Clinical evaluation of the effect of omeprazole, cimetidine, famotidine and ranitidine on histamine induced cutaneous wheal and flare response.

N Saha, A Sachdev, D K Bhasin, A Sankaranahyanan, P P Khosla, K Singh, P L Sharma
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Abstract

The effect of H2 receptor antagonists on immediate cutaneous response to allergens remain controversial. In the present study, the effect of 7-day administration of omeprazole, cimetidine, famotidine and ranitidine on histamine induced wheal and flare reaction was evaluated. A single blind randomized parallel group study with within patient comparison of responses was planned in non-ulcer dyspepsia patients eligible to receive H2 antagonists or omeprazole. None of the drugs produced any changes in the area of the wheal in comparison to respective baseline values. The area of flare was decreased by all the drugs and the percentage decrease in this parameter caused by omeprazole, cimetidine, famotidine and ranitidine was 2.4, 12.3, 20.2 and 13.2, respectively. Only famotidine caused a significant decrease in flare area (p < 0.05).

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奥美拉唑、西咪替丁、法莫替丁和雷尼替丁对组胺致皮肤轮状和耀斑反应的临床评价。
H2受体拮抗剂对皮肤对过敏原的即时反应的影响仍然存在争议。本研究评价奥美拉唑、西咪替丁、法莫替丁和雷尼替丁给药7 d对组胺诱导的轮状和耀斑反应的影响。计划在符合H2拮抗剂或奥美拉唑治疗条件的非溃疡性消化不良患者中进行单盲随机平行组研究,对患者的反应进行比较。与各自的基线值相比,没有一种药物产生车轮面积的任何变化。所有药物均降低了耀斑面积,其中奥美拉唑、西咪替丁、法莫替丁和雷尼替丁使耀斑面积减小的百分比分别为2.4、12.3、20.2%和13.2。只有法莫替丁能显著降低患者的耀斑面积(p < 0.05)。
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