Cimetidine improves the reliability of creatinine as a marker of glomerular filtration.

Abstract:

:To investigate whether the administration of cimetidine can improve the reliability of creatinine as a marker of GFR, we compared the creatinine clearance (CCr) to the clearance of the true filtration markers 51Cr-EDTA (CEDTA) and inulin (CIn), after oral ingestion of cimetidine in 10 healthy men and 29 patients with varying degrees of renal dysfunction. After administration of cimetidine for three to six days, serum creatinine level rose in all participants, while CEDTA and CIn remained stable in a subgroup of 14 subjects in whom they were measured before as well as after the administration of cimetidine. The mean (+/- SD) ratios of CCr to CEDTA (N = 39) and of CCr to CIn (N = 19) after ingestion of cimetidine were 1.02 +/- 0.13 and 1.01 +/- 0.13, respectively, and did not differ significantly from unity. This high degree of accuracy of the cimetidine-aided CCr was present over the entire range of renal function in the study population. Our results also indicated an improved precision of the cimetidine-aided measurement of CCr, resulting in a variability that did not differ significantly from that of the measurement of CEDTA or CIn. We conclude that after oral administration of cimetidine, the creatinine clearance can be used as a reliable measure of GFR within a broad range of renal function.

journal_name

Kidney Int

journal_title

Kidney international

authors

Hilbrands LB,Artz MA,Wetzels JF,Koene RA

doi

10.1038/ki.1991.331

subject

Has Abstract

pub_date

1991-12-01 00:00:00

pages

1171-6

issue

6

eissn

0085-2538

issn

1523-1755

pii

S0085-2538(15)57421-8

journal_volume

40

pub_type

杂志文章
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