Cimetidine and Gabapentin interaction

Cimetidine and Gabapentin: the Gabapentin prescribing label mentions this combination without an instruction to avoid it or change the dose.

Minor

Mentioned, no instruction to avoid. Worth knowing; rarely a reason to change anything on its own.

What the FDA labels say

From the Gabapentin (Neurontin) label · effective 2026-05-12

Minor

Cimetidine In the presence of cimetidine at 300 mg four times a day (N=12), the mean apparent oral clearance of gabapentin fell by 14% and creatinine clearance fell by 10%.

Drug interactionsnames CimetidineView label on DailyMed
Minor

Thus, cimetidine appeared to alter the renal excretion of both gabapentin and creatinine, an endogenous marker of renal function.

Drug interactionsnames CimetidineView label on DailyMed
Minor

The effect of gabapentin on cimetidine was not evaluated.

Drug interactionsnames CimetidineView label on DailyMed
No interaction

This decrease in excretion of gabapentin by cimetidine is not expected to be of clinical importance.

Drug interactionsnames CimetidineView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.