Previous research has sugggested that concurrent administration of antacid and cimetidine results in lower than expected plasma levels of cimetidine. Because these studies were all of single-dose design, this study was undertaken to determine the nature of the interaction after repeated administration of both drugs. There was no statistically significant difference demonstrated for any of the pharmacokinetic parameters evaluated in the study. Based on these findings, the previous recommendation that administration of antacid and cimetidine be separated in time may not be necessary.
BurlandWLDarkinDWMillsMW. Effect of antacids absorption of cimetidine (letter). Lancet1976; 2: 965.
2.
BodemarGMillsJGNorlanderBOsbornePBurlandWLWalenA. Effect of antacids on the absorption of cimetidine (abstract). Gut1978; 19: A990–1.
3.
BodemarGNorlanderBWalenA. Diminished absorption of cimetidine caused by antacids (letter). Lancet1979; 1: 444–5.
4.
SteinbergWMLewisJHKatzDM. Antacids inhibit absorption of cimetidine. N Engl J Med1982; 307: 400–4.
5.
GuglerRBrandMSomogyiG. Impaired cimetidine absorption due to antacids and metoclopramide. Eur J Clin Pharmacol1981; 20: 225–8.
6.
RussellWLLopezLMNormannSADoeringPLGuildRT. Effect of antacids on predicted steady-state cimetidine concentrations. Dig Dis Sci1984; 29 (5): 385–9.
7.
JuskoWJ. Guidelines for collection and pharmacokinetic analysis of drug disposition data. In: EvansWE, ed. Applied pharmacokinetics. San Francisco: Applied Therapeutics, Inc., 1980: 639–80.
8.
FleitmanJTorosianGPerrinJH. Improved high-performance liquid chromatographic assay for cimetidine using ranitidine as an internal standard. J Chromatogr1982; 229: 255–8.
9.
HennRMIsenbergJIMaxwellV. Cimetidine inhibition of acid secretion in duodenal ulcer. N Engl J Med1975; 293: 371–4.