Heim A, Vanelle J M
S.H.U. Hôpital Sainte-Anne, Paris.
Encephale. 1992 Nov-Dec;18(6):665-7.
In addition to their competitive blockade of the beta-receptors, beta-adrenergic-blocking drugs possess ancillary properties that may modulate their clinical effects. Among these properties, beta 1-selectivity, intrinsic sympathomimetic activity, lipid solubility, may affect pharmacokinetic and pharmacodynamic properties of beta-blockers. It could appear that lipid soluble drugs gain access to the Central Nervous System (CNS) more easily. But CNS effects of beta-blockers are probably modulated by other parameters. With those pharmacological data, the authors propose briefly a schematic use of main beta-blockers in psychiatry.
除了对β受体的竞争性阻断作用外,β肾上腺素能阻断药物还具有一些辅助特性,这些特性可能会调节其临床效果。在这些特性中,β1选择性、内在拟交感活性、脂溶性,可能会影响β受体阻滞剂的药代动力学和药效学特性。似乎脂溶性药物更容易进入中枢神经系统(CNS)。但β受体阻滞剂对中枢神经系统的作用可能受其他参数调节。基于这些药理学数据,作者简要提出了主要β受体阻滞剂在精神病学中的示意性用法。