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单次注射新型长效溴隐亭对泌乳的抑制作用

Lactation inhibition by a single injection of a new depot-bromocriptine.

作者信息

Kremer J A, Rolland R, van der Heijden P F, Schellekens L A, Vosmar M B, Lancranjan I

机构信息

Department of Obstetrics and Gynaecology, St. Radboud University Hospital, Nijmegen, The Netherlands.

出版信息

Br J Obstet Gynaecol. 1990 Jun;97(6):527-32. doi: 10.1111/j.1471-0528.1990.tb02524.x.

Abstract

Recently, long-acting injectable forms of bromocriptine have become available for the prevention of lactation. The first developed depot-form was very effective, but had the disadvantage of a slowly metabolized carrier. we investigated the pharmacokinetics, efficacy, tolerance and safety of 40 and 50 mg of a new rapidly eliminated depot-form in 61 postpartum women. Bromocriptine rapidly increased after injection and prolactin was effectively suppressed during the study-period of 60 days. Overall efficacy was very good or good in 98% and no rebound lactation occurred. Sixteen women experienced side effects. Tolerance at the injection site was good and safety tests did not show abnormalities. There were no differences between the two dosages. We conclude that this new depot-bromocriptine is a safe, well tolerated and effective drug in the suppression of prolactin and the prevention of post-partum lactation.

摘要

最近,长效注射用溴隐亭已可用于预防泌乳。首个研发的长效剂型非常有效,但存在载体代谢缓慢的缺点。我们研究了61名产后妇女使用40毫克和50毫克新的快速消除长效剂型的药代动力学、疗效、耐受性和安全性。注射后溴隐亭迅速增加,在60天的研究期内催乳素得到有效抑制。总体疗效在98%的患者中为非常好或良好,且未发生泌乳反弹。16名妇女出现了副作用。注射部位耐受性良好,安全性测试未显示异常。两种剂量之间没有差异。我们得出结论,这种新的长效溴隐亭在抑制催乳素和预防产后泌乳方面是一种安全、耐受性良好且有效的药物。

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