Abstract
Although several studies have examined the effects of cimetidine on pituitary-thyroid function, few have investigated ranitidine in this respect. We found no changes in thyroid-stimulating-hormone (TSH) or prolactin responses to TSH-releasing-hormone (TRH) in 10 patients with peptic ulcer disease given oral ranitidine. Serum total and free thyroxine (TT4 and FT4) concentrations declined slightly, whereas total and free triiodothyronine (TT3 and FT3) increased slightly following ranitidine. None of these changes achieved statistical significance. Both the ratio of TT4/TT3 and FT4/FT3, however, declined (P less than 0.05) following ranitidine. Thus ranitidine may have a minor influence on peripheral deiodination of thyroxine but has little effect on hormone production from the thyroid gland. The diagnostic value of biochemical tests of thyroid function is not seriously compromised in patients receiving ranitidine.
Full text
PDF



Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Barber S. G., Hoare A. M. Cimetidine effects on prolactin release and production. Horm Metab Res. 1979 Mar;11(3):220–221. doi: 10.1055/s-0028-1092712. [DOI] [PubMed] [Google Scholar]
- Bohnet H. G., Greiwe M., Hanker J. P., Aragona C., Schneider H. P. Effects of cimetidine on prolactin, LH, and sex steroid secretion in male and female volunteers. Acta Endocrinol (Copenh) 1978 Jul;88(3):428–434. doi: 10.1530/acta.0.0880428. [DOI] [PubMed] [Google Scholar]
- Burland W. L., Gleadle R. I., Lee R. M., Rowley-Jones D., Groom G. V. Prolactin responses to cimetidine. Br J Clin Pharmacol. 1979 Jan;7(1):19–21. doi: 10.1111/j.1365-2125.1979.tb00891.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Carlson H. E., Ippoliti A. F. Cimetidine, an H2-antihistamine, stimulates prolactin secretion in man. J Clin Endocrinol Metab. 1977 Aug;45(2):367–370. doi: 10.1210/jcem-45-2-367. [DOI] [PubMed] [Google Scholar]
- Delitala G., Stubbs W. A., Wass J. A., Jones A., Williams S., Besser G. M. Effects of the H2 receptor antagonist cimetidine on pituitary hormones in man. Clin Endocrinol (Oxf) 1979;11(2):161–167. doi: 10.1111/j.1365-2265.1979.tb03061.x. [DOI] [PubMed] [Google Scholar]
- Delle Fave G. F., Tamburrano G., De Magistris L., Natoli C., Santoro M. L., Carratu R., Torsoli A. Gynaecomastia with cimetidine. Lancet. 1977 Jun 18;1(8025):1319–1319. doi: 10.1016/s0140-6736(77)91358-7. [DOI] [PubMed] [Google Scholar]
- Hall W. H. Letter: Breast changes in males on cimetidine. N Engl J Med. 1976 Oct 7;295(15):841–841. doi: 10.1056/NEJM197610072951514. [DOI] [PubMed] [Google Scholar]
- Hopton M. R., Harrop J. S. Effects of venous stasis on serum concentrations of thyroid hormones and their binding proteins. Ann Clin Biochem. 1982 Mar;19(Pt 2):134–135. doi: 10.1177/000456328201900215. [DOI] [PubMed] [Google Scholar]
- Hugues J. N., Perret G., Sebaoun J., Modigliani E. Effects of cimetidine on thyroid hormones. Clin Endocrinol (Oxf) 1982 Sep;17(3):297–302. doi: 10.1111/j.1365-2265.1982.tb01593.x. [DOI] [PubMed] [Google Scholar]
- Knigge U., Dejgaard A., Wollesen F., Christiansen P. M. The effect of long-term cimetidine treatment on PRL and TSH response capacity to TRH in male patients with duodenal ulcer. Acta Med Scand. 1982;211(5):331–334. doi: 10.1111/j.0954-6820.1982.tb01957.x. [DOI] [PubMed] [Google Scholar]
- Knigge U., Wollesen F., Dejgarrd A., Thuesen B., Christiansen P. M. Comparison between dose-responses of prolactin, thyroid stimulating hormone and growth hormone to two different histamine H-2 receptor antagonists in normal men. Clin Endocrinol (Oxf) 1981 Dec;15(6):585–592. doi: 10.1111/j.1365-2265.1981.tb00705.x. [DOI] [PubMed] [Google Scholar]
- Macaron C., Kyncl M., Singh S. P. Cimetidine induced prolactin (PRL) release in thyroid disease. Clin Endocrinol (Oxf) 1979 Oct;11(4):371–375. doi: 10.1111/j.1365-2265.1979.tb03088.x. [DOI] [PubMed] [Google Scholar]
- May P., Schneider G., Ayub M., Chandiok S., Ertel N., Giglio W. Evidence for a thyrotropin inhibitory effect of histamine in man. J Clin Endocrinol Metab. 1979 Oct;49(4):638–641. doi: 10.1210/jcem-49-4-638. [DOI] [PubMed] [Google Scholar]
- Melander A., Westgren U., Sundler F., Ericson L. E. Influence of histamine- and 5-hydroxytryptamine-containing thyroid mast cells on thyroid blood flow and permeability in the rat. Endocrinology. 1975 Nov;97(5):1130–1137. doi: 10.1210/endo-97-5-1130. [DOI] [PubMed] [Google Scholar]
- Pasquali R., Corinaldesi R., Miglioli M., Melchionda N., Capelli M., Barbara L. Effect of prolonged administration of ranitidine on pituitary and thyroid hormones, and their response to specific hypothalamic-releasing factors. Clin Endocrinol (Oxf) 1981 Nov;15(5):457–462. doi: 10.1111/j.1365-2265.1981.tb00688.x. [DOI] [PubMed] [Google Scholar]
- Röjdmark S., Andersson D. E. Cimetidine effect of dopaminergic modulation of prolactin release in healthy women. Metabolism. 1982 Oct;31(10):1042–1045. doi: 10.1016/0026-0495(82)90149-4. [DOI] [PubMed] [Google Scholar]
- Spence R. W., Celestin L. R. Gynaecomastia associated with cimetidine. Gut. 1979 Feb;20(2):154–157. doi: 10.1136/gut.20.2.154. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Van Thiel D. H., Gavaler J. S., Smith W. I., Jr, Paul G. Hypothalamic-pituitary-gonadal dysfunction in men using cimetidine. N Engl J Med. 1979 May 3;300(18):1012–1015. doi: 10.1056/NEJM197905033001803. [DOI] [PubMed] [Google Scholar]
- Yeo T., Delitala G., Besser G. M., Edwards C. R. The effects of ranitidine on pituitary hormone secretion in vitro. Br J Clin Pharmacol. 1980 Aug;10(2):171–173. doi: 10.1111/j.1365-2125.1980.tb01737.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
