Famotidine
Tablet, Film Coated · Oral, Intravenous
Uses
Famotidine Injection is indicated for use in hospitalized adults, or as an alternative to oral famotidine in adults, for the treatment of: active duodenal ulcer (DU). active gastric ulcer (GU). symptomatic nonerosive gastroesophageal reflux disease (GERD). erosive esophagitis due to GERD, diagnosed by endoscopy. treatment of pathological hypersecretory conditions (e.g., Zollinger-Ellison syndrome, multiple endocrine neoplasias). reduction of the risk of duodenal ulcer recurrence. FAMOTIDINE Injection is a histamine-2 (H 2 ) receptor antagonist indicated: In hospitalized adults, or as an alternative to oral famotidine in adults, for the treatment of: active duodenal ulcer (DU). active gastric ulcer (GU). symptomatic nonerosive gastroesophageal reflux disease (GERD). erosive esophagitis due to GERD, diagnosed by endoscopy. treatment of pathological hypersecretory conditions (e.g., Zollinger-Ellison syndrome, multiple endocrine neoplasias). reduction of the risk of DU recurrence. In hospitalized pediatric patients 1 year of age and older, or as an alternative to oral famotidine in pediatric patients 1 year of age and older, for the treatment of: peptic ulcer disease. Pediatric Patients 1 Year of Age and Older Famotidine Injection is indicated in hospitalized pediatric patients 1 year of age and older, or as an alternative to oral famotidine in pediatric patients 1 year of age and older, for the treatment of peptic ulcer disease.
Dosage and administration
Administration Information ( 2.1 ) Famotidine Injection is intended for use in adult and pediatric hospitalized patients, or as an alternative to oral famotidine. Discontinue as soon as the patient is able to tolerate oral treatment and switch to an appropriate oral medication. Recommended Dosage ( 2.2 ) Adults: 20 mg every 12 hours. For pathological hypersecretory conditions titrate the dosage to individual patient needs. Pediatric Patients 1 year of age and older: 0.25 mg/kg every 12 hours; titrate to a maximum of 0.5 mg/kg every 12 hours (up to maximum of 20 mg every 12 hours) based on clinical response and/or gastric pH determination and endoscopy. Administer as an intravenous injection over at least 2 minutes or an intravenous infusion over 15 minutes to 30 minutes. Refer to the prescribing information for oral famotidine products for the recommended duration of famotidine treatment. Renal Impairment ( 2.3 ) See the full prescribing information for the recommended dosage for adult patients with moderate or severe renal impairment. 2.1 Important Administration Information Famotidine Injection is intended for use in adult and pediatric hospitalized patients, or as an alternative to oral famotidine. Discontinue Famotidine Injection as soon as the patient is able to tolerate oral treatment and switch to an appropriate oral medication. 2.2 Recommended Dosage in Adults and Pediatric Patients 1 Year of Age and Older The recommended dosage of Famotidine Injection in adults and pediatric patients 1 year of age and older is shown in Tables 1 and 2 , respectively. Administer Famotidine Injection as an intravenous injection over at least 2 minutes or as an intravenous infusion over 15 minutes to 30 minutes [see Dosage and Administration ( 2.4 )]. Refer to the prescribing information for oral famotidine products for the recommended duration of famotidine treatment. Table 1. Recommended Dosage 1 of Famotidine Injection in Adults 1 Refer to the prescribing information for oral famotidine products for the recommended duration of famotidine treatment. Indication Recommended Dosage Active Duodenal Ulcer 20 mg every 12 hours Active Gastric Ulcer Symptomatic Nonerosive GERD Erosive Esophagitis Diagnosed by Endoscopy Reduction of the Risk of Duodenal Ulcer Recurrence Pathological Hypersecretory Conditions Starting dosage is 20 mg every 12 hours; titrate the dosage to individual patient needs Table 2. Recommended Dosage 1 of Famotidine Injection in Pediatric Patients 1 Year of Age and Older 1 Refer to the prescribing information for oral famotidine products for the recommended duration of famotidine treatment. Indication Recommended Dosage Peptic Ulcer Disease 0.25 mg/kg every 12 hours (maximum 20 mg every 12 hours) Titrate to a maximum dosage of 0.5 mg/kg every 12 hours (maximum of 20 mg every 12 hours) based on clinical response and/or gastric pH determination and endoscopy. 2.3 Recommended Dosage in Patients with Renal Impairment Adults The recommended dosage for adult patients with moderate to severe renal impairment is shown in Table 3 . Administer Famotidine Injection as an intravenous injection over at least 2 minutes or as an intravenous infusion over 15 minutes to 30 minutes [see Dosage and Administration ( 2.4 )]. Table 3. Recommended Dosage 1 of Famotidine Injection in Adults with Renal Impairment 1 Refer to the prescribing information for oral famotidine products for the recommended duration of famotidine treatment. 2 The dosage required to treat pathological hypersecretory conditions may exceed the maximum doses evaluated in patients with impaired renal function. The risk for increased adverse reactions in renally impaired patients treated with Famotidine Injection for pathological hypersecretory conditions is unknown. Indication Recommended Dosage Creatinine Clearance 30 to 60 mL/minute Creatinine Clearance less than 30 mL/minute Active Duodenal Ulcer 20 mg once daily 10 mg once daily Active Gastric Ulcer Symptomatic Nonerosive GERD Erosive Esophagitis Diagnosed by Endoscopy Reduction of the Risk of Duodenal Ulcer Recurrence Pathological Hypersecretory Conditions Avoid use 2 Avoid use 2 Pediatric Patients A safe and effective dosage has not been established in pediatric patients with renal impairment 1 year of age and older for the treatment of peptic ulcer disease [see Use in Specific Populations ( 8.6 )] . 2.4 Preparation and Administration Instructions Intravenous Injection over at least 2 Minutes Aseptically withdraw the required volume from the vial. Do not dilute. Intravenous Infusion over 15 Minutes to 30 Minutes Aseptically dilute the required dose of Famotidine Injection in 100 mL of one of the following solutions: 5% Dextrose for Injection 0.9% Sodium Chloride Injection 10% Dextrose for Injection Lactated Ringer's Injection Gently invert the bag 4 to 5 times. Avoid shaking. Before administration, inspect the bag for particulate matter and discoloration. Discard the bag if particulate and/or discoloration are observed. Storage of Diluted Product: Use the diluted product immediately. Alternatively, refrigerate between 2° and 8°C (36° and 46°F) and use within 48 hours.
