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Step 3: H2 receptor antagonists Famotidine (Pepcid) 20 mg twice daily (morning and evening) or 40 mg at bedtime Cimetidine (Tagamet) 400 mg twice daily H2 blockers reduce acid production by blocking histamine receptors on parietal cells

Janket SJ, Chatanaka MK, Sohaei D, Tamimi F, Meurman JH, Diamandis EP

J Child Neurol (2003) 18:1138.10.1177/08830738030180020501 22 JamesSJMelnykSJerniganSClevesMAHalstedCHWongDHet alMetabolic endophenotype and related genotypes are associated with oxidative stress in children with autism

These include effects such as headaches, higher heart rate, anxiety, increased gastrointestinal distress, dehydration, and slower weight loss rates

Provided that the woman has taken her tablets correctly in the 7 days preceding the first missed tablet, there is no need to use extra contraceptive precautions