- 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 2-Receptor Antagonists -- Standard Therapy for Acid-Peptic Diseases