title: Comparison of intravenous pantoprazole and ranitidine in patients with dyspepsia presented to the emergency department: a randomized, double blind, controlled trial.
abstract: BACKGROUND
  This study aimed to compare pantoprazole, a proton-pomp inhibitors (PPIs), and ranitidine, a H2 receptor antagonists (H2RA), in ceasing dyspeptic symptoms in the emergency department (ED).
  
  
  METHODS
  This randomized, double-blinded study compared the effectiveness of 50 mg ranitidine (Ulcuran(®)) and 40 mg pantoprazole (Pantpas(®)), given in a 100 mL saline solution by an intravenous rapid infusion within 2-4 minutes in patients with dyspepsia presented to the ED. Pain intensity was measured at baseline, 30 and 60 minutes after the drug administration.
  
  
  RESULTS
  A total of 72 patients were eligible for the study. Of these patients, 2 were excluded from the study because the initial visual analogue scale (VAS) scores were under 20 mm and 4 were excluded from the statistical analysis because of being diagnosed as having other causes of epigastric pain despite being allocated to one of the study groups. Thirty-three patients in the pantoprazole group and 33 patients in the ranitidine group were analyzed ultimately. The mean age of the patients was 36.6±15 years, and 26 (39.4%) patients were male. Both of the groups reduced pain effectively at 30 [27.6±28 (18 to 37) vs. 28.3±23 (20 to 37), respectively] and 60 minutes [39.6±39 (26 to 53) vs. 42.3±25 (33 to 51), respectively]. There were 13 (39.4%) patients in the pantoprazole group and 8 (24.2%) patients in the ranitidine group who required additional drug at the end of the study (P=0.186).
  
  
  CONCLUSIONS
  Intravenous pantoprazole and ranitidine are not superior to each other in ceasing dyspeptic symptoms at 30 and 60 minutes in the ED.
authors.affiliation: Department of Emergency Medicine, School of Medicine, Akdeniz University, Antalya, Turkey.
authors.forename: Engin
authors.initials: E
authors.lastname: Senay
authors.affiliation: Department of Emergency Medicine, School of Medicine, Akdeniz University, Antalya, Turkey.
authors.forename: Cenker
authors.initials: C
authors.lastname: Eken
authors.affiliation: Department of Emergency Medicine, School of Medicine, Akdeniz University, Antalya, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Yildiz
authors.affiliation: Department of Emergency Medicine, School of Medicine, Akdeniz University, Antalya, Turkey.
authors.forename: Derya
authors.initials: D
authors.lastname: Yilmaz
authors.affiliation: Department of Gastroenterology, School of Medicine, Akdeniz University, Antalya, Turkey.
authors.forename: Erhan
authors.initials: E
authors.lastname: Alkan
authors.affiliation: Department of Gastroenterology, Burdur Government Hospital, Antalya, Turkey.
authors.forename: Mete
authors.initials: M
authors.lastname: Akin
authors.affiliation: Pamukkale University Hospital, Department of Emergency Medicine, Denizli, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Serinken
keywords: Dyspepsia; Emergency department; Pantoprazole; Ranitidine