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Cimetidine

Cimetidine

(cimetidine)

Cimetidine is used to reduce the pain of ulcer and heartburn or to assist in the healing of ulcers and damage caused by GERD (Gastroesophageal reflux disease) (GERD). Cimetidine is also used to prevent ulcers in certain circumstances and to treat certain conditions that are associated with over secretion of acid by the stomach (i.

Available form

Dosage

Tablet

200MG, 300MG, 400MG, 600MG

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Cimetidine information

Dosage

Side Effects

Available Form

Contraindications

Precautions

Warnings

The recommended adult dose of cimetidine depends on the condition being treated.

When treating duodenal or gastric ulcers, the dose ranges from 800 mg to 1,200 mg daily, in divided doses. It is usually taken for 4 to 6 weeks, to ensure that the ulcer has healed.

To prevent recurrent ulcers, the dose ranges from 400 mg to 600 mg. If prevention is needed, this dose should be continued for 6 to 12 months.

The recommended dose of cimetidine to treat ulcers caused by anti-inflammatory medications is 800 mg daily, either as 400 mg taken twice a day or 800 mg taken at bedtime. If the anti-inflammatory is not stopped, the cimetidine may be continued as 400 mg at bedtime.

To treat gastroesophageal reflux disease (GERD), the recommended dose is 1,200 mg daily in divided doses.

To reduce the amount of stomach acid produced in conditions that cause over secretion, the dose should be started at 300 mg taken 4 times a day, but may be increased to control symptoms to a maximum of 2,400 mg daily.

Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.

Cimetidine can be taken with or without food.

It is important to take this medication exactly as prescribed by your doctor. If you miss a dose, take it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Store Cimetidine at room temperature, protect it from light and moisture, and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent. The side effects listed below are not experienced by everyone who takes Cimetidine. If you are concerned about side effects, discuss the risks and benefits of Cimetidine with your doctor.

The following side effects have been reported by at least 1% of people taking Cimetidine. Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

decreased sexual desire
decreased sexual ability (especially for people with Zollinger-Ellison syndrome who have been taking high doses of cimetidine for at least one year)
Diarrhea
drowsiness
headache
loss of hair
swelling of the breasts or breast soreness (women and men)
tiredness

Although most of these side effects listed below don't happen very often, they could lead to serious problems if you do not check with your doctor or seek medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

confusion
dizziness
fainting
fast, pounding, or irregular heartbeat
general feeling of discomfort or illness
mood or mental changes (e.g., anxiety, agitation, confusion, hallucinations, Depression, nervousness, or severe mental illness)
muscle cramps or aches
red or irritated eyes
signs of allergic reaction (e.g., Hives, skin rash, or itching)
signs of Anemia (low red blood cells; e.g., dizziness, pale skin, unusual tiredness or weakness, shortness of breath)
signs of bleeding (e.g., bloody nose, blood in urine, coughing blood, cuts that don't stop bleeding)
signs of infection (e.g., coughing or difficulty swallowing, sore throat, Fever or chills, flu-like symptoms, swollen or painful glands)
signs of liver problems (e.g., nausea, vomiting, diarrhea, loss of appetite, weight loss, yellowing of the skin or whites of the eyes, dark urine, pale stools)

Stop taking the medication and seek immediate medical attention if any of the following occur:

signs of a serious allergic reaction (e.g., abdominal cramps, difficulty breathing, nausea and vomiting, or swelling of the face and throat)
signs of inflammation of blood vessels (e.g., fever, fatigue, weight loss, loss of appetite, headache, numbness or weakness, muscle or joint pain)
symptoms of a severe skin rash (e.g., blistering, peeling, a rash covering a large area of the body, a rash that spreads quickly, or a rash combined with fever or discomfort)

Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking Cimetidine.

Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Cimetidine.

Kidney function: People with Kidney Disease are at risk for increased side effects. People with kidney disease or reduced kidney function should discuss with their doctor how Cimetidine may affect their medical condition, how their medical condition may affect the dosing and effectiveness of Cimetidine, and whether any special monitoring is needed.

Liver function: People with liver disease or reduced liver function should discuss with their doctor how Cimetidine may affect their medical condition, how their medical condition may affect the dosing and effectiveness of Cimetidine, and whether any special monitoring is needed.

Stomach cancer: Using medications such as cimetidine may prevent symptoms of stomach cancer from being noticed. If you have recurrent vomiting, difficulty swallowing, blood in the stool, significant unintentional weight loss, fatigue (anemia), or are coughing up blood, check with your doctor right away. If you have heartburn that worsens or returns after using Cimetidine continuously for 2 weeks, check with your doctor.

Pregnancy: The safety of Cimetidine for use during pregnancy has not been established. Cimetidine should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking Cimetidine, contact your doctor immediately.

Breast-feeding: Cimetidine passes into breast milk. If you are a breast-feeding mother and are taking cimetidine, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Seniors: Seniors may be more at risk of side effects and may be more likely to experience interactions with other medications when taking cimetidine.

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All material © 1996-2024 MediResource Inc. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition.

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