Famotidine (Pepcid) for Dogs: Usage, Dosage, Benefits, and Risks

Insights into safe stomach relief and vital precautions for your canine companion.

By Srija Burman

Famotidine—often known by the brand name Pepcid—is a commonly used antacid and histamine-2 (H2) receptor antagonist for humans. Increasingly, veterinarians recommend famotidine for dogs that experience certain gastrointestinal issues, such as stomach ulcers, gastritis, or acid reflux. This comprehensive guide explains the uses, effectiveness, correct dosage, potential side effects, and critical safety considerations of famotidine for canine patients.

What is Famotidine?

Famotidine is an over-the-counter and prescription medication belonging to a class called H2 blockers. It inhibits the secretion of stomach acid by blocking histamine at the H2 receptors of the stomach lining, reducing acidity and thereby helping ease gastrointestinal discomfort associated with ulcers and other digestive problems.

How Does Famotidine Work in Dogs?

In both humans and dogs, excessive stomach acid can cause conditions like ulcers, gastritis, and gastroesophageal reflux disease (GERD). By reducing acid secretion, famotidine:

  • Soothes inflamed or damaged stomach lining
  • Promotes ulcer healing
  • Reduces the risk of new ulcers or complications
  • May relieve symptoms of acid reflux
  • Is often used adjunctively with other treatments for chronic kidney disease or mast cell tumors that trigger stomach acid production

Brand Names and Forms

Famotidine is commonly sold under the brand name Pepcid in several strengths:

  • 10 mg, 20 mg, and 40 mg tablets
  • Oral powder for suspension (50 mg/5 ml)
  • Injectable formulation (20 mg/50 mL or 2 mg/mL)

When Do Veterinarians Prescribe Famotidine to Dogs?

Famotidine is prescribed off-label for several veterinary purposes, including:

  • Treatment and prevention of gastric (stomach) ulcers
  • Management of gastritis (stomach inflammation)
  • Reducing stomach acid in dogs with chronic kidney disease
  • Treatment of esophagitis (inflammation of the esophagus)
  • Adjunctive therapy for mast cell tumors (reduces acid secretion triggered by tumor-derived histamine)

In most cases, your veterinarian should always determine if famotidine is appropriate for your dog and the exact dosage needed.

Is Famotidine Safe for Dogs?

When prescribed and administered correctly, famotidine is generally considered safe for use in dogs. It is favored over some other antacids due to its mild side effect profile and its lower rate of drug interactions. However, precautions are necessary:

  • Never give famotidine to your dog without veterinary approval. The cause of your dog’s symptoms must be confirmed by a professional, as masking certain conditions with famotidine could delay appropriate treatment.
  • If your dog has underlying health problems (especially liver, kidney, or heart disease), or is taking other medications, your vet may alter dosing or may advise against use.

Famotidine Dosage for Dogs

Dog Weight (lbs)Low Dose (mg)High Dose (mg)
102.55
20510
401020
802040

General dosage guidelines for famotidine in dogs:

  • 0.25 to 0.5 mg per pound (0.5–1 mg/kg) every 12 to 24 hours
  • For mild acid suppression (gastritis, mild reflux): start at the lower end of the range
  • For severe ulceration or as an adjunct in mast cell tumors, the higher range may be needed (but always under direct veterinary supervision)
  • Dosing for chronic kidney disease or as adjunct therapy may have special instructions set by the vet

How to Administer Famotidine to Dogs

  • Give tablets whole or broken up in food if needed
  • Best administered on an empty stomach for optimal absorption, unless your veterinarian directs otherwise
  • Follow timing and frequency as prescribed; missing doses or abrupt cessation can interfere with recovery
  • Do not exceed recommended doses — there can be a diminished effect after two weeks of continuous use

How Long Can Dogs Take Famotidine?

The duration of use depends on the dog’s condition and response to treatment. Famotidine’s effectiveness may wane after more than 14 days of continuous administration in dogs, so your vet may recommend breaks or alternative medications if long-term treatment is needed.

