We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Use of Cimetidine

Brian Dickson, MD
Arch Intern Med. 1986;146(4):809. doi:10.1001/archinte.1986.00360160265042.
Text Size: A A A
Published online


To the Editor.  —The recent article in the Archives by Lardinois and Mazzaferri1 ('Cimetidine Blocks Testosterone Synthesis') contains implications and misstatements that have been misleading to your readers.As the authors point out, the changes in plasma testosterone levels noted in their patient are unique and have not previously been reported with cimetidine hydrochloride therapy even in patients with drug-associated gynecomastia. Although a defect in 17-β-hydroxysteroid dehydrogenase may have been responsible, no substantial confirmatory data have been presented and we believe it unwarranted for the authors to have entitled their article in such an unequivocal fashion.Several other issues are raised by the article. The introduction of hyperprolactinemia is irrelevant to the case reported. As was the case in the patient described, prolactin levels have been consistently normal with the use of oral cimetidine. As pointed out by the authors, transient hyperprolactinemia has been noted only after rapid intravenous


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.