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Ranitidine - Wikipedia
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class="vector-toc-text"> <span class="vector-toc-numb">2</span> <span>Contraindication</span> </div> </a> <ul id="toc-Contraindication-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Adverse_effects" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Adverse_effects"> <div class="vector-toc-text"> <span class="vector-toc-numb">3</span> <span>Adverse effects</span> </div> </a> <button aria-controls="toc-Adverse_effects-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Toggle Adverse effects subsection</span> </button> <ul id="toc-Adverse_effects-sublist" class="vector-toc-list"> <li id="toc-Central_nervous_system" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Central_nervous_system"> <div class="vector-toc-text"> <span class="vector-toc-numb">3.1</span> <span>Central nervous system</span> </div> </a> <ul id="toc-Central_nervous_system-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Cardiovascular" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Cardiovascular"> <div class="vector-toc-text"> <span class="vector-toc-numb">3.2</span> <span>Cardiovascular</span> </div> </a> <ul id="toc-Cardiovascular-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Gastrointestinal" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Gastrointestinal"> <div class="vector-toc-text"> <span class="vector-toc-numb">3.3</span> <span>Gastrointestinal</span> </div> </a> <ul id="toc-Gastrointestinal-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Liver" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Liver"> <div class="vector-toc-text"> <span class="vector-toc-numb">3.4</span> <span>Liver</span> </div> </a> <ul id="toc-Liver-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Lungs" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Lungs"> <div class="vector-toc-text"> <span class="vector-toc-numb">3.5</span> <span>Lungs</span> </div> </a> <ul id="toc-Lungs-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Blood" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Blood"> <div class="vector-toc-text"> <span class="vector-toc-numb">3.6</span> <span>Blood</span> </div> </a> <ul id="toc-Blood-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Skin" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Skin"> <div class="vector-toc-text"> <span class="vector-toc-numb">3.7</span> <span>Skin</span> </div> </a> <ul id="toc-Skin-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Precautions" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Precautions"> <div class="vector-toc-text"> <span class="vector-toc-numb">4</span> <span>Precautions</span> </div> </a> <button aria-controls="toc-Precautions-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Toggle Precautions subsection</span> </button> <ul id="toc-Precautions-sublist" class="vector-toc-list"> <li id="toc-Disease-related_concerns" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Disease-related_concerns"> <div class="vector-toc-text"> <span class="vector-toc-numb">4.1</span> <span>Disease-related concerns</span> </div> </a> <ul id="toc-Disease-related_concerns-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Children" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Children"> <div class="vector-toc-text"> <span class="vector-toc-numb">4.2</span> <span>Children</span> </div> </a> <ul id="toc-Children-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Drug_tests" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Drug_tests"> <div class="vector-toc-text"> <span class="vector-toc-numb">4.3</span> <span>Drug tests</span> </div> </a> <ul id="toc-Drug_tests-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Cancer-causing_due_to_inherent_instability" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Cancer-causing_due_to_inherent_instability"> <div class="vector-toc-text"> <span class="vector-toc-numb">4.4</span> <span>Cancer-causing due to inherent instability</span> </div> </a> <ul id="toc-Cancer-causing_due_to_inherent_instability-sublist" class="vector-toc-list"> <li id="toc-List_of_recalls" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#List_of_recalls"> <div class="vector-toc-text"> <span class="vector-toc-numb">4.4.1</span> <span>List of recalls</span> </div> </a> <ul id="toc-List_of_recalls-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> </ul> </li> <li id="toc-Pharmacology" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Pharmacology"> <div class="vector-toc-text"> <span class="vector-toc-numb">5</span> <span>Pharmacology</span> </div> </a> <button aria-controls="toc-Pharmacology-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Toggle Pharmacology subsection</span> </button> <ul id="toc-Pharmacology-sublist" class="vector-toc-list"> <li id="toc-Mechanism_of_action" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Mechanism_of_action"> <div class="vector-toc-text"> <span class="vector-toc-numb">5.1</span> <span>Mechanism of action</span> </div> </a> <ul id="toc-Mechanism_of_action-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Pharmacokinetics" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Pharmacokinetics"> <div class="vector-toc-text"> <span class="vector-toc-numb">5.2</span> <span>Pharmacokinetics</span> </div> </a> <ul id="toc-Pharmacokinetics-sublist" class="vector-toc-list"> <li id="toc-Elderly" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#Elderly"> <div class="vector-toc-text"> <span class="vector-toc-numb">5.2.1</span> <span>Elderly</span> </div> </a> <ul id="toc-Elderly-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Children_2" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#Children_2"> <div class="vector-toc-text"> <span class="vector-toc-numb">5.2.2</span> <span>Children</span> </div> </a> <ul id="toc-Children_2-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> </ul> </li> <li id="toc-History" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#History"> <div class="vector-toc-text"> <span class="vector-toc-numb">6</span> <span>History</span> </div> </a> <ul id="toc-History-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Preparations" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Preparations"> <div class="vector-toc-text"> <span class="vector-toc-numb">7</span> <span>Preparations</span> </div> </a> <ul id="toc-Preparations-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-References" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#References"> <div class="vector-toc-text"> <span class="vector-toc-numb">8</span> <span>References</span> </div> </a> <ul id="toc-References-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Notes" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Notes"> <div class="vector-toc-text"> <span class="vector-toc-numb">9</span> <span>Notes</span> </div> </a> <ul id="toc-Notes-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-External_links" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#External_links"> <div class="vector-toc-text"> <span class="vector-toc-numb">10</span> <span>External links</span> </div> </a> <ul id="toc-External_links-sublist" class="vector-toc-list"> </ul> </li> </ul> </div> </div> </nav> </div> </div> <div class="mw-content-container"> <main id="content" class="mw-body"> <header class="mw-body-header vector-page-titlebar"> <nav aria-label="Contents" class="vector-toc-landmark"> <div id="vector-page-titlebar-toc" class="vector-dropdown vector-page-titlebar-toc vector-button-flush-left" title="Table of Contents" > <input 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type="checkbox" id="p-lang-btn-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-p-lang-btn" class="vector-dropdown-checkbox mw-interlanguage-selector" aria-label="Go to an article in another language. Available in 38 languages" > <label id="p-lang-btn-label" for="p-lang-btn-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--action-progressive mw-portlet-lang-heading-38" aria-hidden="true" ><span class="vector-icon mw-ui-icon-language-progressive mw-ui-icon-wikimedia-language-progressive"></span> <span class="vector-dropdown-label-text">38 languages</span> </label> <div class="vector-dropdown-content"> <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li class="interlanguage-link interwiki-ar mw-list-item"><a href="https://ar.wikipedia.org/wiki/%D8%B1%D8%A7%D9%86%D9%8A%D8%AA%D9%8A%D8%AF%D9%8A%D9%86" title="رانيتيدين – Arabic" lang="ar" hreflang="ar" data-title="رانيتيدين" data-language-autonym="العربية" data-language-local-name="Arabic" class="interlanguage-link-target"><span>العربية</span></a></li><li class="interlanguage-link interwiki-azb mw-list-item"><a href="https://azb.wikipedia.org/wiki/%D8%B1%D8%A7%D9%86%DB%8C%D8%AA%DB%8C%D8%AF%DB%8C%D9%86" title="رانیتیدین – South Azerbaijani" lang="azb" hreflang="azb" data-title="رانیتیدین" data-language-autonym="تۆرکجه" data-language-local-name="South Azerbaijani" class="interlanguage-link-target"><span>تۆرکجه</span></a></li><li class="interlanguage-link interwiki-bn mw-list-item"><a href="https://bn.wikipedia.org/wiki/%E0%A6%B0%E0%A7%87%E0%A6%A8%E0%A6%BF%E0%A6%9F%E0%A6%BF%E0%A6%A1%E0%A6%BF%E0%A6%A8" title="রেনিটিডিন – Bangla" lang="bn" hreflang="bn" data-title="রেনিটিডিন" data-language-autonym="বাংলা" data-language-local-name="Bangla" class="interlanguage-link-target"><span>বাংলা</span></a></li><li class="interlanguage-link interwiki-cy mw-list-item"><a href="https://cy.wikipedia.org/wiki/Ranitidin" title="Ranitidin – Welsh" lang="cy" hreflang="cy" data-title="Ranitidin" data-language-autonym="Cymraeg" data-language-local-name="Welsh" class="interlanguage-link-target"><span>Cymraeg</span></a></li><li class="interlanguage-link interwiki-de mw-list-item"><a href="https://de.wikipedia.org/wiki/Ranitidin" title="Ranitidin – German" lang="de" hreflang="de" data-title="Ranitidin" data-language-autonym="Deutsch" data-language-local-name="German" class="interlanguage-link-target"><span>Deutsch</span></a></li><li class="interlanguage-link interwiki-el mw-list-item"><a href="https://el.wikipedia.org/wiki/%CE%A1%CE%B1%CE%BD%CE%B9%CF%84%CE%B9%CE%B4%CE%AF%CE%BD%CE%B7" title="Ρανιτιδίνη – Greek" lang="el" hreflang="el" data-title="Ρανιτιδίνη" data-language-autonym="Ελληνικά" data-language-local-name="Greek" class="interlanguage-link-target"><span>Ελληνικά</span></a></li><li class="interlanguage-link interwiki-es mw-list-item"><a href="https://es.wikipedia.org/wiki/Ranitidina" title="Ranitidina – Spanish" lang="es" hreflang="es" data-title="Ranitidina" data-language-autonym="Español" data-language-local-name="Spanish" class="interlanguage-link-target"><span>Español</span></a></li><li class="interlanguage-link interwiki-eu mw-list-item"><a href="https://eu.wikipedia.org/wiki/Erranitidina" title="Erranitidina – Basque" lang="eu" hreflang="eu" data-title="Erranitidina" data-language-autonym="Euskara" data-language-local-name="Basque" class="interlanguage-link-target"><span>Euskara</span></a></li><li class="interlanguage-link interwiki-fa mw-list-item"><a href="https://fa.wikipedia.org/wiki/%D8%B1%D8%A7%D9%86%DB%8C%D8%AA%DB%8C%D8%AF%DB%8C%D9%86" title="رانیتیدین – Persian" lang="fa" hreflang="fa" data-title="رانیتیدین" data-language-autonym="فارسی" data-language-local-name="Persian" class="interlanguage-link-target"><span>فارسی</span></a></li><li class="interlanguage-link interwiki-fr mw-list-item"><a href="https://fr.wikipedia.org/wiki/Ranitidine" title="Ranitidine – French" lang="fr" hreflang="fr" data-title="Ranitidine" data-language-autonym="Français" data-language-local-name="French" class="interlanguage-link-target"><span>Français</span></a></li><li class="interlanguage-link interwiki-ko mw-list-item"><a href="https://ko.wikipedia.org/wiki/%EB%9D%BC%EB%8B%88%ED%8B%B0%EB%94%98" title="라니티딘 – Korean" lang="ko" hreflang="ko" data-title="라니티딘" data-language-autonym="한국어" data-language-local-name="Korean" class="interlanguage-link-target"><span>한국어</span></a></li><li class="interlanguage-link interwiki-ha mw-list-item"><a href="https://ha.wikipedia.org/wiki/Ranitidine" title="Ranitidine – Hausa" lang="ha" hreflang="ha" data-title="Ranitidine" data-language-autonym="Hausa" data-language-local-name="Hausa" class="interlanguage-link-target"><span>Hausa</span></a></li><li class="interlanguage-link interwiki-hy mw-list-item"><a href="https://hy.wikipedia.org/wiki/%D5%8C%D5%A1%D5%B6%D5%AB%D5%BF%D5%AB%D5%A4%D5%AB%D5%B6" title="Ռանիտիդին – Armenian" lang="hy" hreflang="hy" data-title="Ռանիտիդին" data-language-autonym="Հայերեն" data-language-local-name="Armenian" class="interlanguage-link-target"><span>Հայերեն</span></a></li><li class="interlanguage-link interwiki-hr mw-list-item"><a href="https://hr.wikipedia.org/wiki/Ranitidin" title="Ranitidin – Croatian" lang="hr" hreflang="hr" data-title="Ranitidin" data-language-autonym="Hrvatski" data-language-local-name="Croatian" class="interlanguage-link-target"><span>Hrvatski</span></a></li><li class="interlanguage-link interwiki-id mw-list-item"><a href="https://id.wikipedia.org/wiki/Ranitidin" title="Ranitidin – Indonesian" lang="id" hreflang="id" data-title="Ranitidin" data-language-autonym="Bahasa Indonesia" data-language-local-name="Indonesian" class="interlanguage-link-target"><span>Bahasa Indonesia</span></a></li><li class="interlanguage-link interwiki-it mw-list-item"><a href="https://it.wikipedia.org/wiki/Ranitidina" title="Ranitidina – Italian" lang="it" hreflang="it" data-title="Ranitidina" data-language-autonym="Italiano" data-language-local-name="Italian" class="interlanguage-link-target"><span>Italiano</span></a></li><li class="interlanguage-link interwiki-ka mw-list-item"><a href="https://ka.wikipedia.org/wiki/%E1%83%A0%E1%83%90%E1%83%9C%E1%83%98%E1%83%A2%E1%83%98%E1%83%93%E1%83%98%E1%83%9C%E1%83%98" title="რანიტიდინი – Georgian" lang="ka" hreflang="ka" data-title="რანიტიდინი" data-language-autonym="ქართული" data-language-local-name="Georgian" class="interlanguage-link-target"><span>ქართული</span></a></li><li class="interlanguage-link interwiki-hu mw-list-item"><a href="https://hu.wikipedia.org/wiki/Ranitidin" title="Ranitidin – Hungarian" lang="hu" hreflang="hu" data-title="Ranitidin" data-language-autonym="Magyar" data-language-local-name="Hungarian" class="interlanguage-link-target"><span>Magyar</span></a></li><li class="interlanguage-link interwiki-mk mw-list-item"><a href="https://mk.wikipedia.org/wiki/%D0%A0%D0%B0%D0%BD%D0%B8%D1%82%D0%B8%D0%B4%D0%B8%D0%BD" title="Ранитидин – Macedonian" lang="mk" hreflang="mk" data-title="Ранитидин" data-language-autonym="Македонски" data-language-local-name="Macedonian" class="interlanguage-link-target"><span>Македонски</span></a></li><li class="interlanguage-link interwiki-nl mw-list-item"><a href="https://nl.wikipedia.org/wiki/Ranitidine" title="Ranitidine – Dutch" lang="nl" hreflang="nl" data-title="Ranitidine" data-language-autonym="Nederlands" data-language-local-name="Dutch" class="interlanguage-link-target"><span>Nederlands</span></a></li><li class="interlanguage-link interwiki-ja mw-list-item"><a href="https://ja.wikipedia.org/wiki/%E3%83%A9%E3%83%8B%E3%83%81%E3%82%B8%E3%83%B3" title="ラニチジン – Japanese" lang="ja" hreflang="ja" data-title="ラニチジン" data-language-autonym="日本語" data-language-local-name="Japanese" class="interlanguage-link-target"><span>日本語</span></a></li><li class="interlanguage-link interwiki-or mw-list-item"><a href="https://or.wikipedia.org/wiki/%E0%AC%B0%E0%AC%BE%E0%AC%A8%E0%AC%BF%E0%AC%9F%E0%AC%BF%E0%AC%A1%E0%AC%BF%E0%AC%A8" title="ରାନିଟିଡିନ – Odia" lang="or" hreflang="or" data-title="ରାନିଟିଡିନ" data-language-autonym="ଓଡ଼ିଆ" data-language-local-name="Odia" class="interlanguage-link-target"><span>ଓଡ଼ିଆ</span></a></li><li class="interlanguage-link interwiki-ps mw-list-item"><a href="https://ps.wikipedia.org/wiki/%D8%B1%D8%A7%D9%86%D9%8A%D8%AA%D9%8A%D8%AF%D9%8A%D9%86" title="رانيتيدين – Pashto" lang="ps" hreflang="ps" data-title="رانيتيدين" data-language-autonym="پښتو" data-language-local-name="Pashto" class="interlanguage-link-target"><span>پښتو</span></a></li><li class="interlanguage-link interwiki-pl mw-list-item"><a href="https://pl.wikipedia.org/wiki/Ranitydyna" title="Ranitydyna – Polish" lang="pl" hreflang="pl" data-title="Ranitydyna" data-language-autonym="Polski" data-language-local-name="Polish" class="interlanguage-link-target"><span>Polski</span></a></li><li class="interlanguage-link interwiki-pt mw-list-item"><a href="https://pt.wikipedia.org/wiki/Ranitidina" title="Ranitidina – Portuguese" lang="pt" hreflang="pt" data-title="Ranitidina" data-language-autonym="Português" data-language-local-name="Portuguese" class="interlanguage-link-target"><span>Português</span></a></li><li class="interlanguage-link interwiki-ro mw-list-item"><a href="https://ro.wikipedia.org/wiki/Ranitidin%C4%83" title="Ranitidină – Romanian" lang="ro" hreflang="ro" data-title="Ranitidină" data-language-autonym="Română" data-language-local-name="Romanian" class="interlanguage-link-target"><span>Română</span></a></li><li class="interlanguage-link interwiki-ru mw-list-item"><a href="https://ru.wikipedia.org/wiki/%D0%A0%D0%B0%D0%BD%D0%B8%D1%82%D0%B8%D0%B4%D0%B8%D0%BD" title="Ранитидин – Russian" lang="ru" hreflang="ru" data-title="Ранитидин" data-language-autonym="Русский" data-language-local-name="Russian" class="interlanguage-link-target"><span>Русский</span></a></li><li class="interlanguage-link interwiki-sl mw-list-item"><a href="https://sl.wikipedia.org/wiki/Ranitidin" title="Ranitidin – Slovenian" lang="sl" hreflang="sl" data-title="Ranitidin" data-language-autonym="Slovenščina" data-language-local-name="Slovenian" class="interlanguage-link-target"><span>Slovenščina</span></a></li><li class="interlanguage-link interwiki-sr mw-list-item"><a href="https://sr.wikipedia.org/wiki/Ranitidin" title="Ranitidin – Serbian" lang="sr" hreflang="sr" data-title="Ranitidin" data-language-autonym="Српски / srpski" data-language-local-name="Serbian" class="interlanguage-link-target"><span>Српски / srpski</span></a></li><li class="interlanguage-link interwiki-sh mw-list-item"><a href="https://sh.wikipedia.org/wiki/Ranitidin" title="Ranitidin – Serbo-Croatian" lang="sh" hreflang="sh" data-title="Ranitidin" data-language-autonym="Srpskohrvatski / српскохрватски" data-language-local-name="Serbo-Croatian" class="interlanguage-link-target"><span>Srpskohrvatski / српскохрватски</span></a></li><li class="interlanguage-link interwiki-su mw-list-item"><a href="https://su.wikipedia.org/wiki/Ranitidin" title="Ranitidin – Sundanese" lang="su" hreflang="su" data-title="Ranitidin" data-language-autonym="Sunda" data-language-local-name="Sundanese" class="interlanguage-link-target"><span>Sunda</span></a></li><li class="interlanguage-link interwiki-fi mw-list-item"><a href="https://fi.wikipedia.org/wiki/Ranitidiini" title="Ranitidiini – Finnish" lang="fi" hreflang="fi" data-title="Ranitidiini" data-language-autonym="Suomi" data-language-local-name="Finnish" class="interlanguage-link-target"><span>Suomi</span></a></li><li class="interlanguage-link interwiki-th mw-list-item"><a href="https://th.wikipedia.org/wiki/%E0%B9%81%E0%B8%A3%E0%B8%99%E0%B8%B4%E0%B8%97%E0%B8%B4%E0%B8%94%E0%B8%B5%E0%B8%99" title="แรนิทิดีน – Thai" lang="th" hreflang="th" data-title="แรนิทิดีน" data-language-autonym="ไทย" data-language-local-name="Thai" class="interlanguage-link-target"><span>ไทย</span></a></li><li class="interlanguage-link interwiki-tr mw-list-item"><a href="https://tr.wikipedia.org/wiki/Ranitidin" title="Ranitidin – Turkish" lang="tr" hreflang="tr" data-title="Ranitidin" data-language-autonym="Türkçe" data-language-local-name="Turkish" class="interlanguage-link-target"><span>Türkçe</span></a></li><li class="interlanguage-link interwiki-uk mw-list-item"><a href="https://uk.wikipedia.org/wiki/%D0%A0%D0%B0%D0%BD%D1%96%D1%82%D0%B8%D0%B4%D0%B8%D0%BD" title="Ранітидин – Ukrainian" lang="uk" hreflang="uk" data-title="Ранітидин" data-language-autonym="Українська" data-language-local-name="Ukrainian" class="interlanguage-link-target"><span>Українська</span></a></li><li class="interlanguage-link interwiki-ur mw-list-item"><a href="https://ur.wikipedia.org/wiki/%D8%B1%D8%A7%D9%86%DB%8C%D9%B9%DB%8C%DA%88%DB%8C%D9%86" title="رانیٹیڈین – Urdu" lang="ur" hreflang="ur" data-title="رانیٹیڈین" data-language-autonym="اردو" data-language-local-name="Urdu" class="interlanguage-link-target"><span>اردو</span></a></li><li class="interlanguage-link interwiki-vi mw-list-item"><a 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</div> </div> <div id="bodyContent" class="vector-body" aria-labelledby="firstHeading" data-mw-ve-target-container> <div class="vector-body-before-content"> <div class="mw-indicators"> </div> <div id="siteSub" class="noprint">From Wikipedia, the free encyclopedia</div> </div> <div id="contentSub"><div id="mw-content-subtitle"></div></div> <div id="mw-content-text" class="mw-body-content"><div class="mw-content-ltr mw-parser-output" lang="en" dir="ltr"><div class="shortdescription nomobile noexcerpt noprint searchaux" style="display:none">Medication that decreases stomach acid</div> <p class="mw-empty-elt"> </p> <div class="shortdescription nomobile noexcerpt noprint searchaux" style="display:none">Pharmaceutical compound</div> <style data-mw-deduplicate="TemplateStyles:r1269284339">@media screen{html.skin-theme-clientpref-night .mw-parser-output .dark_mode_safe img{background-color:var(--background-color-inverted,#f8f9fa)}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .dark_mode_safe img{background-color:var(--background-color-inverted,#f8f9fa)}}</style> <style data-mw-deduplicate="TemplateStyles:r1257001546">.mw-parser-output .infobox-subbox{padding:0;border:none;margin:-3px;width:auto;min-width:100%;font-size:100%;clear:none;float:none;background-color:transparent}.mw-parser-output .infobox-3cols-child{margin:auto}.mw-parser-output .infobox .navbar{font-size:100%}@media screen{html.skin-theme-clientpref-night .mw-parser-output .infobox-full-data:not(.notheme)>div:not(.notheme)[style]{background:#1f1f23!important;color:#f8f9fa}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .infobox-full-data:not(.notheme) div:not(.notheme){background:#1f1f23!important;color:#f8f9fa}}@media(min-width:640px){body.skin--responsive .mw-parser-output .infobox-table{display:table!important}body.skin--responsive .mw-parser-output .infobox-table>caption{display:table-caption!important}body.skin--responsive .mw-parser-output .infobox-table>tbody{display:table-row-group}body.skin--responsive .mw-parser-output .infobox-table tr{display:table-row!important}body.skin--responsive .mw-parser-output .infobox-table th,body.skin--responsive .mw-parser-output .infobox-table td{padding-left:inherit;padding-right:inherit}}</style><table class="infobox" style="border-spacing:2px;"><caption class="infobox-title"><span title="International nonproprietary name (INN): Ranitidine">Ranitidine</span></caption><tbody><tr><td colspan="2" class="infobox-image"><span class="skin-invert-image" typeof="mw:File"><a href="/wiki/File:Ranitidine.svg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/5/50/Ranitidine.svg/250px-Ranitidine.svg.png" decoding="async" width="250" height="213" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/5/50/Ranitidine.svg/375px-Ranitidine.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/5/50/Ranitidine.svg/500px-Ranitidine.svg.png 2x" data-file-width="512" data-file-height="437" /></a></span></td></tr><tr><td colspan="2" class="infobox-image"><span class="dark_mode_safe" typeof="mw:File"><a href="/wiki/File:Ranitidine-A-3D-balls.png" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/3/37/Ranitidine-A-3D-balls.png/250px-Ranitidine-A-3D-balls.png" decoding="async" width="250" height="148" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/3/37/Ranitidine-A-3D-balls.png/375px-Ranitidine-A-3D-balls.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/3/37/Ranitidine-A-3D-balls.png/500px-Ranitidine-A-3D-balls.png 2x" data-file-width="1100" data-file-height="649" /></a></span></td></tr><tr><th colspan="2" class="infobox-header" style="background:#ddd;color:inherit;">Clinical data</th></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Drug_nomenclature#Trade_names" title="Drug nomenclature">Trade names</a></th><td class="infobox-data">Zantac,<sup id="cite_ref-Zantac_FDA_label_1-0" class="reference"><a href="#cite_note-Zantac_FDA_label-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> others</td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;">Other names</th><td class="infobox-data">Dimethyl [(5-{[(2-{[1-(methylamino)-2-nitroethenyl]amino}ethyl)sulfanyl]methyl}furan-2-yl)methyl]amine, ranitidine hydrochloride (<a href="/wiki/Japanese_Accepted_Name" title="Japanese Accepted Name">JAN</a> <small><abbr title="Japan">JP</abbr></small>)</td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/American_Society_of_Health-System_Pharmacists" title="American Society of Health-System Pharmacists">AHFS</a>/<a href="/wiki/Drugs.com" title="Drugs.com">Drugs.com</a></th><td class="infobox-data"><span title="www.drugs.com"><a rel="nofollow" class="external text" href="https://www.drugs.com/monograph/ranitidine-hydrochloride.html">Monograph</a></span></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/MedlinePlus" title="MedlinePlus">MedlinePlus</a></th><td class="infobox-data"><span title="medlineplus.gov"><a rel="nofollow" class="external text" href="https://medlineplus.gov/druginfo/meds/a601106.html">a601106</a></span></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Regulation_of_therapeutic_goods" title="Regulation of therapeutic goods">License data</a></th><td class="infobox-data"><style data-mw-deduplicate="TemplateStyles:r1126788409">.mw-parser-output .plainlist ol,.mw-parser-output .plainlist ul{line-height:inherit;list-style:none;margin:0;padding:0}.mw-parser-output .plainlist ol li,.mw-parser-output .plainlist ul li{margin-bottom:0}</style><div class="plainlist"> <ul><li><small><abbr class="country-name" title="United States">US</abbr></small> <a href="/wiki/DailyMed" title="DailyMed">DailyMed</a>: <span title="dailymed.nlm.nih.gov"><a rel="nofollow" class="external text" href="https://dailymed.nlm.nih.gov/dailymed/search.cfm?labeltype=all&query=Ranitidine">Ranitidine</a></span></li></ul></div> </td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Pregnancy_category" title="Pregnancy category">Pregnancy<br />category</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"> <ul><li><small><abbr class="country-name" title="Australia">AU</abbr>:</small> B1<sup id="cite_ref-RanitidinePregnancy_2-0" class="reference"><a href="#cite_note-RanitidinePregnancy-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup></li> <li class="mw-empty-elt"></li></ul> </div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Route_of_administration" title="Route of administration">Routes of<br />administration</a></th><td class="infobox-data"><a href="/wiki/Oral_administration" title="Oral administration">By mouth</a>, <a href="/wiki/Intravenous_therapy" title="Intravenous therapy">intravenous</a> (IV)</td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Drug_class" title="Drug class">Drug class</a></th><td class="infobox-data"><a href="/wiki/H2_antagonist" class="mw-redirect" title="H2 antagonist">Histamine H<sub>2</sub> receptor antagonist</a>, aka H2 blocker<sup id="cite_ref-Zantac_FDA_label_1-1" class="reference"><a href="#cite_note-Zantac_FDA_label-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Anatomical_Therapeutic_Chemical_Classification_System" title="Anatomical Therapeutic Chemical Classification System">ATC code</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><a href="/wiki/ATC_code_A02" title="ATC code A02">A02BA02</a> (<span title="www.whocc.no"><a rel="nofollow" class="external text" href="https://www.whocc.no/atc_ddd_index/?code=A02BA02">WHO</a></span>) <br /><a href="/wiki/ATC_code_A02" title="ATC code A02">A02BA07</a> (<span title="www.whocc.no"><a rel="nofollow" class="external text" href="https://www.whocc.no/atc_ddd_index/?code=A02BA07">WHO</a></span>) (ranitidine bismuth citrate)</li></ul></div></td></tr><tr><th colspan="2" class="infobox-header" style="background:#ddd;color:inherit;">Legal status</th></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Regulation_of_therapeutic_goods" title="Regulation of therapeutic goods">Legal status</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"> <ul><li><small><abbr class="country-name" title="Australia">AU</abbr>:</small> <a href="/wiki/Standard_for_the_Uniform_Scheduling_of_Medicines_and_Poisons#Schedule_4" title="Standard for the Uniform Scheduling of Medicines and Poisons">S4</a> (Prescription only) / S2 (Pharmacy Medicine)</li> <li><small><abbr class="country-name" title="Canada">CA</abbr></small>: <a href="/wiki/Prescription_drug" title="Prescription drug"> ℞-only</a> / OTC<sup id="cite_ref-3" class="reference"><a href="#cite_note-3"><span class="cite-bracket">[</span>3<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-4" class="reference"><a href="#cite_note-4"><span class="cite-bracket">[</span>4<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-5" class="reference"><a href="#cite_note-5"><span class="cite-bracket">[</span>5<span class="cite-bracket">]</span></a></sup></li> <li><small><abbr class="country-name" title="United Kingdom">UK</abbr>:</small> <a href="/wiki/Prescription_drug" title="Prescription drug">POM</a> (Prescription only) / GSL/ P<sup id="cite_ref-6" class="reference"><a href="#cite_note-6"><span class="cite-bracket">[</span>6<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-7" class="reference"><a href="#cite_note-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-8" class="reference"><a href="#cite_note-8"><span class="cite-bracket">[</span>8<span class="cite-bracket">]</span></a></sup></li> <li><small><abbr class="country-name" title="United States">US</abbr>:</small> <a href="/wiki/Prescription_drug" title="Prescription drug">℞-only</a> / OTC<sup id="cite_ref-Zantac_FDA_label_1-2" class="reference"><a href="#cite_note-Zantac_FDA_label-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-9" class="reference"><a href="#cite_note-9"><span class="cite-bracket">[</span>9<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-10" class="reference"><a href="#cite_note-10"><span class="cite-bracket">[</span>10<span class="cite-bracket">]</span></a></sup></li> <li><small><abbr class="country-name" title="European Union">EU</abbr>:</small> Rx-only<sup id="cite_ref-CHMP_withdrawl_11-0" class="reference"><a href="#cite_note-CHMP_withdrawl-11"><span class="cite-bracket">[</span>11<span class="cite-bracket">]</span></a></sup></li></ul></div> </td></tr><tr><th colspan="2" class="infobox-header" style="background:#ddd;color:inherit;"><a href="/wiki/Pharmacokinetics" title="Pharmacokinetics">Pharmacokinetic</a> data</th></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Bioavailability" title="Bioavailability">Bioavailability</a></th><td class="infobox-data">50% (<a href="/wiki/Oral_administration" title="Oral administration">by mouth</a>)<sup id="cite_ref-AHFS2015_12-0" class="reference"><a href="#cite_note-AHFS2015-12"><span class="cite-bracket">[</span>12<span class="cite-bracket">]</span></a></sup></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Plasma_protein_binding" title="Plasma protein binding">Protein binding</a></th><td class="infobox-data">15%</td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Drug_metabolism" title="Drug metabolism">Metabolism</a></th><td class="infobox-data"><a href="/wiki/Liver" title="Liver">Liver</a>: <a href="/wiki/Flavin-containing_monooxygenase" title="Flavin-containing monooxygenase">FMOs</a>, including <a href="/wiki/FMO3" class="mw-redirect" title="FMO3">FMO3</a>; other enzymes</td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Onset_of_action" title="Onset of action">Onset of action</a></th><td class="infobox-data">55–65 minutes (150 mg dose)<sup id="cite_ref-pmid12144582_13-0" class="reference"><a href="#cite_note-pmid12144582-13"><span class="cite-bracket">[</span>13<span class="cite-bracket">]</span></a></sup><br />55–115 minutes (75 mg dose)<sup id="cite_ref-pmid12144582_13-1" class="reference"><a href="#cite_note-pmid12144582-13"><span class="cite-bracket">[</span>13<span class="cite-bracket">]</span></a></sup></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Biological_half-life" title="Biological half-life">Elimination <span class="nowrap">half-life</span></a></th><td class="infobox-data">2–3 hours</td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Excretion" title="Excretion">Excretion</a></th><td class="infobox-data">30–70% <a href="/wiki/Kidney" title="Kidney">kidney</a></td></tr><tr><th colspan="2" class="infobox-header" style="background:#ddd;color:inherit;">Identifiers</th></tr><tr><td colspan="2" class="infobox-full-data"><div class="collapsible-list mw-collapsible mw-collapsed" style="text-align: left;"> <div style="line-height: 1.6em; font-weight: bold;"><div><a href="/wiki/IUPAC_nomenclature_of_chemistry" title="IUPAC nomenclature of chemistry">IUPAC name</a></div></div> <ul class="mw-collapsible-content" style="margin-top: 0; margin-bottom: 0; line-height: inherit; list-style: none; margin-left: 0; word-break:break-all; text-align:left; padding-left:1.5em; text-indent:-1.5em;"><li style="line-height: inherit; margin: 0"><div style="font-size: 97%;"><i>N</i>-(2-[(5-[(Dimethylamino)methyl]furan-2-yl)methylthio]ethyl)-<i>N'</i>-methyl-2-nitroethene-1,1-diamine</div></li></ul> </div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/CAS_Registry_Number" title="CAS Registry Number">CAS Number</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="commonchemistry.cas.org"><a rel="nofollow" class="external text" href="https://commonchemistry.cas.org/detail?cas_rn=66357-35-5">66357-35-5</a></span><sup> <span typeof="mw:File"><span><img alt="check" src="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/7px-Yes_check.svg.png" decoding="async" width="7" height="7" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/11px-Yes_check.