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Alpan (Pantoprazole)

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Alpan is a medicine that reduces the amount of acid produced in your stomach. It is used for treating acid-related diseases of the stomach and intestine such as heartburn, acid reflux, peptic ulcer disease, and some other stomach conditions associated with excessive acid production.

Other names for this medication:
Acipan, Athzol, Belycool, Fedom, Forpan, Fulpan, Ganaton, Megazole, Monpan, Nixopan, Nodys, Ocepan, Odpant, Pandiff, Panfast, Panpep, Pantabol, Pantariv, Pantodell, Pantorex, Pantosig, Pantovik, Pdavis, Prazix, Prazol, Propanz, Proplus, Protocent, Prozol, Sydom, Xepenta, Zaprol

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Also known as: Pantoprazole


Pantoprazole injection is used to treat certain conditions in which there is too much acid in the stomach. It is used for short-term treatment (7 to 10 days) of gastroesophageal reflux disease (GERD) with a history of erosive esophagitis. GERD is a condition in which the acid in the stomach washes back up into the esophagus. This medicine may also be used to treat Zollinger-Ellison syndrome or other conditions (eg, cancer) in which the stomach produces too much acid.

Pantoprazole is a proton pump inhibitor (PPI). It works by decreasing the amount of acid produced by the stomach.

This medicine is given only by or under the direct supervision of your doctor.


The dosage of Generic Alpan depends on the type of your disease and health state. Take Generic Alpan long-acting tablets orally, 1-2 times a day with or without food. Take Generic Alpan at the same time every day with water. If you want to achieve most effective results do not stop taking Generic Alpan suddenly.


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.


Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F) away from moisture, light and heat. Throw away any unused medicine after the expiration date. Keep out of the reach of children.

Side effects

The most common side effects associated with Alpan are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


Heartburn can mimic early symptoms of a heart attack. Get emergency medical help if you have chest pain that spreads to your jaw or shoulder and you feel anxious or light-headed.

You should not use Alpan if:

you also take medicine that contains rilpivirine (Edurant, Complera, Juluca, Odefsey); if you had breathing problems, kidney problems, or a severe allergic reaction after taking pantoprazole in the past; or you are allergic to pantoprazole or similar medicines (lansoprazole, omeprazole, Nexium, Prevacid, Prilosec, and others).

Tell your doctor if you have ever had:

low levels of magnesium in your blood; lupus; or osteoporosis or low bone mineral density.

You may be more likely to have a broken bone while using Alpan long-term or more than once per day. Talk with your doctor about ways to keep your bones healthy, especially if you are an adult over 50.

It is not known whether Alpan will affect an unborn baby. Animal studies have shown no harm. Tell your doctor if you are pregnant or plan to become pregnant.

Alpan is secreted in breastmilk, but it is not known whether Alpan will affect a nursing infant. Tell your doctor you are nursing before taking Alpan.

Alpan is not approved for use by anyone younger than 5 years old.

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To explore the opportunities and obstacles that impinge on attempts to advance public health nursing, paying particular attention to the role of, and implications for, nursing management. These metabolites made TF predominant to TFPI or PAI-1 to TPA, and could render endothelial cells thrombogenic. Three hundred sixty-five radical prostatectomy specimens were analyzed. Manuscripts finally included were divided into open and thoracoscopic surgery groups. The 6.6 kb amplification product includes a constant XbaI site, which provides a digestion control. We searched PubMed and Medline for randomized controlled trials (RCTs) comparing IC versus IV administration of tirofiban in ACS patients undergoing PCI. To investigate grid independence in discretization of the (sino)nasal geometry, researchers have considered CFD variables such as pressure drop, velocity profile, wall shear, airflow, and particle deposition fractions.

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Findings indicated that this relationship is specific to NA expectancies and negative and positive mood change. The formation of a basal lamina surrounding posterior root ganglion neurons was still not completed in 3-day-old rats. Moderated regression analysis indicated that psychological resources were more strongly related to negative affect for never-married than married adults. Our study suggests one example of intricate cellular regulations in the brain, that is, dopaminergic neurons could regulate ERK activity more flexibly through alternative usage of either the D(2)R or D(3)R pathway depending on the cellular situation. To assess the performance of pediatric risk of mortality (PRISM), pediatric index of mortality 2 (PIM2) in predicting mortality in critically ill pediatric patients via a prospective study. Lomitapide is an oral MTP inhibitor approved for the treatment of HoFH. Observations on the mode of spread of vaccinia virus in HeLa cell monolayer cultures. pylori in well water in the same general areas where children do seem to drink water other than from the public water supply suggests that water may be an important source of H. The type of immune cell and the compartment it resides in (intratumoural or intra-epithelial) depend both on MSI status and morphology.

