A report of a cimetidine-methadone interaction is presented, with a discussion of the possible mechanism of action involved. Exaggeration of narcotic effects by cimetidine—and the potential hazards thereof—are cited as matters of concern, in view of the widespread use of cimetidine and the increasing use of narcotic analgesics for chronic pain.
SomogyiAGuglerR.Drug interactions with cimetidine. Clin Pharmacokinet1982; 7: 23–41.
2.
SchwinghammerTL. Drug interactions with cimetidine. Am J Hosp Pharm1981; 38: 1976–8.
3.
HanstenPD. Cimetidine interactions. Drug Interact Newslett1981; 1: 43–6.
4.
BaumanJHKimelblattBJ. Cimetidine as an inhibitor of drug metabolism: Therapeutic implications and review of the literature. Drug Intell Clin Pharm1981; 16: 380–6.
5.
RendicSSunjicVTosoRKajfezF.Interaction of cimetidine with liver microsomes. Xenobiotica1979; 9: 555–64.
6.
DesmondPVPatwardhanRParkerRSchenkerSSpeegKV. Effect of cimetidine and other antihistamines on the elimination of antipyrine, phenacetin and caffeine. Life Sci1980; 26: 1261–8.
7.
FeelyJWilkinsonGRWoodAJJ. Reduction of liver blood flow and propranolol metabolism by cimetidine. N Engl J Med1981; 304: 692–5.
8.
WilliamsRLMamelkoRD. Hepatic disease and drug pharmacokinetics. Clin Pharmacokinet1980; 5: 528–47.
9.
FineAChurchillDN. Potentially lethal interaction of cimetidine and morphine (letter). Can Med Assoc J1981; 124: 1434–5.
10.
FineAChurchillDN. Potentially lethal interaction of cimetidine and morphine (letter). Can Med Assoc J1982; 126: 1032.
11.
LamAM. Potentially lethal interaction of cimetidine and morphine (letter). Can Med Assoc J1981; 125: 820.
12.
MojaverianPSwansonBNVlassesPHFergusonRK. Potentially lethal interaction of cimetidine and morphine (letter). Can Med Assoc J1981; 125: 1212.
13.
NovickDMKreekMJFanizzaAMYancovitzSRGlebAMStengerRJ. Methadone disposition in patients with chronic liver disease. Clin Pharm Ther1981; 30: 353–62.