Drug search by name

Cimetidine Tablets and Inderal

Determining the interaction of Cimetidine Tablets and Inderal and the possibility of their joint administration.

Check result:

Cimetidine Tablets <> Inderal

Relevance: 15.08.2022 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Using propranolol together with cimetidine can increase the effects of propranolol. This can lower your blood pressure and slow your heart rate. This can cause a slow heartbeat, headaches, dizziness, or feeling like you might pass out. If you take both medications together, tell your doctor if you have any of these symptoms. You may need a dose adjustment or need your blood pressure checked more often if you take both medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Professional:

MONITOR: H2 antagonists such as cimetidine increase plasma concentrations of some oral beta-blockers. The mechanism may be related to inhibition of CYP450 metabolism of hepatically metabolized beta-blockers, and/or inhibition of renal tubular secretion of others. The potential inhibition of CYP450 enzymes by other H2 antagonists (ranitidine, famotidine, nizatidine) is significantly less than that of cimetidine and is not expected to be clinically significant.

MANAGEMENT: Clinical monitoring of patient response and tolerance is recommended when cimetidine is added to or discontinued from a beta-blocker regimen.

References

Kirch W, Rose I, Klingmann I, Pabst J, Ohnhaus EE "Interaction of bisoprolol with cimetidine and rifampicin." Eur J Clin Pharmacol 31 (1986): 59-62
Durant PA, Joucken K "Bronchospasm and hypotension during cardiopulmonary bypass after preoperative cimetidine and labetalol therapy." Br J Anaesth 56 (1984): 917-20
Feely J, Wilkinson GR, Wood AJ "Reduction of liver blood flow and propranolol metabolism by cimetidine." N Engl J Med 304 (1981): 692-5
Duchin KL, Stern MA, Willard DA, McKinstry DN "Comparison of kinetic interactions of nadolol and propranolol with cimetidine." Am Heart J 108 (1984): 1084-6
Hardman JG, Gilman AG, Limbird LE eds. "Goodman and Gilman's the Pharmacological Basis of Therapeutics. 9th ed." New York, NY: McGraw-Hill (1995):
Seffart G ed. "Drug Dosage in Renal Insufficiency." Dordrecht, South Holland, : Kluwer Academic Publishers (1991):
Kirch W, Spahn H, Kohler H, et al "Interaction of metoprolol, propranolol and atenolol with concurrent administration of cimetidine." Klin Wochenschr 60 (1982): 1401-7
Toon S, Davidson EM, Garstang FM, et al "The racemic metoprolol H2-antagonist interaction." Clin Pharmacol Ther 43 (1988): 283-9
Asgharnejad M, Powell R, Donn K, Danis M "The effect of cimetidine dose timing on oral propranolol kinetics in adults." Clin Pharmacol Ther 41 (1987): 203
Ishii Y, Nakamura K, Tsutsumi K, Kotegawa T, Nakano S, Nakatsuka K "Drug interaction between cimetidine and timolol ophthalmic solution: Effect on heart rate and intraocular pressure in healthy Japanese volunteers." J Clin Pharmacol 40 (2000): 193-9
"Product Information. Cartrol (carteolol)." Abbott Pharmaceutical, Abbott Park, IL.
"Product Information. Betapace (sotalol)." Berlex, Richmond, CA.
Rey E, Jammet P, d'Athis P, et al "Effect of cimetidine on the pharmacokinetics of the new beta-blocker betaxolol." Arzneimittelforschung 37 (1987): 953-6
Daneshmend TK, Roberts CJ "The effects of enzyme induction and enzyme inhibition on labetalol pharmacokinetics." Br J Clin Pharmacol 18 (1984): 393-400
"Product Information. Tenormin (atenolol)." ICN Pharmaceuticals Inc, Cost Mesa, CA.
"Product Information. Corgard (nadolol)." Bristol-Myers Squibb, Princeton, NJ.
Duchin KL, Stern MA, Willard DA, McKinstry DN "Kinetic interactions of nadolol and propranolol with cimetidine." Br J Clin Pharmacol 17 (1984): 486-7
Houtzagers JJ, Streurman O, Regardh CG "The effect of pretreatment with cimetidine on the bioavailability and disposition of atenolol and metoprolol." Br J Clin Pharmacol 14 (1982): 67-72
Somogyi AA, Bochner F, Sallustio BC "Stereoselective inhibition of pindolol renal clearance by cimetidine in humans." Clin Pharmacol Ther 51 (1992): 379-87
Spahn H, Kirch W, Hajdu P, et al "Penbutolol pharmacokinetics: the influence of concomitant administration of cimetidine." Eur J Clin Pharmacol 29 (1986): 555-60

Cimetidine Tablets

Generic Name: cimetidine

Brand name: Tagamet HB, Tagamet

Synonyms: Cimetidine

What is Cimetidine Tablets?

Inderal

Generic Name: propranolol

Brand name: Inderal LA, Inderal XL, InnoPran XL, Inderal, Hemangeol, InnoPran XL

Synonyms: n.a.

What is Inderal?

+ Add a drug Remove all

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.

The list of popular interactions