Mucosal protection by H2 antagonists against injury by non-steroidal anti-inflammatory agents.
It is difficult to ascertain the incidence of gastrointestinal side effects associated with intake of non-steroidal anti-inflammatory drugs (NSAIDs). Serious side effects, such as bleeding, perforation, and heart failure, occur in approximately 1% of patients using NSAIDs. One-third of all patients receiving NSAIDs will have gastrointestinal complaints. Since at least 10% of patients terminate treatment with NSAIDs as a result of side effects, even reduction of those that are not life-threatening would be of great benefit. H2-receptor antagonists have proved effective in ulcer treatment, and their use as prophylaxis against the side effects of NSAIDs is being widely studied. In a recent study, 63 patients who had experienced serious upper gastrointestinal side effects were given cimetidine while continuing their NSAID therapy. All but 4 of 47 who had gastric or duodenal ulcer on first admission were healed at 8 weeks, and none of the remaining 16 with diffuse bleeding gastritis experienced further clinical episodes of bleeding or ulcer-related dyspepsia. Bijlsma has reported a double-blind multicentre study using cimetidine or placebo. When GI symptoms led to endoscopic evaluation, GI symptoms were significantly reduced after cimetidine.
Giercksky
K E
KE
Dept. of Surgical Oncology, Det Norske Radiumhospital, University of Oslo, Norway.
D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects*; D000897:Anti-Ulcer Agents / Q000494:pharmacology*; D005753:Gastric Mucosa / Q000187:drug effects*; D006635:Histamine H2 Antagonists / Q000494:pharmacology*; D006801:Humans; D010437:Peptic Ulcer / Q000139:chemically induced / Q000517:prevention & control; D013276:Stomach Ulcer / Q000139:chemically induced / Q000517:prevention & control*
D000894:Anti-Inflammatory Agents, Non-Steroidal; D000897:Anti-Ulcer Agents; D006635:Histamine H2 Antagonists