Domschke W, Domschke S, Demling L
Fortschr Med. 1977 Aug 18;95(31):1899-902.
Histamine H2-receptor antagonists (Burimamide, Metiamide and Cimetidine as the most recent generation) may drastically inhibit gastric acid secretion stimulated by histamine, pentagastrin, insulin, 2-deoxyglucose or an intragastrically instilled meal, respectively. This inhibitory action may explain the beneficial effects of H2-antagonists in the treatment of active peptic ulceration. On Cimetidine administered at a usual dosage over a 4--6 week period, serious side-effects must not be expected. At present studies aim to establish a Cimetidine dosage which, on long-term treatment, may reduce ulcer recurrency.
组胺H2受体拮抗剂(如最早的布立马胺、甲硫米特以及最新一代的西咪替丁)可分别显著抑制由组胺、五肽胃泌素、胰岛素、2-脱氧葡萄糖或胃内灌注食物刺激引起的胃酸分泌。这种抑制作用或许可以解释H2拮抗剂在治疗活动性消化性溃疡中的有益效果。对于以常规剂量服用西咪替丁4至6周的情况,不必预期会出现严重的副作用。目前的研究旨在确定一种西咪替丁剂量,该剂量在长期治疗时可能会降低溃疡复发率。