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Ranitidene: prescribed when diagnosed? / + Frustrations: what's causing what?

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  • Ranitidene: prescribed when diagnosed? / + Frustrations: what's causing what?

    Not sure this is the right place - couldn't find a forum topic among the treatment options, where it could fit!]


    I have severe IC.

    The day my new urologist did the cystoscopy, he started me on three things:
    heparin/lidocaine/sodium bicarbonate instillations ('invesical'?), Uracyst installations (those both in the hospital), and a prescription for Ranitidene.

    Apparantly a milder form of Ranitidene called Zantac is available over the counter?

    I looked it up and Ranitidene is a drug usually used for stomach ulcer - I think that it reduces acid in the stomach so the ulcers aren't so irritated and can heal. So, I can see how it might be interesting to try it for IC - if you reduce the acid with stuff in the stomach, presumably that means lower acidity in the bladder?


    So my questions are:

    I haven't seen Ranitidene discussed in the forums. How common / uncommon is it to have it prescribed for IC?

    Has anyone read / heard of any research that demonstrates that Ranitidene helps IC? Any convincing numbers?

    Has anyone with IC noticed Ranitidene made a difference with the symptoms? And if yes, how long did it take til it took effect, and what differences did you experience?

    What side effects, if any, did you get from Ranitidene?

    One person in here said that she ( / he) had drowsiness too severely and went off of it. I have had severe drowsiness since being on it. I mentioned it to my GP and she said that isn't a normal effect of Ranitidene... that maybe that patient had a one-off drowsiness experience, but that my GP prescribes it all the time and doesn't hear that. I called the pharmacist, and he said the same thing - not a common effect.

    I mention that because I have had a significant backslide in the past week or so and i can't figure out what's causing it. One of the two big backslides is somnolence. I'm back bed-bound again, too heavy to lift my head. Ranitidene is one of the changes I an think that happened during this time. So I'm thinking I'll just go off the Ranitidene as an experiment to see if that changes.

    Then I wondered about Naproxen, I'd been advised to try that to see if it will help with the second big backslide which is that the pain is up. Maybe Naproxen makes grogginess. I guess I'll try not taking that for a while.

    I had the Methadone doses put up because of the pain increase (from 3 to 5 ml. per dose) but that was a while before the heavy somnolence hit. And it doesn't make sense that the pain is up, if the Methadone is up.

    It's all so so confusing.

    When I switched from morphine to methadone just over 2 weeks ago it was dramatic success - the pain was covered, plus there was a massive improvement in my clearheadedness.

    That week I started installations - three days in a row (I'd had 2 heparine/lido ones previously, as tests). My pain seemed to go up, and increase, and after 2 more the next week I was worried that they were worsening my pain and the urol. instead of decreasing the hepo/lido instillations, cancelled them completely. Now with the pain still up in my body, I'm thinking that maybe if I'd stuck with the instill's, after a month of them things would have improved with treatmnent - and I've screwed that up maybe and won't know.

    So what had caused the pain to be up the past week and a bit? And what has triggered such a massive change from clearheaded to stoned and bedbound?

    I find it so so difficult to figure these things out, and so frustrating.
    ______
    Severe IC developed fairly quickly, autumn 2010.
    So severe that I was bed-bound & on 160mg/day morphine to cope with torturous pain levels, and unable to function other than hospital/medical appointments, for seven months. Then, miracle of miracles, something started working. I am steadily lowering the methadone dose level. I have been far out of that desperate nightmare hell zone for several months now and continue to improve.

    - Ranitidine (anti-histamine, H2-inhibitor) 300mg/day
    - Methadone 9 ml/day
    - Instillations:
    - 40ml Kenalog (steroid for inflammation) 2 x per
    week, along with rescue cocktail of heparin,
    lidocaine, sodium bicarbonate
    - 20ml Uracyst, monthly @ $100/per
    - Depo lupron injections for endometriosis, monthly @ $88/per

  • #2
    I can't help with the majority of your questions and I'm sorry you're in so much pain!
    I am super sensitive to all medicines and those two ranatidine and naproxen have zero drowsiness effects for me. Usually if a med says it could cause drowsiness it knocks me out. Just my personal experience but thought I'd mention it to you.

