Cimetidine and Acute Intermittent Porphyria
- Jose Halabe Cherem, MD;
- Jose Malagon, MD; and
- Haiko Nellen, MD
- From Hospital de Especialidades, Centro Médico Nacional Siglio XXI IMSS, 06720 Mexico D.F.
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TO THE EDITOR:
Background: Management of acute porphyric crisis involves withdrawal of offending drugs, treatment of symptoms with appropriate medications, and attempts to reverse factors that increase aminolevulinic acid synthetase activity. Hematin, the standard therapy for porphyria, is not always immediately available. Cimetidine may have a role in the treatment of acute intermittent porphyria by inhibiting heme oxidase activity, decreasing …
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