NSTK · 01.2026Independent supplement reference
NutriStack
Edition 1.0Updated August 1, 2026

Supplement × Prescription·Evidence index

Cimetidine and Vitamin B12: what the published research says

PubMed indexes 5 records that name Cimetidine and Vitamin B12 together, either in the title or in an interaction, co-administration, or pharmacokinetic context. Each one is listed below with its study design and, where the abstract states one, the authors’ own conclusion, quoted and linked. This page reports that literature. It does not tell you whether to combine them.

Read this first

An evidence index, not guidance.

Every statement below is attributed to a named, dated, linked source.

This page lists published research relevant to Cimetidine and Vitamin B12. It deliberately does not state whether the combination is safe, whether it interacts, in which direction, at what dose, or how far apart to take them.

The research

5 studies naming Cimetidine and Vitamin B12.

Strongest relevance first: papers naming both substances in the title, then human trials and systematic reviews.

Ameliorative effect of vitamin B12 on seminiferous epithelium of cimetidine-treated rats: a histopathological, immunohistochemical and ultrastructural study.

Anatomy & cell biology · 2018 · PMID 29644110

“However, group IV rats showed markedly immunopositive detached cells, spermatids, and primary spermatocytes. Cimetidine interferes with the control of spermatogenesis as evidenced by microscopic and ultrastructural studies and affection of ERβ receptors and vitamin B12 has a protective action against this harmful effect.”

Elsaed et al. · From the abstract

Names both Cimetidine and Vitamin B12 in its title.

Vitamin B12 supplement exerts a beneficial effect on the seminiferous epithelium of cimetidine-treated rats.

Cells, tissues, organs · 2011 · PMID 20962501

Animal study

“Although cimetidine was not able to induce vitamin B(12) deficiency, this drug causes tubular atrophy due to Sertoli cell damage and loss of germ cells. However, vitamin B(12) supplement is able to stimulate spermatogenesis and restore the number of Sertoli cells, softening the harmful effect of cimetidine on spermatogenesis.”

Beltrame et al. · From the abstract

Names both Cimetidine and Vitamin B12 in its title.

Effect of cimetidine on the absorption of vitamin B12.

Scandinavian journal of gastroenterology · 1982 · PMID 7134827

Research Support, U.S. Gov't, Non-P.H.S.Human subjects13 participants

“This impairment of B12 absorption raises the possibility that long-term, full-dose therapy with cimetidine may produce B12 deficiency similar to that seen in other hypochlorhydric states. Our data indicate that cimetidine-induced B12 malabsorption would not be detected by the standard Schilling test.”

Salom et al. · From the abstract

Names both Cimetidine and Vitamin B12 in its title.

Effect of fifteen months of double-blind treatment with cimetidine and placebo on peptic ulcer recurrence.

European journal of clinical pharmacology · 1981 · PMID 6786895

Clinical TrialRandomized Controlled Trial23 participants

“Two men developed gynaecomastia, one died of myocardial infarction and one had transient sinus bradycardia during cimetidine medication. Cimetidine improves the symptomatic state and postpones ulcer recurrence as long as treatment is maintained.”

Danielsson et al. · From the abstract

Names Cimetidine and Vitamin B12 together in an interaction, co-administration, or pharmacokinetic context.

Long-term treatment of systemic mastocytosis with histamine H2 receptor antagonists.

The American journal of gastroenterology · 1980 · PMID 6782861

Case ReportsResearch Support, U.S. Gov't, Non-P.H.S.Human subjects

“These results indicate that effective long-term control of histamine-induced gastric hypersecretion can be achieved with cimetidine. They suggest that some of the cutaneous symptoms of mastocytosis are mediated via histamine H2 receptors in the skin.”

Johnson et al. · From the abstract

Names Cimetidine and Vitamin B12 together in an interaction, co-administration, or pharmacokinetic context.

Limitations

What this evidence cannot tell you.

Search-based evidence indexes have real limits, and it is worth being explicit about them:

NutriStack

Track what you actually take.

NutriStack is a free iPhone app for organising a supplement routine: what you take, when, and what the published record says about it. Its exploratory interaction checker covers Cimetidine, Vitamin B12, and several hundred other substances.

The checker is a research and organisation tool, not a clinical decision aid, and its per-pair assessments are excluded from search until they pass claim-level review.

NutriStack is an informational and organizational tool, not a medical service, and not a substitute for professional advice. Always consult a qualified healthcare professional before starting, stopping, or changing any supplement or medication.