Abstract
To assess the influence of ranitidine on kidney allograft function a doubleblind, placebo-controlled clinical study in 42 cadaver kidney recipients has been performed. Patients received ranitidine or placebo for 1 month. Four years after transplantation 81% of the patients in the control group were alive; 67% in the control and 71% in the ranitidine group with functioning grafts. These differences were statistically not significant. However, a slightly more intensive steroid therapy was given to keep the ranitidine patients adequately immunosuppressed. Ranitidine thus can be safely used in kidney graft recipients. Because of a lack of gastrointestinal complications in both groups, no conclusions can be drawn regarding the prophylactic value of ranitidine.
Similar content being viewed by others
References
Avella, J., Madsen, J. E., Binder, J. H., Askenase, P. W.: Effect of histamine H-2 receptor antagonists on delayed hypersensitivity.Lancet, I, 624 (1978).
Billingham, R. E., Bach, J. F.: Immunobiology.Transplant. Proc. 13, 1277 (1981).
Charpentier, B., Fries, D.: Cimetidine and renal allograft rejection.Lancet, I, 1265 (1978).
Christensen, C. K., Mogensen, C. E., Sorensen, F. H.: Renal function and cimetidine.Scand. J. Gastroenterol., 16, 124 (1981).
Daley, M. J., Humphray, J. M., Stables, R.: Inhibition of gastric acid secretion in the dog by the H-2 receptor antagonists ranitidine, cimetidine and metiamide.Gut, 21, 408 (1980).
Danilevitz, M., Tim, L. O., Hirschovitz, B.: Ranitidine suppression of gastric hypersecretion resistant to cimetidine.N. Engl. J. Med., 306, 20 (1982).
Domschke, W., Lux, F., Domschke, S., Demling, L.: New H-2 receptor antagonist inhibited human gastric acid secretion more strongly than cimetidine.Gut, 20, 433 (1979).
Gifford, R. R. M., Schmidtke, J. R., Ferguson, R. M.: Cimetidine modulation of lymphocytes from renal allograft recipients.Transplant. Proc., 13, 663 (1981).
Jones, R. H., Rudge, C. J., Bewick, M., Parsons, V., Weston, M. J.: Cimetidine: prophylaxis against upper gastrointestinal haemorrhage after renal transplantation.Br. Med. J., 1, 398 (1978).
Konturek, S. J., Obtulewicz, W., Kwiecień, N., Sito, E., Miękoś, E., Oleksy, J.: Comparison of ranitidine and cimetidine in the inhibition of histamine, sham testing and meal induced gastroulceration in duodenal ulcer patients.Gut, 21, 181 (1980).
McGuigan, J.: A consideration of the adverse effect of cimetidine.Gastroenterol., 80, 181 (1981).
Orłowski, T., Nielubowicz, J., Górski, A.: A controlled prospective long term trial of promethazine (PM) as an adjuvant immunosuppressant in 102 cadaver graft recipients.Transplant. Proc., 15, 557 (1983).
Peden, N. R., Body, E. J. S., Brown, R. A.: Cimetidine, the immune system and cancer.Lancet, I, 100 (1981).
Primack, W. A.: Cimetidine and renal allograft rejection.Lancet, I, 824 (1978).
Rudge, C. J., Jones, R. H., Bewick, M., Weston, M. J., Parsons, V.: Cimetidine and renal allograft rejection.Lancet, I, 1154 (1978).
Rudge, C. J., Jones, R. H., Bewick, M., Weston, M. J., Parsons, V.: Peptic ulcer after renal transplantation.Lancet, I, 562 (1979).
Simon, M. R., Salberg, D. J., Crane, S. A.: In vitro cimetidine augmentation of PHA-induced human lymphocyte thymidine uptake.Transplantation, 31, 400 (1981).
Smith, M. D., Couhig, E., Miller, J. J., Salaman, J. R.: Cimetidine and the immune response.Lancet, I, 140 (1979).
Woodings, E. P., Dixon, G. T., Harrison, C., Carey, P., Richards, D. S.: Ranitidine — a new H-2 receptor antagonist.Gut, 21, 187 (1980).
Author information
Authors and Affiliations
Additional information
This work was supported by grant 10-MZ-XIII from the Ministry of Health.
Rights and permissions
About this article
Cite this article
Orłowski, T., Smogorzewski, M. The influence of the H-2 receptor antagonist ranitidine on cadaver kidney allograft function. International Urology and Nephrology 18, 205–210 (1986). https://doi.org/10.1007/BF02082609
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02082609