{"id":58668,"date":"2024-02-28T05:22:29","date_gmt":"2024-02-28T05:22:29","guid":{"rendered":"https:\/\/medsname.com\/pantocid-injection\/"},"modified":"2026-05-01T10:49:14","modified_gmt":"2026-05-01T10:49:14","slug":"pantocid-injection","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/pantocid-injection\/","title":{"rendered":"Pantocid Injectabil"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">&#9889; Quick Answer &mdash; What is Pantocid Injection?<\/h3>\n<p style=\"margin:0;\"><strong>Pantocid Injectabil<\/strong> este <strong>pantoprazole sodium 40 mg per vial<\/strong> for intravenous use, made by Sun Pharma from a WHO-GMP certified manufacturing facility. This is the parenteral form of pantoprazole used <strong>in hospital when a patient cannot take oral PPI<\/strong> &mdash; nil-by-mouth, post-operative, intubated, or with active upper-GI bleeding. <strong>Doza standard:<\/strong> 40 mg IV once daily reconstituted in 0.9% saline, infused over 15 minutes. <strong>For active non-variceal upper-GI bleed<\/strong> with a high-risk endoscopic lesion (Forrest Ia\/Ib\/IIa\/IIb), the protocol is an 80 mg IV bolus followed by an 8 mg\/h continuous infusion for 72 hours. <strong>Switch to oral pantoprazole<\/strong> (e.g. Pantodac 40 mg) as soon as the patient can swallow safely. Continued IV PPI beyond 3&ndash;5 days adds nothing pharmacologically.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Ce beneficii ofer\u0103 MedsBase:<\/strong> Produc\u0103tor certificat WHO-GMP \u00b7 Ambalaj discret \u00b7 Livrare la nivel mondial \u00b7 Peste 1.400 de recenzii verificate <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">ale clien\u021bilor<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Medicamentele noastre generice sunt procurate de la produc\u0103tori certifica\u021bi WHO-GMP \u0219i expediate la nivel mondial \u00een ambalaje discrete \u0219i simple \u2014 f\u0103r\u0103 denumirea medicamentului pe exteriorul coletului. Pl\u0103\u021bile cu cardul sunt procesate printr-un procesor reglementat (descrierile de pe extrasul de cont includ un procesor de pl\u0103\u021bi cu card reglementat \u2014 niciodat\u0103 \u201cMedsBase\u201d sau numele vreunui medicament). Accept\u0103m \u0219i criptomonede \u0219i transferuri bancare SEPA. Fiecare comand\u0103 este sus\u021binut\u0103 de Politica noastr\u0103 de Asigurare pentru Relivrare.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:0 0 22px 0;border-radius:4px;font-size:14px;\"><strong>Hospital-use medication.<\/strong> Pantocid Injection is a parenteral medication intended for inpatient or supervised clinical use. It is supplied as a sterile lyophilised powder vial that must be reconstituted with 0.9% sodium chloride and administered intravenously by a qualified healthcare professional. Self-administration of this product is not appropriate. If you can take an oral PPI, oral pantoprazole (Pantodac, Pan, Pentab, Walapan-40) or any other oral PPI gives equivalent acid suppression at a fraction of the cost.<\/div>\n<h2 class=\"wp-block-heading\">What Pantocid Injection Is<\/h2>\n<p>Pantocid Injection is the Sun Pharma brand of <strong>intravenous pantoprazole sodium<\/strong>. Each vial contains pantoprazole sodium equivalent to 40 mg of pantoprazole base, supplied as a sterile lyophilised powder for reconstitution. It is the parenteral form of the same molecule available orally as Pantodac, Pan, Pentab, Penlip, and Walapan-40.<\/p>\n<h2 class=\"wp-block-heading\">How Pantocid Injection Works<\/h2>\n<p>Pantoprazole is a benzimidazole proton-pump inhibitor. After IV administration, the drug is concentrated in the acidic secretory canaliculi of the stomach&rsquo;s parietal cells. There it is protonated to the active sulphenamide form, which forms a covalent disulphide bond with cysteine residues on the H<sup>+<\/sup>\/K<sup>+<\/sup>-ATPase pump. This irreversibly blocks acid secretion until new pumps are synthesised, giving 24&ndash;72 hours of pharmacodynamic effect from each dose despite the drug&rsquo;s short ~1-hour plasma half-life. Continuous infusion is used for active GI bleeding because it maintains an elevated intragastric pH at &gt; 6 &mdash; the threshold above which platelet aggregation is preserved and clot stability is improved.