Mar 10, 1979

Therapeutic effect of cimetidine in patients undergoing haemodialysis

British Medical Journal
R H JonesV Parsons

Abstract

Blood concentrations of cimetidine were measured and the therapeutic effect of the drug assessed patients undergoing maintenance haemodialysis. Thirteen patients were given a single oral 200-mg dose of cimetidine a mean of 2.7 hours before the start of dialysis. Dialysing for 6--12-6 m2 hours led to a mean fall of 71% in blood cimetidine concentration during haemodialysis. Nine patients with various upper gastrointestinal lesions diagnosed endoscopically were treated for up to six weeks with a reduced cimetidine dose of 200 mg 12-hourly; two patients received two courses of treatment. Repeat endoscopy after treatment disclosed satisfactory healing, and the drug did not accumulate. This lower dose regimen is recommended for patients receiving dialysis who develop upper gastrointestinal lesions for which a histamine H2-receptor antagonist is indicated.

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Citations

Mentioned in this Paper

Hemodialysis
Marginal Ulcer
Tagamet
Gastrointestinal Diseases
Guanidines
HRH2
Drug Administration Schedule

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