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预处理和神经毒剂中毒预防:不良行为副作用是否不可避免?

Pretreatment and prophylaxis against nerve agent poisoning: Are undesirable behavioral side effects unavoidable?

机构信息

Norwegian Defence Research Establishment (FFI), Protection and Societal Security Division, Kjeller, Norway.

Norwegian Defence Research Establishment (FFI), Protection and Societal Security Division, Kjeller, Norway.

出版信息

Neurosci Biobehav Rev. 2016 Dec;71:657-670. doi: 10.1016/j.neubiorev.2016.10.017. Epub 2016 Oct 20.


DOI:10.1016/j.neubiorev.2016.10.017
PMID:27773692
Abstract

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.

摘要

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。

相似文献

[1]
Pretreatment and prophylaxis against nerve agent poisoning: Are undesirable behavioral side effects unavoidable?

Neurosci Biobehav Rev. 2016-10-20

[2]
Minimum effective drug concentrations of a transdermal patch system containing procyclidine and physostigmine for prophylaxis against soman poisoning in rhesus monkeys.

Environ Toxicol Pharmacol. 2011-10-17

[3]
Therapeutic and neuroprotective efficacy of pharmacological pretreatment and antidotal treatment of acute tabun or soman poisoning with the emphasis on pretreatment drug PANPAL.

Arh Hig Rada Toksikol. 2006-12

[4]
Antiparkinson drugs used as prophylactics for nerve agents: studies of cognitive side effects in rats.

Pharmacol Biochem Behav. 2008-6

[5]
Non-enzymatic pretreatment of nerve agent (soman) poisoning: a brief state-of-the-art review.

Toxicol Lett. 2011-4-28

[6]
Protection by a transdermal patch containing physostigmine and procyclidine of soman poisoning in dogs.

Eur J Pharmacol. 2005-11-21

[7]
A comparison of the neuroprotective efficacy of pharmacological pretreatment and antidotal treatment in soman-poisoned rats.

Acta Medica (Hradec Kralove). 2003

[8]
Cognitive side effects in rats caused by pharmacological agents used to prevent soman-induced lethality.

Eur J Pharmacol. 2004-1-12

[9]
Effect of Panpal pretreatment and antidotal treatment (HI-6 plus benactyzine) on respiratory and circulatory function in soman-poisoned rats.

Hum Exp Toxicol. 1997-10

[10]
The influence of pharmacological pretreatment on efficacy of HI-6 oxime in combination with benactyzine in soman poisoning in rats.

Hum Exp Toxicol. 1996-5

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[2]
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Arch Toxicol. 2025-5

[3]
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[4]
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[5]
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[6]
Memantine and Its Combination with Acetylcholinesterase Inhibitors in Pharmacological Pretreatment of Soman Poisoning in Mice.

Neurotox Res. 2021-10

[7]
Counteracting poisoning with chemical warfare nerve agents.

Arh Hig Rada Toksikol. 2020-12-31

[8]
Slow-binding reversible inhibitor of acetylcholinesterase with long-lasting action for prophylaxis of organophosphate poisoning.

Sci Rep. 2020-10-6

[9]
Oral Pretreatment with Galantamine Effectively Mitigates the Acute Toxicity of a Supralethal Dose of Soman in Cynomolgus Monkeys Posttreated with Conventional Antidotes.

J Pharmacol Exp Ther. 2020-8-5

[10]
Combined Pre- and Posttreatment of Paraoxon Exposure.

Molecules. 2020-3-27

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