País: Estats Units
Idioma: anglès
Font: NLM (National Library of Medicine)
CIMETIDINE (UNII: 80061L1WGD) (CIMETIDINE - UNII:80061L1WGD)
Carilion Materials Management
ORAL
PRESCRIPTION DRUG
Cimetidine tablets are indicated in: Most patients heal within 4 weeks and there is rarely reason to use cimetidine tablets at full dosage for longer than 6 to 8 weeks (see ). Concomitant antacids should be given as needed for relief of pain. However, simultaneous administration of cimetidine tablets and antacids is not recommended, since antacids have been reported to interfere with the absorption of cimetidine. (1) Short-term treatment of active duodenal ulcer. DOSAGE AND ADMINISTRATION: Duodenal Ulcer Patients have been maintained on continued treatment with cimetidine tablets 400 mg at bedtime for periods of up to 5 years. (2) Maintenance therapy for duodenal ulcer patients at reduced dosage after healing of active ulcer. There is no information concerning usefulness of treatment periods of longer than 8 weeks. (3) Short-term treatment of active benign gastric ulcer. Erosive esophagitis diagnosed by endoscopy. Treatment is
NDC:68151-1497-0 in a PACKAGE of 1 TABLET, FILM COATEDS
Abbreviated New Drug Application
CIMETIDINE- CIMETIDINE TABLET, FILM COATED CARILION MATERIALS MANAGEMENT ---------- DESCRIPTION Cimetidine is a histamine H -receptor antagonist. Chemically it is -cyano- -methyl- -[2-[[(5-methyl-1 - imidazol-4-yl)methyl]thio]-ethyl]guanidine. Its structural formula is: _N"NN'H_ Cimetidine contains an imidazole ring, and is chemically related to histamine. Cimetidine has a bitter taste and characteristic odor. SOLUBILITY CHARACTERISTICS Cimetidine is soluble in alcohol, slightly soluble in water, very slightly soluble in chloroform and insoluble in ether. Each tablet, for oral administration, contains 200 mg, 300 mg, 400 mg or 800 mg cimetidine, USP. Inactive ingredients are: croscarmellose sodium, crospovidone, hypromellose, lecithin, magnesium stearate, microcrystalline cellulose, polydextrose, polyethylene glycol, povidone, pregelatinized starch, sodium alginate, sodium lauryl sulfate, titanium dioxide, triacetin, vanillin, FD&C Blue No. 1 Aluminum Lake, FD&C Yellow No. 6 Aluminum Lake and D&C Yellow No. 10 Aluminum Lake. CLINICAL PHARMACOLOGY Cimetidine competitively inhibits the action of histamine at the histamine H receptors of the parietal cells and thus is a histamine H -receptor antagonist. Cimetidine is not an anticholinergic agent. Studies have shown that cimetidine inhibits both daytime and nocturnal basal gastric acid secretion. Cimetidine also inhibits gastric acid secretion stimulated by food, histamine, pentagastrin, caffeine and insulin. ANTISECRETORY ACTIVITY 1) Acid Secretion _NOCTURNAL_ An 800 mg oral dose of cimetidine at bedtime reduces mean hourly H activity by greater than 85% over an 8-hour period in duodenal ulcer patients, with no effect on daytime acid secretion. A 1600 mg oral dose of cimetidine at bedtime produces 100% inhibition of mean hourly H activity over an 8-hour period in duodenal ulcer patients, but also reduces H activity by 35% for an additional 5 hours into the following morning. Cimetidine given as 400 mg twice daily and 300 mg 4 times daily decreases nocturnal acid sec Llegiu el document complet