    The reason some docs tell you to take ranatidine (zantac or generic) or famatodine (pepcid or generic) is not because of stomach acid but because it blocks a different histamine cell, H2 I think. Regular antihistamines block H1 and these stomach meds block the other. I really don't know if its been that successful in trials as its not even recommended by the UA. I don't think it will hurt your IC though. I have taken pepcid for years. The newer ones, the PPI's which (like omeprazole) are much stronger don't block the H2 receptors. Zantac is one of the oldest ones out there and is known to have interactions with other medicines and more side effects, I can't remember which ones though. Pepcid and generic is really cheap otc and might be worth trying instead as it hardly has any side effects, I took it for years before I started with omeprazole and I still take one at night but not sure it really does a thing for my IC.

    Could be the methadone or a combination of methadone with one of your other drugs...not sure what all you take. Probably people here can comment on the methadone who take it. Are you taking antihistamines too? Sometimes a combination of all the meds can together wipe you out where one of them would be tolerable. Maybe show a list of all your meds to your pharmacist and see if they have any suggestions.

    Good luck.
    Cindi


    Gelnique for frequency/urgency - works great
    Macrobid after sex
    Prilosec, continuous birth control pills
    synthroid .088mg, mucinex-d, restasis

    Supplements: Desert Harvest Aloe vera, Cysta-q, prelief, magnesium and calcium, Vit D, flaxseed oil

    Diag Mild IC Jan 11 but have had symptoms for 25 years. Also have GERD, TMJ, IBS-C, chronic dry eye syndrome, hashimotos thyroiditis, non-allergic rhinitis.

    IC Diet Link: http://www.ic-network.com/diet/2009icdietlist.pdf
    AUA 2011 Guidelines to diagnosing and treating IC overview- http://www.ic-network.com/forum/showthread.php?p=571592
    AUA 2011 Guidelines to diagnosing and treating IC PDF: http://www.auanet.org/content/guidel...ent_ic-bps.pdf
    Great treatment flowchart on page 19 of the pdf

    Comment


    • #3
      My gyno said to try it becuase it blocks mast cells like what atarax does. I take 75 mg of Zantac in the morning and atarax at night. Atarax is a histamine blocker and zantac is an acid reducer. I don't know if either are helping though...
      _____________________________________________

      Comment


      • #4
        My experience with zantac, pepcid and the other types of those drugs are they make me feel awful. I get sleepy and just feel somewhat nauseas, I know that they are supposed to stop that but for me they make me feel awful. Since they are another type of antihistamine maybe that is the reason.

        Your pain might be up again because you are having some type of flare. Pain meds don't always keep every bit of pain at bay but they do help ease it quite a bit. Try to stick with your meds for a time to give them time to work. Methadone has an accumalative effect but your Dr might want to increase your dose but NEVER increase it on your own.

        I hope you are feeling better today.
        Sandra
        Link to the patient information, everything from What is IC? to Disability
        http://www.ic-network.com/patientlinks.html

        American Urological Association Clinical Guideline
        Diagnosis and Treatment of Intersitial Cysitis/Painful Bladder Syndrom
        http://www.auanet.org/content/guidel...ent_ic-bps.pdf

        Comment


        • #5
          Zantac for IC? I dunno...I've been taking Ranitidine (Zantac) for GERD but it is in no way helping my IC.
          Dg. with IC 2/15/10

          Other conditions: depression, ADHD, lactose intolerance, celiac disease, chronic fatigue syndrome, IBS-C.

          Medications I'm on: Vyvanse 70mg, Xanax 1 mg as needed, Wellbutrin XL 150 mg, Vicodin 5/500 as needed for pain, Microgestin 1/20 continuously.

