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帕金森病患者的血浆溴隐亭水平、临床及生长激素反应

Plasma bromocriptine levels, clinical and growth hormone responses in Parkinsonism.

作者信息

Price P, Debono A, Parkes J D, Marsden C D, Rosenthaler J

出版信息

Br J Clin Pharmacol. 1978 Oct;6(4):303-9. doi: 10.1111/j.1365-2125.1978.tb00856.x.

Abstract
  1. Plasma bromocriptine levels following separate oral doses of bromocriptine 12.5, 25, 50 and 100 mg have been determined in ten subjects with parkinsonism. 2. There was considerable variation between peak plasma bromocriptine levels in individual subjects after similar doses of bromocriptine. Peak levels occurred 30--210 min after dosage (mean 102 min). Peak clinical response, peak rise in plasma growth hormone level and fall in blood pressure followed shortly after peak bromocriptine levels occurred. 3. The shape of the plasma-time curve for bromocriptine was similar with all dosages. 4. There was no significant relationship between peak plasma bromocriptine levels, peak clinical response, peak increase in growth hormone and peak fall in blood pressure. However, the degree of improvement in the signs of parkinsonism was related to plasma bromocriptine levels was achieved. 5. Metoclopramide 60 mg pretreatment had no consistent effect upon plasma bromocriptine levels, the clinical or hormonal response.
摘要
  1. 已测定了10名帕金森病患者分别口服12.5、25、50和100毫克溴隐亭后的血浆溴隐亭水平。2. 相似剂量的溴隐亭后,个体受试者的血浆溴隐亭峰值水平存在相当大的差异。峰值水平在给药后30 - 210分钟出现(平均102分钟)。临床反应峰值、血浆生长激素水平峰值升高和血压下降在溴隐亭峰值水平出现后不久随之出现。3. 所有剂量下溴隐亭的血浆 - 时间曲线形状相似。4. 血浆溴隐亭峰值水平、临床反应峰值、生长激素峰值增加和血压峰值下降之间无显著关系。然而,帕金森病体征的改善程度与达到的血浆溴隐亭水平有关。5. 60毫克胃复安预处理对血浆溴隐亭水平、临床或激素反应无一致影响。

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