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巴氯芬:一种治疗酒精依赖的新药。

Baclofen: a new drug for the treatment of alcohol dependence.

作者信息

Addolorato G, Leggio L, Agabio R, Colombo G, Gasbarrini G

机构信息

Institute of Internal Medicine, Catholic University of Rome, Rome, Italy.

出版信息

Int J Clin Pract. 2006 Aug;60(8):1003-8. doi: 10.1111/j.1742-1241.2006.01065.x.

DOI:10.1111/j.1742-1241.2006.01065.x
PMID:16893442
Abstract

Recent preclinical and clinical studies have suggested that baclofen, the prototypic gamma-aminobutyric acid B (GABA(B)) receptor agonist, is a promising pharmacological compound for use in the treatment of alcohol dependence. In particular, baclofen has been found to suppress symptoms of alcohol withdrawal syndrome with an efficacy comparable with that of the 'gold standard' diazepam. Moreover, baclofen has proven effective in the prevention of relapse due to its ability to reduce alcohol intake and craving in alcoholic patients. Baclofen proved to be manageable, producing no significant side effects and displaying no addictive properties. The efficacy of the drug in the management of both alcohol withdrawal syndrome and relapse prevention should entail a vastly simplified pharmacotherapy of alcohol dependence.

摘要

近期的临床前和临床研究表明,原型γ-氨基丁酸B(GABA(B))受体激动剂巴氯芬是一种用于治疗酒精依赖的有前景的药物化合物。特别是,已发现巴氯芬可抑制酒精戒断综合征的症状,其疗效与“金标准”地西泮相当。此外,由于巴氯芬能够减少酒精性患者的酒精摄入量和渴望感,已证明其在预防复发方面有效。事实证明,巴氯芬易于管理,不会产生明显的副作用,也不具有成瘾性。该药物在治疗酒精戒断综合征和预防复发方面的疗效应会使酒精依赖的药物治疗大大简化。

相似文献

1
Baclofen: a new drug for the treatment of alcohol dependence.巴氯芬:一种治疗酒精依赖的新药。
Int J Clin Pract. 2006 Aug;60(8):1003-8. doi: 10.1111/j.1742-1241.2006.01065.x.
2
Ability of baclofen in reducing alcohol craving and intake: II--Preliminary clinical evidence.巴氯芬减少酒精渴望和摄入量的能力:II——初步临床证据。
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Is baclofen a revolutionary medication in alcohol addiction management? Review and recent updates.巴氯芬在酒精成瘾管理中是一种革命性的药物吗?综述及最新进展。
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GABAergic medications for treating alcohol dependence.用于治疗酒精依赖的γ-氨基丁酸能药物。
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Baclofen suppresses alcohol intake and craving for alcohol in a schizophrenic alcohol-dependent patient: a case report.巴氯芬抑制一名酒精依赖型精神分裂症患者的酒精摄入量及对酒精的渴望:一例病例报告
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Suppression of symptoms of alcohol dependence and craving using high-dose baclofen.使用高剂量巴氯芬抑制酒精依赖症状和渴望。
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Baclofen for the treatment of alcohol dependence.巴氯芬用于治疗酒精依赖。
J Psychosoc Nurs Ment Health Serv. 2012 Oct;50(10):11-4. doi: 10.3928/02793695-20120906-92. Epub 2012 Sep 17.
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Safety and efficacy of baclofen in the treatment of alcohol-dependent patients.巴氯芬治疗酒精依赖患者的安全性和疗效。
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Are the effects of gamma-hydroxybutyrate (GHB) treatment partly physiological in alcohol dependence?γ-羟基丁酸(GHB)治疗对酒精依赖的影响是否部分是生理性的?
Am J Drug Alcohol Abuse. 2008;34(2):235-6; author reply 237-8. doi: 10.1080/00952990701877177.

引用本文的文献

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Preventive Effects of Baclofen but Not Diazepam on Hippocampal Memory and Glucocorticoid Alterations After Prolonged Alcohol Withdrawal in Mice.巴氯芬而非地西泮对小鼠长期戒酒海马记忆和糖皮质激素改变的预防作用
Front Psychiatry. 2022 May 24;13:799225. doi: 10.3389/fpsyt.2022.799225. eCollection 2022.
2
Comparison between baclofen and topiramate in alcohol dependence: A prospective study.巴氯芬与托吡酯治疗酒精依赖的比较:一项前瞻性研究。
Ind Psychiatry J. 2019 Jan-Jun;28(1):44-50. doi: 10.4103/ipj.ipj_57_19. Epub 2019 Dec 11.
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Baclofen but Not Diazepam Alleviates Alcohol-Seeking Behavior and Hypothalamic-Pituitary-Adrenal Axis Dysfunction in Stressed Withdrawn Mice.
巴氯芬而非地西泮可减轻应激性戒断小鼠的觅酒行为及下丘脑-垂体-肾上腺轴功能障碍。
Front Psychiatry. 2019 Apr 16;10:238. doi: 10.3389/fpsyt.2019.00238. eCollection 2019.
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Cocaine- and Amphetamine-Regulated Transcript (CART) Peptide Plays Critical Role in Psychostimulant-Induced Depression.可卡因和苯丙胺调节转录肽(CART)在精神兴奋剂诱发的抑郁中起关键作用。
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Brain Functional Magnetic Resonance Imaging Cue-reactivity Can Predict Baclofen Response in Alcohol Use Disorders.脑功能磁共振成像线索反应性可预测酒精使用障碍患者对巴氯芬的反应。
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