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Pantoprazole 2 mg/ml Gastric Tube Liquid

FDA-approved generic
Dose form
G-Tube Liquid
Active ingredients
Pantoprazole

The Pantoprazole 2 mg/ml Gastric Tube Liquid is a specially compounded medication intended for administration through a gastric tube. This formulation is designed to provide a precise dosage of pantoprazole, a proton pump inhibitor, to patients who are unable to swallow oral medications. It is particularly useful in hospital settings or for individuals with swallowing difficulties. The liquid form ensures that the medication is delivered safely and directly to the stomach, providing relief from acid-related symptoms and promoting healing of the esophagus.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Requires a prescription from your own provider. Bayview is a pharmacy and does not prescribe.
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Pantoprazole
G-Tube Liquid
65ce2113699f79c7a01c681e
Service area

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Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Pantoprazole 2 mg/ml Gastric Tube Liquid is a specially compounded medication designed for ease of administration through a gastric tube, providing an essential solution for patients who are unable to swallow oral medications. This formulation is particularly beneficial in hospital settings or for home-based patients with conditions that impair their ability to swallow, such as neurological disorders, esophageal strictures, or severe gastroesophageal reflux disease (GERD) that requires direct gastric administration of medication.

Pantoprazole, the active ingredient in this formulation, is a proton pump inhibitor (PPI) that works by reducing the amount of acid produced in the stomach. It is commonly prescribed for the treatment of GERD, Zollinger-Ellison syndrome, and peptic ulcers, as well as for the prevention of gastric ulcers in patients who are taking nonsteroidal anti-inflammatory drugs (NSAIDs) long-term. Pantoprazole is also used in the management of erosive esophagitis and in the treatment of Helicobacter pylori infection in combination with antibiotics.

The 2 mg/ml concentration allows for precise dosing tailored to the individual needs of the patient, ensuring optimal therapeutic outcomes. The liquid form ensures that the medication can be delivered directly to the stomach, bypassing the need for swallowing and reducing the risk of aspiration. This is particularly important for patients with compromised gastrointestinal motility or those who are at risk of choking.

When prescribing Pantoprazole 2 mg/ml Gastric Tube Liquid, it is important for healthcare providers to consider the patient's overall medication regimen, as pantoprazole can interact with certain drugs, affecting their absorption and efficacy. Monitoring for potential side effects, such as headache, diarrhea, nausea, or abdominal pain, is also essential. Long-term use of PPIs should be managed carefully, as it may be associated with an increased risk of bone fractures, renal issues, and vitamin B12 deficiency, among other concerns.

For patients and prescribers considering the use of Pantoprazole 2 mg/ml Gastric Tube Liquid, Bayview Pharmacy's team of compounding pharmacists is available to provide detailed information on the formulation, dosing, administration, and potential interactions. Our expertise ensures that each patient receives a medication that is tailored to their specific needs, with the highest standards of safety and efficacy. If you have any questions or require further assistance, please do not hesitate to reach out to us.

Drug Interactions

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Pantoprazole is a proton pump inhibitor (PPI) that works by reducing the amount of acid produced in the stomach. When administered as a 2 mg/ml gastric tube liquid, pantoprazole is particularly useful for patients who are unable to swallow oral medications.

However, pantoprazole, like all medications, can interact with other drugs, which may affect how it works or increase the risk of serious side effects. It is important to be aware of these potential interactions to ensure the safe and appropriate use of pantoprazole gastric tube liquid.

One significant interaction is with drugs that rely on stomach pH for absorption. Since pantoprazole decreases stomach acid, it can affect the absorption of certain medications such as ketoconazole, ampicillin esters, iron salts, erlotinib, and mycophenolate mofetil, potentially reducing their effectiveness. Patients should be monitored for therapeutic efficacy when starting or stopping pantoprazole treatment.

Pantoprazole may also increase the serum levels of drugs that are metabolized by the enzyme CYP2C19, such as diazepam, citalopram, imipramine, phenytoin, and warfarin. This can lead to an increased risk of side effects from these medications. Monitoring and possible dose adjustments may be necessary when used concurrently with pantoprazole.

Concomitant use of pantoprazole with clopidogrel should be approached with caution. Pantoprazole can reduce the activation of clopidogrel, a prodrug, potentially diminishing its effectiveness in preventing cardiovascular events. Alternative treatments that do not interfere with clopidogrel activation may be considered.

Additionally, long-term use of pantoprazole may lead to decreased absorption of vitamin B12 and magnesium, due to reduced stomach acidity. This could potentially lead to deficiencies if pantoprazole is used for a prolonged period. Monitoring of magnesium levels and vitamin B12 status is recommended, and supplementation may be necessary.

It is also important to note that pantoprazole may interact with methotrexate, particularly at high doses, such as those used to treat cancer. This interaction could lead to elevated levels of methotrexate in the blood, increasing the risk of toxicity. Close monitoring is advised when these medications are used together.

Patients should be advised to inform their healthcare provider of all medications they are taking, including prescription drugs, over-the-counter medications, and herbal supplements, to avoid potential drug interactions. Additionally, healthcare providers should review patient medication profiles for potential interactions before prescribing pantoprazole gastric tube liquid.

