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Pazer 250mg Tablet

Prescription Required

Overview

Introduction

Pazer 250mg Tablet is a medicine which reduces the amount of acid produced in your stomach. It is used to treat heartburn, acid reflux and problems in your food pipe. It is also used to prevent and treat stomach ulcers.

You should take Pazer 250mg Tablet as your doctor advises. The dose will depend on what you are being treated for, but it should be the lowest dose for the shortest amount of time needed to treat your condition. Normally it should be swallowed whole about an hour before a meal and at the same time each day. It may take up to a few weeks to work properly but your doctor will tell you how long you need to be taking it for. You should keep on taking it as prescribed even if your symptoms disappear quickly. If you are taking this medicine for a long time, your doctor may carry out regular tests to check your levels of magnesium which can fall with this medicine.

Common side effects include headache, constipation or diarrhoea, stomach pain and feeling or being sick. These tend to be mild but talk to your doctor if they bother you or do not go away. The risk of side effects may increase the longer you take this medicine. Serious side effects are rare, but some need immediate medical attention. Ask your doctor what these are. You may be more likely to have a broken bone if you take it for a long time. It is best to avoid foods that seem to make your symptoms worse, such as rich, spicy and fatty foods. It also helps to cut down on caffeinated drinks, such as tea, coffee and cola, as well as alcohol.

Pazer 250mg Tablet is not suitable for some people. Before taking this medicine, you need to tell your doctor if you have severe liver problems, are taking medicines for HIV, have had an allergic reaction to similar medicines in the past or have osteoporosis. Alcohol does not interfere with the way Pazer 250mg Tablet works. However, drinking alcohol makes your stomach produce more acid than normal. This medicine can make you feel dizzy, sleepy, or affect your vision. If this happens, do not drive, cycle or use machinery or tools until you feel better. It is not usually recommended during pregnancy and breastfeeding.

Side effects of Pazer Tablet

Common
  • Headache
  • Stomach pain
  • Nausea
  • Flatulence
  • Diarrhea

How to use Pazer Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Pazer 250mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Pazer Tablet works

Pazer 250mg Tablet is a proton pump inhibitor (PPI). It works by reducing the amount of acid in the stomach which helps in relief of acid related indigestion and heartburn.

Safety Advice

Alcohol
CAUTION
Caution is advised when consuming alcohol with Pazer 250mg Tablet. Please consult your doctor.
Pregnancy
CONSULT YOUR DOCTOR
Pazer 250mg Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breastfeeding
CONSULT YOUR DOCTOR
Pazer 250mg Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Driving
UNSAFE
Pazer 250mg Tablet may cause side effects which could affect your ability to drive.
Pazer 250mg Tablet may cause dizziness and visual disturbances. This may affect your driving ability.
Kidney
SAFE IF PRESCRIBED
Pazer 250mg Tablet is safe to use in patients with kidney disease. No dose adjustment of Pazer 250mg Tablet is recommended.
Liver
CAUTION
Pazer 250mg Tablet should be used with caution in patients with severe liver disease. Dose adjustment of Pazer 250mg Tablet may be needed. Please consult your doctor.
A lower dose may be advised in patients with liver disease and who have to take this medicine for a long time.

What if you forget to take Pazer Tablet?

If you miss a dose of Pazer 250mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
No alternate brands found for this medicine

Quick Tips

  • It is a well-tolerated medicine and provides relief for a long time.
  • Some healthy tips to prevent acidity from happening:
    • Avoid taking hot tea, coffee, spicy food, and chocolate. Instead, have cold milk and cold coffee as these help neutralize the acid in the stomach.
    • Avoid alcohol and smoking.
    • Avoid eating late at night or before bedtime.
  • Inform your doctor if you get watery diarrhea, fever or stomach pain that does not go away.
  • Inform your doctor if you do not feel better after taking it for 14 days as you may be suffering from some other problem that needs attention.
  • Long-term use of Pazer 250mg Tablet can cause weak bones and a deficiency of minerals such as magnesium. Take adequate dietary intake of calcium and magnesium or their supplements as prescribed by your doctor.
  • Do not stop taking medication without talking to your doctor. 

