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Celecoxib vs Famotidine: side-by-side comparison

Celecoxib (COX-2 selective NSAID) and Famotidine (H2-receptor antagonist) belong to different therapeutic classes and are rarely substitutes for each other. The comparison is useful when a single patient is weighing both options for adjacent or overlapping needs.

Property Celecoxib Famotidine
Therapeutic class COX-2 selective NSAID H2-receptor antagonist
CAS 169590-42-5 76824-35-6
ATC M01AH01 A02BA03
Molecular weight 381.37 g/mol 337.45 g/mol
Brands with this active ingredient 1 1

What they share

Celecoxib and Famotidine share the common regulatory framework for prescription active ingredients, bioequivalence standards for generics, and pharmacist oversight. Beyond that, points in common are limited.

Key differences

Celecoxib acts by a different mechanism than Famotidine, with indications that barely overlap. Comparing the two is useful when a clinician has mentioned both in the same context or the patient wants to understand why one was prescribed instead of the other.

Mechanisms compared

Celecoxib: Celecoxib selectively inhibits cyclooxygenase-2 (COX-2), the enzyme isoform induced at sites of inflammation, which produces the prostaglandins responsible for pain, fever and inflammation. Famotidine: Famotidine reversibly and competitively blocks histamine H2 receptors on gastric parietal cells, reducing both basal and stimulated gastric acid secretion.

Indications compared

Celecoxib: Celecoxib is approved in adults for the treatment of osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, acute pain in adults and primary dysmenorrhoea. Famotidine: Famotidine is approved in adults and children for short-term treatment of active duodenal and gastric ulcer, maintenance therapy of duodenal ulcer, gastro-oesophageal reflux disease, Zollinger-Ellison syndrome and other…

Safety profile

Celecoxib: Common adverse effects include gastrointestinal symptoms (less frequent than with traditional NSAIDs), peripheral oedema, hypertension and headache. Famotidine: Famotidine is generally well tolerated.

Frequently asked questions

Is Celecoxib better than Famotidine?

Celecoxib and Famotidine are not "better or worse" — they treat different things. The sensible question is which fits your specific need.

Can Celecoxib and Famotidine be combined?

Whether they can be combined depends on the indications and the interaction profile of each. If both are in a single prescription, the prescriber has weighed it; in self-medication they should never be combined.

Do they have the same side-effect profile?

No — they belong to different classes and have distinct side-effect profiles. Each has its own prescribing information.

Products with Celecoxib

Products with Famotidine

The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.