Zantac 75: Uses, Effects, and Precautions for Stomach Issues - Pharmacology

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Gastric medication


Hello, I often experience stomach pain, acid reflux, and a feeling of heaviness in my stomach.
Recently, I have been taking a medication called Zantac 75.
I would like to know its作用, properties, and any precautions I should be aware of.
Thank you, Dennis.

dennis, 30~39 year old female. Ask Date: 2004/06/03

Dr. Chen Yuemei reply Pharmacology


Hello: Zantac acts as a gastric acid secretion inhibitor (H2 receptor antagonist) and is commonly used for gastric and duodenal ulcers, conditions of excessive gastric acid secretion, and gastroesophageal reflux disease (GERD).
Due to the potential for reversible liver cell damage from Zantac, regular liver function tests are necessary.
Other reported side effects include headaches, diarrhea or constipation, cholestasis/liver cell injury, agranulocytosis, thrombocytopenia, gynecomastia, and erectile dysfunction; however, not everyone will experience these side effects, so there is no need for concern.
As long as it is taken under the supervision of a physician, it is generally considered safe.
Wishing you safety and health.

Reply Date: 2004/06/03

More Info


Zantac 75, known generically as ranitidine, is a medication that belongs to a class of drugs called H2 (histamine-2) receptor antagonists. It is primarily used to reduce the amount of acid produced by the stomach. This makes it effective in treating conditions such as gastroesophageal reflux disease (GERD), peptic ulcers, and other conditions associated with excessive stomach acid production.

Mechanism of Action
Zantac works by blocking histamine H2 receptors in the stomach lining, which in turn decreases the secretion of gastric acid. This reduction in acid can help alleviate symptoms associated with heartburn, acid indigestion, and stomach ulcers. By lowering the acidity in the stomach, Zantac can promote healing of the esophagus and stomach lining, which may be damaged due to excessive acid.


Uses
Zantac is commonly prescribed for:
1. Gastroesophageal Reflux Disease (GERD): A condition where stomach acid frequently flows back into the esophagus, causing heartburn and irritation.

2. Peptic Ulcers: Sores that develop on the lining of the stomach or the first part of the small intestine.

3. Zollinger-Ellison Syndrome: A rare condition where the stomach produces too much acid due to tumors in the pancreas or duodenum.

4. Prevention of Ulcers: It may also be used to prevent ulcers in patients taking nonsteroidal anti-inflammatory drugs (NSAIDs).


Side Effects
While Zantac is generally well-tolerated, it can cause side effects in some individuals. Common side effects may include:
- Headaches
- Dizziness
- Constipation or diarrhea
- Nausea
- Fatigue
More serious side effects, although rare, can include liver issues, blood disorders (such as thrombocytopenia or agranulocytosis), and hormonal changes leading to gynecomastia (enlarged breast tissue in men) or sexual dysfunction. It is essential to monitor for these side effects, especially if you have pre-existing liver conditions or are taking other medications that may interact with ranitidine.


Precautions
1. Liver Function: Since Zantac can affect liver function, it is crucial to have regular liver function tests if you are on this medication for an extended period.

2. Drug Interactions: Zantac can interact with other medications, including certain antifungals, blood thinners, and medications for HIV. Always inform your healthcare provider about all medications you are taking.

3. Pregnancy and Breastfeeding: If you are pregnant or breastfeeding, consult your doctor before using Zantac, as it is essential to weigh the benefits against potential risks.

4. Discontinuation: If you experience side effects that are bothersome or severe, such as persistent headaches or dizziness, it is advisable to consult your healthcare provider. They may suggest discontinuing the medication or switching to an alternative treatment.


Conclusion
Zantac 75 can be an effective treatment for various stomach-related issues, particularly those involving excessive acid production. However, it is essential to use it under the guidance of a healthcare professional, monitor for side effects, and maintain regular check-ups to ensure liver health and overall well-being. If you have ongoing symptoms of stomach pain, acid reflux, or discomfort, it is crucial to discuss these with your doctor, as they may indicate a need for further evaluation or a different treatment approach. Always prioritize a comprehensive treatment plan that includes lifestyle modifications, such as dietary changes and stress management, alongside medication.

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