Helicobacter pylori infection prevents the occurrence of the tolerance phenomenon of histamine H2 receptor antagonists

Summary Background : The attenuated anti‐secretory activity of H2 receptor antagonists (H2RA) during continuous administration is referred to as the tolerance phenomenon. However, it is not clarified whether Helicobacter pylori infection affects the occurrence of tolerance to H2RA. It is also not cl...

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Veröffentlicht in:Alimentary pharmacology & therapeutics 2004-09, Vol.20 (5), p.559-565
Hauptverfasser: Fujisawa, T., Adachi, K., Komazawa, Y., Mihara, T., Azumi, T., Katsube, T., Furuta, K., Kazumori, H., Kinoshita, Y.
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container_end_page 565
container_issue 5
container_start_page 559
container_title Alimentary pharmacology & therapeutics
container_volume 20
creator Fujisawa, T.
Adachi, K.
Komazawa, Y.
Mihara, T.
Azumi, T.
Katsube, T.
Furuta, K.
Kazumori, H.
Kinoshita, Y.
description Summary Background : The attenuated anti‐secretory activity of H2 receptor antagonists (H2RA) during continuous administration is referred to as the tolerance phenomenon. However, it is not clarified whether Helicobacter pylori infection affects the occurrence of tolerance to H2RA. It is also not clarified whether the tolerance phenomenon occurs to a new H2RA, lafutidine. Aim : To investigate the occurrence of the tolerance phenomenon in subjects with and without H. pylori infection during the continuous administration of lafutidine and famotidine. Subjects and Methods : Subjects were 20 healthy male volunteers (seven H. pylori positive and 13 H. pylori negative cases). All subjects were examined by ambulatory intragastric pH monitoring five times without medication, on the first and 15th day of the administration of 20 mg b.d. famotidine and 10 mg b.d. lafutidine in a cross‐over fashion. Results : The tolerance phenomenon was not observed in H. pylori‐positive subjects during the 15‐day‐long administration of both H2RAs. In contrast, the tolerance phenomenon was observed in H. pylori negative subjects, which has been previously reported. Conclusions : This study demonstrated that H. pylori infection affects the tolerance phenomenon during continuous administration of H2RAs.
doi_str_mv 10.1111/j.1365-2036.2004.02147.x
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However, it is not clarified whether Helicobacter pylori infection affects the occurrence of tolerance to H2RA. It is also not clarified whether the tolerance phenomenon occurs to a new H2RA, lafutidine. Aim : To investigate the occurrence of the tolerance phenomenon in subjects with and without H. pylori infection during the continuous administration of lafutidine and famotidine. Subjects and Methods : Subjects were 20 healthy male volunteers (seven H. pylori positive and 13 H. pylori negative cases). All subjects were examined by ambulatory intragastric pH monitoring five times without medication, on the first and 15th day of the administration of 20 mg b.d. famotidine and 10 mg b.d. lafutidine in a cross‐over fashion. Results : The tolerance phenomenon was not observed in H. pylori‐positive subjects during the 15‐day‐long administration of both H2RAs. In contrast, the tolerance phenomenon was observed in H. pylori negative subjects, which has been previously reported. Conclusions : This study demonstrated that H. pylori infection affects the tolerance phenomenon during continuous administration of H2RAs.</description><identifier>ISSN: 0269-2813</identifier><identifier>EISSN: 1365-2036</identifier><identifier>DOI: 10.1111/j.1365-2036.2004.02147.x</identifier><identifier>PMID: 15339327</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Acetamides - administration &amp; dosage ; Adult ; Ambulatory Care ; Biological and medical sciences ; Circadian Rhythm ; Cross-Over Studies ; Cross-Sectional Studies ; Digestive system ; Drug Tolerance - physiology ; Famotidine - administration &amp; dosage ; Gastroenterology. Liver. Pancreas. Abdomen ; Helicobacter Infections - physiopathology ; Helicobacter pylori ; Histamine H2 Antagonists - administration &amp; dosage ; Humans ; Hydrogen-Ion Concentration ; Male ; Medical sciences ; Middle Aged ; Pharmacology. 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However, it is not clarified whether Helicobacter pylori infection affects the occurrence of tolerance to H2RA. It is also not clarified whether the tolerance phenomenon occurs to a new H2RA, lafutidine. Aim : To investigate the occurrence of the tolerance phenomenon in subjects with and without H. pylori infection during the continuous administration of lafutidine and famotidine. Subjects and Methods : Subjects were 20 healthy male volunteers (seven H. pylori positive and 13 H. pylori negative cases). All subjects were examined by ambulatory intragastric pH monitoring five times without medication, on the first and 15th day of the administration of 20 mg b.d. famotidine and 10 mg b.d. lafutidine in a cross‐over fashion. Results : The tolerance phenomenon was not observed in H. pylori‐positive subjects during the 15‐day‐long administration of both H2RAs. In contrast, the tolerance phenomenon was observed in H. pylori negative subjects, which has been previously reported. Conclusions : This study demonstrated that H. pylori infection affects the tolerance phenomenon during continuous administration of H2RAs.