Panzis D Cap

Capsule

Relief of acidity, heartburn, gastro-oesophageal reflux disease (GERD), gastritis and peptic ulcer symptoms; used when acidity is associated with nausea/vomiting or bloating due to slowed stomach emptying.

This is typically a combination of a proton pump inhibitor (PPI) with a prokinetic/antiemetic. The PPI reduces stomach acid production, while the prokinetic increases gastric motility and reduces nausea by blocking dopamine receptors in the gut/brain.

Capsule: take as advised by the doctor, usually 30 minutes before food (commonly before breakfast). Swallow whole with water; do not crush or open unless instructed.

Headache, diarrhoea, abdominal pain, nausea, flatulence, dizziness, dry mouth, constipation

Do not use without medical advice if you have severe liver disease, gastrointestinal bleeding, intestinal obstruction/perforation, or a history of prolactin-dependent tumors. Long-term PPI use may increase risk of low magnesium/vitamin B12 deficiency, bone fractures and gut infections. Seek medical help for alarm symptoms (blood in vomit/stool, unexplained weight loss, persistent vomiting, difficulty swallowing). May cause dizziness—use caution while driving.

Warfarin/other anticoagulants, clopidogrel (reduced effect with some PPIs), digoxin, methotrexate (high dose), ketoconazole/itraconazole (reduced absorption), atazanavir/rilpivirine (reduced levels), antipsychotics and other dopamine antagonists (increased side effects), QT-prolonging medicines

Store below 25°C in a dry place, protected from light and moisture. Keep in original blister pack and out of reach of children.

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