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苯丙胺及其类似物的黑暗面:药理学、综合征表现及苯丙胺成瘾的管理。

DARK Side of Amphetamine and Analogues: Pharmacology, Syndromic Manifestation, and Management of Amphetamine Addiction.

机构信息

The Aga Khan University , 78400 Karachi , Pakistan.

出版信息

ACS Chem Neurosci. 2018 Oct 17;9(10):2299-2303. doi: 10.1021/acschemneuro.8b00137. Epub 2018 Apr 19.

Abstract

The threat imposed by the use of psychoactive, illicit drugs on human health and the cost of rehabilitation of the affected individuals is nothing less than billions of dollars per year. Of the psychoactive substance abuse drugs are amphetamine and its analogues like methamphetamine. This Viewpoint intends to draw the attention of readers toward the neurological basis of "falling a prey" to methamphetamine. Attention has been paid toward a rapid desensitizing attribute that develops shortly after the repetitive use of drugs belonging to sympathomimetic agents of this group. Also summarized are the changes in physical characteristics and behavioral changes that could herald the loved ones around the methamphetamine abuser to seek the help of healthcare professionals before permanent and irreversible neurological damage ensues. A brief pharmacology of methamphetamine also precedes the management of these patients, for which no standard procedures exist at present.

摘要

每年,使用精神活性、非法药物对人类健康造成的威胁以及对受影响个体进行康复治疗的费用都高达数十亿美元。在精神活性物质滥用药物中,安非他命及其类似物如甲基苯丙胺。本文观点旨在引起读者对“易受甲基苯丙胺影响”的神经基础的关注。人们已经注意到,在反复使用属于此类拟交感神经胺类药物后不久,就会出现快速脱敏的特性。本文还总结了身体特征和行为变化,这些变化可能预示着甲基苯丙胺使用者周围的亲人在永久性和不可逆转的神经损伤发生之前,寻求医疗保健专业人员的帮助。在管理这些患者之前,还简要介绍了甲基苯丙胺的药理学,目前对此类患者还没有标准的治疗程序。

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