title: Changes in the effects of nizatidine and famotidine on cardiac performance after pretreatment with ranitidine.
abstract: This was an open, randomized study of the cardiovascular effects of the histamine H2 receptor antagonists ranitidine, famotidine, and nizatidine after single oral doses alone or in combination in healthy volunteers. When compared with placebo ranitidine (450 mg) did not have any haemodynamic effects. Nizatidine (300 mg) caused significant falls in heart rate and cardiac output. Famotidine (40 mg) caused significant falls in stroke volume and cardiac output and an increase in pre-ejection period. Pretreatment with ranitidine abolished the haemodynamic effects of nizatidine and caused a time-shift of 2 h in the onset of the cardiovascular effects of famotidine. The difference in the results for nizatidine and famotidine can be explained by the longer half-life of famotidine. Vascular effects are assumed to be responsible for impairment of cardiac performance by famotidine.
authors.affiliation: I. Medizinische Klinik, Christian-Albrechts-Universität, Kiel, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Mescheder
authors.forename: U
authors.initials: U
authors.lastname: Ebert
authors.forename: A
authors.initials: A
authors.lastname: Halabi
authors.forename: W
authors.initials: W
authors.lastname: Kirch
mesh_terms: D000328:Adult; D001794:Blood Pressure / Q000187:drug effects; D002302:Cardiac Output / Q000187:drug effects; D004562:Electrocardiography / Q000187:drug effects; D015738:Famotidine / Q000494:pharmacology*; D005260:Female; D006339:Heart Rate / Q000187:drug effects; D006439:Hemodynamics / Q000187:drug effects*; D006801:Humans; D008297:Male; D016567:Nizatidine / Q000037:antagonists & inhibitors / Q000494:pharmacology*; D011292:Premedication; D011899:Ranitidine / Q000494:pharmacology; D013997:Time Factors
chemical_list: D015738:Famotidine; D011899:Ranitidine; D016567:Nizatidine