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NORMOGASTROL 20 mg GASTRO-RESISTANT TABLETS

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About the medicine

How to use NORMOGASTROL 20 mg GASTRO-RESISTANT TABLETS

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Package Leaflet: Information for the User

Normogastrol 20 mg Gastro-Resistant Tablets

Pantoprazole

Read all of this leaflet carefully before you start taking this medicine, because it contains important information for you.

This medicine can be obtained without a prescription. However, to get the best results, it should be used properly.

  • Keep this leaflet, as you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • You should not use Normogastrol 20 mg gastro-resistant tablets for more than 4 weeks without consulting a doctor.
  • If you experience side effects, consult your doctor or pharmacist, even if they are not listed in this leaflet.
  • You should consult a doctor if your symptoms worsen or do not improve after 14 days.

Contents of the Package Leaflet

  1. What is Normogastrol and what is it used for
  2. What you need to know before taking Normogastrol
  3. How to take Normogastrol
  4. Possible side effects
  5. Storage of Normogastrol
  6. Package Contents and Additional Information

1. What is Normogastrol and what is it used for

Normogastrol 20 mg contains the active substance pantoprazole, which blocks the "pump" that produces acid in the stomach. Therefore, this medicine reduces the amount of acid in your stomach.

Normogastrol 20 mg is used for the short-term treatment of symptoms of reflux (e.g., heartburn and acid regurgitation) in adults.

Reflux is the backflow of acid from the stomach into the throat (esophagus), which can cause inflammation and pain. This can cause symptoms such as a painful burning sensation in the chest, which can reach the throat (heartburn) and leave a sour taste in the mouth (acid regurgitation).

You may notice relief from acid reflux symptoms and heartburn after one day of treatment with Normogastrol 20 mg, but this does not mean that the medicine will provide immediate relief. You may need to take the tablets for 2-3 consecutive days for symptom relief to occur.

You should consult a doctor if your symptoms worsen or do not improve after 14 days.

Doctor consultation

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2. What you need to know before taking Normogastrol

Do not take Normogastrol

  • If you are allergic (hypersensitive) to pantoprazole or any of the other ingredients of Normogastrol 20 mg (listed in section 6 "Composition of Normogastrol").
  • If you are taking any medicine that contains atazanavir (for the treatment of HIV infection).
  • If you are under 18 years old.
  • If you are pregnant or breastfeeding.

Warnings and Precautions

Consult your doctor first:

  • If you have received treatment for heartburn or dyspepsia continuously for 4 or more weeks.
  • If you are over 55 years old and take a daily treatment for dyspepsia without a prescription.
  • If you are over 55 years old and have new or recently changed symptoms.
  • If you have previously had a gastric ulcer or stomach surgery.
  • If you have liver problems or jaundice (yellowing of the skin or eyes).
  • If you regularly visit your doctor for severe discomfort or illness.
  • If you are going to have an endoscopy or a test called a urea breath test.
  • If you have ever had a skin reaction after treatment with a medicine similar to Normogastrol 20 mg to reduce stomach acid.
  • If you suffer a skin rash, especially in areas of the skin exposed to the sun, consult your doctor as soon as possible, as it may be necessary to interrupt treatment with Normogastrol 20 mg. Remember to mention any other symptoms you may notice, such as joint pain.

If you take Normogastrol 20 mg for longer periods, there may be additional risks such as: decreased magnesium levels in the blood (possible symptoms: fatigue, involuntary muscle contractions, disorientation, convulsions, dizziness, increased heart rate). Additionally, low magnesium levels can cause a decrease in potassium and calcium levels in the blood. You should consult your doctor if you have been taking this medicine for more than 4 weeks. Your doctor will decide whether to perform periodic blood tests to monitor magnesium levels.

Tell your doctor immediatelybefore or after taking this medicine, if you notice any of the following symptoms, which could be signs of a more serious illness:

  • Involuntary weight loss (not related to any diet or exercise).
  • Vomiting, especially if it is repeated.
  • Blood in the vomit, which may appear as dark coffee grounds in the vomit.
  • You notice blood in your stools, which may appear black or like tar.
  • Difficulty swallowing or pain when swallowing.
  • You are pale or feel weak (anemia).
  • Chest pain.
  • Stomach pain.
  • Severe and/or persistent diarrhea, as Normogastrol 20 mg has been associated with a slight increase in the occurrence of infectious diarrhea.

Your doctor may decide that it is necessary to perform some tests.

If you are going to have a blood test, inform your doctor that you are taking this medicine.

You may notice relief from acid reflux symptoms and heartburn after one day of treatment with Normogastrol 20 mg, but this does not mean that the medicine will provide immediate relief. You should not take it as a preventive measure.

If you have suffered from dyspepsia or heartburn symptoms repeatedly for some time, remember to visit your doctor periodically.

Before taking this medicine, tell your doctor if:

  • You are scheduled to have a specific blood test (Chromogranin A).

Using Normogastrol with other medicines

Normogastrol 20 mg may prevent other medicines from working properly.