Dosage forms and strengths
Injection: a clear, colorless, solution supplied ready-to-use as: 20 mg/5 mL (4 mg/mL) single-dose vial 40 mg/10 mL (4 mg/mL) multi-dose vial 200 mg/50 mL (4 mg/mL) multi-dose vial Injection: 20 mg/5 mL (4 mg/mL) single-dose vial 40 mg/10 mL (4 mg/mL) multi-dose vial 200 mg/50 mL (4 mg/mL) multi-dose vial
Contraindications
Famotidine Injection is contraindicated in patients with a history of serious hypersensitivity reactions (e.g., anaphylaxis) to famotidine or other H 2 -receptor antagonists. History of serious hypersensitivity reactions (e.g., anaphylaxis) to famotidine or other H 2 -receptor antagonists. ( 4 )
Warnings and precautions
Central Nervous System (CNS) Adverse Reactions : Reported in elderly patients and patients with moderate and severe renal impairment; monitor elderly patients for CNS adverse reactions. ( 5.1 , 8.5 , 8.6 ) Concurrent GI Malignancy : Absence of GI symptoms does not preclude the presence of gastric malignancy; evaluate prior to initiating therapy. ( 5.2 ) Risk of Benzyl Alcohol Toxicity in Neonates : Famotidine Injection is not approved in neonates. Serious and fatal adverse reactions have been reported in low-birth weight and preterm neonates who received benzyl-alcohol-containing drugs intravenously. The minimum amount of benzyl alcohol at which these serious adverse reactions may occur is not known. ( 5.3 ) 5.1 Central Nervous System Adverse Reactions Central nervous system (CNS) adverse reactions, including confusion, delirium, hallucinations, disorientation, agitation, seizures, and lethargy, have been reported in elderly patients and patients with moderate and severe renal impairment treated with famotidine. Monitor elderly patients for CNS adverse reactions [see Use in Specific Populations ( 8.5 )] . Dosage adjustments are recommended in adult patients with moderate and severe renal impairment due to higher famotidine systemic exposure compared to patients with normal renal function [see Dosage and Administration ( 2.3 ), Use in Specific Populations ( 8.6 ), and Clinical Pharmacology ( 12.3 )]. 5.2 Concurrent Gastric Malignancy In adults, symptomatic response to therapy with Famotidine Injection does not preclude the presence of gastric malignancy. Consider evaluation for gastric malignancy in adult patients who have a suboptimal response or an early symptomatic relapse after completing treatment with Famotidine Injection. 5.3 Risk of Benzyl Alcohol Toxicity in Neonates Famotidine Injection is not approved in neonates. Serious adverse reactions, including fatal reactions, of new onset or worsening metabolic acidosis that progressed to neurotoxicity, and in some cases gasping syndrome, have been reported in low-birth weight neonates (less than 2,500 grams) and preterm neonates (gestational age less than 34 weeks) who received benzyl alcohol (BA)-containing drugs intravenously. Gasping syndrome is a life-threatening condition in neonates caused by BA toxicity and is primarily characterized by multiorgan dysfunction secondary to metabolic acidosis, which leads to gasping respirations and death. The minimum amount of BA at which these serious adverse reactions, including fatal reactions, may occur is not known (Famotidine Injection contains 3.6 mg of BA per mL) [see Use in Specific Populations ( 8.4 )] .
Side effects
Most common adverse reactions (>1%) are: headache, dizziness, constipation, and diarrhea. ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Sagent Pharmaceuticals at 1-866-625-1618 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch . 6.1 Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. The safety of Famotidine Injection has been established based on adequate and well-controlled studies of an oral famotidine product. The following is a summary of the adverse reactions reported in those studies. Oral famotidine was studied in 7 U.S. and international placebo- and active-controlled trials in approximately 2,500 patients. A total of 1,442 patients were treated with oral famotidine, including 302 treated with 40 mg twice daily, 456 treated with 20 mg twice daily, 461 treated with 40 mg once daily, and 396 treated with 20 mg once daily. The population was 17 to 91 years old, fairly well distributed between sex and race; however, the predominant race was White. Adverse reactions reported in ≥1% of patients treated with oral famotidine in clinical trials were: headache, dizziness, constipation, and diarrhea. The following other adverse reactions were reported in less than 1% of patients treated with oral famotidine in clinical trials: Body as a Whole : fever, asthenia, fatigue Cardiovascular : palpitations Gastrointestinal : cholestatic jaundice, elevated liver enzymes, vomiting, nausea, abdominal discomfort, anorexia, dry mouth Hematologic : thrombocytopenia Hypersensitivity : orbital edema, rash, conjunctival injection, bronchospasm Musculoskeletal : musculoskeletal pain, arthralgia Nervous System/Psychiatric : seizure, hallucinations, depression, anxiety, decreased libido, insomnia, somnolence Respiratory : interstitial pneumonia Skin : pruritus, dry skin, flushing Special Senses : tinnitus, taste disorder Other : impotence Adverse reactions reported with oral famotidine may also occur with Famotidine Injection. In addition, transient irritation at the injection site was reported with intravenous famotidine. 6.2 Postmarketing Experience The following adverse reactions have been identified during post-approval use of famotidine. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure. Cardiovascular : arrhythmia, AV block, prolonged QT interval Gastrointestinal : cholestatic jaundice, hepatitis Hematologic : agranulocytosis, pancytopenia, leukopenia Hypersensitivity : anaphylaxis, angioedema, facial edema, urticaria Musculoskeletal : rhabdomyolysis, muscle cramps Nervous System/Psychiatric : confusion, agitation, paresthesia Respiratory : interstitial pneumonia Skin : toxic epidermal necrolysis/Stevens-Johnson syndrome
Drug interactions
Drugs Dependent on Gastric pH for Absorption : Systemic exposure of the concomitant drug may be significantly reduced leading to loss of efficacy. See the prescribing information for other drugs dependent on gastric pH for absorption. ( 7.1 ) Tizanidine (CYP1A2) Substrate : Potential for substantial increases in blood concentrations of tizanidine resulting in hypotension, bradycardia or excessive drowsiness; avoid concomitant use, if possible. ( 7.2 ) 7.1 Drugs Dependent on Gastric pH for Absorption Famotidine can reduce the absorption of other drugs due to its effect on reducing intragastric acidity, leading to loss of efficacy of the concomitant drug. See the prescribing information for other drugs dependent on gastric pH for absorption. 7.2 Tizanidine (CYP1A2 Substrate) Although not studied clinically, famotidine is considered a weak CYP1A2 inhibitor and may lead to substantial increases in blood concentrations of tizanidine, a CYP1A2 substrate. Avoid concomitant use with Famotidine Injection. If concomitant use is necessary, monitor for hypotension, bradycardia or excessive drowsiness. Refer to the full prescribing information for tizanidine.
Use in specific populations
Renal Impairment : QT prolongation reported in patients with moderate and severe renal impairment. ( 2.3 , 8.6 ) 8.1 Pregnancy Risk Summary Available data with H 2 -receptor antagonists, including famotidine, in pregnant women over decades of use have not identified a drug-associated risk of major birth defects, miscarriage or adverse maternal or fetal outcomes. Reproductive studies have been performed in rats and rabbits at intravenous doses of up to 200 mg/kg/day, with no obvious adverse developmental effects (see Data ) . Famotidine Injection contains benzyl alcohol as a preservative [see How Supplied/Storage and Handling ( 16 )] . Because benzyl alcohol is rapidly metabolized by a pregnant female, benzyl alcohol exposure in the fetus is unlikely. The background risk for major birth defects and miscarriage for the indicated population is unknown. All pregnancies have a background risk of birth defect, loss, or other adverse outcomes. In the U.S. general population, the background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2% to 4% and 15% to 20%, respectively. Data Animal Data Reproductive studies have been performed in rats and rabbits at oral doses of up to 2,000 and 500 mg/kg/day, respectively, and in both species at intravenous doses of up to 200 mg/kg/day and have revealed no significant evidence of impaired fertility or harm to the fetus due to famotidine. 8.2 Lactation Risk Summary There are limited data available on the presence of famotidine in human breast milk following oral administration. There were no effects on the breastfed infant. There are no data on famotidine effects on milk production. Famotidine Injection contains benzyl alcohol as a preservative. Because benzyl alcohol is rapidly metabolized by a lactating female, benzyl alcohol exposure in the breastfed neonate is unlikely. The developmental and health benefits of breastfeeding should be considered along with the mother's clinical need for Famotidine Injection and any potential adverse effects on the breastfed child from famotidine or from the underlying maternal condition. 