cimetin 200mg tablet - Uses, Price, Side Effects & Substitutes
What is cimetin 200mg tablet used for?
Acitak (Cimetidine) is used to treat GASTRO INTESTINAL. It contains Cimetidine (200mg), which Competitive antagonist of histamine at H2 receptors, reducing gastric acid secre. Always consult your doctor before use. Take as prescribed.
- Generic Name: Cimetidine
- Manufacturer: PCI Pharmaceuticals
- Form: Allopathy
- Pregnancy Category: A
- Prescription Required: Yes
๐ cimetin 200mg tablet Uses & Benefits
Duodenal ulcer, gastric ulcer, gastroesophageal reflux disease (GERD), Zollinger-Ellison syndrome, prevention of stress ulcers, prophylaxis of aspiration pneumonitis.
Off-label uses: Hirsutism (due to antiandrogen effects), chronic urticaria, adjunct in cancer immunotherapy (due to immunomodulation).
๐ Drug Information
| Generic Name(s) | Cimetidine |
| Brand Name | Acitak |
| Manufacturer | PCI Pharmaceuticals |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GASTRO INTESTINAL |
| Action Class | H2 Receptor Blocker |
| Route of Administration | Oral, intravenous, intramuscular. |
| Storage | Store at room temperature (20-25ยฐC); protect from light and moisture. |
| Shelf Life | As per manufacturer |
๐ฌ Pharmacology (PK/PD)
Pharmacokinetics
How It Works
Competitive antagonist of histamine at H2 receptors, reducing gastric acid secretion.
Mechanism Steps
๐ก How to Take cimetin 200mg tablet
Follow your doctor's prescription exactly.
โ ๏ธ Side Effects of cimetin 200mg tablet
โ Common Side Effects
- Headache
- Dizziness
- Diarrhea
- Constipation
- Nausea
- Vomiting
- Rash
๐จ Serious Side Effects
- Confusion
- Hallucinations
- Seizures
- Arrhythmias
- Hepatitis
- Interstitial nephritis
- Agranulocytosis
- Thrombocytopenia
- Pancreatitis
โ ๏ธ Rare Side Effects
- Gynecomastia
- Impotence
- Loss of libido
- Alopecia
- Myalgia
- Arthralgia
- Fever
Consult your doctor if you experience any unusual symptoms.
๐ฌ Drug Interactions
| โ ๏ธ Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | Increased INR and bleeding risk due to inhibition of warfarin metabolism. |
| Theophylline | Major | Increased theophylline levels, risk of toxicity. |
| Phenytoin | Major | Increased phenytoin levels, risk of toxicity. |
| Lidocaine | Major | Increased lidocaine levels, risk of cardiotoxicity. |
| Quinidine | Major | Increased quinidine levels, risk of arrhythmias. |
| Propranolol | Major | Increased propranolol levels, enhanced beta-blockade. |
| Metoprolol | Major | Increased metoprolol levels, enhanced beta-blockade. |
| Carbamazepine | Major | Increased carbamazepine levels, risk of toxicity. |
| Tricyclic antidepressants | Major | Increased TCA levels, risk of anticholinergic effects. |
| Benzodiazepines | Major | Increased benzodiazepine levels, enhanced sedation. |
| Calcium channel blockers | Moderate | Increased CCB levels, enhanced hypotensive effect. |
| Sulfonylureas | Moderate | Increased sulfonylurea levels, risk of hypoglycemia. |
| Metformin | Moderate | Increased metformin levels, risk of lactic acidosis. |
| Procainamide | Moderate | Increased procainamide levels, risk of arrhythmias. |
| Flecainide | Moderate | Increased flecainide levels, risk of arrhythmias. |
| Morphine | Moderate | Increased morphine levels, enhanced respiratory depression. |
| Caffeine | Moderate | Increased caffeine levels, enhanced stimulant effects. |
| Alcohol | Moderate | Increased blood alcohol levels, enhanced intoxication. |
| Antacids | Minor | Reduced absorption of cimetidine if taken simultaneously; separate by 1 hour. |
| Sucralfate | Minor | Reduced absorption of cimetidine; separate by 1 hour. |
| Ketoconazole | Minor | Reduced absorption of ketoconazole due to increased gastric pH. |
| Itraconazole | Minor | Reduced absorption of itraconazole due to increased gastric pH. |
| Tetracyclines | Minor | Reduced absorption of tetracyclines due to increased gastric pH. |
| Iron supplements | Minor | Reduced absorption of iron due to increased gastric pH. |
๐จ Major Interactions
- Warfarin
- Theophylline
- Phenytoin
- Lidocaine
- Quinidine
- Propranolol
- Metoprolol
- Carbamazepine
- Tricyclic antidepressants
- Benzodiazepines (e.g., diazepam, chlordiazepoxide)
โก Moderate Interactions
- Calcium channel blockers (e.g., nifedipine)
- Sulfonylureas (e.g., glipizide)
- Metformin
- Procainamide
- Flecainide
- Morphine
- Caffeine
- Alcohol
โน๏ธ Minor Interactions
- Antacids
- Sucralfate
- Ketoconazole
- Itraconazole
- Tetracyclines
- Iron supplements
๐ฝ๏ธ Food Interactions
Food may delay absorption but does not significantly affect bioavailability; avoid high-protein meals as they may increase gastric acid stimulation.
๐ท Alcohol Interaction
Cimetidine may increase blood alcohol levels by inhibiting alcohol dehydrogenase; avoid alcohol.
๐ก๏ธ Safety & Warnings
๐ซ Contraindications
Hypersensitivity to cimetidine or any component; use with caution in elderly, renal impairment, hepatic impairment.
๐ Monitoring Parameters
Gastric pH, renal function, hepatic function, CBC, drug levels for interacting medications (e.g., warfarin, theophylline).
๐คฑ Lactation Safety
Cimetidine is excreted in breast milk; caution advised; alternative agents preferred.
๐ Overdose Management
Supportive care; activated charcoal if recent ingestion; monitor vital signs and ECG; dialysis may be effective.
โฐ Missed Dose
Take as soon as remembered; if near next dose, skip missed dose; do not double dose.
๐จโโ๏ธ Reviewed by Expert
๐ Substitutes for cimetin 200mg tablet
View AllAlternative brands with exact same active ingredient (Cimetidine (200mg)):
-
tymidin 200mg tabletAbbott โน6.94 63.5% CHEAPER
-
cimetiget 200mg tabletFranco-Indian Pharmaceuticals Pvt Ltd โน6.97 63.3% CHEAPER
-
Tagasec 200mg TabletTaj Pharma India Ltd โน9.09 52.2% CHEAPER
-
ulciban 200mg tabletTorrent Pharmaceuticals Ltd โน12.05 36.6% CHEAPER
Medical Note: Always consult your doctor before switching medications.