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乐威壮(伐地那非)的眼部副作用——健康男性受试者双盲交叉研究结果

Ocular side effects of Levitra (vardenafil) - results of a double-blind crossover study in healthy male subjects.

作者信息

Roessler Gernot, Vobig Michael, Walter Peter, Mazinani Babac Ae

机构信息

Department of Ophthalmology, RWTH Aachen University, D-52057 Aachen, Germany,

出版信息

Drug Des Devel Ther. 2018 Dec 18;13:37-43. doi: 10.2147/DDDT.S186633. eCollection 2019.

Abstract

PURPOSE

To determine ocular side effects of vardenafil with special regard to color vision and retinal function.

METHODS

This was a single center, randomized, double-blind, placebo-controlled, twofold crossover study with an administration of a single oral dose of two 20 mg tablets of BAY 38-9456 (vardenafil hydrochloride) or corresponding placebo in 24 healthy male subjects. Ocular investigations included Farnsworth-Munsell D100 color vision test, electroretinogram, and basic ophthalmological examinations like visual acuity, visual field, and slit-lamp of anterior segment and fundus.

RESULTS

Compared to placebo, administration of vardenafil hydrochloride lead to a temporary significant increase of Farnsworth-Munsell D100 total error score after 1 and 6 hours as well as in error lines 3 and 4 after 1 hour. Twenty-four hours after administration there was no significant alteration of total error score or of any error line. While latency of electroretinogram b-wave remained unaffected, amplitudes showed a significant decrease compared to placebo 1 hour following administration. While other ocular examinations did not reveal any differences in general some mild to moderate but no serious adverse events have been reported.

CONCLUSION

Despite temporary changes in retinal function our study reports good tolerability of vardenafil in regard to ocular side effects.

摘要

目的

确定伐地那非的眼部副作用,尤其关注色觉和视网膜功能。

方法

这是一项单中心、随机、双盲、安慰剂对照、双重交叉研究,对24名健康男性受试者单次口服两片20毫克的BAY 38 - 9456(盐酸伐地那非)或相应安慰剂。眼部检查包括 Farnsworth - Munsell D100色觉测试、视网膜电图,以及视力、视野、眼前节和眼底裂隙灯等基本眼科检查。

结果

与安慰剂相比,服用盐酸伐地那非后1小时和6小时,Farnsworth - Munsell D100总误差评分暂时显著增加,1小时后第3和第4误差线也显著增加。服药24小时后,总误差评分或任何误差线均无显著变化。虽然视网膜电图b波潜伏期未受影响,但给药1小时后,与安慰剂相比,振幅显著降低。虽然其他眼科检查总体上未发现任何差异,但报告了一些轻度至中度但无严重的不良事件。

结论

尽管视网膜功能有暂时变化,但我们的研究报告了伐地那非在眼部副作用方面具有良好的耐受性。

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