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What the FDA labels say about taking them together

Cimetidine and protriptyline

Protriptyline's FDA label of July 25, 2023 names cimetidine in its drug interactions section; cimetidine's label does not name protriptyline itself but warns about its class (Tricyclic antidepressants). The protriptyline label: “Cimetidine is reported to reduce hepatic metabolism of certain tricyclic antidepressants, thereby delaying elimination and increasing steady-state concentrations of these drugs.”

Check it at the source: the cimetidine FDA label on DailyMed (effective July 15, 2026, Mylan Pharmaceuticals Inc.); the protriptyline FDA label on DailyMed (effective July 25, 2023, Epic Pharma, LLC).

What does the cimetidine label say about protriptyline?

Cimetidine's label does not name protriptyline itself; it warns about its class (Tricyclic antidepressants):

Cimetidine label, drug interactions

Drug Interactions Cimetidine tablets, apparently through an effect on certain microsomal enzyme systems, has been reported to reduce the hepatic metabolism of warfarin-type anticoagulants, phenytoin, propranolol, nifedipine, chlordiazepoxide, diazepam, certain tricyclic antidepressants, lidocaine, theophylline, and metronidazole, thereby delaying elimination and increasing blood levels of these drugs.

Source: FDA drug label (Cimetidine), Mylan Pharmaceuticals Inc., effective July 15, 2026 (SPL set 06c0a509-026f-44e0-9975-a94a8de51d43), via openFDA; the full label on DailyMed

What does the protriptyline label say about cimetidine?

Protriptyline label, drug interactions

Cimetidine is reported to reduce hepatic metabolism of certain tricyclic antidepressants, thereby delaying elimination and increasing steady-state concentrations of these drugs.

Source: FDA drug label (Protriptyline Hydrochloride), Epic Pharma, LLC, effective July 25, 2023 (SPL set c6c7c39e-e510-4f4a-bf7a-926f0e075d3a), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

18Cimetidine generic labelers
2Protriptyline generic labelers
CimetidineProtriptyline
Labeled forAcid reflux and ulcersDepression
Boxed warningNoYes
Pharmacy cost (NADAC)$0.236 per tablet 300 mg tablet$2.71 per tablet 10 mg tablet
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

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