Patient leaflet - CIMETIDINE 200 MG TABLETS BP
(cimetidine)
Patient Information Leaflet
Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.
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Keep this leaflet. You may need to read it again.
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If you have any further questions, ask your doctor or pharmacist.
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* This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
* if you get any side effects, talk to your doctor or pharmacist. this includes any possible side effects not listed in this leaflet. see section 4.
Your medicine is known as Cimetidine 200mg Tablets BP but will be referred to Cimetidine tablets throughout the leaflet. Please note that the leaflet also contains information about other strengths of the medicine, Cimetidine 400 mg Tablets BP and Cimetidine 800mg Tablets BP.
In this leaflet:
0 What Cimetidine tablets are and what they are used for
Q What you need to know before you take Cimetidine tablets
0 How to take Cimetidine tablets
0 Possible side effects
0 How to store Cimetidine tablets
0 Contents of the pack and other information
o What Cimetidine tablets are and what they used for
Cimetidine belongs to a group of medicines called Histamine H2 receptor antagonists and is used as an anti-ulcer drug. It works by reducing the amount of acid in your stomach.
Cimetidine is used to treat and relieve the following conditions:
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* Ulcers in the stomach (gastric ulcer) and in upper part of the intestine (duodenum ulcer).
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Recurrent or stomach ulcers (ulcers that keep coming back or which have occurred following stomach surgery).
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Ulcers in the stomach or duodenum which may be caused by non-steroidal anti-inflammatory drugs (NSAIDs, often used to reduce pain, fever and inflammation).
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Acid from the stomach escaping into the food pipe causing pain, inflammation and heartburn (oesophageal reflux).
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Persistent heartburn and stomach pain.
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Upper abdominal pain particularly after meals.
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Prevention of internal bleeding from ulcers caused by stress in seriously ill patients.
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For patients at risk of acid inhalation before general anaesthesia particularly pregnant women during labour (Mendelson's syndrome).
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Improve absorption of food and reduce fluid loss in short bowel syndrome.
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Reduce the breakdown of pancreatic enzyme supplements in patients with pancreatic problems.
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Excess acid in the stomach caused by a tumour in the pancreas (Zollinger- Ellison syndrome).
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What you need to know before you take Cimetidine tablets
Do not take cimetidine tablets:
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if you are hypersensitive (allergic) to Cimetidine or to any of the tablet ingredients (see section 6).
Warnings and precautions Talk to your doctor before taking Cimetidine Tablets:
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if you suffer from kidney problems or from gastric cancer.
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if you are suffering from liver problems.
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if you have a history of peptic ulcer, particularly if you are taking a non steroidal anti-inflammatory drug (NSAIDs) e.g. aspirin, ibuprofen, naproxen, diclofenac.
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if you are middle aged or over, with new or recently changed indigestion symptoms (e.g. Stomach pain or discomfort, heartburn), other causes of your symptoms such as stomach cancer, should be excluded.
Other medicines and Cimetidine tablets
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines, including those medicines obtained without a prescription.
In particular, tell your doctor if you are taking any of the following:
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Anticoagulants (thin the blood) (e.g. warfarin)
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Anticonvulsants (prevent fits) (e.g. phenytoin, diazepam)
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Bronchodilators (for breathing difficulties) (e.g. theophylline)
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Immunosuppresants (to prevent organ rejection or rheumatism) (e.g. ciclosporin).
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Medicines that cause a fall in blood cell count.
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Antifungals (used to treat fungal infections) (e.g. ketoconazole, itraconazole or posaconazole)
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Heart medicines (e.g. diltiazem, nifedipine, lidocaine, propranolol, metoprolol, procainamide or quinidine)
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Antidiabetics (lowers glucose levels in the blood) (e.g. metformin or glipizide)
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Anti-cancer drugs (treatment of cancer or tumor) (e.g. carmustine, fluorouracil, epirubicin, or therapies such as radiation)
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Strong pain killers (e.g. morphine).
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Tricyclic antidepressants (used to treat depression) (e.g. amitriptyline).
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Antiretroviral drug (used to treat HIV/AIDs) (e.g. atazanavir)
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Tacrolimus for eczema
Pregnancy and breast-feeding
It is preferable to avoid the use of Cimetidine Tablets during pregnancy unless it is essential. Tell your doctor if you are pregnant or planning to become pregnant.
Do not take Cimetidine Tablets during breast feeding because cimetidine is excreted in breast milk and can be harmful for your child.
Ask your doctor or pharmacist for advice before taking any other medicine.
Driving and using machines
Cimetidine tablets will not affect your ability to drive or to use machinery.
