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[用异丙肌苷治疗类风湿性关节炎。个人经验]

[Treatment of rheumatoid arthritis with isoprinosine. Personal experience].

作者信息

Bouvier M, Bonvoisin B, Lejeune E, Sidot C, Touraine J L, Touraine F

出版信息

Rev Rhum Mal Osteoartic. 1983 Oct;50(10):653-7.

PMID:6196834
Abstract

Twenty patients with classical or proved rheumatoid arthritis were treated with Isoprinosine. 13 patients received a dose of 25 mg/kg/day and 7 received a dose of 50 mg/kg/day, continuously for 2 months and then discontinuously, 5 days every fortnight. The series being treated with 25 mg/kg/day (7 patients) have received treatment for 12 months. No side effects have been observed; the only reason for ceasing treatment was its ineffectiveness (after at least 3 months of administration). The dosage of the associated anti-inflammatory drugs did not need to be increased, but neither was it decreased. The authors conclude that Isoprinosine is largely ineffective clinically, on laboratory tests and in terms of immunology, at least with the therapeutic protocols tested here.

摘要

20例典型或确诊的类风湿性关节炎患者接受了异丙肌苷治疗。13例患者接受25mg/kg/天的剂量,7例接受50mg/kg/天的剂量,持续治疗2个月,然后间断治疗,每两周停药5天。接受25mg/kg/天治疗的7例患者已接受了12个月的治疗。未观察到副作用;停止治疗的唯一原因是治疗无效(至少给药3个月后)。相关抗炎药物的剂量无需增加,但也未减少。作者得出结论,至少就此处测试的治疗方案而言,异丙肌苷在临床、实验室检查及免疫学方面基本无效。

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1
[Treatment of rheumatoid arthritis with isoprinosine. Personal experience].[用异丙肌苷治疗类风湿性关节炎。个人经验]
Rev Rhum Mal Osteoartic. 1983 Oct;50(10):653-7.
2
[Attempted therapy of rheumatoid polyarthritis with isoprinosine. Results of an open study of 14 patients].[用异丙肌苷治疗类风湿性多关节炎。14例患者的开放性研究结果]
Rev Rhum Mal Osteoartic. 1982 Jan;49(1):45-9.
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Z Rheumatol. 1988 Mar-Apr;47(2):113-6.
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The efficacy of inosine pranobex in preventing the acquired immunodeficiency syndrome in patients with human immunodeficiency virus infection. The Scandinavian Isoprinosine Study Group.肌苷普拉诺贝预防人类免疫缺陷病毒感染患者获得性免疫缺陷综合征的疗效。斯堪的纳维亚异嘌呤醇研究组。
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Immunological effects of isoprinosine as a pulse immunotherapy in melanoma and ARC patients.异丙肌苷作为脉冲免疫疗法对黑色素瘤和艾滋病相关综合征患者的免疫效应。
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引用本文的文献

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Inosine pranobex. A preliminary review of its pharmacodynamic and pharmacokinetic properties, and therapeutic efficacy.异丙肌苷。对其药效学、药代动力学特性及治疗效果的初步综述。
Drugs. 1986 Nov;32(5):383-424. doi: 10.2165/00003495-198632050-00001.