Skip to main content
Log in

Effect of domperidone and dopamine on colonic motor activity in patients with the irritable bowel syndrome

  • Originals
  • Published:
European Journal of Clinical Pharmacology Aims and scope Submit manuscript

Summary

The effect of domperidone, a peripheral antidopaminergic drug, on sigmoid motor activity in the irritable bowel syndrome, has been evaluated by measuring pressures in 3 opentipped tubes perfused with distilled water at a constant flow rate of 0.636 ml/min and inserted into the sigmoid colon. Domperidone 20 mg i.v. in 10 patients, did not induce any significant change in basal motility, but prevented the increase in motor activity produced by the infusion of dopamine 5 µg/kg/min for 10 min. It appears that domperidone had no effect on sigmoid motor activity, although the inhibition of dopamine-induced motility confirms the presence of specific dopaminergic receptors in the colon and the antidopaminergic action of domperidone.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Van Neuten JM, Schuurkes JAJ (1981) Animal pharmacology of domperidone, antiemetic and gastrokinetic properties. Roy Soc Med ICSS 36: 22–27

    Google Scholar 

  2. Ennis C, Cox B (1980) The dopamine receptor antagonist domperidone is also a competitive antagonist at α1-adrenoceptors. J Pharm Pharmacol 32: 434–438

    Google Scholar 

  3. Costall B, Fortune DM, Naylor RJ (1979) Neuropharmacological studies on the neuroleptic potential of domperidone. J Pharm Pharmacol 31: 344–347

    Google Scholar 

  4. Brock-Utne JG, Downing JW, Dimopoulos GE, Rubin J, Moshal MG (1980) Effect of domperidone on lower oesophageal sphincter tone in late pregnancy. Anesthesiology 52: 321–323

    Google Scholar 

  5. Weihrauch TR, Forster CF, Krieglstein JK (1978) Evaluation of the effect of domperidone on human oesophageal and gastroduodenal motility by intraluminal manometry. Postgrad Med J 55 [Suppl 1]: 7–10

    Google Scholar 

  6. Lux G, Engel H, Rosch W (1981) The stimulation of oesophageal motility with bromopride, domperidone, and metoclopramide. Roy Soc Med ICSS 36: 29–31

    Google Scholar 

  7. Valenzuela JE, Defilippi C, Gutierrez F (1980) Effect of domperidone on patients with symptomatic gastro-oesophageal reflux. Dig Dis Sci (abstract) 25: 716

    Google Scholar 

  8. Blackwell JN, Heading RC, Fettes MR (1981) Effects of domperidone on lower oesophageal sphincter pressure and gastro-oesophageal reflux in patients with peptic oesophagitis. Roy Soc Med ICSS 36: 57–60

    Google Scholar 

  9. Malagelada JR (1979) Physiologic basis and clinical significance of gastric emptying disorders. Dig Dis Sci 24: 657

    Google Scholar 

  10. Valenzuela JE, Miranda M, Ansari AN, Lim BR (1981) Delayed gastric emptying in patients with reflux oesophagitis. Gastroenterology 80: 1307

    Google Scholar 

  11. Jacobs F, Akkermans LMA, Yol OH, Wittebol P (1981) Effects of domperidone on gastric emptying of semi solid and solid food. Roy Soc Med ICSS 36: 11–20

    Google Scholar 

  12. Valenzuela JE, Liu DP (1981) Studies on intragastric pressure and gastric emptying of liquid in man. Gastroenterologie 19: 449–450

    Google Scholar 

  13. Baeyens R, Reyntjens A, Van Velde E, De Schepper A, Wollaert F (1978) Effects of intravenous and oral domperidone on the motor function of the stomach and small intestine. A double blind evaluation against placebo. Postgrad Med J 54: 17–21

    Google Scholar 

  14. Weihrauch TR, Ehl W (1981) Effect of domperidone on the motility of antrum, pylorus and duodenum in man. Scand J Gastroenterol 16 [Suppl 67]: 195

    Google Scholar 

  15. Schuurkes JAJ, Van Neuten JM (1981) Is dopamine an inhibitory modulator of gastrointestinal motility? Scand J Gastroenterol 16 [Suppl 67]: 33–36

    Google Scholar 

  16. Schuurkes JAJ, Helsen LFM, Van Neuten JM (1982) Improved gastroduodenal coordination by the peripheral dopamine antagonist domperidone. In: Wienbeck (ed) Motility of digestive tract. Raven Press, New York, 565–572

    Google Scholar 

  17. Broekaert A (1979) Effect of domperidone on gastric emptying and secretion. Postgrad Med J 55 [Suppl 1]: 11–14

    Google Scholar 

  18. Lanfranchi GA, Marzio L, Cortini C, Moreno Osset E (1978) Motor effect of dopamine on human sigmoid colon: Evidence for specific receptors. Am J Dig Dis 23: 257–263

    Google Scholar 

  19. Milo R (1980) Use of the peripheral dopamine antagonist, domperidone, in the management of gastrointestinal symptoms in patients with irritable bowel syndrome. Curr Med Res Opin 6: 577–584

    Google Scholar 

  20. Fielding JF (1982) Domperidone treatment in the irritable bowel syndrome. Digestion 23: 125–127

    Google Scholar 

  21. Cann PA, Read WW, Holdsworth CD (1983) Oral domperidone: Double blind comparison with placebo in irritable bowel syndrome. Gut 24: 1135–1140

    Google Scholar 

  22. Schulze-Delrieu K (1979) Metoclopramide. Gastroenterology 77: 768–779

    Google Scholar 

  23. Lechin F, Gomez F, Van Der Dijs B, Lechin E (1980) Distal colon motility in schizophrenic patients. J Clin Pharmacol 20: 459–464

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lanfranchi, G.A., Bazzocchi, G., Fois, F. et al. Effect of domperidone and dopamine on colonic motor activity in patients with the irritable bowel syndrome. Eur J Clin Pharmacol 29, 307–310 (1985). https://doi.org/10.1007/BF00544085

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00544085

Key words

Navigation