George C F
University of Western Ontario, London Health Sciences Centre, Victoria Campus, 375 South Street, London, Ontario, Canada N6A 4G5.
Lancet. 2001 Nov 10;358(9293):1623-6. doi: 10.1016/s0140-6736(01)06656-9.
Pharmacological therapy has an important role in the management of insomnia. Although older drugs are highly effective for initiating and maintaining sleep, tolerance and withdrawal effects as well as impairment of daytime performance are commonly troublesome and limit their use. Aided by increased knowledge of gamma-aminobutyric acid (GABA) and its receptors, new hypnotic sedatives have been developed that are increasingly selective for the various subunits of the GABA receptor. This development has produced newer agents with very favourable hypnotic profiles and side-effect profiles that provide better treatment options for medical practitioners. The pyrazolopyrimidines, the latest in this area, seem to offer some advantages over other agents.
药物治疗在失眠管理中具有重要作用。尽管 older drugs(此处原文有误,推测应为“老药”)对启动和维持睡眠非常有效,但耐受性、撤药效应以及对日间功能的损害通常很麻烦,并限制了它们的使用。随着对γ-氨基丁酸(GABA)及其受体的了解增加,新型催眠镇静剂得以开发,这些药物对GABA受体的各个亚基具有越来越高的选择性。这一进展产生了具有非常良好催眠特性和副作用特性的新型药物,为医生提供了更好的治疗选择。吡唑并嘧啶类药物是该领域的最新药物,似乎比其他药物具有一些优势。