Pantab 40 (pantoprazole) is excellent at reducing stomach acid, but sometimes acid or digestive fluids can still travel up into your throat, a condition often called silent reflux. This can irritate your airway and vocal cords, causing hoarseness, and these sensitive throat tissues take time to heal. I highly recommend discussing this with your doctor. They may suggest adjusting your dose, timing, or exploring helpful lifestyle changes?such as avoiding late meals and elevating your head during sleep?to help you find lasting relief.