Summary
In this study the well-established interaction between cimetidine and theophylline has been demonstrated using only a single dose of cimetidine. Eleven healthy subjects were given a 30 min infusion of theophylline on two separate occasions and plasma levels were monitored at frequent intervals. During one of the studies, a single 400 mg oral dose of cimetidine was given after collection of the 3 h sample. After normalisation of the control and test curves, a deflection was apparent in the test theophylline elimination curve in 9 out of 11 subjects. This method may provide a rapid screening method to detect such interactions.
Similar content being viewed by others
References
Breen KJ, Bury RW, Desmond PV, Mashford ML, Morphett B, Westwood B, Shaw RG (1982) Comparison of the effects of cimetidine and ranitidine on hepatic drug metabolism. Clin Pharm Ther 31: 297–300
Desmond PV, Patwardhan RV, Schenker S, Speeg KV Sr (1980) Cimetidine impairs the elimination of chlordiazepoxide (Librium) in humans. Ann Intern Med 93: 266–268
Feely J, Wilkinson GR, Wood AJJ (1981) Reduction of liver blood flow and propranolol metabolism by cimetidine. N Engl J Med 304: 692–695
Lentner C (1982) Geigy scientific tables, vol. 2 (8th edn). Compiled by Diem K and Seldrup J. Ciba-Geigy, Basle, Switzerland, pp 207–220
Klotz V, Reiman J (1980) Delayed clearance of diazepam due to cimetidine. N Engl J Med 302: 1012–1014
Patwardhan RV, Johnson RF, Sinclair AP, Schenker S, Speeg KV Sr (1981) Lack of tolerance and rapid recovery of cimetidine-inhibition of chlordiazepoxide (Librium) elimination. Gastroenterology 81: 847–851
Pelkonen O, Puuruen J (1980) The effect of cimetidine on in vivo and in vitro microsomal drug metabolism in the rat. Biochem Pharmacol 29: 3075–3080
Serlin MJ, Sibeon RB, Mossman S, Breckenridge AM, Williams JRB, Altwood JL, Willoughby JMT (1979) Cimetidine: interaction with oral anti-coagulants in man. Lancet 2: 317–319
Shaw G, Bury RW, Mashford ML, Breen KJ, Desmond PV (1981) Cimetidine impairs the elimination of chlormethiazole. Eur J Clin Pharmacol 21: 83–85
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Ghabrial, H., Harman, P.J., Desmond, P.V. et al. Use of single doses and rapid sampling to detect interactions with cimetidine. Eur J Clin Pharmacol 27, 603–606 (1984). https://doi.org/10.1007/BF00556899
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00556899