Iida Hiroshi, Kaai Megumi, Inoh Yumi, Kanoshima Kenji, Ohkuma Kanji, Nonaka Takashi, Fujita Koji, Ida Tomonori, Kusakabe Akihiko, Maeda Shin, Nakajima Atsushi, Inamori Masahiko
Department of Medical Education (Hiroshi Iida, Tomonori Ida, Masahiko Inamori).
Department of Hepatology and Gastroenterology (Megumi Kaai, Kenji Kanoshima, Kanji Ohkuma, Takashi Nonaka, Atsushi Nakajima).
Ann Gastroenterol. 2017;30(4):424-428. doi: 10.20524/aog.2017.0161. Epub 2017 May 19.
An ideal medication for acid-related diseases would offer prompt stopping of blood flow as well as efficient symptom resolution. The aim of this study was to investigate the gastric acid suppression potency of a single oral dose of rabeprazole alone, compared with administration of rabeprazole plus mosapride.
Twelve male volunteers, ()-negative, participated in this randomized, three-way crossover study. After a single oral administration of rabeprazole, rabeprazole with mosapride, or rabeprazole administered 1 h after mosapride, we monitored their intragastric pH constantly for 6 h. A 7-day washout period was allowed between each administration.
The median 6-h intragastric pH after the administration of rabeprazole 1 h after mosapride was 4.41±1.22 (mean±s.d.), significantly higher than after rabeprazole alone 3.45±1.33, P=0.0376). There was no significant difference between the median 6-h pH after the administration of rabeprazole plus mosapride and that after rabeprazole alone (3.81±0.98 vs. 3.45±1.33, respectively; P=0.0927).
An oral dose of rabeprazole administered 1 h after mosapride increased the intragastric pH more rapidly than rabeprazole alone, in healthy, male, -negative volunteers.
治疗酸相关性疾病的理想药物应能迅速止血并有效缓解症状。本研究旨在比较单剂量口服雷贝拉唑与雷贝拉唑联合莫沙必利给药后,雷贝拉唑对胃酸的抑制作用。
12名()阴性的男性志愿者参与了这项随机、三交叉研究。在单次口服雷贝拉唑、雷贝拉唑联合莫沙必利或莫沙必利给药1小时后再给予雷贝拉唑后,我们连续6小时监测他们的胃内pH值。每次给药之间允许7天的洗脱期。
莫沙必利给药1小时后给予雷贝拉唑,6小时胃内pH值中位数为4.41±1.22(均值±标准差),显著高于单独使用雷贝拉唑后的3.45±1.33,P=0.0376)。雷贝拉唑联合莫沙必利给药后6小时pH值中位数与单独使用雷贝拉唑后相比无显著差异(分别为3.81±0.98和3.45±1.33;P=0.0927)。
在健康、男性、()阴性志愿者中,莫沙必利给药1小时后口服雷贝拉唑比单独使用雷贝拉唑能更快提高胃内pH值。