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Zantac vs. Calcium carbonate/magnesium hydroxide

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

Key takeaways

Ranitidine (Zantac) and Rolaids (calcium carbonate/magnesium hydroxide) are both used to treat heartburn, but they belong to different medication classes. Ranitidine is a histamine H2 antagonist that was also used for stomach and intestinal ulcers and gastroesophageal reflux disease (GERD) before it was discontinued in the U.S. due to safety concerns. Rolaids, on the other hand, is an antacid that provides fast relief for heartburn and indigestion by neutralizing stomach acid. Ranitidine was available in oral and injectable forms, while Rolaids is available over-the-counter as chewable tablets. Ranitidine is no longer available due to a recall, whereas Rolaids can still be purchased without a prescription. Rolaids may interact with other medications by affecting their absorption, and it can cause high blood calcium levels, especially in people with certain health conditions. In contrast, ranitidine was recalled due to the presence of NDMA, a potential cancer-causing impurity.

Summary for Zantac

Prescription only

Ranitidine is an H2 blocker that reduces the amount of acid the stomach produces. It's used to treat conditions like gastroesophageal reflux disease (GERD) and ulcers. It was recalled in 2020 due to safety concerns about a chemical impurity, but it has since been reformulated and is now back on the market. Your dose depends on why you’re taking it, but it’s usually taken by mouth one to four times a day. Side effects include headache, dizziness, and feeling tired.

Indications for Zantac

Pros and Cons for Zantac

Pros

  • Reduces stomach acid for ulcers and GERD
  • Can be used in adults and children
  • Works pretty quickly, within hours for GERD

Cons

  • Might need to take multiple times a day
  • Interacts with many medications
  • Not as strong as PPIs for severe symptoms

Common Side Effects for Zantac

  • Headache
  • Tiredness
  • Dizziness
  • Diarrhea
  • Constipation
  • Stomach pain
  • Nausea

Warnings for Zantac

  • Risk of hiding symptoms of a more serious problem
  • Medication interactions
  • Allergic reactions

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 Zantac vs. Calcium carbonate/magnesium hydroxide

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Ranitidine60 tablets / 150mg
$17.86$458.13
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Price Card Drug Icon
Calcium Carbonate/Magnesium Hydroxide30 chewable tablets / 675mg/135mg
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