ABSTRACT
BACKGROUND: Intragastric acid suppression is the most direct measure of the pharmacodynamic efficacy of proton pump inhibitors, which are the most effective drugs for acid-related diseases. AIM: To compare the effectiveness of once and twice daily dosing of lansoprazole and esomeprazole in controlling intragastric acidity (target gastric pH > 4.0) over a 24-hour period. METHODS: In an open-label, two-way crossover study, 45 Helicobacter pylori-negative patients with gastro-oesophageal reflux disease were randomized to receive one of two regimens: 30 mg lansoprazole or esomeprazole 40 mg once daily. Intragastric pH was assessed by 24-hour pH monitoring on day 5 of each regimen. Dosing was increased to twice daily and pH was reassessed on day 10. Following a 14-day washout, patients were crossed over to the other medication and the dosage regimens and pH assessments were repeated. RESULTS: Data were analysed from 35 patients who completed all scheduled assessments and had 24-hour monitoring for each end-point. Mean time pH > 4.0 and mean 24-hour pH were highest for esomeprazole 40 mg twice daily, followed by lansoprazole 30 mg twice daily, esomeprazole 40 mg once daily and lansoprazole 30 mg once daily. Esomeprazole 40 mg twice daily provided superior control of intragastric pH compared with either once or twice daily dosing of lansoprazole and once daily dosing of esomeprazole (P < 0.01). Esomeprazole 40 mg once daily was comparable with lansoprazole 30 mg twice daily and both were superior to lansoprazole 30 mg once daily (P < 0.01). CONCLUSIONS: Response to acid suppression treatment depends on the treatment selected. Esomeprazole 40 mg twice daily provided better control of intragastric pH than all other regimens evaluated. Esomeprazole 40 mg daily, however, was comparable with lansoprazole 30 mg twice daily and superior to lansoprazole 30 mg once daily.
Subject(s)
Anti-Ulcer Agents/administration & dosage , Esomeprazole/analogs & derivatives , Esomeprazole/administration & dosage , Gastroesophageal Reflux/drug therapy , 2-Pyridinylmethylsulfinylbenzimidazoles , Adolescent , Adult , Aged , Circadian Rhythm , Cross-Over Studies , Female , Gastric Acid , Humans , Hydrogen-Ion Concentration , Lansoprazole , Male , Middle Aged , Treatment OutcomeABSTRACT
Bunker C fuel oil was extracted with petroleum ether and the concentrated extract was given to breeding Japanese quail (Coturnix coturnix Japonica). A dose of extract equivalent to 300 mg bunker C reduced both egg production and hatchability. Fractionation of the extract by absorption on Florisil and elution with petroleum ether followed by chloroform yielded fractions that were tested for toxicity. All the fractions had a pronounced effect upon production; however, only the chloroform eluates were found to affect hatchability of the eggs.
