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活性炭延迟给药对去甲替林吸收的影响。

Effect of delayed administration of activated charcoal on nortriptyline absorption.

作者信息

Dawling S, Crome P, Braithwaite R

出版信息

Eur J Clin Pharmacol. 1978 Dec 18;14(6):445-7. doi: 10.1007/BF00716388.

DOI:10.1007/BF00716388
PMID:738352
Abstract

Activated charcoal is known to reduce the absorption of therapeutic doses of nortriptyline in vivo when administered 30 min after drug ingestion. In a group of volunteers, one sachet (10 g) of a new activated charcoal preparation, 'Medicoal' was found to produce a highly significant reduction in nortriptyline absorption when given as long as four hours after nortriptyline dosing. Activated charcoal may therefore be useful in the treatment of tricyclic antidepressant poisoning even if a delay of several hours ensues before medical help is sought.

摘要

已知活性炭在摄入药物30分钟后给药时,可降低体内治疗剂量的去甲替林的吸收。在一组志愿者中,发现一袋(10克)新的活性炭制剂“Medicoal”,即使在去甲替林给药后长达四小时服用,也能显著降低去甲替林的吸收。因此,即使在寻求医疗帮助前有几个小时的延迟,活性炭也可能有助于三环类抗抑郁药中毒的治疗。

相似文献

1
Effect of delayed administration of activated charcoal on nortriptyline absorption.活性炭延迟给药对去甲替林吸收的影响。
Eur J Clin Pharmacol. 1978 Dec 18;14(6):445-7. doi: 10.1007/BF00716388.
2
Effect of activated charcoal on absorption of nortriptyline.活性炭对去甲替林吸收的影响。
Lancet. 1977 Dec 10;2(8050):1203-5. doi: 10.1016/s0140-6736(77)90440-8.
3
Pharmacokinetics of amitriptyline influenced by oral charcoal and urine pH.口服活性炭和尿液pH值对阿米替林药代动力学的影响。
Int J Clin Pharmacol Ther Toxicol. 1986 Jun;24(6):326-32.
4
Reduction of absorption of digoxin, phenytoin and aspirin by activated charcoal in man.活性炭对人体地高辛、苯妥英钠和阿司匹林吸收的影响。
Eur J Clin Pharmacol. 1978 May 31;13(3):213-8. doi: 10.1007/BF00609985.
5
Effect of delayed administration of activated charcoal on the absorption of conventional and slow-release verapamil.活性炭延迟给药对常规释放型和缓释型维拉帕米吸收的影响。
J Toxicol Clin Toxicol. 1997;35(3):263-8. doi: 10.3109/15563659709001210.
6
Reduction of absorption of paracetamol by activated charcoal and cholestyramine: a possible therapeutic measure.活性炭和考来烯胺对扑热息痛吸收的减少:一种可能的治疗措施。
Br Med J. 1973 Jul 14;3(5871):86-7. doi: 10.1136/bmj.3.5871.86.
7
Letter: On activated charcoal and nortriptyline.信件:关于活性炭与去甲替林
Eur J Clin Pharmacol. 1973 Oct;6(3):207. doi: 10.1007/BF00558288.
8
Effect of activated charcoal on the absorption of amiodarone.活性炭对胺碘酮吸收的影响。
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Effect of activated charcoal on the pharmacokinetics of pholcodine, with special reference to delayed charcoal ingestion.活性炭对福尔可定药代动力学的影响,特别提及延迟摄入活性炭的情况。
Ther Drug Monit. 1997 Feb;19(1):46-50. doi: 10.1097/00007691-199702000-00008.
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Effect of single and repeated doses of activated charcoal on the pharmacokinetics of doxepin.单次及重复剂量活性炭对多塞平药代动力学的影响。
Int J Clin Pharmacol Ther Toxicol. 1985 Jan;23(1):38-42.

