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可乐定和胍法辛突然停药对自发性高血压大鼠血压和心率的影响。

Effects of abrupt cessation of treatment with clonidine and guanfacine on blood pressure and heart rate in spontaneously hypertensive rats.

作者信息

Koike Y, Togashi H, Shimamura K, Yomaida I, Saito H

出版信息

Clin Exp Hypertens (1978). 1981;3(1):103-20. doi: 10.3109/10641968109037171.

DOI:10.3109/10641968109037171
PMID:7009101
Abstract

Present experiments were undertaken to compare the effects of clonidine and guanfacine withdrawal on blood pressure in spontaneously hypertensive rats. Five week oral administration of clonidine at a dose of approximately 300 microgram/kg/day produced a significant hypotension. After acute interruption of clonidine administration, a marked blood pressure rise was observed. Peak blood pressure rise was reached within 24 hours after clonidine withdrawal. A significant increase in plasma norepinephrine concentration was observed when clonidine treatment was discontinued. On the other hand, long-term administration of guanfacine at a dose of approximately 3 mg/kg/day produced a significant hypotension. After a five week administration of guanfacine, abrupt cessation did not produce a rapid blood pressure rise. Catecholamine concentration in urine and plasma was not influenced either by guanfacine administration or its withdrawal.

摘要

开展本实验以比较可乐定和胍法辛撤药对自发性高血压大鼠血压的影响。以约300微克/千克/天的剂量口服可乐定5周可产生显著的低血压。急性中断可乐定给药后,观察到血压显著升高。可乐定撤药后24小时内血压升至峰值。停用可乐定治疗后,血浆去甲肾上腺素浓度显著增加。另一方面,以约3毫克/千克/天的剂量长期服用胍法辛可产生显著的低血压。服用胍法辛5周后,突然停药未导致血压快速升高。胍法辛的给药或撤药对尿液和血浆中的儿茶酚胺浓度均无影响。

相似文献

1
Effects of abrupt cessation of treatment with clonidine and guanfacine on blood pressure and heart rate in spontaneously hypertensive rats.可乐定和胍法辛突然停药对自发性高血压大鼠血压和心率的影响。
Clin Exp Hypertens (1978). 1981;3(1):103-20. doi: 10.3109/10641968109037171.
2
Clonidine and guanfacine in hypertension.可乐定与胍法辛治疗高血压
Clin Pharmacol Ther. 1985 Mar;37(3):271-6. doi: 10.1038/clpt.1985.39.
3
Comparison of guanfacine versus clonidine for efficacy, safety and occurrence of withdrawal syndrome in step-2 treatment of mild to moderate essential hypertension.胍法辛与可乐定在轻度至中度原发性高血压二级治疗中的疗效、安全性及戒断综合征发生情况比较
Am J Cardiol. 1986 Mar 28;57(9):43E-49E. doi: 10.1016/0002-9149(86)90723-x.
4
Guanfacine and clonidine: antihypertensive and withdrawal characteristics after continuous infusion and its interruption in the spontaneously hypertensive and normotensive rat.胍法辛和可乐定:连续输注及其中断后在自发性高血压大鼠和正常血压大鼠中的降压及撤药特征
Naunyn Schmiedebergs Arch Pharmacol. 1982 Apr;319(1):82-6. doi: 10.1007/BF00491483.
5
Evaluation of guanfacine and clonidine in essential hypertension: a single-blind crossover study.
Med J Aust. 1980 Oct 4;2(7):395-6. doi: 10.5694/j.1326-5377.1980.tb131883.x.
6
Guanfacine and clonidine: the effects on adrenal medullary function in spontaneously hypertensive rats.胍法辛和可乐定:对自发性高血压大鼠肾上腺髓质功能的影响。
Arch Int Pharmacodyn Ther. 1984 Nov;272(1):79-87.
7
Guanfacine: effects of long-term treatment and withdrawal.胍法辛:长期治疗及撤药的影响
Br J Clin Pharmacol. 1980;10 Suppl 1(Suppl 1):183S-188S. doi: 10.1111/j.1365-2125.1980.tb04928.x.
8
Effects of clonidine and guanfacine in essential hypertension.可乐定和胍法辛对原发性高血压的作用。
Clin Pharmacol Ther. 1984 Nov;36(5):588-94. doi: 10.1038/clpt.1984.226.
9
Precipitation by yohimbine of the withdrawal syndromes of clonidine, guanfacine, and methyldopa in the spontaneously hypertensive rat.育亨宾引发自发性高血压大鼠可乐定、胍法辛和甲基多巴撤药综合征
J Cardiovasc Pharmacol. 1983 Mar-Apr;5(2):224-8. doi: 10.1097/00005344-198303000-00010.
10
Antihypertensive effect of guanfacine: a double-blind cross-over trial compared with clonidine.胍法辛的降压作用:与可乐定比较的双盲交叉试验
Br J Clin Pharmacol. 1980;10 Suppl 1(Suppl 1):49S-53S. doi: 10.1111/j.1365-2125.1980.tb04904.x.

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CNS Drugs. 2013 Jul;27(7):531-43. doi: 10.1007/s40263-013-0084-8.
2
Guanfacine. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic efficacy in the treatment of hypertension.胍法辛。对其药效学、药代动力学特性及治疗高血压疗效的综述。
Drugs. 1986 Apr;31(4):301-36. doi: 10.2165/00003495-198631040-00003.