A 38-year-old female asked:
i just read that protonix (pantoprazole) may increase qtc. is taking a probiotic safe with long qt? could a probiotic replace protonix (pantoprazole)? foods to avoid w/ long qt?
2 doctor answers
Dr. Dan Fisher answered
26 years experience Internal Medicine
QT 474?: QT is borderline Nl and may not have been adjusted for heart rate and may have been calculated by machine. (Notorious for overcalling QT prolongation.) Unless you have been diagnosed with prolonged QT syndrome or have other members of family with QT prolongation I would not worry. Long term protonix (pantoprazole) use has rarely been associated with low magnesium which may prolong QT.
Answered on Feb 15, 2015
Dr. Thomas Namey answered
47 years experience Rheumatology
PPIs: Proton pump inhibitors have serious long term side-effects. There are no side effects from probiotics. But symptoms improved by PPPi's are not those controlled by probiotics. I would switch to 300 mg of rantidine and shcuk the pantoprazole unless you have Barrett's esophagus!
Answered on Nov 15, 2017
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