CHF 3317.95

1-24 hours

Delivery is possible through one of our partner pharmacies after consultation.

Swissmedic Nr.: 52710103
Index: 04.99.00

Pharmacode: 2842832
GTIN/EAN: 7680527101034
Markteintritt: 14.02.1997

Kategorie: B Mehrmalige Abgabe auf eine ärztliche Verschreibung hin.


Pantozol® 20/40 (40 mg)

Pantoprazol (A02BC02)

90x15 Stk

(0/5 , 3038)

Um Pantozol® 20/40 (40 mg) kaufen zu können, benötigen Sie zunächst ein Rezept. Bei Deindoktor.ch können Sie im Rahmen einer Online-Sprechstunde per Webcam, mit dem Artz Ihrer Wahl, ein elektronische Rezept erhalten.

Das mit DeinDoktor.ch erhaltene Rezept kann in einer der 1400 Schweizer Apotheken verwendet werden. Wir organisieren mit einer unserer Partner-Apotheken eine Sendung Ihres Pantozol® 20/40 (40 mg)'s gegen Unterschrift (24h) oder dem Medikamenten-Taxi nach einer Online Sprechstunde, falls gewünscht.


No doctor is now available for video consultation.
Your received prescription through DeinDoktor.ch is usable to get your medicaments in any of the 1400 Swiss pharmacies or in the Swiss online pharmacies. We can arrange with one of our pharmacy-partners a delivery against signature (24h) or medicament-taxi after an online-consultation.

Der Wirkstoff von Pantozol 20 mg/40 mg, das Pantoprazol, gehört zur Klasse der Protonenpumpenhemmer. Es hemmt das Enzym, das für die Freisetzung der Säure im Magen verantwortlich ist (die Protonenpumpe).

Pantozol 20 mg wird zur Besserung der Beschwerden und Heilung von leichten Formen der entzündlichen Speiseröhrenerkrankung angewendet. Es ist ausserdem für die Langzeitbehandlung und zur Vorbeugung eines Rückfalls einer abgeheilten Entzündung im Bereich der unteren Speiseröhre angezeigt.

Pantozol 40 mg soll zur Heilung und Besserung der Beschwerden von leichten und mittelschweren Formen der Speiseröhrenentzündung, Zwölffingerdarmgeschwüren und Magengeschwüren angewendet werden. Ebenfalls soll Pantozol 40 mg zur Behandlung der Infektion mit dem Bakterium Helicobacter pylori in Kombination mit zwei Antibiotika bei Zwölffingerdarmgeschwür und Magengeschwür eingesetzt werden.

Des Weiteren dient es zur Prävention der durch nichtsteroidale Antirheumatika (NSAID) hervorgerufenen Magen- und Zwölffingerdarmgeschwüre bei Patienten, die ein erhöhtes Risiko für solche Läsionen haben und bei denen auf eine NSAID-Behandlung nicht verzichtet werden kann.

Es wird auch beim Zollinger-Ellison-Syndrom und anderen Erkrankungen, die mit einer krankhaften Überproduktion von Magensäure einhergehen, eingesetzt.

Pantozol 20 mg/40 mg darf nur auf Verschreibung des Arztes oder der Ärztin angewendet werden.

Pantozol 20 mg/40 mg darf nicht angewendet werden bei bekannter Überempfindlichkeit gegen den Wirkstoff Pantoprazol, andere Protonenpumpenhemmer oder einen der Hilfsstoffe von Pantozol 20 mg/40 mg.

Bei geringfügigen Magen-Darm-Beschwerden, z.B. nervöser Magen, ist Pantozol 20 mg/40 mg nicht angezeigt.

Bei Patienten mit schweren Leberfunktionsstörungen wird der Arzt bzw. die Ärztin die Leberenzyme während der Behandlung mit Pantozol 20 mg/40 mg, vor allem während einer Langzeittherapie, regelmässig messen. Bei einem Anstieg der Leberenzyme sollte Pantozol 20 mg/40 mg abgesetzt werden.

