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[多西环素和罗利环素在清醒小型猪体内的循环相容性(作者译)]

[On the circulation compatibility of doxycycline and rolitetracycline in conscious minipigs (author's transl)].

作者信息

Tauberger G, Schoog M, Mehren W, Mergler G, Moussawi M

出版信息

Arzneimittelforschung. 1978;28(12):2235-7.

PMID:582937
Abstract

The effect of large doses of doxycycline (Vibravenös) and rolitetracycline on blood pressure, heart rate and ECG was investigated in 36 conscious minipigs. The antibiotics were infused into the v. tibialis at doses of 16, 24 and 32 mg/kg at injection periods of 4, 6 and 8 min. The dosage applied was about 10-20 times higher than the therapeutical single dose of doxycycline and about 4-8 times higher than the single dose of rolitetracycline. 16 mg doxycycline or rolitetracycline/kg resulted in a minor short-lasting increase of blood pressure and extension of the P-Q interval in the ECG. The definitely pathological P-Q value of 160 ms was not observed in any of the cases treated with doxycycline, whereas rotitetracycline led to clearly pathological P-Q values in 2/6 of the cases, and to AV block in 4/6 of the cases. Neither after doxycycline nor after rolitetracycline did the increased dose of 24 and 32 mg/kg result in an enhanced effect on circulation. However, both the blood pressure and the P-Q values following 32 mg rolitetracycline/kg significantly exceeded those following 32 mg doxycycline/kg. These trials suggest that with regard to circulatory tolerance there are no objections to increasing the usual therapeutical dose of intravenous doxycycline if the injection time is adequately extended.

摘要

在36只清醒的小型猪中研究了大剂量强力霉素(Vibravenös)和罗利环素对血压、心率和心电图的影响。将抗生素以16、24和32mg/kg的剂量在4、6和8分钟的注射期内注入胫静脉。所用剂量比强力霉素的治疗单剂量高约10 - 20倍,比罗利环素的单剂量高约4 - 8倍。16mg/kg的强力霉素或罗利环素导致血压轻微短暂升高以及心电图中P - Q间期延长。在用强力霉素治疗的任何病例中均未观察到明确的病理性P - Q值160ms,而罗利环素在2/6的病例中导致明显的病理性P - Q值,在4/6的病例中导致房室传导阻滞。无论是24mg/kg还是32mg/kg的增加剂量,强力霉素或罗利环素给药后均未导致对循环的增强作用。然而,32mg/kg罗利环素后的血压和P - Q值均显著超过32mg/kg强力霉素后的血压和P - Q值。这些试验表明,如果充分延长注射时间,就循环耐受性而言,增加静脉注射强力霉素的常用治疗剂量并无问题。

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