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苯巴比妥治疗阿片类药物流行背景下的酒精戒断:一个被忽视的警告。

Phenobarbital for alcohol withdrawal in the context of the opioid epidemic: a neglected caveat.

机构信息

Department of Behavioral Health, Denver Health and Hospital Authority, Denver, CO, USA.

Addiction Medicine Fellowship, University of Colorado School of Medicine, Aurora, CO, USA.

出版信息

Addiction. 2023 Jul;118(7):1198-1200. doi: 10.1111/add.16194. Epub 2023 Apr 10.

DOI:10.1111/add.16194
PMID:36967706
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10881280/
Abstract

Phenobarbital interacts with the mortality-reducing opioid agonist therapies buprenorphine and methadone, risking delayed opioid withdrawal and relapse when administered concurrently. With increased adoption of phenobarbital into alcohol withdrawal protocols there should be safeguards in place to—in most cases—avoid phenobarbital for patients with a concurrent opioid use disorder.

摘要

苯巴比妥会与具有降低死亡率的阿片类激动剂美沙酮和丁丙诺啡相互作用,如果同时使用,可能会导致阿片类药物戒断延迟和复发。随着苯巴比妥在酒精戒断方案中的应用增加,应该采取保障措施——在大多数情况下——避免对同时患有阿片类药物使用障碍的患者使用苯巴比妥。

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本文引用的文献

1
Phenobarbital for Severe Alcohol Withdrawal Syndrome: A Multicenter Retrospective Cohort Study.苯巴比妥用于严重酒精戒断综合征:一项多中心回顾性队列研究。
Am J Respir Crit Care Med. 2022 Nov 1;206(9):1171-1174. doi: 10.1164/rccm.202203-0466LE.
2
Phenobarbital and/or benzodiazepines for recurrent alcohol withdrawal: A self-controlled, retrospective cohort study.苯巴比妥和/或苯二氮䓬类药物治疗复发性酒精戒断:一项自身对照、回顾性队列研究。
Am J Emerg Med. 2022 Apr;54:263-266. doi: 10.1016/j.ajem.2022.02.020. Epub 2022 Feb 19.
3
Managing the opioid crisis in North America and beyond.应对北美及其他地区的阿片类药物危机。
Lancet. 2022 Feb 5;399(10324):495. doi: 10.1016/S0140-6736(22)00200-8. Epub 2022 Feb 2.
4
Association of Opioid Agonist Treatment With All-Cause Mortality and Specific Causes of Death Among People With Opioid Dependence: A Systematic Review and Meta-analysis.阿片类激动剂治疗与阿片类药物依赖患者全因死亡率及特定死因的相关性:系统评价和荟萃分析。
JAMA Psychiatry. 2021 Sep 1;78(9):979-993. doi: 10.1001/jamapsychiatry.2021.0976.
5
Adjunctive Phenobarbital for Alcohol Withdrawal Syndrome: A Focused Literature Review.辅助性苯巴比妥治疗酒精戒断综合征:重点文献回顾。
Ann Pharmacother. 2021 Dec;55(12):1515-1524. doi: 10.1177/1060028021999821. Epub 2021 Mar 7.
6
Concerns Regarding the Use of Phenobarbital for Alcohol Withdrawal Management.关于使用苯巴比妥进行酒精戒断管理的担忧。
Psychosomatics. 2020 Nov-Dec;61(6):861-863. doi: 10.1016/j.psym.2020.04.006. Epub 2020 Apr 18.
7
Phenobarbital and symptom-triggered lorazepam versus lorazepam alone for severe alcohol withdrawal in the intensive care unit.苯巴比妥和症状触发的劳拉西泮与单独使用劳拉西泮治疗重症监护病房严重酒精戒断。
Alcohol. 2020 Feb;82:23-27. doi: 10.1016/j.alcohol.2019.07.004. Epub 2019 Jul 18.
8
Benzodiazepines vs barbiturates for alcohol withdrawal: Analysis of 3 different treatment protocols.苯二氮䓬类药物与巴比妥类药物治疗酒精戒断:3 种不同治疗方案的分析。
Am J Emerg Med. 2019 Apr;37(4):733-736. doi: 10.1016/j.ajem.2019.01.002. Epub 2019 Jan 3.
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J Subst Abuse Treat. 2012 Oct;43(3):331-4. doi: 10.1016/j.jsat.2011.12.011. Epub 2012 Jan 28.