<\/p>\n<h2 class=\"wp-block-heading\">Indications &mdash; When IV Pantoprazole Is Used<\/h2>\n<h3 class=\"wp-block-heading\">1. Active upper-GI bleeding from a peptic ulcer (post-endoscopy)<\/h3>\n<p>The largest evidence base. After endoscopic haemostasis of a high-risk lesion (active arterial bleeding Forrest Ia, oozing Ib, non-bleeding visible vessel IIa, or adherent clot IIb), a 72-hour IV PPI infusion at 80 mg bolus + 8 mg\/h reduces rebleeding, surgery, and 30-day mortality. Patients with low-risk lesions (Forrest IIc\/III) do not need IV therapy and can go straight to oral high-dose pantoprazole.<\/p>\n<h3 class=\"wp-block-heading\">2. Patients NPO (nil by mouth) needing acid suppression<\/h3>\n<p>Post-operative ileus, mechanical ventilation, severe pancreatitis, persistent vomiting, or dysphagia. Once enteral nutrition resumes, switch to oral pantoprazole.<\/p>\n<h3 class=\"wp-block-heading\">3. ICU stress-ulcer prophylaxis<\/h3>\n<p>For mechanically ventilated patients &gt; 48 hours, those with coagulopathy, or those on vasopressors. Note: prolonged ICU PPI use is associated with increased <em>C. difficile<\/em> infection and ventilator-associated pneumonia &mdash; review the indication daily and stop when no longer needed.<\/p>\n<h3 class=\"wp-block-heading\">4. Zollinger-Ellison syndrome &mdash; bridging<\/h3>\n<p>For patients with acid hypersecretory states who cannot take oral PPI temporarily.<\/p>\n<h2 class=\"wp-block-heading\">Dozare \u0219i administrare<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:12px 0;font-size:13.5px;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;text-align:left;\">Indica\u021bie<\/th>\n<th style=\"padding:8px;text-align:left;\">Doza<\/th>\n<th style=\"padding:8px;text-align:left;\">Note<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;\">Doza standard pentru adul\u021bi<\/td>\n<td style=\"padding:8px;\">40 mg IV once daily<\/td>\n<td style=\"padding:8px;\">Reconstitute with 10 mL 0.9% sodium chloride; may further dilute in 100 mL 0.9% NaCl; infuse over 15 minutes<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;\">Upper-GI bleed (high-risk lesion, post-endoscopy)<\/td>\n<td style=\"padding:8px;\">80 mg IV bolus, then 8 mg\/h continuous infusion<\/td>\n<td style=\"padding:8px;\">72 hours, then step down to oral 40 mg twice daily for 14 days<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;\">Severe Zollinger-Ellison<\/td>\n<td style=\"padding:8px;\">80 mg IV every 8&ndash;12 hours (specialist-led)<\/td>\n<td style=\"padding:8px;\">0.9% NaCl reconstitution; specialist supervision<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;\">Insuficien\u021b\u0103 hepatic\u0103<\/td>\n<td style=\"padding:8px;\">Maximum 40 mg\/day<\/td>\n<td style=\"padding:8px;\">Monitor LFTs<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;\">Insuficien\u021b\u0103 renal\u0103<\/td>\n<td style=\"padding:8px;\">No dose adjustment needed<\/td>\n<td style=\"padding:8px;\">Regim standard<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Compatibility:<\/strong> Reconstitute only with 0.9% sodium chloride. Do not mix with other IV medications in the same line. The reconstituted solution is stable for 12 hours at room temperature; discard any unused portion.<\/p>\n<p><strong>Switch to oral PPI<\/strong> as soon as the patient can swallow safely. Continued IV PPI beyond 3&ndash;5 days has no pharmacological advantage over oral therapy and adds substantially to cost and infection risk.