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正常受试者中Motival(氟奋乃静和去甲替林)与地西泮的一些生理和心理效应比较。

A comparison of some physiological and psychological effects of Motival (fluphenazine and nortriptyline) and diazepam in normal subjects.

作者信息

Ashton H, Millman J E, Telford R, Thompson J W

出版信息

Br J Clin Pharmacol. 1978 Feb;5(2):141-7. doi: 10.1111/j.1365-2125.1978.tb01615.x.

DOI:10.1111/j.1365-2125.1978.tb01615.x
PMID:619948
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1429237/
Abstract

1 The effects in normal subjects of a single oral dose of Motival (one tablet, containing fluphenazine 0.5 mg and nortriptyline 10 mg) on the contingent negative variation (CNV), reaction time, heart rate, blood pressure and self-rating scales for alertness, anxiety, tension, detachment and depression were compared with those of diazepam (5 mg and 7.5 mg) and placebo or propranolol (60 mg). 2 After diazepam (5 mg: twelve subjects and 7.5 mg: seven subjects) there was a significant decrease in CNV magnitude while after Motival (twelve subjects) there was no significant alteration in CNV magnitude compared to placebo. 3 After diazepam (7.5 mg: seven subjects) there was also a fall in subjective ratings for alertness and tension; this fall was significantly greater than the changes after Motival which did not reduce subjective ratings for alterness or tension below "average" levels. Anxiety ratings did not differ significantly between the two drugs. Changes after propranolol were intermediate in all scales. 4 It is concluded that under these conditions diazepam caused central nervous system depression while Motival did not.

摘要
  1. 将单次口服剂量的Motival(一片,含氟奋乃静0.5毫克和去甲替林10毫克)对正常人的关联性负变(CNV)、反应时间、心率、血压以及警觉性、焦虑、紧张、超脱和抑郁自评量表的影响,与地西泮(5毫克和7.5毫克)、安慰剂或普萘洛尔(60毫克)的影响进行比较。2. 服用地西泮(5毫克:12名受试者;7.5毫克:7名受试者)后,CNV幅度显著降低,而服用Motival(12名受试者)后,与安慰剂相比,CNV幅度无显著变化。3. 服用地西泮(7.5毫克:7名受试者)后,警觉性和紧张的主观评分也有所下降;这种下降明显大于Motival后的变化,Motival并未将警觉性或紧张的主观评分降至“平均”水平以下。两种药物的焦虑评分无显著差异。普萘洛尔后的变化在所有量表中处于中间水平。4. 得出的结论是,在这些条件下,地西泮会导致中枢神经系统抑制,而Motival则不会。

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A comparison of some physiological and psychological effects of Motival (fluphenazine and nortriptyline) and diazepam in normal subjects.正常受试者中Motival(氟奋乃静和去甲替林)与地西泮的一些生理和心理效应比较。
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本文引用的文献

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Science. 1974 Aug 2;185(4149):451-3. doi: 10.1126/science.185.4149.451.
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The effects of methamphetamine and secobarbital on the contingent negative variation amplitude.
Psychopharmacologia. 1974 Jan 9;34(1):55-62. doi: 10.1007/BF00421220.
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Response to propranolol and diazepam in somatic and psychic anxiety.普萘洛尔和地西泮对躯体性焦虑和精神性焦虑的反应
Br Med J. 1974 Apr 6;2(5909):14-6. doi: 10.1136/bmj.2.5909.14.
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Arch Gen Psychiatry. 1972 Dec;27(6):809-11. doi: 10.1001/archpsyc.1972.01750300071012.
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Pharmacological studies of fluphenazine and nortriptyline in combination in man.氟奋乃静与去甲替林联合应用于人体的药理学研究。
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6
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Electroencephalogr Clin Neurophysiol. 1974 Jul;37(1):59-71. doi: 10.1016/0013-4694(74)90245-4.
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