Tell your doctor if you are using any medicine that contains any of the following active substances:

  • Ketoconazole (used to treat fungal infections)
  • Warfarin or phenprocoumon (used to make blood more liquid and prevent clot formation). You may have additional blood tests.
  • Atazanavir (used to treat HIV infection). You should not use Normogastrol 20 mg if you are taking atazanavir.

Do not take Normogastrol 20 mg with other medicines that limit the amount of acid produced in the stomach, such as another proton pump inhibitor (omeprazol, lansoprazol, or rabeprazol) or an H2 antagonist (e.g., ranitidine, famotidine).

However, if necessary, you can take Normogastrol 20 mg with antacids (e.g., magaldrate, alginate acid, sodium bicarbonate, aluminum hydroxide, magnesium carbonate, or combinations).

Tell your doctor or pharmacist if you are using, or have recently used, other medicines, including those obtained without a prescription. This also includes herbal or homeopathic treatments.

Using Normogastrol with food and drinks

The tablets should be swallowed whole, with some liquid before a meal.

Pregnancy and breastfeeding

Do not take Normogastrol 20 mg if you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant. Consult your doctor or pharmacist before using this medicine.

Driving and using machines

You should not drive or use machines if you experience side effects such as dizziness or blurred vision.

Normogastrol contains sodium

This medicine contains less than 1 mmol of sodium (23 mg) per tablet; it is essentially "sodium-free".

3. How to take Normogastrol

Follow the instructions for taking Normogastrol 20 mg described in this leaflet or as indicated by your doctor or pharmacist. If you are in doubt, ask your doctor or pharmacist.

Take one tablet per day. Do not exceed the recommended dose of 20 mg of pantoprazole per day.

You should take this medicine for at least two or three consecutive days. Stop taking Normogastrol 20 mg when you are completely free of symptoms. You may notice relief from acid reflux symptoms and heartburn after one day of treatment with Normogastrol 20 mg, but this does not mean that the medicine will provide immediate relief.

If you do not notice relief from symptoms after taking this medicine for 2 consecutive weeks, consult your doctor.

Do not take Normogastrol 20 mg tablets for more than 4 weeks without consulting your doctor.

Take the tablet before one of the main meals, at the same time every day. You should swallow the tablet whole with a little water. Do not chew or break the tablet.

Use in children and adolescents

Normogastrol 20 mg should not be used in children or adolescents under 18 years old.

If you take more Normogastrol than you should

Inform your doctor or pharmacist immediately. If possible, take your medicine and this leaflet with you.

No symptoms of overdose are known.

If you forget to take Normogastrol

Do not take a double dose to make up for forgotten doses. Take the normal dose the next day, at the usual time.

If you have any other questions about the use of this product, ask your doctor or pharmacist.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medicines, Normogastrol 20 mg can cause side effects, although not everyone gets them.

Tell your doctor immediatelyor contact the emergency department of the nearest hospital if you notice any of the following side effects. Stop taking this medicine immediately, but take this leaflet and/or the tablets with you.

  • Severe allergic reactions (rare): hypersensitivity reactions, also called anaphylactic reactions, anaphylactic shock, and angioedema. Typical symptoms are: swelling of the face, lips, mouth, tongue, and/or throat, which can cause difficulty swallowing or breathing, hives (urticaria), severe dizziness with rapid heartbeat and excessive sweating.
  • Severe skin reactions (frequency unknown): skin rash with swelling, blistering, or peeling of the skin, skin loss, and bleeding around the eyes, nose, mouth, or genitals, and rapid deterioration of your general health, or skin rash after sun exposure.
  • Other serious side effects (frequency unknown): yellowing of the skin and eyes (due to severe liver damage), or kidney problems such as pain when urinating and pain in the lower back with fever.
    • Feeling of tingling, prickling, paresthesia (tingling), burning, or numbness (frequency unknown)

Side effects may occur with a certain frequency, and are described as follows:

  • Very common: affects more than 1 in 10 patients.
  • Common: affects 1 to 10 patients in 100.
  • Uncommon: affects 1 to 10 patients in 1,000.
  • Rare: affects 1 to 10 patients in 10,000.
  • Very rare: affects less than 1 patient in 10,000.
  • Frequency unknown: cannot be estimated from available data.
  • Common side effects:

Benign polyps in the stomach.

  • Uncommon side effects:

Headache; dizziness; diarrhea; nausea, vomiting; swelling and flatulence (gas); constipation; dry mouth; stomach discomfort and pain; hives or skin rash; itching; feeling of weakness, fatigue, or general malaise; sleep disorders; increased liver enzymes in blood tests.

  • Rare side effects:

Distortion or complete loss of taste; vision disorders such as blurred vision; joint pain; muscle pain; weight changes; elevated body temperature; swelling of the limbs; allergic reactions; depression; increased bilirubin and fat levels in the blood (detected in blood tests), increased breast size in men; high fever and sudden drop in circulating granulocytes (observed in blood tests).