          Supplements I'm taking: Chondroitin Sulfate, N-acetyl-glucosamine, MSM 3gr/day, Pancreatin, B-5, Ester-C, and marshmallow root tea

          Comment


          • #6
            Zantac is a Histamine2 antagonist, it blocks H2receptors. I read a while back that someone did a study with mice where they induced cystitis chemically and then treated them with various H2 blockers, pepcid, tagemet and Zantac. The mice improved with all meds but the mice given zantac improved the most. Zantac is often used to treat urticaria( hives) is atarax doesn't help. I've been on zantac and have noticed a difference.

            Suzanne

            Comment


            • #7
              Maybe its a dosing problem. How much are you supposed to take for IC versus GERD?
              Cindi


              Gelnique for frequency/urgency - works great
              Macrobid after sex
              Prilosec, continuous birth control pills
              synthroid .088mg, mucinex-d, restasis

              Supplements: Desert Harvest Aloe vera, Cysta-q, prelief, magnesium and calcium, Vit D, flaxseed oil

              Diag Mild IC Jan 11 but have had symptoms for 25 years. Also have GERD, TMJ, IBS-C, chronic dry eye syndrome, hashimotos thyroiditis, non-allergic rhinitis.

              IC Diet Link: http://www.ic-network.com/diet/2009icdietlist.pdf
              AUA 2011 Guidelines to diagnosing and treating IC overview- http://www.ic-network.com/forum/showthread.php?p=571592
              AUA 2011 Guidelines to diagnosing and treating IC PDF: http://www.auanet.org/content/guidel...ent_ic-bps.pdf
              Great treatment flowchart on page 19 of the pdf

              Comment


              • #8
                I take 150mg of Zantac twice a day for my IC. That along with 6 weekly elmiron instills helped for about 6 months. I had no blood in my urine and was able to reintroduce lots of food back into my diet (until I ate 4 grapes and went into a severe flare requiring instills again)! But I find with this disease what works for one person, doesn't work for another. Hope you feel better soon!
                Amanda
                32 years old
                Symptoms started after a mole removal and flu shot. Diagnosed after 3rd opinion and cystoscopy with hydrodistention. Now attend a pelvic medicine clinic with my gyno and uro every 2 months.
                Also I have migraines, vulvodynia, endometriosis, IBS, eczema, severe seasonal allergies, PFD, chronic yeast, primary raynaud's, and a shoulder full of scar tissue from a mole removal

                Current treatment
                Zantac 150mg twice a day
                Topamax 75mg twice a day
                Trazodone 50mg before bed
                Atarax 25mg before bed and as needed
                Elivil 25mg before bed
                Zyrtec 10mg once a day
                Ogestrel continuously
                Lidocaine cream as needed
                Estrogen/Testosterone cream three times a week
                Gabapentin cream daily
                Valium vaginal suppository as needed
                Pyridium as needed
                Physical Therapy for PFD treatment
                Acupuncture every other week

                Comment


                • #9
                  cimetidine and ranitidene

                  In the latest American Urological Associations,report Jan,2011. It gave cimetidine a grade B for IC. Cimetidine has some problems with other drug interactions so ranitidene was suggested by Dr.Moldwin in his book. I am in a severe flare and have been for 2 months. I am at the end of my rope and am trying to find something that I have not tried yet. I plan on using ranitidene to see if I have any positive results. I can't stand anything on my abdomen, even my biggest pair of sweats. I am taking vicodin, prosed ds, hydroxyzene, valium suppositores, TENS unit, cystoprotek,probiotics and elavil but plan on stopping that because of weight gain. I too am bed bound. I can find a comfortable place in bed but feel like it has become a prison for me. I am so frustrated. A trip to my URO DR ended with me seeing a PA who suggested hydrodestention which scares me terribly. I have had 3 instills in the last month also. Pain is still there as soon as I eat anything. I also am sticking to the IC diet and am gluten free for the most part. Any suggestions would be appreciated and any body that had the hydrodestention with success wouild be helpful.

                  Sully

                  Comment

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