Side-Effects of Anti-Inflammatory Drugs 3 pp 344-349 | Cite as
A review of interaction studies between non-steroidal anti-inflammatory drugs and H2-receptor antagonists or prostaglandin analogues
Abstract
The potential for non-steroidal anti-inflammatory drug (NSAID) induced peptic ulceration in susceptible individuals [1], and the risk of complications in patients with existing ulcers [2], has led to the practice of co-prescribing these agents with H2-receptor antagonists or prostaglandin analogues. The major consumers of NSAIDs are patients with arthritis who are frequently elderly and are often already receiving multiple drug therapy. Such therapy provides considerable potential for drug interactions. Furthermore, the elderly frequently have decreased renal and hepatic function together with impaired absorption from the gut [3]. Therefore any observed interaction between NSAIDs and H2-receptor antagonists or prostaglandin analogues in the absence of other therapy, in young healthy subjects may be enhanced in patients, particularly in the elderly.
Keywords
Young Healthy Subject Prostaglandin Analogue High Performance Liquid Chromato Multiple Drug Therapy Pharmacokinetic Interaction StudyPreview
Unable to display preview. Download preview PDF.
References
- 1.Duggan J.M., Dobson J.A., Johnson H., Fahey P. Peptic ulcer and non-steroidal anti-inflammatory agents. Gut. 1986;27:929–933.PubMedCrossRefGoogle Scholar
- 2.CSM update. Non-steroidal anti-inflammatory drugs and serious gastrointestinal adverse reactions. 2. Br Med J. 1986;292:1190–1191.CrossRefGoogle Scholar
- 3.Dawling S., Crome P. Clinical pharmacokinetic considerations in the elderly. An update. Clin Pharmacokinet. 1989;17:236–263.PubMedCrossRefGoogle Scholar
- 4.Ochs H.R., Greenblatt D.J., Matlis R., Weinbrenner J. Interaction of ibuprofen with the H2-receptor antagonists ranitidine and cimetidine. Clin Pharmacol Ther. 1985;38:648–651.PubMedCrossRefGoogle Scholar
- 5.Stephenson D.W., Small R.E., Wood J.H. et al. Effect of ranitidine and cimetidine on ibuprofen pharmacokinetics. Clin Pharm. 1988;7:317–321.PubMedGoogle Scholar
- 6.Forsyth D.R., Jayasinghe K.S.A., Roberts C.J.C. Do nizatidine and cimetidine interact with ibuprofen? Eur J Clin Pharmacol. 1988;35:85–88.PubMedCrossRefGoogle Scholar
- 7.Conrad K.A., Mayersohn M., Bliss M. Cimetidine does not alter ibuprofen kinetics after a single dose. Br J Clin Pharmacol. Br J Qin Pharmacol. 1984;18:624–626.CrossRefGoogle Scholar
- 8.Berardi R.R., Dressman J.B., Elta G.H., Szpunar G.J. Elevation of gastric pH with ranitidine does not affect the release characteristics of sustained release ibuprofen tablets. Biopharm Drug Dis. 1988;9:337–347.CrossRefGoogle Scholar
- 9.Delhotal-Landes B., Flouvat B., Liote F. et al. Phannacokinetic interactions between NSAIDs (indomethacin or sulindac) and H2-receptor antagonists (cimetidine or ranitidine) in human volunteers. Clin Pharmacol Ther. 1988;44:442–452.PubMedCrossRefGoogle Scholar
- 10.Dammann H.G., Simon-Schultz J., Bauermeister W. et al. Prevention of NSAID-induced gastric ulcer with prostaglandin analogues. Lancet. 1989;1:52–53.Google Scholar
- 11.Rietbrock N., Karim A., Nicholson P.A. Prevention of NSAID-induced gastric ulcer with prostaglandin analogues. Lancet. 1989;1:844–845.PubMedCrossRefGoogle Scholar
- 12.Muller P., Dammann H.G., Langer M., Leucht U., Simon B. Ranitidine improves the gastroduodenal tolerability of acemetacin and indomethacin without affecting the pharmacokinetics of both antirheumatics. Z Gastroenterol. 1989;27:83–86.PubMedGoogle Scholar
- 13.Howes C.A., Pullar T., Sourindhrin I. et al. Reduced steady-state plasma concentrations of chlorpromazine and indomethacin in patients receiving cimetidine. Eur J Clin Pharmacol. 1983;24:99–102.PubMedCrossRefGoogle Scholar
