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使用安非他酮后出现的消化性溃疡病:一例报告

Peptic Ulcer Disease Following Use of Bupropion: A Case Report.

作者信息

Momayez Sanat Zahra, Mohammadi Ganjaroudi Negar, Pirsalehi Ali

机构信息

Digestive Diseases Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.

School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Clin Med Insights Case Rep. 2023 Feb 8;16:11795476231153279. doi: 10.1177/11795476231153279. eCollection 2023.

DOI:10.1177/11795476231153279
PMID:36845164
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9943959/
Abstract

BACKGROUND

Bupropion is a dopamine reuptake inhibitor, which is prescribed as an effective drug for the treatment of depression and as a complementary drug for smoking cessation in more than 50 countries. Although constipation and nausea are known as side effects of Bupropion, gastric ulcer has not been previously reported.

CASE PRESENTATION

In this case report a 28-year-old woman presented with a gastric ulcer 8 months after beginning depression treatment with Bupropion 150 mg once daily. Pantoprazole and Famotidine were prescribed to the patient. However, the gastric ulcer did not heal. After discontinuation of Bupropion, the gastric ulcer was treated.

CONCLUSION

The present case report suggests that Bupropion may lead to peptic ulcers or this drug interferes with the treatment of gastric ulcers.

摘要

背景

安非他酮是一种多巴胺再摄取抑制剂,在50多个国家被用作治疗抑郁症的有效药物以及戒烟的辅助药物。虽然便秘和恶心是安非他酮已知的副作用,但此前尚未有胃溃疡的报道。

病例报告

在本病例报告中,一名28岁女性在开始每日一次服用150毫克安非他酮治疗抑郁症8个月后出现胃溃疡。患者服用了泮托拉唑和法莫替丁。然而,胃溃疡并未愈合。停用安非他酮后,胃溃疡得到了治疗。

结论

本病例报告表明,安非他酮可能导致消化性溃疡,或者这种药物会干扰胃溃疡的治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d13a/9943959/b1cd59febe85/10.1177_11795476231153279-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d13a/9943959/83370afdde48/10.1177_11795476231153279-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d13a/9943959/b1cd59febe85/10.1177_11795476231153279-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d13a/9943959/83370afdde48/10.1177_11795476231153279-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d13a/9943959/b1cd59febe85/10.1177_11795476231153279-fig2.jpg

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本文引用的文献

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Peptic Ulcer Disease: A Brief Review of Conventional Therapy and Herbal Treatment Options.消化性溃疡病:传统疗法与草药治疗选择的简要综述
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Bupropion abuse and overdose.安非他酮滥用与过量使用。
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A double-blind trial of bupropion versus desipramine for bipolar depression.
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