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Potent reduction of basal acid output produced by meperidine

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Abstract

Meperidine is a potent narcotic related chemically and pharmacologically to morphine and atropine. To examine its gastric antisecretory activity a study designed to test the effect of meperidine on basal acid secretion was carried out: 100 mg of meperidine given intramuscularly reduced basal acid output (BAO) by 66.3% at 1 hr (P<0.001), 64.9% at 2 hr (P<0.001), and 44.9% at 3 hr (P=0.005). This degree of reduction of BAO by this dose of meperidine did not differ from that produced by 30 mg of propantheline intramuscularly. These results demonstrate that meperidine in standard classical doses is a potent inhibitor of BAO in man.

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References

  1. Eisleb O, Schaumann O: Dolatin, ein neuartiges Spasmolitykum und Analgetikum (Chemisches und Pharmakologisches). Dtsch Med Wochenschr 65:967–968, 1939

    Google Scholar 

  2. Harris LS: Narcotic antagonists: Structure-activity relationships. Narcotic Antagonists. MC Braude, LS Harris, EL May, JP Smith, JE Villarreal (eds). New York, Raven Press, 1974, pp 13–20

    Google Scholar 

  3. Eddy NB, Halback H, Braendon OJ: Synthetic substances with morphine like effect. Clinical experience: Potency, side-effects, addiction, liability. Bull WHO 17:569–863, 1957

    Google Scholar 

  4. Ivey KJ: Anticholinergics: Do they work in peptic ulcers? Gastroenterology 68:154–166, 1975

    Google Scholar 

  5. Meeroff JC, Ferreira JA, Meeroff M: Medical vagotomy: New evidences of its potential usefulness as a preoperative test. Am J Dig Dis 19:617–622, 1974

    Google Scholar 

  6. Innes JR, Nickerson M: Atropine, scopolamine and related antimuscarimic drugs. The Pharmacological Basis of Therapeutics, 5th ed. LS Goodman, D Gilman (eds). New York, Macmillan, 1975, p 524

    Google Scholar 

  7. Eichhorn R, Tracktir J: The effect of hypnosis upon gastric secretion. Gastroenterology 29:417–421, 1955

    Google Scholar 

  8. Faber RG, Hobsley M: Basal gastric secretion: reproducibility and relationship with duodenal ulceration. Gut 18:57–63, 1977

    Google Scholar 

  9. Snedecor GW, Cochran WG: Statistical Methods. Ames, Iowa University Press, 1968, pp 91–119

    Google Scholar 

  10. Colquhoun D: Lectures on Biostatistics. Oxford, Clarendon Press, 1971, pp 143–148

    Google Scholar 

  11. Henn RM, Isenberg JI, Maxwell B: Inhibition of gastric acid secretion by cimetidine in patients with duodenal ulcer. N Engl J Med 293:371–375, 1975

    Google Scholar 

  12. Konturek SJ: Drug-induced inhibition of gastric secretion. Scand J Gastroenterol 11 (Suppl 42):101–111, 1976

    Google Scholar 

  13. Wang RIH, Bain JA: Analgesics and enzymes of cytochrome chain. J Pharmacol Exp Ther 108:354–361, 1953.

    Google Scholar 

  14. Lees GM, Kosterlitz HW, Waterfield AA: Characteristics of morphine-sensitive release of neurotransmitter substances. Agonist and Antagonists. Actions of Narcotic Analgesic Drugs. HW Kosterlitz, HOJ Collier, JE Villarreal (eds). Baltimore, University Park Press, 1973, pp 142–152

    Google Scholar 

  15. Eckenhoff JE, Helrich M: Study of narcotics and sedatives for use in preanesthetic medication. JAMA 167:415–422, 1958

    Google Scholar 

  16. Yonkman FF: Pharmacology of Demerol and its analogues. Ann NY Acad Sci 51:59–82, 1948

    Google Scholar 

  17. Zeppa R, Grossekreutz DC, Sugioka K: Histamine release into circulation by meperidine (Demerol). Proc Soc Exp Biol Med 106:794–796, 1961

    Google Scholar 

  18. Douglas WW: Histamine and antihistamines, 5 Hydroxytroptamine and antagonists. The Pharmacological Basis of Therapeutics, 5th ed. LS Goodman, D Gillman (eds). New York, Macmillan, 1975, p 605

    Google Scholar 

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Meeroff, J.C., Fernandez, G.G. & Gaon, D. Potent reduction of basal acid output produced by meperidine. Digest Dis Sci 23, 696–698 (1978). https://doi.org/10.1007/BF01072354

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  • DOI: https://doi.org/10.1007/BF01072354

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