- Overview
- Properties
- Related Genes
- Pathways
- Related Drugs
- Related Diseases
- Datasets
- Downloads/LinkOuts
Overview
| Generic Names: | Pantoprazol [INN-Spanish]; Pantoprazole Na; Pantoprazole Sodium; Pantoprazolum [INN-Latin]; Pantoprozole |
|---|---|
| Trade Names: | Astropan; Pantoloc; Pantopan; Pantor; Pantozol; Protium; Protonix; Protonix I.V.; Protonix IV |
| PharmGKB Accession Id: | PA450774 |
Description
Pantoprazole is a proton pump inhibitor drug used for short-term treatment of erosion and ulceration of the esophagus caused by gastroesophageal reflux disease. (source: Drug Bank)
Indication
Short-term (up to 16 weeks) treatment of erosive esophagitis. (source: Drug Bank)
ATC Therapeutic Category
- A02BC:Proton pump inhibitors
Pharmacology, Interactions, and Contraindications
Mechanism Of Action
Pantoprazole is a proton pump inhibitor (PPI) that suppresses the final step in gastric acid production by forming a covalent bond to two sites of the (H<sup>+</sup>,K<sup>+</sup> )- ATPase enzyme system at the secretory surface of the gastric parietal cell. This effect is dose- related and leads to inhibition of both basal and stimulated gastric acid secretion irrespective of the stimulus. (source: Drug Bank)
Pharmacology
Pantoprazole is a substituted benzimidazole indicated for the short-term treatment (up to 16 weeks) in the healing and symptomatic relief of erosive esophagitis. Pantoprazole is a proton pump inhibitor (PPI) that suppresses the final step in gastric acid production. (source: Drug Bank)
Food Interactions
Take without regard to meals. (source: Drug Bank)
Absorption, Distribution, Metabolism, Elimination & Toxicity
Biotransformation
Pantoprazole is extensively metabolized in the liver through the cytochrome P450 (CYP) system. The main metabolic pathway is demethylation, by CYP2C19, with subsequent sulfation; other metabolic pathways include oxidation by CYP3A4. There is no evidence that any of the pantoprazole metabolites have significant pharmacologic activity. (source: Drug Bank)
Protein Binding
98% (source: Drug Bank)
Absorption
Pantoprazole is well absorbed. It undergoes little first-pass metabolism resulting in an absolute bioavailability of approximately 77%. (source: Drug Bank)
Toxicity
Single intravenous doses of pantoprazole at 378, 230, and 266 mg/kg (38, 46, and 177 times the recommended human dose based on body surface area) were lethal to mice, rats and dogs, respectively. The symptoms of toxicity included hypoactivity, ataxia, hunched sitting, limb-splay, lateral position, segregation, absence of ear reflex, and tremor. There is limited experience regarding cases of human overdosage, and treatment should be symptomatic and supportive. (source: Drug Bank)
Isomeric SMILES Code:
COc1ccnc(c1OC)CS(=O)c2[nH]c3cc(ccc3n2)OC(F)F (source: Drug Bank)
The following genes are in curated knowledge about this drug.
| Gene | Relationship | Evidence | |
|---|---|---|---|
|
|
ABCB1 |
|
Publications |
|
|
ATP4A |
|
Publications |
|
|
ATP4B |
|
Publications |
|
|
CYP2C19 |
|
Publications |
|
|
CYP3A |
|
Publications |
|
|
CYP3A4 |
|
Publications |
|
|
CYP3A43 |
|
Publications |
|
|
CYP3A5 |
|
Publications |
|
|
CYP3A7 |
|
Publications |
A list of non-curated publications that mention this drug along with other genes is available.
Drug Targets
| Gene | Description | |
|---|---|---|
| ATP4A |
|
(source: Drug Bank) |
| ATP12A |
|
(source: Drug Bank) |
| ATP1A1 |
|
(source: Drug Bank) |
PharmGKB Curated Pathways
A list of non-curated publications that mention this drug along with other drugs is available.
Drug Interactions
| Drug | Description | |
|---|---|---|
| atazanavir |
|
This gastric pH modifier decreases the levels/effects of atazanavir (source: Drug Bank) |
| dasatinib |
|
Possible decreased levels of dasatinib (source: Drug Bank) |
| enoxacin |
|
The agent decreases the absorption of enoxacin (source: Drug Bank) |
| indinavir |
|
Omeprazole decreases the absorption of indinavir (source: Drug Bank) |
| itraconazole |
|
The proton pump inhibitor decreases the absorption of imidazole (source: Drug Bank) |
| ketoconazole |
|
The proton pump inhibitor decreases the absorption of imidazole (source: Drug Bank) |
Curated Information
The following diseases are in curated knowledge about this drug.
| Disease | Relationship | Evidence | |
|---|---|---|---|
|
|
Drug Hypersensitivity |
|
Publications |
|
|
Drug Toxicity |
|
Publications |
|
|
Epidermal Necrolysis, Toxic |
|
Publications |
|
|
Gastroesophageal Reflux |
|
Publications |
|
|
Peptic Ulcer |
|
Publications |
|
|
Stevens-Johnson Syndrome |
|
Publications |
Non-Curated Information
A list of non-curated publications that mention this drug along with other diseases is available.
Additional Datasets
These datasets are minimally curated and are sorted alphabetically by title.
LinkOuts
Common Searches
Search PubMed
Search Medline Plus
Search PubChem
Search CTD
Non-Curated Publications
A list of non-curated publications that mention this drug is available.
