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Medicines reference
Product

Quamatel

Famotidine · Gedeon Richter Plc.

1 form: powder. In force in Georgia: 1 of 1 (human register).

Forms and doses1 of 1 in force in Georgia

Form Dose Frequency Georgia
Powder No label dose in the reference yet - Georgia Yes, human
In force until 22 Jul 2030
Human (Ministry of Health, RAMA)
№ რ-043674
Verified on: 22 Oct 2026
Details: pack, label wording, sources, registration

Quamatel, Powder

Kvamatel 20 mg, powder for solution for injection, human medicine
vetman assessment
vetman’s 10-point assessment brings together a product’s regulatory credibility, clinical efficacy, safety and practicality. Cost-effectiveness is assessed only when reliable data are available. It is informational and does not replace a veterinarian’s clinical judgment for an individual patient.
Dog Short-term hospital IV acid suppression when oral therapy is impossible and acid-related gastroduodenal erosion/ulcer or reflux oesophagitis is suspected or confirmed; not routine antiemesis or nonspecific prophylaxis
6.4/10
Situational / acceptable
vetman assessment

Quamatel

Kvamatel 20 mg, powder for solution for injection, human medicine
Assessed clinical scopeDog · Short-term hospital IV acid suppression when oral therapy is impossible and acid-related gastroduodenal erosion/ulcer or reflux oesophagitis is suspected or confirmed; not routine antiemesis or nonspecific prophylaxis · Intravenous
Care settingVeterinary hospital use with diagnosis, exact reconstitution, slow administration or infusion, renal review, objective response monitoring and early oral/PPI strategy reassessment
vetman score 6.4/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-043674 · Verified on 22 Oct 2026 Off-label use

A transparent, accurately reconstituted hospital IV option with direct canine acid-suppression evidence, but not a routine antiemetic or a first-choice sustained acid suppressant. The direct evidence is physiologic, regimen-dependent and not an exact-product healing trial.

Regulatory and scientific credibility6.5/10

The exact 20 mg vial, 5 ml solvent, 4 mg/ml reconstituted concentration, holder and IV-only human label are traceable in current GE and Lithuanian records. Veterinary use is off-label and no exact veterinary dossier exists.

Clinical efficacy6.0/10

Randomised healthy-dog IV pH studies show significant short-term acid suppression; a high-dose CRI met human-derived healing pH targets, while intermittent dosing did not. No diseased-dog healing, bleeding, quality-of-life or exact-product outcome trial exists.

Safety and tolerability6.5/10

Human exact-label safety and veterinary class experience are substantial, but exact-product dog repeated-dose, diseased-subgroup and reproductive data are absent. Renal accumulation, hypersensitivity, infusion handling and route-related events require review.

Clinical practicality7.0/10

The supplied solvent creates a known 4 mg/ml solution suitable for monitored IV measurement, but use requires reconstitution, hospital administration, slow injection or infusion, asepsis, compatibility review and immediate microbiological use. Exact-product SC administration is unsupported.

Full-course cost-effectiveness-

Exact current Georgian course price and availability were not verified; duration and intermittent-versus-CRI resource use are indication-dependent, so cost is excluded.

Important safety and use flags

  • This is a human medicine. Every dog/cat use is off-label and requires an individual veterinary benefit-risk and dose decision. Exact-product veterinary pregnancy, lactation, neonatal and long-term repeated-dose safety are not established.
  • Use only for a specific acid-related erosion, ulcer or reflux rationale when oral therapy is unsuitable. Do not use as a routine antiemetic or automatic cover for gastritis, pancreatitis, renal disease, hepatic disease, corticosteroids or NSAIDs.
  • Twice-daily proton-pump inhibitor treatment generally provides stronger sustained acid suppression. Reassess early whether famotidine is the right strategy.
  • Do not stack famotidine with a PPI empirically; controlled evidence does not show an ulcer-healing advantage and the combination may reduce PPI effectiveness.
  • Intermittent famotidine loses acid-suppressive effect with continued exposure. If treatment continues, reassess diagnosis, pH/healing objective, response and transition strategy rather than escalating blindly.
  • The exact human label is IV-only. Generic clinical SC famotidine exposure does not make SC an authorised or exact-product-supported route.
  • In cats, the reassuring haemolysis study used slow IV administration over five minutes. It supports route safety, not efficacy or rapid bolus administration.
  • Reconstitute the 20 mg vial exactly with the supplied 5 ml solvent to obtain 4 mg/ml. Verify clarity, compatibility, asepsis, injection/infusion rate and immediate microbiological use.
  • Famotidine is substantially renally cleared. Review renal function, accumulation and interval/dose adjustment; also reassess hepatic disease and interacting absorption-sensitive medicines.
  • Contraindicated after hypersensitivity to famotidine, another H2-receptor antagonist or any exact-product excipient.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Cat Short-term hospital IV acid suppression when oral therapy is impossible and acid-related gastroduodenal erosion/ulcer or reflux oesophagitis is suspected or confirmed; not routine antiemesis or nonspecific prophylaxis
6.0/10
Situational / acceptable
vetman assessment

Quamatel

Kvamatel 20 mg, powder for solution for injection, human medicine
Assessed clinical scopeCat · Short-term hospital IV acid suppression when oral therapy is impossible and acid-related gastroduodenal erosion/ulcer or reflux oesophagitis is suspected or confirmed; not routine antiemesis or nonspecific prophylaxis · Intravenous
Care settingVeterinary hospital use with diagnosis, exact reconstitution, slow administration or infusion, renal review, objective response monitoring and early oral/PPI strategy reassessment
vetman score 6.0/10 Situational / acceptable
Evidence confidence: Medium Georgia: Yes, human · № რ-043674 · Verified on 22 Oct 2026 Off-label use

A transparent hospital IV formulation with reassuring slow-IV feline safety data, but injectable feline efficacy remains indirect and PPIs are generally stronger. Use only for a specific acid-related indication when oral therapy is unsuitable.

