Do not take Tagamet Syrup:

• If you are allergic to cimetidine or to any of the other ingredients of this medicine (listed in section 6).

If this applies to you, speak to your doctor or pharmacist.

Warnings and precautions

Talk to your doctor or pharmacist before taking Tagamet Syrup:

• If you have a kidney problem
• if you have a blood disease
• if you have had a peptic ulcer and are also taking a non-steroidal anti-inflammatory drug (NSAID), (e.g. ibuprofen)
• if you are pregnant or planning a pregnancy
• if you are breast-feeding.

Other medicines and Tagamet Syrup

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

Some medicines may be affected by Tagamet or they may affect how well Tagamet will work. Tell your doctor or pharmacist if you are taking medicines which:

• control epilepsy (e.g. phenytoin). Your doctor will monitor you
• thin the blood (e.g. warfarin). Your doctor will monitor you
• treat breathing problems (e.g. theophylline)
• may cause your blood cell count to change (e.g. antibiotics)
• treat fungal (yeast) infections (e.g. ketoconazole, itraconazole, posaconazole)
• treat diabetes (e.g. glipizide, metformin)
• treat anxiety (e.g. diazepam)
• treat depression, called tricyclic antidepressants (e.g. amitriptylline)
• lower blood pressure or treat heart conditions (e.g. metoprolol, propranolol, nifedipine, diltiazem, procainamide)
• numb the body such as anaesthetics used in hospital (e.g. lidocaine)
• are strong pain relievers (e.g.morphine)
• suppress the immune system (e.g. ciclosporin, tacrolimus)
• treat HIV/AIDS (e.g. atazanavir)
• treat tumours or cancer (e.g. carmustine, fluorouracil, epirubicin), or if you are having radiation therapy.

Pregnancy and breast-feeding

Do not take Tagamet if you are pregnant, planning to become pregnant or breast-feeding unless advised to by your doctor.

Driving and using machines

Tagamet syrup is unlikely to affect your ability to use machinery or to drive.

Tagamet Syrup contains:

• Sodium
  This medicine contains 2.56 mg sodium (main component of cooking/table salt) in each ml. This is equivalent to 0.13% of the recommended maximum daily dietary intake of sodium for an adult.
• Methyl hydroxybenzoate and propyl hydroxybenzoate
  These may cause allergic reactions (possibly delayed).
• Sucrose
  If you have been told that you have an intolerance to some sugars, contact your doctor before taking this medicinal product. May be harmful to the teeth.
• Sorbitol
  This medicine contains 350 mg sorbitol in each 5 ml spoonful which is equivalent to 70 mg/ml. Sorbitol is a source of fructose. If your doctor has told you that you (or your child) have an intolerance to some sugars or if you have been diagnosed with hereditary fructose intolerance (HFI), a rare genetic disorder in which a person cannot break down fructose, talk to your doctor before you (or your child) take or receive this medicine.
  Sorbitol may cause gastrointestinal discomfort and mild laxative effect.
• Sunset yellow
  This may cause allergic reactions.
• Ethanol (alcohol)
  This medicinal product contains 3 vol % ethanol (alcohol), i.e. up to 1.42 g per maximum daily dose (60 ml), equivalent to 36 ml beer, 15 ml wine per 60 ml. Harmful for those suffering from alcoholism. To be taken into account in pregnant or breast-feeding women, children and high-risk groups such as patients with liver disease, or epilepsy.
• Propylene glycol
  This medicine contains 500 mg propylene glycol in each 5 ml which is equivalent to 100 mg/ml
  If your child is less than 5 years old, talk to your doctor or pharmacist before giving them this medicine, in particular if they use other medicines that contain propylene glycol or alcohol.
  If you are pregnant or breast-feeding, do not take this medicine unless recommended by your doctor. Your doctor may carry out extra checks while you are taking this medicine.
  If you suffer from a liver or kidney disease, do not take this medicine unless recommended by your doctor. Your doctor may carry out extra checks while you are taking this medicine.