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Intragastric and intraoesophagel pH monitoring in duodenal ulcer patients: effect of the new histamine H2-receptor antagonist ramixotidine

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Summary

The effect of the new histamine H2-receptor antagonist ramixotidine 750 mg p.o., administered at 22.00 h, on intragastric and intraoesophageal pH monitored from 22.00 h to 08.00 h, was studied in a double-blind cross-over trial in 11 duodenal ulcer patients. Placebo and ramixotidine were given to each patient on 2 consecutive days in a randomized sequence. Three patients were excluded from the intragastric pH analysis as the records on the second study day were technically inadequate.

No significant carry-over or sequence effect was noted. Intragastric hydrogen ion activity was significantly lower (p=0.01) after ramixotidine than after placebo: median (range) 24 (9–100) vs 97 (27–188) mmol/l. The percentage of time with intraoesophageal pH <4 was less than 5% in all but three recordings, with a maximum value of 12%, and it was not significantly different after the two treatments.

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References

  1. Lavezzo A, Manzoni L, Bianchetti A, Manara L (1986) Inhibition of dimaprit- and pentagastrin-induced gastric acid secretion in cats by the new histamine H2-antagonist, CM57755. J Pharm Pharmacol 38: 853–856

    Google Scholar 

  2. Wilson JA, Johnston D, Penston J, Wormsley KG (1986) Gastric inhibitory effects of CM57755. Eur J Clin Pharmacol 30: 33–36

    Google Scholar 

  3. Brassinne A, Dresse A, Basilisco G, Manara L (1987) Inhibition of pentagastrin-stimulated gastric acid secretion and plasma levels of the new histamine H2-receptor antagonist ramixotidine dihydrochloride (CM57755) in human volunteers. Eur J Clin Pharmacol 32: 467–470

    Google Scholar 

  4. Goldman MS, Rasch JR, Wiltsie DS, Finkel M (1967) The incidence of esophagitis in peptic ulcer disease. Am J Dig Dis 12: 994–999

    Google Scholar 

  5. Earlam RJ (1985) On the origin of duodenal ulcer pain. Lancet 1: 973–974

    Google Scholar 

  6. Fimmel CJ, Etienne A, Cilluffo T, Ritter C, Gasser T, Rey J-P, Caradonna-Moscatelli P, Sabbatini F, Pace F, Buhler HW, Bauerfeind P, Blum AL (1985) Long-term ambulatory gastric pH monitoring: Validation of a new method and effect of H2-antagonists. Gastroenterology 88: 1842–1851

    Google Scholar 

  7. McLauchlan G, Rawlings JM, Lucas ML, McCloy RF, Crean GP, McColl KEL (1987) Electrodes for 24 h pH monitoring — a comparative study. Gut 28: 935–939

    Google Scholar 

  8. Walt R (1986) Twenty-four hour intragastric acidity analysis for the future. Gut 27: 1–9

    Google Scholar 

  9. Moore JG, Englert E (1970) Circadian rhythm of gastric acid secretion in man. Nature 226: 1261–1262

    Google Scholar 

  10. Emde C, Cilluffo T, Bauerfeind P, Blum AL (1989) Combined esophageal and gastric pH-metry in healthy volunteers. Influence of cable through LES and effect of misoprostol. Dig Dis Sci 34: 79–82

    Google Scholar 

  11. Branicki FJ, Evans DF, Ogilvie AL, Atkinson M, Hardcastle JD (1982) Ambulatory monitoring of oesophageal pH in reflux oesophagitis using a portable radiotelemetry system. Gut 23: 992–998

    Google Scholar 

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Molgora, M., Basilisco, G., Bozzani, A. et al. Intragastric and intraoesophagel pH monitoring in duodenal ulcer patients: effect of the new histamine H2-receptor antagonist ramixotidine. Eur J Clin Pharmacol 37, 405–407 (1989). https://doi.org/10.1007/BF00558510

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  • DOI: https://doi.org/10.1007/BF00558510

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