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/14px-Yes_check.svg.png 2x" data-file-width="600" data-file-height="600" /></span></span><span style="display:none">Y</span></sup></li><li>HCl: <span title="commonchemistry.cas.org"><a rel="nofollow" class="external text" href="https://commonchemistry.cas.org/detail?cas_rn=66357-59-3">66357-59-3</a></span><sup> <span typeof="mw:File"><span><img alt="check" src="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/7px-Yes_check.svg.png" decoding="async" width="7" height="7" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/11px-Yes_check.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/14px-Yes_check.svg.png 2x" data-file-width="600" data-file-height="600" /></span></span><span style="display:none">Y</span></sup></li></ul></div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/PubChem#CID" title="PubChem">PubChem</a> <span style="font-weight:normal"><abbr title="Compound ID">CID</abbr></span></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="pubchem.ncbi.nlm.nih.gov"><a rel="nofollow" class="external text" href="https://pubchem.ncbi.nlm.nih.gov/compound/3001055">3001055</a></span></li><li>HCl: <span title="pubchem.ncbi.nlm.nih.gov"><a rel="nofollow" class="external text" href="https://pubchem.ncbi.nlm.nih.gov/compound/3033332">3033332</a></span></li></ul></div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Guide_to_Pharmacology" title="Guide to Pharmacology">IUPHAR/BPS</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="www.guidetopharmacology.org"><a rel="nofollow" class="external text" href="https://www.guidetopharmacology.org/GRAC/LigandDisplayForward?ligandId=1234">1234</a></span></li></ul></div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/DrugBank" title="DrugBank">DrugBank</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="www.drugbank.ca"><a rel="nofollow" class="external text" href="https://www.drugbank.ca/drugs/DB00863">DB00863</a></span><sup> <span typeof="mw:File"><span><img alt="check" src="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/7px-Yes_check.svg.png" decoding="async" width="7" height="7" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/11px-Yes_check.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/14px-Yes_check.svg.png 2x" data-file-width="600" data-file-height="600" /></span></span><span style="display:none">Y</span></sup></li><li>HCl: <span title="www.drugbank.ca"><a rel="nofollow" class="external text" href="https://www.drugbank.ca/drugs/DBSALT000487">DBSALT000487</a></span><sup> <span typeof="mw:File"><span><img alt="check" src="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/7px-Yes_check.svg.png" decoding="async" width="7" height="7" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/11px-Yes_check.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/14px-Yes_check.svg.png 2x" data-file-width="600" data-file-height="600" /></span></span><span style="display:none">Y</span></sup></li></ul></div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/ChemSpider" title="ChemSpider">ChemSpider</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="www.chemspider.com"><a rel="nofollow" class="external text" href="https://www.chemspider.com/Chemical-Structure.4863.html">4863</a></span><sup> <span typeof="mw:File"><span><img alt="☒" src="//upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/7px-X_mark.svg.png" decoding="async" width="7" height="8" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/11px-X_mark.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/14px-X_mark.svg.png 2x" data-file-width="525" data-file-height="600" /></span></span><span style="display:none">N</span></sup></li><li>HCl: <span title="www.chemspider.com"><a rel="nofollow" class="external text" href="https://www.chemspider.com/Chemical-Structure.43590.html">43590</a></span><sup> <span typeof="mw:File"><span><img alt="☒" src="//upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/7px-X_mark.svg.png" decoding="async" width="7" height="8" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/11px-X_mark.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/14px-X_mark.svg.png 2x" data-file-width="525" data-file-height="600" /></span></span><span style="display:none">N</span></sup></li></ul></div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Unique_Ingredient_Identifier" title="Unique Ingredient Identifier">UNII</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="precision.fda.gov"><a rel="nofollow" class="external text" href="https://precision.fda.gov/uniisearch/srs/unii/884KT10YB7">884KT10YB7</a></span></li><li>HCl: <span title="precision.fda.gov"><a rel="nofollow" class="external text" href="https://precision.fda.gov/uniisearch/srs/unii/BK76465IHM">BK76465IHM</a></span><sup> <span typeof="mw:File"><span><img alt="check" src="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/7px-Yes_check.svg.png" decoding="async" width="7" height="7" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/11px-Yes_check.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/14px-Yes_check.svg.png 2x" data-file-width="600" data-file-height="600" /></span></span><span style="display:none">Y</span></sup></li></ul></div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/KEGG" title="KEGG">KEGG</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="www.kegg.jp"><a rel="nofollow" class="external text" href="https://www.kegg.jp/entry/D00422">D00422</a></span><sup> <span typeof="mw:File"><span><img alt="check" src="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/7px-Yes_check.svg.png" decoding="async" width="7" height="7" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/11px-Yes_check.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/14px-Yes_check.svg.png 2x" data-file-width="600" data-file-height="600" /></span></span><span style="display:none">Y</span></sup></li><li>HCl: <span title="www.kegg.jp"><a rel="nofollow" class="external text" href="https://www.kegg.jp/entry/D00673">D00673</a></span><sup> <span typeof="mw:File"><span><img alt="check" src="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/7px-Yes_check.svg.png" decoding="async" width="7" height="7" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/11px-Yes_check.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/14px-Yes_check.svg.png 2x" data-file-width="600" data-file-height="600" /></span></span><span style="display:none">Y</span></sup></li></ul></div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/ChEBI" title="ChEBI">ChEBI</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="www.ebi.ac.uk"><a rel="nofollow" class="external text" href="https://www.ebi.ac.uk/chebi/searchId.do?chebiId=CHEBI:8776">CHEBI:8776</a></span><sup> <span typeof="mw:File"><span><img alt="☒" src="//upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/7px-X_mark.svg.png" decoding="async" width="7" height="8" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/11px-X_mark.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/14px-X_mark.svg.png 2x" data-file-width="525" data-file-height="600" /></span></span><span style="display:none">N</span></sup></li><li>HCl: <span title="www.ebi.ac.uk"><a rel="nofollow" class="external text" href="https://www.ebi.ac.uk/chebi/searchId.do?chebiId=CHEBI:8777">CHEBI:8777</a></span><sup> <span typeof="mw:File"><span><img alt="☒" src="//upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/7px-X_mark.svg.png" decoding="async" width="7" height="8" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/11px-X_mark.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/14px-X_mark.svg.png 2x" data-file-width="525" data-file-height="600" /></span></span><span style="display:none">N</span></sup></li></ul></div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/ChEMBL" title="ChEMBL">ChEMBL</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="www.ebi.ac.uk"><a rel="nofollow" class="external text" href="https://www.ebi.ac.uk/chembl/explore/compound/ChEMBL1790041">ChEMBL1790041</a></span><sup> <span typeof="mw:File"><span><img alt="☒" src="//upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/7px-X_mark.svg.png" decoding="async" width="7" height="8" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/11px-X_mark.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/14px-X_mark.svg.png 2x" data-file-width="525" data-file-height="600" /></span></span><span style="display:none">N</span></sup></li><li>HCl: <span title="www.ebi.ac.uk"><a rel="nofollow" class="external text" href="https://www.ebi.ac.uk/chembl/explore/compound/ChEMBL2110372">ChEMBL2110372</a></span><sup> <span typeof="mw:File"><span><img alt="☒" src="//upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/7px-X_mark.svg.png" decoding="async" width="7" height="8" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/11px-X_mark.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/14px-X_mark.svg.png 2x" data-file-width="525" data-file-height="600" /></span></span><span style="display:none">N</span></sup></li></ul></div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/CompTox_Chemicals_Dashboard" title="CompTox Chemicals Dashboard">CompTox Dashboard</a> <span style="font-weight:normal">(<abbr title="U.S. Environmental Protection Agency">EPA</abbr>)</span></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="comptox.epa.gov"><a rel="nofollow" class="external text" href="https://comptox.epa.gov/dashboard/chemical/details/DTXSID8045191">DTXSID8045191</a> <span class="mw-valign-text-top noprint" typeof="mw:File/Frameless"><a href="https://www.wikidata.org/wiki/Q423037#P3117" title="Edit this at Wikidata"><img alt="Edit this at Wikidata" src="//upload.wikimedia.org/wikipedia/en/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/10px-OOjs_UI_icon_edit-ltr-progressive.svg.png" decoding="async" width="10" height="10" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/15px-OOjs_UI_icon_edit-ltr-progressive.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/20px-OOjs_UI_icon_edit-ltr-progressive.svg.png 2x" data-file-width="20" data-file-height="20" /></a></span></span></li></ul></div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/ECHA_InfoCard" class="mw-redirect" title="ECHA InfoCard"><span title="echa.europa.eu">ECHA InfoCard</span></a></th><td class="infobox-data"><a rel="nofollow" class="external text" href="https://echa.europa.eu/substance-information/-/substanceinfo/100.060.283">100.060.283</a> <span class="mw-valign-text-top noprint" typeof="mw:File/Frameless"><a href="https://www.wikidata.org/wiki/Q423037#P2566" title="Edit this at Wikidata"><img alt="Edit this at Wikidata" src="//upload.wikimedia.org/wikipedia/en/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/10px-OOjs_UI_icon_edit-ltr-progressive.svg.png" decoding="async" width="10" height="10" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/15px-OOjs_UI_icon_edit-ltr-progressive.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/20px-OOjs_UI_icon_edit-ltr-progressive.svg.png 2x" data-file-width="20" data-file-height="20" /></a></span></td></tr><tr><th colspan="2" class="infobox-header" style="background:#ddd;color:inherit;">Chemical and physical data</th></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Chemical_formula" title="Chemical formula">Formula</a></th><td class="infobox-data"><span title="Carbon">C</span><sub>13</sub><span title="Hydrogen">H</span><sub>22</sub><span title="Nitrogen">N</span><sub>4</sub><span title="Oxygen">O</span><sub>3</sub><span title="Sulfur">S</span></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Molar_mass" title="Molar mass">Molar mass</a></th><td class="infobox-data"><span class="nowrap"><span data-sort-value="7002314400000000000♠"></span>314.40</span> g·mol<sup>−1</sup></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;">3D model (<a href="/wiki/JSmol" class="mw-redirect" title="JSmol">JSmol</a>)</th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="chemapps.stolaf.edu (3D interactive model)"><a rel="nofollow" class="external text" href="https://chemapps.stolaf.edu/jmol/jmol.php?model=CNC%28%3DC%5BN%2B%5D%28%3DO%29%5BO-%5D%29NCCSCC1%3DCC%3DC%28O1%29CN%28C%29C">Interactive image</a></span></li></ul></div></td></tr><tr><td colspan="2" class="infobox-full-data"><div class="collapsible-list mw-collapsible mw-collapsed" style="text-align: left;"> <div style="line-height: 1.6em; font-weight: bold;"><div><a href="/wiki/Simplified_molecular-input_line-entry_system" class="mw-redirect" title="Simplified molecular-input line-entry system">SMILES</a></div></div> <ul class="mw-collapsible-content" style="margin-top: 0; margin-bottom: 0; line-height: inherit; list-style: none; margin-left: 0; word-break:break-all;"><li style="line-height: inherit; margin: 0"><div style="word-wrap:break-word; text-indent:-1.5em; text-align:left; padding-left:1.5em; font-size:97%; line-height:120%;">CNC(=C[N+](=O)[O-])NCCSCC1=CC=C(O1)CN(C)C</div></li></ul> </div></td></tr><tr><td colspan="2" class="infobox-full-data"><div class="collapsible-list mw-collapsible mw-collapsed" style="text-align: left;"> <div style="line-height: 1.6em; font-weight: bold;"><div><a href="/wiki/International_Chemical_Identifier" title="International Chemical Identifier">InChI</a></div></div> <ul class="mw-collapsible-content" style="margin-top: 0; margin-bottom: 0; line-height: inherit; list-style: none; margin-left: 0; word-break:break-all;"><li style="line-height: inherit; margin: 0"><div style="word-wrap:break-word; text-indent:-1.5em; text-align:left; padding-left:1.5em; font-size:97%; line-height:120%;">InChI=1S/C13H22N4O3S/c1-14-13(9-17(18)19)15-6-7-21-10-12-5-4-11(20-12)8-16(2)3/h4-5,9,14-15H,6-8,10H2,1-3H3<sup> <span typeof="mw:File"><span><img alt="☒" src="//upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/7px-X_mark.svg.png" decoding="async" width="7" height="8" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/11px-X_mark.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/14px-X_mark.svg.png 2x" data-file-width="525" data-file-height="600" /></span></span><span style="display:none">N</span></sup></div></li><li style="line-height: inherit; margin: 0"><div style="word-wrap:break-word; text-indent:-1.5em; text-align:left; padding-left:1.5em; font-size:97%; line-height:120%;">Key:VMXUWOKSQNHOCA-UHFFFAOYSA-N<sup> <span typeof="mw:File"><span><img alt="☒" src="//upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/7px-X_mark.svg.png" decoding="async" width="7" height="8" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/11px-X_mark.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/14px-X_mark.svg.png 2x" data-file-width="525" data-file-height="600" /></span></span><span style="display:none">N</span></sup></div></li></ul> </div></td></tr><tr><td colspan="2" class="infobox-below"><style data-mw-deduplicate="TemplateStyles:r886047488">.mw-parser-output .nobold{font-weight:normal}</style><span class="nobold"> <sup><span typeof="mw:File"><span><img alt="☒" src="//upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/7px-X_mark.svg.png" decoding="async" width="7" height="8" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/11px-X_mark.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/14px-X_mark.svg.png 2x" data-file-width="525" data-file-height="600" /></span></span><span style="display:none">N</span><span typeof="mw:File"><span><img alt="check" src="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/7px-Yes_check.svg.png" decoding="async" width="7" height="7" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/11px-Yes_check.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/14px-Yes_check.svg.png 2x" data-file-width="600" data-file-height="600" /></span></span><span style="display:none">Y</span></sup> <a href="/wiki/Wikipedia:WikiProject_Chemicals/Chembox_validation" title="Wikipedia:WikiProject Chemicals/Chembox validation">(what is this?)</a></span><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r886047488"><span class="nobold">  <span class="reflink plainlinks nourlexpansion"><a class="external text" href="https://en.wikipedia.org/w/index.php?title=Special:ComparePages&rev1=458460406&page2=Ranitidine">(verify)</a></span></span></td></tr></tbody></table> <p><b>Ranitidine</b>, previously sold under the brand name <b>Zantac</b><sup id="cite_ref-14" class="reference"><a href="#cite_note-14"><span class="cite-bracket">[</span>a<span class="cite-bracket">]</span></a></sup> among others, is a <a href="/wiki/Medication" title="Medication">medication</a> used to decrease <a href="/wiki/Gastric_acid" title="Gastric acid">stomach acid</a> production.<sup id="cite_ref-AHFS2015_12-1" class="reference"><a href="#cite_note-AHFS2015-12"><span class="cite-bracket">[</span>12<span class="cite-bracket">]</span></a></sup> It was commonly used in treatment of <a href="/wiki/Peptic_ulcer_disease" title="Peptic ulcer disease">peptic ulcer disease</a>, <a href="/wiki/Gastroesophageal_reflux_disease" title="Gastroesophageal reflux disease">gastroesophageal reflux disease</a>, and <a href="/wiki/Zollinger%E2%80%93Ellison_syndrome" title="Zollinger–Ellison syndrome">Zollinger–Ellison syndrome</a>.<sup id="cite_ref-AHFS2015_12-2" class="reference"><a href="#cite_note-AHFS2015-12"><span class="cite-bracket">[</span>12<span class="cite-bracket">]</span></a></sup> It can be given by <a href="/wiki/Oral_administration" title="Oral administration">mouth</a>, <a href="/wiki/Intramuscular" class="mw-redirect" title="Intramuscular">injection into a muscle</a>, or <a href="/wiki/Intravenous_therapy" title="Intravenous therapy">injection into a vein</a>. </p><p>In September 2019, the probable <a href="/wiki/Carcinogen" title="Carcinogen">carcinogen</a> <a href="/wiki/N-Nitrosodimethylamine" title="N-Nitrosodimethylamine"><i>N</i>-nitrosodimethylamine</a> (NDMA) was discovered in ranitidine products from a number of manufacturers, resulting in recalls.<sup id="cite_ref-HealthCanada_15-0" class="reference"><a href="#cite_note-HealthCanada-15"><span class="cite-bracket">[</span>14<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-FDA2019NDMA_16-0" class="reference"><a href="#cite_note-FDA2019NDMA-16"><span class="cite-bracket">[</span>15<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-EMA1_17-0" class="reference"><a href="#cite_note-EMA1-17"><span class="cite-bracket">[</span>16<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-FDA_NDMA_ranitidine_18-0" class="reference"><a href="#cite_note-FDA_NDMA_ranitidine-18"><span class="cite-bracket">[</span>17<span class="cite-bracket">]</span></a></sup> In April 2020, ranitidine was withdrawn from the United States market and suspended in the European Union and Australia due to these concerns.<sup id="cite_ref-FDA_Q&A_19-0" class="reference"><a href="#cite_note-FDA_Q&A-19"><span class="cite-bracket">[</span>18<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-FDA_removal_PR_20-0" class="reference"><a href="#cite_note-FDA_removal_PR-20"><span class="cite-bracket">[</span>19<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-EU_suspension_PR_21-0" class="reference"><a href="#cite_note-EU_suspension_PR-21"><span class="cite-bracket">[</span>20<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-CHMP_withdrawl_11-1" class="reference"><a href="#cite_note-CHMP_withdrawl-11"><span class="cite-bracket">[</span>11<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-22" class="reference"><a href="#cite_note-22"><span class="cite-bracket">[</span>21<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-2021NIH_23-0" class="reference"><a href="#cite_note-2021NIH-23"><span class="cite-bracket">[</span>22<span class="cite-bracket">]</span></a></sup> </p><p>In 2022, these concerns were confirmed in a Taiwanese nationwide population study finding "significant trends of increased liver cancer risk with an increasing dose of ranitidine" (up to 22% higher than control) and increased gastric, pancreatic, lung<sup id="cite_ref-25" class="reference"><a href="#cite_note-25"><span class="cite-bracket">[</span>b<span class="cite-bracket">]</span></a></sup> and overall<sup id="cite_ref-26" class="reference"><a href="#cite_note-26"><span class="cite-bracket">[</span>c<span class="cite-bracket">]</span></a></sup> cancer risk.<sup id="cite_ref-taiwanstudy_24-2" class="reference"><a href="#cite_note-taiwanstudy-24"><span class="cite-bracket">[</span>23<span class="cite-bracket">]</span></a></sup> </p><p>Common side effects include <a href="/wiki/Headache" title="Headache">headaches</a>, and pain or burning sensation if given by injection.<sup id="cite_ref-AHFS2015_12-3" class="reference"><a href="#cite_note-AHFS2015-12"><span class="cite-bracket">[</span>12<span class="cite-bracket">]</span></a></sup> Serious side effects may include cancer,<sup id="cite_ref-27" class="reference"><a href="#cite_note-27"><span class="cite-bracket">[</span>24<span class="cite-bracket">]</span></a></sup> liver problems, a <a href="/wiki/Bradycardia" title="Bradycardia">slow heart rate</a>, <a href="/wiki/Pneumonia" title="Pneumonia">pneumonia</a>, and the potential of masking <a href="/wiki/Stomach_cancer" title="Stomach cancer">stomach cancer</a>.<sup id="cite_ref-AHFS2015_12-4" class="reference"><a href="#cite_note-AHFS2015-12"><span class="cite-bracket">[</span>12<span class="cite-bracket">]</span></a></sup> It is also linked to an increased risk of <a href="/wiki/Clostridioides_difficile_infection" title="Clostridioides difficile infection"><i>Clostridioides difficile</i> colitis</a>.<sup id="cite_ref-28" class="reference"><a href="#cite_note-28"><span class="cite-bracket">[</span>25<span class="cite-bracket">]</span></a></sup> Ranitidine is an <a href="/wiki/H2_antagonist" class="mw-redirect" title="H2 antagonist">H<sub>2</sub> histamine receptor antagonist</a> that works by blocking <a href="/wiki/Histamine" title="Histamine">histamine</a>, thus decreasing the amount of acid released by cells of the stomach.<sup id="cite_ref-AHFS2015_12-5" class="reference"><a href="#cite_note-AHFS2015-12"><span class="cite-bracket">[</span>12<span class="cite-bracket">]</span></a></sup> </p><p>Ranitidine was discovered in England in 1976 and came into commercial use in 1981.<sup id="cite_ref-29" class="reference"><a href="#cite_note-29"><span class="cite-bracket">[</span>26<span class="cite-bracket">]</span></a></sup> It is on the <a href="/wiki/WHO_Model_List_of_Essential_Medicines" title="WHO Model List of Essential Medicines">World Health Organization's List of Essential Medicines</a>.<sup id="cite_ref-WHO21st_30-0" class="reference"><a href="#cite_note-WHO21st-30"><span class="cite-bracket">[</span>27<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-WHO22nd_31-0" class="reference"><a href="#cite_note-WHO22nd-31"><span class="cite-bracket">[</span>28<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-32" class="reference"><a href="#cite_note-32"><span class="cite-bracket">[</span>29<span class="cite-bracket">]</span></a></sup> It has been withdrawn at regulator request from most markets, including the United States;<sup id="cite_ref-AHFS2015_12-6" class="reference"><a href="#cite_note-AHFS2015-12"><span class="cite-bracket">[</span>12<span class="cite-bracket">]</span></a></sup> according to the UK <a href="/wiki/National_Health_Service" title="National Health Service">NHS</a>, it has been discontinued globally.<sup id="cite_ref-:1_33-0" class="reference"><a href="#cite_note-:1-33"><span class="cite-bracket">[</span>30<span class="cite-bracket">]</span></a></sup> </p> <style data-mw-deduplicate="TemplateStyles:r886046785">.mw-parser-output .toclimit-2 .toclevel-1 ul,.mw-parser-output .toclimit-3 .toclevel-2 ul,.mw-parser-output .toclimit-4 .toclevel-3 ul,.mw-parser-output .toclimit-5 .toclevel-4 ul,.mw-parser-output .toclimit-6 .toclevel-5 ul,.mw-parser-output .toclimit-7 .toclevel-6 ul{display:none}</style><div class="toclimit-3"><meta property="mw:PageProp/toc" /></div> <div class="mw-heading mw-heading2"><h2 id="Former_medical_uses">Former medical uses</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Ranitidine&action=edit&section=1" title="Edit section: Former medical uses"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <ul><li>Relief of <a href="/wiki/Heartburn" title="Heartburn">heartburn</a><sup id="cite_ref-Zantac_FDA_label_1-3" class="reference"><a href="#cite_note-Zantac_FDA_label-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup></li> <li>Short-term and maintenance therapy of gastric and <a href="/wiki/Duodenal_ulcer" class="mw-redirect" title="Duodenal ulcer">duodenal ulcers</a><sup id="cite_ref-Zantac_FDA_label_1-4" class="reference"><a href="#cite_note-Zantac_FDA_label-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup></li> <li>With <a href="/wiki/Nonsteroidal_anti-inflammatory_drug" title="Nonsteroidal anti-inflammatory drug">nonsteroidal anti-inflammatory drugs</a> (NSAIDs) to reduce the risk of ulceration<sup id="cite_ref-Zantac_FDA_label_1-5" class="reference"><a href="#cite_note-Zantac_FDA_label-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> <a href="/wiki/Proton-pump_inhibitor" title="Proton-pump inhibitor">Proton-pump inhibitors</a> (PPIs) are more effective for the prevention of NSAID-induced ulcers.<sup id="cite_ref-34" class="reference"><a href="#cite_note-34"><span class="cite-bracket">[</span>31<span class="cite-bracket">]</span></a></sup></li> <li>Pathologic gastrointestinal (GI) hypersecretory conditions such as Zollinger–Ellison syndrome</li> <li><a href="/wiki/Gastroesophageal_reflux_disease" title="Gastroesophageal reflux disease">Gastroesophageal reflux disease</a> (GORD or GERD)</li> <li><a href="/wiki/Erosive_esophagitis" class="mw-redirect" title="Erosive esophagitis">Erosive esophagitis</a></li> <li>Part of a multidrug regimen for <i><a href="/wiki/Helicobacter_pylori" title="Helicobacter pylori">Helicobacter pylori</a></i> eradication to minimise the risk of duodenal ulcer recurrence</li> <li>Recurrent postoperative ulcer</li> <li>Upper GI bleeding</li> <li>For prevention of acid-aspiration pneumonitis during surgery, it can be administered preoperatively. The drug increases gastric <a href="/wiki/PH" title="PH">pH</a>, but generally has no effect on gastric volume. In a 2009 meta-analysis comparing the net benefit of PPIs and ranitidine to reduce the risk of aspiration before anaesthesia, ranitidine was found to be more effective than PPIs in reducing the volume of gastric secretions.<sup id="cite_ref-35" class="reference"><a href="#cite_note-35"><span class="cite-bracket">[</span>32<span class="cite-bracket">]</span></a></sup> Ranitidine may have an anti-emetic effect when administered preoperatively.</li> <li>Prevention of <a href="/wiki/Stress_ulcer" title="Stress ulcer">stress-induced ulcers</a> in critically ill patients<sup id="cite_ref-36" class="reference"><a href="#cite_note-36"><span class="cite-bracket">[</span>33<span class="cite-bracket">]</span></a></sup></li> <li>Used together with <a href="/wiki/Diphenhydramine" title="Diphenhydramine">diphenhydramine</a> as secondary treatment for <a href="/wiki/Anaphylaxis" title="Anaphylaxis">anaphylaxis</a>; after first-line <a href="/wiki/Epinephrine" class="mw-redirect" title="Epinephrine">epinephrine</a>.<sup id="cite_ref-AAFP2003_37-0" class="reference"><a href="#cite_note-AAFP2003-37"><span class="cite-bracket">[</span>34<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-AAP2017_38-0" class="reference"><a href="#cite_note-AAP2017-38"><span class="cite-bracket">[</span>35<span class="cite-bracket">]</span></a></sup></li></ul> <div class="mw-heading mw-heading2"><h2 id="Contraindication">Contraindication</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Ranitidine&action=edit&section=2" title="Edit section: Contraindication"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Ranitidine has been discontinued globally, according to the <a href="/wiki/National_Health_Service" title="National Health Service">NHS</a>,<sup id="cite_ref-:1_33-1" class="reference"><a href="#cite_note-:1-33"><span class="cite-bracket">[</span>30<span class="cite-bracket">]</span></a></sup> and is contraindicated due to excess cancer risk and the ready availability of <a href="/wiki/H2_antagonist" class="mw-redirect" title="H2 antagonist">H2 antagonist</a> and <a href="/wiki/Proton-pump_inhibitor" title="Proton-pump inhibitor">PPI alternatives</a>. </p> <div class="mw-heading mw-heading2"><h2 id="Adverse_effects">Adverse effects</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Ranitidine&action=edit&section=3" title="Edit section: Adverse effects"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>These adverse effects for ranitidine have been reported as events in clinical trials: </p> <div class="mw-heading mw-heading3"><h3 id="Central_nervous_system">Central nervous system</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Ranitidine&action=edit&section=4" title="Edit section: Central nervous system"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Rare reports have been made of ranitidine causing <a href="/wiki/Malaise" title="Malaise">malaise</a>, <a href="/wiki/Dizziness" title="Dizziness">dizziness</a>, <a href="/wiki/Somnolence" title="Somnolence">somnolence</a>, <a href="/wiki/Insomnia" title="Insomnia">insomnia</a>, and <a href="/wiki/Vertigo" title="Vertigo">vertigo</a>. In severely ill, elderly patients, cases of reversible mental confusion, agitation, depression, and <a href="/wiki/Hallucination" title="Hallucination">hallucinations</a> have been reported.