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Summary of Symptoms

Confusion/disorientation
Pepcid AC Maximum Strength may cause confusion/disorientation.
Depression/mood changes
Pepcid AC Maximum Strength may cause symptoms that are related to depression/mood changes

       
 
Confusion/disorientation
Pepcid AC Maximum Strength (famotidine) may cause confusion/disorientation.

This drug may also cause the following symptoms that are related to confusion/disorientation:

  • Delirium. This symptom may occur in elderly people with more than one significant medical problem
  • Depression
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Note: Original Source for Medical Professionals
Nervous system side effects have included headache (1% to 4.7%) and dizziness (1.3%). Grand mal seizures, paresthesia, and somnolence have been reported infrequently. Lethargy, confusion, psychosis, and agitation have been reported. Delirium has been reported, which reversed upon drug withdrawal. Convulsions, in patients with impaired renal function, have been reported very rarely.

Confusion, lethargy, delirium, psychosis, agitation, seizures and somnolence have been reported, particularly in elderly patients and patients with multiple medical problems. The frequency of such reactions may be greater than previously believed. The FDA has accumulated 72 reported cases of such central nervous system reactions. All H2-blockers cross the blood-brain barrier and are found in the cerebrospinal fluid.

Psychiatric side effects including depression, anxiety, insomnia, hallucinations, and decreased libido have been reported.

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using famotidine and call your doctor at once if you have a serious side effect such as: easy bruising or bleeding; fast or pounding heartbeat; confusion, hallucinations, seizure; numbness or tingly feeling; or jaundice (yellowing of the skin or eyes). Less serious side effects may include: nausea, vomiting, diarrhea, constipation; dry mouth; dizziness, weakness, mood changes; headache; or muscle cramps, joint pain. This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

REFERENCE +

  1. Safety profile of H2-receptor antagonists: current status of famotidine. Levine JB J Int Med Res 1989;17 Suppl 1:a48-53.
  2. Central nervous system reactions to histamine-2 receptor blockers. Cantu TG, Korek JS Ann Intern Med 1991;114:1027-34.
  3. Famotidine-associated central nervous system reactions and plasma and cerebrospinal drug concentrations in neurosurgical patients with renal failure. Yoshimoto K, Saima S, Echizen H, Nakamura Y, Kondo T, Yagishita Y, Ishizaki T Clin Pharmacol Ther 1994;55:693-700.
  4. Famotidine-associated mental status changes. Rodgers PT, Brengel GR Pharmacotherapy 1998;18:404-7.
  5. Product Information. Pepcid (famotidine). Anonymous Merck & Co, Inc, West Point, PA. PROD;
  6. Delirium following a switch from cimetidine to famotidine. Yuan RY, Kao CR, Sheu JJ, Chen CH, Ho CS Ann Pharmacother 2001;35:1045-8.
  7. Central nervous system reactions associated with famotidine: Report of five cases. Odeh M, Oliven A J Clin Gastroenterol 1998;27:253-4.
  8. H-2 blocker delirium. Picotte-Pillmayer D, DiMaggio JR, Baile WF Psychosomatics 1995;36:74-7.
  9. Famotidine-associated delirium - a series of six cases. Catalano G, Catalano MC, Alberts VA Psychosomatics 1996;37:349-55.
 
       
 
       
 
Depression/mood changes
Pepcid AC Maximum Strength (famotidine) may cause the following symptoms that are related to depression/mood changes:
  • Depression.
  • Mood disturbances
Hide SOURCE +

Note: Original Source for Medical Professionals
Psychiatric side effects including depression, anxiety, insomnia, hallucinations, and decreased libido have been reported.

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using famotidine and call your doctor at once if you have a serious side effect such as: easy bruising or bleeding; fast or pounding heartbeat; confusion, hallucinations, seizure; numbness or tingly feeling; or jaundice (yellowing of the skin or eyes). Less serious side effects may include: nausea, vomiting, diarrhea, constipation; dry mouth; dizziness, weakness, mood changes; headache; or muscle cramps, joint pain. This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

REFERENCE +

  1. Product Information. Pepcid (famotidine). Anonymous Merck & Co, Inc, West Point, PA. PROD;
 
       
 
 
NOTE: Just because a drug or combination of drugs can cause a symptom does not mean it is actually causing your symptom. Symptoms can be caused by medical conditions as well. Make sure that your physician is aware of any symptoms you are experiencing so he/she can work with you to determine the cause. Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.
DISCLAIMER: Please note that the information DoubleCheckMD.com provides is intended to help individuals to work with their medical professionals and is for educational purposes only. It does not constitute medical or healthcare advice and serves to supplement, not substitute for, the expertise and judgment of a healthcare professional. In all cases individuals should consult with a physician before taking any action based on DoubleCheckMD feedback including, but not limited to ceasing taking any drug, changing diet or commencing or discontinuing any course of treatment. The information provided by DoubleCheckMD.com is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that the use of a particular drug is safe, appropriate or effective.


 
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