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酮洛芬及其赖氨酸盐用于儿童发热治疗:来自对比试验的新证据

Ketoprofen and its lysine salt in managing children with fever: evidence emerging from comparative trials.

作者信息

Scaglione Francesco, Ciprandi Giorgio

机构信息

Department of Oncology and Hemato-Oncology, Postgraduate School of Clinical Pharmacology and Toxicology, University of Milan, Milan, Italy.

Casa di Cura Villa Montallegro, Genoa, Italy -

出版信息

Panminerva Med. 2025 Feb 18. doi: 10.23736/S0031-0808.25.05295-4.

Abstract

Fever usually is a physiological response to infectious/inflammatory acute events. Namely, fever has positive benefits contrasting noxious agents. However, when fever causes discomfort, it is better to relieve symptoms associated to fever. Antipyretics mainly are non-steroidal anti-inflammatory agents (NSAIDs) and acetaminophen. The NSAIDs class includes many molecules. The most used NSAID to relieve fever is ibuprofen. However, ketoprofen also provides interesting pharmacological characteristics. In particular, salifying ketoprofen with lysine, such as ketoprofen lysine salt (KLS), provides a better and quicker absorption then acid ketoprofen and reduces side effects. The present paper considers the comparative pediatric studies between ketoprofen or KLS and other antipyretics, mainly concerning ibuprofen and acetaminophen. The results showed that ketoprofen and KLS are valuable option in managing children with fever.

摘要

发热通常是对感染性/炎症性急性事件的一种生理反应。也就是说,发热对有害物质具有积极作用。然而,当发热引起不适时,最好缓解与发热相关的症状。退热药主要是非甾体抗炎药(NSAIDs)和对乙酰氨基酚。NSAIDs类包括许多分子。最常用于退热的NSAID是布洛芬。然而,酮洛芬也具有有趣的药理学特性。特别是,将酮洛芬与赖氨酸成盐,如酮洛芬赖氨酸盐(KLS),比酮洛芬酸具有更好、更快的吸收,并减少副作用。本文考虑了酮洛芬或KLS与其他退热药之间的比较儿科研究,主要涉及布洛芬和对乙酰氨基酚。结果表明,酮洛芬和KLS是治疗儿童发热的有价值选择。

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