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曲唑酮控释制剂对健康志愿者精神运动和自主神经功能的影响:与曲唑酮(传统制剂)、阿米替林及安慰剂的比较。

Effects of a controlled-release formulation of trazodone on psychomotor and autonomic functions in healthy volunteers: comparison with trazodone (conventional formulation), amitriptyline and placebo.

作者信息

Longmore J, Banjar W, Bradshaw C M, Szabadi E

机构信息

Department of Psychiatry, University of Manchester, U.K.

出版信息

Eur J Clin Pharmacol. 1988;34(1):97-9. doi: 10.1007/BF01061427.

DOI:10.1007/BF01061427
PMID:3360055
Abstract

Eight healthy male volunteers participated in four experimental sessions. In each session the subjects ingested a single dose of one of the following drugs: trazodone (controlled-release formulation), trazodone (conventional formulation), amitriptyline and placebo. Both trazodone and amitriptyline reduced subjectively rated alertness and increased digit cancellation time, and amitriptyline also reduced critical flicker fusion frequency. Both antidepressants reduced salivation, trazodone also caused miosis. There were no consistent differences between the effects of the two formulations of trazodone. The results of the psychological tests are indicative of the sedative properties of the antidepressants. It is likely that the reduction in salivation and pupil diameter by trazodone reflect alpha-adrenoceptor blockade, whereas the reduction in salivation by amitriptyline may be due to both cholinoceptor and alpha-adrenoceptor blockade.

摘要

八名健康男性志愿者参与了四个实验环节。在每个环节中,受试者服用以下药物中的一种单剂量药物:曲唑酮(缓释制剂)、曲唑酮(常规制剂)、阿米替林和安慰剂。曲唑酮和阿米替林均降低了主观评定的警觉性并延长了数字划消时间,且阿米替林还降低了临界闪烁融合频率。两种抗抑郁药均减少了唾液分泌,曲唑酮还导致了瞳孔缩小。曲唑酮两种制剂的效果之间没有一致的差异。心理测试结果表明了抗抑郁药的镇静特性。曲唑酮导致的唾液分泌和瞳孔直径减小可能反映了α-肾上腺素能受体阻滞,而阿米替林导致的唾液分泌减少可能是由于胆碱能受体和α-肾上腺素能受体阻滞共同作用的结果。

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本文引用的文献

1
The peripheral anticholinergic activity of tricyclic antidepressants: comparison of amitriptyline and desipramine in human volunteers.三环类抗抑郁药的外周抗胆碱能活性:阿米替林与地昔帕明在人类志愿者中的比较。
Br J Psychiatry. 1980 Nov;137:433-9. doi: 10.1192/bjp.137.5.433.
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Trazodone (Desyrel, Mead-Johnson Pharmaceutical Division).曲唑酮(安适定,美赞臣制药部)。
Drug Intell Clin Pharm. 1982 Jan;16(1):7-13. doi: 10.1177/106002808201600102.
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Trazodone: a review of its pharmacological properties and therapeutic use in depression and anxiety.
健康受试者中选择性5-羟色胺再摄取抑制剂(SSRI)效应的生物标志物。
Br J Clin Pharmacol. 2005 May;59(5):495-510. doi: 10.1111/j.1365-2125.2005.02342.x.
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The effects of a 5-HT2 receptor antagonist (ICI 169,369) on changes in waking EEG, pupillary responses and state of arousal in human volunteers.5-羟色胺2型受体拮抗剂(ICI 169,369)对人类志愿者清醒脑电图、瞳孔反应及觉醒状态变化的影响。
Br J Clin Pharmacol. 1991 Oct;32(4):447-54. doi: 10.1111/j.1365-2125.1991.tb03929.x.
曲唑酮:对其药理特性及在抑郁和焦虑治疗中的应用综述
Drugs. 1981 Jun;21(6):401-29. doi: 10.2165/00003495-198121060-00001.
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Tricyclic antidepressants and peripheral anticholinergic activity.三环类抗抑郁药与外周抗胆碱能活性
Psychopharmacology (Berl). 1981;74(4):325-8. doi: 10.1007/BF00432740.
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Trazodone hydrochloride: a wide spectrum antidepressant with a unique pharmacological profile. A review of its neurochemical effects, pharmacology, clinical efficacy, and toxicology.
Pharmacotherapy. 1982 Sep-Oct;2(5):255-65. doi: 10.1002/j.1875-9114.1982.tb03193.x.
6
Pharmacokinetic and pharmacodynamic characteristics of trazodone in the elderly.曲唑酮在老年人中的药代动力学和药效学特征。
Br J Clin Pharmacol. 1983 Oct;16(4):371-6. doi: 10.1111/j.1365-2125.1983.tb02180.x.
7
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