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普瑞巴林是否具有神经精神作用?:一个短期的视角。

Does pregabalin have neuropsychotropic effects?: a short perspective.

机构信息

Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Duke Clinical Research Institute, Durham, NC, USA.

出版信息

Psychiatry Investig. 2009 Jun;6(2):55-8. doi: 10.4306/pi.2009.6.2.55. Epub 2009 Jun 30.

DOI:10.4306/pi.2009.6.2.55
PMID:20046375
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2796047/
Abstract

Pregabalin is a newly developed synthetic gamma-aminobutyric acid (GABA) that is approved for the treatment of fibromyalgia and several neuropathy. It has been proven to show analgesic, anxiolytic, anticonvulsant and sleep enhancement effects, which could be applicable in the treatment of a variety of psychiatric disorders. There have been consistent reports that unexplained somatic symptoms (i.e., pain) may be a part of psychiatric disorders such as major depressive disorder (MDD) and anxiety disorders. Previous researches have also suggested the possible therapeutic potential of anticonvulsants as augmentation therapy or monotherapy in the treatment of mood disorders and anxiety disorders. Hence this short perspective tries to prompt and facilitate a shifting of researchers' attention to potential neuropsychotropic drug role of pregabalin to treat a wide range of neuropsychiatric disorders.

摘要

普瑞巴林是一种新开发的合成 γ-氨基丁酸(GABA),已被批准用于治疗纤维肌痛和几种神经病变。已证明它具有镇痛、抗焦虑、抗惊厥和改善睡眠的作用,可适用于治疗多种精神疾病。一直有一致的报告表明,不明原因的躯体症状(即疼痛)可能是精神疾病的一部分,如重度抑郁症(MDD)和焦虑症。先前的研究还表明,抗惊厥药作为增效治疗或单药治疗,可能具有治疗心境障碍和焦虑症的潜在治疗潜力。因此,这篇短文旨在促使和促使研究人员将注意力转向普瑞巴林作为治疗广泛神经精神疾病的潜在神经精神药物的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c5/2796047/0c7ee0006f09/pi-6-55-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c5/2796047/0c7ee0006f09/pi-6-55-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c5/2796047/0c7ee0006f09/pi-6-55-g001.jpg

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本文引用的文献

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Pregabalin augmentation of antidepressants in patients with accident-related posttraumatic stress disorder: an open label pilot study.普瑞巴林增强抗抑郁药治疗事故相关创伤后应激障碍患者的疗效:一项开放标签的试点研究。
Int Clin Psychopharmacol. 2009 Jan;24(1):29-33. doi: 10.1097/YIC.0b013e32831feea9.
2
The relationship between fibromyalgia and major depressive disorder: a comprehensive review.纤维肌痛与重度抑郁症之间的关系:一项全面综述。
Curr Med Res Opin. 2008 Aug;24(8):2359-71. doi: 10.1185/03007990802288338. Epub 2008 Jul 4.
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Brief post-stressor treatment with pregabalin in an animal model for PTSD: short-term anxiolytic effects without long-term anxiogenic effect.
Brain Circ. 2020 Jun 26;6(2):96-106. doi: 10.4103/bc.bc_57_19. eCollection 2020 Apr-Jun.
4
Common Ribs of Inhibitory Synaptic Dysfunction in the Umbrella of Neurodevelopmental Disorders.神经发育障碍范畴内抑制性突触功能障碍的常见特征
Front Mol Neurosci. 2018 Apr 24;11:132. doi: 10.3389/fnmol.2018.00132. eCollection 2018.
5
Pain and depression: a neurobiological perspective of their relationship.疼痛与抑郁:其关系的神经生物学视角。
Psychiatry Investig. 2015 Jan;12(1):1-8. doi: 10.4306/pi.2015.12.1.1. Epub 2015 Jan 12.
在创伤后应激障碍动物模型中,用普瑞巴林进行应激后短期治疗:具有短期抗焦虑作用,而无长期致焦虑作用。
Eur Neuropsychopharmacol. 2008 Sep;18(9):653-66. doi: 10.1016/j.euroneuro.2008.04.009. Epub 2008 Jun 5.
4
A 14-week, randomized, double-blinded, placebo-controlled monotherapy trial of pregabalin in patients with fibromyalgia.一项为期14周的普瑞巴林治疗纤维肌痛患者的随机、双盲、安慰剂对照单药治疗试验。
J Pain. 2008 Sep;9(9):792-805. doi: 10.1016/j.jpain.2008.03.013. Epub 2008 Jun 3.
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Fibromyalgia relapse evaluation and efficacy for durability of meaningful relief (FREEDOM): a 6-month, double-blind, placebo-controlled trial with pregabalin.纤维肌痛复发评估及有效缓解持续性的疗效研究(FREEDOM):一项为期6个月、使用普瑞巴林的双盲、安慰剂对照试验。
Pain. 2008 Jun;136(3):419-431. doi: 10.1016/j.pain.2008.02.027. Epub 2008 Apr 8.
6
Efficacy of pregabalin in depressive symptoms associated with generalized anxiety disorder: a pooled analysis of 6 studies.普瑞巴林治疗广泛性焦虑障碍伴发抑郁症状的疗效:6项研究的汇总分析
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7
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