Ranitidine bismuth citrate


Concise Prescribing Info
Indications/Uses
Listed in Dosage.
Dosage/Direction for Use
Adult : PO Gastric and duodenal ulcers 400 mg bid for 4-8 wk. Benign gastric ulcer 400 mg bid for 8 wk. Eradication of H. pylori associated w/ peptic ulcer disease As triple therapy (ranitidine bismuth citrate 400 mg, clarithromycin 500 mg and amoxicillin 1000 mg): Taken bid for 7 days.
Dosage Details
Oral
Gastric and duodenal ulcers
Adult: 400 mg bid for 4-8 wk.

Oral
Benign gastric ulcer
Adult: 400 mg bid for 8 wk.

Oral
Eradication of H. pylori associated with peptic ulcer disease
Adult: As triple therapy (ranitidine bismuth citrate 400 mg, clarithromycin 500 mg and amoxicillin 1000 mg): Taken bid for 7 days.
Administration
Should be taken with food. Swallow whole, do not chew/crush.
Contraindications
Moderate to severe renal impairment.
Special Precautions
Exclude malignancy prior to therapy. Renal impairment. Elderly, childn. Pregnancy and lactation.
Adverse Reactions
Blackening of tongue and stools; GI upset, headache, mild anaemia, bradycardia, altered liver enzymes. Rarely, hypersensitivity, confusion, hepatitis, pancreatitis, blood dyscrasias, musculoskeletal disorders, male breast symptoms.
Action
Description: Ranitidine bismuth citrate dissociates in the stomach and releases ranitidine and bismuth. It provides a unique combination of properties including inhibition of secretion of gastric acid by competitive antagonism of the action of histamine at the histamine H2-receptor on the gastric parietal cell, mucosal protective effects and anti-H. pylori action.
Chemical Structure

Chemical Structure Image
Ranitidine bismuth citrate

Source: National Center for Biotechnology Information. PubChem Database. Ranitidine bismuth citrate, CID=3033887, https://pubchem.ncbi.nlm.nih.gov/compound/Ranitidine-bismuth-citrate (accessed on Jan. 22, 2020)

References
Buckingham R (ed). Ranitidine Bismuth Citrate. Martindale: The Complete Drug Reference [online]. London. Pharmaceutical Press. https://www.medicinescomplete.com. Accessed 17/06/2015.

Disclaimer: This information is independently developed by MIMS based on Ranitidine bismuth citrate from various references and is provided for your reference only. Therapeutic uses, prescribing information and product availability may vary between countries. Please refer to MIMS Product Monographs for specific and locally approved prescribing information. Although great effort has been made to ensure content accuracy, MIMS shall not be held responsible or liable for any claims or damages arising from the use or misuse of the information contained herein, its contents or omissions, or otherwise. Copyright © 2020 MIMS. All rights reserved. Powered by MIMS.com
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