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第一项关于新型抗惊厥药物唑尼沙胺的开放性研究表明其对躁狂有效。

The first open study of zonisamide, a novel anticonvulsant, shows efficacy in mania.

作者信息

Kanba S, Yagi G, Kamijima K, Suzuki T, Tajima O, Otaki J, Arata E, Koshikawa H, Nibuya M, Kinoshita N

机构信息

Department of Neuro-psychiatry, Keio University School of Medicine, Tokyo, Japan.

出版信息

Prog Neuropsychopharmacol Biol Psychiatry. 1994 Jul;18(4):707-15. doi: 10.1016/0278-5846(94)90078-7.

DOI:10.1016/0278-5846(94)90078-7
PMID:7938561
Abstract
  1. Zonisamide, an anticonvulsant developed in Japan, is structurally similar to serotonin. Zonisamide has been proven to have a pharmacological profile that is very similar to that of carbamazepine. Thus, the effect of zonisamide was examined in 24 psychiatric patients: 15 with bipolar manic state, 6 with schizoaffective manic state, and 3 schizophrenic excitement. 2. Approximately 25% of all the patients and 33% of the bipolar manic patients showed remarkable global improvement with the addition of zonisamide. Approximately 71% of all the patients and 80% of the bipolar group had more than moderate global improvement. 3. No serious adverse reactions were found and no patients required zonisamide withdrawal. One patient developed both leukocytosis and mildly abnormal liver function test. One developed leukocytosis and another reported mild sleepiness. These reactions disappeared when zonisamide was discontinued.
摘要
  1. 唑尼沙胺是一种在日本研发的抗惊厥药物,其结构与血清素相似。已证实唑尼沙胺具有与卡马西平非常相似的药理学特征。因此,对24名精神病患者进行了唑尼沙胺疗效研究:15名双相躁狂状态患者、6名分裂情感性躁狂状态患者和3名精神分裂症兴奋患者。2. 所有患者中约25%以及双相躁狂患者中约33%在加用唑尼沙胺后显示出显著的整体改善。所有患者中约71%以及双相组中80%有中度以上的整体改善。3. 未发现严重不良反应,也没有患者需要停用唑尼沙胺。1名患者出现白细胞增多和肝功能检查轻度异常。1名患者出现白细胞增多,另1名患者报告有轻度嗜睡。停用唑尼沙胺后这些反应消失。

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The first open study of zonisamide, a novel anticonvulsant, shows efficacy in mania.第一项关于新型抗惊厥药物唑尼沙胺的开放性研究表明其对躁狂有效。
Prog Neuropsychopharmacol Biol Psychiatry. 1994 Jul;18(4):707-15. doi: 10.1016/0278-5846(94)90078-7.
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A preliminary open-label study of zonisamide treatment for bipolar depression in 10 patients.一项针对10例双相抑郁患者的唑尼沙胺治疗的初步开放标签研究。
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A cautionary note when using zonisamide in youths: a case report of association with toxic epidermal necrolysis.青少年使用唑尼沙胺时的警示:一例与中毒性表皮坏死松解症相关的病例报告。
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Zonisamide versus diazepam in the treatment of alcohol withdrawal syndrome.唑尼沙胺与地西泮治疗酒精戒断综合征的比较。
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