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  Vol. 126 No. 2, August 1970 TABLE OF CONTENTS
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Metabolism of Methysergide and Retroperitoneal Fibrosis

Joseph R. Bianchine, MD; Arnold P. Friedman, MD

Arch Intern Med. 1970;126(2):252-254.


Abstract

The metabolism of methysergide was studied in five healthy adult subjects and three patients who had previously developed retroperitoneal fibrosis while receiving long-term therapy with 14C-methysergide maleate. All patients were asymptomatic and had normal renal function at the time of study. Subjects and patients did not differ in regard to serum radioactivity data or urinary excretion of total radioactivity and methysergide radioactivity. They also excreted radioactive carbon dioxide (14CO2) into the expired air at similar rates, suggesting that both groups were able to demethylate methysergide to form methergine. These three patients thus appear to metabolize a single test dose of methysergide in a normal manner; the pathogenesis of retroperitoneal fibrosis in such patients remains unknown.



Author Affiliations

Baltimore; New York

From the Division of Clinical Pharmacology, Johns Hopkins University School of Medicine, Baltimore (Dr. Bianchine) and the Headache Unit, Montefiore Hospital and Medical Center, New York (Dr. Friedman).


Footnotes

Received for publication Nov 20, 1969; accepted March 10,1970.

Reprint requests to Division of Clinical Pharmacology, Johns Hopkins University School of Medicine, Baltimore 21205 (Dr. Bianchine).



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