Die Anwendung von Pantozol 40 mg zur Prävention der durch nichtsteroidale Antirheumatika (NSAID) hervorgerufenen Magen- und Zwölffingerdarmgeschwüre sollte auf Patienten beschränkt werden, bei denen auf eine NSAID-Behandlung nicht verzichtet werden kann und die ein erhöhtes Risiko zur Entwicklung von Komplikationen im Magen-Darm-Trakt haben. Das erhöhte Risiko sollte anhand individueller Risikofaktoren, z.B. Alter (>65 Jahre), früher aufgetretene Magen- und Zwölffingerdarmgeschwüre oder Blutungen im oberen Magen-Darm-Trakt bewertet werden. Bei Patienten, die gleichzeitig Blutverdünner einnehmen, sollte bei der Anwendung von Pantozol 20 mg/40 mg die Wirkung der Blutverdünner kontrolliert werden.

Informieren Sie sofort Ihren Arzt bzw. Ihre Ärztin, wenn Sie eines der folgenden Symptome bei sich bemerken: unbeabsichtigter Gewichtsverlust, wiederholtes Erbrechen, Schluckbeschwerden, Erbrechen von Blut, Blässe und Schwächegefühl, Blut im Stuhl, schwere und/oder anhaltende Durchfälle.

Die Aufnahme gewisser Arzneimittel, wie z.B. Pilzmittel zum Einnehmen oder gewisse Arzneimittel gegen Krebs hängt von der Säurekonzentration (pH) im Magen ab. Es gilt zu beachten, dass sich bei gleichzeitiger Anwendung von Pantozol 20 mg/40 mg die Aufnahme solcher Arzneimittel verändert.

Pantoprazol kann die Wirksamkeit bestimmter Arzneimittel gegen Virusinfektionen (z.B. Atazanavir, Ritonavir) vermindern. Die gleichzeitige Einnahme dieser Arzneimittel sollte vermieden werden.

Ausser für die leichte Speiseröhrenerkrankung liegen keine ausreichenden Erfahrungen bei Kindern und Jugendlichen unter 18 Jahren vor.

Wenn bei Ihnen Nebenwirkungen wie Schwindel oder Sehstörungen auftreten, sollten Sie kein Fahrzeug lenken oder Maschinen bedienen.

Wenn Sie Pantozol für mehr als 3 Monate einnehmen, ist es möglich, dass der Magnesiumspiegel in Ihrem Blut sinken kann. Ein niedriger Magnesiumspiegel macht sich durch Ermüdung, unwillkürliche Muskelspannungen, Verwirrtheit, Krämpfe, Schwindel und erhöhte Herzfrequenz bemerkbar. Wenn bei Ihnen eine dieser Nebenwirkungen auftritt, sagen Sie es bitte unverzüglich Ihrem Arzt bzw. Ihrer Ärztin. Ein niedriger Magnesiumspiegel kann auch zu einer Absenkung der Kalium- und Kalciumspiegel im Blut führen. Ihr Arzt bzw. Ihre Ärztin kann regelmässige Bluttests durchführen, um Ihren Magnesiumspiegel zu überwachen.

Bei der Einnahme von Protonenpumpenhemmern wie Pantozol, besonders über einen Zeitraum von mehr als einem Jahr, kann sich das Risiko für Knochenbrüche in der Hüfte, dem Handgelenk oder der Wirbelsäule leicht erhöhen. Informieren Sie Ihren Arzt bzw. Ihre Ärztin, wenn Sie Osteoporose haben oder Kortikosteroide einnehmen (diese Arzneimittel können das Risiko für Osteoporose erhöhen).

Informieren Sie Ihren Arzt oder Apotheker bzw. Ihre Ärztin oder Apothekerin, wenn Sie an anderen Krankheiten leiden, Allergien haben oder andere Arzneimittel (auch selbstgekaufte) einnehmen.

Wenn Sie schwanger sind oder es werden möchten, sowie auch in der Stillzeit, sollten Sie Pantozol 20 mg/40 mg ausschliesslich nach Rücksprache mit dem Arzt bzw. der Ärztin einnehmen.

