name | Famotidine |
classification | Histamine H2 receptor antagonist |
pharmacokinetics | absorption | Rapidly absorbed after oral administration, peak plasma concentrations achieved within 1-2 hours. | distribution | Distributed throughout the body, with high concentrations in gastric mucosa. | metabolism | Metabolism is primarily hepatic, with minimal first-pass effect. | excretion | Excreted primarily in urine as inactive metabolites, with a half-life of approximately 3 hours. |
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suggested dosage | adult | general | The typical dose is 20 mg once daily, but the range is flexible and tailored to individual patient response and treatment need. | specific cases | In patients with severe reflux disease, higher doses (up to 40 mg daily) may be required. Doses should be adjusted based on individual clinical needs. |
| patient specific | weight | Weight is not a major determinant for dosage adjustments in healthy adults. | age | Dosage adjustments are usually not required in healthy adults aged 25. |
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indications | 1 | Treatment of peptic ulcer disease | 2 | Prevention of stress-related ulcers | 3 | Treatment of gastroesophageal reflux disease (GERD) | 4 | Treatment of Zollinger-Ellison syndrome |
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safety in pregnancy | category | Category B | description | Famotidine is generally considered safe for use during pregnancy. However, more studies in pregnant women are needed. |
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safety in breastfeeding | description | Famotidine is present in breast milk, but at low levels. No significant adverse effects have been reported in breastfed infants. The drug is generally considered safe to use while breastfeeding. |
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side effects | 1 | Headache | 2 | Diarrhea | 3 | Constipation | 4 | Abdominal pain | 5 | Nausea | 6 | Vomiting | 7 | Dizziness | 8 | Fatigue | 9 | Rash | 10 | Pruritus (itching) | 11 | Rarely, serious liver problems (hepatitis, jaundice), blood disorders (anemia, thrombocytopenia) |
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alternatives | |
contraindications | 1 | Hypersensitivity to famotidine or other ingredients in the drug. | 2 | Severe liver disease |
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interactions | 1 | May increase the risk of side effects with drugs such as alcohol or other medications that are metabolized by the liver. | 2 | May decrease the effectiveness of certain medications (such as digoxin) or increase levels of medications (such as warfarin). |
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warnings and precautions | 1 | Monitor liver function tests, especially in patients with pre-existing liver conditions. | 2 | Use caution in patients with kidney impairment, as excretion may be affected. | 3 | Do not use if pregnant or breastfeeding unless advised by a healthcare professional. Thorough discussion with a doctor is essential. | 4 | Careful monitoring is advised if used with other medications to avoid drug interactions. |
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additional informations | drug formulations | | important notes | Always follow the prescribed dosage and instructions provided by your healthcare provider. |
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