<sup id="cite_ref-Zantac_FDA_label_1-6" class="reference"><a href="#cite_note-Zantac_FDA_label-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Cardiovascular">Cardiovascular</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Ranitidine&action=edit&section=5" title="Edit section: Cardiovascular"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Arrhythmias such as <a href="/wiki/Tachycardia" title="Tachycardia">tachycardia</a>, <a href="/wiki/Bradycardia" title="Bradycardia">bradycardia</a>, <a href="/wiki/Atrioventricular_block" title="Atrioventricular block">atrioventricular block</a>, and premature ventricular beats have also been reported.<sup id="cite_ref-Zantac_FDA_label_1-7" class="reference"><a href="#cite_note-Zantac_FDA_label-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Gastrointestinal">Gastrointestinal</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Ranitidine&action=edit&section=6" title="Edit section: Gastrointestinal"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>All drugs in the <a href="/wiki/H2_antagonist" class="mw-redirect" title="H2 antagonist">H<sub>2</sub> receptor blocker</a> class of medicines have the potential to cause vitamin B<sub>12</sub> deficiency, secondary to a reduction in food-bound vitamin B<sub>12</sub> absorption.<sup id="cite_ref-39" class="reference"><a href="#cite_note-39"><span class="cite-bracket">[</span>36<span class="cite-bracket">]</span></a></sup> Elderly patients taking H<sub>2</sub> receptor antagonists are more likely to require B<sub>12</sub> supplementation than those not taking such drugs.<sup id="cite_ref-40" class="reference"><a href="#cite_note-40"><span class="cite-bracket">[</span>37<span class="cite-bracket">]</span></a></sup> H<sub>2</sub> blockers may also reduce the absorption of drugs (azole antifungals, calcium carbonate) that require an acidic stomach.<sup id="cite_ref-41" class="reference"><a href="#cite_note-41"><span class="cite-bracket">[</span>38<span class="cite-bracket">]</span></a></sup> In addition, multiple studies suggest the use of H<sub>2</sub> receptor antagonists such as ranitidine may increase the risk of infectious diarrhoea, including traveller's diarrhoea and salmonellosis.<sup id="cite_ref-42" class="reference"><a href="#cite_note-42"><span class="cite-bracket">[</span>39<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid7906170_43-0" class="reference"><a href="#cite_note-pmid7906170-43"><span class="cite-bracket">[</span>40<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid8601113_44-0" class="reference"><a href="#cite_note-pmid8601113-44"><span class="cite-bracket">[</span>41<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-45" class="reference"><a href="#cite_note-45"><span class="cite-bracket">[</span>42<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-46" class="reference"><a href="#cite_note-46"><span class="cite-bracket">[</span>43<span class="cite-bracket">]</span></a></sup> A 2005 study found that by suppressing acid-mediated breakdown of proteins, ranitidine may lead to an elevated risk of developing food or drug allergies, due to undigested proteins then passing into the GI tract, where sensitisation occurs. Patients who take these agents develop higher levels of <a href="/wiki/Immunoglobulin_E" title="Immunoglobulin E">immunoglobulin E</a> against food, whether they had prior antibodies or not.<sup id="cite_ref-pmid15671152_47-0" class="reference"><a href="#cite_note-pmid15671152-47"><span class="cite-bracket">[</span>44<span class="cite-bracket">]</span></a></sup> Even months after discontinuation, an elevated level of IgE in 6% of patients was still found in the study.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Identifying_reliable_sources_(medicine)" title="Wikipedia:Identifying reliable sources (medicine)"><span title="Material near this tag needs references to reliable medical sources. (October 2019)">medical citation needed</span></a></i>]</sup> </p> <div class="mw-heading mw-heading3"><h3 id="Liver">Liver</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Ranitidine&action=edit&section=7" title="Edit section: Liver"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p><a href="/wiki/Cholestatic_hepatitis" class="mw-redirect" title="Cholestatic hepatitis">Cholestatic hepatitis</a>, liver failure, hepatitis, and <a href="/wiki/Jaundice" title="Jaundice">jaundice</a> have been noted, and require immediate discontinuation of the drug.<sup id="cite_ref-Zantac_FDA_label_1-8" class="reference"><a href="#cite_note-Zantac_FDA_label-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> Blood tests can reveal an increase in <a href="/wiki/Liver_enzymes" class="mw-redirect" title="Liver enzymes">liver enzymes</a> or <a href="/wiki/Eosinophilia" title="Eosinophilia">eosinophilia</a>, although in rare instances, severe cases of <a href="/wiki/Hepatotoxicity" title="Hepatotoxicity">hepatotoxicity</a> may require a liver <a href="/wiki/Biopsy" title="Biopsy">biopsy</a>.<sup id="cite_ref-48" class="reference"><a href="#cite_note-48"><span class="cite-bracket">[</span>45<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Lungs">Lungs</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Ranitidine&action=edit&section=8" title="Edit section: Lungs"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Ranitidine and other <a href="/wiki/Histamine" title="Histamine">histamine</a> H<sub>2</sub> receptor antagonists may increase the risk of <a href="/wiki/Pneumonia" title="Pneumonia">pneumonia</a> in hospitalised patients.<sup id="cite_ref-49" class="reference"><a href="#cite_note-49"><span class="cite-bracket">[</span>46<span class="cite-bracket">]</span></a></sup> Ranitidine increases the risk of community-acquired pneumonia in adults and children.<sup id="cite_ref-pmid16651285_50-0" class="reference"><a href="#cite_note-pmid16651285-50"><span class="cite-bracket">[</span>47<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-:0_51-0" class="reference"><a href="#cite_note-:0-51"><span class="cite-bracket">[</span>48<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Blood">Blood</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Ranitidine&action=edit&section=9" title="Edit section: Blood"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p><a href="/wiki/Thrombocytopenia" title="Thrombocytopenia">Thrombocytopenia</a> is a rare but known side effect. Drug-induced thrombocytopenia usually takes weeks or months to appear, but may appear within 12 hours of drug intake in a sensitised individual. Typically, the platelet count falls to 80% of normal, and thrombocytopenia may be associated with neutropenia and <a href="/wiki/Anemia" title="Anemia">anemia</a>.<sup id="cite_ref-pmid21455428_52-0" class="reference"><a href="#cite_note-pmid21455428-52"><span class="cite-bracket">[</span>49<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Skin">Skin</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Ranitidine&action=edit&section=10" title="Edit section: Skin"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Rash, including rare cases of <a href="/wiki/Erythema_multiforme" title="Erythema multiforme">erythema multiforme</a>, and rare cases of hair loss and vasculitis have been seen.<sup id="cite_ref-Zantac_FDA_label_1-9" class="reference"><a href="#cite_note-Zantac_FDA_label-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Precautions">Precautions</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Ranitidine&action=edit&section=11" title="Edit section: Precautions"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="mw-heading mw-heading3"><h3 id="Disease-related_concerns">Disease-related concerns</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Ranitidine&action=edit&section=12" title="Edit section: Disease-related concerns"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Relief of symptoms due to the use of ranitidine does not exclude the presence of a gastric malignancy. In addition, with kidney or liver impairment, ranitidine must be used with caution. It should be avoided in patients with <a href="/wiki/Porphyria" title="Porphyria">porphyria</a>, as it may precipitate an attack.<sup id="cite_ref-53" class="reference"><a href="#cite_note-53"><span class="cite-bracket">[</span>50<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-54" class="reference"><a href="#cite_note-54"><span class="cite-bracket">[</span>51<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Children">Children</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Ranitidine&action=edit&section=13" title="Edit section: Children"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>In children, the use of gastric acid inhibitors has been associated with an increased risk for development of acute gastroenteritis and community-acquired pneumonia.<sup id="cite_ref-pmid16651285_50-1" class="reference"><a href="#cite_note-pmid16651285-50"><span class="cite-bracket">[</span>47<span class="cite-bracket">]</span></a></sup> A cohort analysis including over 11,000 neonates reported an association of H<sub>2</sub> blocker use, and an increased incidence of <a href="/wiki/Necrotizing_enterocolitis" title="Necrotizing enterocolitis">necrotizing enterocolitis</a> in very-low-birth-weight (VLBW) neonates.<sup id="cite_ref-55" class="reference"><a href="#cite_note-55"><span class="cite-bracket">[</span>52<span class="cite-bracket">]</span></a></sup> In addition, about a six-fold increase in mortality, necrotizing enterocolitis, and infection such as <a href="/wiki/Sepsis" title="Sepsis">sepsis</a>, pneumonia, <a href="/wiki/Urinary_tract_infection" title="Urinary tract infection">urinary tract infection</a> was reported in patients receiving ranitidine in a cohort analysis of 274 VLBW neonates.<sup id="cite_ref-56" class="reference"><a href="#cite_note-56"><span class="cite-bracket">[</span>53<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Drug_tests">Drug tests</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Ranitidine&action=edit&section=14" title="Edit section: Drug tests"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Ranitidine may return a <a href="/wiki/False_positive" class="mw-redirect" title="False positive">false positive</a> result with some commercial urine drug screening kits for testing for drugs of abuse.<sup id="cite_ref-57" class="reference"><a href="#cite_note-57"><span class="cite-bracket">[</span>54<span class="cite-bracket">]</span></a></sup> </p><p><span class="anchor" id="impurities"></span> </p> <div class="mw-heading mw-heading3"><h3 id="Cancer-causing_due_to_inherent_instability">Cancer-causing due to inherent instability</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Ranitidine&action=edit&section=15" title="Edit section: Cancer-causing due to inherent instability"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1236090951">.mw-parser-output .hatnote{font-style:italic}.mw-parser-output div.hatnote{padding-left:1.6em;margin-bottom:0.5em}.mw-parser-output .hatnote i{font-style:normal}.mw-parser-output .hatnote+link+.hatnote{margin-top:-0.5em}@media print{body.ns-0 .mw-parser-output .hatnote{display:none!important}}</style><div role="note" class="hatnote navigation-not-searchable">See also: <a href="/wiki/Valsartan#recalls" title="Valsartan">Valsartan § recalls</a>, and <a href="/wiki/Angiotensin_II_receptor_blocker#recalls" title="Angiotensin II receptor blocker">Angiotensin II receptor blocker § recalls</a></div> <p>In June 2019, <a href="/wiki/Valisure" title="Valisure">Valisure</a> informed the US <a href="/wiki/Food_and_Drug_Administration" title="Food and Drug Administration">Food and Drug Administration</a> (FDA) that <a href="/wiki/Zantac_(disambiguation)" class="mw-redirect mw-disambig" title="Zantac (disambiguation)">Zantac</a>-branded and generic ranitidine resulted in very high levels of NDMA in the human body "due to an inherent instability of the ranitidine molecule".<sup id="cite_ref-OG-alert_58-0" class="reference"><a href="#cite_note-OG-alert-58"><span class="cite-bracket">[</span>55<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-FDA-2019-P-4281-dkt_59-0" class="reference"><a href="#cite_note-FDA-2019-P-4281-dkt-59"><span class="cite-bracket">[</span>56<span class="cite-bracket">]</span></a></sup> </p><p>In September 2019, the FDA acknowledged that ranitidine medicines, including some products sold under the brand name Zantac, contained a <a href="/wiki/Nitrosamine" title="Nitrosamine">nitrosamine</a> impurity called <a href="/wiki/N-Nitrosodimethylamine" title="N-Nitrosodimethylamine"><i>N</i>-nitrosodimethylamine</a> (NDMA), classified as a probable human carcinogen, at unacceptable levels.<sup id="cite_ref-FDA2019NDMA_16-1" class="reference"><a href="#cite_note-FDA2019NDMA-16"><span class="cite-bracket">[</span>15<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-FDA_Q&A_19-1" class="reference"><a href="#cite_note-FDA_Q&A-19"><span class="cite-bracket">[</span>18<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-60" class="reference"><a href="#cite_note-60"><span class="cite-bracket">[</span>57<span class="cite-bracket">]</span></a></sup> <a href="/wiki/Health_Canada" title="Health Canada">Health Canada</a> announced that it was assessing NDMA in ranitidine<sup id="cite_ref-HealthCanada_15-1" class="reference"><a href="#cite_note-HealthCanada-15"><span class="cite-bracket">[</span>14<span class="cite-bracket">]</span></a></sup> and requested that manufacturers stop the distribution of ranitidine products in Canada until the NDMA levels in the products are found to be safe.<sup id="cite_ref-Health_Canada_61-0" class="reference"><a href="#cite_note-Health_Canada-61"><span class="cite-bracket">[</span>58<span class="cite-bracket">]</span></a></sup> Health Canada announced that ranitidine drugs were being recalled by Sandoz Canada, Apotex Inc., Pro Doc Limitée, Sanis Health Inc., and Sivem Pharmaceuticals ULC.<sup id="cite_ref-Health_Canada_61-1" class="reference"><a href="#cite_note-Health_Canada-61"><span class="cite-bracket">[</span>58<span class="cite-bracket">]</span></a></sup> The <a href="/wiki/European_Medicines_Agency" title="European Medicines Agency">European Medicines Agency</a> (EMA) started a <a href="/wiki/European_Union" title="European Union">European Union</a>-wide review of ranitidine medicines at the request of the <a href="/wiki/European_Commission" title="European Commission">European Commission</a>.<sup id="cite_ref-EMA1_17-1" class="reference"><a href="#cite_note-EMA1-17"><span class="cite-bracket">[</span>16<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-EMA2_62-0" class="reference"><a href="#cite_note-EMA2-62"><span class="cite-bracket">[</span>59<span class="cite-bracket">]</span></a></sup> </p><p>In October 2019, the US. FDA observed that the third-party laboratory that found very high levels of NDMA was using higher temperatures in its tests to detect nitrosamine impurities. The NDMA was mostly generated by the added heat, but the higher temperatures are recommended for using a <a href="/wiki/Gas_chromatography%E2%80%93mass_spectrometry" title="Gas chromatography–mass spectrometry">gas chromatography–mass spectrometry</a> method to test for NDMA in <a href="/wiki/Valsartan" title="Valsartan">valsartan</a> and <a href="/wiki/Angiotensin_II_receptor_blocker" title="Angiotensin II receptor blocker">angiotensin II receptor blockers</a>.<sup id="cite_ref-63" class="reference"><a href="#cite_note-63"><span class="cite-bracket">[</span>60<span class="cite-bracket">]</span></a></sup> The FDA stated that it recommends using a <a href="/wiki/Liquid_chromatography%E2%80%93mass_spectrometry" title="Liquid chromatography–mass spectrometry">Liquid Chromatography-High Resolution Mass Spectrometry</a> (LC-HRMS) testing protocol to test samples of ranitidine.<sup id="cite_ref-64" class="reference"><a href="#cite_note-64"><span class="cite-bracket">[</span>61<span class="cite-bracket">]</span></a></sup> Its LC-HRMS testing method does not use elevated temperatures, and has shown the presence of much lower levels of NDMA in ranitidine medicines than were reported by the third-party laboratory. International regulators using similar LC-MS testing methods have also shown the presence of lower but still unacceptable levels of NDMA in ranitidine samples.<sup id="cite_ref-FDA_NDMA_ranitidine_18-1" class="reference"><a href="#cite_note-FDA_NDMA_ranitidine-18"><span class="cite-bracket">[</span>17<span class="cite-bracket">]</span></a></sup> The FDA provided additional guidance about using another LC-MS method based on a triple-quadrupole MS platform.<sup id="cite_ref-FDA_NDMA_ranitidine_18-2" class="reference"><a href="#cite_note-FDA_NDMA_ranitidine-18"><span class="cite-bracket">[</span>17<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-65" class="reference"><a href="#cite_note-65"><span class="cite-bracket">[</span>62<span class="cite-bracket">]</span></a></sup> </p><p>In September 2019, Sandoz issued a "precautionary distribution stop" of all medicines containing ranitidine,<sup id="cite_ref-SandozStop_66-0" class="reference"><a href="#cite_note-SandozStop-66"><span class="cite-bracket">[</span>63<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-67" class="reference"><a href="#cite_note-67"><span class="cite-bracket">[</span>64<span class="cite-bracket">]</span></a></sup> followed a few days later by a recall of ranitidine hydrochloride capsules in the United States.<sup id="cite_ref-68" class="reference"><a href="#cite_note-68"><span class="cite-bracket">[</span>65<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-69" class="reference"><a href="#cite_note-69"><span class="cite-bracket">[</span>66<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-70" class="reference"><a href="#cite_note-70"><span class="cite-bracket">[</span>67<span class="cite-bracket">]</span></a></sup> The Italian Medicines Agency recalled all ranitidine that uses an <a href="/wiki/Active_ingredient" title="Active ingredient">active pharmaceutical ingredient</a> from Saraca Laboratories.<sup id="cite_ref-71" class="reference"><a href="#cite_note-71"><span class="cite-bracket">[</span>68<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-72" class="reference"><a href="#cite_note-72"><span class="cite-bracket">[</span>69<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-73" class="reference"><a href="#cite_note-73"><span class="cite-bracket">[</span>70<span class="cite-bracket">]</span></a></sup> The Federal Union of German Associations of Pharmacists (<i>Arzneimittelkommission der Deutschen Apotheker</i>) published a list of recalled products,<sup id="cite_ref-74" class="reference"><a href="#cite_note-74"><span class="cite-bracket">[</span>71<span class="cite-bracket">]</span></a></sup> as did the <a href="/wiki/Therapeutic_Goods_Administration" title="Therapeutic Goods Administration">Therapeutic Goods Administration</a> in Australia.<sup id="cite_ref-75" class="reference"><a href="#cite_note-75"><span class="cite-bracket">[</span>72<span class="cite-bracket">]</span></a></sup> </p><p>In November 2019, the FDA stated that its tests found levels of NDMA in ranitidine and nizatidine that are similar to those that one may typically ingest with common foods such as grilled or smoked meats.<sup id="cite_ref-FDA_Statement_76-0" class="reference"><a href="#cite_note-FDA_Statement-76"><span class="cite-bracket">[</span>73<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-FDA_Lab_tests_77-0" class="reference"><a href="#cite_note-FDA_Lab_tests-77"><span class="cite-bracket">[</span>74<span class="cite-bracket">]</span></a></sup> The FDA also stated that its simulated gastric fluid model tests and simulated intestinal fluid model tests indicated that NDMA is not formed when exposed to acid in the stomach with a normal diet.<sup id="cite_ref-FDA_Statement_76-1" class="reference"><a href="#cite_note-FDA_Statement-76"><span class="cite-bracket">[</span>73<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-FDA_Lab_tests_77-1" class="reference"><a href="#cite_note-FDA_Lab_tests-77"><span class="cite-bracket">[</span>74<span class="cite-bracket">]</span></a></sup> The FDA advised companies to recall their ranitidine if testing shows levels of NDMA above the acceptable daily intake (96 nanograms per day or 0.32 parts per million for ranitidine).<sup id="cite_ref-FDA_NDMA_ranitidine_18-3" class="reference"><a href="#cite_note-FDA_NDMA_ranitidine-18"><span class="cite-bracket">[</span>17<span class="cite-bracket">]</span></a></sup> At the same time, it indicated that some levels of NDMA found in medicines still exceeded the agency's acceptable levels.<sup id="cite_ref-FDA_Statement_76-2" class="reference"><a href="#cite_note-FDA_Statement-76"><span class="cite-bracket">[</span>73<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-FDA_Lab_tests_77-2" class="reference"><a href="#cite_note-FDA_Lab_tests-77"><span class="cite-bracket">[</span>74<span class="cite-bracket">]</span></a></sup> </p><p>In December 2019, the FDA asked manufacturers of ranitidine and nizatidine products to expand their NDMA testing to include all lots of the medication before making them available to consumers.<sup id="cite_ref-78" class="reference"><a href="#cite_note-78"><span class="cite-bracket">[</span>75<span class="cite-bracket">]</span></a></sup> </p><p>By the end of 2019, ranitidine had already fallen from the 40th most commonly prescribed medication in the United States in 2018, to 53rd place for 2019, with about 13.6<span class="nowrap"> </span>million prescriptions for the year, versus nearly 19 million the previous year.<sup id="cite_ref-79" class="reference"><a href="#cite_note-79"><span class="cite-bracket">[</span>76<span class="cite-bracket">]</span></a></sup> This reflects total prescriptions for all of 2019, while safety concerns affected sales in only the final 4 months of the year. </p><p>In April 2020, new FDA testing and evaluation prompted by information from third-party laboratories confirmed that NDMA levels increase in ranitidine even under normal storage conditions, and NDMA has been found to increase significantly in samples stored at higher temperatures, including those at which the product may be exposed during distribution and handling by consumers.<sup id="cite_ref-FDA_removal_PR_20-1" class="reference"><a href="#cite_note-FDA_removal_PR-20"><span class="cite-bracket">[</span>19<span class="cite-bracket">]</span></a></sup> The testing also showed that the level of NDMA increases as ranitidine medication ages.<sup id="cite_ref-FDA_removal_PR_20-2" class="reference"><a href="#cite_note-FDA_removal_PR-20"><span class="cite-bracket">[</span>19<span class="cite-bracket">]</span></a></sup> These conditions may raise the NDMA level above the acceptable daily intake limit.<sup id="cite_ref-FDA_removal_PR_20-3" class="reference"><a href="#cite_note-FDA_removal_PR-20"><span class="cite-bracket">[</span>19<span class="cite-bracket">]</span></a></sup> The EMA completed and issued their EU-wide review at the end of the month and the European Commission suspended all ranitidine products in the EU.<sup id="cite_ref-80" class="reference"><a href="#cite_note-80"><span class="cite-bracket">[</span>77<span class="cite-bracket">]</span></a></sup> </p><p>In August 2020, the EMA provided guidance to marketing authorization holders for avoiding the presence of nitrosamine impurities and asked them to review all chemical and biological human medicines for the presence of nitrosamines and to test the products at risk.<sup id="cite_ref-EMA_Nitrosamine_impurities_81-0" class="reference"><a href="#cite_note-EMA_Nitrosamine_impurities-81"><span class="cite-bracket">[</span>78<span class="cite-bracket">]</span></a></sup> In September 2020, the FDA issued guidance about the control of nitrosamine impurities in human drugs.<sup id="cite_ref-82" class="reference"><a href="#cite_note-82"><span class="cite-bracket">[</span>79<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-83" class="reference"><a href="#cite_note-83"><span class="cite-bracket">[</span>80<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-84" class="reference"><a href="#cite_note-84"><span class="cite-bracket">[</span>81<span class="cite-bracket">]</span></a></sup> An implementation plan was issued in February 2021.<sup id="cite_ref-85" class="reference"><a href="#cite_note-85"><span class="cite-bracket">[</span>82<span class="cite-bracket">]</span></a></sup> </p><p>In 2022, these concerns were confirmed in a Taiwanese nationwide population study finding "significant trends of increased liver cancer risk with an increasing dose of ranitidine" (22% higher than control) and increased gastric, pancreatic, lung (26%, 35%, and 17% respectively), but "only liver cancer displayed a significant association with long-term ranitidine use" and "there was no continuous dose–response relationship among the other individual cancers".<sup id="cite_ref-taiwanstudy_24-3" class="reference"><a href="#cite_note-taiwanstudy-24"><span class="cite-bracket">[</span>23<span class="cite-bracket">]</span></a></sup> Overall cancer risk also increased by 10% (<i>p</i> < 0.001).<sup id="cite_ref-taiwanstudy_24-4" class="reference"><a href="#cite_note-taiwanstudy-24"><span class="cite-bracket">[</span>23<span class="cite-bracket">]</span></a></sup> </p><p>The FDA issued revised guidelines about nitrosamine impurities in September 2024.<sup id="cite_ref-86" class="reference"><a href="#cite_note-86"><span class="cite-bracket">[</span>83<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="List_of_recalls">List of recalls</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Ranitidine&action=edit&section=16" title="Edit section: List of recalls"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>In September 2019, <a href="/wiki/Apotex" title="Apotex">Apotex</a> recalled all <a href="/wiki/Over-the-counter_drug" title="Over-the-counter drug">over-the-counter</a> ranitidine tablets sold in the United States at <a href="/wiki/Walmart" title="Walmart">Walmart</a>, <a href="/wiki/Rite_Aid" title="Rite Aid">Rite Aid</a>, and <a href="/wiki/Walgreens" title="Walgreens">Walgreens</a>.<sup id="cite_ref-87" class="reference"><a href="#cite_note-87"><span class="cite-bracket">[</span>84<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-88" class="reference"><a href="#cite_note-88"><span class="cite-bracket">[</span>85<span class="cite-bracket">]</span></a></sup> These retailers, along with <a href="/wiki/CVS_Pharmacy" title="CVS Pharmacy">CVS</a>, removed Zantac and some generics from their shelves.<sup id="cite_ref-89" class="reference"><a href="#cite_note-89"><span class="cite-bracket">[</span>86<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-90" class="reference"><a href="#cite_note-90"><span class="cite-bracket">[</span>87<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-91" class="reference"><a href="#cite_note-91"><span class="cite-bracket">[</span>88<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-92" class="reference"><a href="#cite_note-92"><span class="cite-bracket">[</span>89<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-93" class="reference"><a href="#cite_note-93"><span class="cite-bracket">[</span>90<span class="cite-bracket">]</span></a></sup> </p><p>In October 2019, the <a href="/wiki/Medicines_and_Healthcare_products_Regulatory_Agency" title="Medicines and Healthcare products Regulatory Agency">Medicines and Healthcare products Regulatory Agency</a> of the United Kingdom (UK) issued a drug alert for ranitidine "... to proactively communicate the recall to hospitals, pharmacies, dispensing practices, retailers and wholesalers in the UK."<sup id="cite_ref-GSK-UK_94-0" class="reference"><a href="#cite_note-GSK-UK-94"><span class="cite-bracket">[</span>91<span class="cite-bracket">]</span></a></sup> This included all Zantac-branded preparations,<sup id="cite_ref-95" class="reference"><a href="#cite_note-95"><span class="cite-bracket">[</span>92<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-96" class="reference"><a href="#cite_note-96"><span class="cite-bracket">[</span>93<span class="cite-bracket">]</span></a></sup> along with all generic preparations of ranitidine from Teva UK Limited,<sup id="cite_ref-97" class="reference"><a href="#cite_note-97"><span class="cite-bracket">[</span>94<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-98" class="reference"><a href="#cite_note-98"><span class="cite-bracket">[</span>95<span class="cite-bracket">]</span></a></sup> Rosemont Pharmaceuticals Limited,<sup id="cite_ref-99" class="reference"><a href="#cite_note-99"><span class="cite-bracket">[</span>96<span class="cite-bracket">]</span></a></sup> Omega Pharma Limited and Galpharm International Limited,<sup id="cite_ref-100" class="reference"><a href="#cite_note-100"><span class="cite-bracket">[</span>97<span class="cite-bracket">]</span></a></sup> Perrigo Company plc,<sup id="cite_ref-101" class="reference"><a href="#cite_note-101"><span class="cite-bracket">[</span>98<span class="cite-bracket">]</span></a></sup> Creo Pharma Limited and Tillomed Laboratories Limited,<sup id="cite_ref-102" class="reference"><a href="#cite_note-102"><span class="cite-bracket">[</span>99<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-103" class="reference"><a href="#cite_note-103"><span class="cite-bracket">[</span>100<span class="cite-bracket">]</span></a></sup> OTC Concepts Ltd, Relonchem Ltd, Noumed Life Sciences Ltd, and Medreich Plc.,<sup id="cite_ref-104" class="reference"><a href="#cite_note-104"><span class="cite-bracket">[</span>101<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-105" class="reference"><a href="#cite_note-105"><span class="cite-bracket">[</span>102<span class="cite-bracket">]</span></a></sup> Accord Healthcare,<sup id="cite_ref-106" class="reference"><a href="#cite_note-106"><span class="cite-bracket">[</span>103<span class="cite-bracket">]</span></a></sup> Medley Pharma Limited,<sup id="cite_ref-107" class="reference"><a href="#cite_note-107"><span class="cite-bracket">[</span>104<span class="cite-bracket">]</span></a></sup> and Medreich Plc.