I use this medicine?

Take this medicine by mouth with a glass of water, preferably 15 to 30 minutes before meals. Swallow the tablet whole—do not crush or chew it.

Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking this medicine unless advised by your doctor.

Overdosage: If you think you have taken too much of this medicine, contact a poison control center or emergency room immediately.

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What if I miss a dose?

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take double or extra doses.

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What may interact with this medicine?

• ketoconazole, itraconazole, posaconazole

• atazanavir, nelfinavir (for HIV)

• erythromycin, clarithromycin

• amiodarone or other drugs that affect heart rhythm

• methotrexate (especially at high doses)

• antacids or sucralfate (may reduce absorption)

• digoxin

• blood thinners like warfarin

• medicines for mental health or Parkinson’s disease

• alcohol or tobacco may affect how this medicine works

This list may not describe all possible interactions. Tell your doctor about all prescription, OTC, and herbal medicines you use. Also mention alcohol, tobacco, or recreational drugs.

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What should I watch for while using this medicine?

• Do not exceed the recommended dose or duration of use.

• Long-term use of PPIs like pantoprazole may increase risk of bone fractures, magnesium deficiency, or vitamin B12 deficiency.

• Monitor for symptoms like muscle cramps, seizures, dizziness, or irregular heartbeat—these could be signs of low magnesium.

• Domperidone may affect the heart rhythm. Notify your doctor if you experience palpitations, fainting, or chest pain.

• Seek immediate help if you experience black stools, vomiting blood, or severe diarrhea.

• Women should inform their doctor if they become or are planning to become pregnant.

• Avoid alcohol, smoking, and spicy or fatty foods, as these may worsen acid-related symptoms.

• Report any breast changes, milk discharge, or menstrual irregularities (domperidone may increase prolactin levels).

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What side effects may I notice from this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions (rash, swelling, itching, difficulty breathing)

• irregular heartbeat or chest pain

• severe stomach pain

• persistent diarrhea

• muscle cramps or seizures

• breast tenderness or milk secretion

• dizziness, fainting, or lightheadedness

• yellowing of skin or eyes (jaundice)

• changes in menstrual cycle

Side effects that usually do not require medical attention (report if they continue or are bothersome):

• headache

• nausea

• dry mouth

• abdominal bloating or discomfort

• dizziness

• diarrhea or constipation

• gas

This list may not include all possible side effects.

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Where should I keep my medicine?

• Keep out of the reach of children.

• Store at room temperature between 20 to 25 degrees C (68 to 77 degrees F).

• Protect from moisture and heat.

• Do not use the medicine past the expiration date. Dispose of it properly.