8.4 Pediatric Use Peptic Ulcer Disease The safety and effectiveness of Famotidine Injection have been established in pediatric patients 1 year to less than 17 years of age for the treatment of peptic ulcer disease in hospitalized patients or as an alternative to oral famotidine. Use of Famotidine Injection in this age group is supported by evidence from adequate and well-controlled studies of oral famotidine in adults with additional pharmacokinetic and pharmacodynamic data in pediatric patients 1 year to less than 17 years of age [see Dosage and Administration ( 2.2 ) and Clinical Pharmacology ( 12.2 , 12.3 )] . A safe and effective dosage has not been established in pediatric patients 1 year to less than 17 years of age with renal impairment for the treatment of peptic ulcer disease. The safety and effectiveness of Famotidine Injection for the treatment of peptic ulcer disease in pediatric patients less than 1 year of age have not been established. Other Conditions The safety and effectiveness of Famotidine Injection for the treatment of symptomatic nonerosive GERD, erosive esophagitis due to GERD, pathological hypersecretory conditions and reduction of the risk of DU recurrence have not been established in pediatric patients. Risk of Benzyl Alcohol Toxicity in Neonates Famotidine Injection is not approved for use in neonates. Serious adverse reactions, including fatal reactions, of new onset or worsening metabolic acidosis that progressed to neurotoxicity, and in some cases gasping syndrome, have been reported in low-birth weight neonates and preterm neonates who received benzyl alcohol (BA)-containing drugs intravenously. Gasping syndrome is a life-threatening condition in neonates caused by BA toxicity that is characterized by new onset or worsening metabolic acidosis with gradual neurological deterioration, seizures, intracranial hemorrhage, hematologic abnormalities, skin breakdown, hepatic and kidney failure, hypotension, bradycardia, and gasping respirations followed by death. In reported cases, BA in amounts of 99 to 234 mg/kg/day produced blood BA levels of 6.6 to 14.9 mg/dL, but the minimum amount of BA at which gasping syndrome may occur in neonates is not known (Famotidine Injection contains 3.6 mg of BA per mL) [see Warnings and Precautions ( 5.3 )] . 8.5 Geriatric Use Of the 1,442 patients treated with oral famotidine in clinical studies, approximately 10% were 65 and older. In these studies, no overall differences in safety or effectiveness were observed between elderly and younger patients. In elderly patients, there are no clinically significant age-related changes in the pharmacokinetics of famotidine [see Clinical Pharmacology ( 12.3 )] . In postmarketing experience, CNS adverse reactions have been reported in elderly patients with and without renal impairment receiving famotidine. Monitor elderly patients for CNS adverse reactions [see Warnings and Precautions ( 5.1 )] . Famotidine is known to be substantially excreted by the kidney, and the risk of adverse reactions to Famotidine Injection may be greater in elderly patients, particularly those with impaired renal function [see Dosage and Administration ( 2.3 ) and Use in Specific Populations ( 8.6 )]. 8.6 Renal Impairment CNS adverse reactions and prolonged QT intervals have been reported in patients with moderate and severe renal impairment [see Warnings and Precautions ( 5.1 )] . The clearance of famotidine is reduced in adults with moderate and severe renal impairment compared to adults with normal renal function [see Clinical Pharmacology ( 12.3 )] . The recommended dosage in adults with moderate or severe renal impairment (creatinine clearance <60 mL/minutes) is less than the recommended dosage in adults with normal renal function [see Dosage and Administration ( 2.3 )] .
Pregnancy
8.1 Pregnancy Risk Summary Available data with H 2 -receptor antagonists, including famotidine, in pregnant women over decades of use have not identified a drug-associated risk of major birth defects, miscarriage or adverse maternal or fetal outcomes. Reproductive studies have been performed in rats and rabbits at intravenous doses of up to 200 mg/kg/day, with no obvious adverse developmental effects (see Data ) . Famotidine Injection contains benzyl alcohol as a preservative [see How Supplied/Storage and Handling ( 16 )] . Because benzyl alcohol is rapidly metabolized by a pregnant female, benzyl alcohol exposure in the fetus is unlikely. The background risk for major birth defects and miscarriage for the indicated population is unknown. All pregnancies have a background risk of birth defect, loss, or other adverse outcomes. In the U.S. general population, the background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2% to 4% and 15% to 20%, respectively. Data Animal Data Reproductive studies have been performed in rats and rabbits at oral doses of up to 2,000 and 500 mg/kg/day, respectively, and in both species at intravenous doses of up to 200 mg/kg/day and have revealed no significant evidence of impaired fertility or harm to the fetus due to famotidine.
Pediatric use
8.4 Pediatric Use Peptic Ulcer Disease The safety and effectiveness of Famotidine Injection have been established in pediatric patients 1 year to less than 17 years of age for the treatment of peptic ulcer disease in hospitalized patients or as an alternative to oral famotidine. Use of Famotidine Injection in this age group is supported by evidence from adequate and well-controlled studies of oral famotidine in adults with additional pharmacokinetic and pharmacodynamic data in pediatric patients 1 year to less than 17 years of age [see Dosage and Administration ( 2.2 ) and Clinical Pharmacology ( 12.2 , 12.3 )] . A safe and effective dosage has not been established in pediatric patients 1 year to less than 17 years of age with renal impairment for the treatment of peptic ulcer disease. The safety and effectiveness of Famotidine Injection for the treatment of peptic ulcer disease in pediatric patients less than 1 year of age have not been established. Other Conditions The safety and effectiveness of Famotidine Injection for the treatment of symptomatic nonerosive GERD, erosive esophagitis due to GERD, pathological hypersecretory conditions and reduction of the risk of DU recurrence have not been established in pediatric patients. Risk of Benzyl Alcohol Toxicity in Neonates Famotidine Injection is not approved for use in neonates. Serious adverse reactions, including fatal reactions, of new onset or worsening metabolic acidosis that progressed to neurotoxicity, and in some cases gasping syndrome, have been reported in low-birth weight neonates and preterm neonates who received benzyl alcohol (BA)-containing drugs intravenously. Gasping syndrome is a life-threatening condition in neonates caused by BA toxicity that is characterized by new onset or worsening metabolic acidosis with gradual neurological deterioration, seizures, intracranial hemorrhage, hematologic abnormalities, skin breakdown, hepatic and kidney failure, hypotension, bradycardia, and gasping respirations followed by death. In reported cases, BA in amounts of 99 to 234 mg/kg/day produced blood BA levels of 6.6 to 14.9 mg/dL, but the minimum amount of BA at which gasping syndrome may occur in neonates is not known (Famotidine Injection contains 3.6 mg of BA per mL) [see Warnings and Precautions ( 5.3 )] .
Geriatric use
8.5 Geriatric Use Of the 1,442 patients treated with oral famotidine in clinical studies, approximately 10% were 65 and older. In these studies, no overall differences in safety or effectiveness were observed between elderly and younger patients. In elderly patients, there are no clinically significant age-related changes in the pharmacokinetics of famotidine [see Clinical Pharmacology ( 12.3 )] . In postmarketing experience, CNS adverse reactions have been reported in elderly patients with and without renal impairment receiving famotidine. Monitor elderly patients for CNS adverse reactions [see Warnings and Precautions ( 5.1 )] . Famotidine is known to be substantially excreted by the kidney, and the risk of adverse reactions to Famotidine Injection may be greater in elderly patients, particularly those with impaired renal function [see Dosage and Administration ( 2.3 ) and Use in Specific Populations ( 8.6 )].
Overdosage
Adverse reactions reported in cases of overdosage are similar to the adverse reactions reported with use of the recommended dosage [see Adverse Reactions ( 6 )]. In the event of overdosage, treatment should be symptomatic and supportive. In the event of overdosage, monitor the patient, and employ supportive therapy. Due to low binding to plasma proteins, famotidine is eliminated by hemodialysis. There is limited experience on the usefulness of hemodialysis as a treatment for famotidine overdosage. Consider contacting the Poison Help line (1-800-222-1222) or a medical toxicologist for additional overdose management recommendations.
