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5-HT3 拮抗剂昂丹司琼可减少特定 5-羟色胺再摄取抑制剂引起的胃肠道副作用。

The 5-HT3 antagonist ondansetron reduces gastrointestinal side effects induced by a specific serotonin re-uptake inhibitor in man.

机构信息

University of Bristol Psychopharmacology Unit, School of Medical Sciences, University Walk, Bristol BS8 1 TD, UK.

出版信息

J Psychopharmacol. 1995 Jan;9(2):137-41. doi: 10.1177/026988119500900208.

DOI:10.1177/026988119500900208
PMID:22298739
Abstract

The selective serotonin re-uptake inhibitors (SSRIs) are increasingly being used to treat depression and anxiety disorders. Gastrointestinal (GI) symptoms are the main side effects, probably resulting from the stimulation of central or peripheral 5-HT receptors. The present double-blind, placebo-controlled study was undertaken to see if the GI side effects of fluvoxamine could be attenuated by the co-administration of the 5-HT(3) antagonist ondansetron. The results demonstrate that, in volunteers, a single 100 mg oral dose of fluvoxamine can produce GI symptoms. Co-administration of ondansetron significantly reduced peak nausea and GI side effects, compared with placebo.

摘要

选择性 5-羟色胺再摄取抑制剂(SSRIs)越来越多地被用于治疗抑郁症和焦虑症。胃肠道(GI)症状是主要的副作用,可能是由于中枢或外周 5-HT 受体的刺激所致。本双盲、安慰剂对照研究旨在观察 5-HT3 拮抗剂昂丹司琼是否能减轻氟伏沙明的胃肠道副作用。结果表明,在志愿者中,单次口服 100mg 氟伏沙明可产生胃肠道症状。与安慰剂相比,昂丹司琼的联合应用显著减轻了恶心和胃肠道副作用的峰值。

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引用本文的文献

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Can 5-HT Antagonists Really Contribute to Serotonin Toxicity? A Call for Clarity and Pharmacological Law and Order.5-羟色胺拮抗剂真的会导致血清素中毒吗?呼吁明确和建立药理学的法律法规。
Drugs Real World Outcomes. 2014 Dec;1(1):3-5. doi: 10.1007/s40801-014-0004-3.
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Adverse effects from antidepressant treatment: randomised controlled trial of 601 depressed individuals.抗抑郁药治疗的不良反应:601名抑郁症患者的随机对照试验
Psychopharmacology (Berl). 2014 Aug;231(15):2921-31. doi: 10.1007/s00213-014-3467-8. Epub 2014 Feb 13.
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Effect of 5-HT3 antagonists and a 5-HT(1A) agonist on fluoxetine-induced conditioned gaping reactions in rats.
5-羟色胺3拮抗剂和5-羟色胺1A激动剂对大鼠中氟西汀诱导的条件性张口反应的影响。
Psychopharmacology (Berl). 2009 May;203(4):763-70. doi: 10.1007/s00213-008-1421-3. Epub 2008 Dec 10.
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Rikkunshi-to attenuates adverse gastrointestinal symptoms induced by fluvoxamine.利卡灵可减轻氟伏沙明引起的胃肠道不良反应。
Biopsychosoc Med. 2007 Nov 15;1:21. doi: 10.1186/1751-0759-1-21.