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[The effect of cimetidine and gastrozepin on liver function and the pharmacotherapy of "hepatogenous" gastroduodenal ulcers and erosions].

Title: [The effect of cimetidine and gastrozepin on liver function and the pharmacotherapy of "hepatogenous" gastroduodenal ulcers and erosions].
Transliterated Title: Vliianie tsimetidina i gastrotsepina na sostoianie pecheni i farmakoterapiia "gepatogennykh" gastroduodenal'nykh iazv i éroziĭ.
Authors: Geller LI; Bessonova GA; Griaznova MV
Source: Terapevticheskii arkhiv [Ter Arkh] 1991; Vol. 63 (8), pp. 78-81.
Publication Type: Case Reports; Comparative Study; Journal Article
Language: Russian
Journal Info: Publisher: ZAO 'Konsilium Medikum Country of Publication: Russia (Federation) NLM ID: 2984818R Publication Model: Print Cited Medium: Print ISSN: 0040-3660 (Print) Linking ISSN: 00403660 NLM ISO Abbreviation: Ter Arkh Subsets: MEDLINE
Imprint Name(s): Publication: : Moskva : ZAO 'Konsilium Medikum'; Original Publication: Moskva : Izdatelʹstvo Medit︠s︡ina
MeSH Terms: Cimetidine/*adverse effects ; Liver/*drug effects ; Peptic Ulcer/*drug therapy ; Pirenzepine/*adverse effects; Anti-Ulcer Agents/therapeutic use ; Chemical and Drug Induced Liver Injury/etiology ; Cimetidine/administration & dosage ; Liver/physiopathology ; Liver Cirrhosis/complications ; Peptic Ulcer/etiology ; Peptic Ulcer/physiopathology ; Pirenzepine/administration & dosage ; Adult ; Drug Evaluation ; Drug Therapy, Combination ; Humans ; Male ; Middle Aged ; Time Factors
Abstract: Toxic hepatitis developed but in one out of 127 peptic ulcer patients treated with cimetidine. In patients (n-142) treated with gastrozepine, no cases of toxic hepatitis were recorded. These anti-ulcer agents did not influence absorptive capacities of the liver or hepatic blood flow. Meanwhile microsomal exidase (antitoxic) function of hepatocytes noticeably declined as a result of cimetidine treatment in every 8th patient with peptic ulcer subjected to the continuous 5-week treatment with the drug and in every 5th patient given the treatment (maintenance included) for a longer time. In patients suffering from liver cirrhosis with secondary gastroduodenal ulcers or multiple erosions, the 5-week treatment either with almagel and platyphylline or gastrozepine provided approximately similar results and promoted ulcer and erosion healing in half the cases. Adjuvant 3-week therapy with sucralfate (venter) having cytoprotective properties led to the disappearance of gastroduodenal ulcers and erosions in 23 out of 26 patients, in whom the previous treatment was ineffective.
Substance Nomenclature: 0 (Anti-Ulcer Agents); 3G0285N20N (Pirenzepine); 80061L1WGD (Cimetidine)
Entry Date(s): Date Created: 19910101 Date Completed: 19920330 Latest Revision: 20161123
Update Code: 20260130
PMID: 1792625
Database: MEDLINE

Case Reports; Comparative Study; Journal Article