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DIN (Drug Identification Number)
00487872 APO-CIMETIDINE 300MG TABLET
00584215 APO-CIMETIDINE 200MG TABLET
00600059 APO-CIMETIDINE 400MG TABLET
00600067 APO-CIMETIDINE 600MG TABLET
00749494 APO-CIMETIDINE 800MG TABLET
02243085 APO-CIMETIDINE 300MG/5ML ORAL
How does this medication work? What will it do for me?
Cimetidine is used to reduce the pain of ulcer and heartburn or to assist in the healing of ulcers and damage caused by gastroesophageal reflux disease (GERD).
Cimetidine is also used to prevent ulcers in certain circumstances and to treat certain conditions that are associated with oversecretion of acid by the stomach (i.e., Zollinger-Ellison Syndrome, systemic mastocytosis, and multiple endocrine adenomas). The medication works by reducing the amount of acid secreted by the stomach.
Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. As well, some forms of this medication may not be used for all of the conditions discussed here. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor.
Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it.
What form(s) does this medication come in?
This medication is available as 200 mg, 300 mg, 400 mg, 600 mg, and 800 mg tablets. This medication is also available as a 300 mg/5 mL liquid preparation.
How should I use this medication?
The usual recommended adult dose of cimetidine ranges from 200 mg twice a day to 600 mg 4 times a day (usually with meals and at bedtime), depending on the condition being treated. The maximum recommended dose of cimetidine is 2,400 mg.
Children's doses are based on the weight of the child, usually 20 mg to 40 mg per kilogram of body weight daily, divided into 4 doses.
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.
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.
Who should NOT take this medication?
- is allergic to cimetidine or to any of the ingredients of the medication
- is allergic to other acid-reducing agents known as H2-receptor antagonists (e.g., famotidine, ranitidine, and nizatidine)
Cimetidine should not be taken by anyone who:
What side effects are possible with this medication?
- 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)
- loss of hair
- nausea or vomiting
- swelling of the breasts or breast soreness (women and men)
- abdominal pain
- back, leg, or stomach pain
- bleeding or crusting sores on the lips
- blisters on palms of hands and soles of feet
- changes in vision or blurred vision
- 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 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)
- slow heartbeat
- sores, ulcers, or white spots on the lips, in the mouth, or on the genitals
- swelling of the hands or feet
- tightness in the chest
- troubled breathing
- unusually slow or irregular breathing
- 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)
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 this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.
The following side effects have been reported by at least 1% of people taking this medication. 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.
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:
Stop taking the medication and seek immediate medical attention if any of the following occur:
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 this medication.
Are any nutrients depleted by this medication?
Some medications can affect vitamin and nutrient levels in the body. Below is a list of nutrient depletions associated with this medication. Talk to your doctor or pharmacist about whether taking a supplement is recommended or if you have any questions or concerns.
Apo-Cimetidine may deplete vitamin B12
How can this nutrient deficiency affect me?
Vitamin B12, also known as cyancobalamin or cobalamin, is involved in the body's metabolism, DNA synthesis, and the maturation of red blood cells. It also helps maintain the nervous system. Vitamin B12 deficiency is most common in people on meatless diets since it is not found in grains, fruits, or vegetables.
What can I do about this?
Talk to your pharmacist about vitamin B12 deficiency. Vitamin B12 is available in supplement form. Before starting any nutrient supplement, always talk with your pharmacist first.
Are there any other precautions or warnings for this medication?
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 this medication.
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 this medication may affect their medical condition, how their medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Liver function: People with liver disease or reduced liver function should discuss with their doctor how this medication may affect their medical condition, how their medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Pregnancy: The safety of this medication for use during pregnancy has not been established. This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking this medication, contact your doctor immediately.
Breast-feeding: This medication 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.
What other drugs could interact with this medication?
- azole antifungal medications (e.g., fluconazole, ketoconazole)
- calcium channel blockers (e.g., diltiazem, nifedipine, verapamil)
- certain benzodiazepines (alprazolam, chlordiazepoxide, clonazepam, clorazepate, diazepam, flurazepam, midazolam, and triazolam)
- glyburide (and other "sulfonylurea" diabetes medications)
- SSRIs (e.g., citalopram, fluoxetine, sertraline)
- St. John's wort
- theophyllines (e.g., aminophylline, oxtriphylline, theophylline)
- tricyclic antidepressants (e.g., amitriptyline, imipramine)
- stop taking one of the medications,
- change one of the medications to another,
- change how you are taking one or both of the medications, or
- leave everything as is.
There may be an interaction between cimetidine and any of the following:
If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:
An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.
Medications other than those listed above may interact with this medication. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.
All material copyright MediResource Inc. 1996 – 2019. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Source: www.medbroadcast.com/drug/getdrug/Apo-Cimetidine
All material © 1996-2019 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 provider with any questions you may have regarding a medical condition.
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