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替沙酸片在十二指肠溃疡患者中的人体耐受性和药效学研究。一项前瞻性、随机、自身对照的临床药理学研究。

Human tolerability and pharmacodynamic study of Tisacid tablet in duodenal ulcer patients. A prospective, randomized, self-controlled clinicopharmacological study.

作者信息

Nagy L, Tárnok F, Past T, Mózsik G, Deák G, Tapsonyi Z, Fendler K, Jávor T

机构信息

1st Department of Medicine, University Medical School, Pécs, Hungary.

出版信息

Acta Med Hung. 1988;45(2):231-47.

PMID:3073355
Abstract

A randomized, prospective, crossing-over clinico-pharmacological study was conducted on the tolerability by humans, of TISACID (Al-Mg-hydroxy-carbonate), a new antacid of up-to-date composition produced in Hungary. Even a relatively high dose of the preparation is tolerated by the human organism. During a 6-week continuous treatment neither subjective nor objective side-effects were observed. The tablet is immediately decomposed in the gastric juice, a considerable portion of it will permanently stick to the mucosa of the stomach and duodenum. Depending on the dose, it rapidly and permanently reduces the acidity of the gastric content and increases serum gastrin concentration only moderately and for a short time. Administered together with cimetidine, it promotes healing of duodenal ulcer and the cessation of complaints. It does not increase the aluminium and magnesium concentrations of the plasma not even on prolonged administration, and clinical symptoms and laboratory changes characterizing the phosphate depletion syndrome do not develop either. Based on the results, authors consider Tisacid a beneficial preparation as regards both effectivity and tolerability.

摘要

对匈牙利生产的新型最新成分抗酸剂替沙酸(铝镁羟基碳酸盐)进行了一项随机、前瞻性、交叉临床药理学研究,以评估人体对其的耐受性。即使是相对高剂量的该制剂,人体也能耐受。在为期6周的持续治疗期间,未观察到主观或客观的副作用。该药片在胃液中会立即分解,其中相当一部分会永久附着在胃和十二指肠黏膜上。根据剂量不同,它能迅速且持久地降低胃内容物的酸度,仅在短时间内适度提高血清胃泌素浓度。与西咪替丁一起服用时,它能促进十二指肠溃疡的愈合并缓解症状。即使长期服用,它也不会增加血浆中铝和镁的浓度,也不会出现表征磷酸盐耗竭综合征的临床症状和实验室变化。基于这些结果,作者认为替沙酸在有效性和耐受性方面都是一种有益的制剂。

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