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http://www.sigmaaldrich.com/ Cimentidine is a competitive histamine H2-receptor antagonist whose effects include inhibition of gastric acid secretion and reduction of pepsin output. It also binds to cytochrome P450, which can lead to the inhibition of breakdown of compounds metabolized by the cytochrome P450 system. A review of the effects of cimetidine and other compounds on transport proteins has been published. Cimeditine has been used in the culture of rabbit gastric parietal cells for subsequent ultrastructural examination. Cimetidine blocks the histamineinduced surface expression of P-selectin in primary cultured human brain microvessel endothelial cells. A
study of cultured human monocytes has utilized cimetidine to probe the expression of histidine decarboxylase. The susceptibility of cimetidine to metabolism by colonic bacteria in vitro has been investigated.
http://dermatology-s10.cdlib.org/ Cimetidine is approved by the FDA for the reduction of the secretion of gastric acid. It is used to alleviate the symptoms of peptic ulcer disease, erosive gastroesophageal reflux disease, and hypersecretory conditions including Zollinger-Ellison syndrome and multiple endocrine adenomas. It is available over the counter and by prescription. In dermatology it is most commonly used to treat warts, urticaria, and mastocytosis.
Cimetidine is generally taken without ill effect. Its side effects include dizziness and mild somnolence (at doses of 800–1600 mg/day), a reversible state of confusion (especially in the elderly with preexisting renal or hepatic disease), gastrointestinal upset, gynecomastia (may occur if treatment period is greater than 1 month), reversible dose-related increase in serum transaminases, and dose-related elevations in plasma creatinine. |