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Famotidine 20 mg Oral Capsules (Gluten Free)

Get customized Famotidine 20 mg Oral Capsules, expertly compounded at Bayview Pharmacy to help manage GERD, peptic ulcers, heartburn, and more. Gluten free.
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Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Famotidine
Capsules
6564c1cd1aa6bca013f60801

Formula Information

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Famotidine 20 mg Oral Capsules are a specialized formulation designed to provide relief from various gastrointestinal conditions. These capsules are gluten-free, making them suitable for patients with celiac disease or gluten sensitivity. The solid dosage form consists of two halves, either gelatin-based or made from vegetarian substitutes, which encapsulate the famotidine powder. This design ensures that patients receive a precise dose of the active ingredient in a form that is easy to swallow.

Famotidine is a type of medication known as an H2 blocker, which works by reducing the amount of acid produced by the stomach. This action helps to alleviate symptoms associated with excess stomach acid, such as heartburn, gastroesophageal reflux disease (GERD), and peptic ulcers. Additionally, famotidine can be used in the treatment of Zollinger-Ellison syndrome, a condition where the stomach produces too much acid due to tumors in the pancreas or duodenum.

For patients, it is important to understand that while famotidine can provide symptomatic relief, it is not a cure for the underlying conditions. It is also essential to adhere to the prescribed dosage and regimen to ensure optimal effectiveness and to minimize potential side effects. Patients should inform their healthcare provider of all medications they are currently taking, including over-the-counter drugs and supplements, to avoid drug interactions.

Prescribers should consider the patient's overall medical history, including any history of kidney or liver disease, which may affect the metabolism and excretion of the drug. Famotidine should be used with caution in pregnant or breastfeeding women, and only if the potential benefits justify the potential risks to the fetus or infant. Regular monitoring and follow-up appointments are recommended to assess the effectiveness of the treatment and to make any necessary adjustments to the dosage.

If you have any questions or require further information about Famotidine 20 mg Oral Capsules, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing comprehensive support and guidance to both patients and healthcare providers.

Drug Interactions

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Famotidine is a histamine H2-receptor antagonist that is commonly used to treat conditions such as gastroesophageal reflux disease (GERD), peptic ulcer disease, and Zollinger-Ellison syndrome. It works by decreasing the amount of acid produced by the stomach, thereby providing relief from symptoms associated with excess stomach acid. When considering the use of famotidine 20 mg oral capsules, it is important to be aware of potential drug interactions that may affect the efficacy of the medication or increase the risk of adverse effects.

One significant interaction is with drugs that require an acidic pH for absorption. Famotidine, by reducing stomach acidity, can decrease the absorption and effectiveness of certain drugs such as ketoconazole, itraconazole, and atazanavir. Patients taking these medications should consult with their healthcare provider before starting famotidine.

Concomitant use of famotidine with warfarin (a blood thinner) may require closer monitoring of INR (International Normalized Ratio) or prothrombin time, as H2-receptor antagonists can affect the metabolism of warfarin, potentially leading to either increased or decreased anticoagulant effects.

Additionally, famotidine may interact with certain antacids, especially those containing magnesium and aluminum. While these antacids can be used to manage symptoms of heartburn or indigestion, they may also decrease the absorption of famotidine if taken simultaneously. It is generally recommended to separate the administration of famotidine and antacids by at least 1 to 2 hours.

Patients who are on medications that are metabolized by the liver enzyme CYP450, such as theophylline, should be aware that famotidine may alter the levels of these drugs. Although famotidine has a lesser effect on CYP450 enzymes compared to other H2-receptor antagonists, interactions are still possible and may require dosage adjustments or monitoring.

It is also important to note that while famotidine is considered to have fewer drug interactions compared to other H2-receptor antagonists, it is still crucial to inform healthcare providers of all medications, supplements, and over-the-counter drugs being taken to avoid potential interactions.

For patients with renal impairment, dose adjustments of famotidine may be necessary, as the drug is primarily excreted by the kidneys. Additionally, the risk of adverse effects may be increased in this population, so careful monitoring is advised.

Lastly, while famotidine is gluten-free and suitable for patients with celiac disease or gluten sensitivity, it is always important to check all other medications for gluten-containing excipients that could trigger a reaction.

If you have any questions or concerns regarding the use of famotidine 20 mg oral capsules or potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to safely manage your condition.

How Does it Work

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Famotidine 20 mg Oral Capsules are a solid dosage form designed to provide relief from conditions such as gastroesophageal reflux disease (GERD), peptic ulcers, and Zollinger-Ellison syndrome. These capsules are composed of two halves, either made from gelatin or a vegetarian substitute, which encapsulate the powdered form of famotidine. This design ensures that patients receive an exact dose of the medication in a form that is easy to swallow and gluten-free, catering to those with dietary restrictions.

The active ingredient, famotidine, is a type of medication known as an H2 blocker or histamine-2 receptor antagonist. It works by inhibiting the action of histamine on the cells in the stomach lining that produce acid. By blocking the H2 receptors, famotidine reduces the volume and concentration of stomach acid, which can prevent and heal ulcers, and alleviate the symptoms of acid reflux and heartburn. This action helps to protect the esophagus, stomach, and duodenum from the erosive effects of the acid, promoting healing and providing symptomatic relief.

For patients with GERD, famotidine helps to reduce the backflow of stomach acid into the esophagus, thereby minimizing irritation and inflammation. In the case of peptic ulcers, the reduced acid production allows the ulcers to heal more effectively. For those with Zollinger-Ellison syndrome, where the stomach produces excessive amounts of acid, famotidine helps to control acid secretion and prevent complications.