Bei der Kombinationstherapie sind auch die Packungsbeilagen der einzelnen Arzneimittel zu beachten. Soweit nicht anders verordnet, gelten für Erwachsene und Jugendliche ab 12 Jahren folgende Dosierungsrichtlinien:

Pantozol 20 mg

Leichte Speiseröhrenerkrankung: In der Regel beträgt die tägliche Dosis für Erwachsene und Kinder ab 12 Jahren 1 magensaftresistente Filmtablette Pantozol 20 mg. Eine Besserung der Symptome tritt gewöhnlich innerhalb von 4 Wochen ein. Ist dies nicht der Fall, kann die Behandlung nach Abklärung durch den behandelnden Arzt bzw. die behandelnde Ärztin mit Pantozol 20 mg weitere 4 Wochen fortgesetzt werden.

Treten nach erreichter Symptombefreiung später erneut Beschwerden auf, können diese nach Absprache mit Ihrem Arzt bzw. Ihrer Ärztin bei Bedarf mit 1 Filmtablette Pantozol 20 mg einmal täglich behandelt werden.

Langzeitbehandlung und Vorbeugung eines Rückfalls der Speiseröhrenentzündung: Im Regelfall 1 magensaftresistente Filmtablette Pantozol 20 mg. Bei einem Rückfall kann die tägliche Dosis nach Rücksprache mit Ihrem Arzt bzw. Ihrer Ärztin auf 2 magensaftresistente Filmtabletten Pantozol 20 mg erhöht und nach Heilung wieder auf täglich 1 Filmtablette reduziert werden.

Bei schwerer Leberinsuffizienz darf die tägliche Dosis von 1 Filmtablette Pantozol 20 mg nicht überschritten werden.

Pantozol 40 mg

Bei Zwölffingerdarmgeschwür und Magengeschwür ist bei nachgewiesener Infektion mit Helicobacter pylori eine Beseitigung (Eradikation) der Infektion durch eine Kombinationstherapie anzustreben. Eine der folgenden Kombinationen von Pantozol 40 mg mit Antibiotika ist möglich:

a) 2-mal täglich 1 magensaftresistente Filmtablette Pantozol 40 mg

+ 2-mal täglich 1000 mg Amoxicillin

+ 2-mal täglich 500 mg Clarithromycin.

b) 2-mal täglich 1 magensaftresistente Filmtablette Pantozol 40 mg

+ 2-mal täglich 400-500 mg Metronidazol

+ 2-mal täglich 250-500 mg Clarithromycin.

c) 2-mal täglich 1 magensaftresistente Filmtablette Pantozol 40 mg

+ 2-mal täglich 1000 mg Amoxicilin

+ 2-mal täglich 500 mg Metronidazol.

Die Kombinationstherapie zur Beseitigung der Helicobacter pylori Infektion wird über 7 Tage eingenommen. Bei der Kombinationstherapie mit Metronidazol ist die für Metronidazol empfohlene maximale Behandlungsdauer von 10 Tagen zu beachten. Zur Absicherung der Abheilung der Geschwüre sind die Dosierungsempfehlungen bei Magen- und Zwölffingerdarmgeschwüren zu beachten und die Anweisungen Ihres Arztes bzw. Ihrer Ärztin zu befolgen.

Für die Monotherapie mit Pantozol 40 mg gelten folgende Dosierungsrichtlinien: Bei Zwölffingerdarmgeschwür, Magengeschwür und Speiseröhrenentzündung: Im Regelfall 1 magensaftresistente Filmtablette Pantozol 40 mg täglich. In Einzelfällen und auf Anweisung Ihres Arztes resp. Ihrer Ärztin kann bei der Speiseröhrenentzündung, beim Magen- und Zwölffingerdarmgeschwür, insbesondere, wenn diese auf andere Medikamente bisher nicht angesprochen haben, die doppelte Dosis eingenommen werden (Steigerung auf 2 magensaftresistente Filmtabletten Pantozol 40 mg täglich).

