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CIMETIDINE 800 MG TABLETS - Patient leaflet, side effects, dosage

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Patient leaflet - CIMETIDINE 800 MG TABLETS

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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.

In this leaflet:

  • 1. What Cimetidine Tablets are and what they are used for

  • 2. Before you take Cimetidine Tablets

3. How to take Cimetidine Tablets

4. Possible side effects

5. How to store Cimetidine Tablets

6. Contents of the pack and other information

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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.
  • 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 or have recently taken or might take any other medicines.

  • Anticoagulants (thin the blood) (e.g. warfarin)
  • Anticonvulsants (prevent fits) (e.g. phenytoin, diazepam)
  • Bronchodilators (for breathing difficulties) (e.g. theophylline)
  • Immunosuppressant’s (to prevent organ rejection or rheumatism) (e.g. ciclosporin).
  • Medicines that cause a fall in blood cell count.
  • Antifungals (used to treat fungal infections)(e.g. ketoconazole, itraconazole or posaconazole)
  • Heart medicines (e.g. diltiazem, nifedipine, lidocaine, propranolol, metoprolol, procainamide or quinidine)
  • Antidiabetics (lowers glucose levels in the blood) (e.g. metformin or glipizide)
  • Anti-cancer drugs (treatment of cancer or tumor) (e.g. carmustine, fluorouracil, epirubicin, or therapies such as radiation)
  • Strong pain killers (e.g. morphine).
  • Tricyclic antidepressants (used to treat depression) (e.g. amitriptyline).
  • Antiretroviral drug (used to treat HIV/AIDs) (e.g. atazanavir)
  • Tacrolimus for eczema

Pregnancy and breast-feeding

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Do not take Cimetidine Tablets during breast feeding because cimetidine is excreted in breast milk and can be harmful for your child.

The use of Cimetidine Tablets during pregnancy and breast-feeding should be avoided unless considered essential by your doctor.

Driving and using machines

Cimetidine Tablets will not affect your ability to drive or to use machinery.

Cimetidine Tablets contain Sodium.

This medicine contains less than 1mmol sodium (23mg) per dosage unit, that is to say essentially sodium-free.

3. how to take cimetidine tablets

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Elderly

The recommended adult dosage may be used unless you have serious kidney problems.

Children over 1 year of age

The recommended dose for children over one year old is 25 to 30 mg/kg body weight each day in divided doses. „Your doctor will decide the right dose, depending on your child's weight.“

If you take more Cimetidine Tablets than you should

If you take more than the prescribed dose, get medical help immediately. If possible, take your tablets or the box with you to show the doctor.

If you forget to take Cimetidine Tablets

Do not take a double dose to make up for forgotten dose. Take your normal dose as soon as possible and then continue as prescribed. However, if it is almost time for your next dose, do not take the missed dose and continue as usual.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. possible side effects

Like all medicines, Cimetidine Tablets can cause side effects, although not everybody gets them.

You must stop taking the tablets and tell your doctor immediately, if you notice any of the following side effects:

  • Rash
  • Itching or hives on the skin
  • Swelling of the face, or other parts of the body
  • Shortness of breath, wheezing or trouble breathing.

Other side effects which have been observed during treatment with Cimetidine tablets are listed below by how likely they are:

Common (may affect up to 1 in 10 people)

  • Headache, dizziness
  • Diarrhoea
  • Muscular pain
  • Tiredness

Uncommon (may affect up to 1 in 100 people)

  • Decrease in white blood cells
  • Depression, confusional states, hallucinations
  • Faster heart beat
  • Abdominal pain, yellowing of the skin/eyes and dark coloured urine.
  • Kidney problems
  • Breasts enlargements and trouble getting or keeping an erection (impotence).

Rare (may affect up to 1 in 1, 000 people)

  • Decrease in blood cell types (anaemia)
  • Irregular heartbeat
  • Liver inflammation
  • Kidney swelling

Very Rare (may affect up to 1 in 10, 000 people)

  • Decrease in blood cells, Lowered white blood cell count
  • Slow Heart beat (Bradycardia)
  • Inflammation of the pancreas
  • Hair loss
  • Joint pain
  • Lactation
  • Fever

Reporting of side effects

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: or search for MHRA Yellow Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.

5. how to store cimetidine tablets

Keep out of the sight and reach of children.

Do not store above 25 °C.

Do not use Cimetidine Tablets after the expiry date which is started on the label or carton. The expiry date refers to the last day of that month.

Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer use. These measures will help to protect the environment.

6. contents of the pack and other information

What Cimetidine Tablets contain?

Each 200 mg Tablet contains 200 mg of the active ingredient cimetidine.

The other ingredients are Starch, Povidone, Magnesium Stearate, Sodium Starch Glycollate, Purified Water, Opadry Oy-8839 (E104, E132, E171, E172).

Each 400 mg Tablet contains 400 mg of the active ingredient cimetidine. The other ingredients are Starch, Povidone, Magnesium Stearate, Sodium Starch Glycollate, Purified Water, Opadry Oy-8839 (E104, E132, E171, E172).

Each 800 mg Tablet contains 800 mg of the active ingredient cimetidine.

The other ingredients are Starch, Povidone, Magnesium Stearate, Sodium Starch Glycollate, Purified Water, Opadry Oy-8839 (E104, E132, E171, E172).

What Cimetidine Tablets look like and contents of the pack

Cimetidine 200 mg Tablets are green round film coated tablets coded CIM on one side and 200 on reverse. Pack sizes: 50,100, 250, 500, 120, 5000, 84 and 60 tablets. Not all pack sizes may be marketed.

