Vinge E
Farmakologiska kliniken, Universitetssjukhuset i Lund.
Lakartidningen. 1998 Jul 8;95(28-29):3177-82.
Findings in increasing numbers of clinical and epidemiological studies suggest gender-related differences to exist in the clinical efficacy and adverse effects of drug treatment. Pharmacokinetic studies have shown that the rate of systemic clearance adjusted for body mass may be significantly higher, or lower, in women than in men, which may partly be explained by sex differences in drug metabolism. However, sex differences have also been demonstrated in drug response at the receptor level, though few studies have been focused on this aspect. Many but not all, such gender-related differences can be explained by the effects of sex hormones. There is a need of more systematic analysis of gender-related differences in pharmacodynamics.
越来越多的临床和流行病学研究结果表明,药物治疗的临床疗效和不良反应存在性别差异。药代动力学研究表明,根据体重调整后的全身清除率在女性中可能显著高于或低于男性,这可能部分归因于药物代谢的性别差异。然而,在受体水平的药物反应中也证实了性别差异,尽管很少有研究关注这一方面。许多但并非所有此类性别差异都可以用性激素的作用来解释。需要对药效学中的性别差异进行更系统的分析。