Haggie S J, Clark C G, Black J W, Wyllie J H
Fed Proc. 1976 Jun;35(8):1948-52.
The new histamine H2-receptor antagonist, metiamide, was shown to inhibit acid and pepsin secretion in gastric secretion studies performed on patients suffering from peptic ulceration. The new drug was administered intravenously in these experiments, but effective plasma levels could also be produced by oral administration. When symptomatic patients were treated with the drug nearly all experienced marked symptomatic relief, and there was some evidence that ulcer healing occurred during treatment. When the drug was withdrawn symptoms tended to return. No toxic reactions were encountered in this trial. Double-blind studies are now being made in Britain to establish the place metiamide may have in the treatment of duodenal ulceration.
新型组胺H2受体拮抗剂甲硫米特,在对患有消化性溃疡的患者进行的胃液分泌研究中显示出能抑制胃酸和胃蛋白酶分泌。在这些实验中该新药通过静脉给药,但口服给药也能产生有效的血浆浓度。当有症状的患者接受该药治疗时,几乎所有人都有明显的症状缓解,并且有一些证据表明在治疗期间溃疡愈合。当停药时,症状往往会复发。在该试验中未遇到毒性反应。目前英国正在进行双盲研究,以确定甲硫米特在十二指肠溃疡治疗中可能占据的地位。