Interaction with Drugs

Taking Pazer with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Brand(s): Atazor, Atavir, Virataz
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Brand(s): Pencil, Cilobact, Vascilol
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Brand(s): Inbec, Indease, Indivan
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Brand(s): Nel
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Patient Concerns

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Suffering from acid reflux disease due to which pain in throat and right side of lower abdomen
Dr. Saurav Arora
Homeopathy
Dear sir for the time being you can take Robinia 30, 04 drops in half cup water and Nixocid tab 2 tab thrice daily for a month, but as this case needs supervision, discussion and examination you need to visit a homeopath so that he can discuss your case in detail, get some investigations, do examination and guide you accordingly,
I grind my teeth in sleep. What should i do?
Dr. Jyoti Kapoor Madan
Psychiatrist
Grinding your teeth or bruxism is a sleep related movement disorder.Doctors don't completely understand what causes bruxism. Possible physical or psychological causes may include: Emotions, such as anxiety, stress, anger, frustration or tension Aggressive, competitive or hyperactive personality type Abnormal alignment of upper and lower teeth (malocclusion) Other sleep problems, such as sleep apnea Response to pain from an earache or teething (in children) Stomach acid reflux into the esophagus An uncommon side effect of some psychiatric medications, such as phenothiazines or certain antidepressants A coping strategy or focusing habit Complication resulting from a disorder such as Huntington's disease or Parkinson's diseaseIn case it is causing damage to your teeth , visit a dentist.In case you have headache, facial pain, get a psychiatric evaluation
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Do you have any questions related to Pazer 250mg Tablet ?

FAQs

Q. Can I take Pazer with domperidone?

Pazer can be safely taken with domperidone as no harmful effects have been reported clinically. A fixed-dose combination of these two medicines is also available. Domperidone works by increasing the gut motility and Pazer decreases the acid production in the stomach. So, this combination is very effective in the treatment of reflux esophagitis associated with acidity, heartburn, intestinal and stomach ulcers.

Q. What are the various conditions in which the use of Pazer is contraindicated?

Use of Pazer is contraindicated if you are allergic to this medicine or any other medicine belonging to the same class of drugs. Also, do not take Pazer if you are already taking a medicine containing nelfinavir (used for the treatment of HIV infection).

Q. What if I miss my dose of Pazer?

If you miss a dose of Pazer, take it as soon as you remember and the next dose as scheduled. However, if it is almost the time for your next dose, skip the missed dose and take your next dose and then follow the regular schedule. Do not take double the dose.

Q. Can I take Pazer along with oral contraceptive pills (birth control pills)?

Pazer can be safely taken with oral contraceptive pills (birth control). They do not affect each other's action and no harmful effects have been seen when they are used together.

Q. What is Pazer?

Pazer belongs to the group of medicines known as proton pump inhibitors (PPIs). This drug decreases the acid production in your stomach and is indicated for the treatment of conditions caused by excess acid secretion in the stomach.

Q. Can Pazer cause subacute cutaneous lupus erythematosus?

Pazer has been reported to cause subacute cutaneous lupus erythematosus in many studies. Common signs and symptoms of this disease include painful joints, tiredness, weakness, rash, fever, anemia, mouth ulcers, hair loss, and many others and these may get aggravated again and again. Talk to your doctor if you experience these side effects as you may need to discontinue this medicine.

Q. Can I take Pazer with ondansetron?

Ondansetron is an anti-emetic medicine which helps in relieving nausea (feeling sick) or vomiting. No harmful effects have been seen when Pazer is used with ondansetron. So, these two medicines can be taken together.

Q. Can Pazer cause lactose intolerance?

Lactose intolerance has been reported with the use of Pazer in some patients. Many Pazer preparations contain lactose as an ingredient. This is a digestive problem in which the patient cannot digest lactose, a type of sugar mainly found in milk and dairy products. The patient may complain of symptoms like flatulence (gas), diarrhea, bloating, stomach pain and feeling of being sick (nausea). Read the ingredients mentioned on the pack before taking the medicine.