Regulatory and scientific credibility6.5/10

The exact 20 mg vial, 5 ml solvent, 4 mg/ml reconstituted concentration, holder and IV-only human label are traceable in current GE and Lithuanian records. Veterinary use is off-label and no exact veterinary dossier exists.

Clinical efficacy4.0/10

Cats have controlled oral pH evidence showing short-term effect inferior to omeprazole and route-specific IV safety exposure, but no feline injectable pH-efficacy or clinical-healing trial. Efficacy of this exact IV product is therefore indirect.

Safety and tolerability7.0/10

In 142 hospitalised cats, slow IV famotidine was not associated with haemolysis or a greater PCV decline than SC or control exposure, directly addressing a common concern. This retrospective study does not establish all uncommon, repeated-dose, reproductive or exact-product risks.

Clinical practicality7.0/10

The supplied solvent creates a known 4 mg/ml solution suitable for monitored IV measurement, but use requires reconstitution, hospital administration, slow injection or infusion, asepsis, compatibility review and immediate microbiological use. Exact-product SC administration is unsupported.

Full-course cost-effectiveness-

Exact current Georgian course price and availability were not verified; duration and intermittent-versus-CRI resource use are indication-dependent, so cost is excluded.

Important safety and use flags

  • This is a human medicine. Every dog/cat use is off-label and requires an individual veterinary benefit-risk and dose decision. Exact-product veterinary pregnancy, lactation, neonatal and long-term repeated-dose safety are not established.
  • Use only for a specific acid-related erosion, ulcer or reflux rationale when oral therapy is unsuitable. Do not use as a routine antiemetic or automatic cover for gastritis, pancreatitis, renal disease, hepatic disease, corticosteroids or NSAIDs.
  • Twice-daily proton-pump inhibitor treatment generally provides stronger sustained acid suppression. Reassess early whether famotidine is the right strategy.
  • Do not stack famotidine with a PPI empirically; controlled evidence does not show an ulcer-healing advantage and the combination may reduce PPI effectiveness.
  • Intermittent famotidine loses acid-suppressive effect with continued exposure. If treatment continues, reassess diagnosis, pH/healing objective, response and transition strategy rather than escalating blindly.
  • The exact human label is IV-only. Generic clinical SC famotidine exposure does not make SC an authorised or exact-product-supported route.
  • In cats, the reassuring haemolysis study used slow IV administration over five minutes. It supports route safety, not efficacy or rapid bolus administration.
  • Reconstitute the 20 mg vial exactly with the supplied 5 ml solvent to obtain 4 mg/ml. Verify clarity, compatibility, asepsis, injection/infusion rate and immediate microbiological use.
  • Famotidine is substantially renally cleared. Review renal function, accumulation and interval/dose adjustment; also reassess hepatic disease and interacting absorption-sensitive medicines.
  • Contraindicated after hypersensitivity to famotidine, another H2-receptor antagonist or any exact-product excipient.
Assessment sources
Assessed: 22 Oct 2026The overall score uses 25/25/25/15/10 weights. An unassessed price is excluded and the remaining weights are proportionally renormalised.
Composition / strength
Famotidine20 mg
Formulation Type
Powder
Administration route
Intravenous
Manufacturer
Registration
Georgia Yes, human
In force until 22 Jul 2030
Human (Ministry of Health, RAMA)
№ რ-043674
Verified on: 22 Oct 2026
EU Yes, human
№ LT/1/94/1030/003
Verified on: 22 Oct 2026
UK Not confirmed
Verified on: 22 Oct 2026
US Not confirmed
Verified on: 22 Oct 2026
Controlled in Georgia
No
Checked against the narcotics law, Annex 1, lists I-IV, and Order No. 22/n.
Verified on: 16 Oct 2026
Information not fully verified Exact human label: 20 mg/vial; reconstitution with the supplied 5 ml solvent gives 4 mg/ml; IV only, slow injection or infusion in hospital, with oral transition when feasible. Veterinary intermittent and CRI regimens have different evidence and must not be collapsed into one unrestricted calculator.

Famotidine: No dose supported by a publicly verifiable source yet

Known Contraindications

  • Warning
    Do not use acid-suppressant drugs as antiemetics. Vomiting can be the primary sign of gastritis in dogs and cats, but acid suppression does not treat nausea or vomiting itself.
    Sources: ACVIM
  • Warning
    H2-receptor antagonists are eliminated through a combination of renal excretion and hepatic metabolism. Accumulation is expected when both organs are impaired; no specific dose-reduction schedule is provided.
    Sources: ACVIM
  • Warning
    In hepatic impairment, account for reduced elimination through one of the two principal clearance pathways; see the corresponding renal-impairment warning.

All of this shows in vetman as you prescribe

The dose for the patient's weight, registration in Georgia and controlled status, right on the prescription.