TY - JOUR
T1 - Sustained fasting achlorhydria
T2 - A comparison of medical regimens
AU - Peterson, W. L.
AU - Richardson, C. T.
N1 - Funding Information:
Address requests for reprints to: W. L. Peterson, M.D., Gastroenterology (lllBl), Dallas Veterans Administration Medical Center, 4500 South Lancaster Road, Dallas, Texas 75216. This research was supported by the Veterans Administration and grants AM 16816 and AM 17328 from the National Institute of Arthritis, Diabetes, Digestive and Kidney Diseases.
PY - 1985/3
Y1 - 1985/3
N2 - The effects on fasting gastric pH of eight medical regimens were evaluated during a 10-h period in 8 duodenal ulcer patients. Our goal was to find a regimen that would produce sustained, fasting achlorhydria (pH > 7.0) in every patient. The effects of commonly prescribed bolus doses of cimetidine, antacid, or their combination were studied first. Mean gastric pH with cimetidine (300 mg/6 h intravenously), antacid (30 ml/h intragastrically), and their combination was 3.5, 4.6, and 6.8, respectively. Although mean pH with the combination was significantly higher than with either drug alone (p < 0.05), sustained achlorhydria was not achieved. Next we tested constant-infusion regimens of cimetidine (50 mg/h intravenously), antacid (0.5 ml/min intragastrically), and their combination. Whereas infusions of cimetidine or antacid alone produced mean pH levels of 4.3 and 5.2, respectively, not significantly different from their bolus counterparts, the combination regimen resulted in a mean pH of 7.4. However, sustained achlorhydria was still not produced in each patient. Only when the dose of cimetidine infusion was doubled to 100 mg/h and administered with a constant infusion of antacid was sustained achlorhydria achieved in each patient.
AB - The effects on fasting gastric pH of eight medical regimens were evaluated during a 10-h period in 8 duodenal ulcer patients. Our goal was to find a regimen that would produce sustained, fasting achlorhydria (pH > 7.0) in every patient. The effects of commonly prescribed bolus doses of cimetidine, antacid, or their combination were studied first. Mean gastric pH with cimetidine (300 mg/6 h intravenously), antacid (30 ml/h intragastrically), and their combination was 3.5, 4.6, and 6.8, respectively. Although mean pH with the combination was significantly higher than with either drug alone (p < 0.05), sustained achlorhydria was not achieved. Next we tested constant-infusion regimens of cimetidine (50 mg/h intravenously), antacid (0.5 ml/min intragastrically), and their combination. Whereas infusions of cimetidine or antacid alone produced mean pH levels of 4.3 and 5.2, respectively, not significantly different from their bolus counterparts, the combination regimen resulted in a mean pH of 7.4. However, sustained achlorhydria was still not produced in each patient. Only when the dose of cimetidine infusion was doubled to 100 mg/h and administered with a constant infusion of antacid was sustained achlorhydria achieved in each patient.
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U2 - 10.1016/0016-5085(85)90134-9
DO - 10.1016/0016-5085(85)90134-9
M3 - Article
C2 - 3967804
AN - SCOPUS:0021983975
SN - 0016-5085
VL - 88
SP - 666
EP - 669
JO - Gastroenterology
JF - Gastroenterology
IS - 3
ER -