cimetidine vs famciclovir

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Side-by-side comparison of cimetidine and famciclovir. Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

minor Known Drug Interaction

7.2 Potential for Other Drugs to Affect Penciclovir No clinically significant alterations in penciclovir pharmacokinetics were observed following single-dose administration of 500 mg famciclovir after pretreatment with multiple doses of allopurinol, cimetidine, theophylline, zidovudine, promethazine, when given shortly after an antacid (magnesium and aluminum hydroxide), or concomitantly with emtricitabine. Clinical interaction studies of famciclovir with cimetidine and promethazine, in vitro inhibitors of aldehyde oxidase, did not show relevant effects on the formation of penciclovir.

Drug Class
cimetidine H2 Receptor Antagonist
famciclovir Antiviral (Nucleoside Analog)
Type
cimetidine Over-the-Counter
famciclovir Prescription
Summary
cimetidine

Cimetidine (Tagamet) reduces stomach acid. It is used to treat ulcers, heartburn, and other conditions where too much acid is produced.

famciclovir

Famciclovir is an antiviral medicine. It helps to treat infections caused by certain viruses.

What It Treats
cimetidine

Cimetidine treats active duodenal ulcers for short periods. It can also be used long-term at a lower dose to prevent ulcers from returning. This medicine also treats active benign gastric ulcers for a short time. Additionally, it can help with erosive gastroesophageal reflux disease (GERD), which damages the esophagus.

famciclovir

This medicine treats herpes infections. It can treat cold sores, genital herpes, and shingles. It can also prevent genital herpes outbreaks. This medicine may not work for everyone, including first-time genital herpes, eye shingles, or certain immunocompromised patients.

How It Works
cimetidine

Cimetidine is an H2 receptor antagonist. This means it blocks histamine from attaching to certain cells in your stomach. By blocking histamine, cimetidine reduces the amount of acid your stomach makes.

famciclovir

Famciclovir stops the virus from multiplying. It does this by blocking a key enzyme the virus needs to make copies of itself. This helps your body fight off the infection.

Common Side Effects
cimetidine
  • Headache
  • Dizziness
  • Diarrhea
famciclovir
  • Headache
  • Nausea
FAERS Reports
cimetidine
  • Chronic Kidney Disease 1,264
  • Acute Kidney Injury 710
  • Renal Failure 694
  • Nausea 681
  • Fatigue 598
famciclovir
  • Fatigue 185
  • Diarrhoea 179
  • Nausea 145
  • Headache 135
  • Pain 118
Serious Warnings
cimetidine

Reversible confusional states (like mental confusion, agitation, or hallucinations) have been reported, mostly in severely ill patients. These usually appear within 2-3 days of starting treatment and clear up within 3-4 days of stopping the drug.

famciclovir

If you have kidney problems, make sure your doctor knows. Taking too much famciclovir when you have kidney problems can damage your kidneys.

Pregnancy
cimetidine

Tell your doctor if you are pregnant or plan to become pregnant. The effects of cimetidine during pregnancy are not fully known. Talk to your doctor about the risks and benefits of taking cimetidine while breastfeeding.

famciclovir

Tell your doctor if you are pregnant or plan to become pregnant. Untreated herpes during pregnancy can harm the baby. It is not known if famciclovir passes into breast milk.

Also Compare, Nearby Drugs

How to Read This cimetidine vs famciclovir Comparison

cimetidine is classified in the H2 Receptor Antagonist drug class, while famciclovir sits within the Antiviral (Nucleoside Analog) class. Drugs from different classes work through distinct mechanisms, so a head-to-head comparison illustrates trade-offs rather than equivalence. Both drugs are split between OTC and prescription status, which affects access and supervision.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, cimetidine has 3,947 submissions while famciclovir has 762. Those figures reflect cumulative reporting volume, not per-patient risk, so older, widely dispensed drugs typically look worse on count alone. These two drugs have a known minor interaction flagged in FDA labeling, attributed to cimetidine does not interfere with the enzymes that turn famciclovir into its active form.. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot represent individual circumstances. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This registry does not provide medical, treatment, substitution, or medication-change directions for cimetidine or famciclovir.

Registry boundary: This comparison displays source-record fields and does not provide individualized medical direction.