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应用阿片类药物曲马多后不会发生类过敏反应和组胺释放。

Anaphylactoid reactions and histamine release do not occur after application of the opioid tramadol.

作者信息

Barth H, Giertz H, Schmal A, Lorenz W

出版信息

Agents Actions. 1987 Apr;20(3-4):310-3. doi: 10.1007/BF02074699.

DOI:10.1007/BF02074699
PMID:2440284
Abstract

After an i.v. application of 100 mg tramadol in 13 healthy volunteers no change in plasma histamine concentration could be detected,( systemic anaphylactoid reactions did not occur, cutaneous reactions were not rated as anaphylactoid since itching and erythema were seen only once after tramadol whereas erythema was also observed twice after saline, blood pressure and heart rate were only very slightly and transiently elevated without any abnormalities in ECG-readings and only side effects typical for opioid therapy were observed.

摘要

在13名健康志愿者静脉注射100毫克曲马多后,未检测到血浆组胺浓度变化,(未发生全身性类过敏反应,皮肤反应未被评定为类过敏反应,因为曲马多给药后仅出现过一次瘙痒和红斑,而生理盐水给药后也出现过两次红斑,血压和心率仅轻微且短暂升高,心电图读数无任何异常,仅观察到阿片类药物治疗的典型副作用。

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引用本文的文献

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Clinical pharmacology of tramadol.曲马多的临床药理学
Clin Pharmacokinet. 2004;43(13):879-923. doi: 10.2165/00003088-200443130-00004.
2
A risk-benefit assessment of tramadol in the management of pain.曲马多用于疼痛管理的风险效益评估。
Drug Saf. 1996 Jul;15(1):8-29. doi: 10.2165/00002018-199615010-00002.
3
Tramadol. A preliminary review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential in acute and chronic pain states.曲马多。对其药效学和药代动力学特性以及在急慢性疼痛状态下的治疗潜力的初步综述。

本文引用的文献

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Immunological and non-immunological mechanisms involved in adverse reactions to drugs.药物不良反应涉及的免疫和非免疫机制。
Klin Wochenschr. 1982 Sep 1;60(17):958-64. doi: 10.1007/BF01716955.
2
Effect of the opioid analgesic tramadol on inactivation of norepinephrine and serotonin.阿片类镇痛药曲马多对去甲肾上腺素和5-羟色胺失活的影响。
Biochem Pharmacol. 1982 Apr 15;31(8):1654-5. doi: 10.1016/0006-2952(82)90398-7.
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Intraspinal opiates and itching: a new reflex?脊髓内阿片类药物与瘙痒:一种新的反射?
Drugs. 1993 Aug;46(2):313-40. doi: 10.2165/00003495-199346020-00008.
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The influence of tritoqualin (Inhibostamin) on the plasma histamine level and its biorhythmic variations.三甲喹啉(抑组胺胺)对血浆组胺水平及其生物节律变化的影响。
Agents Actions. 1987 Dec;22(3-4):209-13. doi: 10.1007/BF02009048.
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Definition and classification of the histamine-release response to drugs in anaesthesia and surgery: studies in the conscious human subject.麻醉与手术中药物组胺释放反应的定义与分类:对清醒人体受试者的研究
Klin Wochenschr. 1982 Sep 1;60(17):896-913. doi: 10.1007/BF01716946.
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Histamine release with intravenous narcotics: protective effects of H1 and H2-receptor antagonists.
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A sensitive and specific method for the determination of histomine in human whole blood and plasma.一种测定人全血和血浆中组胺的灵敏且特异的方法。
Hoppe Seylers Z Physiol Chem. 1972 Jun;353(6):911-20. doi: 10.1515/bchm2.1972.353.1.911.
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[The behavior of plasma histamine levels following peridural morphine administration].[硬膜外注射吗啡后血浆组胺水平的变化]
Anaesthesist. 1985 Aug;34(8):388-91.
8
H1 and H2 blockade: a prophylactic principle in anesthesia and surgery against histamine-release responses of any degree of severity: Part 1.
N Engl Reg Allergy Proc. 1985 Winter;6(1):37-57. doi: 10.2500/108854185779048997.
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Histamine release in clinical conditions.临床情况下的组胺释放。
Mt Sinai J Med. 1978 May-Jun;45(3):357-86.