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Pepcid vs Zantac: Main Differences and Similarities


In April 2020, the FDA requested the recall of Zantac. Learn more here.
In April 2020, the FDA requested the recall of Zantac. Learn more here.

Zantac has been recalled by the FDA. Consult your doctor about which medication is right for you. Read more about the recall here. The original post has been preserved for informational purposes only.

Pepcid and Zantac are brand name medications used to treat duodenal and gastric ulcers among other digestive conditions. Both medications work in similar ways to block the action of histamine in the digestive system. As antihistamines, they ultimately reduce the production of acid. Despite their similarities, they also have some differences to review.

Pepcid

Pepcid is the brand name for famotidine. It works as an antihistamine to reduce the production of acid and prevent irritation. Pepcid is approved to treat conditions like GERD, stomach ulcers, esophagitis, and other digestive conditions. It can also treat occasional heartburn.

Pepcid comes as a 10 mg, 20mg, and 40 mg oral tablet. The dose used depends on the condition being treated. However, it may be taken more than once per day for up to 6 weeks in some cases.

Zantac

Zantac is also known by its generic name ranitidine. It blocks acid production in the stomach by blocking histamine receptors. Zantac can be used to treat GERD, stomach ulcers, erosive esophagitis, and other digestive conditions.

Zantac is available as an oral tablet in strengths of 75 mg, 150 mg, and 300 mg. It can be taken once or twice daily although dosage depends on your condition. Zantac, like other similar drugs, is not typically used long term.

Pepcid vs Zantac Side by Side Comparison

Pepcid and Zantac are two medications with several similarities and differences. Their features can be found in the comparison table below.

 

Pepcid Zantac
Prescribed For
  • Gastric hypersecretion
  • Duodenal ulcer
  • Gastric ulcer
  • Gastroesophageal reflux disease (GERD)
  • Heartburn
  • Zollinger-Ellison Syndrome
  • Gastric hypersecretion
  • Duodenal ulcer
  • Gastric ulcer
  • Gastroesophageal reflux disease (GERD)
  • Heartburn
  • Zollinger-Ellison Syndrome
Drug Classification
  • Histamine (H2) Blocker
  • Histamine (H2) Blocker
Manufacturer
Common Side Effects
  • Headache
  • Diarrhea
  • Dizziness
  • Constipation
  • Nausea
  • Vomiting
  • Dry mouth
  • Rash
  • Headache
  • Constipation
  • Abdominal pain
  • Nausea
  • Diarrhea
  • Vomiting
  • Rash
  • Fever
Is there a generic?
Is it covered by insurance?
  • Varies according to your provider
  • Varies according to your provider
Dosage Forms
  • Oral tablet
  • Oral powder for suspension
  • Oral tablet
  • Oral capsule
  • Oral powder for suspension
  • Oral solution
  • Oral syrup
Average Cash Price
  • $19 for 60, 20 mg tablets
  • $390 for a supply of 60, 150 mg tablets
SingleCare Discount Price
Drug Interactions
  • Atazanavir
  • Erlotinib
  • Ketoconazole
  • Itraconazole
  • Rilpivirine
  • Ledipasvir/sofosbuvir
  • Nilotinib
  • Tizanidine
  • Delavirdine
  • Fosamprenavir
  • Procainamide
  • Warfarin
  • Atazanavir
  • Delavirdine
  • Gefitinib
  • Erlotinib
  • Glipizide
  • Ketoconazole
  • Itraconazole
  • Midazolam
  • Triazolam
Can I use while planning pregnancy, pregnant, or breastfeeding?
  • Pepcid is in Pregnancy Category B. It does not pose a risk for fetal harm. Consult a doctor regarding steps to take if planning pregnancy or breastfeeding.
  • Zantac is in Pregnancy Category B. It does not pose a risk for fetal harm. Consult a doctor regarding steps to take if planning pregnancy or breastfeeding.

Summary

Pepcid and Zantac are two drugs that are used in the treatment of gastric ulcers, duodenal ulcers, GERD, and Zollinger-Ellison syndrome. Both drugs work by blocking histamine receptors to reduce acid production in the stomach.

Pepcid and Zantac can be purchased over the counter and taken as oral tablets. They have similar durations of action although dosing depends on the condition being treated. Both medications also have similar side effects like headache, diarrhea, dizziness, constipation and rash.

Zantac and Pepcid interact with various medications it should be used with caution when taken other drugs.

This information is meant to explain similarities and differences between two over-the-counter medications. Consult a physician or other healthcare provider to determine which medication may be best for you.