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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
10
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pubmed:dateCreated |
1990-1-30
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pubmed:abstractText |
Smoking has been shown to impair the therapeutic effect of H2-receptor antagonists. To evaluate the acid-reducing capacity of H2-receptor antagonists in relation to smoking habits, we tested the effect of ranitidine (Ran) and famotidine (Fam) under physiologic conditions, using ambulatory pH-metry. Intragastric pH was measured over 20 h. Each of 18 healthy volunteers, 9 smokers and 9 nonsmokers, received 40 mg Fam, 300 mg Ran, or placebo in a double-blind, randomized study as a single evening dose. With both drugs 20-h acidity was markedly suppressed. After Fam treatment mean inhibition was 61% in smokers and 76% in nonsmokers and after Ran 51% and 67%, respectively. When areas under the pH curves for each individual were calculated and treatment compared with placebo (= 100%), the response was smaller in smokers than in nonsmokers with either drug (Fam, 153 +/- 21% versus 214 +/- 19%, p less than 0.01; Ran, 176 +/- 21% versus 232 +/- 29%, p less than 0.05) during the first 4 h after drug intake. A similar effect was observed in the morning period from 0600 to 1000 h (Fam, 118 +/- 19% versus 206 +/- 19%, p less than 0.001; Ran, 133 +/- 21% versus 207 +/- 31%, p less than 0.02). During the nighttime there were no significant differences. These findings indicate that smoking impairs the response to both drugs tested.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0036-5521
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
24
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
1172-8
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:2690314-Adolescent,
pubmed-meshheading:2690314-Adult,
pubmed-meshheading:2690314-Double-Blind Method,
pubmed-meshheading:2690314-Famotidine,
pubmed-meshheading:2690314-Female,
pubmed-meshheading:2690314-Gastric Acid,
pubmed-meshheading:2690314-Gastrointestinal Motility,
pubmed-meshheading:2690314-Humans,
pubmed-meshheading:2690314-Male,
pubmed-meshheading:2690314-Randomized Controlled Trials as Topic,
pubmed-meshheading:2690314-Ranitidine,
pubmed-meshheading:2690314-Smoking
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pubmed:year |
1989
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pubmed:articleTitle |
Smoking and pH response to H2-receptor antagonists.
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pubmed:affiliation |
Gastrointestinal Unit, Inselspital Bern, Switzerland.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
|