Description
The active ingredient in Famotidine Injection is a histamine H 2 -receptor antagonist. Famotidine, USP is N'-(aminosulfonyl)-3-[[[2-[ ( diaminomethylene )amino ]-4 thiazolyl]methyl]thio]propanimidamide. The empirical formula of famotidine is C 8 H 15 N 7 O 2 S 3 and its molecular weight is 337.45. Its structural formula is: Famotidine, USP is a white to pale yellow crystalline compound that is freely soluble in glacial acetic acid, slightly soluble in methanol, very slightly soluble in water, and practically insoluble in ethanol. Famotidine Injection is supplied as a premixed, ready-to-use, sterile solution for intravenous injection. Each mL contains 4 mg of famotidine and the following inactive ingredients: L-aspartic acid 1.6 mg, mannitol 8 mg, sodium chloride 7 mg, and Water for Injection q.s. 1 mL. The multiple-dose vials of 10 mL and 50 mL also contain benzyl alcohol 0.36% (3.6 mg per mL) added as a preservative. The pH ranges for all three concentrations range from 5.7 to 6.4 and may have been adjusted with sodium hydroxide. Figure
Mechanism of action
12.1 Mechanism of Action Famotidine is a competitive inhibitor of histamine H 2 -receptors. The primary clinically important pharmacologic activity of famotidine is inhibition of gastric secretion. Both the acid concentration and volume of gastric secretion are suppressed by famotidine, while changes in pepsin secretion are proportional to volume output.
How supplied
Famotidine Injection is a clear, colorless, sterile solution supplied premixed and ready-to-use as follows: Famotidine Injection (Preservative-free) NDC (4 mg per mL) Package Factor 25021-755-05 20 mg per 5 mL Single-Dose Vial 25 vials per carton Famotidine Injection (Preservative) NDC (4 mg per mL) Package Factor 25021-756-10 40 mg per 10 mL Multi-Dose Vial 10 vials per carton 25021-756-50 200 mg per 50 mL Multi-Dose Vial 1 vial per carton Storage Conditions Store at room temperature between 20° to 25°C (68° to 77°F); excursions permitted between 15° and 30°C (59° and 86°F). [See USP Controlled Room Temperature.] If not used immediately, store diluted solutions of Famotidine Injection between 2° and 8°C (36° and 46°F) for up to 48 hours [see Dosage and Administration ( 2.4 )] . Do not freeze. Protect from light. Retain in carton until time of use. The container closure is not made with natural rubber latex.
Storage
Storage Conditions Store at room temperature between 20° to 25°C (68° to 77°F); excursions permitted between 15° and 30°C (59° and 86°F). [See USP Controlled Room Temperature.] If not used immediately, store diluted solutions of Famotidine Injection between 2° and 8°C (36° and 46°F) for up to 48 hours [see Dosage and Administration ( 2.4 )] . Do not freeze. Protect from light. Retain in carton until time of use. The container closure is not made with natural rubber latex.
Patient information
Central Nervous System (CNS) Adverse Reactions Advise elderly patients and those with moderate and severe renal impairment of the risk of CNS adverse reactions, including confusion, delirium, hallucinations, disorientation, agitation, seizures, and lethargy [see Warnings and Precautions ( 5.1 )] . Report symptoms immediately to a healthcare provider. QT Interval Prolongation Advise patients with moderate and severe renal impairment of the risk of QT interval prolongation [see Use in Specific Populations ( 8.6 )] . Report new cardiac symptoms, such as palpitations, fainting and dizziness or lightheadedness, immediately to a healthcare provider. Risk of Benzyl Alcohol Toxicity in Neonates Inform caregivers that serious adverse reactions, including fatal reactions, have been reported in neonates who received drugs containing benzyl alcohol intravenously. Inform the healthcare provider if neurologic, hematologic or cardiac adverse reactions occur [see Warnings and Precautions ( 5.3 )]. sagent ® Mfd. for SAGENT Pharmaceuticals Schaumburg, IL 60173 (USA) Made in India ©2025 Sagent Pharmaceuticals
Label text from the FDA structured product label by Sagent Pharmaceuticals (revised Jun 6, 2026). Long sections are shortened; the complete label is on DailyMed.
Active ingredients
- Famotidine in 258 products
Famotidine NDC products (258)
| NDC | Strength & form | Labeler | Type |
|---|---|---|---|
| 50090-1045 | Famotidine 20 mg/1 Tablet | A-S Medication Solutions | ANDA |
| 50090-1044 | Famotidine 20 mg/1 Tablet, Film Coated | A-S Medication Solutions | ANDA |
| 50090-1432 | Famotidine 40 mg/1 Tablet | A-S Medication Solutions | ANDA |
| 50090-6582 | Famotidine 20 mg/1 Tablet, Film Coated | A-S Medication Solutions | ANDA |
| 50090-6790 | Famotidine 40 mg/1 Tablet, Film Coated | A-S Medication Solutions | ANDA |
| 50090-6916 | Famotidine 40 mg/1 Tablet, Film Coated | A-S Medication Solutions | ANDA |
| 50090-6932 | Famotidine 20 mg/1 Tablet, Film Coated | A-S Medication Solutions | ANDA |
| 50090-7178 | Famotidine 20 mg/1 Tablet, Film Coated | A-S Medication Solutions | ANDA |
| 50090-7180 | Famotidine 20 mg/1 Tablet, Film Coated | A-S Medication Solutions | ANDA |
| 50090-7196 | Famotidine 40 mg/1 Tablet, Film Coated | A-S Medication Solutions | ANDA |
| 50090-7829 | Famotidine 20 mg/1 Tablet, Film Coated | A-S Medication Solutions | ANDA |
| 50090-7966 | Famotidine 40 mg/1 Tablet | A-S Medication Solutions | ANDA |
| 50090-7981 | Famotidine 40 mg/1 Tablet, Film Coated | A-S Medication Solutions | ANDA |
| 50090-7982 | Famotidine 40 mg/1 Tablet, Film Coated | A-S Medication Solutions | ANDA |
| 80425-0589 | Famotidine 20 mg/1 Tablet, Film Coated | Advanced Rx of Tennessee, LLC | ANDA |
| 80425-0329 | Famotidine 20 mg/1 Tablet, Film Coated | Advanced Rx Pharmacy of Tennessee, LLC | ANDA |
| 27241-249 | Famotidine 40 mg/5mL For Suspension | Ajanta Pharma USA Inc. | ANDA |
| 50383-913 | Famotidine 40 mg/5mL Powder, For Solution | Akorn | ANDA |
