The Effect of Long-Term Cimetidine Treatment on PRL and TSH Response Capacity to TRH in Male Patients with Duodenal Ulcer

Abstract
The effect of long-term cimetidine treatment for 6 mo. on basal and TRH-stimulated prolactin (PRL) and TSH secretion was studied in 8 male patients with duodenal ulcer. They received 1000 mg cimetidine orally per day until ulcer healing and thereafter 400 mg/day for the remaining period. TRH perturbation tests were performed before and after the 6 mo. of treatment. A significant reduction in the pituitary TSH response capacity was found. No significant changes in basal and TRH-stimulated PRL, basal TSH, thyroxine and triiodothyronine were found. It is uncertain if the reduction in pituitary TSH response capacity has any clinical implications in euthyroid patients.

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