Hi Elle,My Pantoprazole (Protonix) was always 40mg an hour before breakfast and an another 40mg an hour before dinner. Be sure to take it on an empty stomach. Also your first food after that hour should be high in protein (Milk is fine). From what I understand, it makes it work better.
Here is a link to information about
how to get the most out of your PPIs.
www.practicalgastro.com/pdf/January07/Jan07FrankArticle.pdfI have asthma, and my docs even had me on 300mg Ranitidine (Zantac) at bedtime, in addition to the PPIs to protect my lungs. My GI doc said a certain percentage of patients need the double dose of PPIs.
good luck!
Denise