<sup id="cite_ref-108" class="reference"><a href="#cite_note-108"><span class="cite-bracket">[</span>105<span class="cite-bracket">]</span></a></sup> </p><p>In October 2019, the <a href="/wiki/Department_of_Health_and_Social_Care" title="Department of Health and Social Care">Department of Health and Social Care</a> of the United Kingdom issued a supply distribution alert (SDA/2019/005) for all oral formulations of ranitidine.<sup id="cite_ref-109" class="reference"><a href="#cite_note-109"><span class="cite-bracket">[</span>106<span class="cite-bracket">]</span></a></sup> </p><p>In October 2019, <a href="/wiki/Sanofi" title="Sanofi">Sanofi</a> recalled all over-the-counter Zantac in the United States and Canada,<sup id="cite_ref-110" class="reference"><a href="#cite_note-110"><span class="cite-bracket">[</span>107<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-111" class="reference"><a href="#cite_note-111"><span class="cite-bracket">[</span>108<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-FDA_NDMA_ranitidine_18-4" class="reference"><a href="#cite_note-FDA_NDMA_ranitidine-18"><span class="cite-bracket">[</span>17<span class="cite-bracket">]</span></a></sup> <a href="/wiki/Perrigo" title="Perrigo">Perrigo</a> issued a worldwide recall of ranitidine,<sup id="cite_ref-112" class="reference"><a href="#cite_note-112"><span class="cite-bracket">[</span>109<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-FDA_NDMA_ranitidine_18-5" class="reference"><a href="#cite_note-FDA_NDMA_ranitidine-18"><span class="cite-bracket">[</span>17<span class="cite-bracket">]</span></a></sup> <a href="/wiki/Dr._Reddy%27s_Laboratories" title="Dr. Reddy's Laboratories">Dr. Reddy's</a> issued a recall of all ranitidine products in the United States,<sup id="cite_ref-113" class="reference"><a href="#cite_note-113"><span class="cite-bracket">[</span>110<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-FDA_NDMA_ranitidine_18-6" class="reference"><a href="#cite_note-FDA_NDMA_ranitidine-18"><span class="cite-bracket">[</span>17<span class="cite-bracket">]</span></a></sup> and Novitium Pharma recalled all ranitidine hydrochloride capsules in the US.<sup id="cite_ref-114" class="reference"><a href="#cite_note-114"><span class="cite-bracket">[</span>111<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-FDA_NDMA_ranitidine_18-7" class="reference"><a href="#cite_note-FDA_NDMA_ranitidine-18"><span class="cite-bracket">[</span>17<span class="cite-bracket">]</span></a></sup> </p><p>In November 2019, <a href="/wiki/Aurobindo_Pharma" title="Aurobindo Pharma">Aurobindo Pharma</a>, <a href="/wiki/Amneal_Pharmaceuticals" title="Amneal Pharmaceuticals">Amneal Pharmaceuticals</a>, American Health Packaging, Golden State Medical Supply, and Precision Dose recalled some lots of ranitidine tablets, capsules, and syrup.<sup id="cite_ref-115" class="reference"><a href="#cite_note-115"><span class="cite-bracket">[</span>112<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-116" class="reference"><a href="#cite_note-116"><span class="cite-bracket">[</span>113<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-117" class="reference"><a href="#cite_note-117"><span class="cite-bracket">[</span>114<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-118" class="reference"><a href="#cite_note-118"><span class="cite-bracket">[</span>115<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-119" class="reference"><a href="#cite_note-119"><span class="cite-bracket">[</span>116<span class="cite-bracket">]</span></a></sup> </p><p>In December 2019, Glenmark Pharmaceutical Inc., USA, recalled some lots of ranitidine tablets.<sup id="cite_ref-120" class="reference"><a href="#cite_note-120"><span class="cite-bracket">[</span>117<span class="cite-bracket">]</span></a></sup> </p><p>In January 2020, Appco Pharma LLC and Northwind Pharmaceuticals recalled some lots of ranitidine tablets and capsules.<sup id="cite_ref-121" class="reference"><a href="#cite_note-121"><span class="cite-bracket">[</span>118<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-122" class="reference"><a href="#cite_note-122"><span class="cite-bracket">[</span>119<span class="cite-bracket">]</span></a></sup> </p><p>In February 2020, American Health Packaging recalled some lots of ranitidine tablets manufactured by Amneal Pharmaceuticals.<sup id="cite_ref-FDA_PR_123-0" class="reference"><a href="#cite_note-FDA_PR-123"><span class="cite-bracket">[</span>120<span class="cite-bracket">]</span></a></sup> </p><p>In April 2020, the FDA requested a manufacturer's market withdrawal of ranitidine,<sup id="cite_ref-FDA_removal_PR_20-4" class="reference"><a href="#cite_note-FDA_removal_PR-20"><span class="cite-bracket">[</span>19<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-124" class="reference"><a href="#cite_note-124"><span class="cite-bracket">[</span>121<span class="cite-bracket">]</span></a></sup> meaning that ranitidine products would not be available for prescription or over-the-counter sale in the US.<sup id="cite_ref-FDA_Q&A_19-2" class="reference"><a href="#cite_note-FDA_Q&A-19"><span class="cite-bracket">[</span>18<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-FDA_removal_PR_20-5" class="reference"><a href="#cite_note-FDA_removal_PR-20"><span class="cite-bracket">[</span>19<span class="cite-bracket">]</span></a></sup> </p><p>In April 2020, the <a href="/wiki/Committee_for_Medicinal_Products_for_Human_Use" title="Committee for Medicinal Products for Human Use">Committee for Medicinal Products for Human Use</a> (CHMP) of the European Medicines Agency recommended the suspension of all ranitidine medicines in the European Union because of the presence of unacceptable levels of NDMA.<sup id="cite_ref-125" class="reference"><a href="#cite_note-125"><span class="cite-bracket">[</span>122<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-CHMP_withdrawl_11-2" class="reference"><a href="#cite_note-CHMP_withdrawl-11"><span class="cite-bracket">[</span>11<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-EU_suspension_PR_21-1" class="reference"><a href="#cite_note-EU_suspension_PR-21"><span class="cite-bracket">[</span>20<span class="cite-bracket">]</span></a></sup> </p><p>A ranitidine manufacturer requested a re-examination of the decision,<sup id="cite_ref-CHMP_withdrawl_11-3" class="reference"><a href="#cite_note-CHMP_withdrawl-11"><span class="cite-bracket">[</span>11<span class="cite-bracket">]</span></a></sup> but in December 2020, the EMA confirmed its recommendation to suspend all ranitidine medicines in the European Union.<sup id="cite_ref-CHMP_withdrawl_11-4" class="reference"><a href="#cite_note-CHMP_withdrawl-11"><span class="cite-bracket">[</span>11<span class="cite-bracket">]</span></a></sup> The UK <a href="/wiki/National_Health_Service" title="National Health Service">National Health Service</a> (NHS) Web site as of December 2021<sup class="plainlinks noexcerpt noprint asof-tag update" style="display:none;"><a class="external text" href="https://en.wikipedia.org/w/index.php?title=Ranitidine&action=edit">[update]</a></sup> said "Ranitidine is not currently available in the UK or globally... It's not yet known whether it will be available again in future." A March 2024 review left the message up.<sup id="cite_ref-126" class="reference"><a href="#cite_note-126"><span class="cite-bracket">[</span>123<span class="cite-bracket">]</span></a></sup> </p><p>In 2021, Solara Active Pharma Sciences, which supplies ranitidine active pharmaceutical ingredient (API), said that it had mitigated the risks of the formation of NDMA during the manufacturing of ranitidine API. The company was granted a revised certificate by the European Directorate for the Quality of Medicines and Healthcare, which proves that the API complies with certain European rules.<sup id="cite_ref-:2_127-0" class="reference"><a href="#cite_note-:2-127"><span class="cite-bracket">[</span>124<span class="cite-bracket">]</span></a></sup> <a href="/wiki/GlaxoSmithKline" class="mw-redirect" title="GlaxoSmithKline">GlaxoSmithKline</a>, <a href="/wiki/Sanofi" title="Sanofi">Sanofi</a>, and <a href="/wiki/Teva_Pharmaceuticals" title="Teva Pharmaceuticals">Teva</a> said they had no plans to reintroduce the drug in the EU, but <a href="/wiki/Accord_Healthcare" class="mw-redirect" title="Accord Healthcare">Accord Healthcare</a> considered the possible reintroduction of ranitidine.<sup id="cite_ref-:2_127-1" class="reference"><a href="#cite_note-:2-127"><span class="cite-bracket">[</span>124<span class="cite-bracket">]</span></a></sup> However a control strategy regarding NDMA formation through the end of the product’s shelf life, despite heat, time and digestion due to endogenous formation from the API, would be required.<sup id="cite_ref-:2_127-2" class="reference"><a href="#cite_note-:2-127"><span class="cite-bracket">[</span>124<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Pharmacology">Pharmacology</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Ranitidine&action=edit&section=17" title="Edit section: Pharmacology"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="mw-heading mw-heading3"><h3 id="Mechanism_of_action">Mechanism of action</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Ranitidine&action=edit&section=18" title="Edit section: Mechanism of action"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Ranitidine is a competitive, reversible inhibitor of the action of histamine at the histamine H<sub>2</sub> receptors found in gastric parietal cells. This results in decreased gastric acid secretion and gastric volume, and reduced hydrogen ion concentration.<sup id="cite_ref-Morgan_Ahlawat2023_128-0" class="reference"><a href="#cite_note-Morgan_Ahlawat2023-128"><span class="cite-bracket">[</span>125<span class="cite-bracket">]</span></a></sup> Ranitidine's acid-lowering effect is more pronounced for basal and nocturnal acid secretion than it is for food-stimulated acid secretion. Additional indirect effects of ranitidine are decreased pepsin secretion and increased nitrate-reducing bacterial flora.<sup id="cite_ref-Morgan_Ahlawat2023_128-1" class="reference"><a href="#cite_note-Morgan_Ahlawat2023-128"><span class="cite-bracket">[</span>125<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Pharmacokinetics">Pharmacokinetics</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Ranitidine&action=edit&section=19" title="Edit section: Pharmacokinetics"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Oral absorption: 50%<sup id="cite_ref-Morgan_Ahlawat2023_128-2" class="reference"><a href="#cite_note-Morgan_Ahlawat2023-128"><span class="cite-bracket">[</span>125<span class="cite-bracket">]</span></a></sup> </p><p>Protein binding: 15%<sup id="cite_ref-129" class="reference"><a href="#cite_note-129"><span class="cite-bracket">[</span>126<span class="cite-bracket">]</span></a></sup> </p><p>Metabolism: The major metabolite in the urine is ranitidine <i>N</i>-oxide, which represents less than 4% of the dose. Other metabolites of ranitidine include ranitidine <i>S</i>-oxide (1%) and desmethyl ranitidine (1%).<sup id="cite_ref-130" class="reference"><a href="#cite_note-130"><span class="cite-bracket">[</span>127<span class="cite-bracket">]</span></a></sup> </p><p>Half-life elimination: With normal renal function, ranitidine taken orally has a half-life of 2.5–3.0 hours.<sup id="cite_ref-Morgan_Ahlawat2023_128-3" class="reference"><a href="#cite_note-Morgan_Ahlawat2023-128"><span class="cite-bracket">[</span>125<span class="cite-bracket">]</span></a></sup> If taken intravenously, the half-life is generally 2.0–2.5 hours in a patient with normal kidney function and normal <a href="/wiki/Creatinine" title="Creatinine">creatinine</a> clearance.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Identifying_reliable_sources_(medicine)" title="Wikipedia:Identifying reliable sources (medicine)"><span title="Material near this tag needs references to reliable medical sources. (August 2023)">medical citation needed</span></a></i>]</sup> In patients with kidney dysfunction, the half-life may increase to 4 to 5 hours.<sup id="cite_ref-Morgan_Ahlawat2023_128-4" class="reference"><a href="#cite_note-Morgan_Ahlawat2023-128"><span class="cite-bracket">[</span>125<span class="cite-bracket">]</span></a></sup> </p><p>Excretion: The primary route of excretion is the urine.<sup id="cite_ref-Morgan_Ahlawat2023_128-5" class="reference"><a href="#cite_note-Morgan_Ahlawat2023-128"><span class="cite-bracket">[</span>125<span class="cite-bracket">]</span></a></sup> In addition, about 30% of the orally administered dose is collected in the urine as unabsorbed drug in 24 hours.<sup id="cite_ref-131" class="reference"><a href="#cite_note-131"><span class="cite-bracket">[</span>128<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="Elderly">Elderly</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Ranitidine&action=edit&section=20" title="Edit section: Elderly"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>In the elderly population, the plasma half-life of ranitidine is prolonged to 3–4 hours secondary to decreased kidney function causing decreased <a href="/wiki/Clearance_(medicine)" class="mw-redirect" title="Clearance (medicine)">clearance</a>.<sup id="cite_ref-Zantac_FDA_label_1-10" class="reference"><a href="#cite_note-Zantac_FDA_label-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="Children_2">Children</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Ranitidine&action=edit&section=21" title="Edit section: Children"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>In general, studies of pediatric patients (aged one month to 16 years) have shown no significant differences in pharmacokinetic parameter values in comparison to healthy adults, when correction is made for body weight.<sup id="cite_ref-Zantac_FDA_label_1-11" class="reference"><a href="#cite_note-Zantac_FDA_label-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="History">History</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Ranitidine&action=edit&section=22" title="Edit section: History"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Zantac.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/9/96/Zantac.jpg/220px-Zantac.jpg" decoding="async" width="220" height="284" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/9/96/Zantac.jpg/330px-Zantac.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/9/96/Zantac.jpg/440px-Zantac.jpg 2x" data-file-width="1323" data-file-height="1708" /></a><figcaption>Zantac 300 mg tablets from <a href="/wiki/GSK_plc" title="GSK plc">GlaxoSmithKline</a> (GSK) as sold in Australia</figcaption></figure> <p>Ranitidine was first prepared in <a href="/wiki/England" title="England">England</a> as AH19065 by John Bradshaw in the summer of 1977 in the <a href="/wiki/Ware,_Hertfordshire" title="Ware, Hertfordshire">Ware</a> research laboratories of <a href="/wiki/Allen_and_Hanburys" class="mw-redirect" title="Allen and Hanburys">Allen and Hanburys</a>, part of the former <a href="/wiki/Glaxo" class="mw-redirect" title="Glaxo">Glaxo</a> organisation.<sup id="cite_ref-132" class="reference"><a href="#cite_note-132"><span class="cite-bracket">[</span>129<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-133" class="reference"><a href="#cite_note-133"><span class="cite-bracket">[</span>130<span class="cite-bracket">]</span></a></sup> Its development was a response to the first in class histamine H<sub>2</sub> receptor antagonist, <a href="/wiki/Cimetidine" title="Cimetidine">cimetidine</a>, developed by <a href="/wiki/Sir_James_Black" class="mw-redirect" title="Sir James Black">Sir James Black</a> at <a href="/wiki/Smith,_Kline_and_French" class="mw-redirect" title="Smith, Kline and French">Smith, Kline and French</a>, and launched in the United Kingdom as <b>Tagamet</b> in November 1976. Both companies eventually merged as <a href="/wiki/GlaxoSmithKline" class="mw-redirect" title="GlaxoSmithKline">GlaxoSmithKline</a> (GSK), following a sequence of mergers and acquisitions, starting with the integration of Allen and Hanbury's Ltd and Glaxo to form Glaxo Group Research in 1979, and ultimately with the merger of Glaxo Wellcome and SmithKline Beecham in 2000. Ranitidine was the result of a <a href="/wiki/Drug_design#Rational_drug_discovery" title="Drug design">rational drug-design</a> process using what was by then a fairly refined model of the histamine H<sub>2</sub> receptor and <a href="/wiki/QSAR" class="mw-redirect" title="QSAR">quantitative structure-activity relationships</a>. </p><p>Glaxo refined the model further, by replacing the <a href="/wiki/Imidazole" title="Imidazole">imidazole</a> ring of cimetidine with a <a href="/wiki/Furan" title="Furan">furan</a> ring with a <a href="/wiki/Nitrogen" title="Nitrogen">nitrogen</a>-containing substituent, and in doing so developed ranitidine. Ranitidine was found to have a far-improved tolerability profile (i.e. fewer <a href="/wiki/Adverse_drug_reaction" title="Adverse drug reaction">adverse drug reactions</a>), longer-lasting action, and 10 times the activity of cimetidine. Ranitidine has 10% of the affinity that cimetidine has to <a href="/wiki/CYP450" class="mw-redirect" title="CYP450">CYP450</a>, so it causes fewer side effects, but other H<sub>2</sub> blockers <a href="/wiki/Famotidine" title="Famotidine">famotidine</a> and <a href="/wiki/Nizatidine" title="Nizatidine">nizatidine</a> have no CYP450 significant interactions.<sup id="cite_ref-134" class="reference"><a href="#cite_note-134"><span class="cite-bracket">[</span>131<span class="cite-bracket">]</span></a></sup> </p><p>Ranitidine was introduced in 1981, and was the world's biggest-selling prescription drug by 1987.<sup id="cite_ref-135" class="reference"><a href="#cite_note-135"><span class="cite-bracket">[</span>132<span class="cite-bracket">]</span></a></sup> Subsequently, it was largely superseded by the more effective <a href="/wiki/Proton-pump_inhibitor" title="Proton-pump inhibitor">proton-pump inhibitor</a> (PPI) class of drugs, with <a href="/wiki/Omeprazole" title="Omeprazole">omeprazole</a> becoming the biggest-selling drug for many years.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (October 2019)">citation needed</span></a></i>]</sup> When omeprazole and ranitidine were compared in a study of 144 people with severe inflammation and erosions or ulcers of the oesophagus, 85% of those treated with omeprazole healed within eight weeks, compared with 50% of those given ranitidine. In addition, the omeprazole group reported earlier relief of heartburn symptoms.<sup id="cite_ref-136" class="reference"><a href="#cite_note-136"><span class="cite-bracket">[</span>133<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-137" class="reference"><a href="#cite_note-137"><span class="cite-bracket">[</span>134<span class="cite-bracket">]</span></a></sup> </p><p>In September 2019, the probable <a href="/wiki/Carcinogen" title="Carcinogen">carcinogen</a> <a href="/wiki/N-Nitrosodimethylamine" title="N-Nitrosodimethylamine"><i>N</i>-nitrosodimethylamine</a> (NDMA) was discovered in ranitidine products from a number of manufacturers, resulting in recalls; in April 2020, it was withdrawn from the United States market and suspended in Europe and Australia. </p> <div class="mw-heading mw-heading2"><h2 id="Preparations">Preparations</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Ranitidine&action=edit&section=23" title="Edit section: Preparations"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Preparations of ranitidine products include oral tablets (75, 150, and 300 mg), effervescent tablets, and syrups,<sup id="cite_ref-Zantac_FDA_label_1-12" class="reference"><a href="#cite_note-Zantac_FDA_label-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> and injectable solutions;<sup id="cite_ref-GSK-UK_94-1" class="reference"><a href="#cite_note-GSK-UK-94"><span class="cite-bracket">[</span>91<span class="cite-bracket">]</span></a></sup> with doses of specific ranitidine product preparations are available over-the-counter (OTC) in various countries. In the United Kingdom, only the lowest-strength, 75-mg tablet was available to purchase without a prescription.<sup id="cite_ref-Zantac_FDA_label_1-13" class="reference"><a href="#cite_note-Zantac_FDA_label-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> In Australia, packs containing seven or 14 doses of the 150-mg tablet were available in supermarkets, small packs of 150-mg and 300-mg tablets were <a href="/wiki/SUSDP" class="mw-redirect" title="SUSDP">schedule 2 pharmacy medicines</a>.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Identifying_reliable_sources_(medicine)" title="Wikipedia:Identifying reliable sources (medicine)"><span title="Material near this tag needs references to reliable medical sources. (October 2019)">medical citation needed</span></a></i>]</sup> Larger doses and pack sizes required a prescription.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Identifying_reliable_sources_(medicine)" title="Wikipedia:Identifying reliable sources (medicine)"><span title="Material near this tag needs references to reliable medical sources. (October 2019)">medical citation needed</span></a></i>]</sup> In the United States, 75- and 150-mg tablets were available OTC.<sup id="cite_ref-138" class="reference"><a href="#cite_note-138"><span class="cite-bracket">[</span>135<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-139" class="reference"><a href="#cite_note-139"><span class="cite-bracket">[</span>136<span class="cite-bracket">]</span></a></sup> In India, it is sold under multiple brand names.<sup id="cite_ref-:0_51-1" class="reference"><a href="#cite_note-:0-51"><span class="cite-bracket">[</span>48<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="References">References</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Ranitidine&action=edit&section=24" title="Edit section: References"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output .reflist .references{font-size:100%;margin-bottom:0;list-style-type:inherit}.mw-parser-output .reflist-columns-2{column-width:30em}.mw-parser-output .reflist-columns-3{column-width:25em}.mw-parser-output .reflist-columns{margin-top:0.3em}.mw-parser-output .reflist-columns ol{margin-top:0}.mw-parser-output .reflist-columns li{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .reflist-upper-alpha{list-style-type:upper-alpha}.mw-parser-output .reflist-upper-roman{list-style-type:upper-roman}.mw-parser-output .reflist-lower-alpha{list-style-type:lower-alpha}.mw-parser-output .reflist-lower-greek{list-style-type:lower-greek}.mw-parser-output .reflist-lower-roman{list-style-type:lower-roman}</style><div class="reflist"> <div class="mw-references-wrap mw-references-columns"><ol class="references"> <li id="cite_note-Zantac_FDA_label-1"><span class="mw-cite-backlink">^ <a href="#cite_ref-Zantac_FDA_label_1-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-Zantac_FDA_label_1-1"><sup><i><b>b</b></i></sup></a> <a href="#cite_ref-Zantac_FDA_label_1-2"><sup><i><b>c</b></i></sup></a> <a href="#cite_ref-Zantac_FDA_label_1-3"><sup><i><b>d</b></i></sup></a> <a href="#cite_ref-Zantac_FDA_label_1-4"><sup><i><b>e</b></i></sup></a> <a href="#cite_ref-Zantac_FDA_label_1-5"><sup><i><b>f</b></i></sup></a> <a href="#cite_ref-Zantac_FDA_label_1-6"><sup><i><b>g</b></i></sup></a> <a href="#cite_ref-Zantac_FDA_label_1-7"><sup><i><b>h</b></i></sup></a> <a href="#cite_ref-Zantac_FDA_label_1-8"><sup><i><b>i</b></i></sup></a> <a href="#cite_ref-Zantac_FDA_label_1-9"><sup><i><b>j</b></i></sup></a> <a href="#cite_ref-Zantac_FDA_label_1-10"><sup><i><b>k</b></i></sup></a> <a href="#cite_ref-Zantac_FDA_label_1-11"><sup><i><b>l</b></i></sup></a> <a href="#cite_ref-Zantac_FDA_label_1-12"><sup><i><b>m</b></i></sup></a> <a href="#cite_ref-Zantac_FDA_label_1-13"><sup><i><b>n</b></i></sup></a></span> <span class="reference-text"><style data-mw-deduplicate="TemplateStyles:r1238218222">.mw-parser-output cite.citation{font-style:inherit;word-wrap:break-word}.mw-parser-output .citation q{quotes:"\"""\"""'""'"}.mw-parser-output .citation:target{background-color:rgba(0,127,255,0.133)}.mw-parser-output .id-lock-free.id-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/6/65/Lock-green.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-limited.id-lock-limited a,.mw-parser-output .id-lock-registration.id-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/d/d6/Lock-gray-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-subscription.id-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/a/aa/Lock-red-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .cs1-ws-icon a{background:url("//upload.wikimedia.org/wikipedia/commons/4/4c/Wikisource-logo.svg")right 0.1em center/12px no-repeat}body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-free a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-limited a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-registration a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-subscription a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .cs1-ws-icon a{background-size:contain;padding:0 1em 0 0}.mw-parser-output .cs1-code{color:inherit;background:inherit;border:none;padding:inherit}.mw-parser-output .cs1-hidden-error{display:none;color:var(--color-error,#d33)}.mw-parser-output .cs1-visible-error{color:var(--color-error,#d33)}.mw-parser-output .cs1-maint{display:none;color:#085;margin-left:0.3em}.mw-parser-output .cs1-kern-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right{padding-right:0.2em}.mw-parser-output .citation .mw-selflink{font-weight:inherit}@media screen{.mw-parser-output .cs1-format{font-size:95%}html.skin-theme-clientpref-night .mw-parser-output .cs1-maint{color:#18911f}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .cs1-maint{color:#18911f}}</style><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://dailymed.nlm.nih.gov/dailymed/archives/fdaDrugInfo.cfm?archiveid=379425">"Zantac 150 (ranitidine hydrochloride) Tablets, USP Zantac 300 (ranitidine hydrochloride) Tablets, USP"</a>. <i>DailyMed</i>. 28 June 2018. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20220704051405/https://dailymed.nlm.nih.gov/dailymed/archives/fdaDrugInfo.cfm?archiveid=379425">Archived</a> from the original on 4 July 2022<span class="reference-accessdate">. Retrieved <span class="nowrap">18 February</span> 2021</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=DailyMed&rft.atitle=Zantac+150+%28ranitidine+hydrochloride%29+Tablets%2C+USP+Zantac+300+%28ranitidine+hydrochloride%29+Tablets%2C+USP&rft.date=2018-06-28&rft_id=https%3A%2F%2Fdailymed.nlm.nih.gov%2Fdailymed%2Farchives%2FfdaDrugInfo.cfm%3Farchiveid%3D379425&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-RanitidinePregnancy-2"><span class="mw-cite-backlink"><b><a href="#cite_ref-RanitidinePregnancy_2-0">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.drugs.com/pregnancy/ranitidine.html">"Ranitidine use during pregnancy"</a>. <i>Drugs.com</i>. 2 December 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20191029013537/https://www.drugs.com/pregnancy/ranitidine.html">Archived</a> from the original on 29 October 2019<span class="reference-accessdate">. Retrieved <span class="nowrap">18 December</span> 2019</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=Drugs.com&rft.atitle=Ranitidine+use+during+pregnancy&rft.date=2019-12-02&rft_id=https%3A%2F%2Fwww.drugs.com%2Fpregnancy%2Franitidine.html&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-3"><span class="mw-cite-backlink"><b><a href="#cite_ref-3">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.canada.ca/en/health-canada/services/drugs-health-products/compliance-enforcement/information-health-product/drugs/nitrosamine-impurities/medications-affected.html">"Nitrosamine impurities in medications: Medications affected"</a>. <i><a href="/wiki/Health_Canada" title="Health Canada">Health Canada</a></i>. 19 March 2021<span class="reference-accessdate">. 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Reproduction is authorized provided the source is acknowledged.</span> </li> <li id="cite_note-AHFS2015-12"><span class="mw-cite-backlink">^ <a href="#cite_ref-AHFS2015_12-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-AHFS2015_12-1"><sup><i><b>b</b></i></sup></a> <a href="#cite_ref-AHFS2015_12-2"><sup><i><b>c</b></i></sup></a> <a href="#cite_ref-AHFS2015_12-3"><sup><i><b>d</b></i></sup></a> <a href="#cite_ref-AHFS2015_12-4"><sup><i><b>e</b></i></sup></a> <a href="#cite_ref-AHFS2015_12-5"><sup><i><b>f</b></i></sup></a> <a href="#cite_ref-AHFS2015_12-6"><sup><i><b>g</b></i></sup></a></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.drugs.com/monograph/ranitidine-hydrochloride.html">"Ranitidine hydrochloride monograph"</a>. 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Retrieved <span class="nowrap">19 September</span> 2019</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=unknown&rft.btitle=EMA+to+provide+guidance+on+avoiding+nitrosamines+in+human+medicines&rft.date=2019-09-13&rft_id=https%3A%2F%2Fwww.ema.europa.eu%2Fen%2Fnews%2Fema-provide-guidance-avoiding-nitrosamines-human-medicines&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-FDA_NDMA_ranitidine-18"><span class="mw-cite-backlink">^ <a href="#cite_ref-FDA_NDMA_ranitidine_18-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-FDA_NDMA_ranitidine_18-1"><sup><i><b>b</b></i></sup></a> <a href="#cite_ref-FDA_NDMA_ranitidine_18-2"><sup><i><b>c</b></i></sup></a> <a href="#cite_ref-FDA_NDMA_ranitidine_18-3"><sup><i><b>d</b></i></sup></a> <a href="#cite_ref-FDA_NDMA_ranitidine_18-4"><sup><i><b>e</b></i></sup></a> <a href="#cite_ref-FDA_NDMA_ranitidine_18-5"><sup><i><b>f</b></i></sup></a> <a href="#cite_ref-FDA_NDMA_ranitidine_18-6"><sup><i><b>g</b></i></sup></a> <a href="#cite_ref-FDA_NDMA_ranitidine_18-7"><sup><i><b>h</b></i></sup></a></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.fda.gov/drugs/drug-safety-and-availability/fda-updates-and-press-announcements-ndma-zantac-ranitidine">"FDA updates and press announcements on NDMA in Zantac (ranitidine)"</a>. <i>U.S. <a href="/wiki/Food_and_Drug_Administration" title="Food and Drug Administration">Food and Drug Administration</a> (FDA)</i>. 28 October 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20191029011848/https://www.fda.gov/drugs/drug-safety-and-availability/fda-updates-and-press-announcements-ndma-zantac-ranitidine">Archived</a> from the original on 29 October 2019<span class="reference-accessdate">. Retrieved <span class="nowrap">28 October</span> 2019</span>. <q>FDA observed the testing method used by a third-party laboratory uses higher temperatures. The higher temperatures generated very high levels of NDMA from ranitidine products because of the test procedure. The FDA published the method for testing angiotensin II receptor blockers (ARBs) for nitrosamine impurities. That method is not suitable for testing ranitidine because heating the sample generates NDMA.<br />FDA recommends using an LC-HRMS testing protocol to test samples of ranitidine. FDA's LC-HRMS testing method does not use elevated temperatures and has shown the presence of much lower levels of NDMA in ranitidine medicines than reported by the third-party laboratory. International regulators using similar LC-MS testing methods have also shown the presence of low levels of NDMA in ranitidine samples.</q></cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=U.S.