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Thiolated human serum albumin cross-linked dextran hydrogels as a macroscale delivery system. To study the structure and distribution of CS in human skin and skin disorders, we have selected antibodies using phage display technique against CS. Cotreatment of adiponectin with anti-IL-10 monoclonal antibody completely abolished adiponectin-induced TIMP-1 mRNA expression. A wide range of new biosensors that incorporate nanomaterials such as lab-on-chip and nanosensor devices are currently being developed for in vivo and in vitro glucose sensing. The specific characteristic of the drug is being able to relieve the dangerous situation of microcirculatory failure, especially in case of DIC or renal failure. Enzymatic and non enzymatic antioxidant levels in liver and kidney were determined and biochemical parameters such as, serum lipid profile, renal function markers were estimated in type 2 diabetic rats. NST projection targets identified by these two approaches are compared to the distribution of neurons that become infected after inoculating the ventral stomach wall with a neurotropic virus that transneuronally infects synaptically-linked chains of neurons in the anterograde (i.e., ascending sensory) direction. Safety of efavirenz in the first trimester of pregnancy: an updated systematic review and meta-analysis. Serological anachronism in a case of streptobacillosis and syphilis. Using two different coimmunoprecipitation strategies as well as bioluminescence resonance energy transfer (BRET) techniques, we determined that the human oxytocin receptor forms dimeric and oligomeric complexes in vivo in intact living cells, and that these complexes exist at the cell surface level.

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A predicted urease isoform, JBURE-IIb, was detected in the co-IP study. Structural and Thermodynamic Properties of Septin 3 Investigated by Small-Angle X-Ray Scattering. Strategies for detecting susceptibility genes in a complex disease. Alveolar lavage revealed neutrophilic alveolitis and search for an infectious agent was negative. Bioimaging of metals and biomolecules in mouse heart by laser ablation inductively coupled plasma mass spectrometry and secondary ion mass spectrometry. Our findings demonstrate a novel role for ICAM-1 in suppressing M2 macrophage polarization via downregulation of efferocytosis in the tumor microenvironment, thereby inhibiting metastatic tumor progression. The exciton coupling of the surface complexes tunes the PL color and broadens the absorption and PLE windows of the NCs, and thus is a potential strategy for improving the light-harvesting efficiency of NC solar cells and photocatalysts. Morphological characteristics of reaction of the body to inhalation immunization with bacterial antigens. Hyperphosphatemia underlies development of hyperparathyroidism, osteodystrophy, extraosseous calcification, and is associated with increased mortality in hemodialysis patients. Role of targeted therapy in the treatment of advanced prostate cancer.

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Vitamin A supplementation improves the linear growth of children who have a low intake of vitamin A but this impact is muted with increasing levels of respiratory infections. Catalytic oxidation of TMB by Pt produced color changes of the solution, which enabled identification of the presence of 10 cfu mL(-1) E. This study examined and compared the kinetic and physiological impacts on operator upper extremities between the fastening and unfastening operations. Microsatellite analysis showed that the duplication had arisen de novo, was maternal in origin and involved the entire 4-Mb PWACR between the common deletion breakpoints. Then, from the deconvoluted data, the image of HRO is reconstructed by conventional reconstruction algorithms.

