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鉴于药物相互作用重新审视秋水仙碱的应用历程。一篇综述。

Repurposing colchicine's journey in view of drug-to-drug interactions. A review.

作者信息

Vrachatis Dimitrios A, Papathanasiou Konstantinos A, Giotaki Sotiria G, Iliodromitis Konstantinos E, Papaioannou Theodore G, Stefanini Giulio G, Cleman Michael, Siasos Gerasimos, Reimers Bernhard, Lansky Alexandra, Tardif Jean-Claude, Deftereos Spyridon G, Giannopoulos George

机构信息

2nd Department of Cardiology, National and Kapodistrian University of Athens, Athens, Greece.

Evangelisches Krankenhaus Hagen-Haspe, Clinic for Cardiology and Electrophysiology, Germany.

出版信息

Toxicol Rep. 2021 Jul 9;8:1389-1393. doi: 10.1016/j.toxrep.2021.07.009. eCollection 2021.

DOI:10.1016/j.toxrep.2021.07.009
PMID:34285885
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8280530/
Abstract

Colchicine's medical evolution is historically bound to the Mediterranean basin, since remarkable researchers from this region underscored its valuable properties. With the passing of years colchicine became an essential pharmaceutical substance for the treatment of rheumatologic and cardiovascular diseases. In light of recent findings, the therapeutic value of colchicine has grown. In clinical practice, colchicine remains underutilized in view of its proven efficacy and safety. Its complex pharmacokinetics and multifaceted anti-inflammatory role remain under investigation. The current review addresses the safe administration of colchicine in view of key drug to drug interactions. Finally, we are briefly presenting colchicine's future potential applications.

摘要

秋水仙碱的医学发展在历史上与地中海盆地紧密相连,因为该地区的杰出研究人员强调了它的宝贵特性。随着时间的推移,秋水仙碱成为治疗风湿性和心血管疾病的重要药物。鉴于最近的研究发现,秋水仙碱的治疗价值有所提高。在临床实践中,鉴于其已证实的疗效和安全性,秋水仙碱仍未得到充分利用。其复杂的药代动力学和多方面的抗炎作用仍在研究中。本综述鉴于关键的药物相互作用探讨了秋水仙碱的安全给药。最后,我们简要介绍了秋水仙碱未来的潜在应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b17/8280530/7186b9d6502f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b17/8280530/7d37b1463c27/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b17/8280530/7186b9d6502f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b17/8280530/7d37b1463c27/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b17/8280530/7186b9d6502f/gr1.jpg

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Lancet Respir Med. 2021 Aug;9(8):924-932. doi: 10.1016/S2213-2600(21)00222-8. Epub 2021 May 27.
2
Colchicine administered early in acute myocardial infarction: ready, set … go?急性心肌梗死早期给予秋水仙碱:准备好,开始……行动?
Eur Heart J. 2021 Jul 21;42(28):2802. doi: 10.1093/eurheartj/ehab010.
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Impact of colchicine on mortality in patients with COVID-19: A meta-analysis.
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Front Pharmacol. 2024 Sep 16;15:1445324. doi: 10.3389/fphar.2024.1445324. eCollection 2024.
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Colchicine: the good, the bad, the ugly and how to minimize the risks.秋水仙碱:利与弊,以及如何将风险最小化。
Rheumatology (Oxford). 2024 Apr 2;63(4):936-944. doi: 10.1093/rheumatology/kead625.
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Treatment with COLchicine in hospitalized patients affected by COVID-19: The COLVID-19 trial.COVID-19 住院患者秋水仙碱治疗:COLVID-19 试验。
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