British Journal of Anaesthesia, Vol 81, Issue 3 322-326, Copyright © 1998 by The Board of Management and Trustees of the British Journal of Anaesthesia
T. S. Walsh, I. T. Foo, G. B. Drummond and P. M. Warren
We have studied the ventilatory responses to acute isocapnic hypoxia (SpO2
78.8 (SD 1.4)% for 10 min) in 10 male volunteers given three different
doses of oral domperidone: placebo, domperidone tablets 10 mg, 20 mg or 30
mg every 8 h for 48 h on separate days. Neither baseline ventilation nor
the acute hypoxic ventilatory response was significantly different from
placebo for any of the domperidone doses. However, hypoxic responses were
either increased with increments of domperidone or subjects were not
sensitive. We arbitrarily divided subjects into two groups according to
their hypoxic response-plasma domperidone concentration relationship.
Analysis of subjects (n = 5) who demonstrated at least a 2-litre min-1
increase in ventilation per 10 ng ml-1 increase in plasma domperidone
concentration showed the greatest augmentation of hypoxic responses with
the 20-mg dose (median 19.45 (range 13.37, 22.30) litre min-1) compared
with placebo (median 8.21 (3.74, 9.47)) (P = 0.003). We were unable to
predict which subjects would be sensitive to the effects of domperidone.
CLINICAL INVESTIGATIONS
Influence of dose of domperidone on the acute ventilatory response to hypoxia in humans
Department of Anaesthetics, University of Edinburgh, Edinburgh; Rayne Laboratory, Unit of Respiratory Medicine, Department of Medicine, (Royal Infirmary, Edinburgh), University of Edinburgh, Edinburgh
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