Belz G G, Aust P E
Med Klin. 1980 Jul 18;75(15):551-3.
A placebo-controlled double-blind trial was conducted, to determine the onset of effect of Meproscillarin (injected intravenously). 28 days apart six healthy volunteers were given double-blind 1,0 mg Meproscillarin or placebo and 60 days later 0,6 mg Digoxin, each drug as short infusion over four minutes. The total electromechanical systole corrected for heart rate (QS2c), was used as criterion of the inotropic effect of the glycoside. After placebo there no changes were observed over a period of two hours. Both glycosides shortened QS2c for about--16 ms. From Meproscillarin a 40% higher dosis was required, to achieve the same effect as with digoxin. After use of Meproscillarin the peak effect was reached after ten minutes; after digoxin a period of 60--120 minutes were required. The results show that intravenously given Meproscillarin is a fast acting glycoside.
进行了一项安慰剂对照双盲试验,以确定甲丙氨酯(静脉注射)的起效时间。6名健康志愿者每隔28天接受双盲注射1.0毫克甲丙氨酯或安慰剂,60天后接受0.6毫克地高辛,每种药物均在4分钟内进行短时间输注。经心率校正的总电机械收缩期(QS2c)用作糖苷类药物变力作用的标准。给予安慰剂后,两小时内未观察到变化。两种糖苷类药物均使QS2c缩短约16毫秒。与地高辛达到相同效果相比,甲丙氨酯需要的剂量高40%。使用甲丙氨酯后,10分钟后达到峰值效应;使用地高辛后,则需要60至120分钟。结果表明,静脉注射甲丙氨酯是一种起效迅速的糖苷类药物。