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Pharmacokinetics of nifedipine sustained-release tablets in healthy Chinese volunteers 被引量:3
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作者 武静 王本杰 +2 位作者 魏春敏 卜凡龙 郭瑞臣 《Journal of Chinese Pharmaceutical Sciences》 CAS 2007年第3期192-196,共5页
Aim To establish a LC-MS method for determining the concentration of nifedipine in human plasma and to evaluate the pharmacokinetic characteristics of nifedipine sustained-release tablets. Methods A XB-C18 (5 μm, 4.... Aim To establish a LC-MS method for determining the concentration of nifedipine in human plasma and to evaluate the pharmacokinetic characteristics of nifedipine sustained-release tablets. Methods A XB-C18 (5 μm, 4.6 mm ×150 mm) column and a mobile phase of methanol: 0.01 mol·L^-1ammonium acetate (60:40, V/V) were used to separate nifedipine, the detections was accuracy under atmosperic pressure electronic spray ionization (AP-ESI) mode and ion mass spectrum (m/z) of 314.9 [M+H]^+ for nifedipine, and 320.8 [M+H]^+ for lorazepam (Internal Standard, IS). Results The linear range of nifedipine was 0.3 - 80 ng·mL^-1 ( r = 0.9997), and the limit of quantitation (LOQ) was 0.3 ng·mL^-1. The nifedipine pharmacokinetic parameters after a single dose of 20 mg nifedipine sustained-release tablets test (T) or reference (R) were as the followings, t1/2 (6.73 ± 2.00) h and (7.04 ± 2.18) h, Tmax (4.28 ± 0.70) h and (4.48 ± 0.70) h, Cmax(39.66 ± 10.58) ng·mL^-1 and (40.19 ± 10.97) ng·mL^-1, AUC0-36 (391.63 ± 108.55) ng·mL^-1·h and (387.57 ± 121.51) ng·mL^-1·h, and AUC0-∞ (408.28 ± 121.16) ng·mL^-1·h and (406.15 ± 133.13) ng·mL^-1·h. The relative bioavailability of nifedipine sustained-release tablets (test) was (103.02 ± 13.93) %. Conclusion LC-MS method for the determination of concentrations of nifedipine in human plasma was sensitive and accurate, and could be used in nifedipine bioavailability and pharmacokinetic studies. 展开更多
关键词 Nifedipine sustained-release tablets LC-MS PHARMACOKINETICS BIOEQUIVALENCE
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Qualitative and quantitative analysis of HPLC fingerprint of Wuji gastric floating sustained-release tablets 被引量:1
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作者 陈中芬 刘文 +2 位作者 陈大业 施晓伟 王群 《Journal of Chinese Pharmaceutical Sciences》 CAS CSCD 2015年第5期310-317,共8页
A qualitative and quantitative test method of fingerprint of Wuji gastric floating sustained-release tablets was established. High performance liquid chromatography (HPLC) was adopted, using Agilent ZORBAX SB-C18 co... A qualitative and quantitative test method of fingerprint of Wuji gastric floating sustained-release tablets was established. High performance liquid chromatography (HPLC) was adopted, using Agilent ZORBAX SB-C18 column (250 mm×4.6 mm, 5 μm) as the chromatographic column, and acetonitrile-0.05 mol/L potassium dihydrogen phosphate solution as the mobile phase in a gradient elution with the flow rate of 1.0 mL/min. Sample solution (10 μL) was injected and was tested at the wavelength of 225 nm for 75 min at the column temperature of 30 ℃, Fingerprint similarity software (2004A version) was used to conduct data analysis. A total of 11 batches of Wuji gastric floating sustained-release tablets were tested and analyzed with HPLC fingerprint. Seventeen common peaks were found and the similarity of the 11 batches of agents was greater than 0.9, indicating that the production process of the agent is stable and feasible. The method is operable and could effectively control the quality of Wuji gastric floating sustained-release tablets. 展开更多
关键词 FINGERPRINT HPLC Wuji gastric floating sustained-release tablets
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Pharmacokinetics of Controlled Release and Immediate Release Morphine Sulphate Tablets after a Single Dose and Multiple Doses in Chinese Volunteers
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作者 邓艳萍 王凯 +3 位作者 刘立京 刘静雯 蔡志基 楼雅卿 《Journal of Chinese Pharmaceutical Sciences》 CAS 1997年第4期39-42,共4页
The pharmacokinetics of morphine sulphate was studied in 10 Chinese healthy volunteers after a single oral dose. Blood samples were collected before and after administration of controlled release tablets (CRMS, 30 mg)... The pharmacokinetics of morphine sulphate was studied in 10 Chinese healthy volunteers after a single oral dose. Blood samples were collected before and after administration of controlled release tablets (CRMS, 30 mg) and immediate release tablets (IRMS, 20 mg). The plasma concentration of morphine was determined by GC MS. The pharmacokinetic parameters of controlled release tablets and immediate release tablets were calculated∶ C max was 19.38±3.80 and 21.27±6.21 ng/ml, t max was 2.36 ±0.37 h and 0.56±0.16 h, t 1/2β was 3.53±0.87 and 3.03±0.74 h, AUC was 145.15±17.65 and 93.08±16.65 ng/ml, respectively. The steady state plasma concentration of morphine sulphate in cancer patients after multiple doses was achieved, C max of CRMS and IRMS was 27.43±0.33 ng/ml and 22.68±0.16 ng/ml, C min of CRMS and IRMS was 19.45±1.44 ng/ml and 18.14±0.49 ng/ml, respectively. 展开更多
