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Antisecretory effect and oral pharmacokinetics of omeprazole in patients with chronic renal failure
Authors:C. W. Howden  C. D. Payton  P. A. Meredith  D. M. A. Hughes  A. I. Macdougall  J. L. Reid  J. A. H. Forrest
Affiliation:(1) University Department of Materia Medica, Stobhill General Hospital, Glasgow, Scotland, U.K.;(2) Renal Unit, Stobhill General Hospital, Glasgow, Scotland, U.K.;(3) Gastroenterology Unit, Stobhill General Hospital, Glasgow, Scotland, U.K.
Abstract:Summary The inhibitory effect of omeprazole on gastric acid secretion was tested in a group of patients on haemodialysis for chronic renal failure. Single 30 mg doses almost totally inhibited basal acid output on both dialysis and non-dialysis days. Plateau acid output was reduced by a mean of 77% and 90% on non-dialysis and dialysis days respectively. The absorption and pharmacokinetic profile of omeprazole were not affected by dialysis. Omeprazole was not recoverable from dialysis fluid. It is concluded that omeprazole is a potent inhibitor of gastric acid secretion in patients with chronic renal failure, and its effect is not influenced by haemodialysis.
Keywords:omeprazole  renal failure  gastric secretion  pharmacokinetics  haemodialysis
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