1993
DOI: 10.1111/j.1365-2125.1993.tb05702.x
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Potentiation of the hypoglycaemic response to glipizide in diabetic patients by histamine H2‐receptor antagonists.

Abstract: In a randomised placebo controlled study, two groups of six maturity onset diabetic patients stabilised on glipizide were given cimetidine (400 mg) or ranitidine (150 mg) 3 h before a standardised meal. In comparison with placebo, both cimetidine and ranitidine significantly reduced the post-prandial rise in blood glucose by a mean of 40% and 25% respectively producing glucose levels of less than 3 mmol 1-1 (lowest 1.5 mmol 1-1) in four patients. Both drugs also significantly increased plasma glipizide AUC by … Show more

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Cited by 16 publications
(6 citation statements)
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“…In addition, histamine H1 receptor antagonist (pyrilamine) administered into the third ventricle suppresses hyperglycemia induced by intraventricular injection of neostigmine, whereas histamine H2 receptor antagonist (ranitidine) administration into the third ventricle enhances neostigmine-induced hyperglycemia [ 9 ]. Moreover, oral administration of histamine H2 receptor antagonists such as cimetidine or ranitidine potentiates the hypoglycemic response to glipizide in diabetic patients [ 10 ]. H2 receptor antagonist enhances alcohol-induced hypoglycemia [ 11 ].…”
Section: Introductionmentioning
confidence: 99%
“…In addition, histamine H1 receptor antagonist (pyrilamine) administered into the third ventricle suppresses hyperglycemia induced by intraventricular injection of neostigmine, whereas histamine H2 receptor antagonist (ranitidine) administration into the third ventricle enhances neostigmine-induced hyperglycemia [ 9 ]. Moreover, oral administration of histamine H2 receptor antagonists such as cimetidine or ranitidine potentiates the hypoglycemic response to glipizide in diabetic patients [ 10 ]. H2 receptor antagonist enhances alcohol-induced hypoglycemia [ 11 ].…”
Section: Introductionmentioning
confidence: 99%
“…Total potential drug induced hypoglycemia 21 2 15 37 (reported with aspirin and indomethacin) and increasing the oral bioavailability of sulphonylureas through inhibition of metabolism (reported with ranitidine) [4][5][6][7][8][9][10][11].…”
Section: Discussionmentioning
confidence: 99%
“…PubMed search identified peered review papers providing evidence of drug interactions established to increase risk of hypoglycemia in persons with diabetes mellitus [4][5][6][7][8][9][10][11]. This information facilitated …”
mentioning
confidence: 99%
“…Several compounds such as indobufen, cimetidine and ranitidine seem to inhibit the metabolie degradation of glipizide, subsequently increasing the average concentrations, i.e., by cimetidine of 23% and ranitidine of 34% WAHUN-BoLL 1980,1981;ELVANDER-STAHL et al 1984;FEELY et al 1993). Whereas nothing is known for indobufen, cimetidine has a broad inhibitory spectrum on several P450 enzymes.…”
Section: /) Pharmacokinetic Interactionsmentioning
confidence: 95%