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The pharmacokinetics of ranitidine in patients with chronic duodenal ulceration: A comparison of responders and non-responders

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Summary

The pharmacokinetics of orally administered ranitidine were studied in 17 male patients with chronic duodenal ulceration. The patients were divided into 2 groups, 10 responders and 7 nonresponders, on the basis of their endoscopic response to ranitidine treatment. The 10 responders were studied both after a single 150 mg dose (SD) and after multiple dosing (MD) with ranitidine 150 mg twice daily for 4 weeks. The area under the curve (AUC) and maximum concentration (Cmax) were significantly higher (p<0.01 andp<0.05, respectively) after MD than after SD, but the half-life (t1/2) and minimum concentration (Cmin) 12 h postdosing did not differ. The non-responders were studied after MD only and their pharmacokinetic characteristics were compared with those of responders. No differences between the 2 groups were found. However, 2 non-responders had particularly low plasma ranitidine levels and high acid output. Such patients may need larger doses of ranitidine for adequate suppression of gastric acid. Five patients (4 responders and 1 non-responder) received ranitidine 20 mg i.v. The drug followed a two-compartment model, with mean values for t1/2β, volume of distribution steady-state and total plasma clearance of 80 min, 701 and 680 ml/min, respectively. The oral bioavailability of ranitidine in these 5 patients showed wide variation (27–76%; mean 51%).

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Deceased 14 October, 1981

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McFadyen, M.L., Folb, P.I., Miller, R. et al. The pharmacokinetics of ranitidine in patients with chronic duodenal ulceration: A comparison of responders and non-responders. Eur J Clin Pharmacol 24, 441–447 (1983). https://doi.org/10.1007/BF00609883

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  • DOI: https://doi.org/10.1007/BF00609883

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