关键词 Controlled release morphine sulphate tablet Immediate release morphine sulphate tablet PHARMACOKINETICS Single dose Multiple doses GC MS
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The clinical observation of slow-released morphine tablets by rectum in the treatment of the patients with moderate to severe cancer pain 被引量:2
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作者 Ping Duan 《The Chinese-German Journal of Clinical Oncology》 CAS 2007年第6期594-595,共2页
Objective: To observe the effect of slow-released morphine tablets by rectum in treating the patients of moderate to severe cancer pain with server nausea and vomiting or dysphagia. Methods: 54 cases of cancer patient... Objective: To observe the effect of slow-released morphine tablets by rectum in treating the patients of moderate to severe cancer pain with server nausea and vomiting or dysphagia. Methods: 54 cases of cancer patients with server nau- sea and vomiting symptoms or dysphagia were treated with slow-released morphine tablets by rectum, 30-90 mg/time, once every 12 hours. The drug dose was titrated by degree of pain, and the effects and adverse effects were observed. Results: The total effective rate was 81.48%, complete response rate was 51.85% (28/54), and the partial response rate was 29.63% (16/54); there were no obvious toxicities, and the common adverse symptoms included nausea (16.7%) and vomiting (9.3%). Conclusion: The treatment of slow-released morphine tablet by rectum could effectively control cancer pain, the adverse effects were slight than that by mouth. It is safe and effective to be worthy of the adhibition in clinic. 展开更多
关键词 advanced cancer pain slow-released morphine tablet RECTAL
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Preparation and <i>in Vitro</i>Drug Release Evaluation of Once-Daily Metformin Hydrochloride Sustained-Release Tablets 被引量:1
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作者 Ling Zhao Yumeng Wei +4 位作者 Yong Mei Li Yang Yuan You Xufeng Yang Yanhong Jiang 《Pharmacology & Pharmacy》 2012年第4期468-473,共6页
The objective of this study was to develop once-daily metformin hydrochloride sustained-release tablets (MHSRT) and evaluate their in vitro release behavior. MHSRT were prepared by the film coating method. The in vitr... The objective of this study was to develop once-daily metformin hydrochloride sustained-release tablets (MHSRT) and evaluate their in vitro release behavior. MHSRT were prepared by the film coating method. The in vitro drug release rate of MHSRT and the commercial tablets Fortamet? made in the United States of America in water was fitted with zero order kinetic equation, and Ritger-Peppas kinetic equation in 0.1 M HCl and pH 6.8-phosphate buffer, respectively. The similarity factor f2 values of MHSRT in three different dissolution medium were 82, 80 and 74, respectively in comparison with imported Fortamet?, which were all greater than 50. The results of storage-stability showed that MHSRT were stable for at least 6 months under stress condition (40℃ ± 2℃, RH 75% ± 5%). Therefore, in this study, MHSRT were successfully prepared using optimized formulation technologies that meet mass produce. The in vitro release behavior of MHSRT was almost similar to that of imported Fortamet?. 展开更多
关键词 sustained-release tablets METFORMIN HYDROCHLORIDE In Vitro Release Rate Similarity Factor Kinetic Model
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Preparation and evaluation of sustained-release azithromycin tablets in vitro and in vivo
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作者 Le Sun Weixiang Zhang +1 位作者 Xiaohong Liu Jin Sun 《Asian Journal of Pharmaceutical Sciences》 SCIE CAS 2014年第3期155-161,共7页
