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单次服用西地那非不会增强呼出气一氧化氮:一项随机、交叉和安慰剂对照研究。

A single dose of Sildenafil does not enhance FeNO: a randomised, cross-over and placebo-controlled study.

机构信息

Zürcher Höhenklinik Davos, Klinikstrasse, CH-7272 Davos Clavadel, Switzerland.

出版信息

Respir Med. 2010 Jun;104(6):788-93. doi: 10.1016/j.rmed.2009.12.011. Epub 2010 Jan 15.

DOI:10.1016/j.rmed.2009.12.011
PMID:20079617
Abstract

Monitoring of asthma control can be performed with different means including measurement of the concentration of nitric oxide (NO) in exhaled air. Due to its action on the NO-metabolism; we hypothesized that the intake of Sildenafil might augment and falsify the NO-values in exhaled air of subjects taking the drug to treat erectile dysfunction. This randomised, placebo-controlled cross-over study including 10 male non-asthmatic volunteers taking a single dose of 50 mg Sildenafil did not confirm this assumption in non-asthmatic subjects. We cannot think of any reason why asthmatics should behave differently. On the basis of these results, it does not seem necessary to ask asthma patients with elevated NO-values if they had taken any selective inhibitor of the cGMP-specific phosphodiesterase Type 5 as Sildenafil prior to the test.

摘要

哮喘控制的监测可以通过不同的方法进行,包括测量呼出气中一氧化氮(NO)的浓度。由于它对 NO 代谢的作用;我们假设西地那非的摄入可能会增加并伪造服用药物治疗勃起功能障碍的受试者呼出气中的 NO 值。这项随机、安慰剂对照的交叉研究包括 10 名服用 50 毫克西地那非单剂量的非哮喘男性志愿者,并没有在非哮喘受试者中证实这一假设。我们想不出任何理由为什么哮喘患者的表现会有所不同。基于这些结果,似乎没有必要在测试前询问呼出气中一氧化氮水平升高的哮喘患者是否服用过西地那非等 cGMP 特异性磷酸二酯酶 5 的选择性抑制剂。

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引用本文的文献

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Fractional nitric oxide measurement in exhaled air (FeNO): perspectives in the management of respiratory diseases.呼出气体中一氧化氮分数测定(FeNO):呼吸系统疾病管理中的前景
Ther Adv Chronic Dis. 2023 Aug 1;14:20406223231190480. doi: 10.1177/20406223231190480. eCollection 2023.
2
Investigating the effect of sildenafil on improving lung function and quality of life in the patients with severe asthma.研究西地那非对改善重度哮喘患者肺功能和生活质量的影响。
J Family Med Prim Care. 2019 Jul;8(7):2361-2363. doi: 10.4103/jfmpc.jfmpc_334_19.