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Ranitidine: Uses, Side Effects, and Safety Information

Published: July 22, 2026Updated: July 22, 2026

Ranitidine is a histamine H2-blocker that reduces stomach acid. It was used to treat acid reflux, gastroesophageal reflux disease (GERD), peptic ulcers, and certain other stomach-acid conditions. In many countries, ranitidine is no longer available because of concerns about a contaminant called N-nitrosodimethylamine (NDMA).

Quick summary

Ranitidine can reduce stomach acid, but it has been withdrawn from sale in many countries because of possible NDMA contamination. Do not start leftover or online ranitidine without advice from a doctor or pharmacist.

Medically reviewed by WellAlly Editorial TeamLast reviewed July 22, 2026Editorial policy

Key facts at a glance

ATC
A02BA02
Generic
Ranitidine
Class
h2-blocker
Brands
Zantac
Availability
behind_counter
Pregnancy
B
Lactation
caution
Half-life (h)
2.5
Onset (min)
60
Duration (h)
12
Routes
oral
Forms
tablet
Regions
CN, US, EU, 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: Single dose above 10 grams may cause serious toxicity
Chronic overdose: Prolonged use at high doses may cause cumulative effects including CNS symptoms and electrolyte imbalances
Immediate actions
gastric lavage within 1-2 hours if large dose ingested, activated charcoal, supportive care
Antidote
none(no specific antidote available; supportive care is primary treatment)
Poison Control: 1-800-222-1222

Special Populations

8 groups
⚠

pregnancy

first trimester
caution
FDA Category
B
Dose Adjustment

no specific adjustment

Key Recommendations

use only if clearly needed, benefits must outweigh potential risks

Monitor

standard prenatal care

Use with caution and monitor for adverse effects.

⚠

pregnancy

second trimester
caution
FDA Category
B
Dose Adjustment

no specific adjustment

Key Recommendations

continue if already taking for therapeutic need

Monitor

standard prenatal care

Use with caution and monitor for adverse effects.

⚠

pregnancy

third trimester
caution
FDA Category
B
Dose Adjustment

no specific adjustment

Key Recommendations

use lowest effective dose

Monitor

standard prenatal care

Use with caution and monitor for adverse effects.

✓

lactation

breastfeeding
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

compatible with breastfeeding, infant exposure minimal

Monitor

no specific monitoring required

⚠

geriatric

elderly
caution
FDA Category
N
Dose Adjustment

no dose adjustment for age alone

Key Recommendations

use with caution due to increased risk of side effects, monitor renal function

Monitor

periodic renal function assessment

Use with caution and monitor for adverse effects.

⚠

pediatric_age

infants and children
caution
FDA Category
N
Dose Adjustment

weight-based dosing required

Key Recommendations

use approved pediatric formulation, do not exceed recommended doses

Monitor

monitor growth parameters with long-term use

Use with caution and monitor for adverse effects.

⚠

renal_impairment

severe renal impairment
caution
FDA Category
N
Dose Adjustment

reduce dose by 50%

Key Recommendations

adjust dose in patients with CrCl less than 50 mL/min

Monitor

monitor renal function periodically

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

severe hepatic impairment
caution
FDA Category
N
Dose Adjustment

no significant dose adjustment required

Key Recommendations

use with caution in severe hepatic impairment

Monitor

monitor for altered drug metabolism

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

Commonly prescribed since

Value:1980s

General prescribing information

drug_classWHO
2023

Drug class

Value:H2 receptor antagonist

Drug class information

usageMedical guidelines
2023

Common uses

Value:Heartburn, acid reflux, gastroesophageal reflux disease (GERD), peptic ulcers

Common therapeutic uses

safetyFDA
2023

Market status

Value:Withdrawn from market

Safety and regulatory information

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 22, 2026. · Read our editorial policy