Pastel Tablet 20 mg (Famotidine)

Adult dose

For gastric and duodenal ulcers, anastomotic ulcers, upper gastrointestinal bleeding, gastroesophageal reflux disease, Zollinger-Ellison syndrome: Famotidine 20 mg orally twice a day (after breakfast and dinner or at bedtime) or 40 mg once a day (at bedtime). For upper gastrointestinal bleeding, start treatment with an injectable form and switch to oral dosing thereafter. For acute gastritis and acute exacerbation of chronic gastritis: Famotidine 10 mg.

This drug should not be used by patients who are allergic to certain ingredients or have hereditary lactose metabolism disorders. Patients with renal or liver dysfunction, those with heart disease, and the elderly should use this drug with caution. Serious side effects such as allergic reactions, blood anomalies, severe skin conditions, liver dysfunction, muscle damage, cardiac rhythm abnormalities, changes in consciousness, and kidney issues may occur during use, necessitating careful observation. This medication dissolves in the mouth but is not absorbed through the mucosa, so it must be swallowed with water. Patients undergoing hemodialysis should be cautious, as the effectiveness of this medication may decrease when used with phosphate binders. Using this medication together with other specific drugs may reduce the effectiveness of this or other medications, so consulting a doctor or pharmacist is essential. Elderly patients may have decreased renal function, so the dosage should be adjusted or the dosing interval extended. Women who are pregnant or may become pregnant should only use this medication carefully when needed and should consider stopping breastfeeding if using it while nursing. Safety in children has not been fully established, so use should be avoided.

Serious side effects

Shock, hypersensitivity (anaphylaxis, dyspnea, generalized flushing, angioedema, urticaria), pancytopenia, agranulocytosis, aplastic anemia, hemolytic anemia, thrombocytopenia, Stevens-Johnson syndrome, Lyell syndrome, liver dysfunction, jaundice, rhabdomyolysis, QT prolongation, ventricular tachycardia, ventricular fibrillation, altered consciousness, seizures, interstitial nephritis, acute renal failure, interstitial pneumonia, contraction failure.

Mild side effects

• Rash
• urticaria
• facial edema
• constipation
• diarrhea
• soft stool
• dry mouth
• nausea
• vomiting
• abdominal bloating

This medication should be stored in a tightly closed container to prevent air or moisture ingress. It is best to maintain the storage temperature between 1°C and 30°C.

Appearance

White round film-coated tablets

Package unit

30 tablets/bottle, 500 tablets/bottle