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噻洛芬酸。对其在风湿性疾病和疼痛状态下的药理特性及治疗效果的综述。

Tiaprofenic acid. A review of its pharmacological properties and therapeutic efficacy in rheumatic diseases and pain states.

作者信息

Sorkin E M, Brogden R N

出版信息

Drugs. 1985 Mar;29(3):208-35. doi: 10.2165/00003495-198529030-00002.

DOI:10.2165/00003495-198529030-00002
PMID:3886353
Abstract

Tiaprofenic acid is a new non-steroidal anti-inflammatory agent advocated for use in rheumatoid arthritis, osteoarthritis, musculoskeletal disorders, soft-tissue injuries and inflammatory conditions and acute pain of varying origin. Published data suggest that tiaprofenic acid 600 mg daily in 2 or 3 divided doses is comparable in effectiveness with aspirin, diclofenac, ibuprofen, indomethacin, naproxen, piroxicam and sulindac in the treatment of rheumatoid arthritis and osteoarthritis. More controlled clinical trials are necessary to evaluate its potential in rheumatic conditions other than rheumatoid arthritis and osteoarthritis. In controlled studies in patients with acute pain following surgery or trauma, tiaprofenic acid was more effective than placebo and as effective as aspirin and indomethacin. While tiaprofenic acid produced fewer side effects than aspirin in rheumatoid arthritis treatment, and indomethacin in the treatment of osteoarthritis, results have generally shown the short term tolerability of tiaprofenic acid to be similar to that of other non-steroidal anti-inflammatory drugs. As no one of the non-steroidal anti-inflammatory agents is the most suitable drug for all patients requiring such therapy, tiaprofenic acid should be considered along with other drugs of this type in the therapy of arthritic conditions and of acute postoperative or posttraumatic pain.

摘要

噻洛芬酸是一种新型非甾体抗炎药,适用于类风湿性关节炎、骨关节炎、肌肉骨骼疾病、软组织损伤、各种炎症及不同病因引起的急性疼痛。已发表的数据表明,噻洛芬酸每日600毫克,分2或3次服用,在治疗类风湿性关节炎和骨关节炎方面,其疗效与阿司匹林、双氯芬酸、布洛芬、吲哚美辛、萘普生、吡罗昔康和舒林酸相当。需要更多对照临床试验来评估其在类风湿性关节炎和骨关节炎以外的风湿性疾病中的潜力。在对手术或创伤后急性疼痛患者的对照研究中,噻洛芬酸比安慰剂更有效,且与阿司匹林和吲哚美辛效果相当。虽然在类风湿性关节炎治疗中,噻洛芬酸产生的副作用比阿司匹林少,在骨关节炎治疗中比吲哚美辛少,但总体结果表明,噻洛芬酸的短期耐受性与其他非甾体抗炎药相似。由于没有一种非甾体抗炎药是所有需要此类治疗的患者的最合适药物,因此在治疗关节炎及急性术后或创伤后疼痛时,应将噻洛芬酸与其他此类药物一并考虑。

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本文引用的文献

1
Effects of some nonsteroidal antiinflammatory drugs on proteoglycan metabolism and organization in canine articular cartilage.某些非甾体抗炎药对犬关节软骨中蛋白聚糖代谢及结构的影响。
Arthritis Rheum. 1980 Sep;23(9):1010-20. doi: 10.1002/art.1780230908.
2
Release of prostaglandins E and F in an algogenic reaction and its inhibition.致痛反应中前列腺素E和F的释放及其抑制作用。
Eur J Pharmacol. 1980 Jan 11;61(1):17-24. doi: 10.1016/0014-2999(80)90377-5.
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[Study on possible interactions between tiaprofenic acid and phenprocoumon (author's transl)].
噻洛芬酸及其对映体的临床药代动力学
Clin Pharmacokinet. 1996 Nov;31(5):331-47. doi: 10.2165/00003088-199631050-00002.
4
Tiaprofenic acid. A reappraisal of its pharmacological properties and use in the management of rheumatic diseases.噻洛芬酸。对其药理特性及在风湿性疾病治疗中的应用的重新评估。
Drugs. 1995 Dec;50(6):1050-75. doi: 10.2165/00003495-199550060-00010.
5
Acute poisoning due to non-steroidal anti-inflammatory drugs. Clinical features and management.非甾体抗炎药所致急性中毒。临床特征与处理
Med Toxicol. 1986 Jan-Feb;1(1):12-31. doi: 10.1007/BF03259825.
6
Relative efficacy and tolerance of tiaprofenic acid and ketoprofen in rheumatoid arthritis.噻洛芬酸与酮洛芬在类风湿性关节炎中的相对疗效及耐受性
Drugs. 1988;35 Suppl 1:87-9. doi: 10.2165/00003495-198800351-00020.
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Symposium on therapeutic aspects of tiaprofenic acid.噻洛芬酸治疗方面专题研讨会
Drugs. 1988;35 Suppl 1:1-3. doi: 10.2165/00003495-198800351-00003.
8
Efficacy and tolerability of an injectable formulation of tiaprofenic acid in patients with acute back and neck pain.替诺昔康酸注射剂治疗急性颈肩痛患者的疗效和耐受性
Drugs. 1988;35 Suppl 1:81-3. doi: 10.2165/00003495-198800351-00017.
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Severe cystitis associated with tiaprofenic acid.与噻洛芬酸相关的严重膀胱炎。
BMJ. 1991 Nov 30;303(6814):1376. doi: 10.1136/bmj.303.6814.1376.
噻洛芬酸与苯丙香豆素之间可能的相互作用研究(作者译)
Arzneimittelforschung. 1981;31(12):2163-7.
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Tiaprofenic acid in the treatment of rheumatoid arthritis.噻洛芬酸治疗类风湿性关节炎
Rheumatol Rehabil. 1981 Aug;20(3):181-3. doi: 10.1093/rheumatology/20.3.181.
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The action of non-steroidal antiinflammatory agents on platelet aggregation and vessel tone in relation to inhibition of PGI2- and thromboxane-release. With particular reference to 5-benzoyl-alpha-methyl-2-thiophene acetic acid (tiaprofenic acid).非甾体抗炎药对血小板聚集和血管张力的作用与抑制前列环素(PGI2)和血栓素释放的关系。特别提及5-苯甲酰基-α-甲基-2-噻吩乙酸(噻洛芬酸)。
Arzneimittelforschung. 1980;30(9):1538-42.
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The comparative effectiveness of tiaprofenic acid and aspirin in the treatment of post-prostatectomy pain.噻洛芬酸与阿司匹林治疗前列腺切除术后疼痛的疗效比较
Br J Clin Pract. 1981 Oct;35(10):360-2.
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[On the pharmacokinetics of tiaprofenic acid and its possible interactions with acetylsalicylic acid and aluminum hydroxide (author's transl)].关于噻洛芬酸的药代动力学及其与乙酰水杨酸和氢氧化铝可能的相互作用(作者译)
Arzneimittelforschung. 1981;31(1):116-20.
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A comparative double-blind study of tiaprofenic acid and aspirin in the treatment of muscular rheumatism, fibrositis, sprains and soft tissue injuries in general practice.在一般医疗实践中,对噻洛芬酸和阿司匹林治疗肌肉风湿病、纤维织炎、扭伤及软组织损伤进行的双盲对照研究。
J Int Med Res. 1980;8(6):382-7. doi: 10.1177/030006058000800602.