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Some conditions require longterm treatment with Protonix. This medication is known to provoke cancer in animals but it was not tested for cancer in humans. It also causes deficit of vitamin B-12. Symptoms of a vitamin B-12 shortage may develop slowly and include pale skin, weakness, tired feeling, shortness of breath, and a fast heart rate. Discuss with your doctor if you are pregnant, plan to become pregnant or breastfeeding as there is no evidence on influence of this drug on an unborn baby.
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Protonix accumulates in the tubules of parietal cells of the stomach and transforms into its active form which selectively interacts with the H+-K+-ATP-ase. Protonix inhibits this enzyme and prevents transfer of hydrogen ions from the parietal cells into the stomach cavity this way blocking the final stage of hydrochloric acid secretion. Protonix inhibits basal and stimulated (regardless type of a stimuli - acetylcholine, histamine, gastrin) secretion of hydrochloric acid. This medication is used to treat acute stage of duodenal or gastric ulcers, including those caused by treatment with anti-inflammatory non-steroid medications, gastroesophageal reflux disease (moderate and severe); Zollinger-Ellison syndrome, eradication of H. pylori in patients with a peptic ulcer to reduce the frequency of relapses.
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If you missed a dose take it the soonest. If it is almost time of your next dose just skip it and return to your regular dosage schedule. Never double dose this medication to compensate the missed dose.
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