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Effects of H2-Receptor Antagonists on Blood Alcohol Levels
A.G. Fraser, FRACP;
S.B. Rosalki, MD, DSc(Med), FRCP, FRCPath;
R.E. Pounder, MA, MD, FRCP
Royal Free Hospital School of Medicine London, England
JAMA. 1992;267(18):2469.
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To the Editor.
—Based on an open study involving only six to eight subjects in each group, DiPadova et at1 reported that predosing with cimetidine resulted in a 96% mean increase of integrated postprandial alcohol absorption, and that ranitidine resulted in a 41% increase, when alcohol (0.3 g/kg) was imbibed immediately after breakfast.
We have measured blood alcohol concentrations after a range of oral doses of postprandial alcohol (0.15, 0.3, and 0.6 g/kg body weight) in healthy subjects, on the eighth day of dosing with placebo or an H2-blocker (cimetidine, ranitidine, or famotidine).2-4 Representative results are shown in the Figure. No significant differences of integrated postprandial blood alcohol concentration was observed after dosing with any of the H2-blockers. The results of our investigations, which involved placebo-controlled absorption profiles in 92 healthy subjects ingesting ethanol after a standard evening meal, demonstrate no socially or clinically
. . . [Full Text PDF of this Article]
Footnotes
Edited by Drummond Rennie, MD, Deputy Editor (West), and Bruce B. Dan, MD, Senior Editor.
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