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Ranitidine Pharmacokinetics and Adverse Central Nervous System Reactions
Arch Int Med 152:2325-2329, Slugg,P.H.,et al, 1992
See this aricle in Pubmed

Article Abstract
Ranitidine-associated CNS-ADRs,particularly lethargy,confusion,somnolence, and disorientation,occurred more frequently in patients with renal function impairment,and these were associated with higher peak concentrations,average plasma concentrations,and area under the curve. Ranitidine,when given in conventional doses,can cause CNS-ADRs, particularly in older patients who have substantial renal function impairment.These CNS-ADRs occur as a consequence of altered ranitidine disposition.Ranitidine doses should be reduced when renal function impairment is present,and patients should be carefully observed for CNS- ADRs.
 
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adverse drug reaction
agitation
confusion
disorientation
drug induced neurologic disorders
histamine-2 receptor blockers
hyperactivity
lethargy
ranitidine
slurred speech
somnolence

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