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Is it time to reformulate racemic methadone?是时候重新制定消旋美沙酮了吗?
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本文引用的文献

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A randomized trial of oral naltrexone for treating opioid-dependent offenders.口服纳曲酮治疗阿片类药物依赖罪犯的随机试验。
Am J Addict. 2010 Sep-Oct;19(5):422-32. doi: 10.1111/j.1521-0391.2010.00070.x.
2
Comparison of the effects of methadone and heroin on human ether-à-go-go-related gene channels.比较美沙酮和海洛因对人 Ether-a-go-go 相关基因通道的影响。
Cardiovasc Toxicol. 2010 Sep;10(3):161-5. doi: 10.1007/s12012-010-9074-y.
3
Substitution of (R,S)-methadone by (R)-methadone: Impact on QTc interval.用(R)-美沙酮替代(R,S)-美沙酮:对QTc间期的影响。
Arch Intern Med. 2010 Mar 22;170(6):529-36. doi: 10.1001/archinternmed.2010.26.
4
First do no harm ... Reduction?首先,勿伤……减少?
Ann Intern Med. 2009 Mar 17;150(6):417-8. doi: 10.7326/0003-4819-150-6-200903170-00111. Epub 2009 Feb 18.
5
QTc interval screening in methadone treatment.美沙酮治疗中的QTc间期筛查
Ann Intern Med. 2009 Mar 17;150(6):387-95. doi: 10.7326/0003-4819-150-6-200903170-00103. Epub 2009 Jan 19.
6
The effects of chiral isolates of methadone on the cardiac potassium channel IKr.美沙酮手性异构体对心脏钾通道IKr的影响。
Cardiology. 2009;113(1):59-65. doi: 10.1159/000167043. Epub 2008 Nov 4.
7
QT-interval effects of methadone, levomethadyl, and buprenorphine in a randomized trial.美沙酮、左美沙酮和丁丙诺啡在一项随机试验中的QT间期效应
Arch Intern Med. 2007 Dec 10;167(22):2469-75. doi: 10.1001/archinte.167.22.2469.
8
Methadone in the treatment of chronic nonmalignant pain: a 2-year follow-up.美沙酮治疗慢性非恶性疼痛:两年随访
Pain Med. 2000 Sep;1(3):254-9. doi: 10.1046/j.1526-4637.2000.00027.x.
9
A MEDICAL TREATMENT FOR DIACETYLMORPHINE (HEROIN) ADDICTION. A CLINICAL TRIAL WITH METHADONE HYDROCHLORIDE.二乙酰吗啡(海洛因)成瘾的一种医学治疗方法。盐酸美沙酮的临床试验。
JAMA. 1965 Aug 23;193:646-50. doi: 10.1001/jama.1965.03090080008002.
10
Naltrexone treatment for addicted health-care professionals: a collaborative private practice experience.纳曲酮治疗成瘾的医疗保健专业人员:一项合作私人执业经验。
J Clin Psychiatry. 1984 Sep;45(9 Pt 2):46-8.

(R)-美沙酮与外消旋美沙酮:哪一种更适合患者治疗?

(R)-methadone versus racemic methadone: what is best for patient care?

出版信息

Addiction. 2011 Apr;106(4):687-8. doi: 10.1111/j.1360-0443.2011.03374.x.

DOI:10.1111/j.1360-0443.2011.03374.x
PMID:21371149
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3723395/
Abstract

Methadone has been linked to cardiac arrhythmia. (R)-methadone appears to confer a lower risk of QT interval prolongation, resulting in debate over how best to treat patients needing this medication. A discussion of salient aspects of selecting therapy for opioid dependence and pain management and decision-making regarding methadone formulation follows.

摘要

美沙酮可引起心律失常。(R)-美沙酮似乎可降低 QT 间期延长的风险,这引发了人们对如何最好地治疗需要这种药物的患者的争论。以下是关于选择阿片类药物依赖和疼痛管理治疗方案的重要方面以及美沙酮制剂决策的讨论。