Spanagel R, Mann K
Abteilung für Psychopharmakologie, Zentralinstitut für Seelische Gesundheit (ZI), Universitat Heidelberg.
MMW Fortschr Med. 2003 Oct 9;145 Suppl 3:61-4.
Acamprosate has been shown to be effective and safe in relapse prevention of alcoholism. The effect of acamprosate is explained by a functional antagonistic action on the N-methyl-D-aspartate (NMDA) receptor. Under normal physiological conditions acamprosate augments the functionality of the NDMA receptor, but it inhibits the overactivity of that receptor triggered by alcohol abuse and withdrawal. In addition, conditioned withdrawal phenomena that can lead to a relapse, are also reduced. The substance is not a substitution drug, nor does it have addictive potential. Moreover, it also has a neuroprotective action. Whether acamprosate has a role as a neuroprotective agent in humans needs to be investigated.
已证实阿坎酸在预防酒精中毒复发方面有效且安全。阿坎酸的作用是通过对N-甲基-D-天冬氨酸(NMDA)受体的功能性拮抗作用来解释的。在正常生理条件下,阿坎酸可增强NDMA受体的功能,但它能抑制因酒精滥用和戒断引发的该受体过度活跃。此外,还能减少可导致复发的条件性戒断现象。该物质不是替代药物,也没有成瘾潜力。此外,它还具有神经保护作用。阿坎酸在人类中是否具有神经保护剂的作用尚需研究。