Acid‐inhibitory effects of omeprazole and lansoprazole in Helicobacter pylori‐negative healthy subjects

Background: Omeprazole 20 mg once daily (o.d.) and lansoprazole 30 mg o.d. have similar acid‐inhibitory effects in healthy Helicobacter pylori‐positive subjects. However, little is known about the acid‐inhibitory effects of the o.d. and twice daily (b.d.) doses in H. pylori‐negative subjects. Aim: T...

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Veröffentlicht in:Alimentary pharmacology & therapeutics 1998-04, Vol.12 (4), p.329-335
Hauptverfasser: Geus, Mulder, Nicolai, Boomgaard, D. M. Van Den, Lamers
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container_end_page 335
container_issue 4
container_start_page 329
container_title Alimentary pharmacology & therapeutics
container_volume 12
creator Geus
Mulder
Nicolai
Boomgaard, D. M. Van Den
Lamers
description Background: Omeprazole 20 mg once daily (o.d.) and lansoprazole 30 mg o.d. have similar acid‐inhibitory effects in healthy Helicobacter pylori‐positive subjects. However, little is known about the acid‐inhibitory effects of the o.d. and twice daily (b.d.) doses in H. pylori‐negative subjects. Aim: To compare the decrease in gastric acidity of omeprazole 20 mg (o.d. and b.d.) with lansoprazole 30 mg (o.d. and b.d.) in healthy H. pylori‐negative subjects on day 6–7 of dosing. Methods: A randomized, investigator‐blind, crossover study design was used. Intragastric pH was measured continuously with glass electrodes positioned in the gastric corpus. Sixteen H. pylori‐negative subjects, whose intragastric acidity fell below pH 4 for 70% of a 24‐h baseline period, were entered in the study. Results: Both dosing regimens of omeprazole and lansoprazole significantly increased median gastric pH and percentages of time above pH 4 during the entire 24‐h period, night‐ and daytime, compared to baseline. There were no significant differences in median gastric pH values or time above pH thresholds 3, 4 and 5 between the o.d. dosing regimens. During the night the percentage of time spent above pH 3 and 4 was significantly higher with omeprazole 20 mg b.d. than with lansoprazole 30 mg b.d. Conclusions: This comparative study demonstrates that daily doses of omeprazole 20 mg and lansoprazole 30 mg are equally effective in raising intragastric pH in H. pylori‐negative subjects on day 6 of dosing. During the night, omeprazole 20 mg b.d. provides superior gastric acid suppression compared to lansoprazole 30 mg b.d.
doi_str_mv 10.1046/j.1365-2036.1998.00304.x
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Results: Both dosing regimens of omeprazole and lansoprazole significantly increased median gastric pH and percentages of time above pH 4 during the entire 24‐h period, night‐ and daytime, compared to baseline. There were no significant differences in median gastric pH values or time above pH thresholds 3, 4 and 5 between the o.d. dosing regimens. During the night the percentage of time spent above pH 3 and 4 was significantly higher with omeprazole 20 mg b.d. than with lansoprazole 30 mg b.d. Conclusions: This comparative study demonstrates that daily doses of omeprazole 20 mg and lansoprazole 30 mg are equally effective in raising intragastric pH in H. pylori‐negative subjects on day 6 of dosing. 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M. Van Den</creatorcontrib><creatorcontrib>Lamers</creatorcontrib><title>Acid‐inhibitory effects of omeprazole and lansoprazole in Helicobacter pylori‐negative healthy subjects</title><title>Alimentary pharmacology &amp; therapeutics</title><addtitle>Aliment Pharmacol Ther</addtitle><description>Background: Omeprazole 20 mg once daily (o.d.) and lansoprazole 30 mg o.d. have similar acid‐inhibitory effects in healthy Helicobacter pylori‐positive subjects. However, little is known about the acid‐inhibitory effects of the o.d. and twice daily (b.d.) doses in H. pylori‐negative subjects. Aim: To compare the decrease in gastric acidity of omeprazole 20 mg (o.d. and b.d.) with lansoprazole 30 mg (o.d. and b.d.) in healthy H. pylori‐negative subjects on day 6–7 of dosing. Methods: A randomized, investigator‐blind, crossover study design was used. Intragastric pH was measured continuously with glass electrodes positioned in the gastric corpus. Sixteen H. pylori‐negative subjects, whose intragastric acidity fell below pH 4 for 70% of a 24‐h baseline period, were entered in the study. Results: Both dosing regimens of omeprazole and lansoprazole significantly increased median gastric pH and percentages of time above pH 4 during the entire 24‐h period, night‐ and daytime, compared to baseline. There were no significant differences in median gastric pH values or time above pH thresholds 3, 4 and 5 between the o.d. dosing regimens. During the night the percentage of time spent above pH 3 and 4 was significantly higher with omeprazole 20 mg b.d. than with lansoprazole 30 mg b.d. Conclusions: This comparative study demonstrates that daily doses of omeprazole 20 mg and lansoprazole 30 mg are equally effective in raising intragastric pH in H. pylori‐negative subjects on day 6 of dosing. 