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诺米芬辛对光敏狒狒脑胺及癫痫的影响。

Effect of nomifensine on brain amines and epilepsy in photosensitive baboons.

作者信息

Trimble M R, Meldrum B S, Anlezark G

出版信息

Br J Clin Pharmacol. 1977;4Suppl 2(Suppl 2):101S-107S. doi: 10.1111/j.1365-2125.1977.tb05735.x.

Abstract
  1. The literature, both clinical and experimental, suggests that tricyclic antidepressants are potentially epileptogenic. Using the experimental model of epilepsy provided by the photosensitive baboon, Papio papio, the epileptic potential of four antidepressant drugs, two of which are tricyclic, has been assessed. The drugs used were imipramine 1, 10 and 20 mg/kg, chlorimipramine 1, 10 and 20 mg/kg, maprotiline 1 and 10 mg/kg and nomifensine 10 and 20 mg/kg. In a second series of experiments the 5-hydroxytryptamine (5-HT) precursor 5-hydroxytryptophan (5-HTP) 10 and 25 mg/kg has been administered before administration of imipramine 10 mg/kg and chlorimipramine 10 mg/kg. 2. The results of the experiments indicate that at 10 mg/kg imipramine, chlorimipramine and maprotiline all induce seizures and lower the seizure threshold. In contrast nomifensine at this dose did not alter the seizure threshold. 5-HTP 25 mg/kg administered before the antidepressants, abolished seizures. These results are discussed in the light of other experiments which have attempted to explain the pathophysiology of epileptic seizures following antidepressants, and it is concluded that dopaminergic mechanisms are probably responsible for the differing effect noted with nomifensine.
摘要
  1. 临床和实验方面的文献表明,三环类抗抑郁药具有潜在的致癫痫性。利用光敏狒狒(巴氏狒狒)提供的癫痫实验模型,对四种抗抑郁药物(其中两种为三环类)的致癫痫潜力进行了评估。所用药物为:丙咪嗪1、10和20毫克/千克,氯米帕明1、10和20毫克/千克,马普替林1和10毫克/千克,诺米芬辛10和20毫克/千克。在第二系列实验中,在给予10毫克/千克丙咪嗪和10毫克/千克氯米帕明之前,先给予5-羟色胺(5-HT)前体5-羟色氨酸(5-HTP)10和25毫克/千克。2. 实验结果表明,10毫克/千克的丙咪嗪、氯米帕明和马普替林均能诱发癫痫发作并降低癫痫阈值。相比之下,此剂量的诺米芬辛并未改变癫痫阈值。在给予抗抑郁药之前给予25毫克/千克的5-HTP可消除癫痫发作。根据其他试图解释抗抑郁药后癫痫发作病理生理学的实验对这些结果进行了讨论,得出的结论是,多巴胺能机制可能是诺米芬辛产生不同效果的原因。

相似文献

1
Effect of nomifensine on brain amines and epilepsy in photosensitive baboons.诺米芬辛对光敏狒狒脑胺及癫痫的影响。
Br J Clin Pharmacol. 1977;4Suppl 2(Suppl 2):101S-107S. doi: 10.1111/j.1365-2125.1977.tb05735.x.
6
A comparative review of the pharmacology of nomifensine.诺米芬辛药理学的比较综述。
Br J Clin Pharmacol. 1977;4Suppl 2(Suppl 2):69S-75S. doi: 10.1111/j.1365-2125.1977.tb05762.x.
10
Non-monoamine oxidase inhibitor antidepressants and epilepsy: a review.
Epilepsia. 1978 Jun;19(3):241-50. doi: 10.1111/j.1528-1157.1978.tb04486.x.

本文引用的文献

2
Imipramine hydrochloride intoxication.盐酸丙咪嗪中毒
JAMA. 1962 Feb 10;179:456-8. doi: 10.1001/jama.1962.03050060066016.
6
Imipramine therapy and seizures: three children treated for hyperactive behavior disorders.
Am J Psychiatry. 1973 Feb;130(2):210-2. doi: 10.1176/ajp.130.2.210.

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