- 14.Corrocher R., Bambara L.M., Caramaschi P. et al. Effect of ranitidine on the absorption of aspirin. Digestion. 1987;37:178–183.PubMedCrossRefGoogle Scholar
- 15.Trnavska Z., Trnavsky K., Smondrk J. The effect of cimetidine on the pharmacokinetics of salicylic acid. Drugs Exp Clin Res. 1985;11:703–707.PubMedGoogle Scholar
- 16.Paton T.W., Walker S.E., Leung F.Y.K., Little A.H. Effect of cimetidine on bioavailability of enteric-coated aspirin tablets. Clin Pharm. 1983;2:165–166.PubMedGoogle Scholar
- 17.O’Laughlin J.C., Silvoso G.R., Ivey K.J. Effects of an H2—blocker on gastric ulcers in patients taking aspirin: a double-blind study. Gastroenterology. 1980;78(No.5 Part 2):1230.Google Scholar
- 18.Sullivan K.M., Small R.E. Rock WL et al. Effects of cimetidine or ranitidine on the pharmacokinetics of flurbiprofen. Clin Pharm. 1986;5:586–589.PubMedGoogle Scholar
- 19.Kreeft J., Bellamy N., Freeman D. Does chronic H2-antagonist administration alter steady-state flurbiprofen pharmacokinetics? Acta Pharmacol Toxicol. 1986;59(Suppl. V):Abstract 253:96.Google Scholar
- 20.Mailhot C., Dahl S.L., Ward J.R. The effect of cimetidine on serum concentrations of piroxicam. Pharmacotherapy. 1986;6:112–117.PubMedGoogle Scholar
- 21.Said S.A., Foda A.M. Influence of cimetidine on the pharmacokinetics of piroxicam in rat and man. Arzneim-Forsch Drug Res. 1989;39:790–792.Google Scholar
- 22.Dixon J.S., Lacey L.F., Pickup M.E., Langley S.J., Page M.C. A lack of pharmacokinetic interaction between ranitidine and piroxicam. Br J Clin Pharmacol. 1991;39:583–586.Google Scholar
- 23.Verbeeck R.K., Corman C.L., Wallace S.M. Single and multiple dose pharmacokinetics of enteric coated ketoprofen: effect of cimetidine. Eur J Clin Pharmacol. 1988;35:521–527.PubMedCrossRefGoogle Scholar
- 24.Famham D.J. Studies of isoxicam in combination with aspirin, warfarin sodium and cimetidine. Semin Arthritis Rheum. 1982;12(Suppl. 2):179–183.CrossRefGoogle Scholar
- 25.Holford N.H.G., Altman D., Riegelman S. et al. Pharmacokinetic and pharmacodynamic study of cimetidine administered with naproxen. Clin Pharmacol Ther. 1981;29:251–252.Google Scholar
- 26.Scavone J.M., Greenblatt D.J., Matlis R., Harmatz J.S. Interaction of oxaprozin with acetaminophen, cimetidine and ranitidine. Eur J Clin Pharmacol. 1986;31:371–374.Google Scholar
- 27.Karim A., Smith M., Belliel S., Hunt T. Lack of drug-drug interaction between prostaglandin E, analogue misoprostol and NSAIDs. In: Proc Third Interscience World Conf Monte Carlo; 1989 (Abst).Google Scholar
- 28.Karim A., Rozek L.F., Leese P.T. Absorption of misoprostol (cytotec), an antiulcer prostaglandin, or aspirin is not affected when given concomitantly to healthy human subjects. Gastroenterology. 1989;92:1742.Google Scholar
- 29.Nicholson P.A., Karim A., Smith M. Pharmacokinetics of misoprostol in the elderly, in patients with renal failure and when co-administered with NSAID or antipyrine, propranolol or diazepam. J Rheumatol. 1990;17(Suppl. 20):33–37.Google Scholar
- 30.Hsyu P.H., Cox J.W., Pullen R.H., Gee W.L., Euter A.R. Pharmacokinetic interactions between arbaprostil and aspirin in humans. Biopharm Drug Disp. 1989;10:411–422.CrossRefGoogle Scholar
- 31.Unsworth J., Sturman S., Lunec J., Blake D.R. Renal impairment associated with non-steroidal anti-inflammatory drugs. Ann Rheum Dis. 1987;46:233–236.PubMedCrossRefGoogle Scholar
- 32.Dixon J.S., Bojar R., Bird H.A. Renal impairment in relation to non-steroidal anti-inflammatory drugs. Ann Rheum Dis. 1988;47:260–264.PubMedCrossRefGoogle Scholar
- 33.Van Den Ouweland F.A., Gribnau F.W.J., Van Ginneken C.A.M., Tan Y., Van De Putte L.B.A. Naproxen kinetics and disease activity in rheumatoid arthritis: a within-patient study. Clin Pharmacol Ther. 1988;43:79–85.PubMedCrossRefGoogle Scholar