Small Animal Internal Medicine, Veterinary Specialty Center, Buffalo Grove, IL, USA.
J Vet Intern Med. 2011 Nov-Dec;25(6):1248-52. doi: 10.1111/j.1939-1676.2011.00826.x. Epub 2011 Nov 1.
In people, serum gastrin concentrations increase in response to administration of H(2) receptor antagonists, but the effect of famotidine administration on serum gastrin concentrations has not been evaluated in dogs.
To determine if serum gastrin concentrations increase in response to 14 days of famotidine treatment and the time needed to return to baseline after discontinuation of famotidine; define stability of gastrin in samples held at room temperature.
Eleven healthy dogs were included in part A (famotidine treatment) and 7 healthy dogs in Part B (serum gastrin stability). In part A, famotidine (0.5 mg/kg p.o. q12h) was administered for 14 days. Fasting blood samples were collected on days 0, 3, 7, 11, 14, 16, 18, 20, and 22. In part B, blood was collected after a 12-hour fast. Gastrin concentrations in serum samples held at room temperature for ≤30 minutes after sampling were compared to concentrations in samples held at room temperature for 150 minutes after sampling.
Serum gastrin concentrations increased by day 3 of famotidine administration and returned to baseline concentrations in all dogs by day 14 despite continued famotidine administration. Serum gastrin concentrations were lower (20% mean decrease; P = .0005) in samples held at room temperature for 150 minutes.
After 14 days of famotidine administration, clinically healthy dogs have normal serum gastrin concentrations. In a dog with clinical features consistent with gastrinoma, chronic famotidine administration is unlikely to contribute to increases in serum gastrin concentrations.
在人类中,给予 H2 受体拮抗剂后血清胃泌素浓度会增加,但尚未评估法莫替丁给药对犬血清胃泌素浓度的影响。
确定连续 14 天给予法莫替丁后,血清胃泌素浓度是否会增加,以及停药后多久可以恢复到基线;确定室温保存时胃泌素的稳定性。
11 只健康犬被纳入 A 部分(法莫替丁治疗),7 只健康犬被纳入 B 部分(血清胃泌素稳定性)。在 A 部分中,每天口服法莫替丁(0.5mg/kg,q12h),连续 14 天。在第 0、3、7、11、14、16、18、20 和 22 天采集空腹血样。在 B 部分中,在 12 小时禁食后采集血液。比较了采血后 30 分钟内室温保存的血清样本和采血后 150 分钟内室温保存的血清样本的胃泌素浓度。
在给予法莫替丁的第 3 天,血清胃泌素浓度开始增加,尽管继续给予法莫替丁,但所有犬的血清胃泌素浓度在第 14 天恢复到基线浓度。室温下保存 150 分钟的血清样本中胃泌素浓度较低(平均降低 20%;P=0.0005)。
在给予法莫替丁 14 天后,临床健康的犬具有正常的血清胃泌素浓度。在具有胃泌素瘤临床特征的犬中,长期给予法莫替丁不太可能导致血清胃泌素浓度升高。