| 21130-022 | Famotidine 10 mg/1 Tablet | Albertsons Companies | ANDA |
| 21130-023 | Famotidine 20 mg/1 Tablet | Albertsons Companies | ANDA |
| 62332-001 | Famotidine 20 mg/1 Tablet | Alembic Pharmaceuticals Inc. | ANDA |
| 62332-002 | Famotidine 40 mg/1 Tablet | Alembic Pharmaceuticals Inc. | ANDA |
| 46708-293 | Famotidine 20 mg/1 Tablet | Alembic Pharmaceuticals Limited | ANDA |
| 46708-294 | Famotidine 40 mg/1 Tablet | Alembic Pharmaceuticals Limited | ANDA |
| 60687-595 | Famotidine 20 mg/1 Tablet, Film Coated | American Health Packaging | ANDA |
| 46122-735 | Famotidine 10 mg/1 Tablet, Film Coated | Amerisource Bergen | ANDA |
| 46122-737 | Famotidine 20 mg/1 Tablet, Film Coated | Amerisource Bergen | ANDA |
| 69238-2090 | Famotidine 40 mg/5mL Powder, For Suspension | Amneal Pharmaceuticals NY LLC | ANDA |
| 60219-2090 | Famotidine 40 mg/5mL Powder, For Suspension | Amneal Pharmaceuticals NY LLC | ANDA |
| 70954-316 | Famotidine 40 mg/5mL Powder, For Suspension | ANI Pharmaceuticals, Inc. | ANDA |
| 53401-036 | Famotidine 40 mg/1 Tablet | Aphena Pharma Solutions - Tennessee, LLC | ANDA |
| 71610-470 | Famotidine 20 mg/1 Tablet | Aphena Pharma Solutions - Tennessee, LLC | ANDA |
| 71610-399 | Famotidine 20 mg/1 Tablet | Aphena Pharma Solutions - Tennessee, LLC | ANDA |
| 67877-889 | Famotidine 40 mg/1 Tablet, Film Coated | Ascend Laboratories, LLC | ANDA |
| 67877-775 | Famotidine 40 mg/5mL Powder, For Suspension | Ascend Laboratories, LLC | ANDA |
| 67877-842 | Famotidine 20 mg/1 Tablet, Film Coated | Ascend Laboratories, LLC | ANDA |
| 67877-843 | Famotidine 40 mg/1 Tablet, Film Coated | Ascend Laboratories, LLC | ANDA |
| 43602-511 | Famotidine 10 mg/1 Tablet | Ascent Pharmaceuticals, Inc. | ANDA |
| 43602-602 | Famotidine 20 mg/1 Tablet | Ascent Pharmaceuticals, Inc. | ANDA |
| 76420-712 | Famotidine 20 mg/1 Tablet, Film Coated | Asclemed USA, Inc. | ANDA |
| 76420-713 | Famotidine 40 mg/1 Tablet, Film Coated | Asclemed USA, Inc. | ANDA |
| 65862-860 | Famotidine 40 mg/1 Tablet, Film Coated | Aurobindo Pharma Limited | ANDA |
| 65862-859 | Famotidine 20 mg/1 Tablet, Film Coated | Aurobindo Pharma Limited | ANDA |
| 59651-701 | Famotidine 40 mg/5mL Powder, For Suspension | Aurobindo Pharma Limited | ANDA |
| 58602-706 | Famotidine 20 mg/1 Tablet, Film Coated | Aurohealth LLC | ANDA |
| 58602-828 | Famotidine 10 mg/1 Tablet, Film Coated | Aurohealth LLC | ANDA |
| 58602-829 | Famotidine 20 mg/1 Tablet, Film Coated | Aurohealth LLC | ANDA |
| 58602-859 | Famotidine 20 mg/1 Tablet, Film Coated | Aurohealth LLC | ANDA |
| 58602-705 | Famotidine 10 mg/1 Tablet, Film Coated | Aurohealth LLC | ANDA |
| 50268-304 | Famotidine 40 mg/1 Tablet | AvPAK | ANDA |
| 50268-299 | Famotidine 20 mg/1 Tablet, Film Coated | AvPAK | ANDA |
| 0338-5197 | Famotidine 20 mg/50mL Injection, Solution | Baxter Healthcare Corporation | ANDA |
| 63941-009 | Famotidine 10 mg/1 Tablet, Film Coated | Best Choice | ANDA |
| 63941-011 | Famotidine 20 mg/1 Tablet, Film Coated | Best Choice | ANDA |
| 21130-039 | Famotidine 10 mg/1 Tablet, Film Coated | Better Living Brands LLC | ANDA |
| 21130-033 | Famotidine 20 mg/1 Tablet, Film Coated | Better Living Brands, LLC | ANDA |
| 37835-165 | Famotidine 20 mg/1 Tablet | Bi-Mart | ANDA |
| 37835-161 | Famotidine 10 mg/1 Tablet | Bi-Mart | ANDA |
| 70377-113 | Famotidine 40 mg/5mL Powder, For Suspension | Biocon Pharma Inc. | ANDA |
| 68001-494 | Famotidine 10 mg/1 Tablet | BluePoint Laboratories | ANDA |
| 68001-397 | Famotidine 20 mg/1 Tablet, Film Coated | BluePoint Laboratories | ANDA |
| 68001-398 | Famotidine 40 mg/1 Tablet, Film Coated | BluePoint Laboratories | ANDA |
| 71335-9615 | Famotidine 40 mg/1 Tablet, Film Coated | Bryant Ranch Prepack | ANDA |
| 71335-9724 | Famotidine 40 mg/1 Tablet, Film Coated | Bryant Ranch Prepack | ANDA |
| 71335-9748 | Famotidine 20 mg/1 Tablet, Film Coated | Bryant Ranch Prepack | ANDA |
| 63629-7013 | Famotidine 20 mg/1 Tablet | Bryant Ranch Prepack | ANDA |
| 63629-2782 | Famotidine 40 mg/1 Tablet | Bryant Ranch Prepack | ANDA |
| 63629-2015 | Famotidine 40 mg/1 Tablet | Bryant Ranch Prepack | ANDA |
| 63629-2014 | Famotidine 40 mg/1 Tablet | Bryant Ranch Prepack | ANDA |
| 71335-2805 | Famotidine 20 mg/1 Tablet, Film Coated | Bryant Ranch Prepack | ANDA |
| 72162-1737 | Famotidine 40 mg/1 Tablet | Bryant Ranch Prepack | ANDA |
| 72162-2599 | Famotidine 40 mg/5mL Powder, For Suspension | Bryant Ranch Prepack | ANDA |
| 71335-0231 | Famotidine 40 mg/1 Tablet | Bryant Ranch Prepack | ANDA |
| 71335-2527 | Famotidine 40 mg/1 Tablet, Film Coated | Bryant Ranch Prepack | ANDA |
| 71335-2442 | Famotidine 40 mg/1 Tablet, Film Coated | Bryant Ranch Prepack | ANDA |
| 71335-2190 | Famotidine 20 mg/1 Tablet, Film Coated | Bryant Ranch Prepack | ANDA |
| 71335-0370 | Famotidine 20 mg/1 Tablet, Film Coated | Bryant Ranch Prepack | ANDA |
| 71335-0409 | Famotidine 20 mg/1 Tablet | Bryant Ranch Prepack | ANDA |
| 71335-1520 | Famotidine 20 mg/1 Tablet | Bryant Ranch Prepack | ANDA |
| 71335-1950 | Famotidine 20 mg/1 Tablet, Film Coated | Bryant Ranch Prepack | ANDA |
| 69230-326 | Famotidine 10 mg/1 Tablet, Film Coated | Camber Consumer Care Inc | ANDA |
| 69230-327 | Famotidine 20 mg/1 Tablet, Film Coated | Camber Consumer Care Inc | ANDA |
| 31722-018 | Famotidine 40 mg/1 Tablet, Film Coated | Camber Pharmaceuticals, Inc. | ANDA |
| 31722-063 | Famotidine 40 mg/5mL Powder, For Suspension | Camber Pharmaceuticals, Inc. | ANDA |
| 31722-017 | Famotidine 20 mg/1 Tablet, Film Coated | Camber Pharmaceuticals, Inc. | ANDA |
| 55154-4313 | Famotidine 20 mg/1 Tablet, Film Coated | Cardinal Health 107, LLC | ANDA |
| 55154-2628 | Famotidine 20 mg/1 Tablet, Film Coated | Cardinal Health 107, LLC | ANDA |
| 61442-122 | Famotidine 40 mg/1 Tablet | Carlsbad Technology, Inc | ANDA |
