Drug/Small Molecule:
famotidine

2D structure

Overview

Generic Names: Famotidina [Spanish]; Famotidinum [Latin]
Trade Names: Amfamox; Antodine; Apo-Famotidine; Apogastine; Bestidine; Blocacid; Brolin; Cepal; Confobos; Cronol; Cuantin; Dibrit 40; Digervin; Dinul; Dipsin; Dispromil; Dispronil; Duovel; Durater; Evatin; Fadin; Fadine; Fadyn; Fagastine; Famo; Famocid; Famodar; Famodil; Famodin; Famodine; Famogard; Famonit; Famopsin; Famos; Famosan; Famotal; Famotep; Famotin; Famovane; Famowal; Famox; Famoxal; Famtac; Famulcer; Fanobel; Fanosin; Fanox; Farmotex; Ferotine; Fibonel; Fluxid; Fudone; Ganor; Gaster; Gastridan; Gastridin; Gastrion; Gastro; Gastrodomina; Gastrofam; Gastropen; Gastrosidin; H2 Bloc; Hacip; Huberdina; Ingastri; Invigan; Lecedil; Logos; Mensoma; Midefam; Mosul; Motiax; Muclox; Mylanta AR; Neocidine; Nevofam; Notidin; Novo-Famotidine; Nu-Famotidine; Nulceran; Nulcerin; Panalba; Pepcid; Pepcid AC; Pepcid RPD; Pepcidin; Pepcidin Rapitab; Pepcidina; Pepcidine; Pepdif; Pepdine; Pepdul; Pepfamin; Peptan; Peptidin; Peptifam; Pepzan; Purifam; Quamatel; Quamtel; Renapepsa; Restadin; Rogasti; Rubacina; Sedanium-R; Sigafam; Supertidine; Tairal; Tamin; Tipodex; Topcid; Ulcatif; Ulceprax; Ulcofam; Ulfagel; Ulfam; Ulfamid; Ulfinol; Ulgarine; Vagostal; Weimok; Whitidin; Yamarin
PharmGKB Accession Id: PA449586

Description

A competitive histamine H2-receptor antagonist. Its main pharmacodynamic effect is the inhibition of gastric secretion. PubChem (source: Drug Bank)

Indication

For the treatment of peptic ulcer disease (PUD) and gastroesophageal reflux disease (GERD). (source: Drug Bank)

ATC Therapeutic Category

  • A02BA:H2-receptor antagonists

Pharmacology, Interactions, and Contraindications

Mechanism Of Action

Famotidine binds competitively to H<sub>2</sub>-receptors located on the basolateral membrane of the parietal cell, blocking histamine affects. This competitive inhibition results in reduced basal and nocturnal gastric acid secretion and a reduction in gastric volume, acidity, and amount of gastric acid released in response to stimuli including food, caffeine, insulin, betazole, or pentagastrin. (source: Drug Bank)

Pharmacology

Famotidine, a competitive histamine H<sub>2</sub>-receptor antagonist, is used to treat gastrointestinal disorders such as gastric or duodenal ulcer, gastroesophageal reflux disease, and pathological hypersecretory conditions. Famotidine inhibits many of the isoenzymes of the hepatic CYP450 enzyme system. Other actions of Famotidine include an increase in gastric bacterial flora such as nitrate-reducing organisms. (source: Drug Bank)

Food Interactions

Avoid alcohol.
Limit caffeine intake.
Take without regard to meals, food may slightly increase the product's bioavailability. (source: Drug Bank)

Absorption, Distribution, Metabolism, Elimination & Toxicity

Biotransformation

Hepatic. (source: Drug Bank)

Protein Binding

15-20% (source: Drug Bank)

Absorption

The bioavailability of oral doses is 40-45%. (source: Drug Bank)

Toxicity

Intravenous, mouse: LD<sub>50</sub> = 244.4mg/kg; Oral, mouse: LD<sub>50</sub> = 4686 mg/kg. Symptoms of overdose include emesis, restlessness, pallor of mucous membranes or redness of mouth and ears, hypotension, tachycardia and collapse. (source: Drug Bank)

Isomeric SMILES Code:

c1c(nc(s1)N=C(N)N)CSCCC(=NS(=O)(=O)N)N (source: Drug Bank)

The following genes are in curated knowledge about this drug.

  Gene Relationship Evidence
Phenotype data available Genotype Data Available Literature annotations available Has annotations
CYP2C19
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  • PD
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Publications

A list of non-curated publications that mention this drug along with other genes is available.

Drug Targets

Gene Description
HRH2 Uncurated Annotation (source: Drug Bank)

A list of non-curated publications that mention this drug along with other drugs is available.

Drug Interactions

Drug Description
atazanavir Uncurated Annotation This gastric pH modifier decreases the levels/effects of atazanavir (source: Drug Bank)
enoxacin Uncurated Annotation The agent decreases the absorption of enoxacin (source: Drug Bank)
itraconazole Uncurated Annotation The anti-H2 decreases the absorption of the imidazole (source: Drug Bank)
ketoconazole Uncurated Annotation The anti-H2 decreases the absorption of the imidazole (source: Drug Bank)

Curated Information

The following diseases are in curated knowledge about this drug.

  Disease Relationship Evidence
No phenotype data No genotype data Literature annotations available Not annotated
Peptic Ulcer Hemorrhage
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  • PD
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Publications

Non-Curated Information

A list of non-curated publications that mention this drug along with other diseases is available.

LinkOuts

Web Resource:
Wikipedia
DrugBank:
DB00927
KEGG Drug ID:
D00318
PubChem Compound ID:
3325
PubChem Substance ID:
191368

Common Searches

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Non-Curated Publications

A list of non-curated publications that mention this drug is available.

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