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苯二氮䓬类药物戒断效应。

Benzodiazepine withdrawal effects.

作者信息

Pecknold J C, McClure D J, Fleuri D, Chang H

出版信息

Prog Neuropsychopharmacol Biol Psychiatry. 1982;6(4-6):517-22. doi: 10.1016/s0278-5846(82)80142-5.

Abstract
  1. Twenty-nine patients with anxiety neurosis who had completed a one week placebo, three week active drug study on either halazepam or oxazepam were observed for eight weeks for withdrawal effects. Half of the patients received a placebo for the first two weeks of the withdrawal study and half had all medication abruptly stopped. 2. There was no significant difference in the pattern of withdrawal between halazepam, an intermediate range benzodiazepine, and oxazepam, a short acting benzodiazepine. 3. Withdrawal symptoms were apparent, maximally between week 1 and 2 together with possible rebound effects. 4. Patients who received placebo had significantly less severe withdrawal symptoms than those who had their medication abruptly discontinued.
摘要
  1. 29名患有焦虑神经症的患者完成了一项为期一周的安慰剂、为期三周的关于哈拉西泮或奥沙西泮的活性药物研究,随后被观察八周以了解撤药效应。撤药研究的前两周,一半患者接受安慰剂,另一半患者则突然停止所有药物治疗。2. 中效苯二氮䓬类药物哈拉西泮和短效苯二氮䓬类药物奥沙西泮之间的撤药模式没有显著差异。3. 撤药症状明显,在第1周和第2周之间最为严重,同时可能存在反跳效应。4. 接受安慰剂的患者撤药症状明显轻于突然停药的患者。

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