<\/p>\n<h2 class=\"wp-block-heading\">Efecte Secundare<\/h2>\n<p><strong>Frecvente (1\u201310%):<\/strong> headache, diarrhoea, nausea, abdominal pain, injection-site reactions (pain, thrombophlebitis at the cannula site).<\/p>\n<p><strong>Pu\u021bin frecvente, dar importante:<\/strong> hypersensitivity (rash, angioedema; very rarely anaphylaxis), acute interstitial nephritis, hepatotoxicity (rare), severe hypomagnesaemia (with prolonged use), <em>C. difficile<\/em> infection (especially in hospitalised patients), and ventilator-associated pneumonia.<\/p>\n<h2 class=\"wp-block-heading\">Contraindica\u021bii<\/h2>\n<ul>\n<li>Hipersensibilitate cunoscut\u0103 la pantoprazol sau orice IPP din clasa benzimidazolului<\/li>\n<li>Concurrent rilpivirine (HIV) &mdash; absolute contraindication<\/li>\n<li>Insuficien\u021b\u0103 hepatic\u0103 sever\u0103 \u2014 reduce\u021bi doza<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Depozitare<\/h2>\n<p>Store unopened vials at 15&ndash;30 &deg;C, protected from light. After reconstitution, the solution is stable for 12 hours at room temperature; refrigeration is not required but does not extend stability beyond 24 hours. Discard any visibly discoloured or particulate-containing solution.<\/p>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3 class=\"wp-block-heading\">When is IV pantoprazole used instead of oral?<\/h3>\n<p>Only when a patient cannot take oral PPI &mdash; nil-by-mouth, post-operative, intubated, persistent vomiting, severe dysphagia &mdash; or in the specific context of acute upper-GI bleeding where high-dose continuous infusion improves outcomes after endoscopic haemostasis. Once enteral nutrition resumes, oral pantoprazole gives equivalent acid suppression at a fraction of the cost.<\/p>\n<h3 class=\"wp-block-heading\">Why is the bleeding-protocol dose so much higher (80 mg + 8 mg\/h)?<\/h3>\n<p>Active upper-GI bleeding requires sustained intragastric pH &gt; 6 to stabilise platelet aggregation and protect the clot from peptic digestion. The 80 mg loading dose plus 8 mg\/h continuous infusion is the regimen with the largest randomised-trial evidence base for this. Lower or intermittent dosing produces large pH fluctuations and less rebleeding protection.<\/p>\n<h3 class=\"wp-block-heading\">How long should IV PPI be continued?<\/h3>\n<p>For acute GI bleed, 72 hours of continuous infusion, then step down to oral 40 mg twice daily for 14 days, then once daily. For NPO patients, switch to oral PPI as soon as the gut works. Prolonged IV PPI &gt; 5 days has no pharmacological advantage and increases <em>C. difficile<\/em> and pneumonia risk in hospital.<\/p>\n<h3 class=\"wp-block-heading\">Is IV pantoprazole better than IV omeprazole or esomeprazole?<\/h3>\n<p>For acid suppression alone, no &mdash; all IV PPIs reach equivalent intragastric pH. Pantoprazole is preferred in clinical practice because of its <strong>cleaner drug-interaction profile<\/strong> (especially relevant in ICU patients on multiple drugs metabolised by CYP3A4 and CYP2C19) and because the bleeding-protocol evidence base is largest with pantoprazole and esomeprazole.<\/p>\n<h3 class=\"wp-block-heading\">Can it be mixed with other IV drugs?<\/h3>\n<p>No. Reconstitute pantoprazole only with 0.9% sodium chloride and administer through a dedicated IV line. Do not co-administer with other medications in the same line because of compatibility issues with several common IV drugs.<\/p>\n<h3 class=\"wp-block-heading\">Is IV pantoprazole safe in pregnancy?<\/h3>\n<p>Pantoprazole has reasonable pregnancy safety data. IV pantoprazole would be used in pregnancy only when oral therapy is impossible &mdash; e.g. hyperemesis gravidarum severe enough to need parenteral nutrition, or acute peptic ulcer bleeding. Discuss with obstetric and GI teams.<\/p>\n<h3 class=\"wp-block-heading\">What are the side effects of IV pantoprazole?