Kolesár P
III. interná klinika LF UK, Bratislava.
Vnitr Lek. 1994 Feb;40(2):89-92.
Cholestyramine was used for the first time in the treatment of hypercholesterolaemia by Tenneton in 1960 and it persist in the treatment to the present time. The authors had the opportunity to monitor under clinical conditions the hypolipidaemic action of cholestyramine - the preparation Vasosan (manufactured by AG Chemie, Germany) in the treatment of hypercholesterolaemia of different origin, and also when associated with hypertriacylglycerolaemia. The authors revealed that Vasosan S reduced significantly total cholesterol, LDL cholesterol and apoprotein B even after brief treatment (12 weeks) even when there is also hypertriacylglycerolaemia. The decrease of triacylglycerols is not significant, and the increase of HDL-cholesterol is not significant either. Vasosan does not affect the activity of AST, ALT, ALP and total bilirubin, it is well tolerated and causes few gastrointestinal side-effects which do not call for discontinuation of treatment.
1960年,坦内顿首次使用消胆胺治疗高胆固醇血症,至今仍在使用。作者有机会在临床条件下监测消胆胺(德国AG Chemie公司生产的Vasosan制剂)在治疗不同病因的高胆固醇血症以及伴有高甘油三酯血症时的降血脂作用。作者发现,即使在伴有高甘油三酯血症的情况下,Vasosan S即使经过短暂治疗(12周)也能显著降低总胆固醇、低密度脂蛋白胆固醇和载脂蛋白B。甘油三酯的降低不显著,高密度脂蛋白胆固醇的升高也不显著。Vasosan不影响谷草转氨酶、谷丙转氨酶、碱性磷酸酶和总胆红素的活性,耐受性良好,引起的胃肠道副作用很少,无需停药。