Clinical Overview
Pantoprazole (40mg enteric-coated) and Levosulpiride (75mg sustained-release) is a potent combination of a proton pump inhibitor and a prokinetic benzamide. Pantoprazole profoundly suppresses gastric acid synthesis by blocking H+/K+-ATPase pumps. Levosulpiride is the levorotatory enantiomer of sulpiride that selectively antagonizes dopamine D2 receptors in the enteric nervous system and acts as an agonist at 5-HT4 receptors, accelerating gastric and gallbladder emptying and improving antropyloric coordination. Indicated for severe GERD refractory to conventional prokinetics, diabetic gastroparesis, and functional dyspepsia with prominent postprandial distress syndrome.
Active Pharmaceutical Ingredients
Verified Clinical References
Usage Guidelines
Take orally once daily in the morning, 30 to 60 minutes before breakfast. Swallow whole with water; do not crush or chew. Take exactly as prescribed; avoid abrupt discontinuation.
General Administration Advice: Adhere strictly to the prescribed dosage, frequency, and treatment course. For oral medications, swallow with sufficient water. Never stop antibiotics, psychiatric medications, or antihypertensives abruptly without clinical direction.
Possible Side Effects
Common: Drowsiness, fatigue, amenorrhea, galactorrhea, gynecomastia, weight gain, abdominal cramping, nausea. Rare/Severe: Extrapyramidal symptoms (acute dystonia, parkinsonism, tardive dyskinesia), neuroleptic malignant syndrome, hyperprolactinemia, and QT prolongation.
*Note: Individual physiological responses vary. While many patients experience few or no side effects, notify your treating physician if adverse reactions persist or if hypersensitivity (angioedema, skin rash, dyspnea) occurs.
Precautions & Warnings
Levosulpiride carries risk of extrapyramidal symptoms and hyperprolactinemia; contraindicated in mechanical GI obstruction, hemorrhage, perforation, pheochromocytoma, and epilepsy. Avoid concomitant alcohol or sedative hypnotics. Monitor elderly patients closely for sedation and tremors.
Medical Disclaimer: Statutory Clinical Disclaimer: The information provided is for educational and price-transparency purposes only and does not constitute medical advice, clinical diagnosis, or gastrointestinal treatment recommendations. Always consult a registered gastroenterologist or qualified medical practitioner before initiating, altering, or discontinuing any gastrointestinal medication or digestive therapy.