Histamine H2-receptor antagonists in peptic ulcer disease. Efficacy in healing peptic ulcers

Drugs. 1992 Nov;44(5):709-19. doi: 10.2165/00003495-199244050-00003.

Abstract

Duodenal ulcer healing depends on the degree and length of inhibition of gastric secretion and upon the duration of therapy, while gastric ulcer healing is dependent mainly on the duration of therapy. Currently marketed doses of the histamine H2-receptor antagonists heal between 77 and 92% of duodenal ulcers at 4 weeks, and adjuvant treatment to eradicate Helicobacter pylori increases this rate. Once-daily administration is as effective as more frequent dosing regimens and may even result in higher healing rates. Gastric ulcers heal more slowly, but 75 to 88% of ulcers heal after 8 weeks of treatment. While newer more potent acid suppressors such as omeprazole heal ulcers slightly more quickly, the H2-receptor antagonists have an unparalleled safety record of over 15 years. It is unlikely that the prostaglandin analogues can improve on the efficacy of the H2-receptor antagonists with as low an incidence of side effects.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Drug Administration Schedule
  • Duodenal Ulcer / drug therapy*
  • Histamine H2 Antagonists / adverse effects
  • Histamine H2 Antagonists / therapeutic use*
  • Humans
  • Stomach Ulcer / drug therapy*
  • Time Factors

Substances

  • Histamine H2 Antagonists