If you have any questions or require further information regarding the safe and appropriate use of pantoprazole 2 mg/ml gastric tube liquid, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide support and guidance to both patients and prescribers.

How Does it Work

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Pantoprazole is a proton pump inhibitor (PPI) that works by blocking the enzyme in the wall of the stomach that produces acid. By inhibiting the action of this enzyme, pantoprazole decreases the amount of acid produced in the stomach. This reduction in stomach acid allows for the healing of acid-related damage to the lining of the esophagus and stomach, and helps in relieving symptoms of diseases such as gastroesophageal reflux disease (GERD), Zollinger-Ellison syndrome, and other conditions involving excessive stomach acid production.

The 2 mg/ml gastric tube liquid formulation of pantoprazole has been specifically designed for patients who are unable to swallow oral medications. This can include patients with esophageal strictures, neurological disorders, or those who are critically ill and require enteral feeding. The liquid formulation ensures that the medication can be accurately measured and administered through a gastric tube directly into the stomach, which is particularly important for maintaining consistent therapeutic levels of the medication.

When pantoprazole is administered via a gastric tube, it is important to ensure that the tube is clear and the medication is delivered directly into the stomach to avoid degradation by stomach acid. The liquid formulation is typically buffered to maintain stability and efficacy of the drug. Once in the stomach, pantoprazole is absorbed into the bloodstream and transported to the parietal cells of the stomach lining, where it binds to the proton pumps. By forming a covalent bond with the sulfhydryl group of the proton pump, pantoprazole effectively inhibits the final step in acid production, providing relief from acid-related symptoms and promoting healing.

For patients and prescribers considering the use of pantoprazole 2 mg/ml gastric tube liquid, it is important to understand that the medication should be used under the guidance of a healthcare professional. The dosing may need to be adjusted based on the specific needs of the patient and the severity of the condition being treated. Additionally, as with all medications, there may be potential side effects, and pantoprazole should be used with caution in patients with liver disease or those taking other medications that may interact with PPIs.

If you have any questions about the pantoprazole 2 mg/ml gastric tube liquid formulation or its administration, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to ensure appropriate treatment for your patients.

Frequently Asked Questions

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What is Pantoprazole 2 mg/ml Gastric Tube Liquid used for?

Pantoprazole 2 mg/ml Gastric Tube Liquid is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). It works by decreasing the amount of acid your stomach makes. This medication is specifically formulated for patients who are unable to take oral medications and is administered via a gastric tube.

How is Pantoprazole Gastric Tube Liquid administered?

This medication is administered directly into the stomach through a gastric tube, which is a tube that is inserted through the nose or mouth, past the esophagus, and into the stomach. This method is often used for patients who have difficulty swallowing or who are unable to take medications by mouth.

Can Pantoprazole Gastric Tube Liquid be taken with food?

It is not necessary to administer Pantoprazole Gastric Tube Liquid with food. However, it should be given according to the instructions provided by the healthcare professional.

Are there any side effects associated with Pantoprazole Gastric Tube Liquid?

As with any medication, there can be side effects. Common side effects of pantoprazole include headache, diarrhea, nausea, stomach pain, gas, dizziness, or joint pain. If you experience any severe side effects or signs of an allergic reaction, such as rash, swelling, itching, or trouble breathing, seek medical attention immediately.

How should Pantoprazole Gastric Tube Liquid be stored?

Store this medication at room temperature away from light and moisture. Do not freeze. Keep all medications out of the reach of children and pets. Follow the specific storage instructions on the product label or provided by your pharmacist.

What should I do if I miss a dose?

If a dose of Pantoprazole Gastric Tube Liquid is missed, administer the dose as soon as you remember. However, if it is almost time for the next scheduled dose, skip the missed dose and continue with the regular dosing schedule. Do not double the dose to catch up.

Can Pantoprazole Gastric Tube Liquid be used for pediatric patients?

The use of Pantoprazole Gastric Tube Liquid in pediatric patients should be based on a doctor's recommendation and prescription. Dosage and administration for pediatric patients may differ from adults, so it's important to follow a healthcare provider's directions.

Is Pantoprazole Gastric Tube Liquid safe for long-term use?

Long-term use of pantoprazole may be associated with certain risks such as vitamin B12 deficiency or bone fractures. It is essential to follow your healthcare provider's guidance regarding the duration of treatment with this medication.

What should I avoid while taking Pantoprazole Gastric Tube Liquid?

While taking pantoprazole, it is advised to avoid foods or drinks that can increase stomach acid, such as spicy foods, alcohol, or caffeine, as they may worsen symptoms. Also, follow any dietary or medication restrictions as directed by your healthcare professional.

Can other medications be taken simultaneously with Pantoprazole Gastric Tube Liquid?

Some medications may interact with pantoprazole, altering how it works or increasing your risk for serious side effects. Always inform your healthcare provider about all the medications you are taking, including over-the-counter drugs and herbal supplements, to prevent potential drug interactions.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice. Discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Pantoprazole 2 mg/ml Gastric Tube Liquid
G-Tube Liquid
60 mL
controlled
Once daily