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Famotidine Tablets (20mg / 40mg)

  • H2-receptor blocker that reduces stomach acid
  • Treats heartburn, acid reflux, and ulcers
  • Available in 20mg and 40mg strengths (28 tablets pack size)
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Famotidine Tablets for Acid Reflux & Heartburn

Medication Name Famotidine Tablets
Active Ingredient Famotidine
Medication Form Oral tablets
Used to Treat Heartburn, acid reflux, indigestion, stomach ulcers, duodenal ulcers, GORD
Available Strengths 20mg, 40mg
Available Pack Sizes 28 tablets
Common Side Effects Headache, dizziness, constipation, diarrhoea
Do you need a prescription for it? Yes
How should it be taken? Once daily at night, or twice daily as directed by your doctor. Swallow whole with water.
Patient Information Leaflet Famotidine Tablets Patient Information Leaflet

How Does Famotidine Work?

Famotidine belongs to a group of medicines called H2-receptor blockers (also known as H2 antagonists). These work by targeting specific receptors in your stomach lining that control acid production.

Your stomach naturally produces acid to help digest food. However, sometimes it produces too much acid, which can cause uncomfortable symptoms like heartburn, indigestion, and damage to the lining of your stomach or oesophagus.

Famotidine works by blocking the H2 receptors in the cells of your stomach lining. When these receptors are blocked, they can’t respond to signals that tell your stomach to produce acid.

This significantly reduces the amount of acid your stomach makes, which helps in several ways:

  • It relieves symptoms like heartburn and indigestion
  • Allows damaged areas in your stomach or oesophagus to heal
  • Prevents further irritation

Most people start to feel relief within 1-2 hours of taking famotidine tablets, and the effects can last throughout the day or night, depending on when you take it.

What are Famotidine Tablets Used For?

Famotidine is used to treat a range of conditions caused by excess stomach acid. These include:

  • Heartburn – the burning sensation in your chest that occurs when stomach acid flows back into your oesophagus
  • Acid reflux – when stomach acid repeatedly flows back into the tube connecting your mouth and stomach, causing discomfort and irritation
  • Gastroesophageal reflux disease (GORD) – a more severe, chronic form of acid reflux that occurs regularly and can damage the lining of your oesophagus
  • Indigestion – uncomfortable feelings of fullness, pain, or burning in your upper stomach caused by excess acid
  • Stomach ulcers – painful sores that develop in the lining of your stomach when acid damages the protective layer
  • Duodenal ulcers – ulcers that form in the first part of your small intestine (the duodenum), often caused by excess stomach acid
  • Zollinger-Ellison syndrome – a rare condition where your stomach produces too much acid due to tumours in the pancreas or duodenum

Famotidine can also be used to prevent ulcers from coming back after they’ve healed, and to protect your stomach if you’re taking medications that can irritate the stomach lining, such as non-steroidal anti-inflammatory drugs (NSAIDs).

Who Can Take Famotidine Tablets?

Famotidine tablets are suitable for adults who need treatment for heartburn, acid reflux, indigestion, or ulcers. They’re generally well-tolerated and can be used for both short-term symptom relief and longer-term management of acid-related conditions.

However, famotidine may not be suitable for everyone. You should not take famotidine tablets if you:

  • Are allergic to famotidine, other H2-receptor blockers, or any other ingredients in the tablets
  • Have severe kidney problems (though your doctor may prescribe a lower dose if you have mild to moderate kidney disease)
  • Are pregnant or breastfeeding, unless your doctor has specifically advised you to take it

You should speak to your doctor or pharmacist before taking famotidine if you:

  • Have kidney or liver disease
  • Have had an allergic reaction to other acid-reducing medications
  • Have difficulty swallowing, persistent vomiting, blood in your vomit, or black stools (these could be signs of a more serious condition)
  • Are experiencing unexplained weight loss
  • Have been diagnosed with phenylketonuria (PKU), as some formulations may contain aspartame
  • Are taking other medications, especially antacids, probenecid, or sucralfate

Before starting treatment with famotidine tablets, always inform your doctor or pharmacist about any medications or vitamins you’re taking and any medical conditions you have.

Famotidine Dosage

  • For heartburn and acid reflux: Usually 20mg once daily at bedtime, or 20mg twice daily (morning and evening)
  • For ulcers: Typically 40mg once daily at bedtime for 4-8 weeks
  • For GORD: Usually 20-40mg twice daily
  • For prevention: Your doctor may prescribe 20mg once daily at bedtime to prevent symptoms from returning

How to Take Famotidine Tablets

Always take famotidine tablets exactly as your doctor has prescribed. The dose and frequency will depend on your condition and how severe your symptoms are.

  1. Swallow the tablet whole with a glass of water. You can take famotidine with or without food, though many people find taking it at bedtime works well for overnight symptom control.
  2. Try to take your tablets at the same time each day. This helps you remember and keeps a steady level of medicine in your system.
  3. Don’t chew, crush, or break the tablets unless your doctor has specifically told you to.
  4. If you’re also taking antacids, take your famotidine tablet 1-2 hours before the antacid. This prevents the antacid from affecting how well the famotidine is absorbed.

Famotidine Side Effects

Like all medicines, famotidine tablets can cause possible side effects, although not everyone experiences them. Most people tolerate famotidine well, and side effects are generally mild when they do occur.