<\/h3>\n<p>Most are similar to oral PPI: headache, diarrhoea, nausea. Specific to IV use: injection-site pain or thrombophlebitis at the cannula. Important hospital complications to monitor for: <em>C. difficile<\/em> infection, ventilator-associated pneumonia, hypomagnesaemia (long ICU stays), and rare acute interstitial nephritis (creatinine rise).<\/p>\n<h3 class=\"wp-block-heading\">Does IV pantoprazole interact with clopidogrel?<\/h3>\n<p>Pantoprazole has the smallest clopidogrel interaction of any PPI because it does not inhibit CYP2C19 to a clinically significant degree. This is one reason it is the default IV PPI in cardiology and cardiac-surgery wards.<\/p>\n<h3 class=\"wp-block-heading\">Can it be given by a peripheral cannula?<\/h3>\n<p>Yes &mdash; standard 40 mg dose reconstituted and diluted in 100 mL 0.9% saline can be given through a peripheral line. The 8 mg\/h continuous infusion for GI bleed is more often given through a dedicated line because of the duration. Watch for thrombophlebitis at the cannula site.<\/p>\n<h3 class=\"wp-block-heading\">How is it stored after reconstitution?<\/h3>\n<p>The reconstituted and diluted solution is stable for 12 hours at room temperature in 0.9% saline. Refrigeration extends shelf life to 24 hours. Discard any solution that is discoloured, hazy, or contains particulate matter.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:24px 0 0 0;border-radius:4px;font-size:13.5px;line-height:1.55;\"><strong>Avertizare medical\u0103:<\/strong> Aceast\u0103 informa\u021bie este pentru adul\u021bi sub supraveghere medical\u0103. Bolile legate de acid pot avea cauze grave, inclusiv ulcer gastric, esofag Barrett \u0219i cancer gastric \u2014 simptome persistente sau alarmante (pierdere \u00een greutate, disfagie, v\u0103rs\u0103turi cu s\u00e2nge, melena, anemie, v\u00e2rst\u0103 &gt; 55 cu simptome de debut recent) necesit\u0103 investiga\u021bii. Discuta\u021bi orice medicament care reduce aciditatea, modificare de doz\u0103 sau \u00eentrerupere planificat\u0103 cu un medic calificat. Suprimarea acidului pe termen lung nu este benign\u0103 \u2014 evalua\u021bi necesitatea cel pu\u021bin anual cu prescriitorul dumneavoastr\u0103.<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Alternative conexe<\/h3>\n<p>Alte produse din <strong>S\u0103n\u0103tate general\u0103<\/strong> pe care clien\u021bii le vizualizeaz\u0103 de asemenea:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/a-ret-hc-cream\/\">A Ret Hc Cream<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/pyridium\/\">Pyridium<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/himalaya-talekt-syp\/\">Himalaya Talekt SYP<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/enthrocin\/\">Enthrocin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/kojiglo-gel\/\">Kojiglo Gel<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Rapid acid relief<br \/>\n\u2705 Gastric ulcer healing<br \/>\n\u2705 Reduces acid reflux<br \/>\n\u2705 Prevents acid-related damage<br \/>\n\u2705 Effective GERD treatment<\/p>\n<p>Pantocid Injection contains Pantoprazole.<\/p>","protected":false},"featured_media":58669,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3567,3141,3342],"product_tag":[4537,3611],"class_list":{"0":"post-58668","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-acid-reflux-treatment","7":"product_cat-category-overview","8":"product_cat-general-health","9":"product_tag-pantocid-injection","10":"product_tag-pantoprazole","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/58668","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=58668"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/58669"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=58668"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=58668"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=58668"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=58668"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}