Ranitidine Syrup

— THERAPEUTIC CATEGORIES —
  • Hyperacidity, GERD, and ulcers

Ranitidine Syrup Generic Name & Formulations

General Description

Ranitidine (as HCl) 15mg/mL; peppermint flavor; contains alcohol 7.5%.

Pharmacological Class

H2 blocker.

How Supplied

Tabs, syrup—contact supplier; Inj single dose (2mL)—10; Multidose (6mL)—1; Premixed (50mL)—24

Ranitidine Syrup Indications

Indications

Active duodenal or benign gastric ulcer. Maintenance of healing of duodenal or gastric ulcer. Pathological hypersecretory conditions (eg, Zollinger-Ellison syndrome and systemic mastocytosis). GERD. Erosive esophagitis. Maintenance of healing of erosive esophagitis.

Ranitidine Syrup Dosage and Administration

Adult

>16yrs: Active duodenal ulcer: 150mg twice daily or 300mg once daily after evening meal or at bedtime for up to 8wks; maintenance: 150mg at bedtime. Active benign gastric ulcer, hypersecretory conditions or GERD: 150mg twice daily; max 6g daily in hypersecretory conditions. Maintenance of healing of gastric ulcer: 150mg at bedtime. Limit to 6wks in benign gastric ulcer. Esophagitis: 150mg 4 times daily; reevaluate after 12wks; maintenance of healing of erosive esophagitis: 150mg twice daily. Renal impairment (CrCl <50mL/min): 150mg every 24hrs or more often if needed. Coincide a dose for end of hemodialysis. May give antacids concomitantly.

Children

<1month: not recommended. ≥1month–16yrs: Treatment of duodenal or gastric ulcers: 2–4mg/kg per day in two divided doses; max 300mg/day. Maintenance of healing of duodenal or gastric ulcers: 2–4mg/kg per day once daily; max 150mg/day. GERD, erosive esophagitis: 5–10mg/kg per day usually in two divided doses. Renal impairment (CrCl <50mL/min): reduce dose; see full labeling.

Ranitidine Syrup Contraindications

Not Applicable

Ranitidine Syrup Boxed Warnings

Not Applicable

Ranitidine Syrup Warnings/Precautions

Warnings/Precautions

History of acute porphyria: not recommended. Renal impairment: reduce dose. Hepatic dysfunction. Discontinue if hepatic disorders occur. Monitor SGPT if on high-dose IV therapy for ≥5 days. Pregnancy (Cat.B). Nursing mothers.

Ranitidine Syrup Pharmacokinetics

See Literature

Ranitidine Syrup Interactions

Interactions

May increase triazolam, midazolam, glipizide, procainamide levels. May decrease ketoconazole, atazanavir, delaviridine, gefitnib levels. Monitor anticoagulants. May cause false (+) urine protein test with Multistix.

Ranitidine Syrup Adverse Reactions

Adverse Reactions

Headache, GI disturbances, jaundice, hepatitis, rash; rare: CNS disturbances, arrhythmias, blurred vision, arthralgia, myalgia, inj site reactions, blood dyscrasias, anaphylaxis, angioneurotic edema, acute interstitial nephritis, bradycardia with rapid administration (IV); increased risk of pneumonia (see full labeling).

Ranitidine Syrup Clinical Trials

See Literature

Ranitidine Syrup Note

Not Applicable

Ranitidine Syrup Patient Counseling

See Literature