+Food+and+Drug+Administration+%28FDA%29&rft.atitle=FDA+updates+and+press+announcements+on+NDMA+in+Zantac+%28ranitidine%29&rft.date=2019-10-28&rft_id=https%3A%2F%2Fwww.fda.gov%2Fdrugs%2Fdrug-safety-and-availability%2Ffda-updates-and-press-announcements-ndma-zantac-ranitidine&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span> <span class="noviewer" typeof="mw:File"><span><img alt="Public Domain" src="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/12px-PD-icon.svg.png" decoding="async" width="12" height="12" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/18px-PD-icon.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/24px-PD-icon.svg.png 2x" data-file-width="196" data-file-height="196" /></span></span> This article incorporates text from this source, which is in the <a href="/wiki/Public_domain" title="Public domain">public domain</a>.</span> </li> <li id="cite_note-FDA_Q&A-19"><span class="mw-cite-backlink">^ <a href="#cite_ref-FDA_Q&A_19-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-FDA_Q&A_19-1"><sup><i><b>b</b></i></sup></a> <a href="#cite_ref-FDA_Q&A_19-2"><sup><i><b>c</b></i></sup></a></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.fda.gov/drugs/drug-safety-and-availability/questions-and-answers-ndma-impurities-ranitidine-commonly-known-zantac">"Questions and Answers: NDMA impurities in ranitidine (commonly known as Zantac)"</a>. <i>U.S. <a href="/wiki/Food_and_Drug_Administration" title="Food and Drug Administration">Food and Drug Administration</a> (FDA)</i>. 11 October 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20191024040431/https://www.fda.gov/drugs/drug-safety-and-availability/questions-and-answers-ndma-impurities-ranitidine-commonly-known-zantac">Archived</a> from the original on 24 October 2019<span class="reference-accessdate">. Retrieved <span class="nowrap">23 October</span> 2019</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=U.S.+Food+and+Drug+Administration+%28FDA%29&rft.atitle=Questions+and+Answers%3A+NDMA+impurities+in+ranitidine+%28commonly+known+as+Zantac%29&rft.date=2019-10-11&rft_id=https%3A%2F%2Fwww.fda.gov%2Fdrugs%2Fdrug-safety-and-availability%2Fquestions-and-answers-ndma-impurities-ranitidine-commonly-known-zantac&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span> <span class="noviewer" typeof="mw:File"><span><img alt="Public Domain" src="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/12px-PD-icon.svg.png" decoding="async" width="12" height="12" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/18px-PD-icon.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/24px-PD-icon.svg.png 2x" data-file-width="196" data-file-height="196" /></span></span> This article incorporates text from this source, which is in the <a href="/wiki/Public_domain" title="Public domain">public domain</a>.</span> </li> <li id="cite_note-FDA_removal_PR-20"><span class="mw-cite-backlink">^ <a href="#cite_ref-FDA_removal_PR_20-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-FDA_removal_PR_20-1"><sup><i><b>b</b></i></sup></a> <a href="#cite_ref-FDA_removal_PR_20-2"><sup><i><b>c</b></i></sup></a> <a href="#cite_ref-FDA_removal_PR_20-3"><sup><i><b>d</b></i></sup></a> <a href="#cite_ref-FDA_removal_PR_20-4"><sup><i><b>e</b></i></sup></a> <a href="#cite_ref-FDA_removal_PR_20-5"><sup><i><b>f</b></i></sup></a></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation pressrelease cs1"><a rel="nofollow" class="external text" href="https://www.fda.gov/news-events/press-announcements/fda-requests-removal-all-ranitidine-products-zantac-market">"FDA Requests Removal of All Ranitidine Products (Zantac) from the Market"</a>. <i>U.S. <a href="/wiki/Food_and_Drug_Administration" title="Food and Drug Administration">Food and Drug Administration</a> (FDA)</i> (Press release). 1 April 2020. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20210328103217/https://www.fda.gov/news-events/press-announcements/fda-requests-removal-all-ranitidine-products-zantac-market">Archived</a> from the original on 28 March 2021<span class="reference-accessdate">. Retrieved <span class="nowrap">1 April</span> 2020</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=unknown&rft.btitle=FDA+Requests+Removal+of+All+Ranitidine+Products+%28Zantac%29+from+the+Market&rft.date=2020-04-01&rft_id=https%3A%2F%2Fwww.fda.gov%2Fnews-events%2Fpress-announcements%2Ffda-requests-removal-all-ranitidine-products-zantac-market&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span> <span class="noviewer" typeof="mw:File"><span><img alt="Public Domain" src="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/12px-PD-icon.svg.png" decoding="async" width="12" height="12" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/18px-PD-icon.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/24px-PD-icon.svg.png 2x" data-file-width="196" data-file-height="196" /></span></span> This article incorporates text from this source, which is in the <a href="/wiki/Public_domain" title="Public domain">public domain</a>.</span> </li> <li id="cite_note-EU_suspension_PR-21"><span class="mw-cite-backlink">^ <a href="#cite_ref-EU_suspension_PR_21-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-EU_suspension_PR_21-1"><sup><i><b>b</b></i></sup></a></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation pressrelease cs1"><a rel="nofollow" class="external text" href="https://www.ema.europa.eu/en/news/suspension-ranitidine-medicines-eu">"Suspension of ranitidine medicines in the EU"</a>. <i>European Medicines Agency</i> (Press release). 30 April 2020. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20210105083734/https://www.ema.europa.eu/en/news/suspension-ranitidine-medicines-eu">Archived</a> from the original on 5 January 2021<span class="reference-accessdate">. Retrieved <span class="nowrap">2 June</span> 2020</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=unknown&rft.btitle=Suspension+of+ranitidine+medicines+in+the+EU&rft.date=2020-04-30&rft_id=https%3A%2F%2Fwww.ema.europa.eu%2Fen%2Fnews%2Fsuspension-ranitidine-medicines-eu&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-22"><span class="mw-cite-backlink"><b><a href="#cite_ref-22">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.tga.gov.au/node/882059">"Ranitidine"</a>. <i>Therapeutic Goods Administration (TGA)</i>. 2 April 2020. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20210829025912/https://www.tga.gov.au/alert/ranitidine-0">Archived</a> from the original on 29 August 2021<span class="reference-accessdate">. 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Retrieved <span class="nowrap">20 September</span> 2019</span>. <q>Novartis on Wednesday said it was stopping worldwide distribution of its generic versions of the antacid while regulators investigate the fact that the impurity NDMA has been detected in these ranitidine-based drugs.</q></cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=FiercePharma&rft.atitle=Novartis+doesn%27t+wait+for+FDA+investigation+and+halts+distribution+of+its+generic+Zantac&rft.date=2019-09-19&rft.aulast=Palmer&rft.aufirst=E&rft_id=https%3A%2F%2Fwww.fiercepharma.com%2Fmanufacturing%2Fnovartis-doesn-t-wait-for-fda-investigation-and-halts-distribution-its-generic-zantac&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-68"><span class="mw-cite-backlink"><b><a href="#cite_ref-68">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.in-pharmatechnologist.com/Article/2019/09/19/Sandoz-ceases-distribution-of-ranitidine-product">"Sandoz ceases distribution of ranitidine product"</a>. <i>Pharmaceutical news, Pharma industry, Pharmaceutical manufacturing</i>. 19 September 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20200110052707/https://www.in-pharmatechnologist.com/Article/2019/09/19/Sandoz-ceases-distribution-of-ranitidine-product">Archived</a> from the original on 10 January 2020<span class="reference-accessdate">. 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Retrieved <span class="nowrap">19 October</span> 2019</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=Therapeutic+Goods+Administration&rft.atitle=Ranitidine&rft.date=2019-10-17&rft_id=https%3A%2F%2Fwww.tga.gov.au%2Falert%2Franitidine-0&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-FDA_Statement-76"><span class="mw-cite-backlink">^ <a href="#cite_ref-FDA_Statement_76-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-FDA_Statement_76-1"><sup><i><b>b</b></i></sup></a> <a href="#cite_ref-FDA_Statement_76-2"><sup><i><b>c</b></i></sup></a></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation pressrelease cs1"><a rel="nofollow" class="external text" href="https://www.fda.gov/news-events/press-announcements/statement-new-testing-results-including-low-levels-impurities-ranitidine-drugs">"Statement on new testing results, including low levels of impurities in ranitidine drugs"</a>. <i>U.S. <a href="/wiki/Food_and_Drug_Administration" title="Food and Drug Administration">Food and Drug Administration</a> (FDA)</i> (Press release). 1 November 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20191102041759/https://www.fda.gov/news-events/press-announcements/statement-new-testing-results-including-low-levels-impurities-ranitidine-drugs">Archived</a> from the original on 2 November 2019<span class="reference-accessdate">. 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Retrieved <span class="nowrap">1 November</span> 2019</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=U.S.+Food+and+Drug+Administration+%28FDA%29&rft.atitle=Laboratory+tests+-+Ranitidine&rft.date=2019-11-01&rft_id=https%3A%2F%2Fwww.fda.gov%2Fdrugs%2Fdrug-safety-and-availability%2Flaboratory-tests-ranitidine&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span> <span class="noviewer" typeof="mw:File"><span><img alt="Public Domain" src="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/12px-PD-icon.svg.png" decoding="async" width="12" height="12" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/18px-PD-icon.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/24px-PD-icon.svg.png 2x" data-file-width="196" data-file-height="196" /></span></span> This article incorporates text from this source, which is in the <a href="/wiki/Public_domain" title="Public domain">public domain</a>.</span> </li> <li id="cite_note-78"><span class="mw-cite-backlink"><b><a href="#cite_ref-78">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.fda.gov/drugs/drug-safety-and-availability/fda-updates-and-press-announcements-ndma-zantac-ranitidine">"FDA updates and press announcements on NDMA in Zantac (ranitidine)"</a>. <i>U.S. <a href="/wiki/Food_and_Drug_Administration" title="Food and Drug Administration">Food and Drug Administration</a> (FDA)</i>. 4 December 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20191206002013/https://www.fda.gov/drugs/drug-safety-and-availability/fda-updates-and-press-announcements-ndma-zantac-ranitidine">Archived</a> from the original on 6 December 2019<span class="reference-accessdate">. Retrieved <span class="nowrap">6 December</span> 2019</span>. <q>Today, we are announcing that we have asked manufacturers of ranitidine and nizatidine products to expand their testing for NDMA to include all lots of the medication before making them available to consumers. If testing shows NDMA above the acceptable daily intake limit (96 nanograms per day or 0.32 parts per million for ranitidine), the manufacturer must inform the agency and should not release the lot for consumer use.</q></cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=U.S.+Food+and+Drug+Administration+%28FDA%29&rft.atitle=FDA+updates+and+press+announcements+on+NDMA+in+Zantac+%28ranitidine%29&rft.date=2019-12-04&rft_id=https%3A%2F%2Fwww.fda.gov%2Fdrugs%2Fdrug-safety-and-availability%2Ffda-updates-and-press-announcements-ndma-zantac-ranitidine&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span> <span class="noviewer" typeof="mw:File"><span><img alt="Public Domain" src="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/12px-PD-icon.svg.png" decoding="async" width="12" height="12" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/18px-PD-icon.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/24px-PD-icon.svg.png 2x" data-file-width="196" data-file-height="196" /></span></span> This article incorporates text from this source, which is in the <a href="/wiki/Public_domain" title="Public domain">public domain</a>.</span> </li> <li id="cite_note-79"><span class="mw-cite-backlink"><b><a href="#cite_ref-79">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://clincalc.com/DrugStats/Drugs/Ranitidine">"Ranitidine - Drug Usage Statistics"</a>. <i>ClinCalc</i>. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20211207061028/https://clincalc.com/DrugStats/Drugs/Ranitidine">Archived</a> from the original on 7 December 2021<span class="reference-accessdate">. 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Retrieved <span class="nowrap">6 August</span> 2020</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=European+Medicines+Agency+%28EMA%29&rft.atitle=Nitrosamine+impurities&rft.date=2020-08-06&rft_id=https%3A%2F%2Fwww.ema.europa.eu%2Fen%2Fhuman-regulatory%2Fpost-authorisation%2Freferral-procedures%2Fnitrosamine-impurities&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span> Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.</span> </li> <li id="cite_note-82"><span class="mw-cite-backlink"><b><a href="#cite_ref-82">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation pressrelease cs1"><a rel="nofollow" class="external text" href="https://www.fda.gov/news-events/press-announcements/fda-provides-guidance-industry-detecting-and-preventing-nitrosamines-drugs">"FDA Provides Guidance to Industry for Detecting and Preventing Nitrosamines in Drugs"</a>. <i>U.S. <a href="/wiki/Food_and_Drug_Administration" title="Food and Drug Administration">Food and Drug Administration</a> (FDA)</i> (Press release). 1 September 2020. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20200901235705/https://www.fda.gov/news-events/press-announcements/fda-provides-guidance-industry-detecting-and-preventing-nitrosamines-drugs">Archived</a> from the original on 1 September 2020<span class="reference-accessdate">. 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Zantac Injection, Zantac Tablets, Zantac Syrup"</a>. <i><a href="/wiki/GlaxoSmithKline" class="mw-redirect" title="GlaxoSmithKline">GlaxoSmithKline UK Limited</a></i>. <a href="/wiki/Brentford" title="Brentford">Brentford</a>, <a href="/wiki/Middlesex" title="Middlesex">Middlesex</a>, United Kingdom. October 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20211211162723/https://gskpro.com/en-gb/">Archived</a> from the original on 11 December 2021<span class="reference-accessdate">. Retrieved <span class="nowrap">30 March</span> 2020</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=GlaxoSmithKline+UK+Limited&rft.atitle=Zantac+recall+%E2%80%93+UK+recall+of+Zantac+%28Ranitidine+API%29%2C+incl.+Zantac+Injection%2C+Zantac+Tablets%2C+Zantac+Syrup&rft.date=2019-10&rft_id=https%3A%2F%2FGSKpro.com%2Fen-gb%2Fsupply%2Fzantac-recall%2F&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-95"><span class="mw-cite-backlink"><b><a href="#cite_ref-95">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.gov.uk/drug-device-alerts/class-2-medicines-recall-zantac-injection-50mg-2ml-zantac-syrup-150mg-10ml-zantac-tablets-150mg-zantac-tablets-300mg-el-19-a-24">"Class 2 Medicines recall: Zantac Injection 50mg/2ml, Zantac Syrup 150mg/10ml, Zantac Tablets 150mg, Zantac Tablets 300mg (EL (19)A 24)"</a>. <i>GOV.uk</i>. United Kingdom: <a href="/wiki/Medicines_and_Healthcare_products_Regulatory_Agency" title="Medicines and Healthcare products Regulatory Agency">Medicines and Healthcare products Regulatory Agency</a> (MHRA). 8 October 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20191227235719/https://www.gov.uk/drug-device-alerts/class-2-medicines-recall-zantac-injection-50mg-2ml-zantac-syrup-150mg-10ml-zantac-tablets-150mg-zantac-tablets-300mg-el-19-a-24">Archived</a> from the original on 27 December 2019<span class="reference-accessdate">. Retrieved <span class="nowrap">30 March</span> 2020</span>. <q>GlaxoSmithKline, trading as Glaxo Welcome Ltd, is recalling all unexpired stock of Zantac (ranitidine hydrochloride) prescription only medicines (POM) from pharmacies.</q></cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=GOV.uk&rft.atitle=Class+2+Medicines+recall%3A+Zantac+Injection+50mg%2F2ml%2C+Zantac+Syrup+150mg%2F10ml%2C+Zantac+Tablets+150mg%2C+Zantac+Tablets+300mg+%28EL+%2819%29A+24%29&rft.date=2019-10-08&rft_id=https%3A%2F%2Fwww.gov.uk%2Fdrug-device-alerts%2Fclass-2-medicines-recall-zantac-injection-50mg-2ml-zantac-syrup-150mg-10ml-zantac-tablets-150mg-zantac-tablets-300mg-el-19-a-24&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-96"><span class="mw-cite-backlink"><b><a href="#cite_ref-96">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.gov.uk/government/news/zantac-mhra-drug-alert-issued-as-glaxosmithkline-recalls-all-unexpired-stock">"Press release – Zantac – MHRA drug alert issued as GlaxoSmithKline recalls all unexpired stock"</a>. <i>GOV.uk</i>. United Kingdom: <a href="/wiki/Medicines_and_Healthcare_products_Regulatory_Agency" title="Medicines and Healthcare products Regulatory Agency">Medicines and Healthcare products Regulatory Agency</a> (MHRA). 8 October 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20191228004414/https://www.gov.uk/government/news/zantac-mhra-drug-alert-issued-as-glaxosmithkline-recalls-all-unexpired-stock">Archived</a> from the original on 28 December 2019<span class="reference-accessdate">. Retrieved <span class="nowrap">30 March</span> 2020</span>. <q>The MHRA has issued an alert to healthcare professionals, as GlaxoSmithKline is recalling all unexpired stock of four types of Zantac, the medicine used to treat conditions such as heartburn and stomach ulcers.</q></cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=GOV.uk&rft.atitle=Press+release+%E2%80%93+Zantac+%E2%80%93+MHRA+drug+alert+issued+as+GlaxoSmithKline+recalls+all+unexpired+stock&rft.date=2019-10-08&rft_id=https%3A%2F%2Fwww.gov.uk%2Fgovernment%2Fnews%2Fzantac-mhra-drug-alert-issued-as-glaxosmithkline-recalls-all-unexpired-stock&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-97"><span class="mw-cite-backlink"><b><a href="#cite_ref-97">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.gov.uk/drug-device-alerts/class-2-medicines-recall-ranitidine-effervescent-tablets-150mg-ranitidine-effervescent-tablets-300mg-el-19-a-27">"Class 2 Medicines recall: Ranitidine Effervescent Tablets 150mg, Ranitidine Effervescent Tablets 300mg (EL (19)A/27)"</a>. <i>GOV.uk</i>. United Kingdom: <a href="/wiki/Medicines_and_Healthcare_products_Regulatory_Agency" title="Medicines and Healthcare products Regulatory Agency">Medicines and Healthcare products Regulatory Agency</a> (MHRA). 17 October 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20200128225134/https://www.gov.uk/drug-device-alerts/class-2-medicines-recall-ranitidine-effervescent-tablets-150mg-ranitidine-effervescent-tablets-300mg-el-19-a-27">Archived</a> from the original on 28 January 2020<span class="reference-accessdate">. Retrieved <span class="nowrap">30 March</span> 2020</span>. <q>Teva UK Limited trading as ratiopharm GmbH is recalling all unexpired stock of Ranitidine Effervescent Tablets from pharmacies.</q></cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=GOV.uk&rft.atitle=Class+2+Medicines+recall%3A+Ranitidine+Effervescent+Tablets+150mg%2C+Ranitidine+Effervescent+Tablets+300mg+%28EL+%2819%29A%2F27%29&rft.date=2019-10-17&rft_id=https%3A%2F%2Fwww.gov.uk%2Fdrug-device-alerts%2Fclass-2-medicines-recall-ranitidine-effervescent-tablets-150mg-ranitidine-effervescent-tablets-300mg-el-19-a-27&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-98"><span class="mw-cite-backlink"><b><a href="#cite_ref-98">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.gov.uk/government/news/ranitidine-mhra-drug-alert-issued-for-teva-uk-recall">"Press release – Ranitidine – MHRA drug alert issued for Teva UK recall"</a>. <i>GOV.uk</i>. United Kingdom: <a href="/wiki/Medicines_and_Healthcare_products_Regulatory_Agency" title="Medicines and Healthcare products Regulatory Agency">Medicines and Healthcare products Regulatory Agency</a> (MHRA). 17 October 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20200228141449/https://www.gov.uk/government/news/ranitidine-mhra-drug-alert-issued-for-teva-uk-recall">Archived</a> from the original on 28 February 2020<span class="reference-accessdate">. Retrieved <span class="nowrap">30 March</span> 2020</span>. <q>Teva UK Ltd is recalling unexpired stock of certain batches of 2 types of Ranitidine medicines used to treat conditions such as heartburn and stomach ulcers.</q></cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=GOV.uk&rft.atitle=Press+release+%E2%80%93+Ranitidine+%E2%80%93+MHRA+drug+alert+issued+for+Teva+UK+recall&rft.date=2019-10-17&rft_id=https%3A%2F%2Fwww.gov.uk%2Fgovernment%2Fnews%2Franitidine-mhra-drug-alert-issued-for-teva-uk-recall&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-99"><span class="mw-cite-backlink"><b><a href="#cite_ref-99">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.gov.uk/drug-device-alerts/class-2-medicines-recall-ranitidine-150mg-10ml-oral-solution-el-19-a-29">"Class 2 Medicines recall: Ranitidine 150mg/10ml Oral Solution (EL (19)A/29)"</a>. <i>GOV.uk</i>. United Kingdom: <a href="/wiki/Medicines_and_Healthcare_products_Regulatory_Agency" title="Medicines and Healthcare products Regulatory Agency">Medicines and Healthcare products Regulatory Agency</a>. 25 October 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20191231002247/https://www.gov.uk/drug-device-alerts/class-2-medicines-recall-ranitidine-150mg-10ml-oral-solution-el-19-a-29">Archived</a> from the original on 31 December 2019<span class="reference-accessdate">. Retrieved <span class="nowrap">30 March</span> 2020</span>. <q>Rosemont Pharmaceuticals Limited is recalling unexpired stock from pharmacies as a precautionary measure due to possible contamination with an impurity.</q></cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=GOV.uk&rft.atitle=Class+2+Medicines+recall%3A+Ranitidine+150mg%2F10ml+Oral+Solution+%28EL+%2819%29A%2F29%29&rft.date=2019-10-25&rft_id=https%3A%2F%2Fwww.gov.uk%2Fdrug-device-alerts%2Fclass-2-medicines-recall-ranitidine-150mg-10ml-oral-solution-el-19-a-29&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-100"><span class="mw-cite-backlink"><b><a href="#cite_ref-100">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.gov.uk/drug-device-alerts/class-2-medicines-recall-zantac-75-relief-tablets-zantac-75-tablets-galpharm-indigestion-relief-75mg-tablets-boots-heartburn-indigestion-relief-75mg-tablets-kirkland-indigestion-relief-75mg-tablets-morrisons-indigestion-heartburn-">"Class 2 Medicines recall: Zantac 75 Relief Tablets, Zantac 75 Tablets, Galpharm Indigestion Relief 75mg Tablets, Boots Heartburn & Indigestion Relief 75mg Tablets, Kirkland Indigestion Relief 75mg Tablets, Morrisons Indigestion & Heartburn Relief 75mg Tablets, Boots Heartburn & Indigestion Relief 75mg Tablets (EL (19)A/30)"</a>. <i>GOV.uk</i>. United Kingdom: <a href="/wiki/Medicines_and_Healthcare_products_Regulatory_Agency" title="Medicines and Healthcare products Regulatory Agency">Medicines and Healthcare products Regulatory Agency</a> (MHRA). 25 October 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20191231101940/https://www.gov.uk/drug-device-alerts/class-2-medicines-recall-zantac-75-relief-tablets-zantac-75-tablets-galpharm-indigestion-relief-75mg-tablets-boots-heartburn-indigestion-relief-75mg-tablets-kirkland-indigestion-relief-75mg-tablets-morrisons-indigestion-heartburn-">Archived</a> from the original on 31 December 2019<span class="reference-accessdate">. Retrieved <span class="nowrap">30 March</span> 2020</span>. <q>Omega Pharma Limited and Galpharm International Limited are recalling unexpired stock from pharmacies and retail stores as a precautionary measure due to possible contamination with an impurity.</q></cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=GOV.uk&rft.atitle=Class+2+Medicines+recall%3A+Zantac+75+Relief+Tablets%2C+Zantac+75+Tablets%2C+Galpharm+Indigestion+Relief+75mg+Tablets%2C+Boots+Heartburn+%26+Indigestion+Relief+75mg+Tablets%2C+Kirkland+Indigestion+Relief+75mg+Tablets%2C+Morrisons+Indigestion+%26+Heartburn+Relief+75mg+Tablets%2C+Boots+Heartburn+%26+Indigestion+Relief+75mg+Tablets+%28EL+%2819%29A%2F30%29&rft.date=2019-10-25&rft_id=https%3A%2F%2Fwww.gov.uk%2Fdrug-device-alerts%2Fclass-2-medicines-recall-zantac-75-relief-tablets-zantac-75-tablets-galpharm-indigestion-relief-75mg-tablets-boots-heartburn-indigestion-relief-75mg-tablets-kirkland-indigestion-relief-75mg-tablets-morrisons-indigestion-heartburn-&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-101"><span class="mw-cite-backlink"><b><a href="#cite_ref-101">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.gov.uk/government/news/ranitidine-mhra-drug-alerts-issued-as-perrigo-recalls-prescription-only-and-over-the-counter-products">"Press release – Ranitidine – MHRA drug alerts issued as Perrigo recalls prescription only and over-the-counter products"</a>. <i>GOV.uk</i>. United Kingdom: <a href="/wiki/Medicines_and_Healthcare_products_Regulatory_Agency" title="Medicines and Healthcare products Regulatory Agency">Medicines and Healthcare products Regulatory Agency</a> (MHRA). 25 October 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20191231095023/https://www.gov.uk/government/news/ranitidine-mhra-drug-alerts-issued-as-perrigo-recalls-prescription-only-and-over-the-counter-products">Archived</a> from the original on 31 December 2019<span class="reference-accessdate">. Retrieved <span class="nowrap">30 March</span> 2020</span>. <q>The MHRA has issued alerts to healthcare professionals and retailers, as Perrigo Company plc is recalling all unexpired stock of certain batches of Ranitidine medicines used to treat conditions such as heartburn and stomach ulcers.</q></cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=GOV.uk&rft.atitle=Press+release+%E2%80%93+Ranitidine+%E2%80%93+MHRA+drug+alerts+issued+as+Perrigo+recalls+prescription+only+and+over-the-counter+products&rft.date=2019-10-25&rft_id=https%3A%2F%2Fwww.gov.uk%2Fgovernment%2Fnews%2Franitidine-mhra-drug-alerts-issued-as-perrigo-recalls-prescription-only-and-over-the-counter-products&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-102"><span class="mw-cite-backlink"><b><a href="#cite_ref-102">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.gov.uk/drug-device-alerts/class-2-medicines-recall-ranitidine-oral-solution-30mg-ml-pl-31862-0023-ranitidine-150mg-tablets-pl-11311-0138-el-19-a-36">"Class 2 Medicines Recall: Ranitidine Oral Solution 30mg/ml, PL 31862/0023, Ranitidine 150mg Tablets, PL 11311/0138 (EL(19)A/36)"</a>. <i>GOV.uk</i>. United Kingdom: <a href="/wiki/Medicines_and_Healthcare_products_Regulatory_Agency" title="Medicines and Healthcare products Regulatory Agency">Medicines and Healthcare products Regulatory Agency</a> (MHRA). 19 November 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20200121181127/https://www.gov.uk/drug-device-alerts/class-2-medicines-recall-ranitidine-oral-solution-30mg-ml-pl-31862-0023-ranitidine-150mg-tablets-pl-11311-0138-el-19-a-36">Archived</a> from the original on 21 January 2020<span class="reference-accessdate">. Retrieved <span class="nowrap">30 March</span> 2020</span>. <q>Creo Pharma Limited and Tillomed Laboratories Limited are recalling all unexpired stock of the products listed in this alert.</q></cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=GOV.uk&rft.atitle=Class+2+Medicines+Recall%3A+Ranitidine+Oral+Solution+30mg%2Fml%2C+PL+31862%2F0023%2C+Ranitidine+150mg+Tablets%2C+PL+11311%2F0138+%28EL%2819%29A%2F36%29&rft.date=2019-11-19&rft_id=https%3A%2F%2Fwww.gov.uk%2Fdrug-device-alerts%2Fclass-2-medicines-recall-ranitidine-oral-solution-30mg-ml-pl-31862-0023-ranitidine-150mg-tablets-pl-11311-0138-el-19-a-36&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-103"><span class="mw-cite-backlink"><b><a href="#cite_ref-103">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.gov.uk/government/news/ranitidine-oral-solution-and-tablets-recall">"Press release – Ranitidine Oral Solution and Tablets recall"</a>. <i>GOV.uk</i>. United Kingdom: <a href="/wiki/Medicines_and_Healthcare_products_Regulatory_Agency" title="Medicines and Healthcare products Regulatory Agency">Medicines and Healthcare products Regulatory Agency</a> (MHRA). 19 November 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20191120152213/https://www.gov.uk/government/news/ranitidine-oral-solution-and-tablets-recall">Archived</a> from the original on 20 November 2019<span class="reference-accessdate">. Retrieved <span class="nowrap">30 March</span> 2020</span>. <q>Ranitidine – MHRA drug alert issued as Creo Pharma Limited and Tillomed Laboratories recall unexpired stock.</q></cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=GOV.uk&rft.atitle=Press+release+%E2%80%93+Ranitidine+Oral+Solution+and+Tablets+recall&rft.date=2019-11-19&rft_id=https%3A%2F%2Fwww.gov.uk%2Fgovernment%2Fnews%2Franitidine-oral-solution-and-tablets-recall&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-104"><span class="mw-cite-backlink"><b><a href="#cite_ref-104">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.gov.uk/drug-device-alerts/class-2-medicines-recall-ranitidine-75mg-tablets-various-liveries-el-19-a-37">"Class 2 Medicines recall: Ranitidine 75mg Tablets, (various liveries) (EL(19)A/37)"</a>. <i>GOV.uk</i>. United Kingdom: <a href="/wiki/Medicines_and_Healthcare_products_Regulatory_Agency" title="Medicines and Healthcare products Regulatory Agency">Medicines and Healthcare products Regulatory Agency</a> (MHRA). 21 November 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20200221130923/https://www.gov.uk/drug-device-alerts/class-2-medicines-recall-ranitidine-75mg-tablets-various-liveries-el-19-a-37">Archived</a> from the original on 21 February 2020<span class="reference-accessdate">. Retrieved <span class="nowrap">30 March</span> 2020</span>. <q>OTC Concepts Ltd, Relonchem Ltd, Noumed Life Sciences Ltd and Medreich Plc. are recalling stock from pharmacies and retail stores as a precautionary measure due to possible contamination with an impurity.</q></cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=GOV.uk&rft.atitle=Class+2+Medicines+recall%3A+Ranitidine+75mg+Tablets%2C+%28various+liveries%29+%28EL%2819%29A%2F37%29&rft.date=2019-11-21&rft_id=https%3A%2F%2Fwww.gov.uk%2Fdrug-device-alerts%2Fclass-2-medicines-recall-ranitidine-75mg-tablets-various-liveries-el-19-a-37&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-105"><span class="mw-cite-backlink"><b><a href="#cite_ref-105">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.gov.uk/government/news/mhra-drug-alert-recalls-for-13-over-the-counter-ranitidine-medicines">"Press release – MHRA drug alert: recalls for 13 over-the-counter Ranitidine medicines"</a>. <i>GOV.uk</i>. United Kingdom: <a href="/wiki/Medicines_and_Healthcare_products_Regulatory_Agency" title="Medicines and Healthcare products Regulatory Agency">Medicines and Healthcare products Regulatory Agency</a> (MHRA). 