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The use of biochar in animal feeding.生物炭在动物饲养中的应用。
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2
EJCP and clinical toxicology: the first 40 years.《欧洲临床药理学杂志》与临床毒理学:头40年
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本文引用的文献

1
Inhibition of aspirin absorption by activated charcoal and apomorphine.活性炭和阿扑吗啡对阿司匹林吸收的抑制作用。
Clin Pharmacol Ther. 1969 Sep-Oct;10(5):710-3. doi: 10.1002/cpt1969105710.
2
Activated charcoal in barbiturate and glutethimide poisoning of the dog.活性炭在犬巴比妥类和格鲁米特中毒中的应用
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Effect of activated charcoal on aspirin absorption in man. Part I.
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Tricyclic antidepressant overdose: a review.三环类抗抑郁药过量:综述
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5
Effectiveness of delayed activated charcoal administration in simulated paracetamol (acetaminophen) overdose.延迟给予活性炭在模拟对乙酰氨基酚过量中的有效性。
Br J Clin Pharmacol. 2000 Jan;49(1):11-4. doi: 10.1046/j.1365-2125.2000.00107.x.
6
Effect of activated charcoal on absorption and elimination of phenobarbitone, carbamazepine and phenylbutazone in man.活性炭对人体内苯巴比妥、卡马西平和保泰松吸收及消除的影响。
Eur J Clin Pharmacol. 1980 Jan;17(1):51-7. doi: 10.1007/BF00561677.
7
Pharmacokinetics of single oral doses of nortriptyline in depressed elderly hospital patients and young healthy volunteers.单剂量口服去甲替林在老年抑郁症住院患者和年轻健康志愿者中的药代动力学。
Clin Pharmacokinet. 1980 Jul-Aug;5(4):394-401. doi: 10.2165/00003088-198005040-00007.
8
Clinical pharmacokinetics of oral activated charcoal in acute intoxications.口服活性炭在急性中毒中的临床药代动力学
Clin Pharmacokinet. 1982 Nov-Dec;7(6):465-89. doi: 10.2165/00003088-198207060-00001.
9
Antidepressant overdosage.抗抑郁药过量服用。
Drugs. 1982 Jun;23(6):431-61. doi: 10.2165/00003495-198223060-00002.
10
Poisoning due to tricyclic antidepressant overdosage. Clinical presentation and treatment.三环类抗抑郁药过量中毒。临床表现与治疗。
Med Toxicol. 1986 Jul-Aug;1(4):261-85. doi: 10.1007/BF03259843.
4
Activated charcoal. A neglected antidote.活性炭。一种被忽视的解毒剂。
Pediatr Clin North Am. 1970 Aug;17(3):535-43. doi: 10.1016/s0031-3955(16)32449-x.
5
Activated charcoal preparations--relative antidotal efficacy.活性炭制剂——相对解毒效果
Clin Toxicol. 1974;7(1):97-108. doi: 10.3109/15563657408987981.
6
Re-evaluation of the use of activated charcoal in the treatment of acute poisoning.活性炭在急性中毒治疗中应用的重新评估。
Pediatr Clin North Am. 1970 Aug;17(3):545-56. doi: 10.1016/s0031-3955(16)32450-6.
7
Use of activated charcoal in acute poisoning.活性炭在急性中毒中的应用。
Clin Toxicol. 1975;8(5):515-33. doi: 10.3109/15563657508988096.
8
Reduction of absorption of digoxin, phenytoin and aspirin by activated charcoal in man.活性炭对人体地高辛、苯妥英钠和阿司匹林吸收的影响。
Eur J Clin Pharmacol. 1978 May 31;13(3):213-8. doi: 10.1007/BF00609985.
9
Effect of activated charcoal on absorption of nortriptyline.活性炭对去甲替林吸收的影响。
Lancet. 1977 Dec 10;2(8050):1203-5. doi: 10.1016/s0140-6736(77)90440-8.
10
Radioimmunoassay for nortriptyline and amitriptyline.去甲替林和阿米替林的放射免疫测定法
Lancet. 1977 Jun 4;1(8023):1214. doi: 10.1016/s0140-6736(77)92763-5.