One case of edema of both lower extremities induced by pantoprazole sodium enteric-coated capsules
ZHANG Jin-xiu
JIAO Ping
LIU Qing-yan
YANG Hong
Abstract：A 68-year-old male patient was admitted to hospital because of abdominal pain for eating a lot of persimmons 14 days before. The patient was diagnosed as gastric ulcer and gastric calculi. After admission, the patient was treated with pantoprazole for injection (80 mg, qd, ivgtt) for inhibiting gastric acid secretion, glucose and sodium chloride injection (500 mL, qd, ivgtt) for fluid supplementation and sodium bicarbonate tablets (0.6 g, tid), etc. On the second day after admission, painless gastroscopy lithotripsy was performed. The abdominal pain, acid reflux, heartburn disappeared after five days treatment, and the patient did not have edema of both lower extremities, and then the patient was released from the hospital. At the time of discharge, the patient was given sodium bicarbonate tablets (0.6 g, tid), pantoprazole sodium enteric-coated capsules (40 mg, qd), colloidal bismuth pectin (0.15 g, qid), amoxicillin capsules (1.0 g, bid), clarithromycin tablets (0.5 g, bid), and enjoined to return visit five days later. The patient was re-admitted for further lithotripsy on the 6th day after discharge, the patient was found to have mild edema of the both lower extremities and weight gain (2.3 kg) during the physical examination, and edema area included the dorsum of feet, ankle and calves, simultaneously there was a pitting on the finger press part. After examination, cardiogenic, renal, liver and malnutrition edema were excluded. Subsequently, we related it to the continuous intake of pantoprazole sodium enteric-coated capsules, and stopped the drug. On the second day, the patient was treated with furosemide (20 mg, qd), raised the limbs and massaged calves from bottom to top. Gradually, edema reduced, and completely subsided on the next day, weight was back to normal. Furthermore, edema of both lower extremities did not appear again in the hospital.
Keywords：Pantoprazole sodiumAdverse drug reactionEdema
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 321-323 )