| 61442-121 | Famotidine 20 mg/1 Tablet | Carlsbad Technology, Inc | ANDA |
| 80005-119 | Famotidine 40 mg/5mL Powder, For Suspension | Carnegie Pharmaceuticals LLC | ANDA |
| 68016-800 | Famotidine 10 mg/1 Tablet | Chain Drug Consortium, LLC | ANDA |
| 68016-801 | Famotidine 20 mg/1 Tablet | Chain Drug Consortium, LLC | ANDA |
| 83324-116 | Famotidine 20 mg/1 Tablet | Chain Drug Marketing Association INC | ANDA |
| 63868-583 | Famotidine 10 mg/1 Tablet | Chain Drug Marketing Association INC | ANDA |
| 63868-584 | Famotidine 20 mg/1 Tablet | Chain Drug Marketing Association INC | ANDA |
| 83324-139 | Famotidine 10 mg/1 Tablet | Chain Drug Marketing Association INC | ANDA |
| 83324-003 | Famotidine 10 mg/1 Tablet, Film Coated | CHAIN DRUG MARKETING ASSOCIATION, INC. | ANDA |
| 83324-008 | Famotidine 20 mg/1 Tablet, Film Coated | CHAIN DRUG MARKETING ASSOCIATION, INC. | ANDA |
| 62135-808 | Famotidine 40 mg/1 Tablet, Film Coated | Chartwell RX, LLC | ANDA |
| 62135-807 | Famotidine 20 mg/1 Tablet, Film Coated | Chartwell RX, LLC | ANDA |
| 10267-5689 | Famotidine 20 mg/1 Tablet, Coated | Contract Pharmacal Corp. | ANDA |
| 10267-5690 | Famotidine 40 mg/1 Tablet, Coated | Contract Pharmacal Corp. | ANDA |
| 69842-928 | Famotidine 10 mg/1 Tablet, Film Coated | CVS Pharmacy, Inc. | ANDA |
| 69842-924 | Famotidine 20 mg/1 Tablet, Film Coated | CVS Pharmacy, Inc. | ANDA |
| 69842-087 | Famotidine 20 mg/1 Tablet, Film Coated | CVS Pharmacy, Inc. | ANDA |
| 69842-063 | Famotidine 10 mg/1 Tablet, Film Coated | CVS Pharmacy, Inc. | ANDA |
| 72189-141 | Famotidine 20 mg/1 Tablet | direct rx | ANDA |
| 72189-207 | Famotidine 40 mg/1 Tablet | direct rx | ANDA |
| 72189-543 | Famotidine 20 mg/1 Tablet, Film Coated | Direct_Rx | ANDA |
| 53943-100 | Famotidine 10 mg/1 Tablet | Discount Drug Mart, Inc | ANDA |
| 53943-101 | Famotidine 20 mg/1 Tablet | Discount Drug Mart, Inc | ANDA |
| 43598-572 | Famotidine 40 mg/5mL For Suspension | DR. REDDY'S LABORATORIES INC | ANDA |
| 55111-120 | Famotidine 40 mg/1 Tablet, Film Coated | Dr.Reddy's Laboratories Limited | ANDA |
| 55111-119 | Famotidine 20 mg/1 Tablet, Film Coated | Dr.Reddy's Laboratories Limited | ANDA |
| 55111-118 | Famotidine 10 mg/1 Tablet | Dr.Reddys Laboratories Limited | ANDA |
| 55111-396 | Famotidine 20 mg/1 Tablet | Dr.Reddys Laboratories Limited | ANDA |
| 55319-408 | Famotidine 10 mg/1 Tablet, Film Coated | FAMILY DOLLAR | ANDA |
| 55319-409 | Famotidine 20 mg/1 Tablet, Film Coated | FAMILY DOLLAR | ANDA |
| 55319-426 | Famotidine 10 mg/1 Tablet | Family Dollar Stores, Inc. | ANDA |
| 55319-427 | Famotidine 20 mg/1 Tablet | Family Dollar Stores, Inc. | ANDA |
| 55319-057 | Famotidine 20 mg/1 Tablet, Film Coated | Family Dollar Stores, LLC | ANDA |
| 55315-435 | Famotidine 20 mg/1 Tablet, Film Coated | Fred's, Inc. | ANDA |
| 63323-739 | Famotidine 10 mg/mL Injection, Solution | Fresenius Kabi USA, LLC | ANDA |
| 63323-738 | Famotidine 10 mg/mL Injection, Solution | Fresenius Kabi USA, LLC | ANDA |
| 57896-319 | Famotidine 20 mg/1 Tablet, Film Coated | Geri-Care Pharmaceutical Corp | ANDA |
| 57896-317 | Famotidine 10 mg/1 Tablet, Film Coated | GERI-CARE PHARMACEUTICAL CORP | ANDA |
| 72657-113 | Famotidine 20 mg/1 Tablet, Film Coated | GLENMARK THERAPEUTICS INC., USA | ANDA |
| 72657-112 | Famotidine 10 mg/1 Tablet, Film Coated | GLENMARK THERAPEUTICS INC., USA | ANDA |
| 72657-132 | Famotidine 20 mg/1 Tablet, Film Coated | GLENMARK THERAPEUTICS INC., USA | ANDA |
| 51407-684 | Famotidine 40 mg/1 Tablet | Golden State Medical Supply, Inc. | ANDA |
| 51407-452 | Famotidine 40 mg/5mL Powder, For Suspension | Golden State Medical Supply, Inc. | ANDA |
| 51407-683 | Famotidine 20 mg/1 Tablet | Golden State Medical Supply, Inc. | ANDA |
| 72036-026 | Famotidine 20 mg/1 Tablet, Film Coated | Harris Teeter | ANDA |
| 69256-002 | Famotidine 10 mg/1 Tablet, Film Coated | HARRIS TEETER, LLC | ANDA |
| 85534-0092 | Famotidine 40 mg/1 Tablet, Film Coated | HAWAII REPACK, INC. | ANDA |
| 85534-0091 | Famotidine 20 mg/1 Tablet, Film Coated | HAWAII REPACK, INC. | ANDA |
| 51662-1375 | Famotidine 10 mg/mL Injection, Solution | HF Acquisition Co LLC, DBA HealthFirst | ANDA |
| 0641-6022 | Famotidine 10 mg/mL Injection | Hikma Pharmaceuticals USA Inc. | ANDA |
| 0641-6021 | Famotidine 10 mg/mL Injection | Hikma Pharmaceuticals USA Inc. | ANDA |
| 0641-6023 | Famotidine 10 mg/mL Injection | Hikma Pharmaceuticals USA Inc. | ANDA |
| 81033-023 | Famotidine 40 mg/5mL Powder, For Suspension | Kesin Pharma Corporation | ANDA |
| 0527-5190 | Famotidine 40 mg/5mL Powder, For Suspension | Lannett Company, Inc. | ANDA |
| 70000-0710 | Famotidine 20 mg/1 Tablet, Film Coated | LEADER/ Cardinal Health 110, Inc. | ANDA |
| 70000-0049 | Famotidine 20 mg/1 Tablet, Film Coated | LEADER/ CARDINAL HEALTH 110, INC. | ANDA |
| 70000-0048 | Famotidine 10 mg/1 Tablet, Film Coated | LEADER/ CARDINAL HEALTH 110, INC. | ANDA |
| 68645-594 | Famotidine 20 mg/1 Tablet, Film Coated | Legacy Pharmaceutical Packaging, LLC | ANDA |
| 70756-051 | Famotidine 20 mg/1 Tablet | Lifestar Pharma LLC | ANDA |
| 70756-052 | Famotidine 40 mg/1 Tablet | Lifestar Pharma LLC | ANDA |
| 72559-038 | Famotidine 10 mg/10mg Tablet | Little Pharma, Inc. | ANDA |
| 68180-150 | Famotidine 40 mg/5mL Powder, For Suspension | Lupin Pharmaceuticals, Inc. | ANDA |
| 43386-500 | Famotidine 40 mg/5mL For Suspension | Lupin Pharmaceuticals,Inc. | ANDA |
| 54257-802 | Famotidine 20 mg/1 Tablet, Film Coated | Magno-Humphries, Inc. | ANDA |
| 54257-180 | Famotidine 10 mg/1 Tablet, Film Coated | Magno-Humphries, Inc. | ANDA |
| 0904-7193 | Famotidine 20 mg/1 Tablet, Film Coated | Major Pharmaceuticals | ANDA |
| 71872-7220 | Famotidine 10 mg/mL Injection | Medical Purchasing Solutions, LLC | ANDA |
