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氯氮卓和地西泮的活性代谢产物单独或与酒精联合使用对与驾驶相关的精神运动技能的影响。

Effect of active metabolites of chlordiazepoxide and diazepam, alone or in combination with alcohol, on psychomotor skills related to driving.

作者信息

Palva E S, Linnoila M

出版信息

Eur J Clin Pharmacol. 1978 Jul 30;13(5):345-50. doi: 10.1007/BF00644607.

DOI:10.1007/BF00644607
PMID:352710
Abstract

Interaction of the main metabolites of diazepam and chlordiazepoxide with alcohol was measured in two subacute double-blind cross-over experiments on 40 healthy, young volunteers. The drugs were administered for two week periods. The variables measured were choice reaction time and accuracy, eye-hand co-ordination, divided attention, flicker fusion, proprioception and nystagmus. Chlordiazepoxide lactam, methyloxazepam and oxazepam significantly enhanced the alcohol-induced impairment of psychomotor skills, whereas N-desmethyl-diazepam did so only exceptionally in certain subjects in the choice reaction test. It is concluded that diazepam-alcohol interaction on psychomotor skills is mainly due to the parent compound. No correlation between the serum level of the agents and the changes in performance were found.

摘要

在两项针对40名健康年轻志愿者的亚急性双盲交叉实验中,对安定和氯氮卓的主要代谢产物与酒精的相互作用进行了测定。药物给药为期两周。所测量的变量包括选择反应时间和准确性、眼手协调能力、分散注意力、闪光融合、本体感觉和眼球震颤。氯氮卓内酰胺、甲基奥沙西泮和奥沙西泮显著增强了酒精引起的精神运动技能损害,而N-去甲基安定仅在某些受试者的选择反应测试中偶尔出现这种情况。得出的结论是,安定与酒精在精神运动技能方面的相互作用主要归因于母体化合物。未发现药物血清水平与性能变化之间存在相关性。

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本文引用的文献

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Determination of chlordiazepoxide (librium) and of a metabolite of lactam character in plasma of humans, dogs, and rats by a specific spectrofluorometric micro method.采用特定的荧光分光光度微量法测定人、狗和大鼠血浆中氯氮䓬(利眠宁)及其具有内酰胺特性的代谢物。
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Factors influencing the activity and fate of benzodiazepines in the body.影响苯二氮䓬类药物在体内活性及转归的因素。
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Profile of acute tolerance to three sedative anxiolytics.
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Psychopharmacology (Berl). 1980;69(2):209-18. doi: 10.1007/BF00427652.
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