Important information about some of the ingredients of Cimetidine
Tablets:
Cimetidine Tablet contains Lactose monohydrate – If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.
Cimetidine tablets contain sodium
This medicine contains less than 1 mmol sodium (23 mg) per tablet, that is to say essentially ‘sodium-free’
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How to take Cimetidine tablets
(cimetidine)
Patient Information Leaflet (continued)
If you take more Cimetidine tablets than you should
If you or someone else swallows several of these tablets all together, or you think a child has swallowed any of these tablets, contact your doctor or pharmacist or hospital emergency department immediately. Always take any tablets left over with you, also the box and leaflet as this will allow easier identification of the tablets.
If you forget to take Cimetidine tablets
If you forget to take a dose, take it as soon as you remember. If it is almost time for your next dose, do not take the missed dose and just carry on as before. Do not take a double dose to make up for a forgotten dose.
If you have any further questions on the use of this product, ask your doctor or pharmacist.
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Possible side effects
Like all medicines, cimetidine can cause side-effects, although not everybody gets them.
Very rarely allergic reactions might occur. If any of the following symptoms occur soon after taking your tablets, stop taking your tablets and tell your doctor immediately.
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Rash
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itching or hives on the skin
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swelling of the face, or other parts of the body
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shortness of breath, wheezing or trouble breathing.
Some male patients may notice enlarging of the breasts. Very rarely male or female patients may experience unexpected secretion of breast milk. Contact your doctor if these occurs.
The most common side effects are diarrhoea, headache, dizziness, rash or tiredness, muscle pain, joint pain, which are usually mild and do not last long.
Other effects occurring rarely are:
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hair loss
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mouth ulcers, infections of the throat
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fever
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kidney problems (symptoms may include changes in the amount of urine passed and its colour, nausea, vomiting, confusion, fever and rash)
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confusion (usually in the elderly or ill patients)
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A rare type of anaemia in which the red and white blood cells and platelets are all reduced in number (symptoms might include tiredness, being short of breath, looking pale, frequent infections, bruising more easily or nose bleeds)
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liver inflammation, which might cause one of the following: nausea (feeling sick), vomiting (being sick), loss of appetite, feeling generally unwell, fever, itching, yellowing of the skin and eyes and dark coloured urine
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slowing of heartbeat, irregular heartbeat or fainting
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trouble getting or keeping an erection (impotence)
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feelings of sadness, depression
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hallucinations – seeing/feeling/hearing things that are not there.
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inflammation of the pancreas (sudden onset of abdominal pain, nausea and vomiting)
How to store Cimetidine tablets
Do not store above 25°C.
Do not refrigerate or freeze.
Store in the original package in order to protect from moisture.
Keep out of the sight and reach of children.
Do not take this medicine after the expiry date which is stated on the carton, blister after “EXP”. The expiry date refers to the last day of the month. If your tablet becomes discoloured or shows any other signs of deterioration consult your pharmacist who will tell you what to do.
If your doctor tells you to stop taking this medicine, take any remaining tablets back to the pharmacist for safe disposal. Only keep this medicine if your doctor tells you to.
Medicines should not be disposed of via wastewater or household waste.
Ask your pharmacist how to dispose of medicines no longer required.
These measures will help to protect the environment.
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Contents of the pack and other information
What Cimetidine tablets contains:
Each film-coated tablet contains 200 mg cimetidine
The core contains :
lactose monohydrate, maize starch, Povidone K30, sodium starch glycollate (type A), colloidal anhydrous silica, magnesium stearate
Film coating: hypromellose (E464), titanium dioxide (E171), macrogol 400, quinoline yellow aluminum lake (E104), yellow iron oxide (E172), indigo carmine aluminum lake (E132).
What these Cimetidine Tablets looks like and contents of the pack
Pale green coloured, round, biconvex, film coated tablets debossed “CC” on one side and plain on the other side.
Each pack contains 60 film coated tablets.
Manufacturer and Licence Holder
This medicine is Manufactured by Accord Healthcare Polska Sp.z o.o., ul., Lutomierska 50, 95–200, Pabianice, Poland and is procured from within the EU and repackaged by the Product Licence Holder: Lexon (UK) Ltd, Unit 18, Oxleasow Road, East Moons Moat, Redditch, Worcestershire, B98 0RE.
If you have any questions or are not sure about anything, ask your doctor or pharmacist. They will have additional information about this medicine and will be able to advise you.
| POM | PL 15184/2066 Cimetidine 200mg
Tablets BP
Revision date: 14/05/21
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