Cimetidine 400 mg Tablets are green capsule shaped film coated tablets coded CIM on one side and 400 on reverse. Pack sizes: 50, 56, 60, 100, 250, 500, 2500 and 5000 tablets. Not all pack sizes may be marketed.

Cimetidine 800 mg Tablets are green elliptical film coated tablets coded CIM on one side and 800 on reverse. Pack sizes: 28, 30, 50, 100, 250, 500 tablets. Not all pack sizes may be marketed.

Marketing Authorisation Holder and Manufacturer

MEDREICH PLC

Warwick House, Plane Tree Crescent,

Feltham TW13 7HF, UK

E-mail :

To listen to or request a copy of this leaflet in Braille, large print or audio please call,

02088311580 (UK only)

Please be ready to give the following information: Product name

Reference number

PL 21880/0088

PL 21880/0089

PL 21880/0090


Cimetidine 200 mg Tablets

Cimetidine 400 mg Tablets

Cimetidine 800 mg Tablets

This leaflet was last revised in 08/2018


MEDREICH LIMITED

Title: Art Work Approval Form

Product

Cimetidine Tablets – S/L – Eng – PIL

Specification:

Printed on 56 – 60 GSM Maplitho paper.

Customer

MEDREICH PLC, UK

Reason for Issue

AWR No.: (old code: 1214286-V1)

New word doc file received from customer.

Colours:

Single – Black

Dimensions:

220 × 190 mm (Open Size),

Related

FG Codes

1302601, 1303666, pharmacode No

1303671

2964

No. of Folds (only for PIL)

XX

Artwork made to

100%

Item Code

121XXXX-V1 (WOA) Layout No.: NA

Verified By

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PDC:

PDC:

Regulatory:

QC:

CQA:

MED/CIM/PIL/03 WIN\\192.168.1­.33\pdc\Artwor­ks\Medreich\Ci­metidine\Tablet­s\PIL\Cimetidi­ne Tablets – SL – Eng – PIL26-07–18.ai

Format No.: CO-QA005-F03–03 Internal Approval issued on CD issued on

24/26.07(AK)/30­.08.18(RR)

The drug is classified in the ATC tree:

Frequently Asked Questions

What is cimetidine and how does it work?

Cimetidine is a medication that reduces stomach acid production. It works by blocking histamine receptors in the stomach, which helps decrease acid secretion and relieve symptoms of heartburn and indigestion.

What conditions can cimetidine help treat?

Cimetidine is commonly used to treat conditions like gastroesophageal reflux disease (GERD), peptic ulcers, and Zollinger-Ellison syndrome.

How should I take cimetidine tablets?

You should take cimetidine tablets as directed by your doctor, typically with a glass of water. It's usually taken before meals or at bedtime.

Can I take cimetidine if I have kidney problems?

If you have kidney issues, consult your doctor before taking cimetidine, as it may need to be adjusted or monitored.

Are there any foods or drinks I should avoid while taking cimetidine?

It's best to avoid alcohol and certain caffeinated beverages, as they can increase stomach acid production and reduce the effectiveness of the medication.

What are the common side effects of cimetidine?

Common side effects may include dizziness, headache, diarrhea, and fatigue. If you experience severe side effects like confusion or trouble breathing, seek medical attention immediately.

Can children take cimetidine?

Cimetidine can be prescribed for children in certain cases, but dosage must be carefully adjusted by a pediatrician.

Is it safe to use cimetidine during pregnancy?

If you are pregnant or planning to become pregnant, consult your doctor before taking cimetidine to discuss potential risks and benefits.

Can I use over-the-counter antacids along with cimetidine?

Yes, but it's important to space them out. Take antacids at least 1 hour apart from cimetidine for best results.

How long can I safely take cimetidine?

Cimetidine is generally safe for short-term use. Long-term use should be under the supervision of a healthcare provider due to potential side effects.

What should I do if I miss a dose of cimetidine?

If you miss a dose, take it as soon as you remember. If it's almost time for your next dose, skip the missed one and continue with your regular schedule. Do not double up on doses.

Will cimetidine interact with other medications?

Yes, cimetidine can interact with various medications including blood thinners and certain antiepileptics. Always inform your doctor about all medications you are taking.

Can I drink grapefruit juice while taking cimetidine?

Grapefruit juice may affect how certain medications work; however, there are no well-documented interactions with cimetidine specifically. It's still best to ask your doctor.

What happens if I overdose on cimetidine?

An overdose may lead to symptoms such as confusion, dizziness, and drowsiness. If you suspect an overdose, seek emergency medical help right away.

Can I buy cimetidine over-the-counter?

In some regions, low-dose formulations of cimetidine are available over-the-counter; however, higher doses require a prescription.

Is there a generic version of cimetidine available?

Yes, there are generic versions of cimetidine available which offer the same benefits at potentially lower costs compared to brand-name versions.

How should I store my cimetidine tablets?

Store your cimetidine tablets at room temperature away from moisture and heat. Keep out of reach of children.

What if my symptoms don’t improve while taking cimetidine?

If your symptoms persist or worsen after taking cimetidine for the prescribed duration, contact your healthcare provider for further evaluation.

Are there lifestyle changes that can help while taking cimetidine?

Yes! Reducing spicy foods, avoiding large meals before bed, quitting smoking, and managing stress can all help relieve acid-related symptoms along with medication.

Can I stop taking cimetidine suddenly after long-term use?

It's best not to stop taking any medication suddenly without consulting your healthcare provider; they can guide you on how to taper off safely if needed.