OBJECTIVE: To optimize the formulation of Roxatidine acetate hydrochloride (ROX) sustained-release tablets. METHODS: ROX sustained-release tablets were prepared by direct powder compression method. Central composite design-response surface methodology was used to optimize the formulation with composite index of 1, 4, 8 h in vitro accumulative release rate as index, using mass ratio of lactose/microcrystalline cellulose (MCC) (m/m), ethyl cellulose (EC) amount and HPMC amount as factors. Validation test was also conducted. RESULTS: The optimal formulation was as follows as ROX 75 mg, lactose 45 mg, MCC 91 mg, EC 65 mg, HPMC 124 mg, micropowder silica gel 2 mg. 1, 4, 8 h in vitro accumulative release rates of prepared sustained-release tablets were (30.7±0.5)%, (65.8±0.7)%, (89.4±0.6)%, respectively. Related errors of them to predicted value were 0.6%, 0.8%, 1.2%, respectively. CONCLUSIONS: ROX sustained-release tablets are prepared successfully, and sustained-release effect is consisted with the expected effect.