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γ-羟基丁酸过量与毒扁豆碱:给一种老药传授新技巧?

Gamma-hydroxybutyrate overdose and physostigmine: teaching new tricks to an old drug?

作者信息

Caldicott D G, Kuhn M

机构信息

Emergency Department, Royal Adelaide Hospital, Adelaide, SA, Australia.

出版信息

Ann Emerg Med. 2001 Jan;37(1):99-102. doi: 10.1067/mem.2001.111642.

DOI:10.1067/mem.2001.111642
PMID:11145779
Abstract

Gamma-hydroxybutyrate was introduced as an anesthetic agent in the 1960s and is still used in some countries, despite recognized disadvantages. More recently, it has emerged as a popular recreational drug. We report 3 cases of gamma-hydroxybutyrate overdose, the effects of which were reversed by the administration of low-dose intravenous physostigmine. The origins of this regimen and the case for physostigmine as a potential antidote are described.

摘要

γ-羟基丁酸在20世纪60年代被作为一种麻醉剂引入,尽管存在公认的缺点,但仍在一些国家使用。最近,它已成为一种流行的消遣性毒品。我们报告了3例γ-羟基丁酸过量中毒病例,通过静脉注射低剂量毒扁豆碱可逆转其影响。本文描述了该治疗方案的起源以及毒扁豆碱作为潜在解毒剂的情况。

相似文献

1
Gamma-hydroxybutyrate overdose and physostigmine: teaching new tricks to an old drug?γ-羟基丁酸过量与毒扁豆碱:给一种老药传授新技巧?
Ann Emerg Med. 2001 Jan;37(1):99-102. doi: 10.1067/mem.2001.111642.
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引用本文的文献

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Metabolic Alterations Associated with γ-Hydroxybutyric Acid and the Potential of Metabolites as Biomarkers of Its Exposure.与γ-羟基丁酸相关的代谢改变以及代谢物作为其暴露生物标志物的潜力。
Metabolites. 2021 Feb 10;11(2):101. doi: 10.3390/metabo11020101.
2
Adverse Effects of Physostigmine.毒扁豆碱的不良反应。
J Med Toxicol. 2019 Jul;15(3):184-191. doi: 10.1007/s13181-019-00697-z. Epub 2019 Feb 11.
3
GHB pharmacology and toxicology: acute intoxication, concentrations in blood and urine in forensic cases and treatment of the withdrawal syndrome.
γ-羟基丁酸的药理学与毒理学:急性中毒、法医案例中的血液和尿液浓度以及戒断综合征的治疗
Curr Neuropharmacol. 2015 Jan;13(1):47-70. doi: 10.2174/1570159X13666141210215423.
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[Gamma-hydroxybutyrate--a neurotransmitter, medicine, and drug].
Nervenarzt. 2005 Jul;76(7):832, 834-8. doi: 10.1007/s00115-004-1852-y.
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[gamma-Hydroxybutyrate intoxication].
Anaesthesist. 2004 Oct;53(10):950-4. doi: 10.1007/s00101-004-0723-z.