Q. Can I take Pazer with Vitamin E?

Pazer can be taken with vitamin E. The combinations seems to have a beneficial effect in terms of better maintenance of moderate to severe esophagitis. However, there are not many studies or reports on this subject. Talk to your doctor for more information on this.

Q. Can I take Pazer with levosulpiride?

Pazer can be safely taken with levosulpiride as no harmful effects have been reported clinically. A fixed-dose combination of these two medicines is also available. Levosulpiride works by increasing the gut motility and Pazer decreases the acid production in the stomach. So, this combination is very effective in the treatment of reflux esophagitis associated with acidity, heartburn, intestinal and stomach ulcers.

Q. Does Pazer use increase the risk of clostridium difficile infection?

Use of proton pump inhibitors (PPIs) like Pazer may be associated with an increased risk of Clostridium difficile–associated diarrhea (CDAD) as reported in few studies and informed by the US FDA as well. A possibility of CDAD can be there in patients taking PPIs and developed diarrhea that does not improve.

Q. Can Pazer be used in cancer patients?

Pazer can be taken by cancer patients as prescribed by a doctor. Since cancer patients may also take many other medicines for the primary cancer treatment or for other symptoms and infections, there are chances of drug interactions with Pazer.

Q. For how long can Pazer be taken?

Take Pazer for as long as advised by your doctor. The duration of taking Pazer would vary depending on your condition. Do not stop taking this medicine without talking to your doctor.

Q. Can Pazer cause calcium deficiency and osteoporosis?

Pazer can cause osteoporosis (thinning of bones) as it decreases the calcium absorption leading to calcium deficiency. This leads to an increased risk of bone fractures on long-term use, like hip, wrist or spine fractures. Inform your doctor if you have osteoporosis or if you are taking corticosteroids (these can increase the risk of osteoporosis) before starting your therapy. Take enough calcium and vitamin D to reduce the risk.

Q. What are the rare side effects of Pazer?

Rare side effects seen with the use of Pazer includes a decrease in white cells or platelets, allergic reactions, problems like blurred vision, wheezing, shortness of breath (bronchospasm), dry mouth, thrush, liver problems like jaundice, hair loss (alopecia), skin rash on exposure to sunshine, joint pains (arthralgia) or muscle pains (myalgia), severe kidney problems (interstitial nephritis), increased sweating and inflammation of the gut causing diarrhoea.

Q. How does Pazer work?

Proton (acid) pumps are found on the stomach mucosa and they are responsible for secreting acid in the stomach. Pazer works by blocking this gastric acid pump and this unique mechanism of action helps in decreasing the acid secretion in the stomach.

Q. Does Pazer cause hepatitis B and can a patient of hepatitis take Pazer?

Pazer can rarely cause hepatitis with or without jaundice and very rarely it can lead to hepatic failure and encephalopathy in patients with the underlying liver disease. Pazer does not cause hepatitis B or any other viral hepatitis. However, there are studies showing an increased occurrence of hepatic encephalopathy in hepatitis B patients using PPIs. These medicines should be used with caution in patients with the underlying liver disease.

Q. Does Pazer increase chromogranin levels?

Use of proton pump inhibitors like Pazer has been seen to be associated with an increase in chromogranin levels. This increase in chromogranin levels can be due to the effect of these drugs on enterochromaffin cells and this could also falsely increase the levels in patients with neuroendocrine tumours.

Q. Does Pazer cause dementia?

Use of proton pump inhibitors like Pazer has been recently linked with the development of dementia in elderly patients. As this risk of developing dementia is not confirmed, talk to your doctor for more information on this effect.

Q. Does Pazer cause vitamin deficiencies?

Pazer may cause vitamin B12 and vitamin C deficiency. When taken orally, vitamin B12 requires an acidic environment for its absorption from the stomach while Pazer causes a decrease the gastric acid secretion. You may need to take vitamin B12 supplements from outside. The clinical significance of the decrease in vitamin C levels is not known, so vitamin C supplementation is not recommended.

