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纳曲酮:单次剂量的生理和心理效应

Naltrexone: physiological and psychological effects of single doses.

作者信息

Gritz E R, Shiffman S M, Jarvik M E, Schlesinger J, Charuvastra V C

出版信息

Clin Pharmacol Ther. 1976 Jun;19(6):773-6. doi: 10.1002/cpt1976196773.

DOI:10.1002/cpt1976196773
PMID:773586
Abstract

An ascending series of single doses of the narcotic antagonist naltrexone, ranging from 20 to 160 mg, was administered to 8 abstinent former addicts in order to assess agonistic activity and any toxic side effects. There was little alteration of normal body function. Significant, but small, changes in sublingual temperature (0.4 degrees F decrease), and diastolic blood pressure (1.7 mm Hg increase) were induced. Among the battery of tests assessing behavioral or mood-feeling variables, only 2 showed significant between-condition effects: facilitated performance on the Cross-out Test (attention and perception), and a dose-related decrease in Morphine-Benzedrine Group (MBG) scores of the Addiction Research Center Inventory (ARCI) (mild euphoria). On the whole, subjects had few subjective reactions or unpleasant side effects. Naltrexone appears to be a safe, nontoxic medication in the dosage range examined.

摘要

为评估激动活性和任何毒副作用,对8名已戒毒的 former addicts 单次服用剂量递增的麻醉拮抗剂纳曲酮,剂量范围为20至160毫克。正常身体功能几乎没有改变。诱导出了显著但微小的舌下温度变化(下降0.4华氏度)和舒张压变化(升高1.7毫米汞柱)。在评估行为或情绪感受变量的一系列测试中,只有2项显示出显著的条件间效应:在划消测验(注意力和感知)中表现得到改善,以及成瘾研究中心量表(ARCI)的吗啡 - 苯丙胺组(MBG)得分出现与剂量相关的下降(轻度欣快感)。总体而言,受试者几乎没有主观反应或不愉快的副作用。在所研究的剂量范围内,纳曲酮似乎是一种安全、无毒的药物。

相似文献

1
Naltrexone: physiological and psychological effects of single doses.纳曲酮:单次剂量的生理和心理效应
Clin Pharmacol Ther. 1976 Jun;19(6):773-6. doi: 10.1002/cpt1976196773.
2
Short-term effects of naltrexone in 155 heroin ex-addicts.纳曲酮对155名戒除海洛因成瘾者的短期影响。
Biol Psychiatry. 1976 Dec;11(6):679-85.
3
Nontolerance to the opioid antagonism of naltrexone.
Biol Psychiatry. 1985 Jan;20(1):66-72. doi: 10.1016/0006-3223(85)90136-2.
4
Evaluation of mixtures of morphine and d-amphetamine for subjective and physiological effects.评估吗啡与右旋苯丙胺混合物的主观及生理效应。
Drug Alcohol Depend. 1986 May;17(1):1-13. doi: 10.1016/0376-8716(86)90031-1.
5
Naloxone response in non-dependent man: effect on six physiological variables.非依赖男性对纳洛酮的反应:对六个生理变量的影响。
Neuropharmacology. 1980 Jul;19(7):591-5. doi: 10.1016/0028-3908(80)90031-3.
6
Antagonism of the effects of pentobarbital in the chronic spinal dog by naltrexone.纳曲酮对慢性脊髓犬戊巴比妥作用的拮抗作用。
Life Sci. 1977 Apr 15;20(8):1401-6. doi: 10.1016/0024-3205(77)90368-x.
7
Discriminative stimulus effects of naltrexone in the morphine-dependent rat.纳曲酮对吗啡依赖大鼠的辨别性刺激作用。
J Pharmacol Exp Ther. 1979 Dec;211(3):596-605.
8
The structure-action relationship and kinetics of some naloxone and naltrexone derivatives.某些纳洛酮和纳曲酮衍生物的构效关系及动力学
Pharmacology. 1976;14(1):76-85. doi: 10.1159/000136582.
9
Acute and chronic effects of naltrexone and naloxone on schedule-controlled behavior of squirrel monkeys and pigeons.纳曲酮和纳洛酮对松鼠猴和鸽子按程序控制行为的急性和慢性影响。
J Pharmacol Exp Ther. 1981 Mar;216(3):500-9.
10
Differential naltrexone antagonism of hydromorphone and pentazocine effects in human volunteers.纳曲酮对人类志愿者体内氢吗啡酮和喷他佐辛作用的差异性拮抗作用。
J Pharmacol Exp Ther. 1993 Feb;264(2):813-23.

引用本文的文献

1
New and experimental therapeutic roles for naloxone and related opioid antagonists.纳洛酮及相关阿片类拮抗剂的新治疗作用与实验性治疗作用
Drugs. 1984 Jan;27(1):81-93. doi: 10.2165/00003495-198427010-00004.
2
The role of naltrexone in the management of drug abuse.纳曲酮在药物滥用管理中的作用。
Med Toxicol. 1987 Mar-Apr;2(2):83-92. doi: 10.1007/BF03260007.
3
Effects of naltrexone, and d-amphetamine, and their interaction on the stimulus control of choice behavior of rats.纳曲酮、右旋苯丙胺及其相互作用对大鼠选择行为刺激控制的影响。
Psychopharmacology (Berl). 1988;96(1):73-80. doi: 10.1007/BF02431536.
4
Naltrexone. A review of its pharmacodynamic and pharmacokinetic properties and therapeutic efficacy in the management of opioid dependence.纳曲酮。对其药效学和药代动力学特性以及在阿片类药物依赖管理中的治疗效果的综述。
Drugs. 1988 Mar;35(3):192-213. doi: 10.2165/00003495-198835030-00002.
5
Effects of naloxone on experimentally induced ischemic pain and on mood in human subjects.纳洛酮对人体实验性诱导缺血性疼痛及情绪的影响。
Proc Natl Acad Sci U S A. 1977 Mar;74(3):1291-4. doi: 10.1073/pnas.74.3.1291.
6
Stimulus effects of delta(9)-THC and its interaction with naltrexone and catecholamine blockers in rats.大鼠中δ-9-四氢大麻酚的刺激作用及其与纳曲酮和儿茶酚胺阻滞剂的相互作用
Psychopharmacology (Berl). 1977 Oct 20;54(2):193-5. doi: 10.1007/BF00426779.
7
Morphine as a discriminative cue in gerbils: drug generalization and antagonism.吗啡作为沙鼠的辨别性线索:药物泛化与拮抗作用。
Psychopharmacology (Berl). 1978 Jul 19;58(3):271-5. doi: 10.1007/BF00427390.