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November 1, 1969Clinical Pharmacology & Therapeutics

Comparison of antihypertensive efficacy, intestinal absorption, and excretion of guanethidine in hypertensive patients

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Key result

Poor intestinal absorption fails to explain inadequate guanethidine response.

  • n=6

Why the study?

The cause of inadequate response to guanethidine in hypertensive patients was unclear, specifically whether poor intestinal absorption contributed.

Does intestinal absorption or urinary excretion of guanethidine differ between responders and non-responders in patients with essential hypertension?

Population

6 patients with essential hypertension

Comparison

Responders to 25 mg/day guanethidine vs non-responders to 150 mg/day guanethidine

Design

Observational study measuring intestinal absorption and urinary excretion

Authors

KRK. H. RahnGeneral / Preventive / LipidsLGLeon I. GoldbergUniversity of Michigan

Discussion

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Implication

Excludes malabsorption as cause of guanethidine nonresponse; leaves open alternative mechanisms for variable effect in hypertension.

Study Design

Type

Observational (n=6)

Structured PICO

Does intestinal absorption or urinary excretion of guanethidine differ between responders and non-responders in patients with essential hypertension?

P
Population
6 patients with essential hypertension (3 responders and 3 non-responders to guanethidine therapy) evaluated for drug absorption and excretion.
E
Exposure
Single oral dose of 41.6 mg guanethidine-14C (5 pc) in non-responders.
C
Comparator
Single oral dose of 41.6 mg guanethidine-14C (5 pc) in responders.
O
Outcome
Intestinal absorption (fecal radioactivity) and urinary excretion of radioactivity and metabolic fractions.surrogate

Poor intestinal absorption is not the underlying cause of inadequate antihypertensive response to guanethidine in patients with essential hypertension.

Cite This Study

Rahn et al. (1969) conducted an observational in Essential hypertension (n=6). Guanethidine-14C vs. Responders vs Non-responders was evaluated on Intestinal absorption and urinary excretion of guanethidine (radioactivity in urine and feces). Poor intestinal absorption was not the cause of inadequate response to guanethidine, as urinary and fecal excretion of radioactivity were similar between responders and non-responders.

synapsesocial.com/papers/6aa8459a3edb63eecd82b4f4https://doi.org/10.1002/cpt1969106858

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A Study of 38 Patients and Their Responses to Guanethidine1961 · 5 citations
  2. 2Comparison of guanadrel and guanethidine1973 · 20 citations
  3. 3The relationship of plasma guanethidine levels to adrenergic blockade1975 · 19 citations
  4. 4Patient acceptance of guanethidine as therapy for mild to moderate hypertension. A comparison with reserpine.1976 · 50 citations
  5. 5Multiclinic controlled trial of bethanidine and guanethidine in severe hypertension.1977 · 16 citations