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Cimetidine
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Patients with severely impaired renal function have been treated with Cimetidine. However, such usage has been very limited. On the basis of this experience the recommended dosage is 300 mg q 12 hours orally or by intravenous injection. Should the patient's condition require, the frequency of dosing may be increased to q 8 hours or even further with caution. In severe renal failure, accumulation may occur and the lowest frequency of dosing compatible with an adequate patient response should be used. When liver impairment is ... present further reductions in dosage may be necessary.
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