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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1988-7-22
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pubmed:abstractText |
To test the hypothesis that renal insufficiency alters nizatidine disposition, we determined the pharmacokinetics of nizatidine and its major metabolite after a single oral dose in normal volunteers and patients with various degrees of renal dysfunction, after a single intravenous dose in normal volunteers and patients with severe renal failure and during hemodialysis. After intravenous administration the elimination half-life increased from 1.5 +/- 0.2 hours in normal volunteers to 6.9 +/- 3.3 hours in patients with renal failure. The plasma clearance decreased from 0.59 +/- 0.07 L/kg/hr in normal volunteers to 0.14 +/- 0.02 L/kg/hr in patients with renal failure. Nizatidine bioavailability was nearly 100% in normal volunteers but decreased to 75% in patients with renal failure. The volume of distribution was 1.3 +/- 0.1 L/kg in normal volunteers and was not different in patients with renal failure. Nizatidine protein binding was about 30% in normal and uremic plasma. The drug was not substantially removed by hemodialysis. Patients with creatinine clearances less than 50 ml/min/1.73 m2 should receive 150 mg nizatidine once each evening. Patients with creatinine clearances less than 20 ml/min/1.73 m2 should receive 150 mg nizatidine every other night.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0009-9236
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
43
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
688-95
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2897890-Adult,
pubmed-meshheading:2897890-Biological Availability,
pubmed-meshheading:2897890-Histamine H2 Antagonists,
pubmed-meshheading:2897890-Humans,
pubmed-meshheading:2897890-Kidney,
pubmed-meshheading:2897890-Kidney Diseases,
pubmed-meshheading:2897890-Male,
pubmed-meshheading:2897890-Metabolic Clearance Rate,
pubmed-meshheading:2897890-Middle Aged,
pubmed-meshheading:2897890-Nizatidine,
pubmed-meshheading:2897890-Protein Binding,
pubmed-meshheading:2897890-Renal Dialysis,
pubmed-meshheading:2897890-Thiazoles
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pubmed:year |
1988
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pubmed:articleTitle |
Nizatidine disposition in subjects with normal and impaired renal function.
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pubmed:affiliation |
Department of Medicine, University of Louisville, KY 40292.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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