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Pepcid vs. Calcium carbonate/magnesium hydroxide

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Famotidine (Pepcid AC, Zantac 360) and calcium carbonate/magnesium hydroxide (Rolaids) are both used to treat heartburn, but they work differently and have different uses. Famotidine is a histamine-2 (H2) antagonist that reduces the amount of acid your stomach makes, and it can be used for conditions like stomach ulcers and GERD. It is available both over-the-counter and by prescription, and it usually needs to be taken twice a day. Common side effects include headache, dizziness, and constipation. On the other hand, Rolaids is an antacid that works by neutralizing stomach acid quickly to relieve heartburn and indigestion. It is available over-the-counter and is taken as needed, but it doesn't last as long as famotidine. Rolaids can interact with other medications and may cause high blood calcium levels, especially if you have kidney problems. While famotidine is generally well-tolerated, Rolaids provides faster relief but is not meant for long-term use.

Famotidine

(Pepcid)

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Rolaids

 

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Summary for Pepcid

Prescription or over-the-counter

Famotidine (Pepcid) is a type of acid reducer called a histamine-2 (H2) antagonist. It helps treat problems caused by too much stomach acid. Over-the-counter famotidine (Pepcid or Pepcid AC) can help with heartburn in people who are 12 and up. Prescription-only famotidine is for people with more ongoing stomach acid problems and stomach or gut ulcers. This medication is taken by mouth once or twice a day. It usually starts to work within an hour and lasts several hours. Side effects include headache, dizziness, and constipation.

Indications for Pepcid

Pros and Cons for Pepcid

Pros

Cons

Common Side Effects for Pepcid

Warnings for Pepcid

  • Confusion and other side effects related to the nervous system in some people
  • Masking of possible stomach cancer

Summary for Calcium carbonate/magnesium hydroxide

Over-the-counter

Rolaids is a combination medication containing calcium and magnesium. It provides fast symptom relief for heartburn and indigestion.

Indications for Calcium carbonate/magnesium hydroxide

  • Heartburn
  • Indigestion
  • Relief of sour stomach

Pros and Cons for Calcium carbonate/magnesium hydroxide

Pros

  • Provides fast relief for heartburn and indigestion
  • Can buy over the counter (OTC), without a prescription
  • There are tablets and soft chews in a variety of flavors (Rolaids brand)

Cons

  • Doesn't last as long as other heartburn medications, like famotidine (Pepcid) and omeprazole (Prilosec)
  • Not meant for long-term use
  • Interacts with the absorption of some other medications, such as certain antibiotics

Common Side Effects for Calcium carbonate/magnesium hydroxide

See Risks and Warnings

Warnings for Calcium carbonate/magnesium hydroxide

  • Medication interactions
  • High blood calcium

Prices with our coupons for Pepcid vs. Calcium carbonate/magnesium hydroxide

Price Card Drug Icon
Famotidine60 tablets / 20mg
$12.25$15.40
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Price Card Drug Icon
Calcium Carbonate/Magnesium Hydroxide30 chewable tablets / 675mg/135mg
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