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钙拮抗剂匹维溴铵对胃肠动力障碍的作用。

Action of pinaverium bromide, a calcium-antagonist, on gastrointestinal motility disorders.

作者信息

Christen M O

机构信息

R&D Department, Laboratoires de Thérapeutique Moderne, Suresnes, France.

出版信息

Gen Pharmacol. 1990;21(6):821-5. doi: 10.1016/0306-3623(90)90439-s.

DOI:10.1016/0306-3623(90)90439-s
PMID:2177709
Abstract
  1. The evidence reviewed here indicates that pinaverium bromide (Dicetel) relaxes gastrointestinal (GI) structures primarily by inhibiting Ca2+ influx through potential-dependent channels of surface membranes of smooth muscle cells. 2. The in vivo selectivity of pinaverium bromide for the GI tract appears to be due mainly to its pharmacokinetic properties. Because of its low absorption (typical for quaternary ammonium compounds) and marked hepatobiliary excretion, most of the orally-administered dose of pinaverium bromide remains in the GI tract. 3. Orally-administered pinaverium bromide does not elicit adverse cardiovascular side-effects at doses that effectively relieve GI spasm, pain, transit disturbances and other symptoms related to motility disorders. 4. Pinaverium bromide is the only Ca2(+)-antagonist with known therapeutic efficacy in the treatment of irritable bowel syndrome and certain other functional intestinal disorders.
摘要
  1. 此处回顾的证据表明,匹维溴铵(得舒特)主要通过抑制钙离子经平滑肌细胞表面膜电压依赖性通道内流,从而松弛胃肠道(GI)结构。2. 匹维溴铵对胃肠道的体内选择性似乎主要归因于其药代动力学特性。由于其吸收较低(季铵化合物的典型特征)且有显著的肝胆排泄,口服给药的匹维溴铵大部分剂量仍留在胃肠道内。3. 口服匹维溴铵在有效缓解胃肠道痉挛、疼痛、转运紊乱及其他与动力障碍相关症状的剂量下,不会引发不良心血管副作用。4. 匹维溴铵是唯一已知对治疗肠易激综合征和某些其他功能性肠道疾病有治疗效果的钙离子拮抗剂。

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Action of pinaverium bromide, a calcium-antagonist, on gastrointestinal motility disorders.钙拮抗剂匹维溴铵对胃肠动力障碍的作用。
Gen Pharmacol. 1990;21(6):821-5. doi: 10.1016/0306-3623(90)90439-s.
2
[Effectiveness of pinaverium bromide therapy on colonic motility disorders in irritable bowel syndrome].匹维溴铵治疗肠易激综合征结肠动力障碍的疗效
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Quaternary ammonium derivatives as spasmolytics for irritable bowel syndrome.季铵衍生物作为肠易激综合征的解痉剂
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Interaction of pinaverium (a quaternary ammonium compound) with 1,4-dihydropyridine binding sites in rat ileum smooth muscle.匹维溴铵(一种季铵化合物)与大鼠回肠平滑肌中1,4-二氢吡啶结合位点的相互作用。
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[The clinical pharmacological profile of pinaverium bromide].[溴化匹那维铵的临床药理学概况]
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Effect of pinaverium bromide on jejunal motility and colonic transit time in healthy humans.溴丙胺太林对健康人空肠运动及结肠传输时间的影响。
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Acta Gastroenterol Latinoam. 1997;27(4):247-51.
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Motor effects of locally administered pinaverium bromide in the sigmoid tract of patients with irritable bowel syndrome.局部应用溴化匹那韦林对肠易激综合征患者乙状结肠的运动影响
Int J Clin Pharmacol Ther Toxicol. 1989 Jan;27(1):47-50.

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