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H2 Blockers

- Summary
- About H2 blockers
- Conditions treated
- Conditions of concern
- Potential side effects
- Drug or other interactions
- Lifestyle considerations
- Symptoms of overdose
- Pregnancy use issues
- Child use issues
- Elderly use issues
- Questions for your doctor

Reviewed By:
Vikram Tarugu, M.D., AGA, ACG
David Friedel, M.D., AGA

Pregnancy use issues with H2 blockers

Women who are pregnant should not take H2 blockers without first consulting a physician about whether or not the potential risks of taking such drugs outweigh the benefits. Studies on the effects of H2 blockers have not been performed on pregnant or nursing women. However, famotidine, nizatidine and ranitidine have been shown to cause birth defects and other problems in animal studies. These drugs have been shown to pass into breast milk and may cause unwanted effects in newborns, such as decreased production of stomach acid and increased excitability.

Child use issues with H2 blockers

The safety of using H2 blockers in children has not been conclusively established, although new research indicates that premature infants who are given the drugs may have a slightly increased risk of developing necrotizing enterocolitis, a life-threatening bowel infection. However, evidence suggests that other children who take these drugs do not experience adverse events that are significantly different from those experienced by adults. Thus, the decision to use H2 blockers should be made on an individual basis, after careful consideration of risks, benefits and alternatives for that particular child.

Elderly use issues with H2 blockers

Elderly adults may experience increased side effects associated with the central nervous system, including confusion and dizziness. In addition, dosage levels may have to be adjusted for elderly patients who have kidney disease.

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Review Date: 01-28-2007
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