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[酮替芬治疗慢性荨麻疹和血管神经性水肿]

[Ketotifen in the treatment of chronic urticaria and angioneurotic edema].

作者信息

Piñol J, Carapeto F J

出版信息

Allergol Immunopathol (Madr). 1984 Jan-Feb;12(1):19-27.

PMID:6731202
Abstract

26 male and female patients, suffering chronic idiopathic urticaria and angioneurotic edema, are treated with a new synthase molecule, Ketotifen, which offers a polivalent action. Among the patients there was a great majority of females (61,5%) their mean age being 35 years. The mean duration of this urticaria was 57,3 months, being even longer in male patients. In eleven of these cases there was a previous history of atopy in their families, and sixteen patients had some episodes of atopy in the past. All the patients were treated with ketotifen, in 1 mg. tablets, usually administered before meals, with partial doses no higher than 1 mg. 3 times a day, and a total dosage ranging from 28 to 180 mg. With this dosage we attained satisfactory results in 80,8% of the cases, with complete curation in 16 patients and a remarkable improvement of symptoms in 5 patients. In only two of the cases there was no response to the treatment. Tolerance to this drug was excellent in 88,6% of the patients. For all these reasons we consider ketotifen as an excellent therapeutic agent in Chronic Idiopathic Urticaria and Angioneurotic Edema, especially in those cases in which traditional therapies have failed. We also think that ketotifen, in association with other drugs, for example, terbutaline ( SAIHAN ) may solve, at least in some patients, the therapeutical problem that these conditions present. Furthermore, the nearly complete absence of important secondary effects, as observed in our study, makes it the treatment of choice in patients with gastric intolerance to drugs, or in those patients that, owing to their occupational activities, might be exposed to a high risk of laboral accidents.

摘要

26例患有慢性特发性荨麻疹和血管神经性水肿的男性和女性患者,接受了一种具有多种作用的新型合成分子酮替芬的治疗。患者中女性占绝大多数(61.5%),平均年龄为35岁。这种荨麻疹的平均病程为57.3个月,男性患者的病程更长。其中11例患者有家族性特应性病史,16例患者过去有过特应性发作。所有患者均服用1毫克片剂的酮替芬,通常在饭前服用,每次分剂量不超过1毫克,每天3次,总剂量为28至180毫克。采用这种剂量,我们在80.8%的病例中取得了满意的效果,16例患者完全治愈,5例患者症状明显改善。只有2例患者对治疗无反应。88.6%的患者对该药耐受性良好。基于所有这些原因,我们认为酮替芬是治疗慢性特发性荨麻疹和血管神经性水肿的优秀药物,尤其是在传统疗法失败的病例中。我们还认为,酮替芬与其他药物联合使用,例如特布他林(喘康速),至少在一些患者中可以解决这些病症带来的治疗问题。此外,正如我们在研究中观察到的,几乎完全没有重要的副作用,这使其成为对药物有胃部不耐受的患者或由于职业活动可能面临高劳动事故风险的患者的首选治疗药物。

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