Pulmonary - Critical Care Associates
of East Texas

Jeffrey M. Shea, M.D., F.C.C.P.
                              Catherine M. Martinez, M.D.

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TAGAMET TABLET
Generic Name: CIMETIDINE (sigh-MET-uh-deen)

COMMON BRAND NAME(S): Tagamet

USES: This medication blocks secretion of acid from the stomach.  It is used to treat and prevent ulcers, to treat gastroesophageal reflux disorder (GERD) and to treat conditions associated with excessive acid secretion such as heartburn or sour stomach.

HOW TO TAKE THIS MEDICATION: This medication is taken by mouth.  Take this as directed. Do not increase your dose, take this more often than prescribed or stop taking this without first consulting your doctor. If you are taking antacids in addition to this medication, stagger the doses so they are not taken at the same time. Try to space dosing of this medication and antacids by at least 2 hours.

SIDE EFFECTS: Headache, fatigue, dizziness, loss of appetite, sleepiness, dry skin or dry mouth may occur as your body adjusts to the medication. Hair loss, increased sweating, anxiety, change in sex drive, breast enlargement in males and change in taste perceptions may also occur. If any of these effects continue or become bothersome, inform your doctor. Notify your doctor if you develop a skin rash, hives, a change in heartbeat, jaundice, diarrhea, mental confusion, depression, difficulty walking, vision changes, trouble urinating, joint or muscle pain, ringing in the ears or breathing difficulty while taking this medication.

Notify your doctor immediately if you notice black, tarry stools or "coffee ground" vomit which may suggest bleeding.

PRECAUTIONS: This medication should be used only if clearly needed during pregnancy. Discuss the risks and benefits with your doctor. Since small amounts of this medication are found in breast milk, consult your doctor before breast-feeding. Tell your doctor if you have any pre-existing liver disease, kidney disease or any allergies. Elderly persons may be more sensitive to the effects of this medication. Do not change your dose without your doctor's approval.

DRUG INTERACTIONS: This medication can affect how your body responds to other medications. It is important to tell your doctor of any over-the-counter or prescription medication you may take including antacids, alcohol, heart medication, blood thinners, medication for anxiety, blood pressure, seizures, diabetes, asthma, depression, narcotic pain relievers, ketoconazole and itraconazole.

Cigarette smoking can affect this medication. Tell your doctor if you smoke and if you stop or start smoking while using this medication.

This medication is available in both prescription and over-the-counter formulations. Do not take both at the same time.

NOTES: For best results, this medication is often used along with lifestyle changes such as stress-reduction programs, exercise and dietary changes. Talk to your health care professional about changes that you can benefit from. Laboratory tests may be done periodically while taking this medication to monitor results and prevent side effects.

MISSED DOSE: If you miss a dose, take it as soon as remembered; do not take it if it is near the time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.

STORAGE: Store at room temperature between 59 and 86 degrees F (15 to 30 degrees C) away from heat and light. Do not store in the bathroom.

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