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What the FDA labels say about taking them together

Cimetidine and imipramine

Imipramine's FDA label of August 11, 2026 names cimetidine in its drug interactions section; cimetidine's label does not name imipramine itself but warns about its class (Tricyclic antidepressants).

Check it at the source: the cimetidine FDA label on DailyMed (effective July 15, 2026, Mylan Pharmaceuticals Inc.); the imipramine FDA label on DailyMed (effective August 11, 2026, Leading Pharma, LLC).

What does the cimetidine label say about imipramine?

Cimetidine's label does not name imipramine 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 imipramine label say about cimetidine?

Imipramine label, drug interactions

The drugs that inhibit cytochrome P450 2D6 include some that are not metabolized by the enzyme (quinidine; cimetidine) and many that are substrates for P450 2D6 (many other antidepressants, phenothiazines, and the Type 1C antiarrhythmics propafenone and flecainide).

Source: FDA drug label (Imipramine Hydrochloride), Leading Pharma, LLC, effective August 11, 2026 (SPL set 490263ce-b4d2-428a-87da-fcd07f85499a), 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
14Imipramine generic labelers
CimetidineImipramine
Labeled forAcid reflux and ulcersDepression
Boxed warningNoYes
Pharmacy cost (NADAC)$0.236 per tablet 300 mg tablet$0.0698 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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