The objective of this study was to prepare azithromycin(AZI)sustained-release products in order to allow for a high dose to be administered,reduce gastrointestinal side-effects and increase the compliance of patients.... The objective of this study was to prepare azithromycin(AZI)sustained-release products in order to allow for a high dose to be administered,reduce gastrointestinal side-effects and increase the compliance of patients.AZI sustained-release tablets with different release performance(F-I:T_(100%)=3 h and F-II:T_(100%)=8 h in pH 6.0 phosphate buffer)were successfully prepared by wet granulation.The in vitro release rate and drug release mechanism were studied.The release rate of F-Iwas affected by dissolutionmedia with different pH,but not for F-II.HixsoneCrowellmodel was the best regression fitting model for F-I and F-II.Additionally,F-I and F-II both belonged to non-Fick diffusion.Oral pharmacokinetics of the two tablets and one AZI dispersible tablet as reference were studied in six healthy beagle dogs after oral administration.Compared with the reference,the C_(max)of F-I and F-II were decreased,and the T_(max)were prolonged,in that case which meet the requirement of sustained-release tablets.The relative bioavailability of F-I and F-II were 79.12%and 64.09%.T-test ofAUC_(0-144),and AUC_(0-∞)for F-I and F-II indicated there was no significant difference between F-I and F-II.These mean that the extended release rate did not induce different pharmacokinetics in vivo. 展开更多
关键词 AZITHROMYCIN sustained-release tablet PHARMACOKINETICS UPLC-MS-MS
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Structure based release kinetics analysis of doxazosin mesylate sustained-release tablets using micro-computed tomography
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作者 Qian Liu Mengqing Zan +8 位作者 Hanhan Huang Hai Su Wenjing Zhang Lingyun Ma Guangchao Zhang Zunjian Zhang Jiwen Zhang Jianzhao Niu Mingdi Xu 《Asian Journal of Pharmaceutical Sciences》 SCIE CAS 2024年第6期154-162,共9页
The structures of solid dosage forms determine their release behaviors and are critical attributes for the design and evaluation of the solid dosage forms.Here,the 3D structures of doxazosin mesylate sustained-release... The structures of solid dosage forms determine their release behaviors and are critical attributes for the design and evaluation of the solid dosage forms.Here,the 3D structures of doxazosin mesylate sustained-release tablets were parallelly assessed by micro-computed tomography(micro-CT).There were no significant differences observed in the release profiles between the RLD and the generic formulation in the conventional dissolution,but the generic preparation released slightly faster in media with ethanol during an alcohol-induced dose-dumping test.With their 3D structures obtained via micro-CT determination,the unique release behaviors of both RLD and the generic were investigated to reveal the effects of internal fine structure on the release kinetics.The structural parameters for both preparations were similar in conventional dissolution test,while the dissolutions in ethanol media showed some distinctions between RLD and generic preparations due to their static and dynamic structures.Furthermore,the findings revealed that the presence of ethanol accelerated dissolution and induced changes in internal structure of both RLD and generic preparations.Moreover,structure parameters like volume and area of outer contour,remaining solid volume and cavity volumewere not equivalent between the two formulations in 40%ethanol.In conclusion,the structure data obtained from this study provided valuable insights into the diverse release behaviors observed in various modified-release formulations in drug development and quality control. 展开更多
关键词 Doxazosin mesylate sustained-release tablets Osmotic pump tablets Micro-computed tomography Three-dimensional structures ETHANOL
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Simultaneous Analysis of Indapamide and Related Impurities in Sustained-Release Tablets by a Single-Run HPLC-PDA Method
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作者 YAO Wu ZHOU Shiwen CHENG Qiongru 《Wuhan University Journal of Natural Sciences》 CAS CSCD 2023年第4期333-340,共8页
The contents of indapamide and related impurities in generic indapamide sustained-release tablets were simultaneously detected by a single-run high performance liquid chromatography equipped with photodiode array dete... The contents of indapamide and related impurities in generic indapamide sustained-release tablets were simultaneously detected by a single-run high performance liquid chromatography equipped with photodiode array detector(HPLC-PDA)method for the quality control in this paper.The results showed the method had a good selectivity and was validated through linearity,limits of detection and quantification,recovery,and precision.The linear ranges of indapamide,2-methyl-1-nitroso-2,3-dihydro-1H-indole(impurity A,ImA),4-chloro-N-(2-methyl-1H-indol-1-yl)-3-sulphamoyl-benzamide(impurity B,ImB)and 4-chloro-3-sulfamoylbenzoic acid(impurity 1,Im1)were 0.028-1.80μg/mL(R=0.99995),0.060-1.20μg/mL(R=0.9996),0.0324-1.20μg/mL(R=0.99985)and 0.060-1.20μg/mL(R=0.9997)with detection limits of 0.0093,0.012,0.012 and 0.006μg/mL,respectively.ImA and Im1 were not detectable in the generic drug.The content of indapamide was 96.7%of the labeled amount with a relative standard deviation(RSD)of 1.30%,and the percentage of ImB relative to the labeled amounts of indapamide was 0.106%with an RSD of 1.82%.The content of other unspecified impurities all met the reference quality standards.The results provided references for the quality control and the quality standard study of generic indapamide sustained-release tablets. 展开更多
