Skip to main content
Log in

Acute effects of nicotinic acid on hepatic transport of 99mTc-PIPIDA

  • Published:
European Journal of Nuclear Medicine Aims and scope Submit manuscript

Abstract

Hepatic injury has been associated with nicotinic acid treatment of schizophrenia and hypercholesterolemia. This association was implicated when the liver and biliary tract were not visualized after 99mTc-HIDA in a patient taking 3 g daily of nicotinic acid. We studied hepatic transport of 99mTc-PIPIDA both in vitro in isolated hepatocytes and in vivo in rabbits pretreated with nicotinic acid to further examine this association. Nicotinic acid increased uptake of PIPIDA by isolated hepatocytes and 7 days of nicotinic acid treatment in rabbits produced no abnormalities in hepatic uptake, gallbladder visualization, or biliary excretion of PIPIDA. We conclude that nicotinic acid does not have an inhibitory effect on uptake of biliary imaging agents and actually may be useful in enhancing hepatic imaging in patients with reduced liver function.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Berge KG (1961) Side effects of nicotinic acid in treatment of hypercholesterolemia. Geriatrics 16:416–422

    Google Scholar 

  • Berge KG, Achor RWP, Christensen NA, Mason HL, Barker NW (1961) Hypercholesterolemia and nicotinic acid: a long-term study. Am J Med 31:24–36

    Google Scholar 

  • Belle M, Halpern MM (1958) Oral nicotinic acid for hyperlipemia. Am J Cardiol 2:449–452

    Google Scholar 

  • Hoffer A (1963) Nicotinic acid: an adjunct in the treatment of schizophrenia. Am J Psychiatry 120:171–173

    Google Scholar 

  • Kety S (1967) Current biochemical approaches to schizophrenia. N Engl J Med 276: 325–331

    Google Scholar 

  • Kline NS, Barclay GL, Cole JO, Esser AH, Lehmann H, Wittenborn JR (1967) Diphosphopyridinenucleotide (DPN) in the treatment of schizophrenia. JAMA 200: 881–882

    Google Scholar 

  • Mosher LR (1970) Nicotinic acid side effects and toxicity: A review. Am J Psychiatry 126: 124–130

    Google Scholar 

  • Osmond H, Hoffer A (1962) Massive niacin treatment of schizophrenia: Review of a 9-year study. Lancet I: 316–319

    Google Scholar 

  • Pardue WO (1961) Severe liver dysfunction during nicotinic acid therapy. JAMA 175: 137–138

    Google Scholar 

  • Richards AG, Brighouse R (1981) Nicotinic acid — a cause of failed HIDA scanning. JNM 22: 746–747

    Google Scholar 

  • Rivin AV (1959) Jaundice occurring during nicotinic acid therapy for hypercholesterolemia. JAMA 170: 2088–2089

    Google Scholar 

  • Seglen PO (1972) Preparation of rat liver cells: Effect of calcium on enzymatic dispersion of isolated perfused liver. Exp Cell Res 74: 450–454

    Google Scholar 

  • Winter SL, Boyer JL (1973) Hepatic toxicity from large doses of vitamin B3 (nicotamide). N Engl J Med 289: 1180–1182

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Shafer, R.B., Knodell, R.G., Stanley, L.N. et al. Acute effects of nicotinic acid on hepatic transport of 99mTc-PIPIDA. Eur J Nucl Med 8, 12–14 (1983). https://doi.org/10.1007/BF00263507

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00263507

Keywords

Navigation