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曲替拉明在人体中的药理学研究/耐受性研究(作者译)

[Pharmacological study on treptilamine in man/study on tolerability (author's transl)].

作者信息

Harenberg J, Hengen N, Spohr U, Weber E, Pollter J, Schnitker J

出版信息

Arzneimittelforschung. 1979;29(8):1189-92.

PMID:583022
Abstract

N,N-Diethyl-N-(2-[alpha(tricyclo[2,2,1,0(2,6]hept-3-ylidene)-benzyloxy]-ethyl)amine hydrochloride (treptilamine) which in experiments on animals showed distinct spasmolytic effects, has been investigated first in 6 volunteers with regard to compatibility using different doses p.o. and i.v. In connection with this previous study a double blind study including placebo was performed for verification of the observed effects. In the plot study 30, 40 and 50 mg were applied orally and 10, 15 and 20 mg treptilamine were used i.v. The double blind study was designed for 20 volunteers at dosages of 40 mg p.o. and 15 mg i.v. against placebo. In the pilot study systolic blood pressure decreased significantly 5 to 15 min after i.v. application of the substance for 5 or 30 min. The range of accommodation was restricted depending on the dose used. No alteration of circulation was observed after oral application at any dose. All volunteers felt tired. A significant decrease of systolic blood pressure (15 mmHg for 10 min immediately after application) occurred after 15 mg of substance were applied i.v. in the double blind study. No effect on circulation could be seen after placebo. The range of accommodation was restricted in a significant way both after i.v. application (40%) and after oral application (30%). Two of five volunteers recorded a burning sensation in the venous wall which was followed by drowsiness. One volunteer felt increasingly tired after oral application. No influence of the substance could be seen on the clinicochemical parameters examined.

摘要

N,N-二乙基-N-(2-[α-(三环[2,2,1,0(2,6)]庚-3-亚基)-苄氧基]-乙基)胺盐酸盐(曲普胺)在动物实验中显示出明显的解痉作用,首先对6名志愿者进行了不同口服和静脉注射剂量的配伍性研究。结合之前的这项研究,进行了一项包括安慰剂的双盲研究以验证观察到的效果。在预试验中,口服30、40和50毫克,静脉注射10、15和20毫克曲普胺。双盲研究针对20名志愿者设计,口服剂量为40毫克,静脉注射剂量为15毫克,与安慰剂对照。在预试验中,静脉注射该物质5或30分钟后5至15分钟,收缩压显著下降。调节范围根据所用剂量受到限制。任何剂量口服后均未观察到循环改变。所有志愿者都感到疲倦。在双盲研究中,静脉注射15毫克该物质后,收缩压显著下降(给药后立即10分钟内下降15毫米汞柱)。安慰剂给药后未观察到对循环的影响。静脉注射(40%)和口服(30%)后调节范围均有显著受限。五名志愿者中有两名记录到静脉壁有烧灼感,随后出现嗜睡。一名志愿者口服后感到越来越疲倦。该物质对所检测的临床化学参数未见影响。

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