</description><subject>Acetamides - administration &amp; dosage</subject><subject>Adult</subject><subject>Ambulatory Care</subject><subject>Biological and medical sciences</subject><subject>Circadian Rhythm</subject><subject>Cross-Over Studies</subject><subject>Cross-Sectional Studies</subject><subject>Digestive system</subject><subject>Drug Tolerance - physiology</subject><subject>Famotidine - administration &amp; dosage</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Helicobacter Infections - physiopathology</subject><subject>Helicobacter pylori</subject><subject>Histamine H2 Antagonists - administration &amp; dosage</subject><subject>Humans</subject><subject>Hydrogen-Ion Concentration</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pharmacology. 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Liver. Pancreas. Abdomen</topic><topic>Helicobacter Infections - physiopathology</topic><topic>Helicobacter pylori</topic><topic>Histamine H2 Antagonists - administration &amp; dosage</topic><topic>Humans</topic><topic>Hydrogen-Ion Concentration</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pharmacology. Drug treatments</topic><topic>Piperidines - administration &amp; dosage</topic><topic>Pyridines - administration &amp; dosage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fujisawa, T.</creatorcontrib><creatorcontrib>Adachi, K.</creatorcontrib><creatorcontrib>Komazawa, Y.</creatorcontrib><creatorcontrib>Mihara, T.</creatorcontrib><creatorcontrib>Azumi, T.</creatorcontrib><creatorcontrib>Katsube, T.</creatorcontrib><creatorcontrib>Furuta, K.</creatorcontrib><creatorcontrib>Kazumori, H.</creatorcontrib><creatorcontrib>Kinoshita, Y.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Alimentary pharmacology &amp; therapeutics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fujisawa, T.</au><au>Adachi, K.</au><au>Komazawa, Y.</au><au>Mihara, T.</au><au>Azumi, T.</au><au>Katsube, T.</au><au>Furuta, K.</au><au>Kazumori, H.</au><au>Kinoshita, Y.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Helicobacter pylori infection prevents the occurrence of the tolerance phenomenon of histamine H2 receptor antagonists</atitle><jtitle>Alimentary pharmacology &amp; therapeutics</jtitle><addtitle>Aliment Pharmacol Ther</addtitle><date>2004-09</date><risdate>2004</risdate><volume>20</volume><issue>5</issue><spage>559</spage><epage>565</epage><pages>559-565</pages><issn>0269-2813</issn><eissn>1365-2036</eissn><abstract>Summary Background : The attenuated anti‐secretory activity of H2 receptor antagonists (H2RA) during continuous administration is referred to as the tolerance phenomenon. However, it is not clarified whether Helicobacter pylori infection affects the occurrence of tolerance to H2RA. It is also not clarified whether the tolerance phenomenon occurs to a new H2RA, lafutidine. Aim : To investigate the occurrence of the tolerance phenomenon in subjects with and without H. pylori infection during the continuous administration of lafutidine and famotidine. Subjects and Methods : Subjects were 20 healthy male volunteers (seven H. pylori positive and 13 H. pylori negative cases). All subjects were examined by ambulatory intragastric pH monitoring five times without medication, on the first and 15th day of the administration of 20 mg b.d. famotidine and 10 mg b.d. lafutidine in a cross‐over fashion. Results : The tolerance phenomenon was not observed in H. pylori‐positive subjects during the 15‐day‐long administration of both H2RAs. In contrast, the tolerance phenomenon was observed in H. pylori negative subjects, which has been previously reported. Conclusions : This study demonstrated that H. pylori infection affects the tolerance phenomenon during continuous administration of H2RAs.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>15339327</pmid><doi>10.1111/j.1365-2036.2004.02147.x</doi><tpages>7</tpages></addata></record>
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source Wiley Free Content; MEDLINE; IngentaConnect Free/Open Access Journals; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Acetamides - administration & dosage
Adult
Ambulatory Care
Biological and medical sciences
Circadian Rhythm
Cross-Over Studies
Cross-Sectional Studies
Digestive system
Drug Tolerance - physiology
Famotidine - administration & dosage
Gastroenterology. Liver. Pancreas. Abdomen
Helicobacter Infections - physiopathology
Helicobacter pylori
Histamine H2 Antagonists - administration & dosage
Humans
Hydrogen-Ion Concentration
Male
Medical sciences
Middle Aged
Pharmacology. Drug treatments
Piperidines - administration & dosage
Pyridines - administration & dosage
title Helicobacter pylori infection prevents the occurrence of the tolerance phenomenon of histamine H2 receptor antagonists
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