21 November 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20191122161922/https://www.gov.uk/government/news/mhra-drug-alert-recalls-for-13-over-the-counter-ranitidine-medicines">Archived</a> from the original on 22 November 2019<span class="reference-accessdate">. Retrieved <span class="nowrap">30 March</span> 2020</span>. <q>A drug alert has been issued to retailers and healthcare professionals as 4 companies are recalling batches of certain over-the-counter Ranitidine medicines used to treat conditions such as stomach ulcers and heartburn.</q></cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=GOV.uk&rft.atitle=Press+release+%E2%80%93+MHRA+drug+alert%3A+recalls+for+13+over-the-counter+Ranitidine+medicines&rft.date=2019-11-21&rft_id=https%3A%2F%2Fwww.gov.uk%2Fgovernment%2Fnews%2Fmhra-drug-alert-recalls-for-13-over-the-counter-ranitidine-medicines&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-106"><span class="mw-cite-backlink"><b><a href="#cite_ref-106">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.gov.uk/drug-device-alerts/class-2-medicines-recall-ranitidine-150mg-film-coated-tablets-pl-20075-0063-ranitidine-300mg-film-coated-tablets-pl-20075-0064-el-19-a-40">"Class 2 Medicines recall: Ranitidine 150mg Film-Coated Tablets, PL 20075/0063, Ranitidine 300mg Film-Coated Tablets, PL 20075/0064 (EL(19)A/40)"</a>. <i>GOV.uk</i>. United Kingdom: <a href="/wiki/Medicines_and_Healthcare_products_Regulatory_Agency" title="Medicines and Healthcare products Regulatory Agency">Medicines and Healthcare products Regulatory Agency</a> (MHRA). 5 December 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20200304222737/https://www.gov.uk/drug-device-alerts/class-2-medicines-recall-ranitidine-150mg-film-coated-tablets-pl-20075-0063-ranitidine-300mg-film-coated-tablets-pl-20075-0064-el-19-a-40">Archived</a> from the original on 4 March 2020<span class="reference-accessdate">. Retrieved <span class="nowrap">30 March</span> 2020</span>. <q>Accord Healthcare are recalling all unexpired stock of the below products from pharmacies and retail stores as a precautionary measure.</q></cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=GOV.uk&rft.atitle=Class+2+Medicines+recall%3A+Ranitidine+150mg+Film-Coated+Tablets%2C+PL+20075%2F0063%2C+Ranitidine+300mg+Film-Coated+Tablets%2C+PL+20075%2F0064+%28EL%2819%29A%2F40%29&rft.date=2019-12-05&rft_id=https%3A%2F%2Fwww.gov.uk%2Fdrug-device-alerts%2Fclass-2-medicines-recall-ranitidine-150mg-film-coated-tablets-pl-20075-0063-ranitidine-300mg-film-coated-tablets-pl-20075-0064-el-19-a-40&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-107"><span class="mw-cite-backlink"><b><a href="#cite_ref-107">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.gov.uk/drug-device-alerts/class-2-medicines-recall-medley-pharma-limited-ranitidine-150mg-tablets-bp-pl-43870-0026-ranitidine-300mg-tablets-bp-pl-43870-0027-el-19-a-41">"Class 2 Medicines Recall: Medley Pharma Limited, Ranitidine 150mg Tablets BP, PL 43870/0026, Ranitidine 300mg Tablets BP, PL 43870/0027 (EL(19)A/41)"</a>. <i>GOV.uk</i>. United Kingdom: <a href="/wiki/Medicines_and_Healthcare_products_Regulatory_Agency" title="Medicines and Healthcare products Regulatory Agency">Medicines and Healthcare products Regulatory Agency</a> (MHRA). 16 December 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20200305080928/https://www.gov.uk/drug-device-alerts/class-2-medicines-recall-medley-pharma-limited-ranitidine-150mg-tablets-bp-pl-43870-0026-ranitidine-300mg-tablets-bp-pl-43870-0027-el-19-a-41">Archived</a> from the original on 5 March 2020<span class="reference-accessdate">. Retrieved <span class="nowrap">30 March</span> 2020</span>. <q>Medley Pharma Limited is recalling all unexpired stock of the below products from pharmacies and retail stores as a precautionary measure.</q></cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=GOV.uk&rft.atitle=Class+2+Medicines+Recall%3A+Medley+Pharma+Limited%2C+Ranitidine+150mg+Tablets+BP%2C+PL+43870%2F0026%2C+Ranitidine+300mg+Tablets+BP%2C+PL+43870%2F0027+%28EL%2819%29A%2F41%29&rft.date=2019-12-16&rft_id=https%3A%2F%2Fwww.gov.uk%2Fdrug-device-alerts%2Fclass-2-medicines-recall-medley-pharma-limited-ranitidine-150mg-tablets-bp-pl-43870-0026-ranitidine-300mg-tablets-bp-pl-43870-0027-el-19-a-41&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-108"><span class="mw-cite-backlink"><b><a href="#cite_ref-108">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.gov.uk/drug-device-alerts/class-2-medicines-recall-medreich-plc-ranitidine-150mg-tablets-pl-21880-0091-ranitidine-300mg-tablets-pl-21880-0092-el-20-a-05">"Class 2 Medicines recall: Medreich PLC, Ranitidine 150mg Tablets, PL 21880/0091, Ranitidine 300mg Tablets, PL 21880/0092 (EL (20)A/05)"</a>. <i>GOV.uk</i>. United Kingdom: <a href="/wiki/Medicines_and_Healthcare_products_Regulatory_Agency" title="Medicines and Healthcare products Regulatory Agency">Medicines and Healthcare products Regulatory Agency</a> (MHRA). 3 February 2020. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20200616081649/https://www.gov.uk/drug-device-alerts/class-2-medicines-recall-medreich-plc-ranitidine-150mg-tablets-pl-21880-0091-ranitidine-300mg-tablets-pl-21880-0092-el-20-a-05">Archived</a> from the original on 16 June 2020<span class="reference-accessdate">. Retrieved <span class="nowrap">30 March</span> 2020</span>. <q>Medreich Plc is recalling all unexpired stock of the above products from pharmacies and wholesalers as a precautionary measure due to possible contamination with an impurity N-nitrosodimethylamine (NDMA) which has genotoxic and carcinogenic potential.</q></cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=GOV.uk&rft.atitle=Class+2+Medicines+recall%3A+Medreich+PLC%2C+Ranitidine+150mg+Tablets%2C+PL+21880%2F0091%2C+Ranitidine+300mg+Tablets%2C+PL+21880%2F0092+%28EL+%2820%29A%2F05%29&rft.date=2020-02-03&rft_id=https%3A%2F%2Fwww.gov.uk%2Fdrug-device-alerts%2Fclass-2-medicines-recall-medreich-plc-ranitidine-150mg-tablets-pl-21880-0091-ranitidine-300mg-tablets-pl-21880-0092-el-20-a-05&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-109"><span class="mw-cite-backlink"><b><a href="#cite_ref-109">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.cas.mhra.gov.uk/ViewandAcknowledgment/ViewAlert.aspx?AlertID=102904">"MHRA Central Alerting System – Ranitidine: all oral formulations. Supply disruption"</a>. <i>CAS.MHRA.GOV.uk</i>. United Kingdom: <a href="/wiki/Medicines_and_Healthcare_products_Regulatory_Agency" title="Medicines and Healthcare products Regulatory Agency">Medicines and Healthcare products Regulatory Agency</a> (MHRA). 15 October 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20200813062133/https://www.cas.mhra.gov.uk/ViewandAcknowledgment/ViewAlert.aspx?AlertID=102904">Archived</a> from the original on 13 August 2020<span class="reference-accessdate">. Retrieved <span class="nowrap">30 March</span> 2020</span>. <q>All oral formulations of ranitidine are shortly anticipated to be out of stock until further notice. This alert provides healthcare professionals with advice on the management of patients currently taking ranitidine.</q></cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=CAS.MHRA.GOV.uk&rft.atitle=MHRA+Central+Alerting+System+%E2%80%93+Ranitidine%3A+all+oral+formulations.+Supply+disruption.&rft.date=2019-10-15&rft_id=https%3A%2F%2Fwww.cas.mhra.gov.uk%2FViewandAcknowledgment%2FViewAlert.aspx%3FAlertID%3D102904&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-110"><span class="mw-cite-backlink"><b><a href="#cite_ref-110">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFThomas2019" class="citation news cs1">Thomas K (18 October 2019). <a rel="nofollow" class="external text" href="https://www.nytimes.com/2019/10/18/health/zantac-recall-carcinogen-sanofi.html">"Zantac recall widens as Sanofi pulls its drug over carcinogen fears"</a>. <i><a href="/wiki/The_New_York_Times" title="The New York Times">The New York Times</a></i>. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20191018170303/https://www.nytimes.com/2019/10/18/health/zantac-recall-carcinogen-sanofi.html">Archived</a> from the original on 18 October 2019<span class="reference-accessdate">. Retrieved <span class="nowrap">18 October</span> 2019</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.jtitle=The+New+York+Times&rft.atitle=Zantac+recall+widens+as+Sanofi+pulls+its+drug+over+carcinogen+fears&rft.date=2019-10-18&rft.aulast=Thomas&rft.aufirst=K&rft_id=https%3A%2F%2Fwww.nytimes.com%2F2019%2F10%2F18%2Fhealth%2Fzantac-recall-carcinogen-sanofi.html&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-111"><span class="mw-cite-backlink"><b><a href="#cite_ref-111">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/sanofi-provides-update-precautionary-voluntary-recall-zantac-otc-us">"Sanofi provides update on precautionary voluntary recall of Zantac OTC in U.S."</a> <i>U.S. <a href="/wiki/Food_and_Drug_Administration" title="Food and Drug Administration">Food and Drug Administration</a> (FDA)</i>. 23 October 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20191024035253/https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/sanofi-provides-update-precautionary-voluntary-recall-zantac-otc-us">Archived</a> from the original on 24 October 2019<span class="reference-accessdate">. Retrieved <span class="nowrap">23 October</span> 2019</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=U.S.+Food+and+Drug+Administration+%28FDA%29&rft.atitle=Sanofi+provides+update+on+precautionary+voluntary+recall+of+Zantac+OTC+in+U.S.&rft.date=2019-10-23&rft_id=https%3A%2F%2Fwww.fda.gov%2Fsafety%2Frecalls-market-withdrawals-safety-alerts%2Fsanofi-provides-update-precautionary-voluntary-recall-zantac-otc-us&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span> <span class="noviewer" typeof="mw:File"><span><img alt="Public Domain" src="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/12px-PD-icon.svg.png" decoding="async" width="12" height="12" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/18px-PD-icon.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/24px-PD-icon.svg.png 2x" data-file-width="196" data-file-height="196" /></span></span> This article incorporates text from this source, which is in the <a href="/wiki/Public_domain" title="Public domain">public domain</a>.</span> </li> <li id="cite_note-112"><span class="mw-cite-backlink"><b><a href="#cite_ref-112">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/perrigo-company-plc-issues-voluntary-worldwide-recall-ranitidine-due-possible-presence-impurity-n">"Perrigo Company plc issues voluntary worldwide recall of Ranitidine due to possible presence of impurity, N-nitrosodimethylamine (NDMA) impurity in the product"</a>. <i>U.S. <a href="/wiki/Food_and_Drug_Administration" title="Food and Drug Administration">Food and Drug Administration</a> (FDA)</i>. 23 October 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20191024035720/https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/perrigo-company-plc-issues-voluntary-worldwide-recall-ranitidine-due-possible-presence-impurity-n">Archived</a> from the original on 24 October 2019<span class="reference-accessdate">. Retrieved <span class="nowrap">23 October</span> 2019</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=U.S.+Food+and+Drug+Administration+%28FDA%29&rft.atitle=Perrigo+Company+plc+issues+voluntary+worldwide+recall+of+Ranitidine+due+to+possible+presence+of+impurity%2C+N-nitrosodimethylamine+%28NDMA%29+impurity+in+the+product&rft.date=2019-10-23&rft_id=https%3A%2F%2Fwww.fda.gov%2Fsafety%2Frecalls-market-withdrawals-safety-alerts%2Fperrigo-company-plc-issues-voluntary-worldwide-recall-ranitidine-due-possible-presence-impurity-n&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span> <span class="noviewer" typeof="mw:File"><span><img alt="Public Domain" src="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/12px-PD-icon.svg.png" decoding="async" width="12" height="12" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/18px-PD-icon.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/24px-PD-icon.svg.png 2x" data-file-width="196" data-file-height="196" /></span></span> This article incorporates text from this source, which is in the <a href="/wiki/Public_domain" title="Public domain">public domain</a>.</span> </li> <li id="cite_note-113"><span class="mw-cite-backlink"><b><a href="#cite_ref-113">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/dr-reddys-confirms-its-voluntary-nationwide-recall-all-ranitidine-products-us-market">"Dr. Reddy's confirms its voluntary nationwide recall of all Ranitidine products in the U.S. market"</a>. <i>U.S. <a href="/wiki/Food_and_Drug_Administration" title="Food and Drug Administration">Food and Drug Administration</a> (FDA)</i>. 23 October 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20191024035800/https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/dr-reddys-confirms-its-voluntary-nationwide-recall-all-ranitidine-products-us-market">Archived</a> from the original on 24 October 2019<span class="reference-accessdate">. Retrieved <span class="nowrap">23 October</span> 2019</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=U.S.+Food+and+Drug+Administration+%28FDA%29&rft.atitle=Dr.+Reddy%27s+confirms+its+voluntary+nationwide+recall+of+all+Ranitidine+products+in+the+U.S.+market&rft.date=2019-10-23&rft_id=https%3A%2F%2Fwww.fda.gov%2Fsafety%2Frecalls-market-withdrawals-safety-alerts%2Fdr-reddys-confirms-its-voluntary-nationwide-recall-all-ranitidine-products-us-market&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span> <span class="noviewer" typeof="mw:File"><span><img alt="Public Domain" src="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/12px-PD-icon.svg.png" decoding="async" width="12" height="12" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/18px-PD-icon.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/24px-PD-icon.svg.png 2x" data-file-width="196" data-file-height="196" /></span></span> This article incorporates text from this source, which is in the <a href="/wiki/Public_domain" title="Public domain">public domain</a>.</span> </li> <li id="cite_note-114"><span class="mw-cite-backlink"><b><a href="#cite_ref-114">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/novitium-pharma-issues-voluntary-national-recall-ranitidine-hydrochloride-capsules-150mg-and-300mg">"Novitium Pharma issues voluntary national recall of Ranitidine Hydrochloride capsules 150mg and 300mg due to an elevated amount of unexpected impurity, N-nitrosodimethylamine (NDMA)"</a>. <i>U.S. <a href="/wiki/Food_and_Drug_Administration" title="Food and Drug Administration">Food and Drug Administration</a> (FDA)</i>. 25 October 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20191029011927/https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/novitium-pharma-issues-voluntary-national-recall-ranitidine-hydrochloride-capsules-150mg-and-300mg">Archived</a> from the original on 29 October 2019<span class="reference-accessdate">. Retrieved <span class="nowrap">28 October</span> 2019</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=U.S.+Food+and+Drug+Administration+%28FDA%29&rft.atitle=Novitium+Pharma+issues+voluntary+national+recall+of+Ranitidine+Hydrochloride+capsules+150mg+and+300mg+due+to+an+elevated+amount+of+unexpected+impurity%2C+N-nitrosodimethylamine+%28NDMA%29&rft.date=2019-10-25&rft_id=https%3A%2F%2Fwww.fda.gov%2Fsafety%2Frecalls-market-withdrawals-safety-alerts%2Fnovitium-pharma-issues-voluntary-national-recall-ranitidine-hydrochloride-capsules-150mg-and-300mg&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span> <span class="noviewer" typeof="mw:File"><span><img alt="Public Domain" src="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/12px-PD-icon.svg.png" decoding="async" width="12" height="12" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/18px-PD-icon.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/24px-PD-icon.svg.png 2x" data-file-width="196" data-file-height="196" /></span></span> This article incorporates text from this source, which is in the <a href="/wiki/Public_domain" title="Public domain">public domain</a>.</span> </li> <li id="cite_note-115"><span class="mw-cite-backlink"><b><a href="#cite_ref-115">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation pressrelease cs1"><a rel="nofollow" class="external text" href="https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/aurobindo-pharma-usa-inc-initiates-voluntary-nationwide-consumer-level-recall-38-lots-ranitidine">"Aurobindo Pharma USA, Inc. initiates voluntary nationwide consumer level recall of 38 lots of Ranitidine tablets 150mg, Ranitidine capsules 150mg, Ranitidine capsules 300mg and ranitidine Syrup 15mg/mL due to the detection of NDMA (Nitrosodimethylamine) impurity"</a>. <i>U.S. <a href="/wiki/Food_and_Drug_Administration" title="Food and Drug Administration">Food and Drug Administration</a> (FDA)</i> (Press release). 6 November 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20191111033706/https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/aurobindo-pharma-usa-inc-initiates-voluntary-nationwide-consumer-level-recall-38-lots-ranitidine">Archived</a> from the original on 11 November 2019<span class="reference-accessdate">. Retrieved <span class="nowrap">10 November</span> 2019</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=unknown&rft.btitle=Aurobindo+Pharma+USA%2C+Inc.+initiates+voluntary+nationwide+consumer+level+recall+of+38+lots+of+Ranitidine+tablets+150mg%2C+Ranitidine+capsules+150mg%2C+Ranitidine+capsules+300mg+and+ranitidine+Syrup+15mg%2FmL+due+to+the+detection+of+NDMA+%28Nitrosodimethylamine%29+impurity&rft.date=2019-11-06&rft_id=https%3A%2F%2Fwww.fda.gov%2Fsafety%2Frecalls-market-withdrawals-safety-alerts%2Faurobindo-pharma-usa-inc-initiates-voluntary-nationwide-consumer-level-recall-38-lots-ranitidine&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span> <span class="noviewer" typeof="mw:File"><span><img alt="Public Domain" src="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/12px-PD-icon.svg.png" decoding="async" width="12" height="12" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/18px-PD-icon.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/24px-PD-icon.svg.png 2x" data-file-width="196" data-file-height="196" /></span></span> This article incorporates text from this source, which is in the <a href="/wiki/Public_domain" title="Public domain">public domain</a>.</span> </li> <li id="cite_note-116"><span class="mw-cite-backlink"><b><a href="#cite_ref-116">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation pressrelease cs1"><a rel="nofollow" class="external text" href="https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/amneal-pharmaceuticals-llc-issues-voluntary-nationwide-recall-ranitidine-tablets-usp-150mg-and-300mg">"Amneal Pharmaceuticals, LLC. issues voluntary nationwide recall of Ranitidine tablets, USP, 150mg and 300mg, and Ranitidine syrup (Ranitidine Oral Solution, USP), 15 mg/mL, due to possible presence of N-nitrosodimethylamine (NDMA) impurity"</a>. <i>U.S. <a href="/wiki/Food_and_Drug_Administration" title="Food and Drug Administration">Food and Drug Administration</a> (FDA)</i> (Press release). 12 November 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20191112234415/https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/amneal-pharmaceuticals-llc-issues-voluntary-nationwide-recall-ranitidine-tablets-usp-150mg-and-300mg">Archived</a> from the original on 12 November 2019<span class="reference-accessdate">. Retrieved <span class="nowrap">12 November</span> 2019</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=unknown&rft.btitle=Amneal+Pharmaceuticals%2C+LLC.+issues+voluntary+nationwide+recall+of+Ranitidine+tablets%2C+USP%2C+150mg+and+300mg%2C+and+Ranitidine+syrup+%28Ranitidine+Oral+Solution%2C+USP%29%2C+15+mg%2FmL%2C+due+to+possible+presence+of+N-nitrosodimethylamine+%28NDMA%29+impurity&rft.date=2019-11-12&rft_id=https%3A%2F%2Fwww.fda.gov%2Fsafety%2Frecalls-market-withdrawals-safety-alerts%2Famneal-pharmaceuticals-llc-issues-voluntary-nationwide-recall-ranitidine-tablets-usp-150mg-and-300mg&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span> <span class="noviewer" typeof="mw:File"><span><img alt="Public Domain" src="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/12px-PD-icon.svg.png" decoding="async" width="12" height="12" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/18px-PD-icon.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/24px-PD-icon.svg.png 2x" data-file-width="196" data-file-height="196" /></span></span> This article incorporates text from this source, which is in the <a href="/wiki/Public_domain" title="Public domain">public domain</a>.</span> </li> <li id="cite_note-117"><span class="mw-cite-backlink"><b><a href="#cite_ref-117">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation pressrelease cs1"><a rel="nofollow" class="external text" href="https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/american-health-packaging-issues-voluntary-nationwide-recall-ranitidine-syrup-ranitidine-oral">"American Health Packaging issues voluntary nationwide recall of Ranitidine syrup (Ranitidine Oral Solution USP) 150 mg/10 mL liquid unit dose cups due to the detection of N-nitrosodimethylamine (NDMA) impurity"</a>. <i>U.S. <a href="/wiki/Food_and_Drug_Administration" title="Food and Drug Administration">Food and Drug Administration</a> (FDA)</i> (Press release). 8 November 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20191112234545/https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/american-health-packaging-issues-voluntary-nationwide-recall-ranitidine-syrup-ranitidine-oral">Archived</a> from the original on 12 November 2019<span class="reference-accessdate">. Retrieved <span class="nowrap">12 November</span> 2019</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=unknown&rft.btitle=American+Health+Packaging+issues+voluntary+nationwide+recall+of+Ranitidine+syrup+%28Ranitidine+Oral+Solution+USP%29+150+mg%2F10+mL+liquid+unit+dose+cups+due+to+the+detection+of+N-nitrosodimethylamine+%28NDMA%29+impurity&rft.date=2019-11-08&rft_id=https%3A%2F%2Fwww.fda.gov%2Fsafety%2Frecalls-market-withdrawals-safety-alerts%2Famerican-health-packaging-issues-voluntary-nationwide-recall-ranitidine-syrup-ranitidine-oral&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span> <span class="noviewer" typeof="mw:File"><span><img alt="Public Domain" src="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/12px-PD-icon.svg.png" decoding="async" width="12" height="12" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/18px-PD-icon.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/24px-PD-icon.svg.png 2x" data-file-width="196" data-file-height="196" /></span></span> This article incorporates text from this source, which is in the <a href="/wiki/Public_domain" title="Public domain">public domain</a>.</span> </li> <li id="cite_note-118"><span class="mw-cite-backlink"><b><a href="#cite_ref-118">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation pressrelease cs1"><a rel="nofollow" class="external text" href="https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/golden-state-medical-supply-inc-issues-voluntary-nationwide-recall-ranitidine-hydrochloride-150mg">"Golden State Medical Supply, Inc. issues a voluntary nationwide recall of Ranitidine hydrochloride 150mg and 300mg capsules (manufactured by Novitium Pharma LLC) due to an elevated amount of unexpected impurity, N-nitrosodimethylamine (NDMA)"</a>. <i>U.S. <a href="/wiki/Food_and_Drug_Administration" title="Food and Drug Administration">Food and Drug Administration</a> (FDA)</i> (Press release). 15 November 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20191123070140/https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/golden-state-medical-supply-inc-issues-voluntary-nationwide-recall-ranitidine-hydrochloride-150mg">Archived</a> from the original on 23 November 2019<span class="reference-accessdate">. Retrieved <span class="nowrap">22 November</span> 2019</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=unknown&rft.btitle=Golden+State+Medical+Supply%2C+Inc.+issues+a+voluntary+nationwide+recall+of+Ranitidine+hydrochloride+150mg+and+300mg+capsules+%28manufactured+by+Novitium+Pharma+LLC%29+due+to+an+elevated+amount+of+unexpected+impurity%2C+N-nitrosodimethylamine+%28NDMA%29&rft.date=2019-11-15&rft_id=https%3A%2F%2Fwww.fda.gov%2Fsafety%2Frecalls-market-withdrawals-safety-alerts%2Fgolden-state-medical-supply-inc-issues-voluntary-nationwide-recall-ranitidine-hydrochloride-150mg&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span> <span class="noviewer" typeof="mw:File"><span><img alt="Public Domain" src="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/12px-PD-icon.svg.png" decoding="async" width="12" height="12" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/18px-PD-icon.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/24px-PD-icon.svg.png 2x" data-file-width="196" data-file-height="196" /></span></span> This article incorporates text from this source, which is in the <a href="/wiki/Public_domain" title="Public domain">public domain</a>.</span> </li> <li id="cite_note-119"><span class="mw-cite-backlink"><b><a href="#cite_ref-119">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation pressrelease cs1"><a rel="nofollow" class="external text" href="https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/precision-dose-inc-issues-voluntary-nationwide-recall-ranitidine-oral-solution-usp-150-mg10-ml-due">"Precision Dose Inc. issues voluntary nationwide recall of ranitidine oral solution, USP 150 mg/10 mL due to possible presence of N-nitrosodimethylamine impurity"</a>. <i>U.S. <a href="/wiki/Food_and_Drug_Administration" title="Food and Drug Administration">Food and Drug Administration</a> (FDA)</i> (Press release). 19 November 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20191123070344/https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/precision-dose-inc-issues-voluntary-nationwide-recall-ranitidine-oral-solution-usp-150-mg10-ml-due">Archived</a> from the original on 23 November 2019<span class="reference-accessdate">. Retrieved <span class="nowrap">22 November</span> 2019</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=unknown&rft.btitle=Precision+Dose+Inc.+issues+voluntary+nationwide+recall+of+ranitidine+oral+solution%2C+USP+150+mg%2F10+mL+due+to+possible+presence+of+N-nitrosodimethylamine+impurity&rft.date=2019-11-19&rft_id=https%3A%2F%2Fwww.fda.gov%2Fsafety%2Frecalls-market-withdrawals-safety-alerts%2Fprecision-dose-inc-issues-voluntary-nationwide-recall-ranitidine-oral-solution-usp-150-mg10-ml-due&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span> <span class="noviewer" typeof="mw:File"><span><img alt="Public Domain" src="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/12px-PD-icon.svg.png" decoding="async" width="12" height="12" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/18px-PD-icon.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/24px-PD-icon.svg.png 2x" data-file-width="196" data-file-height="196" /></span></span> This article incorporates text from this source, which is in the <a href="/wiki/Public_domain" title="Public domain">public domain</a>.</span> </li> <li id="cite_note-120"><span class="mw-cite-backlink"><b><a href="#cite_ref-120">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/glenmark-pharmaceuticals-inc-usa-voluntarily-recalls-all-unexpired-lots-its-ranitidine-tablets-and">"Glenmark Pharmaceuticals Inc., USA voluntarily recalls all unexpired lots of its Ranitidine tablets and ceases distribution, due to possible presence of N-nitrosodimethylamine (NDMA) impurity"</a>. <i>U.S. <a href="/wiki/Food_and_Drug_Administration" title="Food and Drug Administration">Food and Drug Administration</a> (FDA)</i>. 17 December 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20191218221805/https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/glenmark-pharmaceuticals-inc-usa-voluntarily-recalls-all-unexpired-lots-its-ranitidine-tablets-and">Archived</a> from the original on 18 December 2019<span class="reference-accessdate">. Retrieved <span class="nowrap">18 December</span> 2019</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=U.S.+Food+and+Drug+Administration+%28FDA%29&rft.atitle=Glenmark+Pharmaceuticals+Inc.%2C+USA+voluntarily+recalls+all+unexpired+lots+of+its+Ranitidine+tablets+and+ceases+distribution%2C+due+to+possible+presence+of+N-nitrosodimethylamine+%28NDMA%29+impurity&rft.date=2019-12-17&rft_id=https%3A%2F%2Fwww.fda.gov%2Fsafety%2Frecalls-market-withdrawals-safety-alerts%2Fglenmark-pharmaceuticals-inc-usa-voluntarily-recalls-all-unexpired-lots-its-ranitidine-tablets-and&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-121"><span class="mw-cite-backlink"><b><a href="#cite_ref-121">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="http://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/appco-pharma-llc-issues-voluntary-nationwide-recall-ranitidine-hydrochloride-capsules-150-mg-and-300">"Appco Pharma LLC issues voluntary nationwide recall of Ranitidine hydrochloride capsules 150 mg and 300 mg due to an elevated amount of unexpected impurity, N-nitrosodimethylamine (NDMA)"</a>. <i>U.S. <a href="/wiki/Food_and_Drug_Administration" title="Food and Drug Administration">Food and Drug Administration</a> (FDA)</i>. 7 January 2020. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20200109033942/https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/appco-pharma-llc-issues-voluntary-nationwide-recall-ranitidine-hydrochloride-capsules-150-mg-and-300">Archived</a> from the original on 9 January 2020<span class="reference-accessdate">. Retrieved <span class="nowrap">8 January</span> 2020</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=U.S.+Food+and+Drug+Administration+%28FDA%29&rft.atitle=Appco+Pharma+LLC+issues+voluntary+nationwide+recall+of+Ranitidine+hydrochloride+capsules+150+mg+and+300+mg+due+to+an+elevated+amount+of+unexpected+impurity%2C+N-nitrosodimethylamine+%28NDMA%29&rft.date=2020-01-07&rft_id=http%3A%2F%2Fwww.fda.gov%2Fsafety%2Frecalls-market-withdrawals-safety-alerts%2Fappco-pharma-llc-issues-voluntary-nationwide-recall-ranitidine-hydrochloride-capsules-150-mg-and-300&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-122"><span class="mw-cite-backlink"><b><a href="#cite_ref-122">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="http://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/denton-pharma-inc-dba-northwind-pharmaceuticals-voluntarily-recalls-all-unexpired-lots-its">"Denton Pharma, Inc. dba Northwind Pharmaceuticals voluntarily recalls all unexpired lots of its Ranitidine tablets and ceases distribution, due to possible presence of N-nitrosodimethylamine (NDMA) impurity"</a>. <i>U.S. <a href="/wiki/Food_and_Drug_Administration" title="Food and Drug Administration">Food and Drug Administration</a> (FDA)</i>. 6 January 2020. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20200109045121/https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/denton-pharma-inc-dba-northwind-pharmaceuticals-voluntarily-recalls-all-unexpired-lots-its">Archived</a> from the original on 9 January 2020<span class="reference-accessdate">. Retrieved <span class="nowrap">8 January</span> 2020</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=U.S.