It is important for both patients and prescribers to understand that while famotidine can provide symptomatic relief and promote healing, it does not cure the underlying conditions that cause excessive stomach acid production. Long-term management of these conditions may require lifestyle changes and possibly other medications in conjunction with famotidine. Additionally, patients should be advised that the full therapeutic effect of famotidine may take several hours to manifest and some conditions may require several days of treatment to improve.

As with any medication, there may be potential side effects, and famotidine should be used under the guidance of a healthcare professional. Prescribers should consider the patient's overall health, medical history, and any potential drug interactions when recommending famotidine. If you have any questions or require further information about Famotidine 20 mg Oral Capsules, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to support you with personalized care and expertise.

Other Uses

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Famotidine 20 mg oral capsules, provided in a solid dosage form utilizing either gelatin or vegetarian-based shells, are most commonly prescribed for the treatment of conditions such as gastroesophageal reflux disease (GERD), peptic ulcers, and Zollinger-Ellison syndrome. As an H2 histamine receptor antagonist, famotidine functions by decreasing the production of stomach acid, thereby relieving heartburn, healing ulcers, and preventing their recurrence.

Apart from the primary indications, this gluten-free formulation of famotidine 20 mg oral capsules has the potential to offer benefit in other uses. For instance, it can be an adjunct therapy for control of gastric acid secretion in patients with mastocytosis, a condition where mast cells accumulate and release excessive amounts of histamine and other mediators causing symptoms like gastrointestinal discomfort. Furthermore, famotidine is occasionally used off-label for the management of dyspepsia, or indigestion, not related to peptic ulcer disease. It can also be considered for the treatment of heartburn during pregnancy when lifestyle modifications have not been sufficient, as famotidine has a category B rating in pregnancy, suggesting that no fetal harm was observed in animal studies and there's no evidence of risk in humans.

In the case of urticaria, also known as hives, particularly when it is chronic, antihistamines are often the first-line treatment. Famotidine, being an H2 blocker, may be used as an adjunct to H1 antagonists (like cetirizine or diphenhydramine) to provide additional symptomatic relief. Although evidence for the effectiveness of H2 antagonists in allergic reactions is inconclusive, the combination therapy might benefit some patients due to the differing receptors both medications act upon. Anecdotally, some patients with allergic conditions may experience symptomatic relief with H2 blockers, although these uses are not FDA-approved.

It's important to remember that any off-label or non-FDA approved uses of famotidine should be considered carefully by the prescriber and discussed with the patient. Off-label use means that the drug is being used in a way that is not specified in the FDA's approved packaging label or insert, and such use should be based on sound scientific evidence and on the prescriber's professional judgment.

At Bayview Pharmacy, our team of compounding pharmacists can provide detailed information on the potential benefits and risks associated with these alternate uses of famotidine 20 mg oral capsules. We encourage patients and prescribers to reach out to us with any questions or concerns they may have about this medication or its use in specific situations.

Frequently Asked Questions

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What is Famotidine 20 mg Oral Capsule and what is it used for?

Famotidine 20 mg Oral Capsules are a medication used to treat conditions such as ulcers, gastroesophageal reflux disease (GERD), and other conditions where reducing stomach acid helps to alleviate symptoms. The active ingredient, Famotidine, is a histamine-2 blocker that works by decreasing the amount of acid the stomach produces.

How should I take Famotidine 20 mg Oral Capsules?

These capsules should be taken as directed by your healthcare provider, usually with or without food. Swallow the capsules whole with a glass of water; do not crush, chew, or break them.

Are Famotidine 20 mg Oral Capsules gluten-free?

Yes, the specified Famotidine 20 mg Oral Capsules mentioned here are gluten-free, making them suitable for patients with gluten sensitivities or celiac disease.

What are the benefits of the capsule form?

The capsule form offers a precise dosage of active ingredients and is composed of either gelatin or vegetarian shells. This makes capsules easy to swallow and convenient for patients to take.

Can I open the capsule and mix the contents with food?

It is generally not recommended to open the capsules, as they are designed to be taken whole. However, if you have difficulty swallowing capsules, please consult with your healthcare provider for alternative methods or formulations.

What should I do if I miss a dose of Famotidine 20 mg Oral Capsules?

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.

Can Famotidine Oral Capsules cause side effects?

Like all medications, Famotidine can cause side effects. Common side effects may include headache, constipation, diarrhea, and dizziness. If you experience severe or persistent side effects, contact your healthcare provider immediately.

How should I store Famotidine 20 mg Oral Capsules?

Store these capsules at room temperature away from moisture, heat, and light. Keep the bottle tightly closed when not in use, and keep out of reach of children and pets.

Can I take Famotidine 20 mg Oral Capsules if I am pregnant or nursing?

If you are pregnant or nursing, you should consult with your healthcare provider before taking Famotidine as it may not be safe. Your doctor will advise you based on your specific circumstances.

Can these capsules be taken with other medications?

Famotidine may interact with other medications, so it is important to tell your healthcare provider about all prescription, over-the-counter medicines, and supplements you are taking. They will provide guidance to ensure safe and appropriate use of all medications.

Do Famotidine 20 mg Oral Capsules expire?

Yes, like all medications, these capsules have an expiration date, which can be found on the packaging. Do not use the medication past its expiration date. If you have expired medicine, ask your pharmacist about proper disposal.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Related Formulas

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NY, NJ, NH, and FL. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Famotidine 20 mg Oral Capsules (Gluten Free)
Capsules
90 capsules
controlled

Take 1 capsule by mouth