Somac
Somac reduces the amount of acid produced in your stomach to treat stomach and bowel issues caused by too much acid.
Form
enterotabletti
Strength
20 mg
Active Ingredient
Pantoprazole sodium sesquihydrate
Manufacturer
Takeda GmbH
How to Use
Dosage
The usual dose is one tablet once a day.
Method
Take your tablet 1 hour before a meal. Do not chew, break, or crush the tablet. Swallow it whole with a small amount of water.
Important
If you have severe liver problems, do not take more than one 20 mg tablet per day.
Possible Side Effects
COMMON
- •Benign polyps in the stomach
RARE
- •Headache
- •Dizziness
- •Diarrhea
- •Nausea
- •Vomiting
- •Stomach swelling and gas
- •Constipation
- •Dry mouth
- •Stomach pain
- •Skin rash
- •Hives
- •Itching
- •Weakness
- •Tiredness
- •Feeling generally unwell
- •Sleep problems
- •Bone fractures (hip, wrist, spine)
- •Changes in taste or loss of taste
- •Vision problems (like blurred vision)
- •Joint pain
- •Muscle pain
- •Weight changes
- •High body temperature
- •Swelling in arms and legs
- •Allergic reactions
- •Depression
- •Enlarged breasts in men
- •Swelling of the tongue or throat
- •Difficulty swallowing
- •Trouble breathing
- •Allergic swelling of the face
- •Severe dizziness with a fast heartbeat and heavy sweating
- •Blisters on the skin, worsening general condition, sores on eyes, nose, mouth/lips or genitals, sensitive skin or rash in sun-exposed areas. Joint pain or flu-like symptoms (fever, swollen lymph nodes).
- •Red, target-like or circular patches with blisters, peeling skin, sores in mouth, throat, nose, genitals, and eyes. Widespread rash, high body temperature, and swollen lymph nodes.
- •Yellow skin or eyes (severe liver damage, jaundice), fever, rash, enlarged kidneys, sometimes with pain when urinating and lower back pain (severe kidney inflammation) which can lead to kidney failure.
- •Feeling confused about time and place (disorientation), hallucinations, confusion (especially if you have had these symptoms before).
- •Tingling, prickling, burning sensation, or numbness.
- •Inflammation of the large intestine, causing constant watery diarrhea.
Important Warnings
- Do not take this medicine if you are allergic to pantoprazole or any other ingredient in it, or to other proton pump inhibitor medicines.
- Talk to your doctor if you have severe liver problems or have had them before; your doctor may need to check your liver regularly.
- Long-term use (over a year) may slightly increase the risk of bone fractures (hip, wrist, spine); tell your doctor if you have osteoporosis or are at risk.
- If you take Somac for more than three months, your blood magnesium levels might drop, causing tiredness, muscle twitching, confusion, seizures, dizziness, or a fast heartbeat. Contact your doctor immediately if you notice these.
Use in Elderly Patients
Category A
Suitable for older adults. For short-term use only. Consider the numerous potential interactions. Avoid long-term use. Long-term use carries an increased risk of adverse effects. Risk of hypomagnesemia in prolonged use. (updated 10.11.2025)