关键词 INDAPAMIDE related impurity sustained-release tablets high performance liquid chromatography equipped with photodiode array detector(HPLC-PDA)
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Clinical observation of Baitou Weng Decoction combined with mesalazine sustained-release tablets in treating heat-toxic and smoldering ulcerative colitis
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作者 Qian-Zhang Ma Yun Li Yuan-Quan Ding 《Journal of Hainan Medical University》 2019年第12期37-42,共6页
Objective:To observe the clinical efficacy of Baitou Weng Decoction combined with mesalazine sustained-release tablets in the treatment of ulcerative colitis with febrile heat and its effect on immune function and ser... Objective:To observe the clinical efficacy of Baitou Weng Decoction combined with mesalazine sustained-release tablets in the treatment of ulcerative colitis with febrile heat and its effect on immune function and serum inflammatory factors.Methods: A total of 84 patients with ulcerative colitis were randomly divided into control group and treatment group, with 42 cases in each group. The control group was given mesalazine sustained-release tablets orally, while the treatment group was given Baitou Weng Decoction and mesalazine sustained-release tablets orally. The treatment period was 30 days and the patients were followed up for 3 months. After treatment, the clinical efficacy, quality of life, immune function and serum inflammatory factors of the two groups were observed.Results: The effective rate of treatment group (90.47%) was higher than that of control group (73.81%) (P<0.05);compared with before treatment, the scores of inflammatory bowel disease quality of life questionnaire scale in both groups were significantly improved (P<0.05), and the difference between the two groups was significant (P<0.05);after treatment, the plasma CD4+/CD8+ ratio and NK+ levels in both groups were significantly higher than those before treatment (P<0.05), and the treatment group was changed. The serum levels of tumor necrosis factor-α, interleukin-17 and interleukin-23 were significantly decreased in both groups after treatment (P<0.05), and the improvement was more significant in the treatment group (P<0.05). No significant adverse reactions were observed in the treatment group.Conclusions: Modified Baitou Weng Decoction combined with mesalazine in the treatment of heat-toxic and incandescent ulcerative colitis can significantly improve the clinical efficacy, improve the quality of life of patients, effectively regulate the expression level of serum inflammatory factors in ulcerative colitis patients, promote the recovery of patients' immune function, and have high drug safety. 展开更多
关键词 Baitou WENG DECOCTION MESALAZINE sustained-release tablets Hot toxicity ULCERATIVE colitis Immune function Serum inflammatory factor
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Clinical observation on treatment of cancer pain with TCM oriented drugs combined with oxycodone sustained-release tablets and nimesulide sustained-release tablets
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作者 Feng-Jiao He Ke-Xiong Li +2 位作者 Pu-Hua Zeng Hai-Yan Yi Xiao-Lan Jian 《TMR Cancer》 2018年第4期118-123,共6页
Objective: To study the effect of the transdermal preparation of traditional Chinese medicine in treating cancer pain. Methods: From October 2016 to January 2018, 126 patients with cancer pain were enrolled and divi... Objective: To study the effect of the transdermal preparation of traditional Chinese medicine in treating cancer pain. Methods: From October 2016 to January 2018, 126 patients with cancer pain were enrolled and divided into 4 groups, 39 patients in group A (directed TCM permeation), 26 patients in group B (oxycodone sustained-release tablets), 32 patients in group C (Chinese medicine directed drug penetration + oxycodone sustained-release tablets), and 29 patients group D (Chinese medicine directed drug penetration + oxycodone sustained-release tablets + nimesulide sustained release tablets), according to KPS scores. Results: Transdermal preparations of traditional Chinese medicine can significantly alleviate cancer pain. For the treatment of moderate to severe cancer pain, the Chinese medicine transdermal preparation can reduce the dosage of oxycodone sustained-release tablets. At the same time, the patient's KPS and NRS scores were significantly reduced. Moreover, the transdermal preparation of traditional Chinese medicine has a better therapeutic effect on visceral pain. Conclusion: The traditional Chinese medicine tra_nsdermal preparation combined with western medicine for the treatment of cancer pain may be a new method for the treatment of cancer pain. 展开更多
