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Cited by 304

The DOI matches its Crossref record; 7 of the 7 references it cites were found in a registry or an index.

Superiority of Demeclocycline over Lithium in the Treatment of Chronic Syndrome of Inappropriate Secretion of Antidiuretic Hormone

Forrest, John N., Cox, Malcolm, Hong, Cornelio, Morrison, Gail, Bia, Margaret, Singer, Irwin·1978·New England Journal of Medicine

Abstract

We evaluated demeclocycline and lithium therapy in 10 patients with the syndrome of inappropriate secretion of antidiuretic hormone. Despite severe water restriction, all patients had hyponatremia (mean +/- S.E.M. serum sodium of 122 +/- 1.1 meq per liter) and elevated urine osmolality (744 +/- 59 mOsm per kilogram) before treatment. Demeclocycline (600 to 1200 mg daily) restored serum sodium concentration to 139 +/- 1.1 meq per liter within five to 14 days, permitting unrestricted water intake in all patients. In three patients given lithium carbonate (900 mg daily) the serum sodium concentration, urine osmolality and urine volume were unchanged; since two patients had adverse central-nervous-system symptoms during lithium therapy, further study of this agent was abandoned. A patient with an unusual 22-year history of the syndrome was unresponsive to lithium, whereas long-term treatment with demeclocyline was markedly effective. Demeclocycline is superior to lithium in the treatment of the syndrome and may obviate the need for severe water restriction.

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Crossref · 10.1056/nejm197801262980401

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Metadata

Authors
Forrest, J. N., Cox, M., Hong, C., Morrison, G., Bia, M., & Singer, I.
Venue
New England Journal of Medicine
Published
1978-01-26
Volume
298
Issue
4
Pages
173-177
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2319189417
Cited by
304
References
7
FWCI
24.22
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Superiority of Demeclocycline over Lithium in the Treatment of Chronic Syndrome of Inappropriate Secretion of Antidiuretic Hormone. https://app.cochat.ai/papers/10.1056/nejm197801262980401
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Forrest, J. N., Cox, M., Hong, C., Morrison, G., Bia, M., & Singer, I. (1978). Superiority of Demeclocycline over Lithium in the Treatment of Chronic Syndrome of Inappropriate Secretion of Antidiuretic Hormone. New England Journal of Medicine. https://doi.org/10.1056/nejm197801262980401

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.