Where
a gastric ulcer is present, the
possibility of malignancy should
be excluded before treating a patient
with a H2-antagonist, for it may
mask the symptoms of carcinoma in
the stomach and therefore delay
diagnosis of the condition.
Patients with severe renal impairment
will have increased and prolonged
plasma levels of ranitidine (ranitidine
is excreted via the kidney) therefore
it is advised to reduce the dosage
to 150 mg daily.
Ongoing monitoring of patients
on long term treatment of RANITIDINE
is necessary to safeguard against
unforeseeable consequences of the
medicine.
Elderly patients who are taking
a combination of RANITIDINE and
non-steroidal anti-inflammatory
agents, should be well monitored. |