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尼群地平、氯氮卓、氟马西尼和巴氯芬对酒精戒断所致焦虑增加的影响。

Effects of nitrendipine, chlordiazepoxide, flumazenil and baclofen on the increased anxiety resulting from alcohol withdrawal.

作者信息

File S E, Zharkovsky A, Hitchcott P K

机构信息

Psychopharmacology Research Unit, University of London, Guy's Hospital, UK.

出版信息

Prog Neuropsychopharmacol Biol Psychiatry. 1992 Jan;16(1):87-93. doi: 10.1016/0278-5846(92)90011-3.

DOI:10.1016/0278-5846(92)90011-3
PMID:1557510
Abstract
  1. Male hooded Lister rats were fed a liquid diet containing 10% absolute ethanol for 4-5 weeks. Control rats received the liquid diet in amounts controlled to produce equal weight gain. 2. The rats were tested 7.5 h after withdrawal of ethanol and 30 min after i.p. injection with nitrendipine, chlordiazepoxide or baclofen or 20 min after i.p. injection with flumazenil. 3. Nitrendipine (25-100 mg/kg) was unable to reverse the anxiogenic responses detected on withdrawal from ethanol, but the highest dose did reduce withdrawal tremor. 4. Chlordiazepoxide (10 mg/kg), flumazenil (4 mg/kg) and baclofen (1.25 mg/kg) significantly reversed the anxiogenic response detected on withdrawal from ethanol. 5. These reversals of ethanol withdrawal responses are similar to the reversal of the increased anxiety detected on withdrawal from chronic treatment with benzodiazepines. 6. The mechanisms and clinical implications of these drug-induced reversals are discussed.
摘要
  1. 雄性戴帽利斯特大鼠喂食含10%无水乙醇的液体饲料4 - 5周。对照大鼠给予等量的液体饲料以保证体重等量增加。2. 在撤去乙醇7.5小时后以及腹腔注射尼群地平、氯氮卓或巴氯芬30分钟后,或腹腔注射氟马西尼20分钟后对大鼠进行测试。3. 尼群地平(25 - 100毫克/千克)无法逆转撤去乙醇后检测到的致焦虑反应,但最高剂量确实减轻了撤药震颤。4. 氯氮卓(10毫克/千克)、氟马西尼(4毫克/千克)和巴氯芬(1.25毫克/千克)显著逆转了撤去乙醇后检测到的致焦虑反应。5. 这些乙醇撤药反应的逆转类似于撤去长期苯二氮卓类药物治疗后检测到的焦虑增加的逆转。6. 讨论了这些药物诱导逆转的机制和临床意义。

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