Norwegian Defence Research Establishment (FFI), Protection and Societal Security Division, Kjeller, Norway.
Norwegian Defence Research Establishment (FFI), Protection and Societal Security Division, Kjeller, Norway.
Neurosci Biobehav Rev. 2016 Dec;71:657-670. doi: 10.1016/j.neubiorev.2016.10.017. Epub 2016 Oct 20.
The threat of chemical warfare agents like nerve agents requires life saving measures of medical pretreatment combined with treatment after exposure. Pretreatment (pyridostigmine) may cause some side effects in a small number of individuals. A comprehensive research on animals has been performed to clarify effects on behavior. The results from these studies are far from unambiguous, since pyridostigmine may produce adverse effects on behavior in animals in relatively high doses, but not in a consistent way. Other animal studies have examined the potential of drugs like physostigmine, galantamine, benactyzine, trihexyphenidyl, and procyclidine, but they all produce marked behavioral impairment at doses sufficient to contribute to protection against a convulsant dose of soman. Attempts have also been made to develop a combination of drugs capable of assuring full protection (prophylaxis) against nerve agents. However, common to all combinations is that they at anticonvulsant doses cause behavioral deficits. Therefore, the use of limited pretreatment doses may be performed without marked side effects followed by post-exposure therapy with a combination of drugs.
神经毒剂等化学战剂的威胁需要在暴露后进行医疗预处理和治疗的生命挽救措施。预处理(毒扁豆碱)可能会在少数人身上引起一些副作用。已经在动物身上进行了全面的研究,以阐明其对行为的影响。这些研究的结果远非明确,因为毒扁豆碱在相对高剂量下可能会对动物的行为产生不良影响,但并非一致。其他动物研究也研究了药物如石杉碱甲、加兰他敏、苯扎曲明、三己芬迪和丙环定的潜力,但它们在足以提供对抗梭曼惊厥剂量保护的剂量下都会导致明显的行为障碍。人们还试图开发一种能够确保对神经毒剂进行全面保护(预防)的药物组合。然而,所有组合的共同点是,在抗惊厥剂量下会导致行为缺陷。因此,可以在没有明显副作用的情况下使用有限的预处理剂量,然后用药物组合进行暴露后治疗。
Neurosci Biobehav Rev. 2016-10-20
Pharmacol Biochem Behav. 2008-6
Eur J Pharmacol. 2005-11-21
Acta Medica (Hradec Kralove). 2003
Eur J Pharmacol. 2004-1-12
Arh Hig Rada Toksikol. 2020-12-31
Molecules. 2020-3-27