presents
Wheeless' Textbook of Orthopaedics
www.smith-nephew.com
Tracking Pixel

Cimetidine/Tagamet

- for PUD, prophylaxis in trauma, burns, surgery; - Adult: active PUD: 300 mg PO/IV tid-qid, or 400 mg PO bid; - over 90% of ulcers should heal after 12 wks of therapy- Hosp Prac. 1979 - ulcers which have not healed after 12 wks, probably will not heal w/ H2 Blockers; - for recurrent duodenal Ulcer prophylaxis: 400 mg PO qhs; - active benign gastric ulcer: 300 mg PO qid or IV q6hr (over at least 2min); - w/ active ulcer: 300 mg PO qid w/ meals & hrs: 400mg bid or 800mg qhs; - chronic: 400 mg or 800 mg PO qhs; try after or w/ food or after retiring; - w/ Renal Failure/Elderly: 300mg IV bid; Cimetidine: Interactions and Toxicities: - Cimedtidine (& Ranitidine), inhibit the hepatic P-450 cytochrome system - May cause increased Blood Levels of: - WARFARIN type anticoagulants - theophylline - Phenytoin - LIDOCAINE - Propranolol - metoprolol (Class II) - Diazepam - Chlordiazepoxide - Will interact w/ Digoxin, * side effects: - intersitial nephritis, bone marrow dyscrasias, coma, severe hepatitis, - these are considered to be rare; * cimetidine is best avoided in pts w/ hepatic dz, jaundice; --------------------------------- Review Article: Drug Therapy -- Histamine(sub 2)-Receptor Antagonists -- Standard Therapy For Acid-Peptic Diseases;



Original Text by Clifford R. Wheeless, III, MD.