Q. Does Pazer have an expiry date?

Yes, Pazer does expire. Please check the expiry date written on the pack and it refers to the last day of that month. Do not use Pazer after the expiry date.

Q. What is the role of Pazer before endoscopy in patients with gastrointestinal bleeding?

Pazer before endoscopy in patients with gastrointestinal bleeding reduces the need for endoscopic therapy, the rate of post-endoscopy bleeding, and shortens hospital stays. Hence Pazer is given before endoscopy in patients with gastrointestinal bleeding.

Q. Are there any withdrawal symptoms associated with the use of Pazer?

There are no withdrawal symptoms seen when patients stop using Pazer as it has no habit forming tendencies.

Q. Can Pazer cause magnesium deficiency?

Pazer can cause magnesium deficiency in the blood. Low magnesium levels is a rare side effect seen in patients treated with Pazer for at least three months and in most cases after a year of therapy. The patient may have symptoms like tetany, arrhythmias, and seizures and may need to stop this medicine and take magnesium from outside. Magnesium levels should be tested at regular intervals in the patients taking Pazer for a long duration.

Q. Is Pazer a controlled substance?

Pazer is not a controlled substance. It is available when prescribed by a doctor.

Q. Can Pazer be used in cardiac patients?

Patients with cardiac disease can take Pazer. However, Pazer can interact with certain drugs (e.g clopidogrel, digoxin) which might be used by a patient with an underlying cardiac disease. Patients taking Pazer and digoxin may need to be monitored for digoxin toxicity. Pazer decreases the activation of clopidogrel, thus reducing its effects. Patients taking these medicines together needs to be monitored closely by a doctor.

Q. Can the use of Pazer cause iron deficiency?

Use of Pazer can cause iron deficiency and a decrease in hemoglobin levels as it decreases the acidic environment of the stomach needed for the absorption of iron. However, there are no recommendations on the regular monitoring of iron levels or taking iron supplements when the patient is taking Pazer.

Q. Is Pazer a narcotic substance?

Pazer is a not a narcotic substance and has not been reported to have any abuse potential. Pazer does not get you high and does not cause any addiction as no withdrawal symptoms have been reported when you stop taking this drug.

Q. Is Pazer available without a prescription as an over the counter product?

Pazer is a prescription medicine and you can buy this drug by providing a doctor's prescription. Pazer is not available as an over the counter (OTC) product.

Q. How is Pazer metabolised in the body?

Pazer is metabolized in the liver by the cytochrome P450 enzymes mainly CYP2C19. There could be an increase in the level of Pazer in patients with underlying liver disease because of a decrease in its metabolism. However, the amount of drug does not increase if given once a day.

Q. Can Pazer be used in stroke patients?

Pazer can be used in stroke patients. There are studies suggesting that proton-pump inhibitors (PPIs) as a class are not associated with an increased short-term risk of recurrent stroke or death among older adults treated with clopidogrel after stroke.

Related Products

Disclaimer: 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.
References
  1. Wallace JL, Sharkey KA. Pharmacotherapy of Gastric Acidity, Peptic Ulcers, and Gastroesophageal Reflux Disease. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman's: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: The McGraw-Hill Companies, Inc.; 2011. [Accessed 24 Jan. 2019] (online) Available from:External Link
  2. Omeprazole. Nottingham, NG: The Boots Company PLC; 2017. [Accessed on 28 Mar. 2019] (online) Available from:External Link
  3. Omeprazole. Wilmington, Delaware: AstraZeneca LP; 1989. [Accessed 28 Mar. 2019] (online) Available from:External Link
  4. U.S. National Library of Medicine. Omeprazole. [Accessed 28 Mar. 2019] (online) Available from:External Link
  5. Central Drugs Standard Control Organisation (CDSCO). [Accessed 28 Mar. 2019] (online) Available from:External Link
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