| 71872-7235 | Famotidine 10 mg/mL Injection | Medical Purchasing Solutions, LLC | ANDA |
| 71872-7366 | Famotidine 10 mg/mL Injection, Solution | Medical Purchasing Solutions, LLC | ANDA |
| 42571-433 | Famotidine 40 mg/5mL Powder, For Suspension | Micro Labs Limited | ANDA |
| 67457-433 | Famotidine 10 mg/mL Injection | Mylan Institutional LLC | ANDA |
| 67457-448 | Famotidine 10 mg/mL Injection | Mylan Institutional LLC | ANDA |
| 67457-457 | Famotidine 10 mg/mL Injection | Mylan Institutional LLC | ANDA |
| 68475-400 | Famotidine 40 mg/5mL Powder, For Suspension | Navinta LLC | ANDA |
| 0615-8558 | Famotidine 20 mg/1 Tablet | NCS HealthCare of KY, LLC dba Vangard Labs | ANDA |
| 0615-8559 | Famotidine 40 mg/1 Tablet | NCS HealthCare of KY, LLC dba Vangard Labs | ANDA |
| 72603-171 | Famotidine 40 mg/5mL Powder, For Suspension | NorthStar Rx LLC | ANDA |
| 51655-102 | Famotidine 40 mg/1 Tablet, Film Coated | Northwind Health Company, LLC | ANDA |
| 51655-233 | Famotidine 20 mg/1 Tablet, Film Coated | Northwind Health Company, LLC | ANDA |
| 51655-312 | Famotidine 20 mg/1 Tablet | Northwind Health Company, LLC | ANDA |
| 82868-077 | Famotidine 20 mg/1 Tablet | Northwind Health Company, LLC | ANDA |
| 72205-146 | Famotidine 40 mg/1 Tablet, Film Coated | Novadoz Pharmaceuticals LLC | ANDA |
| 72205-145 | Famotidine 20 mg/1 Tablet, Film Coated | Novadoz Pharmaceuticals LLC | ANDA |
| 72205-233 | Famotidine 40 mg/5mL Powder, For Suspension | Novadoz Pharmaceuticals LLC | ANDA |
| 68071-3786 | Famotidine 20 mg/1 Tablet, Film Coated | NuCare Pharmaceuticals, Inc. | ANDA |
| 68071-3201 | Famotidine 20 mg/1 Tablet | NuCare Pharmaceuticals, Inc. | ANDA |
| 68071-4197 | Famotidine 40 mg/1 Tablet | NuCare Pharmaceuticals,Inc. | ANDA |
| 68071-3584 | Famotidine 40 mg/1 Tablet, Film Coated | NuCare Pharmaceuticals,Inc. | ANDA |
| 68071-3521 | Famotidine 40 mg/1 Tablet, Film Coated | NuCare Pharmaceuticals,Inc. | ANDA |
| 68071-3420 | Famotidine 20 mg/1 Tablet, Film Coated | NuCare Pharmaceuticals,Inc. | ANDA |
| 68071-2306 | Famotidine 20 mg/1 Tablet | NuCare Pharmaceuticals,Inc. | ANDA |
| 68071-3413 | Famotidine 40 mg/1 Tablet, Film Coated | NuCare Pharmceuticals,Inc. | ANDA |
| 72789-589 | Famotidine 40 mg/1 Tablet, Film Coated | PD-Rx Pharmaceuticals, Inc. | ANDA |
| 72789-345 | Famotidine 40 mg/1 Tablet, Film Coated | PD-Rx Pharmaceuticals, Inc. | ANDA |
| 72789-331 | Famotidine 20 mg/1 Tablet, Film Coated | PD-Rx Pharmaceuticals, Inc. | ANDA |
| 72789-453 | Famotidine 40 mg/1 Tablet, Film Coated | PD-Rx Pharmaceuticals, Inc. | ANDA |
| 72789-427 | Famotidine 40 mg/1 Tablet, Film Coated | PD-Rx Pharmaceuticals, Inc. | ANDA |
| 43063-533 | Famotidine 40 mg/1 Tablet, Film Coated | PD-Rx Pharmaceuticals, Inc. | ANDA |
| 43063-695 | Famotidine 20 mg/1 Tablet | PD-Rx Pharmaceuticals, Inc. | ANDA |
| 43063-696 | Famotidine 40 mg/1 Tablet | PD-Rx Pharmaceuticals, Inc. | ANDA |
| 68094-054 | Famotidine 20 mg/1 Tablet, Film Coated | Precision Dose, Inc. | ANDA |
| 68788-8485 | Famotidine 20 mg/1 Tablet, Film Coated | Preferred Pharmaceuticals Inc. | ANDA |
| 68788-4021 | Famotidine 20 mg/1 Tablet, Film Coated | Preferred Pharmaceuticals Inc. | ANDA |
| 68788-4088 | Famotidine 20 mg/1 Tablet, Coated | Preferred Pharmaceuticals Inc. | ANDA |
| 68788-4119 | Famotidine 20 mg/1 Tablet | Preferred Pharmaceuticals Inc. | ANDA |
| 68788-4144 | Famotidine 40 mg/1 Tablet, Film Coated | Preferred Pharmaceuticals Inc. | ANDA |
| 68788-8518 | Famotidine 40 mg/1 Tablet, Film Coated | Preferred Pharmaceuticals Inc. | ANDA |
| 68788-8889 | Famotidine 20 mg/1 Tablet, Film Coated | Preferred Pharmaceuticals Inc. | ANDA |
| 68788-8733 | Famotidine 40 mg/1 Tablet, Film Coated | Preferred Pharmaceuticals, Inc. | ANDA |
| 82804-228 | Famotidine 40 mg/1 Tablet, Coated | Proficient Rx LP | ANDA |
| 63187-723 | Famotidine 20 mg/1 Tablet | Proficient Rx LP | ANDA |
| 63187-908 | Famotidine 40 mg/1 Tablet | Proficient Rx LP | ANDA |
| 63187-129 | Famotidine 20 mg/1 Tablet | Proficient Rx LP | ANDA |
| 82804-980 | Famotidine 20 mg/1 Tablet, Coated | Proficient Rx LP | ANDA |
| 82804-981 | Famotidine 40 mg/1 Tablet, Coated | Proficient Rx LP | ANDA |
| 71205-781 | Famotidine 40 mg/1 Tablet, Film Coated | Proficient Rx LP | ANDA |
| 71205-257 | Famotidine 40 mg/1 Tablet | Proficient Rx LP | ANDA |
| 71205-276 | Famotidine 20 mg/1 Tablet, Film Coated | Proficient Rx LP | ANDA |
| 71205-535 | Famotidine 20 mg/1 Tablet, Film Coated | Proficient Rx LP | ANDA |
| 71205-634 | Famotidine 40 mg/1 Tablet, Film Coated | Proficient Rx LP | ANDA |
| 71205-637 | Famotidine 10 mg/1 Tablet, Film Coated | Proficient Rx LP | ANDA |
| 71205-663 | Famotidine 20 mg/1 Tablet, Film Coated | Proficient Rx LP | ANDA |
| 82804-194 | Famotidine 20 mg/1 Tablet, Film Coated | Proficient Rx LP | ANDA |
| 83008-091 | Famotidine 20 mg/1 Tablet, Film Coated | Quality Care Products, LLC | ANDA |
| 67296-2330 | Famotidine 40 mg/1 Tablet, Film Coated | Redpharm Drug | ANDA |
| 67296-2264 | Famotidine 20 mg/1 Tablet, Film Coated | Redpharm Drug | ANDA |
| 67296-2186 | Famotidine 20 mg/1 Tablet, Film Coated | Redpharm Drug | ANDA |
| 67296-2133 | Famotidine 20 mg/1 Tablet | Redpharm Drug | ANDA |
| 70518-4395 | Famotidine 20 mg/1 Tablet, Film Coated | REMEDYREPACK INC. | ANDA |
| 70518-3829 | Famotidine 20 mg/1 Tablet, Film Coated | REMEDYREPACK INC. | ANDA |
| 70518-4084 | Famotidine 40 mg/1 Tablet, Film Coated | REMEDYREPACK INC. | ANDA |
| 70518-4394 | Famotidine 40 mg/1 Tablet, Film Coated | REMEDYREPACK INC. | ANDA |
| 70518-4574 | Famotidine 20 mg/1 Tablet, Film Coated | REMEDYREPACK INC. | ANDA |
| 64980-623 | Famotidine 20 mg/1 Tablet, Film Coated | Rising Pharma Holdings, Inc. | ANDA |
| 64980-624 | Famotidine 40 mg/1 Tablet, Film Coated | Rising Pharma Holdings, Inc. | ANDA |
| 64980-737 | Famotidine 40 mg/5mL Powder, For Suspension | RISING PHARMA HOLDINGS, INC. | ANDA |
