Histamine 2 blocker drugs – nizatidine

Last updated on October 6, 2022

Special Authority requests can now be submitted online. It's simple and quick!

Generic name		nizatidine
Strength		150 mg, 300 mg
Form		capsule

Criteria	Approval period
Treatment failure on prescription dose of, or intolerance to, ranitidine.	Indefinite

Practitioner exemptions

Practitioners in the following specialty are not required to submit a Special Authority request form for coverage:

Paediatric cardiology
Paediatrics
Paediatric general surgery

Special notes

Prescription dose of ranitidine for adults is considered to be 150 mg twice daily or 300 mg once daily.

Special Authority request form(s)

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5328—General Special Authority Request

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Histamine 2 blocker drugs – nizatidine

Practitioner exemptions

Special notes

Special Authority request form(s)