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What are H2 receptor antagonists?
Reduce acid secretion
All available OTC in lower dosage forms
Most popular drugs for treatment of acid-related disorders
Famotidine (Pepcid)
H2 antagonists mechanism of action:
Competitively block the H2 receptor of acid-producing parietal cells
Reduced hydrogen ion secretion from the parietal cells
Increase in the pH of the stomach
Drug effect of H2 antagonists:
Suppress acid secretion in the stomach
Indications for H2 antagonists
Gastroesophageal reflux disease (GERD)
PUD
Erosive esophagitis
Adjunct therapy to control upper GI bleeding
Zollinger-Ellison syndrome (tumors)
Adverse effects of H2 antagonists:
Overall, very few adverse effects. Remarkably low incidence of adverse effects, less than 3% of cases
CNS adverse effects, including confusion occurs in < 1% but sometimes seen in older adults
H2 antagonist drug interactions:
Smoking has been shown to decrease the effectiveness of H2 blockers.
For best results the H2 blocker should be taken how long before antacids?
1 to 2 hours