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血清锂水平与长期使用利尿剂

Serum lithium levels and long-term diuretic use.

作者信息

Jefferson J W, Kalin N H

出版信息

JAMA. 1979 Mar 16;241(11):1134-6.

PMID:762764
Abstract

In normal volunteers whose conditions were stablized with lithium carbonate, there were no significant changes in serum lithium levels during a two-week period while they received 40 mg/day of furosemide. During another two-week period, a 50 mg/day dosage of hydrochlorothiazide did cause a significant rise in serum lithium levels. These observations suggest that a substantial amount of lithium and a loop diuretic may not require modification of the lithium dosage.

摘要

在服用碳酸锂病情稳定的正常志愿者中,当他们每天服用40毫克速尿时,血清锂水平在两周内没有显著变化。在另一个两周期间,每天服用50毫克氢氯噻嗪确实导致血清锂水平显著升高。这些观察结果表明,大量锂与一种袢利尿剂联用可能不需要调整锂的剂量。

相似文献

1
Serum lithium levels and long-term diuretic use.血清锂水平与长期使用利尿剂
JAMA. 1979 Mar 16;241(11):1134-6.
2
Comparison of the effects of hydrochlorothiazide and furosemide on lithium disposition.氢氯噻嗪和呋塞米对锂代谢影响的比较。
Am J Psychiatry. 1991 Aug;148(8):1060-3. doi: 10.1176/ajp.148.8.1060.
3
The effect of furosemide on the chloride concentration in the macula densa and in cortical thick ascending limb cells.呋塞米对致密斑及皮质髓袢升支粗段细胞中氯离子浓度的影响。
Acta Physiol Scand. 1990 Jun;139(2):387-8. doi: 10.1111/j.1748-1716.1990.tb08937.x.
4
Characterization of the renal pharmacology of HP-522, a loop diuretic with uricosuric activity.具有促尿酸排泄活性的袢利尿剂HP - 522的肾脏药理学特性
Life Sci. 1980;27(25-26):2547-52. doi: 10.1016/0024-3205(80)90537-8.
5
Furosemide effect during volume expansion: evidence against lithium transport in the loop.
Kidney Int Suppl. 1990 Mar;28:S45-51.
6
Furosemide compared with hydrochlorothiazide. Long-term treatment of hypertension.呋塞米与氢氯噻嗪比较。高血压的长期治疗。
JAMA. 1978 Oct 20;240(17):1863-6.
7
[The mechanism of the increase in potassium excretion produced by furosemide (author's transl)].[速尿导致钾排泄增加的机制(作者译)]
Rev Bras Pesqui Med Biol. 1979 Dec;12(6):391-9.
8
Inhibition of calcium absorption in the cortical thick ascending limb of Henle's loop by furosemide.速尿对亨氏袢皮质厚升支中钙吸收的抑制作用。
J Pharmacol Exp Ther. 1982 Jun;221(3):815-9.
9
[Pharmacologic bases of cardiovascular therapy with diuretics].[利尿剂心血管治疗的药理学基础]
Arch Inst Cardiol Mex. 1981 May-Jun;51(3):291-303.
10
Permeability characteristics and probability of lithium transport in the thin limbs of Henle's loop.亨氏袢细段的通透性特征及锂转运概率
Kidney Int Suppl. 1990 Mar;28:S31-5.

引用本文的文献

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Drug Interactions with Lithium: An Update.锂盐的药物相互作用:最新进展
Clin Pharmacokinet. 2016 Aug;55(8):925-41. doi: 10.1007/s40262-016-0370-y.
2
The use of psychotropics in the medically ill.精神药物在患病者中的应用。
Curr Psychiatry Rep. 2000 Jun;2(3):247-55. doi: 10.1007/s11920-996-0018-y.
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Differential pharmacokinetics of lithium in elderly patients.老年患者锂的药代动力学差异
Drugs Aging. 2000 Mar;16(3):165-77. doi: 10.2165/00002512-200016030-00002.
4
Clinical relevance of drug interactions with lithium.药物与锂盐相互作用的临床相关性。
Clin Pharmacokinet. 1995 Sep;29(3):172-91. doi: 10.2165/00003088-199529030-00004.
5
Lithium. Current status in psychiatric disorders.锂。精神疾病的当前状况。
Drugs. 1993 Jul;46(1):7-17. doi: 10.2165/00003495-199346010-00002.
6
Diuretics are dangerous with lithium.利尿剂与锂盐合用很危险。
Br Med J. 1980 Nov 1;281(6249):1217. doi: 10.1136/bmj.281.6249.1217-a.
7
Clinical computer applications in mental health.
J Med Syst. 1983 Apr;7(2):175-85. doi: 10.1007/BF00995122.
8
Lithium and drug interactions.锂与药物相互作用。
Drugs. 1982 Aug;24(2):133-9. doi: 10.2165/00003495-198224020-00003.
9
Effect of chronic oral furosemide administration on the 24-hour cycle of lithium clearance and electrolyte excretion in humans.
Eur J Clin Pharmacol. 1990;38(3):275-80. doi: 10.1007/BF00315030.