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No dosage adjustment protonix daktaras is needed in patients with mild to severe hepatic impairment. In nonclinical study in Sprague-Dawley rats, lifetime exposure 24 months to pantoprazole at doses of. Repeat the rinse with teaspoons of apple sauce at least twice more, gently shaking the syringe as it empties into the tube. Clinically relevant interactions of pantoprazole with other drugs with the same metabolic pathways are not expected. What side effects may occur? Return to top Side effects cannot be anticipated. Later, it may be prescribed to maintain healing and prevent relapse. Tell your doctor immediately if any of these unlikely but serious side effects occur: signs of increased blood sugar levels.