What should I watch for?
Tell your doctor or health care professional if your condition does not start to get better or if it gets worse. Finish the full course of tablets prescribed, even if you feel better.
Do not smoke cigarettes or drink alcohol. These cause irritation in your stomach and can increase the time it will take for ulcers to heal.
If you get black, tarry stools or vomit up what looks like coffee grounds, call your doctor or health care professional at once. You may have a bleeding ulcer.
This medicine may cause a decrease in vitamin B12. You should make sure that you get enough vitamin B12 while you are taking this medicine. Discuss the foods you eat and the vitamins you take with your health care professional.
Common and Rare Side Effects
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor as soon as possible if any of the following side effects occur:
back, leg, or stomach pain
bleeding or crusting sores on lips
blistering, burning, redness, scaling, or tenderness of skin
blisters on palms of hands and soles of feet
changes in vision or blurred vision
coughing or difficulty in swallowing
fast, pounding, or irregular heartbeat
fever and/or chills
general feeling of discomfort or illness
inflammation of blood vessels
muscle cramps or aches
nausea, vomiting, or loss of appetite
peeling or sloughing of skin
red or irritated eyes
shortness of breath
skin rash or itching
sores, ulcers, or white spots on lips, in mouth, or on genitals
sudden difficult breathing
swelling of face, lips, mouth, tongue, or eyelids
swelling of hands or feet
swollen or painful glands
tightness in chest
unusual bleeding or bruising
unusual tiredness or weakness
unusually slow or irregular breathing
yellow eyes or skin
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
Less common or rare
decrease in sexual desire
decreased sexual ability (especially in patients with Zollinger-Ellison disease who have received high doses of cimetidine for at least 1 year)
dryness of mouth or skin
increased or decreased urination
loss of hair
ringing or buzzing in ears
swelling of breasts or breast soreness in females and males
trouble in sleeping
Not all of the side effects listed above have been reported for each of these medicines, but they have been reported for at least one of them. All of the H2-blockers are similar, so any of the above side effects may occur with any of these medicines.
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.