  • Very rare side effects

Disorientation, decreased platelet count in the blood, which can lead to more frequent bleeding or bruising than usual; decreased white blood cell count, which can lead to more frequent infections; coexistence of an abnormal reduction in the number of red blood cells, white blood cells, and platelets (observed in blood tests).

  • Frequency unknown

Hallucinations, confusion (especially in patients with a history of these symptoms); decreased sodium levels in the blood; decreased magnesium levels in the blood.

If you are taking Normogastrol 20 mg for more than three months, it is possible that magnesium levels in the blood may decrease. Low magnesium levels can cause fatigue, involuntary muscle contractions, disorientation, convulsions, dizziness, and increased heart rate. If you experience any of these symptoms, consult your doctor immediately. Low magnesium levels can also cause a decrease in potassium and calcium levels in the blood. Your doctor may decide to perform periodic blood tests to monitor magnesium levels.

If you are taking proton pump inhibitors like Normogastrol 20 mg, especially for a period of more than one year, you may have a slightly increased risk of hip, wrist, and spine fractures. Tell your doctor if you have osteoporosis or if you are taking corticosteroids (which can increase the risk of osteoporosis).

Skin rash, possibly with joint pain.

Inflammation of the large intestine that causes persistent watery diarrhea.

If you experience any side effect, consult your doctor or pharmacist, even if it is not listed in this leaflet. You can also report them directly through the Spanish Medicines and Healthcare Products Agency's Pharmacovigilance System for Human Use: www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.

If you think any of the side effects you are suffering from are serious, or if you notice any side effect not mentioned in this leaflet, tell your doctor or pharmacist.

5. Storage of Normogastrol

Keep this medicine out of the sight and reach of children.

No special storage conditions are required. Store in the original package.

Expiration Date

Do not use this medicine after the expiration date stated on the package after "EXP". The expiration date is the last day of the month indicated.

Medicines should not be disposed of via wastewater or household waste. Place the packaging and any unused medicine in the pharmacy's SIGRE collection point. If in doubt, ask your pharmacist how to dispose of the packaging and any unused medicine. This will help protect the environment.

6. Package Contents and Additional Information

Composition of Normogastrol

  • The active substance is pantoprazole. Each gastro-resistant tablet contains 20 mg of pantoprazole (sodium sesquihydrate).
  • The other ingredients are:

Sodium carbonate, mannitol, sodium carmellose, sodium starch glycolate (from gluten-free potato), magnesium stearate, colloidal silica, propylene glycol, yellow iron oxide (E-172), titanium dioxide (E-171), hypromellose, triethyl citrate, and methacrylic acid - ethyl acrylate copolymer (1:1).

Appearance of the Product and Package Contents

Normogastrol 20 mg is presented in the form of orange, oval, and biconvex gastro-resistant tablets, which are available in packages of 7 and 14 tablets.

Marketing Authorization Holder and Manufacturer

LABORATORIOS NORMON, S.A.

Ronda de Valdecarrizo, 6 – 28760 Tres Cantos – Madrid (SPAIN)

This leaflet was last revised in July 2019

Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Healthcare Products (AEMPS)http://www.aemps.es/

Online doctors for NORMOGASTROL 20 mg GASTRO-RESISTANT TABLETS

Discuss questions about NORMOGASTROL 20 mg GASTRO-RESISTANT TABLETS, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Doctor

Hocine Lokchiri

General medicine 21 years exp.

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
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He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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Doctor

Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
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  • food and medication allergies
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  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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Doctor

Lina Travkina

Family medicine 13 years exp.

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
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  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
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  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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Doctor

Alina Tsurkan

Family medicine 13 years exp.

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
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  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
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  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
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  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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Doctor

Yevgen Yakovenko

General surgery 12 years exp.

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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€50

Frequently Asked Questions

Is a prescription required for NORMOGASTROL 20 mg GASTRO-RESISTANT TABLETS?
NORMOGASTROL 20 mg GASTRO-RESISTANT TABLETS does not require a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in NORMOGASTROL 20 mg GASTRO-RESISTANT TABLETS?
The active ingredient in NORMOGASTROL 20 mg GASTRO-RESISTANT TABLETS is pantoprazole. This information helps identify medicines with the same composition but different brand names.
Who manufactures NORMOGASTROL 20 mg GASTRO-RESISTANT TABLETS?
NORMOGASTROL 20 mg GASTRO-RESISTANT TABLETS is manufactured by Laboratorios Normon S.A.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of NORMOGASTROL 20 mg GASTRO-RESISTANT TABLETS online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether NORMOGASTROL 20 mg GASTRO-RESISTANT TABLETS is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to NORMOGASTROL 20 mg GASTRO-RESISTANT TABLETS?
Other medicines with the same active substance (pantoprazole) include ALAPANZOL 40 mg GASTRO-RESISTANT TABLETS, ANAGASTRA 20 mg GASTRO-RESISTANT TABLETS, ANAGASTRA 40 mg GASTRO-RESISTANT TABLETS. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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