The preoperative use of cimetidine as a means of preventing symptomatic hypocalcemia following a parathyroid operation

Surg Gynecol Obstet. 1983 Dec;157(6):557-68.

Abstract

Cimetidine has been shown to lower circulating PTH levels effectively by causing an intraglandular rearrangement of PTH peptides in human parathyroid tissue in instances of primary hyperparathyroidism. A state of "euparathyroidism" is established. It has been statistically found at a 98.7 per cent confidence level that preoperative treatment with cimetidine effectively prevents symptomatic hypocalcemia postoperatively after parathyroid operations. It is anticipated that cimetidine has provided a tool for the in depth exploration of parathyroid disease.

MeSH terms

  • Adenoma / surgery
  • Calcium / blood
  • Cimetidine / administration & dosage*
  • Humans
  • Hypocalcemia / etiology
  • Hypocalcemia / prevention & control*
  • Parathyroid Glands / surgery*
  • Parathyroid Hormone / blood
  • Parathyroid Neoplasms / surgery
  • Postoperative Complications / prevention & control
  • Preoperative Care

Substances

  • Parathyroid Hormone
  • Cimetidine
  • Calcium