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Famotidine

Published: July 26, 2026Updated: July 26, 2026

Famotidine is an H2 receptor antagonist that reduces stomach acid production by blocking histamine signals, treating peptic ulcers, GERD, and other related conditions.

Quick summary

Famotidine is an acid-reducing medication that treats ulcers, GERD, and heartburn by blocking H2 receptors to decrease stomach acid production.

Medically reviewed by WellAlly Editorial TeamLast reviewed July 26, 2026Editorial policy

Key facts at a glance

ATC
A02BA03
RxNorm
4278
Generic
Famotidine
Class
atc-a02
Brands
Calmicid, Duexis, Duo Fusion, Pepcid, Zantac Reformulated Aug 2022, Pepcid Complete, Tums Dual Action
Availability
rx
Lactation
unknown
Routes
oral
Forms
injection, tablet, solution, suspension
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
500mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
250mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
400mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Doses above 6400 mg have been reported to cause toxicity in some patients
Chronic overdose: Long-term use at supratherapeutic doses may cause vitamin B12 deficiency and increased risk of infections
Immediate actions
Activated charcoal within 1-2 hours of ingestion, gastric lavage if large amount consumed within 1 hour, supportive care, monitor vital signs
Antidote
No specific antidote exists(Supportive care is the primary treatment; no antidote needed in most cases)
Poison Control: 1-800-222-1222

Special Populations

7 groups
⚠

pregnancy

all trimesters
caution
FDA Category
B
Dose Adjustment

no adjustment needed

Key Recommendations

use only if clearly needed and benefits outweigh risks

Monitor

standard prenatal care

Use with caution and monitor for adverse effects.

⚠

lactation

breastfeeding
caution
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

use with caution; small amounts excreted in breast milk

Monitor

monitor infant for gastrointestinal disturbances

Use with caution and monitor for adverse effects.

✓

geriatric

elderly
safe
FDA Category
N
Dose Adjustment

reduce dose in renal impairment

Key Recommendations

use standard dosing; assess renal function before initiating

Monitor

monitor renal function periodically

✓

pediatric_age

children 1 month to 16 years
safe
FDA Category
B
Dose Adjustment

weight-based dosing required

Key Recommendations

approved for pediatric use; follow weight-based dosing guidelines

Monitor

monitor for adverse effects

⚠

renal_impairment

mild to moderate
caution
FDA Category
N
Dose Adjustment

reduce dose by 50%

Key Recommendations

adjust dose based on creatinine clearance; avoid in severe renal impairment if possible

Monitor

monitor renal function regularly

Use with caution and monitor for adverse effects.

⚠

renal_impairment

severe
caution
FDA Category
N
Dose Adjustment

reduce dose by 75% or avoid

Key Recommendations

use with extreme caution; consider alternative therapy

Monitor

frequent monitoring of renal function and drug levels

Use with caution and monitor for adverse effects.

✓

hepatic_impairment

mild to moderate
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

no major dose adjustment required; use standard dosing

Monitor

standard monitoring

Statistics and clinical data

drug_classWHO
2023

Drug class

Value:H2 receptor antagonist

Famotidine belongs to the H2 receptor antagonist class of drugs

prescribingFDA
2023

FDA approval year

Value:1986

FDA approved Famotidine for medical use

usageMedical guidelines
2023

Common therapeutic uses

Value:Heartburn, GERD, peptic ulcers, erosive esophagitis

Primary indications for Famotidine prescription

mechanismPharmacological literature
2023

Mechanism of action

Value:H2 receptor blockade - reduces gastric acid secretion

How Famotidine works to reduce stomach acid

Famotidine is used to treat and prevent peptic ulcers (both gastric and duodenal), gastroesophageal reflux disease (GERD), heartburn, and conditions associated with excessive stomach acid secretion.

Famotidine works as a competitive antagonist at histamine H2 receptors on gastric parietal cells, preventing histamine from stimulating acid production and thereby reducing both the volume and concentration of gastric secretions.

Famotidine may affect the absorption of certain medications that require stomach acid for optimal absorption. It is available both by prescription and over-the-counter. Patients should follow dosage instructions carefully and consult a healthcare provider if symptoms persist.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed July 26, 2026. · Read our editorial policy