[High-dose ranitidine protects stomach and duodenum completely against piroxicam. An endoscopic double-blind pilot study].

Abstract:

:In a randomized placebo-controlled parallel and double-blind study the gastroduodenal effects of 20 mg piroxicam daily was evaluated endoscopically in the presence of ranitidine 150 mg bid or 300 mg bid in 31 healthy volunteers. Drugs were taken over a period of 14 days. Endoscopies were performed at entry and repeated after 14 days of treatment. A damage-score according to Lanza was used. At entry, all groups showed comparable mucosal damages in the stomach and in the duodenum. After 14 days the mean lesion score increased in the piroxicam/placebo group (group A) to 4.5 +/- 1.6 (+/- SEM) in the stomach and to 2.7 +/- 0.8 (+/- SEM) in the duodenum. The corresponding values in the piroxicam/ranitidine 150 mg bid group (group B) were 3.3 +/- 1.2 (stomach) (p > 0.05 vs. group A) and 1.4 +/- 0.7 (duodenum) (p < 0.05 vs. group A). The values in the piroxicam/ranitidine 300 mg bid group (group C) averaged 1.0 +/- 0.0 (stomach) and 0.3 +/- 0.1 (duodenum) (for both p < 0.05 vs. group A). Our data suggest that profound acid inhibition--achieved by doubling the usual dose--afforded complete protection of human stomach and duodenum against piroxicam.

journal_name

Z Gastroenterol

authors

Müller P,Leucht U,Simon B

subject

Has Abstract

pub_date

1992-12-01 00:00:00

pages

851-3

issue

12

eissn

0044-2771

issn

1439-7803

journal_volume

30

pub_type

临床试验,杂志文章,随机对照试验
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  • Misinterpretation of NSAID-induced Colopathy as Crohn's disease.

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    authors: Ruppin H,Hotze A,Düring A,Reichert M,Bauer J,Stoll R,Herbst M,Mahlstedt J

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  • [Cholangitis with subphrenic abscess after complicated cholecystectomy due to occluded plastic stents].

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    authors: Lorentz K

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  • Interstitial pneumonitis during combination therapy with interferon-alpha and ribavirin in a patient with chronic Hepatitis C.

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  • [With the scalpel against the immune system: HIV infection complicated by an unclear colitis].

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  • [Significance of false-positive findings of somatostatin receptor scintigraphy in diagnosis of neuroendocrine tumors of the gastroenteropancreatic system].

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  • [Current aspects of the pathology and differentiation of extranodal marginal zone B-cell lymphoma, MALT-Type, and gastrointestinal diffuse large B-cell lymphoma].

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  • [Actors in liver transplantation advocate greater transparency and systematic evaluations of transplant centres].

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    pub_type: 杂志文章

    doi:

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