| 48433-150 | Famotidine 20 mg/1 Tablet, Film Coated | Safecor Health, LLC | ANDA |
| 21130-191 | Famotidine 20 mg/1 Tablet | SAFEWAY | ANDA |
| 25021-754 | Famotidine 10 mg/mL Injection, Solution | Sagent Pharmaceuticals | ANDA |
| 25021-753 | Famotidine 10 mg/mL Injection, Solution | Sagent Pharmaceuticals | ANDA |
| 85766-222 | Famotidine 40 mg/1 Tablet, Film Coated | Sportpharm LLC | ANDA |
| 85766-221 | Famotidine 20 mg/1 Tablet, Film Coated | Sportpharm LLC | ANDA |
| 60760-937 | Famotidine 40 mg/1 Tablet, Film Coated | ST. MARY'S MEDICAL PARK PHARMACY | ANDA |
| 60760-736 | Famotidine 40 mg/1 Tablet, Film Coated | St. Mary's Medical Park Pharmacy | ANDA |
| 60760-843 | Famotidine 40 mg/1 Tablet, Film Coated | ST. MARY'S MEDICAL PARK PHARMACY | ANDA |
| 0172-5729 | Famotidine 40 mg/1 Tablet, Film Coated | Teva Pharmaceuticals USA, Inc. | ANDA |
| 0172-5728 | Famotidine 20 mg/1 Tablet, Film Coated | Teva Pharmaceuticals USA, Inc. | ANDA |
| 55681-342 | Famotidine 20 mg/1 Tablet, Film Coated | TWIN MED LLC | ANDA |
| 55681-343 | Famotidine 10 mg/1 Tablet, Film Coated | TWIN MED LLC | ANDA |
| 87441-030 | Famotidine 20 mg/1 Tablet, Film Coated | Unit Dose Solutions, Inc. | ANDA |
| 0832-6045 | Famotidine 40 mg/5mL Powder, For Suspension | Upsher-Smith Laboratories, LLC | ANDA |
| 71821-012 | Famotidine 10 mg/1 Tablet, Film Coated | VKT Pharma Private Limited | ANDA |
| 71821-010 | Famotidine 20 mg/1 Tablet, Film Coated | VKT Pharma Private Limited | ANDA |
| 49035-505 | Famotidine 20 mg/1 Tablet, Film Coated | Wal-Mart Stores, Inc. | ANDA |
| 49035-589 | Famotidine 10 mg/1 Tablet, Film Coated | Wal-Mart Stores, Inc. | ANDA |
| 0363-9607 | Famotidine 10 mg/1 Tablet, Film Coated | WALGREEN CO. | ANDA |
| 0363-5300 | Famotidine 20 mg/1 Tablet, Film Coated | WALGREEN CO. | ANDA |
| 0363-4400 | Famotidine 10 mg/1 Tablet, Film Coated | WALGREEN CO. | ANDA |
| 0363-1899 | Famotidine 20 mg/1 Tablet, Film Coated | WALGREEN CO. | ANDA |
| 69367-400 | Famotidine 20 mg/1 Tablet, Coated | Westminster Pharmaceuticals, LLC | ANDA |
| 69367-401 | Famotidine 40 mg/1 Tablet, Coated | Westminster Pharmaceuticals, LLC | ANDA |
| 72865-215 | Famotidine 40 mg/1 Tablet, Film Coated | XLCare Pharmaceuticals, Inc. | ANDA |
| 72865-214 | Famotidine 20 mg/1 Tablet, Film Coated | XLCare Pharmaceuticals, Inc. | ANDA |
| 70771-1703 | Famotidine 40 mg/1 Tablet, Film Coated | Zydus Lifesciences Limited | ANDA |
| 70771-1702 | Famotidine 20 mg/1 Tablet, Film Coated | Zydus Lifesciences Limited | ANDA |
| 68382-444 | Famotidine 40 mg/5mL Powder, For Suspension | Zydus Pharmaceuticals USA Inc. | ANDA |
| 70710-1683 | Famotidine 20 mg/1 Tablet, Film Coated | Zydus Pharmaceuticals USA Inc. | ANDA |
| 70710-1684 | Famotidine 40 mg/1 Tablet, Film Coated | Zydus Pharmaceuticals USA Inc. | ANDA |
| 25021-756 | Famotidine 4 mg/mL Injection, Solution | Sagent Pharmaceuticals | NDA |
| 25021-755 | Famotidine 4 mg/mL Injection, Solution | Sagent Pharmaceuticals | NDA |
Famotidine recalls
- D-0809-2026 Sep 9, 2026 · Class II · Ongoing
CGMP Deviations - D-0182-2026 Dec 3, 2025 · Class I · Ongoing
Microbial Contamination of Sterile Products; out of limit results obtained for endotoxin testing. - D-0939-2023 Jul 26, 2023 · Class II · Terminated
Labeling: Label Error on Declared Strength: some cartons labeled and containing 20 mg may have an external label placed on the side of the carton indicating strength as 10 mg. - D-0290-2021 Mar 10, 2021 · Class II · Terminated
Presence of foreign tablets/capsules: Famotidine 20mg and ibuprofen 400mg tablets were found in a lot of famotidine 40mg. - D-1392-2020 Jul 29, 2020 · Class III · Terminated
TEMPERATURE ABUSE: Complaint received from customer that product was received in a non-refrigerated state. - D-0009-2018 Oct 18, 2017 · Class III · Terminated
Failed impurities/degradation specifications: Famotodine has an out of specification result for an individual related substance observed during routine stability testing of a batch for related substances -impurity 8 at… - D-1127-2017 Sep 13, 2017 · Class III · Terminated
CGMP Deviations - D-1056-2017 Aug 9, 2017 · Class II · Terminated
Failed Tablet/Capsule Specification; out of specification for tablet weight - D-0293-2015 Dec 17, 2014 · Class II · Terminated
Presence of Particulate Matter: Baxter Healthcare Corporation has received a complaint reporting the presence of particulate matter identified as plastic/rubber in famotidine Injection premixed containers. - D-1484-2014 Sep 3, 2014 · Class III · Terminated
Failed Impurity/Degradation Specification; 12-month stability time point
Frequently asked questions
What is Famotidine used for?
Famotidine Injection is indicated for use in hospitalized adults, or as an alternative to oral famotidine in adults, for the treatment of: active duodenal ulcer (DU). active gastric ulcer (GU). symptomatic nonerosive gastroesophageal reflux disease (GERD). erosive esophagitis due to GERD, diagnosed by endoscopy. treatment of pathological hypersecretory conditions (e.g., Zollinger-Ellison…
What are the side effects of Famotidine?
Most common adverse reactions (>1%) are: headache, dizziness, constipation, and diarrhea. ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Sagent Pharmaceuticals at 1-866-625-1618 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch . 6.1 Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a… See the full label for the complete list.
Who makes Famotidine?
Famotidine is listed by 107 labelers in the FDA NDC directory, including A-S Medication Solutions, Advanced Rx of Tennessee, LLC, Advanced Rx Pharmacy of Tennessee, LLC, Ajanta Pharma USA Inc..
Has Famotidine been recalled?
The FDA enforcement database lists 10 recalls for Famotidine, most recently D-0809-2026 (class ii): CGMP Deviations