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抗癫痫药物毒性:定义与作用机制

Antiepileptic drug toxicity: definition and mechanism of action.

作者信息

Beghi E, Di Mascio R

出版信息

Ital J Neurol Sci. 1986 Apr;7(2):209-22. doi: 10.1007/BF02230884.

DOI:10.1007/BF02230884
PMID:3013801
Abstract

A detailed review of the adverse reactions of anticonvulsants is given, focusing on the definitions of drug toxicity, sources of information, patterns of drug utilization, pharmacokinetic variables and different mechanisms of action. The information available in the literature provides a wide spectrum of drug toxicity with no attempt at a practical definition of the reported events. This favors uncertainty among practising physicians, who are led to use the individual items with different attitudes. Suggestions are given for the evaluation, prevention and treatment of anticonvulsant drug toxicity.

摘要

本文详细综述了抗惊厥药物的不良反应,重点关注药物毒性的定义、信息来源、药物使用模式、药代动力学变量及不同作用机制。文献中可得的信息呈现出广泛的药物毒性,但未对所报告事件给出实际定义。这使得执业医师们感到困惑,他们在使用这些个体项目时态度各异。文中针对抗惊厥药物毒性的评估、预防及治疗给出了建议。

相似文献

1
Antiepileptic drug toxicity: definition and mechanism of action.抗癫痫药物毒性:定义与作用机制
Ital J Neurol Sci. 1986 Apr;7(2):209-22. doi: 10.1007/BF02230884.
2
Chronic antiepileptic toxicity: a review.
Epilepsia. 1975 Jun;16(2):319-52. doi: 10.1111/j.1528-1157.1975.tb06062.x.
3
Metabolic aspects of alcohol and their biological significance.酒精的代谢方面及其生物学意义。
Med Clin North Am. 1973 Jul;57(4):925-40. doi: 10.1016/s0025-7125(16)32242-8.
4
Corticosteroids: a review with emphasis on complications of prolonged systemic therapy.皮质类固醇:一篇重点关注长期全身治疗并发症的综述
Ann Allergy. 1989 May;62(5):375-91.
5
A critical review of the literature on carbon disulfide toxicity.
Crit Rev Toxicol. 1983;11(3):169-278. doi: 10.3109/10408448309128255.
6
[Undesired effects of cimetidine: review of the literature].
Clin Ter. 1981 Jan 15;96(1):81-91.
7
Undesired effects of the sulphonylurea drugs.磺脲类药物的不良反应。
Adverse Drug React Acute Poisoning Rev. 1985 Spring;4(1):23-36.
8
Clinical problems with drugs.药物的临床问题。
Major Probl Intern Med. 1975;5:1-308.
9
Convulsive disorders: toxicity of anticonvulsants.惊厥性疾病:抗惊厥药的毒性
Clin Neuropharmacol. 1991 Apr;14(2):97-115. doi: 10.1097/00002826-199104000-00001.
10
Cimetidine: II. Adverse reactions and patterns of use.西咪替丁:II. 不良反应及使用模式
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1
Choronic effects of Lamotrigine on liver function in adult male rats.拉莫三嗪对成年雄性大鼠肝功能的慢性影响。 需注意,原文中“Choronic”拼写错误,正确的是“Chronic” 。
Indian J Clin Biochem. 2006 Mar;21(1):161-4. doi: 10.1007/BF02913087.
2
Use of plasma levels for antiepileptic drug monitoring in clinical practice. Gruppo Collaborativo per lo Studio dell'Epilessia.血浆水平在临床实践中用于抗癫痫药物监测。癫痫研究协作组。
Ital J Neurol Sci. 1992 Feb;13(1):59-65. doi: 10.1007/BF02222890.

本文引用的文献

1
Inhibition of phenytoin metabolism by sulthiame in epileptic patients.苯妥英钠代谢受磺胺噻唑抑制的癫痫患者。
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[CHLOASMA-LIKE HYPERPIGMENTATIONS AFTER THERAPY WITH HYDANTOIN PREPARATIONS].
Schweiz Med Wochenschr. 1964 May 30;94:748-57.
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DIPHENYLHYDANTOIN METABOLISM, BLOOD LEVELS, AND TOXICITY.二苯乙内酰脲的代谢、血药浓度及毒性
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4
Brain 5-hydroxytryptamine and anticonvulsant activity.大脑5-羟色胺与抗惊厥活性。
J Pharmacol Exp Ther. 1962 May;136:179-82.
5
Lupus erythematosus and Stevens-Johnson syndrome. Occurrence as reactions to anticonvulsant medication.红斑狼疮和史蒂文斯-约翰逊综合征。作为对抗惊厥药物的反应而出现。
Am J Dis Child. 1961 Jun;101:725-38. doi: 10.1001/archpedi.1961.04020070039007.
6
Effect of diphenylhydantoin on peripheral nerve.
Neurology. 1958 Feb;8(2):140-4. doi: 10.1212/wnl.8.2.140.
7
The hyperkinetic syndrome in epileptic children.癫痫患儿的多动综合征
Lancet. 1955 Aug 13;269(6885):303-11. doi: 10.1016/s0140-6736(55)92304-7.
8
Multi-institutional study on the teratogenicity and fetal toxicity of antiepileptic drugs: a report of a collaborative study group in Japan.抗癫痫药物致畸性和胎儿毒性的多机构研究:日本一个协作研究小组的报告
Epilepsia. 1980 Dec;21(6):663-80. doi: 10.1111/j.1528-1157.1980.tb04320.x.
9
Phenytoin-induced cerebellar degeneration.苯妥英钠所致小脑变性。
Ann Neurol. 1980 Aug;8(2):203-4. doi: 10.1002/ana.410080220.
10
Effect of calcium and antacids on phenytoin bioavailability.钙和抗酸剂对苯妥英生物利用度的影响。
Arch Neurol. 1980 Jul;37(7):467. doi: 10.1001/archneur.1980.00500560097022.