Possible Side Effects of Famotidine in Dogs

Famotidine is rarely associated with serious side effects in healthy dogs. The most common potential side effects (which are generally mild) include:

  • Loss of appetite
  • Nausea or vomiting
  • Diarrhea
  • Lethargy (rare)

Serious or rare reactions (especially with excessive doses or in dogs with other health concerns) may include:

  • Rapid heartbeat or other heart rhythm abnormalities
  • Altered kidney or liver function
  • Allergic reactions (rash, swelling, difficulty breathing)

If you observe any unusual symptoms after giving your dog famotidine, contact your veterinarian immediately.

Interactions and Contraindications

Famotidine generally interacts with fewer drugs than other H2 blockers, but it is not free of contraindications:

  • May interact with certain antacids, sucralfate, or antifungal medications
  • Use with caution with heart or kidney medications
  • Always inform your veterinarian of all medications and supplements your dog is taking

Dogs with severe kidney or liver disease, or those who are pregnant or nursing, must use famotidine only if the benefits clearly outweigh the risks, as determined by a veterinarian.

Storage and Handling of Famotidine

  • Tablets should be stored at room temperature and out of sunlight
  • Liquid formulations (oral suspensions) must be refrigerated and shaken well before use
  • Keep all medication out of reach of children and pets

When to Contact Your Vet

Always consult your veterinarian before starting or stopping famotidine for your dog, and reach out immediately if:

  • Your dog’s symptoms do not improve or worsen
  • Your dog shows signs of an allergic reaction (hives, difficulty breathing, swelling)
  • An overdose is suspected (symptoms: vomiting, diarrhea, pale gums, severe lethargy)

Can Dogs Overdose on Famotidine?

Overdoses are rare but possible. Signs may include vomiting, diarrhea, pale gums, or loss of appetite. If you suspect your pet has ingested more than the prescribed amount, contact your veterinarian, emergency animal hospital, or a pet poison control service immediately.

Frequently Asked Questions (FAQs) about Famotidine for Dogs

Q: What should I do if I miss a dose?

Administer the missed dose as soon as you remember, unless it is close to time for the next dose. Never double up on doses. If uncertain, call your veterinarian.

Q: Can I give my dog famotidine I buy over the counter?

Only do so with explicit veterinary direction. While human famotidine is not toxic to dogs at proper doses, the cause of GI symptoms should be diagnosed by a vet to ensure the drug does not mask serious illness.

Q: Will famotidine cure my dog’s ulcer?

Famotidine is designed to support healing and reduce symptoms, but ulcer healing depends on the underlying cause and may require additional therapies. Follow your vet’s prescribed course.

Q: How quickly does famotidine work in dogs?

Many dogs experience relief in 1 to 3 days, but ulcers and more severe conditions may take a week or longer to show significant improvement.

Q: Are other antacids safe for my dog?

Some antacids (such as omeprazole or cimetidine) may be prescribed in specific cases, but each drug has its own profile of safety, dosing, and indications. Never switch medications without veterinary advice.

Key Takeaways

  • Famotidine (Pepcid) is commonly prescribed for dogs with ulcers, gastritis, and certain other GI conditions.
  • The typical dosage is 0.25–0.5 mg per pound of body weight every 12–24 hours, as prescribed by a veterinarian.
  • Side effects are rare but may include inappetence, vomiting, or diarrhea.
  • Never administer famotidine without veterinary guidance.

Frequently Asked Questions

Is it safe to give famotidine long-term?

Famotidine’s effectiveness may decrease after prolonged use. Veterinarians may recommend alternate treatments if long-term acid suppression is needed.

Can puppies be given famotidine?

Puppies may take famotidine, but only under veterinary instruction and with dose adjustment for their weight and size.

What should I do if my dog vomits after taking famotidine?

Contact your veterinarian for guidance. Adjusting timing or giving with a small treat may help minimize stomach upset.

Can famotidine be used with other dog medications?

Always inform your vet of any medications or supplements your pet is taking to minimize the risk of drug interactions.

How soon should I expect improvement in my dog’s symptoms?

Some dogs begin feeling better in a day or two, but it may take longer for chronic or severe conditions to show improvement. Follow up with your vet as directed.

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Srija holds an MA in English Literature from the University of Calcutta and a PG diploma in Editing and Publishing from Jadavpur University. Her interest in writing and editing ranges across niches, including academics, sports, and human psychology.

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