If you buy pantoprazole 40mg without a prescription or a doctor’s evaluation of your symptoms, the usual dose is 40mg once a day. Pantoprazole 40 mg twice a day is only recommended for conditions like Zollinger Ellison syndrome that cause the stomach to make too much acid. If you have one of these conditions, you should be under the care of a doctor. Studies have shown that taking more than 40mg for reflux, dyspepsia, or GERD did not lower stomach acid any more than taking 40mg.
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