Literature DB >> 3942848

The influence of cimetidine on peptic ulcer in patients with arthritis taking anti-inflammatory drugs.

J Davies, A J Collins, S A Dixon.   

Abstract

Patients with arthritis who take nonsteroidal anti-inflammatory drugs (NSAIDs) often develop peptic ulceration. Withdrawal of the NSAID may lead to increased debility and thus it may be desirable to continue the NSAID while attempting to heal the ulceration by additional therapeutic measures. We have investigated the effect of cimetidine in this role. Patients with gastroscopically-proven peptic ulcer associated with NSAID ingestion were given either cimetidine or placebo treatment while continuing to take their NSAIDs. It was found that the ulceration healed in some patients over a 6-week period even on placebo treatment. There was no statistical difference found between the healing of these ulcers when compared with the cimetidine-treated group. The mechanism of NSAID-induced ulceration and the reason for the above finding is discussed.

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Year:  1986        PMID: 3942848     DOI: 10.1093/rheumatology/25.1.54

Source DB:  PubMed          Journal:  Br J Rheumatol        ISSN: 0263-7103


  8 in total

Review 1.  Non-steroidal anti-inflammatory drugs in patients with peptic ulcer disease: to be considered in certain circumstances.

Authors:  M Doherty
Journal:  BMJ       Date:  1989-01-21

2.  Persistence of gastric ulcers caused by plain aspirin or nonsteroidal antiinflammatory agents in patients treated with a combination of cimetidine, antacids, and enteric-coated aspirin.

Authors:  R Jaszewski; R Calzada; R Dhar
Journal:  Dig Dis Sci       Date:  1989-09       Impact factor: 3.199

Review 3.  Gastroprotection and nonsteroidal anti-inflammatory drugs (NSAIDS). Rationale and clinical implications.

Authors:  J Hayllar; A Macpherson; I Bjarnason
Journal:  Drug Saf       Date:  1992 Mar-Apr       Impact factor: 5.606

4.  Treatment of nonsteroidal antiinflammatory drug-induced gastric ulcers with misoprostol. A double-blind multicenter study.

Authors:  R Jaszewski; D Y Graham; S C Stromatt
Journal:  Dig Dis Sci       Date:  1992-12       Impact factor: 3.199

Review 5.  Treatment of peptic ulcer disease in the arthritic patient.

Authors:  D Nunes; N P Kennedy; D G Weir
Journal:  Drugs       Date:  1989-09       Impact factor: 9.546

6.  Peptic ulcer in rheumatoid arthritis.

Authors:  D Farah; R D Sturrock; R I Russell
Journal:  Ann Rheum Dis       Date:  1988-06       Impact factor: 19.103

Review 7.  Management of NSAID-induced gastrointestinal toxicity: focus on proton pump inhibitors.

Authors:  Marco Lazzaroni; Gabriele Bianchi Porro
Journal:  Drugs       Date:  2009       Impact factor: 9.546

8.  Management of NSAID-related gastrointestinal mucosal injury.

Authors:  A F Barrison; M M Wolfe
Journal:  Inflammopharmacology       Date:  1999       Impact factor: 5.093

  8 in total

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