Ranitidine increases the bioavailability of postprandial ethanol by the reduction of first pass metabolism.

Abstract:

:Blood ethanol concentrations after separate oral dosing and intravenous infusion of ethanol (0.15 g/kg) were measured in 16 control subjects and 13 subjects treated with ranitidine. All subjects underwent routine upper gastrointestinal endoscopy. Peak blood ethanol concentrations, and area under the blood ethanol/time curve, were significantly higher in the ranitidine group after oral, but not intravenous, ethanol administration. The first pass metabolism, as calculated by the difference between the area under the curves, was significantly lower in the ranitidine group. In addition, all subjects withdrawn from ranitidine (n = 6) had a significant reduction in peak blood ethanol concentration and area under the curve after repeat dosing with oral ethanol. Both groups were well matched for age, sex, indications for endoscopy, findings at endoscopy, and gastric histology. These findings show that ranitidine increases the bioavailability of low dose ethanol and has possible short term forensic, and longterm physical implications for moderate drinkers who are taking the drug.

journal_name

Gut

journal_title

Gut

authors

Brown AS,Fiaterone JR,Day CP,Bennett MK,Kelly PJ,James OF

doi

10.1136/gut.37.3.413

subject

Has Abstract

pub_date

1995-09-01 00:00:00

pages

413-7

issue

3

eissn

0017-5749

issn

1468-3288

journal_volume

37

pub_type

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