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Van Den ; Lamers</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5084-7f575b40410075a63ee1ed6e8c883c241086f95f006e97a447022e272d8cf9703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>2-Pyridinylmethylsulfinylbenzimidazoles</topic><topic>Administration, Oral</topic><topic>Adult</topic><topic>Anti-Ulcer Agents - administration &amp; dosage</topic><topic>Anti-Ulcer Agents - pharmacology</topic><topic>Anti-Ulcer Agents - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Cross-Over Studies</topic><topic>Digestive system</topic><topic>Double-Blind Method</topic><topic>Gastric Acid - metabolism</topic><topic>Helicobacter pylori</topic><topic>Humans</topic><topic>Lansoprazole</topic><topic>Medical sciences</topic><topic>Omeprazole - administration &amp; dosage</topic><topic>Omeprazole - analogs &amp; derivatives</topic><topic>Omeprazole - pharmacology</topic><topic>Omeprazole - therapeutic use</topic><topic>Pharmacology. Drug treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Geus</creatorcontrib><creatorcontrib>Mulder</creatorcontrib><creatorcontrib>Nicolai</creatorcontrib><creatorcontrib>Boomgaard, D. M. Van Den</creatorcontrib><creatorcontrib>Lamers</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>Geus</au><au>Mulder</au><au>Nicolai</au><au>Boomgaard, D. M. Van Den</au><au>Lamers</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acid‐inhibitory effects of omeprazole and lansoprazole in Helicobacter pylori‐negative healthy subjects</atitle><jtitle>Alimentary pharmacology &amp; therapeutics</jtitle><addtitle>Aliment Pharmacol Ther</addtitle><date>1998-04</date><risdate>1998</risdate><volume>12</volume><issue>4</issue><spage>329</spage><epage>335</epage><pages>329-335</pages><issn>0269-2813</issn><eissn>1365-2036</eissn><abstract>Background: Omeprazole 20 mg once daily (o.d.) and lansoprazole 30 mg o.d. have similar acid‐inhibitory effects in healthy Helicobacter pylori‐positive subjects. However, little is known about the acid‐inhibitory effects of the o.d. and twice daily (b.d.) doses in H. pylori‐negative subjects. Aim: To compare the decrease in gastric acidity of omeprazole 20 mg (o.d. and b.d.) with lansoprazole 30 mg (o.d. and b.d.) in healthy H. pylori‐negative subjects on day 6–7 of dosing. Methods: A randomized, investigator‐blind, crossover study design was used. Intragastric pH was measured continuously with glass electrodes positioned in the gastric corpus. Sixteen H. pylori‐negative subjects, whose intragastric acidity fell below pH 4 for 70% of a 24‐h baseline period, were entered in the study. Results: Both dosing regimens of omeprazole and lansoprazole significantly increased median gastric pH and percentages of time above pH 4 during the entire 24‐h period, night‐ and daytime, compared to baseline. There were no significant differences in median gastric pH values or time above pH thresholds 3, 4 and 5 between the o.d. dosing regimens. During the night the percentage of time spent above pH 3 and 4 was significantly higher with omeprazole 20 mg b.d. than with lansoprazole 30 mg b.d. Conclusions: This comparative study demonstrates that daily doses of omeprazole 20 mg and lansoprazole 30 mg are equally effective in raising intragastric pH in H. pylori‐negative subjects on day 6 of dosing. During the night, omeprazole 20 mg b.d. provides superior gastric acid suppression compared to lansoprazole 30 mg b.d.</abstract><cop>Oxford UK</cop><pub>Blackwell Science Ltd</pub><pmid>9690721</pmid><doi>10.1046/j.1365-2036.1998.00304.x</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects 2-Pyridinylmethylsulfinylbenzimidazoles
Administration, Oral
Adult
Anti-Ulcer Agents - administration & dosage
Anti-Ulcer Agents - pharmacology
Anti-Ulcer Agents - therapeutic use
Biological and medical sciences
Cross-Over Studies
Digestive system
Double-Blind Method
Gastric Acid - metabolism
Helicobacter pylori
Humans
Lansoprazole
Medical sciences
Omeprazole - administration & dosage
Omeprazole - analogs & derivatives
Omeprazole - pharmacology
Omeprazole - therapeutic use
Pharmacology. Drug treatments
title Acid‐inhibitory effects of omeprazole and lansoprazole in Helicobacter pylori‐negative healthy subjects
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