Is the time of dosing of a potent long-acting H2-receptor antagonist critical? Twenty-four-hour pH measurements with SKF-94482.

Abstract:

:Reduction of daytime as well as nighttime acidity is important in the healing of duodenal ulceration and reflux oesophagitis. The importance of the time of dosing of potent, long-acting H2 blockers for optimal suppression of intragastric acidity is unknown. The efficacy of different oral dosage regimens of SKF-94482, a new, competitive and long-acting H2-receptor antagonist, in reducing daytime and nighttime intragastric acidity was studied with 24-h pH-monitoring in 3 double-blind, randomized, crossover trials in 45 fed, healthy subjects. In study A 200 mg, 400 mg, or 600 mg SKF-94482 or placebo was given at 0830 h for 6 days. In study B the above doses were taken at 1830 h. In study C 200 mg or 300 mg of SKF-94482 or placebo was given at 0830 and 1830 h for 6 days. SKF-94482, 400 mg, was the most effective dose, and twice daily dosing was of no additional pharmacodynamic benefit. When 400 mg SKF-94482 was given at 0830 h, the median 24-h, day (0800-1800 h) and night (1800-0800 h) pH (interquartile range) were 2.6 (2.2-3.2), 2.3 (2.1-3.8), and 2.6 (1.8-3.6), respectively. When the time of dosing was 1830 h with 400 mg SKF-94482, median 24-h, day and night pH were 3.4 (2.5-4.0), 3.4 (3.1-4.3), and 3.7 (2.8-5.9), respectively. Early-evening dosing of this long-acting H2 antagonist resulted in substantially greater suppression of intragastric acidity than morning dosing.

journal_name

Scand J Gastroenterol

authors

Wilder-Smith CH,Merki HS

doi

10.3109/00365529108998573

subject

Has Abstract

pub_date

1991-05-01 00:00:00

pages

501-7

issue

5

eissn

0036-5521

issn

1502-7708

journal_volume

26

pub_type

临床试验,杂志文章,随机对照试验
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    authors: Ritchie JK,Lennard-Jones JE

    更新日期:1976-01-01 00:00:00

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    abstract:OBJECTIVE:Tricyclic antidepressants (TCAs) are well established in the treatment of patients with irritable bowel syndrome (IBS). The effects are believed to be linked to serotoninergic antinociceptive properties, but data on the antinociceptive effects of various TCAs with variable serotoninergic and non-serotoninergi...

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    abstract:BACKGROUND:The aims of the study were to assess the causes of jaundice in Gothenburg, Sweden, to study the types of investigations applied in cholestatic and hepatocellular types of jaundice and treatment and to evaluate the prognosis of these patients up to a year from the diagnosis. METHODS:Over a 3-month period, al...

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    authors: Björnsson E,Ismael S,Nejdet S,Kilander A

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    abstract::In the period 1970 to 1987, 171 patients with small-intestinal mucosal atrophy have been hospitalized in our department. Of these, 132 patients fulfilled the diagnostic criteria of coeliac disease on the basis of histologic findings and clinical improvement on a gluten-free diet. Aspartate aminotransferase (ASAT), ala...

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    pub_type: 杂志文章,meta分析,评审

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    authors: Xiao SP,Gu M,Zhang GX

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    authors: Nyhlin H,Stenling R

    更新日期:1984-05-01 00:00:00

  • The role of a defunctioning stoma for colonic and perianal Crohn's disease in the biological era.

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    pub_type: 杂志文章

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    pub_type: 杂志文章

    doi:10.1080/00365520903100481

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    doi:10.3109/00365529109037023

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    更新日期:1991-08-01 00:00:00

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    pub_type: 杂志文章

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    authors: Yabuuchi Y,Imai K,Hotta K,Ito S,Kishida Y,Manabe S,Yamaoka Y,Hino H,Kagawa H,Shiomi A,Ono H

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    pub_type: 临床试验,杂志文章,随机对照试验

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    authors: Hallerbäck B,Carlsen E,Carlsson K,Enkvist C,Glise H,Haffner J,Innes R,Kirnö K

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    pub_type: 杂志文章,评审

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    pub_type: 杂志文章

    doi:

    authors: Philipson B

    更新日期:1975-01-01 00:00:00

  • Acute biliary pancreatitis: focus on recurrence rate and costs when current guidelines are not complied.

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    journal_title:Scandinavian journal of gastroenterology

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    journal_title:Scandinavian journal of gastroenterology

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    journal_title:Scandinavian journal of gastroenterology

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    authors: Rolny P,Arlebäck A,Järnerot G,Andersson T

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    journal_title:Scandinavian journal of gastroenterology

    pub_type: 临床试验,杂志文章,随机对照试验

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    authors: Ragunath K,Krasner N,Raman VS,Haqqani MT,Phillips CJ,Cheung I

    更新日期:2005-07-01 00:00:00

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    journal_title:Scandinavian journal of gastroenterology

    pub_type: 杂志文章

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    authors: Kalantzis C,Triantafyllou K,Papadopoulos AA,Alexandrakis G,Rokkas T,Kalantzis N,Ladas SD

    更新日期:2007-09-01 00:00:00

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    pub_type: 杂志文章

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    journal_title:Scandinavian journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3109/00365521.2014.899619

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    journal_title:Scandinavian journal of gastroenterology

    pub_type: 杂志文章

    doi:

    authors: Thjodleifsson B,Wormsley KG

    更新日期:1976-01-01 00:00:00

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    abstract::Twenty-nine patients with attacks of distal ulcerative colitis were treated randomly with 3 g 5-aminosalicylic acid (5-ASA) or 30 mg of prednisolone phosphate sodium (PP) enemas (40 ml). Endoscopic, clinical, and histologic improvement were comparable in the two treatment groups. Our study showed that topical treatmen...

    journal_title:Scandinavian journal of gastroenterology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.3109/00365528809090161

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    更新日期:1988-10-01 00:00:00

  • Postoperative on-line monitoring with intraperitoneal microdialysis is a sensitive clinical method for measuring increased anaerobic metabolism that correlates to the cytokine response.

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  • Normal pancreatic secretion in children with progressive familial intrahepatic cholestasis type 1.

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    journal_title:Scandinavian journal of gastroenterology

    pub_type: 杂志文章

    doi:

    authors: Gudmand-Höyer E,Asp NG,Möllmann KM

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  • Immune-mediated liver damage in chronic hepatitis C.

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    pub_type: 杂志文章,评审

    doi:10.3109/00365529509096301

    authors: Wejstål R

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  • Glasgow Blatchford, pre-endoscopic Rockall and AIMS65 scores show no difference in predicting rebleeding rate and mortality in variceal bleeding.

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    doi:10.3109/00365528009181798

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