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In pediatric patients AXID Oral Solution is indicated for
ages 12 years and older. AXID Oral Solution is
indicated for up to 8 weeks for the treatment of
endoscopically diagnosed esophagitis, including
erosive and ulcerative esophagitis, and associated
heartburn due to GERD.
The most common adverse events (>5%) in controlled clinical
trials with pediatric patients were pyrexia,
nasopharyngitis, diarrhea, vomiting, irritability,
nasal congestion, and cough. In controlled clinical
trials with adults, anemia (0.2% vs 0%) and
urticaria (0.5% vs 0.1%) were significantly more
common in the nizatidine group than with placebo.
The following treatment-emergent AEs occurred in
controlled clinical trials with nizatidine vs
placebo in adults: headache (16.6% vs 15.6%),
diarrhea (7.2% vs 6.9%), dizziness (4.6% vs 3.8%),
and rhinitis (9.8% vs 9.6%).
Symptomatic response to nizatidine therapy does not preclude
the presence of gastric malignancy. Pharmacokinetic
studies in patients with hepatorenal syndrome have
not been done. Part of the dose of nizatidine is
metabolized in the liver. AXID Oral Solution is
contraindicated in patients with known
hypersensitivity to the drug. Because cross
sensitivity in this class of components has been
observed, H2RAs, including nizatidine,
should not be administered to patients with a
history of hypersensitivity to other H2RAs.
Dosage should be reduced in patients with moderate
to severe renal insufficiency including some elderly
patients with decreased creatinine clearance.
References: 1. Zantac Syrup full prescribing information. 2. AXID Oral Solution full prescribing information. 3.
Pediatric Gastroesophageal Reflux. Clinical Practice
Guideline Summary. Available at:
http://www.cdhnf.org/pdf/GERD_8_pg_brochure_031103.pdf. Accessed September 3, 2004.
†Zantac
is a registered trademark of GlaxoSmithKline.