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萘普生钠的生物利用度及其与临床镇痛效果的关系。

Bioavailability of naproxen sodium and its relationship to clinical analgesic effects.

作者信息

Sevelius H, Runkel R, Segre E, Bloomfield S S

出版信息

Br J Clin Pharmacol. 1980 Sep;10(3):259-63. doi: 10.1111/j.1365-2125.1980.tb01753.x.

Abstract

1 In the first of a series of trials with naproxen sodium it was shown that patients achieved significantly earlier and higher plasma levels of naproxen when naproxen sodium was administered. 2 In a second study comparing naproxen with naproxen sodium in patients with post-partum pain, pain intensity was consistently lower for the group receiving naproxen sodium. However, statistically significant differences were not seen until 4 to 5 h after medication. 3 A final study documented that a more frequent dosage schedule of every 6 h led to clearly higher plasma levels than those achieved with an every 8 h regimen; plasma levels did not plateau. Doses up to 1,375 mg/day were well tolerated. 4 In conclusion, naproxen sodium appears to be an improved form of naproxen for use as a analgesic agent.

摘要
  1. 在一系列关于萘普生钠的试验中,第一项试验表明,服用萘普生钠时,患者体内萘普生的血浆水平显著更早达到且更高。2. 在第二项针对产后疼痛患者比较萘普生和萘普生钠的研究中,接受萘普生钠治疗的组疼痛强度始终较低。然而,直到用药后4至5小时才出现统计学上的显著差异。3. 最后一项研究记录显示,每6小时一次的更频繁给药方案导致血浆水平明显高于每8小时一次方案所达到的水平;血浆水平未达到平稳状态。高达1375毫克/天的剂量耐受性良好。4. 总之,萘普生钠似乎是一种更优形式的萘普生,可用作止痛剂。

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Clinical pharmacokinetics of naproxen.萘普生的临床药代动力学
Clin Pharmacokinet. 1997 Apr;32(4):268-93. doi: 10.2165/00003088-199732040-00002.

本文引用的文献

1
Clinical pharmacology of analgesics. 1. A method of assaying analgesic effect.
Clin Pharmacol Ther. 1960 Mar-Apr;1:163-74. doi: 10.1002/cpt196012163.
5
Pharmacological properties of naproxen.
Scand J Rheumatol Suppl. 1973;2:12-9. doi: 10.3109/03009747309097091.
8
Analgesic activity of oral naproxen in patients with postoperative pain.
Scand J Rheumatol Suppl. 1973;2:50-5. doi: 10.3109/03009747309097097.
9
Assay of aspirin and naproxen analgesia.
Clin Pharmacol Ther. 1976 Jan;19(1):18-23. doi: 10.1002/cpt197619118.
10
Pharmacokinetics of naproxen overdoses.萘普生过量的药代动力学。
Clin Pharmacol Ther. 1976 Sep;20(3):269-77. doi: 10.1002/cpt1976203269.

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