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Observing these effects at the first tap (before tone onset) suggests that anticipatory auditory imagery modulates the temporal kinematics of regularly timed auditory action sequences, like those found in music. This dynamic regulation of Mad1 association by Aurora B is only uncovered when CENP-I is depleted, consistent with our finding that CENP-I inhibits the dissociation of Mad1. An obvious method is to generate water jets at ultra-high pressures (currently up to 700 MPa). Initial serum ionized calcium was 1.52 mmol/l (normal 1.20-1.35 mmol/l), 24-hour urine calcium excretion was 9.40 mmol/day (normal 1.25 to 7.50 mmol/day) and plasma intact PTH was 9.2 pmol/l (normal 0.0-4.5 pmol/l). Effects of ozone, acid mist and soil characteristics on clonal Norway spruce (Picea abies (L.) Karst.)--overall results and conclusions of the joint 14 month tree exposure experiment in closed chambers. In all stimulated cycles the patients had fresh embryos transferred and surplus good mobic and alcohol australia quality embryos cryopreserved. Mice overexpressing SH2B1 specifically in the heart displayed increased aortic banding (AB)-induced cardiac hypertrophy, fibrosis, ventricular dilation, and dysfunction compared with controls, whereas loss of SH2B1 produced the opposite phenotype. Stat3 has been implicated in the interleukin-6-dependent induction of acute phase response genes. The nuclear receptors constitutive active/androstane receptor and pregnane x receptor activate the Cyp2c55 gene in mouse liver. The ankle-brachial index (ABI), ratio of leg blood pressure to arm blood pressure is used extensively as a screening test for stratification of cardiovascular risk.

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In liver and small intestine, CYP3A mRNA is not uniformly distributed, with grain density highest in cells within the respective non-proliferative compartments. Quantitative measures of laryngeal function following Teflon injection or thyroplasty type I. Osteomalacia--fifty five patients seen in a teaching institution over a 4 year period. Reconstruction was performed using a hypogastric flap and split skin graft, achieving a satisfactory aesthetic result and sexual functions. Lymphocytes were observed in intimate contact with the luminal aspect of the endothelium, penetrating into the thickened basal lamina and in the perivascular area, which also contained macrophages and neutrophilic granulocytes. Although embryo holders expected that IVF clinics were under obligation to assist in the disposition decision and would be their main source of information, these expectations did not become manifest until years after embryo cryopreservation. Different combinations of flow rate ratios were studied to investigate the thermal mixing characteristics in the microchannel. Polychlorinated biphenyl and organochlorine insecticide residues in human adipose tissue in Poland. Many adult medical conditions are significantly related to or influenced by nutritional factors.

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Trazodone increases extracellular serotonin levels in the frontal cortex of rats. Purification, electrophoretic mobility shift assay experiments, and the use of specific antibodies proved that the cellular factor PSM-BP is identical to a previously described transcriptional repressor, the CCAAT displacement protein (CDP), also referred to as the human Cut protein (Cut). We studied a sample of families living in Baependi, a small rural southeastern Brazilian city. Histological effects of long-continued whole body gamma-irradiation of mice. Comparative sequence analyses indicate that Coffea (Asterids) and Vitis (Rosids) derive from the same paleo-hexaploid ancestral genome. Baseline (1975) and follow-up (1981 and 1990) data-including weight, weight-loss attempts (dieting), and selected confounders-were obtained via mailed questionnaires. Stop before you saccade: Looking into an artificial peripheral scotoma. Community participation must be galvanized to improve disparities curricular development and delivery to successfully address the challenges of eliminating disparities in health. Tandem or diffuse arterial occlusive disease is common among patients with steno-occlusion of ICAex.

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Odds ratio was calculated to determine odds of a group of patients receiving dose above threshold when compared to another group. We defined bedside clinical, laboratory and electrocardiographic parameters characterizing CHF patients with and without concomitant RF, and analyzed their impact on mortality. Pre-clinical characterization of Dacomitinib (PF-00299804), an irreversible pan-ErbB inhibitor, combined with ionizing radiation for head and neck squamous cell carcinoma. 60 patients with moderate-severe bilateral nasolabial folds received 24 mg/mL hyaluronic acid with pre-incorporated lidocaine or an equivalent product without lidocaine and were followed-up for up to 76 weeks. These results suggest that emergency biliary drainage is beneficial in patients with these risk factors. The dog and the kite move above the house) than for matched single clause sentences beginning with a simple phrase (e.g. Cryptococcus neoformans overcomes stress of azole drugs by formation of disomy in specific multiple chromosomes.

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To study the efficacy and safety of ETC-1002 (a novel LDL-C-lowering agent) in patients with hypercholesterolemia and a history of statin intolerance. In the remaining 4 experiments, even with all 3 criteria for stimulus-driven capture partially or completely satisfied, the static discontinuity captured attention. Evaluation of a simple, non-surgical concept for management of urinary incontinence (minimal care) in an open-access, interdisciplinary incontinence clinic. Assessment of self-esteem and wellness in health promotion professionals. On the relation between bovine leptospirosis and abortion in Denmark. Let Them Know: evaluation of an online partner notification service for chlamydia that offers E-mail and SMS messaging. The results of this study provided more insight into the functional outcome of a group of patients with traumatic spinal cord injury. A learning curve was generated for each assistant using the moving average method to assess the execution time and the error rate for grasping tissue ambien 20 mg dosage .

