This medicine is a proton pump inhibitor (PPI) used to prevent or treat certain types of ulcers. It is also used to treat symptoms of gastroesophageal reflux disease (GERD) (eg, heartburn) and irritation of the esophagus. It is also used to treat conditions that cause your body to make too much stomach acid (eg, Zollinger-Ellison syndrome). It may also be used for other conditions as determined by your doctor.
Follow the directions for taking this medicine provided by your doctor. AN ADDITIONAL PATIENT INFORMATION LEAFLET is available with this medicine. In the United States, the patient leaflet is a MEDICATION GUIDE approved by the U.S. Food and Drug Administration. Read it carefully. Ask your doctor, nurse, or pharmacist any questions that you may have about this medicine. TAKE THIS MEDICINE by mouth on an empty stomach before eating. DO NOT BREAK, CUT, CHEW, OR SWALLOW the tablet. PLACE THE TABLET ON THE TONGUE AND ALLOW IT TO DISSOLVE until the particles can be swallowed. This medicine can be taken with or without water. The tablet usually dissolves in less than 1 minute. IF YOU HAVE TROUBLE TAKING THE TABLET, you may also dissolve it in water. Place the tablet in an oral syringe. If you are taking the 15 mg tablet, draw up 4 mL of water. If you are taking the 30 mg tablet, draw up 10 mL of water. Shake gently until the tablet dissolves. Swallow the mixture within 15 minutes after mixing. DO NOT STORE THE MIXTURE for use at a later time. AFTER YOU TAKE YOUR DOSE, refill the syringe with 2 mL of water for the 15 mg tablet or 5 mL of water for the 30 mg tablet. Shake gently and swallow. IF THE PATIENT IS TAKING THIS MEDICINE through a nasogastric (NG) tube, follow the instructions for use in the extra patient leaflet. YOU MAY TAKE ANTACIDS while you are using this medicine if you are directed to do so by your doctor. IF YOU ALSO TAKE SUCRALFATE, take this medicine at least 30 minutes before taking sucralfate. STORE THIS MEDICINE at room temperature, between 68 and 77 degrees F (20 and 25 degrees C), away from heat, moisture, and light. Do not store in the bathroom. KEEP THIS MEDICINE out of the reach of children and away from pets. Continue to take this medicine even if you feel well. Do not miss any doses. IF YOU MISS A DOSE OF THIS MEDICINE, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. DO NOT TAKE THIS MEDICINE if you are taking atazanavir, dasatinib, or rilpivirine. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking ampicillin, anticoagulants (eg, warfarin), bosutinib, clopidogrel, digoxin, diuretics (eg, furosemide, hydrochlorothiazide), erlotinib, indinavir, iron, itraconazole, ketoconazole, methotrexate, mycophenolate, nelfinavir, nilotinib, posaconazole, saquinavir, sorafenib, tacrolimus, or theophylline. DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions, including liver problems; stomach or bowel cancer; osteoporosis (weak bones), a family history of osteoporosis, or other risk factors of osteoporosis (eg, smoking, poor nutrition); phenylketonuria (PKU); low blood potassium or magnesium levels; allergies; pregnancy; or breast-feeding. Contact your doctor or pharmacist if you have any questions or concerns about using this medicine.
SIDE EFFECTS that may occur while taking this medicine include constipation, headache, mild diarrhea or stomach pain, or nausea. If they continue or are bothersome, check with your doctor. CONTACT YOUR DOCTOR IMMEDIATELY if you experience bloody or watery stools; bone pain; chest, jaw, or arm pain; confusion; depression; fainting; fast, slow, or irregular heartbeat; fever, chills, or persistent sore throat; one-sided weakness; red, swollen, blistered, or peeling skin; seizures; severe or persistent diarrhea or stomach pain; severe or persistent nausea or vomiting; shortness of breath; slurred speech; stomach cramps; symptoms of liver problems (eg, dark urine, loss of appetite, pale stools, unusual nausea, yellowing of the skin or eyes); unexplained weight loss; unusual bruising or bleeding; unusual sweating; unusual tiredness or weakness; vision changes. AN ALLERGIC REACTION to this medicine is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash; hives; itching; difficulty breathing; tightness in the chest or throat; swelling of the mouth, face, lips, or tongue; unusual hoarseness. This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
If overdose is suspected, contact your local poison control center or emergency room immediately.
If your symptoms do not improve or if they become worse, contact your doctor. DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out. CHECK WITH YOUR PHARMACIST about how to dispose of unused medicine.