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针对特定癌症化疗药物的特异性止吐药:氟哌啶醇与苄喹酰胺的比较

Specific antiemetics for specific cancer chemotherapeutic agents: haloperidol versus benzquinamide.

作者信息

Neidhart J A, Gagen M, Young D, Wilson H E

出版信息

Cancer. 1981 Mar 15;47(6):1439-43. doi: 10.1002/1097-0142(19810315)47:6<1439::aid-cncr2820470633>3.0.co;2-#.

DOI:10.1002/1097-0142(19810315)47:6<1439::aid-cncr2820470633>3.0.co;2-#
PMID:7013968
Abstract

Sixty-four patients receiving cancer chemotherapy known to induce severe emesis entered a randomized double-blind study of the antiemetic efficacy of haloperidol (Haldol) and benzquinamide (Emetecon). Patients preferred haloperidol for control of emesis induced by cis-platinum (78 vs. 22%) or nitrogen mustard (67 vs. 16%). Patients receiving Doxorubicin preferred benzquinamide by a small margin (46 to 38%). Individual patients who experienced no relief with their first antiemetic (13 of 15) usually got some relief with the other after crossover. Haloperidol was more effective than benzquinamide (54 vs. 29%) in patients previously unrelieved by prochlorperazine (Compazine). Complete relief of vomiting was obtained in 14 of 45 patients receiving haloperidol but only five of 41 patients receiving benzquinamide experienced no vomiting, again dependent on the anticancer agent used. Although haloperidol is a more effective antiemetic agent overall, efficacy is related to the anticancer treatment and probably to individual patient characteristics.

摘要

64名接受已知会引发严重呕吐的癌症化疗患者进入了一项关于氟哌啶醇(哈力多)和苄喹酰胺(止呕灵)止吐疗效的随机双盲研究。在控制顺铂(78%对22%)或氮芥(67%对16%)引发的呕吐方面,患者更倾向于氟哌啶醇。接受阿霉素治疗的患者对苄喹酰胺的偏好略高(46%对38%)。在首次使用止吐药后未缓解的个体患者(15例中的13例),交叉使用另一种药物后通常会有所缓解。在先前使用丙氯拉嗪(康帕嗪)未缓解的患者中,氟哌啶醇比苄喹酰胺更有效(54%对29%)。接受氟哌啶醇治疗的45名患者中有14名完全缓解了呕吐,但接受苄喹酰胺治疗的41名患者中只有5名没有呕吐,同样取决于所使用的抗癌药物。虽然总体而言氟哌啶醇是一种更有效的止吐药,但其疗效与抗癌治疗有关,可能也与个体患者特征有关。

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Specific antiemetics for specific cancer chemotherapeutic agents: haloperidol versus benzquinamide.针对特定癌症化疗药物的特异性止吐药:氟哌啶醇与苄喹酰胺的比较
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引用本文的文献

1
Pharmacological Agents Affecting Emesis : A Review (Part II).影响呕吐的药物制剂:综述(第二部分)
Drugs. 1992 Apr;43(4):443-463. doi: 10.2165/00003495-199243040-00003.
2
Haloperidol for the treatment of nausea and vomiting in palliative care patients.氟哌啶醇用于姑息治疗患者恶心和呕吐的治疗。
Cochrane Database Syst Rev. 2015 Nov 2;2015(11):CD006271. doi: 10.1002/14651858.CD006271.pub3.
3
The pharmacology and clinical effectiveness of phenothiazines and related drugs for managing chemotherapy-induced emesis.
Drugs. 1983 Feb;25 Suppl 1:35-51. doi: 10.2165/00003495-198300251-00005.
4
Nausea and vomiting as major complications of cancer chemotherapy.
Drugs. 1983 Feb;25 Suppl 1:1-7. doi: 10.2165/00003495-198300251-00002.
5
Antiemetic effect of haloperidol in the dog as related to plasma level and dose.氟哌啶醇对犬的止吐作用与血浆水平和剂量的关系。
Psychopharmacology (Berl). 1981;75(3):240-4. doi: 10.1007/BF00432431.
6
Improved control of cisplatin-induced emesis with a metoclopramide-dexamethasone combination.甲氧氯普胺与地塞米松联合使用可改善顺铂所致呕吐的控制。
Cancer Chemother Pharmacol. 1984;13(3):235-7. doi: 10.1007/BF00269037.
7
Intestinal and liver toxicity of antineoplastic drugs.抗肿瘤药物的肠道和肝脏毒性
West J Med. 1984 Feb;140(2):250-9.
8
[Benefit and risk of high-dose metoclopramide in comparison to high-dose haloperidol or triflupromazine in cisplatin-induced vomiting].[与高剂量氟哌啶醇或三氟拉嗪相比,高剂量甲氧氯普胺在顺铂所致呕吐中的获益与风险]
Klin Wochenschr. 1985 May 2;63(9):428-32. doi: 10.1007/BF01733669.