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止吐药的药理及临床作用:一篇叙述性综述

The Pharmacological and Clinical Roles of Antiemetics: A Narrative Review.

作者信息

Kaye Alan D, Turpin Donovan B, Shah Shivam, Abbott Brennan, Hollander Alex V, Burroughs Caroline R, Myers Sarah H, Ahmadzadeh Shahab, Mathew Jibin, Kaye Adam M, Shekoohi Sahar, Varrassi Giustino

机构信息

Department of Anesthesiology, Louisiana State University Health Sciences Center, Shreveport, USA.

School of Medicine, Louisiana State University Health Sciences Center, Shreveport, USA.

出版信息

Cureus. 2025 Jan 13;17(1):e77370. doi: 10.7759/cureus.77370. eCollection 2025 Jan.

Abstract

Emesis (e.g., vomiting and nausea) can be a nebulous condition to treat, as it has many and highly varied etiologies. Understanding the underlying causes of emesis is crucial in selecting the appropriate antiemetic therapy. At present, there are a plethora of medications on the market to treat emesis, known as antiemetics. For the healthcare professionals managing emesis, key concerns include efficacy, the onset of effects, and potential adverse actions of these drugs. The present investigation reviews different classes of antiemetics and specific clinical uses for each based on pharmacological action. In addition, a few emerging treatment options are discussed, including cannabinoids, vitamin B6 (pyridoxine), and combination formulations such as Diclegis (doxylamine-pyridoxine), prompting avenues for future roles in the management of emesis.

摘要

呕吐(如恶心和呕吐)可能是一种难以治疗的病症,因为其病因众多且差异很大。了解呕吐的潜在原因对于选择合适的止吐治疗至关重要。目前,市场上有大量用于治疗呕吐的药物,即止吐药。对于处理呕吐的医护人员来说,关键问题包括这些药物的疗效、起效时间和潜在不良反应。本研究根据药理作用综述了不同类别的止吐药及其具体临床用途。此外,还讨论了一些新出现的治疗选择,包括大麻素、维生素B6(吡哆醇)以及如Diclegis(多西拉敏-吡哆醇)这样的复方制剂,为其在呕吐管理中的未来作用指明了方向。

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