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三种抗组胺药对组胺诱导的瘙痒的抑制作用。

Suppression of histamine-induced pruritus by three antihistaminic drugs.

作者信息

Rhoades R B, Leifer K N, Cohan R, Wittig H J

出版信息

J Allergy Clin Immunol. 1975 Mar;55(3):180-5. doi: 10.1016/0091-6749(75)90014-7.

DOI:10.1016/0091-6749(75)90014-7
PMID:234488
Abstract

A double-blind crossover study of inhibition of histamine-induced pruritus by three commonly prescribed antihistamines was conducted on 28 normal subjects. Drugs used included diphenhydramine HCl (Benadryl), cyproheptadine (Periactin), hydroxyzine HCl (Atarax), and a lactose placebo in identical capsules. Intradermal histamine dose-response thresholds of pruritus were obtained before and after pretreatment with the three antihistamines and placebo in each subject. Analysis of data revealed a fivefold increase above baseline of the histamine dose required to produce pruritus following both cyproheptadine and placebo. This compared to a tenfold increase following diphenhydramine and a 750-fold increase following hydroxyzine HCl. The most common side effect was drowsiness, which occurred with all three drugs.

摘要

对28名正常受试者进行了一项双盲交叉研究,以评估三种常用抗组胺药对组胺诱导瘙痒的抑制作用。所用药物包括盐酸苯海拉明(苯那君)、赛庚啶(periactin)、盐酸羟嗪(atarax),以及装在相同胶囊中的乳糖安慰剂。在每位受试者分别用这三种抗组胺药和安慰剂进行预处理前后,测定皮内组胺致痒剂量-反应阈值。数据分析显示,赛庚啶和安慰剂处理后,引起瘙痒所需的组胺剂量比基线增加了五倍。相比之下,苯海拉明处理后增加了十倍,盐酸羟嗪处理后增加了750倍。最常见的副作用是嗜睡,这三种药物都出现了这种情况。

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Suppression of histamine-induced pruritus by three antihistaminic drugs.三种抗组胺药对组胺诱导的瘙痒的抑制作用。
J Allergy Clin Immunol. 1975 Mar;55(3):180-5. doi: 10.1016/0091-6749(75)90014-7.
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引用本文的文献

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Real-World, Non-Interventional, Observational Study of Hydroxyzine Hydrochloride in Chronic Pruritus: a Prospective, Non-Comparative Study.盐酸羟嗪治疗慢性瘙痒的真实世界、非干预性、观察性研究:一项前瞻性、非对照研究。
Dermatol Ther (Heidelb). 2019 Jun;9(2):299-308. doi: 10.1007/s13555-019-0293-2. Epub 2019 Apr 4.
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Pharmacologic treatment of rhinitis.鼻炎的药物治疗。
Clin Rev Allergy. 1984 Aug;2(3):237-53. doi: 10.1007/BF02991103.
3
Skin test wheal size and erythema not reduced by topical antihistamine.皮肤试验风团大小和红斑未因局部使用抗组胺药而减小。
Br Med J (Clin Res Ed). 1983 Nov 12;287(6403):1427-8. doi: 10.1136/bmj.287.6403.1427-a.
4
Pruritus: a practical approach.瘙痒症:一种实用方法。
J Gen Intern Med. 1992 May-Jun;7(3):340-9. doi: 10.1007/BF02598094.
5
Physical agents that mediate urticaria.介导荨麻疹的物理因素。
West J Med. 1979 Oct;131(4):318-9.