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巴氯芬在慢性肾脏病中引起的神经毒性:是否存在安全剂量?

Baclofen-induced neurotoxicity in chronic kidney disease: Is there a safe dose?

作者信息

Varma Prem P, Bajpai Geet

机构信息

Department of Nephrology, Venkateshwar Hospital, Dwarka, New Delhi, India.

出版信息

Indian J Nephrol. 2022 Jan-Feb;32(1):87-89. doi: 10.4103/ijn.IJN_330_20. Epub 2022 Jan 5.

DOI:10.4103/ijn.IJN_330_20
PMID:35283571
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8916148/
Abstract

Most cases of Baclofen toxicity have been reported in patients with impaired kidney functions, within a few days to weeks after ingestion. We report three cases of Baclofen induced encephalopathy in chronic kidney disease patients; two developed encephalopathy within 6-8 h after ingestion of a single tablet and third on 4 day of consuming 2.5 mg twice daily dose. All three cases recovered fully following haemodialysis treatment.

摘要

大多数巴氯芬中毒病例报告于肾功能受损的患者,在摄入药物后的数天至数周内。我们报告了3例慢性肾病患者中巴氯芬诱发的脑病;2例在单次服用一片药物后的6 - 8小时内出现脑病,第3例在每日两次服用2.5毫克剂量的第4天出现脑病。所有3例患者在接受血液透析治疗后均完全康复。

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本文引用的文献

1
Single-dose baclofen-induced neurotoxicity in a patient with end stage renal disease: case report.单剂量巴氯芬致终末期肾病患者神经毒性:病例报告。
BMC Nephrol. 2018 Dec 11;19(1):352. doi: 10.1186/s12882-018-1167-z.
2
Iatrogenic Baclofen Neurotoxicity in ESRD: Recognition and Management.终末期肾病中的医源性巴氯芬神经毒性:识别与管理
Semin Dial. 2015 Sep-Oct;28(5):525-9. doi: 10.1111/sdi.12400. Epub 2015 Jun 21.
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Pharmacokinetic characterization of baclofen in patients with chronic kidney disease: dose adjustment recommendations.巴氯芬在慢性肾脏病患者中的药代动力学特征:剂量调整建议
J Clin Pharmacol. 2014 May;54(5):584-92. doi: 10.1002/jcph.247. Epub 2014 Jan 10.
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Baclofen intoxication: a "fun drug" causing deep coma and nonconvulsive status epilepticus--a case report and review of the literature.巴氯芬中毒:一种导致深度昏迷和非惊厥性癫痫持续状态的“娱乐性药物”——病例报告及文献复习。
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Role of hemodialysis in baclofen overdose with normal renal function.血液透析在肾功能正常的情况下对巴氯芬过量的作用。
Indian J Pharmacol. 2011 Nov;43(6):722-3. doi: 10.4103/0253-7613.89835.
6
Baclofen toxicity in patients with advanced nephropathy: proposal for new labeling.巴氯芬在晚期肾病患者中的毒性:新标签建议。
Am J Nephrol. 2011;34(6):491-5. doi: 10.1159/000333247. Epub 2011 Oct 26.
7
Haemodialysis clearance of baclofen.巴氯芬的血液透析清除率
Eur J Clin Pharmacol. 2007 Dec;63(12):1143-6. doi: 10.1007/s00228-007-0371-8. Epub 2007 Sep 2.
8
Treatment of baclofen overdose by haemodialysis: a pharmacokinetic study.血液透析治疗巴氯芬过量:一项药代动力学研究。
Nephrol Dial Transplant. 2005 Feb;20(2):441-3. doi: 10.1093/ndt/gfh297. Epub 2004 Dec 22.
9
Baclofen neurotoxicity in uremic patients: is continuous ambulatory peritoneal dialysis less effective than intermittent hemodialysis?尿毒症患者的巴氯芬神经毒性:持续性非卧床腹膜透析是否比间歇性血液透析效果差?
Ren Fail. 2003 Mar;25(2):297-305. doi: 10.1081/jdi-120018730.
10
Treatment of intractable hiccup in haemodialysis patients with baclofen.用巴氯芬治疗血液透析患者的顽固性呃逆。
Am J Nephrol. 2001 Sep-Oct;21(5):427-8. doi: 10.1159/000046290.