+Food+and+Drug+Administration+%28FDA%29&rft.atitle=Denton+Pharma%2C+Inc.+dba+Northwind+Pharmaceuticals+voluntarily+recalls+all+unexpired+lots+of+its+Ranitidine+tablets+and+ceases+distribution%2C+due+to+possible+presence+of+N-nitrosodimethylamine+%28NDMA%29+impurity&rft.date=2020-01-06&rft_id=http%3A%2F%2Fwww.fda.gov%2Fsafety%2Frecalls-market-withdrawals-safety-alerts%2Fdenton-pharma-inc-dba-northwind-pharmaceuticals-voluntarily-recalls-all-unexpired-lots-its&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-FDA_PR-123"><span class="mw-cite-backlink"><b><a href="#cite_ref-FDA_PR_123-0">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="http://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/american-health-packaging-issues-voluntary-nationwide-recall-ranitidine-tablets-usp-150-mg-100-count">"American Health Packaging issues voluntary nationwide recall of Ranitidine tablets, USP 150 mg, 100 count unit dose blisters due to the detection of N-nitrosodimethylamine (NDMA) impurity"</a>. <i>U.S. <a href="/wiki/Food_and_Drug_Administration" title="Food and Drug Administration">Food and Drug Administration</a> (FDA)</i>. 27 February 2020. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20200228155144/https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/american-health-packaging-issues-voluntary-nationwide-recall-ranitidine-tablets-usp-150-mg-100-count">Archived</a> from the original on 28 February 2020<span class="reference-accessdate">. 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Retrieved <span class="nowrap">6 May</span> 2020</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=European+Medicines+Agency+%28EMA%29&rft.atitle=Meeting+highlights+from+the+Committee+for+Medicinal+Products+for+Human+Use+%28CHMP%29+28-30+April+2020&rft.date=2020-04-30&rft_id=https%3A%2F%2Fwww.ema.europa.eu%2Fen%2Fnews%2Fmeeting-highlights-committee-medicinal-products-human-use-chmp-28-30-april-2020&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span> Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.</span> </li> <li id="cite_note-126"><span class="mw-cite-backlink"><b><a href="#cite_ref-126">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.nhs.uk/medicines/ranitidine/">"Ranitidine: medicine to lower stomach acid"</a>. <i>NHS (UK)</i>. 16 July 2021. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20211203160843/https://www.nhs.uk/medicines/ranitidine/">Archived</a> from the original on 3 December 2021<span class="reference-accessdate">. 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Treasure Island (FL): StatPearls Publishing. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a> <a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/30422583">30422583</a>. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20230322180227/https://www.ncbi.nlm.nih.gov/books/NBK532989/#:~:text=Ranitidine%20is%20a%20competitive%20inhibitor,kidney%20dysfunction">Archived</a> from the original on 22 March 2023<span class="reference-accessdate">. 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Food and Drug Administration (FDA); GlaxoSmithKline (GSK). April 2009. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20220621172526/https://www.accessdata.fda.gov/drugsatfda_docs/label/2009/019090s053,019593s042lbl.pdf">Archived</a> <span class="cs1-format">(PDF)</span> from the original on 21 June 2022<span class="reference-accessdate">. Retrieved <span class="nowrap">8 August</span> 2023</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=unknown&rft.btitle=Zantac+%28ranitidine+hydrochloride%29&rft.pub=Food+and+Drug+Administration+%28FDA%29%3B+GlaxoSmithKline+%28GSK%29&rft.date=2009-04&rft_id=https%3A%2F%2Fwww.accessdata.fda.gov%2Fdrugsatfda_docs%2Flabel%2F2009%2F019090s053%2C019593s042lbl.pdf&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span> via <a rel="nofollow" class="external text" href="https://go.drugbank.com/drugs/DB00863">DrugBank database</a> <a rel="nofollow" class="external text" href="https://web.archive.org/web/20230810225242/https://go.drugbank.com/drugs/DB00863">Archived</a> 10 August 2023 at the <a href="/wiki/Wayback_Machine" title="Wayback Machine">Wayback Machine</a></span> </li> <li id="cite_note-131"><span class="mw-cite-backlink"><b><a href="#cite_ref-131">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://dailymed.nlm.nih.gov/dailymed/getFile.cfm?setid=B0AF5CA1-9189-4C62-BDF1-F1124EC337E7">"Ranitidine Hydrochloride"</a>. <i>DailyMed</i>. 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McGraw-Hill. p. 972. <a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a> <a href="/wiki/Special:BookSources/978-0-07-142280-2" title="Special:BookSources/978-0-07-142280-2"><bdi>978-0-07-142280-2</bdi></a>. 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The New Book of Knowledge : Medicine & Health, Grolier : Danbury, Connecticut. 1990. p.262. <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a> <a href="/wiki/Special:BookSources/0-7172-8244-9" title="Special:BookSources/0-7172-8244-9">0-7172-8244-9</a>. Library of Congress 82-645223</span> </li> <li id="cite_note-137"><span class="mw-cite-backlink"><b><a href="#cite_ref-137">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFYeomansTulassayJuhászRácz1998" class="citation journal cs1">Yeomans ND, Tulassay Z, Juhász L, Rácz I, Howard JM, van Rensburg CJ, et al. (March 1998). <a rel="nofollow" class="external text" href="https://doi.org/10.1056%2FNEJM199803123381104">"A comparison of omeprazole with ranitidine for ulcers associated with nonsteroidal antiinflammatory drugs. Acid Suppression Trial: Ranitidine versus Omeprazole for NSAID-associated Ulcer Treatment (ASTRONAUT) Study Group"</a>. <i>The New England Journal of Medicine</i>. <b>338</b> (11): <span class="nowrap">719–</span>726. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://doi.org/10.1056%2FNEJM199803123381104">10.1056/NEJM199803123381104</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a> <a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/9494148">9494148</a>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.jtitle=The+New+England+Journal+of+Medicine&rft.atitle=A+comparison+of+omeprazole+with+ranitidine+for+ulcers+associated+with+nonsteroidal+antiinflammatory+drugs.+Acid+Suppression+Trial%3A+Ranitidine+versus+Omeprazole+for+NSAID-associated+Ulcer+Treatment+%28ASTRONAUT%29+Study+Group&rft.volume=338&rft.issue=11&rft.pages=%3Cspan+class%3D%22nowrap%22%3E719-%3C%2Fspan%3E726&rft.date=1998-03&rft_id=info%3Adoi%2F10.1056%2FNEJM199803123381104&rft_id=info%3Apmid%2F9494148&rft.aulast=Yeomans&rft.aufirst=ND&rft.au=Tulassay%2C+Z&rft.au=Juh%C3%A1sz%2C+L&rft.au=R%C3%A1cz%2C+I&rft.au=Howard%2C+JM&rft.au=van+Rensburg%2C+CJ&rft.au=Swannell%2C+AJ&rft.au=Hawkey%2C+CJ&rft_id=https%3A%2F%2Fdoi.org%2F10.1056%252FNEJM199803123381104&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> <li id="cite_note-138"><span class="mw-cite-backlink"><b><a href="#cite_ref-138">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm?event=overview.process&ApplNo=021698">"Zantac"</a>. <i>U.S. <a href="/wiki/Food_and_Drug_Administration" title="Food and Drug Administration">Food and Drug Administration</a> (FDA)</i>. NDA 021698. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20191030012150/https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm?event=overview.process&ApplNo=021698">Archived</a> from the original on 30 October 2019<span class="reference-accessdate">. Retrieved <span class="nowrap">18 October</span> 2019</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=U.S.+Food+and+Drug+Administration+%28FDA%29&rft.atitle=Zantac&rft_id=https%3A%2F%2Fwww.accessdata.fda.gov%2Fscripts%2Fcder%2Fdaf%2Findex.cfm%3Fevent%3Doverview.process%26ApplNo%3D021698&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span> <span class="noviewer" typeof="mw:File"><span><img alt="Public Domain" src="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/12px-PD-icon.svg.png" decoding="async" width="12" height="12" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/18px-PD-icon.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/6/62/PD-icon.svg/24px-PD-icon.svg.png 2x" data-file-width="196" data-file-height="196" /></span></span> This article incorporates text from this source, which is in the <a href="/wiki/Public_domain" title="Public domain">public domain</a>.</span> </li> <li id="cite_note-139"><span class="mw-cite-backlink"><b><a href="#cite_ref-139">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.biopharmadive.com/news/cvs-zantac-voluntary-recall-ndma-carcinogen/563990/">"CVS suspends Zantac sales, as recalls widen over carcinogen fears"</a>. <i>BioPharma Dive</i>. 30 September 2019. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20191019024632/https://www.biopharmadive.com/news/cvs-zantac-voluntary-recall-ndma-carcinogen/563990/">Archived</a> from the original on 19 October 2019<span class="reference-accessdate">. Retrieved <span class="nowrap">18 October</span> 2019</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=BioPharma+Dive&rft.atitle=CVS+suspends+Zantac+sales%2C+as+recalls+widen+over+carcinogen+fears&rft.date=2019-09-30&rft_id=https%3A%2F%2Fwww.biopharmadive.com%2Fnews%2Fcvs-zantac-voluntary-recall-ndma-carcinogen%2F563990%2F&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></span> </li> </ol></div></div> <div class="mw-heading mw-heading2"><h2 id="Notes">Notes</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Ranitidine&action=edit&section=25" title="Edit section: Notes"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1239543626"><div class="reflist reflist-lower-alpha"> <div class="mw-references-wrap"><ol class="references"> <li id="cite_note-14"><span class="mw-cite-backlink"><b><a href="#cite_ref-14">^</a></b></span> <span class="reference-text">Zantac in the United States is now a brand of <a href="/wiki/Famotidine" title="Famotidine">famotidine</a>.</span> </li> <li id="cite_note-25"><span class="mw-cite-backlink"><b><a href="#cite_ref-25">^</a></b></span> <span class="reference-text">Gastric, pancreatic, and lung cancer risk increased by up to 26%, 35%, and 17%, respectively, but "only liver cancer displayed a significant association with long-term ranitidine use" and "there was no continuous dose–response relationship among the other individual cancers".<sup id="cite_ref-taiwanstudy_24-0" class="reference"><a href="#cite_note-taiwanstudy-24"><span class="cite-bracket">[</span>23<span class="cite-bracket">]</span></a></sup></span> </li> <li id="cite_note-26"><span class="mw-cite-backlink"><b><a href="#cite_ref-26">^</a></b></span> <span class="reference-text">Overall cancer risk increased by 10%, <i>p</i> < 0.001<sup id="cite_ref-taiwanstudy_24-1" class="reference"><a href="#cite_note-taiwanstudy-24"><span class="cite-bracket">[</span>23<span class="cite-bracket">]</span></a></sup></span> </li> </ol></div></div> <div class="mw-heading mw-heading2"><h2 id="External_links">External links</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Ranitidine&action=edit&section=26" title="Edit section: External links"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <ul><li><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://medlineplus.gov/druginfo/meds/a601164.html">"Ranitidine Injection"</a>. <i>MedlinePlus</i>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=MedlinePlus&rft.atitle=Ranitidine+Injection&rft_id=https%3A%2F%2Fmedlineplus.gov%2Fdruginfo%2Fmeds%2Fa601164.html&rfr_id=info%3Asid%2Fen.wikipedia.org%3ARanitidine" class="Z3988"></span></li></ul> <div class="navbox-styles"><style data-mw-deduplicate="TemplateStyles:r1129693374">.mw-parser-output .hlist dl,.mw-parser-output .hlist ol,.mw-parser-output .hlist ul{margin:0;padding:0}.mw-parser-output .hlist dd,.mw-parser-output .hlist dt,.mw-parser-output .hlist li{margin:0;display:inline}.mw-parser-output .hlist.inline,.mw-parser-output .hlist.inline dl,.mw-parser-output .hlist.inline ol,.mw-parser-output .hlist.inline ul,.mw-parser-output .hlist dl dl,.mw-parser-output .hlist dl ol,.mw-parser-output .hlist dl ul,.mw-parser-output .hlist ol dl,.mw-parser-output .hlist ol ol,.mw-parser-output .hlist ol ul,.mw-parser-output .hlist ul dl,.mw-parser-output .hlist ul ol,.mw-parser-output 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role="navigation" class="navbox" aria-labelledby="Drugs_for_peptic_ulcer_and_GERD/GORD_(A02B)716" style="padding:3px"><table class="nowraplinks mw-collapsible autocollapse navbox-inner" style="border-spacing:0;background:transparent;color:inherit"><tbody><tr><th scope="col" class="navbox-title" colspan="2"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><style data-mw-deduplicate="TemplateStyles:r1239400231">.mw-parser-output .navbar{display:inline;font-size:88%;font-weight:normal}.mw-parser-output .navbar-collapse{float:left;text-align:left}.mw-parser-output .navbar-boxtext{word-spacing:0}.mw-parser-output .navbar ul{display:inline-block;white-space:nowrap;line-height:inherit}.mw-parser-output .navbar-brackets::before{margin-right:-0.125em;content:"[ "}.mw-parser-output .navbar-brackets::after{margin-left:-0.125em;content:" ]"}.mw-parser-output .navbar li{word-spacing:-0.125em}.mw-parser-output .navbar a>span,.mw-parser-output .navbar a>abbr{text-decoration:inherit}.mw-parser-output .navbar-mini abbr{font-variant:small-caps;border-bottom:none;text-decoration:none;cursor:inherit}.mw-parser-output .navbar-ct-full{font-size:114%;margin:0 7em}.mw-parser-output .navbar-ct-mini{font-size:114%;margin:0 4em}html.skin-theme-clientpref-night .mw-parser-output .navbar li a abbr{color:var(--color-base)!important}@media(prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .navbar li a abbr{color:var(--color-base)!important}}@media print{.mw-parser-output .navbar{display:none!important}}</style><div class="navbar plainlinks hlist navbar-mini"><ul><li class="nv-view"><a href="/wiki/Template:Drugs_for_peptic_ulcer_and_GORD" title="Template:Drugs for peptic ulcer and GORD"><abbr title="View this template">v</abbr></a></li><li class="nv-talk"><a href="/wiki/Template_talk:Drugs_for_peptic_ulcer_and_GORD" title="Template talk:Drugs for peptic ulcer and GORD"><abbr title="Discuss this template">t</abbr></a></li><li class="nv-edit"><a href="/wiki/Special:EditPage/Template:Drugs_for_peptic_ulcer_and_GORD" title="Special:EditPage/Template:Drugs for peptic ulcer and GORD"><abbr title="Edit this template">e</abbr></a></li></ul></div><div id="Drugs_for_peptic_ulcer_and_GERD/GORD_(A02B)716" style="font-size:114%;margin:0 4em">Drugs for <a href="/wiki/Peptic_ulcer" class="mw-redirect" title="Peptic ulcer">peptic ulcer</a> and <a href="/wiki/Gastroesophageal_reflux_disease" title="Gastroesophageal reflux disease">GERD/GORD</a> (<a href="/wiki/ATC_code_A02#A02B" title="ATC code A02">A02B</a>)</div></th></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/H2_antagonist" class="mw-redirect" title="H2 antagonist">H<sub>2</sub> antagonists</a> ("-tidine")</th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Cimetidine" title="Cimetidine">Cimetidine</a></li> <li><a href="/wiki/Famotidine" title="Famotidine">Famotidine</a></li> <li><a href="/wiki/Lafutidine" title="Lafutidine">Lafutidine</a></li> <li><a href="/wiki/Lavoltidine" title="Lavoltidine">Lavoltidine (loxtidine)</a></li> <li><a href="/wiki/Niperotidine" title="Niperotidine">Niperotidine</a></li> <li><a href="/wiki/Nizatidine" title="Nizatidine">Nizatidine</a></li> <li><a class="mw-selflink selflink">Ranitidine</a><sup>#‡</sup></li> <li><a href="/wiki/Roxatidine_acetate" title="Roxatidine acetate">Roxatidine</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Prostaglandin" title="Prostaglandin">Prostaglandins</a> (E)/<br /><a href="/wiki/Prostaglandin_analogue" title="Prostaglandin analogue">analogues</a> ("-prost-")</th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Misoprostol" title="Misoprostol">Misoprostol</a></li> <li><a href="/wiki/Enprostil" title="Enprostil">Enprostil</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Proton-pump_inhibitor" title="Proton-pump inhibitor">Proton-pump inhibitors</a> <br />("-prazole")</th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Anaprazole" title="Anaprazole">Anaprazole</a></li> <li><a href="/wiki/Azeloprazole" title="Azeloprazole">Azeloprazole</a></li> <li><a href="/wiki/Dexlansoprazole" title="Dexlansoprazole">Dexlansoprazole</a></li> <li><a href="/w/index.php?title=Dexrabeprazole&action=edit&redlink=1" class="new" title="Dexrabeprazole (page does not exist)">Dexrabeprazole</a></li> <li><a href="/wiki/Esomeprazole" title="Esomeprazole">Esomeprazole</a></li> <li><a href="/wiki/Ilaprazole" title="Ilaprazole">Ilaprazole</a></li> <li><a href="/wiki/Lansoprazole" title="Lansoprazole">Lansoprazole</a></li> <li><a href="/wiki/Omeprazole" title="Omeprazole">Omeprazole</a><sup>#</sup></li> <li><a href="/wiki/Pantoprazole" title="Pantoprazole">Pantoprazole</a></li> <li><a href="/w/index.php?title=Picoprazole&action=edit&redlink=1" class="new" title="Picoprazole (page does not exist)">Picoprazole</a></li> <li><a href="/wiki/Rabeprazole" title="Rabeprazole">Rabeprazole</a></li> <li><a href="/wiki/Tenatoprazole" title="Tenatoprazole">Tenatoprazole</a></li> <li><a href="/wiki/Timoprazole" title="Timoprazole">Timoprazole</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Potassium-competitive_acid_blocker" class="mw-redirect" title="Potassium-competitive acid blocker">Potassium-competitive <br />acid blockers</a> ("-prazan")</th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Fexuprazan" title="Fexuprazan">Fexuprazan</a></li> <li><a href="/wiki/Linaprazan" title="Linaprazan">Linaprazan</a></li> <li><a href="/wiki/Revaprazan" title="Revaprazan">Revaprazan</a></li> <li><a href="/w/index.php?title=Soraprazan&action=edit&redlink=1" class="new" title="Soraprazan (page does not exist)">Soraprazan</a></li> <li><a href="/w/index.php?title=Tegoprazan&action=edit&redlink=1" class="new" title="Tegoprazan (page does not exist)">Tegoprazan</a></li> <li><a href="/wiki/Vonoprazan" title="Vonoprazan">Vonoprazan</a></li> <li><a href="/wiki/Zastaprazan" title="Zastaprazan">Zastaprazan</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Others</th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Aceglutamide_aluminum" class="mw-redirect" title="Aceglutamide aluminum">Aceglutamide aluminum</a></li> <li><a href="/wiki/Acetoxolone" title="Acetoxolone">Acetoxolone</a></li> <li><a href="/wiki/Alginic_acid" title="Alginic acid">Alginic acid</a></li> <li><a href="/wiki/Arbaclofen_placarbil" title="Arbaclofen placarbil">Arbaclofen placarbil</a></li> <li><a href="/wiki/Bismuth_subcitrate" title="Bismuth subcitrate">Bismuth subcitrate</a></li> <li><a href="/wiki/Carbenoxolone" title="Carbenoxolone">Carbenoxolone</a></li> <li><a href="/wiki/Cetraxate" title="Cetraxate">Cetraxate</a></li> <li><a href="/wiki/Gefarnate" title="Gefarnate">Gefarnate</a></li> <li><a href="/wiki/Irsogladine" title="Irsogladine">Irsogladine</a></li> <li><a href="/wiki/Lesogaberan" title="Lesogaberan">Lesogaberan</a></li> <li><a href="/wiki/Pirenzepine" title="Pirenzepine">Pirenzepine</a></li> <li><a href="/wiki/Proglumide" title="Proglumide">Proglumide</a></li> <li><a href="/wiki/Rebamipide" title="Rebamipide">Rebamipide</a></li> <li><a href="/wiki/Sucralfate" title="Sucralfate">Sucralfate</a></li> <li><a href="/wiki/Sulglicotide" title="Sulglicotide">Sulglicotide</a></li> <li><a href="/wiki/Telenzepine" title="Telenzepine">Telenzepine</a></li> <li><a href="/wiki/Teprenone" title="Teprenone">Teprenone</a></li> <li><a href="/wiki/Troxipide" title="Troxipide">Troxipide</a></li> <li><a href="/wiki/Zinc_L-carnosine" title="Zinc L-carnosine">Zinc L-carnosine</a></li> <li><a href="/wiki/Zolimidine" title="Zolimidine">Zolimidine</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Combinations</th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Bismuth_subcitrate/metronidazole/tetracycline" title="Bismuth subcitrate/metronidazole/tetracycline">Bismuth subcitrate/metronidazole/tetracycline</a></li> <li><a href="/wiki/Omeprazole/amoxicillin/rifabutin" title="Omeprazole/amoxicillin/rifabutin">Omeprazole/amoxicillin/rifabutin</a></li> <li><a href="/wiki/Vonoprazan/amoxicillin" title="Vonoprazan/amoxicillin">Vonoprazan/amoxicillin</a></li> <li><a href="/wiki/Vonoprazan/amoxicillin/clarithromycin" title="Vonoprazan/amoxicillin/clarithromycin">Vonoprazan/amoxicillin/clarithromycin</a></li></ul> </div></td></tr><tr><td colspan="2" class="navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><i>See also: <a href="/wiki/Helicobacter_pylori_eradication_protocols" title="Helicobacter pylori eradication protocols"><i>Helicobacter pylori</i> eradication protocols</a></i></li></ul> </div></td></tr><tr><td class="navbox-abovebelow" colspan="2" style="padding: 0px;"><div><div class="hlist"> <ul><li><sup>#</sup><a href="/wiki/WHO_Model_List_of_Essential_Medicines" title="WHO Model List of Essential Medicines">WHO-EM</a></li> <li><sup>‡</sup><a href="/wiki/List_of_withdrawn_drugs" title="List of withdrawn drugs">Withdrawn</a> from market</li> <li><a href="/wiki/Clinical_trial" title="Clinical trial">Clinical trials</a>: <ul><li><sup>†</sup><a href="/wiki/Phases_of_clinical_research#Phase_III" title="Phases of clinical research">Phase III</a></li> <li><sup>§</sup>Never to phase III</li></ul></li></ul> </div></div></td></tr></tbody></table></div> <div class="navbox-styles"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236075235"></div><div role="navigation" class="navbox" aria-labelledby="Histamine_receptor_modulators440" style="padding:3px"><table class="nowraplinks hlist mw-collapsible mw-collapsed navbox-inner" style="border-spacing:0;background:transparent;color:inherit"><tbody><tr><th scope="col" class="navbox-title" colspan="2"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1239400231"><div class="navbar plainlinks hlist navbar-mini"><ul><li class="nv-view"><a href="/wiki/Template:Histamine_receptor_modulators" title="Template:Histamine receptor modulators"><abbr title="View this template">v</abbr></a></li><li class="nv-talk"><a href="/wiki/Template_talk:Histamine_receptor_modulators" title="Template talk:Histamine receptor modulators"><abbr title="Discuss this template">t</abbr></a></li><li class="nv-edit"><a href="/wiki/Special:EditPage/Template:Histamine_receptor_modulators" title="Special:EditPage/Template:Histamine receptor modulators"><abbr title="Edit this template">e</abbr></a></li></ul></div><div id="Histamine_receptor_modulators440" style="font-size:114%;margin:0 4em"><a href="/wiki/Histamine_receptor" title="Histamine receptor">Histamine receptor</a> <a href="/wiki/Receptor_modulator" title="Receptor modulator">modulators</a></div></th></tr><tr><th scope="row" class="navbox-group" style="width:1%;text-align: center;"><a href="/wiki/Histamine_H1_receptor" title="Histamine H1 receptor">H<sub>1</sub></a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%">Agonists</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/2-Pyridylethylamine" title="2-Pyridylethylamine">2-Pyridylethylamine</a></li> <li><a href="/wiki/Betahistine" title="Betahistine">Betahistine</a></li> <li><a href="/wiki/Histamine" title="Histamine">Histamine</a></li> <li><a href="/wiki/Histamine_trifluoromethyl_toluidide" title="Histamine trifluoromethyl toluidide">HTMT</a></li> <li><a href="/wiki/L-Histidine" class="mw-redirect" title="L-Histidine"><span style="font-size:85%;">L</span>-Histidine</a></li> <li><a href="/wiki/UR-AK49" title="UR-AK49">UR-AK49</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Antagonists</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><i>First-generation:</i> <a href="/wiki/4-Methyldiphenhydramine" title="4-Methyldiphenhydramine">4-Methyldiphenhydramine</a></li> <li><a href="/wiki/Alimemazine" title="Alimemazine">Alimemazine</a></li> <li><a href="/wiki/Antazoline" title="Antazoline">Antazoline</a></li> <li><a href="/wiki/Azatadine" title="Azatadine">Azatadine</a></li> <li><a href="/wiki/Bamipine" title="Bamipine">Bamipine</a></li> <li><a href="/wiki/Benzatropine" title="Benzatropine">Benzatropine (benztropine)</a></li> <li><a href="/wiki/Bepotastine" title="Bepotastine">Bepotastine</a></li> <li><a href="/wiki/Bromazine" title="Bromazine">Bromazine</a></li> <li><a href="/wiki/Brompheniramine" title="Brompheniramine">Brompheniramine</a></li> <li><a href="/wiki/Buclizine" title="Buclizine">Buclizine</a></li> <li><a href="/wiki/Captodiame" title="Captodiame">Captodiame</a></li> <li><a href="/wiki/Carbinoxamine" title="Carbinoxamine">Carbinoxamine</a></li> <li><a href="/wiki/Chlorcyclizine" title="Chlorcyclizine">Chlorcyclizine</a></li> <li><a href="/wiki/Chloropyramine" title="Chloropyramine">Chloropyramine</a></li> <li><a href="/wiki/Chlorothen" title="Chlorothen">Chlorothen</a></li> <li><a href="/wiki/Chlorphenamine" title="Chlorphenamine">Chlorphenamine</a></li> <li><a href="/wiki/Chlorphenoxamine" title="Chlorphenoxamine">Chlorphenoxamine</a></li> <li><a href="/wiki/Cinnarizine" title="Cinnarizine">Cinnarizine</a></li> <li><a href="/wiki/Clemastine" title="Clemastine">Clemastine</a></li> <li><a href="/wiki/Clobenzepam" title="Clobenzepam">Clobenzepam</a></li> <li><a href="/wiki/Clocinizine" title="Clocinizine">Clocinizine</a></li> <li><a href="/wiki/Cloperastine" title="Cloperastine">Cloperastine</a></li> <li><a href="/wiki/Cyclizine" title="Cyclizine">Cyclizine</a></li> <li><a href="/wiki/Cyproheptadine" title="Cyproheptadine">Cyproheptadine</a></li> <li><a href="/wiki/Dacemazine" title="Dacemazine">Dacemazine</a></li> <li><a href="/w/index.php?title=Decloxizine&action=edit&redlink=1" class="new" title="Decloxizine (page does not exist)">Decloxizine</a></li> <li><a href="/wiki/Deptropine" title="Deptropine">Deptropine</a></li> <li><a href="/wiki/Dexbrompheniramine" title="Dexbrompheniramine">Dexbrompheniramine</a></li> <li><a href="/wiki/Dexchlorpheniramine" title="Dexchlorpheniramine">Dexchlorpheniramine</a></li> <li><a href="/wiki/Dimenhydrinate" title="Dimenhydrinate">Dimenhydrinate</a></li> <li><a href="/wiki/Dimetindene" title="Dimetindene">Dimetindene</a></li> <li><a href="/wiki/Diphenhydramine" title="Diphenhydramine">Diphenhydramine</a></li> <li><a href="/wiki/Diphenylpyraline" title="Diphenylpyraline">Diphenylpyraline</a></li> <li><a href="/wiki/Doxylamine" title="Doxylamine">Doxylamine</a></li> <li><a href="/wiki/Embramine" title="Embramine">Embramine</a></li> <li><a href="/wiki/Etodroxizine" title="Etodroxizine">Etodroxizine</a></li> <li><a href="/wiki/Etybenzatropine" title="Etybenzatropine">Etybenzatropine (ethylbenztropine)</a></li> <li><a href="/wiki/Etymemazine" title="Etymemazine">Etymemazine</a></li> <li><a href="/wiki/Fenethazine" title="Fenethazine">Fenethazine</a></li> <li><a href="/wiki/Flunarizine" title="Flunarizine">Flunarizine</a></li> <li><a href="/wiki/Histapyrrodine" title="Histapyrrodine">Histapyrrodine</a></li> <li><a href="/wiki/Homochlorcyclizine" title="Homochlorcyclizine">Homochlorcyclizine</a></li> <li><a href="/wiki/Hydroxyethylpromethazine" title="Hydroxyethylpromethazine">Hydroxyethylpromethazine</a></li> <li><a href="/wiki/Hydroxyzine" title="Hydroxyzine">Hydroxyzine</a></li> <li><a href="/wiki/Isopromethazine" title="Isopromethazine">Isopromethazine</a></li> <li><a href="/wiki/Isothipendyl" title="Isothipendyl">Isothipendyl</a></li> <li><a href="/wiki/Meclozine" class="mw-redirect" title="Meclozine">Meclozine</a></li> <li><a href="/wiki/Medrylamine" title="Medrylamine">Medrylamine</a></li> <li><a href="/wiki/Mepyramine" title="Mepyramine">Mepyramine (pyrilamine)</a></li> <li><a href="/wiki/Mequitazine" title="Mequitazine">Mequitazine</a></li> <li><a href="/wiki/Methafurylene" title="Methafurylene">Methafurylene</a></li> <li><a href="/wiki/Methapyrilene" title="Methapyrilene">Methapyrilene</a></li> <li><a href="/wiki/Methdilazine" title="Methdilazine">Methdilazine</a></li> <li><a href="/wiki/Moxastine" title="Moxastine">Moxastine</a></li> <li><a href="/wiki/Orphenadrine" title="Orphenadrine">Orphenadrine</a></li> <li><a href="/wiki/Oxatomide" title="Oxatomide">Oxatomide</a></li> <li><a href="/wiki/Oxomemazine" title="Oxomemazine">Oxomemazine</a></li> <li><a href="/wiki/Perlapine" title="Perlapine">Perlapine</a></li> <li><a href="/wiki/Phenindamine" title="Phenindamine">Phenindamine</a></li> <li><a href="/wiki/Pheniramine" title="Pheniramine">Pheniramine</a></li> <li><a href="/wiki/Phenyltoloxamine" title="Phenyltoloxamine">Phenyltoloxamine</a></li> <li><a href="/wiki/Pimethixene" title="Pimethixene">Pimethixene</a></li> <li><a href="/wiki/Piperoxan" title="Piperoxan">Piperoxan</a></li> <li><a href="/wiki/Pipoxizine" title="Pipoxizine">Pipoxizine</a></li> <li><a href="/wiki/Promethazine" title="Promethazine">Promethazine</a></li> <li><a href="/wiki/Propiomazine" title="Propiomazine">Propiomazine</a></li> <li><a href="/wiki/Pyrrobutamine" title="Pyrrobutamine">Pyrrobutamine</a></li> <li><a href="/wiki/Talastine" title="Talastine">Talastine</a></li> <li><a href="/wiki/Thenalidine" title="Thenalidine">Thenalidine</a></li> <li><a href="/wiki/Thenyldiamine" title="Thenyldiamine">Thenyldiamine</a></li> <li><a href="/wiki/Thiazinamium" class="mw-redirect" title="Thiazinamium">Thiazinamium</a></li> <li><a href="/wiki/Thonzylamine" title="Thonzylamine">Thonzylamine</a></li> <li><a href="/wiki/Tolpropamine" title="Tolpropamine">Tolpropamine</a></li> <li><a href="/wiki/Tripelennamine" title="Tripelennamine">Tripelennamine</a></li> <li><a href="/wiki/Triprolidine" title="Triprolidine">Triprolidine</a></li></ul> <ul><li><i>Second/third-generation:</i> <a href="/wiki/Acrivastine" title="Acrivastine">Acrivastine</a></li> <li><a href="/w/index.php?title=Alinastine&action=edit&redlink=1" class="new" title="Alinastine (page does not exist)">Alinastine</a></li> <li><a href="/wiki/Astemizole" title="Astemizole">Astemizole</a></li> <li><a href="/wiki/Azelastine" title="Azelastine">Azelastine</a></li> <li><a href="/w/index.php?title=Bamirastine&action=edit&redlink=1" class="new" title="Bamirastine (page does not exist)">Bamirastine</a></li> <li><a href="/w/index.php?title=Barmastine&action=edit&redlink=1" class="new" title="Barmastine (page does not exist)">Barmastine</a></li> <li><a href="/w/index.php?title=Bepiastine&action=edit&redlink=1" class="new" title="Bepiastine (page does not exist)">Bepiastine</a></li> <li><a href="/wiki/Bepotastine" title="Bepotastine">Bepotastine</a></li> <li><a href="/wiki/Bilastine" title="Bilastine">Bilastine</a></li> <li><a href="/w/index.php?title=Cabastinen&action=edit&redlink=1" class="new" title="Cabastinen (page does not exist)">Cabastinen</a></li> <li><a href="/w/index.php?title=Carebastine&action=edit&redlink=1" class="new" title="Carebastine (page does not exist)">Carebastine</a></li> <li><a href="/wiki/Cetirizine" title="Cetirizine">Cetirizine</a></li> <li><a href="/wiki/Clemastine" title="Clemastine">Clemastine</a></li> <li><a href="/wiki/Clemizole" title="Clemizole">Clemizole</a></li> <li><a href="/wiki/Clobenztropine" title="Clobenztropine">Clobenztropine</a></li> <li><a href="/wiki/Desloratadine" title="Desloratadine">Desloratadine</a></li> <li><a href="/w/index.php?title=Dorastine&action=edit&redlink=1" class="new" title="Dorastine (page does not