Für die Langzeittherapie von Zollinger-Ellison-Syndrom und anderen Erkrankungen, die mit einer pathologischen Hypersekretion von Magensäure einhergehen, beträgt die empfohlene Anfangsdosis 80 mg (2 Filmtabletten Pantozol 40 mg) täglich. Im Anschluss kann die Dosierung entsprechend der Bestimmung der Magensäuresekretion individuell eingestellt werden. Bei Dosierungen von mehr als 80 mg täglich ist die Tagesdosis auf eine zweimalige Gabe zu verteilen. Eine zeitweilige Erhöhung der Dosierung auf über 160 mg Pantoprazol täglich ist auf Empfehlung des Arztes resp. der Ärztin möglich; sie sollte jedoch nicht länger beibehalten werden, als für eine ausreichende Kontrolle der Säuresekretion erforderlich.

Bei Patienten mit eingeschränkter Nierenfunktion und bei älteren Patienten sollte die Tagesdosis 40 mg Pantoprazol nicht überschritten werden. Bei schwerer Lebererkrankung reduziert der Arzt resp. die Ärztin die tägliche Dosis auf 20 mg Pantoprazol (1 Filmtablette Pantozol 20 mg).

Pantozol 20 mg/40 mg

Pantozol 20 mg/40 mg magensaftresistente Filmtabletten sind unzerkaut und unzerbrochen als Ganzes 1 Stunde vor einer Mahlzeit mit etwas Wasser einzunehmen. Im Falle der Kombinationstherapie zur Beseitigung der Helicobacter pylori Infektion ist die zweite Pantozol 40 mg Filmtablette 1 Stunde vor dem Abendessen einzunehmen.

Vergessene Einnahme von Pantozol 20 mg/40 mg

Wenn Sie eine Dosis Pantozol 20 mg/40 mg vergessen haben einzunehmen, nehmen Sie bitte nicht beim nächsten Mal die doppelte Dosis ein, sondern verzichten Sie auf die Einnahme der vergessenen Dosis und setzen die Behandlung beim nächsten Mal wie gewohnt fort.

Versehentliche Überdosierung von Pantozol 20 mg/40 mg

Falls Sie versehentlich zu viele Filmtabletten Pantozol 20 mg/40 mg eingenommen haben, so sprechen Sie mit Ihrem Arzt oder Apotheker bzw. Ihrer Ärztin oder Apothekerin.

Absetzen der Einnahme von Pantozol 20 mg/40 mg

Beenden Sie nicht von sich aus die Einnahme von Pantozol 20 mg/40 mg, ohne zuerst mit Ihrem Arzt oder Apotheker bzw. Ihrer Ärztin oder Apothekerin zu sprechen.

Ändern Sie nicht von sich aus die verschriebene Dosierung. Wenn Sie glauben, das Arzneimittel wirke zu schwach oder zu stark, so sprechen Sie mit Ihrem Arzt oder Apotheker bzw. Ihrer Ärztin oder Apothekerin.

Gelegentlich treten unter der Behandlung mit Pantozol 20 mg/40 mg Schlafstörungen, Kopfschmerzen, Schwindel, Durchfall, Übelkeit und Erbrechen, Blähungen und Völlegefühl, Verstopfung, Mundtrockenheit, Bauchschmerzen- und beschwerden, Hautausschläge, Hautrötungen, Juckreiz, Schwächegefühl, Müdigkeit und allgemeines Unwohlsein auf.

Selten treten Überempfindlichkeitsreaktionen vom Soforttyp (Schwindel, erhöhter Puls, Schweissausbruch), Gewichtsveränderungen, depressive Verstimmungen und Verschlechterung bei vorbestehender Depression, Geschmacksstörungen, Sehstörungen und Verschwommensehen, Nesselfieber (stark juckender Hautausschlag, Quaddeln), Gelenk- und Muskelschmerzen, Vergrösserung der männlichen Brust, erhöhte Körpertemperatur und Schwellungen an Armen und Beinen durch Wasseransammlungen (Ödembildung) auf.