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During a 13-month period, 378 patients with acute blunt knee trauma were prospectively examined using the Ottawa knee rules. The role of prefrontal and parietal cortices in esthetic appreciation of representational and abstract art: a TMS study. Thus IgG4 does not activate complement and shows conformational variability. In 3 different types of experiment, it has been shown that high dilutions of histamine may indeed exert an effect on basophil activity. 2-center, double-blind, randomized, 13-week, controlled trial followed by a 26-week open-label study. Gustatory thresholds for sucrose and electrolytes for the cockroach, Periplaneta americana (Linn.). After controlling for BMI, education, marital status, and number of children, black women consumed more kilocalories, dietary fat (grams), and percent calories from fat than Latin-American women, who consumed more carbohydrates (grams) and dietary fiber (total and soluble). Current responses elicited by puffing glycine onto ganglion cell dendrites were not affected by cyclothiazide, indicating that the para que sirve enalapril belmac 5 mg enhancement of glycinergic IPSCs was not due to a direct effect on glycine receptors.

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Comparison of Acute Stroke Preparedness Strategies to Decrease Emergency Department Arrival Time in a Multiethnic Cohort: The Stroke Warning Information and Faster Treatment Study. This comparison of TCBZ pioneer and test formulations in cattle raises awareness of the need for further quality control for drug approval in the veterinary pharmaceutical field in many regions of the world. Enzyme-linked immunosorbent assay (ELISA) also showed that ARPE-19 cells treated with H2O2 caused an increase in C3a content, which indicates complement activation. Human ABCD1 gene and ALD protein were aligned with those of rat, monkey, mouse and cattle by Clustal X 1.83. Emerging concepts for the treatment of hematological malignancies with therapeutic monoclonal antibodies. Both enzymes were stimulated by high salt and their cleavage products were identical or very similar to those of HIV-1 PR. Short-term exposure to air pollutants such as PM2.5, NO2, and O3 is associated with increased liver enzyme levels in the elderly. To determine whether HIV vaccine trial participation leads to increased risk behavior through beliefs about vaccine protection against infection. putida wild-type strain and its Pol IV-defective dinB knockout derivative. Thirty-one patients (22 per cent) with recurrent laryngeal nerve paralysis were identified, three with bilateral and 28 with unilateral dysfunction.

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Sonographic diagnosis of a clavicular fracture in a neonate with upper limb pseudoparalysis. However, most studies of diet and cholesterol response have been carried out in men, and it is not known whether women react to diet to the same extent as men do. The multidrug resistant cell lines HL60/AR and GLC4/ADR show high overexpression of the gene encoding the multidrug resistance associated protein MRP compared to their drug sensitive parental counterparts. On the other hand, ScaC-Doc was shown to interact specifically with the recombinant cohesin domain from ScaA, and the ScaA-Coh probe was shown to interact with a native 29-kDa protein spot identified as ScaC by matrix-assisted laser desorption ionization-time of flight mass spectrometry. On a new nitration method of quinoline-1-oxides with metal nitrates. Gliomas are tumors of the support cells of the brain and the most common of the primary brain tumors. Further studies are necessary to investigate OCT features of different histological subtypes of BCC.

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Treatment protocols were decided by the thickness of the diverticulum. Therapy of iron deficiency anemia in the last trimester of pregnancy. The transferrin pattern of cord blood showed a prominent band in the position of transferrin C, accompanied by four faint slower moving bands which coincided zetia 10 mg side effects with the four transferrin components produced by the action of neuraminidase on transferrin C. Pregnant women exposed to this organism are at increased risk of chorioamnionitis, preterm labour, prematurity and intrauterine fetal demise. Associations between reflection scores and characteristics of faculty and patient cases were determined. Also, it provides an update on the novel signals of the tissue environment and the neuroendocrine system which shape the M2 activation. But in the case of an older sinus tract, wound contraction and scar tissue formation may require surgical management to excise the cord-like tract.

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