exist)">Dorastine</a></li> <li><a href="/wiki/Ebastine" title="Ebastine">Ebastine</a></li> <li><a href="/w/index.php?title=Efletirizine&action=edit&redlink=1" class="new" title="Efletirizine (page does not exist)">Efletirizine</a></li> <li><a href="/wiki/Emedastine" title="Emedastine">Emedastine</a></li> <li><a href="/wiki/Epinastine" title="Epinastine">Epinastine</a></li> <li><a href="/wiki/Fexofenadine" title="Fexofenadine">Fexofenadine</a></li> <li><a href="/w/index.php?title=Flezelastine&action=edit&redlink=1" class="new" title="Flezelastine (page does not exist)">Flezelastine</a></li> <li><a href="/wiki/Ketotifen" title="Ketotifen">Ketotifen</a></li> <li><a href="/wiki/Latrepirdine" title="Latrepirdine">Latrepirdine</a></li> <li><a href="/wiki/Levocabastine" title="Levocabastine">Levocabastine</a></li> <li><a href="/wiki/Levocetirizine" title="Levocetirizine">Levocetirizine</a></li> <li><a href="/w/index.php?title=Linetastine&action=edit&redlink=1" class="new" title="Linetastine (page does not exist)">Linetastine</a></li> <li><a href="/wiki/Loratadine" title="Loratadine">Loratadine</a></li> <li><a href="/w/index.php?title=Mapinastine&action=edit&redlink=1" class="new" title="Mapinastine (page does not exist)">Mapinastine</a></li> <li><a href="/wiki/Mebhydrolin" title="Mebhydrolin">Mebhydrolin</a></li> <li><a href="/wiki/Mizolastine" title="Mizolastine">Mizolastine</a></li> <li><a href="/wiki/Moxastine" title="Moxastine">Moxastine</a></li> <li><a href="/w/index.php?title=Noberastine&action=edit&redlink=1" class="new" title="Noberastine (page does not exist)">Noberastine</a></li> <li><a href="/w/index.php?title=Octastine&action=edit&redlink=1" class="new" title="Octastine (page does not exist)">Octastine</a></li> <li><a href="/wiki/Olopatadine" title="Olopatadine">Olopatadine</a></li> <li><a href="/w/index.php?title=Perastine&action=edit&redlink=1" class="new" title="Perastine (page does not exist)">Perastine</a></li> <li><a href="/w/index.php?title=Pibaxizine&action=edit&redlink=1" class="new" title="Pibaxizine (page does not exist)">Pibaxizine</a></li> <li><a href="/w/index.php?title=Piclopastine&action=edit&redlink=1" class="new" title="Piclopastine (page does not exist)">Piclopastine</a></li> <li><a href="/wiki/Quifenadine" title="Quifenadine">Quifenadine (phencarol)</a></li> <li><a href="/w/index.php?title=Rocastine&action=edit&redlink=1" class="new" title="Rocastine (page does not exist)">Rocastine</a></li> <li><a href="/wiki/Rupatadine" title="Rupatadine">Rupatadine</a></li> <li><a href="/wiki/Setastine" title="Setastine">Setastine</a></li> <li><a href="/w/index.php?title=Sequifenadine&action=edit&redlink=1" class="new" title="Sequifenadine (page does not exist)">Sequifenadine (bicarphen)</a></li> <li><a href="/wiki/Talastine" title="Talastine">Talastine</a></li> <li><a href="/w/index.php?title=Temelastine&action=edit&redlink=1" class="new" title="Temelastine (page does not exist)">Temelastine</a></li> <li><a href="/wiki/Terfenadine" title="Terfenadine">Terfenadine</a></li> <li><a href="/w/index.php?title=Vapitadine&action=edit&redlink=1" class="new" title="Vapitadine (page does not exist)">Vapitadine</a></li> <li><a href="/w/index.php?title=Zepastine&action=edit&redlink=1" class="new" title="Zepastine (page does not exist)">Zepastine</a></li></ul> <ul><li><i>Others:</i> <a href="/wiki/Atypical_antipsychotic" title="Atypical antipsychotic">Atypical antipsychotics</a> (e.g., <a href="/wiki/Aripiprazole" title="Aripiprazole">aripiprazole</a>, <a href="/wiki/Asenapine" title="Asenapine">asenapine</a>, <a href="/wiki/Brexpiprazole" title="Brexpiprazole">brexpiprazole</a>, <a href="/wiki/Brilaroxazine" title="Brilaroxazine">brilaroxazine</a>, <a href="/wiki/Clozapine" title="Clozapine">clozapine</a>, <a href="/wiki/Iloperidone" title="Iloperidone">iloperidone</a>, <a href="/wiki/Olanzapine" title="Olanzapine">olanzapine</a>, <a href="/wiki/Paliperidone" title="Paliperidone">paliperidone</a>, <a href="/wiki/Quetiapine" title="Quetiapine">quetiapine</a>, <a href="/wiki/Risperidone" title="Risperidone">risperidone</a>, <a href="/wiki/Ziprasidone" title="Ziprasidone">ziprasidone</a>, <a href="/wiki/Zotepine" title="Zotepine">zotepine</a>)</li> <li><a href="/wiki/Phenylpiperazine" title="Phenylpiperazine">Phenylpiperazine</a> <a href="/wiki/Antidepressant" title="Antidepressant">antidepressants</a> (e.g., <a href="/wiki/Hydroxynefazodone" title="Hydroxynefazodone">hydroxynefazodone</a>, <a href="/wiki/Nefazodone" title="Nefazodone">nefazodone</a>, <a href="/wiki/Trazodone" title="Trazodone">trazodone</a>, <a href="/wiki/Triazoledione" title="Triazoledione">triazoledione</a>)</li> <li><a href="/wiki/Tetracyclic_antidepressant" title="Tetracyclic antidepressant">Tetracyclic antidepressants</a> (e.g., <a href="/wiki/Amoxapine" title="Amoxapine">amoxapine</a>, <a href="/wiki/Loxapine" title="Loxapine">loxapine</a>, <a href="/wiki/Maprotiline" title="Maprotiline">maprotiline</a>, <a href="/wiki/Mianserin" title="Mianserin">mianserin</a>, <a href="/wiki/Mirtazapine" title="Mirtazapine">mirtazapine</a>, <a href="/wiki/Oxaprotiline" title="Oxaprotiline">oxaprotiline</a>)</li> <li><a href="/wiki/Tricyclic_antidepressant" title="Tricyclic antidepressant">Tricyclic antidepressants</a> (e.g., <a href="/wiki/Amitriptyline" title="Amitriptyline">amitriptyline</a>, <a href="/wiki/Butriptyline" title="Butriptyline">butriptyline</a>, <a href="/wiki/Clomipramine" title="Clomipramine">clomipramine</a>, <a href="/wiki/Desipramine" title="Desipramine">desipramine</a>, <a href="/wiki/Dosulepin" title="Dosulepin">dosulepin (dothiepin)</a>, <a href="/wiki/Doxepin" title="Doxepin">doxepin</a>, <a href="/wiki/Imipramine" title="Imipramine">imipramine</a>, <a href="/wiki/Iprindole" title="Iprindole">iprindole</a>, <a href="/wiki/Lofepramine" title="Lofepramine">lofepramine</a>, <a href="/wiki/Nortriptyline" title="Nortriptyline">nortriptyline</a>, <a href="/wiki/Protriptyline" title="Protriptyline">protriptyline</a>, <a href="/wiki/Trimipramine" title="Trimipramine">trimipramine</a>)</li> <li><a href="/wiki/Typical_antipsychotic" title="Typical antipsychotic">Typical antipsychotics</a> (e.g., <a href="/wiki/Chlorpromazine" title="Chlorpromazine">chlorpromazine</a>, <a href="/wiki/Flupenthixol" class="mw-redirect" title="Flupenthixol">flupenthixol</a>, <a href="/wiki/Fluphenazine" title="Fluphenazine">fluphenazine</a>, <a href="/wiki/Loxapine" title="Loxapine">loxapine</a>, <a href="/wiki/Perphenazine" title="Perphenazine">perphenazine</a>, <a href="/wiki/Prochlorperazine" title="Prochlorperazine">prochlorperazine</a>, <a href="/wiki/Thioridazine" title="Thioridazine">thioridazine</a>, <a href="/wiki/Thiothixene" class="mw-redirect" title="Thiothixene">thiothixene</a>)</li></ul> <ul><li><i>Unknown/unsorted:</i> <a href="/w/index.php?title=Azanator&action=edit&redlink=1" class="new" title="Azanator (page does not exist)">Azanator</a></li> <li><a href="/w/index.php?title=Belarizine&action=edit&redlink=1" class="new" title="Belarizine (page does not exist)">Belarizine</a></li> <li><a href="/w/index.php?title=Elbanizine&action=edit&redlink=1" class="new" title="Elbanizine (page does not exist)">Elbanizine</a></li> <li><a href="/w/index.php?title=Flotrenizine&action=edit&redlink=1" class="new" title="Flotrenizine (page does not exist)">Flotrenizine</a></li> <li><a href="/w/index.php?title=GSK1004723&action=edit&redlink=1" class="new" title="GSK1004723 (page does not exist)">GSK1004723</a></li> <li><a href="/wiki/Napactadine" title="Napactadine">Napactadine</a></li> <li><a href="/w/index.php?title=Tagorizine&action=edit&redlink=1" class="new" title="Tagorizine (page does not exist)">Tagorizine</a></li> <li><a href="/w/index.php?title=Trelnarizine&action=edit&redlink=1" class="new" title="Trelnarizine (page does not exist)">Trelnarizine</a></li> <li><a href="/w/index.php?title=Trenizine&action=edit&redlink=1" class="new" title="Trenizine (page does not exist)">Trenizine</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%;text-align: center;"><a href="/wiki/Histamine_H2_receptor" title="Histamine H2 receptor">H<sub>2</sub></a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%">Agonists</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Amthamine" title="Amthamine">Amthamine</a></li> <li><a href="/wiki/Betazole" title="Betazole">Betazole</a></li> <li><a href="/wiki/Dimaprit" title="Dimaprit">Dimaprit</a></li> <li><a href="/wiki/Histamine" title="Histamine">Histamine</a></li> <li><a href="/wiki/Histamine_trifluoromethyl_toluidide" title="Histamine trifluoromethyl toluidide">HTMT</a></li> <li><a href="/wiki/Impromidine" title="Impromidine">Impromidine</a></li> <li><a href="/wiki/L-Histidine" class="mw-redirect" title="L-Histidine"><span style="font-size:85%;">L</span>-Histidine</a></li> <li><a href="/wiki/UR-AK49" title="UR-AK49">UR-AK49</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Antagonists</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/w/index.php?title=Bisfentidine&action=edit&redlink=1" class="new" title="Bisfentidine (page does not exist)">Bisfentidine</a></li> <li><a href="/wiki/Burimamide" title="Burimamide">Burimamide</a></li> <li><a href="/wiki/Cimetidine" title="Cimetidine">Cimetidine</a></li> <li><a href="/w/index.php?title=Dalcotidine&action=edit&redlink=1" class="new" title="Dalcotidine (page does not exist)">Dalcotidine</a></li> <li><a href="/w/index.php?title=Donetidine&action=edit&redlink=1" class="new" title="Donetidine (page does not exist)">Donetidine</a></li> <li><a href="/wiki/Ebrotidine" title="Ebrotidine">Ebrotidine</a></li> <li><a href="/w/index.php?title=Etintidine&action=edit&redlink=1" class="new" title="Etintidine (page does not exist)">Etintidine</a></li> <li><a href="/wiki/Famotidine" title="Famotidine">Famotidine</a></li> <li><a href="/w/index.php?title=Isolamtidine&action=edit&redlink=1" class="new" title="Isolamtidine (page does not exist)">Isolamtidine</a></li> <li><a href="/wiki/Lafutidine" title="Lafutidine">Lafutidine</a></li> <li><a href="/w/index.php?title=Lamtidine&action=edit&redlink=1" class="new" title="Lamtidine (page does not exist)">Lamtidine</a></li> <li><a href="/wiki/Lavoltidine" title="Lavoltidine">Lavoltidine (loxtidine)</a></li> <li><a href="/wiki/Lupitidine" title="Lupitidine">Lupitidine</a></li> <li><a href="/wiki/Metiamide" title="Metiamide">Metiamide</a></li> <li><a href="/w/index.php?title=Mifentidine&action=edit&redlink=1" class="new" title="Mifentidine (page does not exist)">Mifentidine</a></li> <li><a href="/wiki/Niperotidine" title="Niperotidine">Niperotidine</a></li> <li><a href="/wiki/Nizatidine" title="Nizatidine">Nizatidine</a></li> <li><a href="/w/index.php?title=Osutidine&action=edit&redlink=1" class="new" title="Osutidine (page does not exist)">Osutidine</a></li> <li><a href="/wiki/Oxmetidine" title="Oxmetidine">Oxmetidine</a></li> <li><a href="/w/index.php?title=Pibutidine&action=edit&redlink=1" class="new" title="Pibutidine (page does not exist)">Pibutidine</a></li> <li><a href="/w/index.php?title=Quisultazine&action=edit&redlink=1" class="new" title="Quisultazine (page does not exist)">Quisultazine (quisultidine)</a></li> <li><a href="/w/index.php?title=Ramixotidine&action=edit&redlink=1" class="new" title="Ramixotidine (page does not exist)">Ramixotidine</a></li> <li><a class="mw-selflink selflink">Ranitidine</a></li> <li><a href="/wiki/Roxatidine" class="mw-redirect" title="Roxatidine">Roxatidine</a></li> <li><a href="/wiki/Sufotidine" title="Sufotidine">Sufotidine</a></li> <li><a href="/w/index.php?title=Tiotidine&action=edit&redlink=1" class="new" title="Tiotidine (page does not exist)">Tiotidine</a></li> <li><a href="/w/index.php?title=Tuvatidine&action=edit&redlink=1" class="new" title="Tuvatidine (page does not exist)">Tuvatidine</a></li> <li><a href="/w/index.php?title=Venritidine&action=edit&redlink=1" class="new" title="Venritidine (page does not exist)">Venritidine</a></li> <li><a href="/w/index.php?title=Xaltidine&action=edit&redlink=1" class="new" title="Xaltidine (page does not exist)">Xaltidine</a></li> <li><a href="/wiki/Zolantidine" title="Zolantidine">Zolantidine</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%;text-align: center;"><a href="/wiki/Histamine_H3_receptor" title="Histamine H3 receptor">H<sub>3</sub></a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%">Agonists</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Alpha-Methylhistamine" class="mw-redirect" title="Alpha-Methylhistamine">α-Methylhistamine</a></li> <li><a href="/wiki/Cipralisant" title="Cipralisant">Cipralisant</a></li> <li><a href="/wiki/Histamine" title="Histamine">Histamine</a></li> <li><a href="/wiki/Imetit" title="Imetit">Imetit</a></li> <li><a href="/wiki/Immepip" title="Immepip">Immepip</a></li> <li><a href="/wiki/Immethridine" title="Immethridine">Immethridine</a></li> <li><a href="/wiki/L-Histidine" class="mw-redirect" title="L-Histidine"><span style="font-size:85%;">L</span>-Histidine</a></li> <li><a href="/wiki/Methimepip" title="Methimepip">Methimepip</a></li> <li><a href="/wiki/Proxyfan" title="Proxyfan">Proxyfan</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Antagonists</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/A-349821" title="A-349821">A-349821</a></li> <li><a href="/wiki/A-423579" title="A-423579">A-423579</a></li> <li><a href="/wiki/ABT-239" title="ABT-239">ABT-239</a></li> <li><a href="/w/index.php?title=ABT-652&action=edit&redlink=1" class="new" title="ABT-652 (page does not exist)">ABT-652</a></li> <li><a href="/w/index.php?title=AZD5213&action=edit&redlink=1" class="new" title="AZD5213 (page does not exist)">AZD5213</a></li> <li><a href="/w/index.php?title=Bavisant&action=edit&redlink=1" class="new" title="Bavisant (page does not exist)">Bavisant</a></li> <li><a href="/wiki/Betahistine" title="Betahistine">Betahistine</a></li> <li><a href="/wiki/Burimamide" title="Burimamide">Burimamide</a></li> <li><a href="/wiki/Ciproxifan" title="Ciproxifan">Ciproxifan</a></li> <li><a href="/wiki/Clobenpropit" title="Clobenpropit">Clobenpropit</a></li> <li><a href="/wiki/Conessine" title="Conessine">Conessine</a></li> <li><a href="/wiki/Enerisant" title="Enerisant">Enerisant</a></li> <li><a href="/wiki/GSK-189254" title="GSK-189254">GSK-189254</a></li> <li><a href="/wiki/Impentamine" title="Impentamine">Impentamine</a></li> <li><a href="/wiki/Iodophenpropit" title="Iodophenpropit">Iodophenpropit</a></li> <li><a href="/w/index.php?title=Irdabisant&action=edit&redlink=1" class="new" title="Irdabisant (page does not exist)">Irdabisant</a></li> <li><a href="/wiki/JNJ-5207852" title="JNJ-5207852">JNJ-5207852</a></li> <li><a href="/wiki/NNC_38-1049" title="NNC 38-1049">NNC 38-1049</a></li> <li><a href="/wiki/PF-03654746" title="PF-03654746">PF-03654746</a></li> <li><a href="/wiki/Pitolisant" title="Pitolisant">Pitolisant</a></li> <li><a href="/wiki/SCH-79687" title="SCH-79687">SCH-79687</a></li> <li><a href="/wiki/Thioperamide" title="Thioperamide">Thioperamide</a></li> <li><a href="/wiki/VUF-5681" title="VUF-5681">VUF-5681</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%;text-align: center;"><a href="/wiki/Histamine_H4_receptor" title="Histamine H4 receptor">H<sub>4</sub></a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%">Agonists</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/4-Methylhistamine" title="4-Methylhistamine">4-Methylhistamine</a></li> <li><a href="/wiki/Alpha-Methylhistamine" class="mw-redirect" title="Alpha-Methylhistamine">α-Methylhistamine</a></li> <li><a href="/wiki/Histamine" title="Histamine">Histamine</a></li> <li><a href="/wiki/L-Histidine" class="mw-redirect" title="L-Histidine"><span style="font-size:85%;">L</span>-Histidine</a></li> <li><a href="/wiki/OUP-16" title="OUP-16">OUP-16</a></li> <li><a href="/wiki/VUF-8430" title="VUF-8430">VUF-8430</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Antagonists</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/JNJ-7777120" title="JNJ-7777120">JNJ-7777120</a></li> <li><a href="/wiki/Mianserin" title="Mianserin">Mianserin</a></li> <li><a href="/w/index.php?title=Seliforant&action=edit&redlink=1" class="new" title="Seliforant (page does not exist)">Seliforant</a></li> <li><a href="/wiki/Thioperamide" title="Thioperamide">Thioperamide</a></li> <li><a href="/wiki/Toreforant" title="Toreforant">Toreforant</a></li> <li><a href="/wiki/VUF-6002" title="VUF-6002">VUF-6002</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><td class="navbox-abovebelow" colspan="2"><div> <dl><dt>See also</dt> <dd><a href="/wiki/Template:Receptor_modulators" title="Template:Receptor modulators">Receptor/signaling modulators</a></dd> <dd><a href="/wiki/Template:Monoamine_metabolism_modulators" title="Template:Monoamine metabolism modulators">Monoamine metabolism modulators</a></dd> <dd><a href="/wiki/Template:Monoamine_reuptake_inhibitors" title="Template:Monoamine reuptake inhibitors">Monoamine reuptake inhibitors</a></dd></dl> </div></td></tr></tbody></table></div> <div class="navbox-styles"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236075235"></div><div role="navigation" class="navbox" aria-labelledby="GSK201" style="padding:3px"><table class="nowraplinks hlist mw-collapsible mw-collapsed navbox-inner" style="border-spacing:0;background:transparent;color:inherit"><tbody><tr><th scope="col" class="navbox-title" colspan="2"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1239400231"><div class="navbar plainlinks hlist navbar-mini"><ul><li class="nv-view"><a href="/wiki/Template:GSK" title="Template:GSK"><abbr title="View this template">v</abbr></a></li><li class="nv-talk"><a href="/wiki/Template_talk:GSK" title="Template talk:GSK"><abbr title="Discuss this template">t</abbr></a></li><li class="nv-edit"><a href="/wiki/Special:EditPage/Template:GSK" title="Special:EditPage/Template:GSK"><abbr title="Edit this template">e</abbr></a></li></ul></div><div id="GSK201" style="font-size:114%;margin:0 4em"><a href="/wiki/GSK_plc" title="GSK plc">GSK</a></div></th></tr><tr><th scope="row" class="navbox-group" style="width:1%">Subsidiaries</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%">Current</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/GlaxoSmithKline_Pakistan" class="mw-redirect" title="GlaxoSmithKline Pakistan">GlaxoSmithKline Pakistan</a></li> <li><a href="/wiki/GlaxoSmithKline_Pharmaceuticals_Ltd" class="mw-redirect" title="GlaxoSmithKline Pharmaceuticals Ltd">GlaxoSmithKline Pharmaceuticals Ltd</a></li> <li><a href="/wiki/Stiefel_Laboratories" title="Stiefel Laboratories">Stiefel Laboratories</a></li> <li><a href="/wiki/Tesaro" title="Tesaro">Tesaro</a></li> <li><a href="/wiki/ViiV_Healthcare" title="ViiV Healthcare">ViiV Healthcare</a> (85%)</li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Former</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"><a href="/wiki/Haleon" title="Haleon">Haleon</a></div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Predecessors,<br />acquisitions</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Allen_%26_Hanburys" title="Allen & Hanburys">Allen & Hanburys</a></li> <li><a href="/wiki/Beecham_Group" title="Beecham Group">Beecham Group</a></li> <li><a href="/wiki/Block_Drug" title="Block Drug">Block Drug</a></li> <li><a href="/wiki/GSK_plc#Glaxo_Wellcome" title="GSK plc">Burroughs Wellcome</a></li> <li><a href="/wiki/GSK_plc#Glaxo_Wellcome" title="GSK plc">Glaxo</a></li> <li><a href="/wiki/GSK_plc#Glaxo_Wellcome" title="GSK plc">Glaxo Wellcome</a></li> <li><a href="/wiki/Human_Genome_Sciences" title="Human Genome Sciences">Human Genome Sciences</a></li> <li><a href="/wiki/Recherche_et_Industrie_Th%C3%A9rapeutiques" title="Recherche et Industrie Thérapeutiques">Recherche et Industrie Thérapeutiques</a></li> <li><a href="/wiki/Reliant_Pharmaceuticals" title="Reliant Pharmaceuticals">Reliant Pharmaceuticals</a></li> <li><a href="/wiki/S._E._Massengill_Company" title="S. E. Massengill Company">S. E. Massengill Company</a></li> <li><a href="/wiki/GSK_plc#SmithKline_Beecham" title="GSK plc">SmithKline Beecham</a></li> <li><a href="/wiki/Smith,_Kline_%26_French" title="Smith, Kline & French">Smith, Kline & French</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Products</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%">Current</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%">Pharma</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Fluticasone/salmeterol" title="Fluticasone/salmeterol">Advair</a></li> <li><a href="/wiki/Orlistat" title="Orlistat">Alli</a></li> <li><a href="/wiki/Amoxicillin/clavulanic_acid" title="Amoxicillin/clavulanic acid">Augmentin</a></li> <li><a href="/wiki/Rosiglitazone" title="Rosiglitazone">Avandia</a></li> <li><a href="/wiki/Beclometasone" title="Beclometasone">Beconase</a></li> <li><a href="/wiki/Ibandronic_acid" title="Ibandronic acid">Boniva</a></li> <li><a href="/wiki/Fluticasone_propionate" title="Fluticasone propionate">Flixonase</a></li> <li><a href="/wiki/Topotecan" title="Topotecan">Hycamtin</a></li> <li><a href="/wiki/Lamotrigine" title="Lamotrigine">Lamictal</a></li> <li><a href="/wiki/Paroxetine" title="Paroxetine">Paxil/Seroxat</a></li> <li><a href="/wiki/Piboserod" title="Piboserod">Serlipet</a></li> <li><a href="/wiki/Cimetidine" title="Cimetidine">Tagamet</a></li> <li><a href="/wiki/Salbutamol" title="Salbutamol">Ventolin</a></li> <li><a href="/wiki/Bupropion" title="Bupropion">Wellbutrin/Zyban</a></li> <li><a class="mw-selflink selflink">Zantac</a> … <a href="/wiki/List_of_GSK_plc_products" title="List of GSK plc products"><b>more</b></a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Vaccines</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Respiratory_syncytial_virus_vaccine" title="Respiratory syncytial virus vaccine">Arexvy</a></li> <li><a href="/wiki/Bexsero" class="mw-redirect" title="Bexsero">Bexsero</a></li> <li><a href="/wiki/Boostrix" class="mw-redirect" title="Boostrix">Boostrix</a></li> <li><a href="/wiki/Cervarix" title="Cervarix">Cervarix</a></li> <li><a href="/wiki/Engerix-B" class="mw-redirect" title="Engerix-B">Engerix-B </a></li> <li><a href="/wiki/Fluarix" class="mw-redirect" title="Fluarix">Fluarix</a></li> <li><a href="/wiki/FluLaval" class="mw-redirect" title="FluLaval">FluLaval</a></li> <li><a href="/wiki/Havrix" class="mw-redirect" title="Havrix">Havrix</a></li> <li><a href="/wiki/Hepatyrix" class="mw-redirect" title="Hepatyrix">Hepatyrix</a></li> <li><a href="/wiki/Hiberix" class="mw-redirect" title="Hiberix">Hiberix</a></li> <li><a href="/wiki/Infanrix" class="mw-redirect" title="Infanrix">Infanrix</a></li> <li><a href="/wiki/H5N1_vaccine" title="H5N1 vaccine">H5N1 vaccine</a></li> <li><a href="/wiki/Kinrix" class="mw-redirect" title="Kinrix">Kinrix</a></li> <li><a href="/wiki/Menveo" class="mw-redirect" title="Menveo">Menveo</a></li> <li><a href="/wiki/Pandemrix" title="Pandemrix">Pandemrix</a></li> <li><a href="/wiki/Pediarix" class="mw-redirect" title="Pediarix">Pediarix</a></li> <li><a href="/wiki/Rabavert" class="mw-redirect" title="Rabavert">Rabavert</a></li> <li><a href="/wiki/Rotarix" class="mw-redirect" title="Rotarix">Rotarix</a></li> <li><a href="/wiki/Zoster_vaccine#Shingrix" title="Zoster vaccine">Shingrix</a></li> <li><a href="/wiki/Hepatitis_A_and_B_vaccine" title="Hepatitis A and B vaccine">Twinrix</a> … <a href="/wiki/List_of_GSK_plc_products" title="List of GSK plc products"><b>more</b></a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Former</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Actifed" title="Actifed">Actifed</a></li> <li>Advil</li> <li><a href="/wiki/Aquafresh" class="mw-redirect" title="Aquafresh">Aquafresh</a></li> <li><a href="/wiki/BC_Powder" title="BC Powder">BC Powder</a></li> <li><a href="/wiki/Biotene" title="Biotene">Biotene</a></li> <li><a href="/wiki/Caltrate" title="Caltrate">Caltrate</a></li> <li><a href="/wiki/Centrum_(multivitamin)" title="Centrum (multivitamin)">Centrum</a></li> <li><a href="/wiki/ChapStick" title="ChapStick">ChapStick</a></li> <li><a href="/wiki/Emergen-C" title="Emergen-C">Emergen-C</a></li> <li><a href="/wiki/Eno_(drug)" title="Eno (drug)">Eno</a></li> <li><a href="/wiki/Excedrin_(brand)" title="Excedrin (brand)">Excedrin</a></li> <li>Flonase</li> <li><a href="/wiki/Geritol" title="Geritol">Geritol</a></li> <li><a href="/wiki/Goody%27s_Powder" title="Goody's Powder">Goody's Powder</a></li> <li><a href="/wiki/Horlicks" title="Horlicks">Horlicks</a></li> <li><a href="/wiki/Lucozade" title="Lucozade">Lucozade</a></li> <li><a href="/wiki/Nicoderm" class="mw-redirect" title="Nicoderm">Nicoderm</a></li> <li><a href="/wiki/Nicorette" title="Nicorette">Nicorette</a></li> <li><a href="/wiki/Niquitin" title="Niquitin">NiQuitin</a></li> <li><a href="/wiki/Parodontax" title="Parodontax">Parodontax</a></li> <li><a href="/wiki/Ribena" title="Ribena">Ribena</a></li> <li><a href="/wiki/Sensodyne" title="Sensodyne">Sensodyne</a></li> <li><a href="/wiki/Tums" title="Tums">Tums</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">People</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%">Board of <br />Directors</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Philip_Hampton" title="Philip Hampton">Philip Hampton</a></li> <li><a href="/wiki/Emma_Walmsley" title="Emma Walmsley">Emma Walmsley</a></li> <li><a href="/wiki/Simon_Dingemans" title="Simon Dingemans">Simon Dingemans</a></li> <li><a href="/wiki/Roy_M._Anderson" title="Roy M. Anderson">Roy M. Anderson</a></li> <li><a href="/wiki/M._S._Banga" title="M. S. Banga">Manvinder Banga</a></li> <li><a href="/wiki/Patrick_Vallance" title="Patrick Vallance">Patrick Vallance</a></li> <li><a href="/wiki/Vivienne_Cox" title="Vivienne Cox">Vivienne Cox</a></li> <li><a href="/wiki/Lynn_Elsenhans" title="Lynn Elsenhans">Lynn Elsenhans</a></li> <li>Jesse Goodman</li> <li><a href="/wiki/Judy_Lewent" title="Judy Lewent">Judy Lewent</a></li> <li><a href="/wiki/Urs_Rohner" title="Urs Rohner">Urs Rohner</a></li> <li><a href="/wiki/Laurie_Glimcher" title="Laurie Glimcher">Laurie Glimcher</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Other</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Thomas_Beecham_(chemist)" title="Thomas Beecham (chemist)">Thomas Beecham</a></li> <li><a href="/wiki/Silas_M._Burroughs_(pharmacist)" title="Silas M. Burroughs (pharmacist)">Silas M. Burroughs</a></li> <li><a href="/wiki/Mahlon_Kline" title="Mahlon Kline">Mahlon Kline</a></li> <li><a href="/wiki/John_K._Smith" title="John K. Smith">John K. Smith</a></li> <li><a href="/wiki/Henry_Wellcome" title="Henry Wellcome">Henry Wellcome</a></li> <li><a href="/wiki/Andrew_Witty" title="Andrew Witty">Andrew Witty</a></li> <li><a href="/wiki/Chris_Gent" title="Chris Gent">Chris Gent</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Litigation</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><i><a href="/wiki/Canada_v._GlaxoSmithKline_Inc." class="mw-redirect" title="Canada v. GlaxoSmithKline Inc.">Canada v. GlaxoSmithKline Inc.</a></i></li> <li><i><a href="/wiki/Christopher_v._SmithKline_Beecham_Corp." title="Christopher v. SmithKline Beecham Corp.">Christopher v. SmithKline Beecham Corp.</a></i></li> <li><i><a href="/wiki/GlaxoSmithKline_Services_Unlimited_v_Commission" title="GlaxoSmithKline Services Unlimited v Commission">GlaxoSmithKline Services Unlimited v Commission</a></i></li> <li><i><a href="/wiki/United_States_v._Glaxo_Group_Ltd." title="United States v. Glaxo Group Ltd.">United States v. Glaxo Group Ltd.</a></i></li> <li><i><a href="/wiki/United_States_v._GlaxoSmithKline" title="United States v. GlaxoSmithKline">United States v. GlaxoSmithKline</a></i></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Other</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Drug_Industry_Documents_Archive" title="Drug Industry Documents Archive">Drug Industry Documents Archive</a></li> <li><a href="/wiki/GlaxoSmithKline_Prize" title="GlaxoSmithKline Prize">GlaxoSmithKline Prize</a></li> <li><i><a href="/wiki/Side_Effects_(Bass_book)" title="Side Effects (Bass book)">Side Effects</a></i></li> <li><a href="/wiki/Study_329" title="Study 329">Study 329</a></li></ul> </div></td></tr><tr><td class="navbox-abovebelow" colspan="2"><div> <ul><li><span class="noviewer" typeof="mw:File"><span title="Category"><img alt="" src="//upload.wikimedia.org/wikipedia/en/thumb/9/96/Symbol_category_class.svg/16px-Symbol_category_class.svg.png" decoding="async" width="16" height="16" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/9/96/Symbol_category_class.svg/23px-Symbol_category_class.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/9/96/Symbol_category_class.svg/31px-Symbol_category_class.svg.png 2x" data-file-width="180" data-file-height="185" /></span></span> <a href="/wiki/Category:GSK_plc" title="Category:GSK plc"><b>Category</b></a></li></ul> </div></td></tr></tbody></table></div> <style data-mw-deduplicate="TemplateStyles:r1130092004">.mw-parser-output .portal-bar{font-size:88%;font-weight:bold;display:flex;justify-content:center;align-items:baseline}.mw-parser-output .portal-bar-bordered{padding:0 2em;background-color:#fdfdfd;border:1px solid #a2a9b1;clear:both;margin:1em auto 0}.mw-parser-output .portal-bar-related{font-size:100%;justify-content:flex-start}.mw-parser-output .portal-bar-unbordered{padding:0 1.7em;margin-left:0}.mw-parser-output .portal-bar-header{margin:0 1em 0 0.5em;flex:0 0 auto;min-height:24px}.mw-parser-output .portal-bar-content{display:flex;flex-flow:row wrap;flex:0 1 auto;padding:0.15em 0;column-gap:1em;align-items:baseline;margin:0;list-style:none}.mw-parser-output .portal-bar-content-related{margin:0;list-style:none}.mw-parser-output .portal-bar-item{display:inline-block;margin:0.15em 0.2em;min-height:24px;line-height:24px}@media screen and (max-width:768px){.mw-parser-output .portal-bar{font-size:88%;font-weight:bold;display:flex;flex-flow:column wrap;align-items:baseline}.mw-parser-output .portal-bar-header{text-align:center;flex:0;padding-left:0.5em;margin:0 auto}.mw-parser-output .portal-bar-related{font-size:100%;align-items:flex-start}.mw-parser-output .portal-bar-content{display:flex;flex-flow:row wrap;align-items:center;flex:0;column-gap:1em;border-top:1px solid #a2a9b1;margin:0 auto;list-style:none}.mw-parser-output .portal-bar-content-related{border-top:none;margin:0;list-style:none}}.mw-parser-output .navbox+link+.portal-bar,.mw-parser-output .navbox+style+.portal-bar,.mw-parser-output .navbox+link+.portal-bar-bordered,.mw-parser-output .navbox+style+.portal-bar-bordered,.mw-parser-output .sister-bar+link+.portal-bar,.mw-parser-output .sister-bar+style+.portal-bar,.mw-parser-output .portal-bar+.navbox-styles+.navbox,.mw-parser-output .portal-bar+.navbox-styles+.sister-bar{margin-top:-1px}</style><div class="portal-bar noprint metadata noviewer portal-bar-bordered" role="navigation" aria-label="Portals"><span class="portal-bar-header"><a href="/wiki/Wikipedia:Contents/Portals" title="Wikipedia:Contents/Portals">Portal</a>:</span><ul class="portal-bar-content"><li class="portal-bar-item"><span class="nowrap"><span typeof="mw:File"><span><img alt="icon" src="//upload.wikimedia.org/wikipedia/commons/thumb/d/d6/WHO_Rod.svg/8px-WHO_Rod.svg.png" decoding="async" width="8" height="19" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/d/d6/WHO_Rod.svg/12px-WHO_Rod.svg.png 1.5x, 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