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Drug interactions

Cyanocobalamin + Famotidine

Severity: Minor

Cyanocobalamin and Famotidine: minor interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Long-term acid suppression can reduce absorption of dietary protein-bound vitamin B12. Deficiency may develop over months to years.

What this interaction means in plain words

Cyanocobalamin and Famotidine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Cyanocobalamin belongs to Miscellaneous; Famotidine belongs to Gastrointestinal Tract.

Evidence level: Moderate

Why it happens

Reduced gastric acid impairs release of vitamin B12 from food protein, decreasing absorption.

What to do

Monitor vitamin B12 status in patients on prolonged therapy and supplement if levels are low.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Cyanocobalamin with Famotidine?

MediHelp rates the interaction as minor. Cyanocobalamin and Famotidine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Long-term acid suppression can reduce absorption of dietary protein-bound vitamin B12. Deficiency may develop over months to years.

How serious is the interaction between Cyanocobalamin and Famotidine?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor vitamin B12 status in patients on prolonged therapy and supplement if levels are low.

What other medicines interact with Famotidine?

MediHelp also lists interactions of Famotidine with, for example, Atazanavir, Dasatinib, Infigratinib. The full list is on the Famotidine page.

Full monographs, dosing and an interaction checker in the MediHelp app

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