Common Side Effects

  • Headache
  • Dizziness or light-headedness
  • Constipation
  • Diarrhoea
  • Nausea

Uncommon Side Effects

  • Skin rash or itching
  • Tiredness or fatigue
  • Vomiting
  • Dry mouth
  • Loss of appetite
  • Stomach pain or discomfort

Rare Side Effects

  • Confusion or agitation (more common in elderly patients)
  • Mood changes or depression
  • Hallucinations (seeing or hearing things that aren’t there)
  • Irregular heartbeat
  • Muscle or joint pain
  • Hair loss
  • Changes in liver function (shown in blood tests)
  • Blood disorders (may cause unusual bruising or bleeding)

Serious Side Effects

If you experience any of the following, stop taking famotidine and seek immediate medical attention:

  • Signs of a severe allergic reaction, such as sudden swelling of your face, lips, tongue, or throat, difficulty breathing or swallowing, or a severe skin rash
  • Severe or persistent stomach pain
  • Vomiting blood or material that looks like coffee grounds
  • Black, tarry stools or blood in your stools
  • Unexplained bruising or bleeding
  • Yellowing of your skin or the whites of your eyes (jaundice)
  • Severe dizziness or fainting

If you experience any side effects, even those not listed here, speak to your doctor or pharmacist. Most mild side effects will improve as your body adjusts to the medication.

You can report side effects to the MHRA (Medicines and Healthcare products Regulatory Agency) via the Yellow Card Scheme to help monitor the safety of this medication.

Famotidine 20 mg/40mg Tablets Ingredients

Active ingredient: Famotidine 20mg or 40mg per tablet

Other ingredients: The inactive ingredients may vary depending on the manufacturer, but typically include: microcrystalline cellulose, pregelatinised maize starch, hydroxypropyl cellulose, magnesium stearate, hypromellose, titanium dioxide (E171), and talc.

Some brands may contain lactose. If you have lactose intolerance, check the patient information leaflet in your pack or speak to your pharmacist about lactose-free alternatives.

Famotidine Tablets Warnings

  • If you have kidney problems, your doctor may need to adjust your dose. Famotidine is removed from your body through your kidneys, so reduced kidney function can affect how the medication works.
  • Long-term use of acid-reducing medications may slightly increase your risk of bone fractures, particularly in the hip, wrist, or spine. This is more likely if you take high doses for more than a year. Your doctor will monitor this if you need long-term treatment.
  • Famotidine may affect certain blood tests, including tests for allergic reactions. Tell your doctor you’re taking famotidine if you’re due to have any blood tests.
  • Store famotidine tablets at room temperature (below 25°C) in a cool, dry place, away from direct sunlight and out of reach of children.
  • Do not use famotidine tablets after the expiry date shown on the packaging.
  • Keep tablets in their original packaging until you’re ready to take them, to protect them from moisture.

Famotidine Tablets (20mg / 40mg) Reviews

Famotidine Acid Reflux Treatment FAQs


It’s best to avoid drinking alcohol while taking famotidine. Alcohol can increase stomach acid production, which may worsen your symptoms and reduce the effectiveness of the treatment. If you do drink, keep it to a minimum and monitor how it affects your symptoms.

Famotidine and omeprazole work differently. Omeprazole is a proton pump inhibitor (PPI) that generally provides stronger and longer-lasting acid suppression than famotidine.

However, famotidine works faster, usually within 1-2 hours, compared to several days for omeprazole to reach its full effect. Your doctor will recommend the most appropriate treatment based on your condition and symptoms.

Avoid alcohol, as it can worsen acid reflux symptoms. You should also avoid taking antacids within 1-2 hours of your famotidine dose, as they can affect absorption. Don’t take other acid-reducing medications unless your doctor has specifically advised you to. If you’re unsure about any foods or medications, speak to your pharmacist.

You shouldn’t crush or chew famotidine tablets unless your doctor has specifically told you to. The tablets are designed to be swallowed whole. Some tablets can be cut in half if they have a score line, but check with your pharmacist first. If you have difficulty swallowing tablets, speak to your doctor about alternative options.

Like all medications, famotidine tablets have an expiry date printed on the packaging. Don’t use them after this date, as they may not work properly and could be unsafe. If your tablets have expired, return them to your pharmacist for safe disposal.

Famotidine should only be used during pregnancy if your doctor decides the benefits outweigh any potential risks. If you’re pregnant, planning to become pregnant, or breastfeeding, speak to your doctor before taking famotidine. They can assess your individual situation and recommend the safest treatment option.

No, famotidine has not been discontinued in the UK. It remains available as a prescription medication. If you’re having trouble finding it, speak to your pharmacist, as different brands and generic versions are available.

You can usually take famotidine with common painkillers like paracetamol. In fact, famotidine may help protect your stomach if you need to take NSAIDs (non-steroidal anti-inflammatory drugs) like ibuprofen or aspirin, which can irritate the stomach. However, always check with your pharmacist or doctor before combining medications.

Yes, famotidine is a prescription-only medication for acid reflux and heartburn in the UK. You cannot buy it over the counter. You can buy famotidine tablets through Click2Pharmacy’s online consultation service, where our licensed pharmacists will review your symptoms and medical history to make sure famotidine is suitable for you.

If you miss a dose, take it as soon as you remember, unless it’s almost time for your next dose. In that case, skip the missed dose and take your next dose at the usual time. Don’t take a double dose to make up for a forgotten one.

You can take famotidine tablets with or without food – it’s up to you. Many people find it the best time to take it is at bedtime for overnight symptom control, regardless of when they last ate. The most important thing is to take it at the same time each day for consistent relief.

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Page content authored by Amjad Khan, last reviewed by Muhammad on 6th February 2026.

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