Effect of cisapride on acid gastro-oesophageal reflux during treatment with caffeine.
Biol Neonate
; 77(2): 92-5, 2000 Feb.
Article
in En
| MEDLINE
| ID: mdl-10657685
ABSTRACT
About 50% of preterm infants and neonates receiving methylxanthines for respiratory stimulation will develop a pathological gastro-oesophageal reflux (GOR) pattern. In the face of potential GOR-related complications the effect of a concomitant treatment with a prokinetic agent, such as cisapride, should be evaluated. In this study 32 formerly preterm infants were studied simultaneously by 24-hour oesophageal pH monitoring and cardio-respirogram before the presumed end of caffeine treatment. In 14 of these infants a reflux index (RI; percentage of recording time) of more than 4% could be detected (pH <4). Ten of them were treated orally with cisapride (0. 2 mg/kg t.i.d.). Data of pH monitoring, cardio-respirogram and caffeine serum concentrations were obtained before and 5 days after introducing cisapride. The RI and the frequency of GOR decreased significantly with cisapride. The steady-state serum concentrations of caffeine were not influenced by cisapride and the extent of periodic breathing remained unchanged. In conclusion, cisapride has a positive influence on GOR parameters during caffeine treatment without impairing the oral bioavailability or therapeutic effect of caffeine.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Gastrointestinal Agents
/
Caffeine
/
Gastroesophageal Reflux
/
Cisapride
/
Infant, Premature, Diseases
Limits:
Humans
/
Newborn
Language:
En
Journal:
Biol Neonate
Year:
2000
Document type:
Article
Affiliation country:
Alemania