Gomez-Mancilla B, Boucher R, Bédard P J
Centre de Recherche en Neurobiologie, Hôpital de l'Enfant-Jésus, Québec, Canada.
Clin Neuropharmacol. 1991 Aug;14(4):359-66. doi: 10.1097/00002826-199108000-00008.
The purported alpha 2-adrenergic agonist clonidine was found to inhibit rest tremor at doses of 0.023-0.1 mg/kg in the 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine monkey model of parkinsonism. The effect was dose dependent, but sedation and reduced mobility were observed. Atropine at doses of 0.1-1 mg/kg also reduced tremor in a dose-dependent fashion, but side-effects in the form of agitation, dilated pupils, and dry mouth were seen. When the two drugs were combined, however, we saw a significant potentiation of the antitremor effect. We could even abolish tremor with doses of atropine and clonidine that by themselves were without effect. The side-effects were almost eliminated by the combination.
在帕金森病的1-甲基-4-苯基-1,2,3,6-四氢吡啶猴模型中,研究发现,所谓的α2-肾上腺素能激动剂可乐定在剂量为0.023 - 0.1毫克/千克时可抑制静止性震颤。其效果呈剂量依赖性,但会出现镇静和活动减少的情况。剂量为0.1 - 1毫克/千克的阿托品也以剂量依赖的方式减轻震颤,但会出现激动、瞳孔散大及口干等副作用。然而,当两种药物联合使用时,我们发现抗震颤效果有显著增强。甚至使用单独无效剂量的阿托品和可乐定联合使用,我们也能消除震颤。联合使用几乎消除了副作用。