Sehr selten wird Desorientierung und Verschlechterung bei vorbestehender Desorientierung beobachtet.

Es kann auch, insbesondere bei prädisponierten Personen, zu Wahnvorstellungen und Verwirrtheit kommen. Beim Vorbestehen dieser Symptome können diese durch Pantozol 20 mg/40 mg verstärkt werden. Auch wurde von erhöhter Lichtempfindlichkeit und Verminderung gewisser Mineralstoffe im Blut berichtet.

Bei Blutuntersuchungen festgestellte Nebenwirkungen sind:

Gelegentlich wurden erhöhte Leberwerte berichtet.

Selten trat eine Erhöhung von Bilirubin und der Blutfettwerte auf.

Sehr selten wurde über eine Verminderung der Blutplättchen, was zu vermehrten Blutungen oder blauen Flecken führen kann, sowie über eine Verminderung der Anzahl weisser Blutkörperchen, was vermehrte Infektionen verursachen kann, berichtet.

Beim Auftreten der folgenden Nebenwirkungen sollten Sie umgehend die Einnahme von Pantozol 20 mg/40 mg unterbrechen und sofort Ihren Arzt bzw. Ihre Ärztin aufsuchen:

  • Schwere allergische Reaktionen: Anschwellen der Zunge oder des Halses, Schwierigkeiten beim Schlucken, Nesselausschlag, Schwierigkeiten beim Atmen, allergische Schwellungen in Gesicht und Rachen (Quincke-Ödem, Angioödem), starke Benommenheit mit Herzrasen und starkem Schwitzen.
  • Schwerwiegende Hautveränderungen wie Blasenbildung und rasche Verschlechterung Ihres Allgemeinzustandes, Hautschädigungen (einschliesslich leichter Blutungen) von Augen, Nase, Mund und Lippen oder der Genitalien (Stevens-Johnson-Syndrom, Lyell-Syndrom, Erythema multiforme) sowie Lichtempfindlichkeit.
  • Andere schwerwiegende Zustände: Gelbfärbung der Haut oder der Augen (schwere Leberzellschäden, Gelbsucht), Fieber, Hautausschlag sowie vergrösserte Nieren, manchmal begleitet von Schmerzen beim Wasserlassen und Schmerzen im unteren Rückenbereich (schwere Entzündung der Nieren).

Wenn Sie Nebenwirkungen bemerken, die hier nicht beschrieben sind, sollten Sie Ihren Arzt oder Apotheker bzw. Ihre Ärztin oder Apothekerin informieren.

Arzneimittel für Kinder unzugänglich aufbewahren.

Das Arzneimittel darf nur bis zu dem auf dem Behälter mit «EXP» bezeichneten Datum verwendet werden.

Pantozol 20 mg/40 mg magensaftresistente Filmtabletten dürfen nicht über 25 °C aufbewahrt werden.

Weitere Auskünfte erteilt Ihnen Ihr Arzt oder Apotheker bzw. Ihre Ärztin oder Apothekerin. Diese Personen verfügen über die ausführliche Fachinformation.

Pantozol 20 mg:

1 magensaftresistente Filmtablette Pantozol 20 mg enthält 20 mg Pantoprazol sowie weitere Hilfsstoffe.

Pantozol 40 mg:

1 magensaftresistente Filmtablette Pantozol 40 mg enthält 40 mg Pantoprazol sowie weitere Hilfsstoffe.

52710 (Swissmedic).

In Apotheken nur gegen ärztliche Verschreibung.

Pantozol 20 mg: Packungen mit 15, 30, 60 und 120 magensaftresistenten Filmtabletten.

Pantozol 40 mg: Packungen mit 7, 15, 30, 60, 100 und 5× 100 (Bündelpackung) magensaftresistenten Filmtabletten.

Takeda Pharma AG, Freienbach.

Diese Packungsbeilage wurde im Juni 2013 letztmals durch die Arzneimittelbehörde (Swissmedic) geprüft.

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