关键词 Chinese medicine directed drug Oxycodone sustained-release tablets Cancer pain Clinical efficacy
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Clinical Effect of Nifedipine Sustained-release Tablets Combined with Enalapril in the Treatment of Elderly Patients with Coronary Heart Disease and Hypertension
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作者 QU Zengqiang 《外文科技期刊数据库(文摘版)医药卫生》 2020年第2期092-094,共5页
Objective: To explore the therapeutic effect of nifedipine sustained-release tablets combined with enalapril in the treatment of elderly patients whose age above 60 years old with coronary heart disease and hypertensi... Objective: To explore the therapeutic effect of nifedipine sustained-release tablets combined with enalapril in the treatment of elderly patients whose age above 60 years old with coronary heart disease and hypertension. Methods: 260 elderly patients whose age above 60 years old with coronary heart disease and hypertension were selected and analyzed. The research time span was from August 2019 to April 2020. The patients were randomly divided into control group and observation group with 130 cases in each group. There was no significant difference in general data after statistical analysis. The treatment intervention program formulated by the control group was nifedipine sustained-release tablets, while the treatment intervention program formulated by the observation group was combined with enalapril on the basis of control group. The clinical value of nifedipine sustained-release tablets combined with enalapril was compared in the evaluation of condition control and safety of the two treatment regimens. Results: after the intervention of the two treatment schemes, the total effective rate of disease control treatment evaluation of elderly patients with coronary heart disease and hypertension was higher than that of the control group, and there were significant differences between groups, and statistical significance was indicated after analysis and calculation, (P < 0.05). There were no serious adverse reactions in the two groups during the treatment, there was no significant difference in the data between the groups, and there was no statistical significance after calculation and analysis, (P > 0.05). Conclusion: nifedipine sustained-release tablets combined with enalapril in the treatment of elderly patients with coronary heart disease and hypertension can achieve better clinical efficacy than use nifedipine sustained-release tablets alone, and will not increase the probability of adverse reactions, can improve the quality of life of patients, has the value of popularization and application. 展开更多
关键词 coronary heart disease HYPERTENSION elderly patients nifedipine sustained-release tablets enalap
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Pharmacokinetic Study on Lovastatin Sustained-release Tablet and Sustained-release Capsule in Begal Dogs
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作者 付琳 代宗顺 +1 位作者 侯淑贤 万元胜 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2004年第2期116-119,共4页
This study pharmacokinetically examined the lovastatin sustained-release tablet and sustained-release capsule in Beagle dogs. An reversed-phase HPLC method was established for the determination of lovastatin in Beagl... This study pharmacokinetically examined the lovastatin sustained-release tablet and sustained-release capsule in Beagle dogs. An reversed-phase HPLC method was established for the determination of lovastatin in Beagle dog plasma. Pharmacokinetic findings were compared among three preparation(lovastatin sustained-release tablet,T p; sustained-release capsule,T J and conventional capsule). Our results showed that the pharmacokinetic parameters in 6 dogs after single-dose oral administration of three perparations were calculated. T max, C max and MRT revealed significant difference (P<0.05). Relative bioavailability was 111.5±16.9 % (T P) and 110.4%±9.6 % (T J). The pharmacokinetic parameters in the 6 dogs after multiple-dose oral administration of three perparations, T max, C max MRT and DF had significant difference (P<0.05); C av , C min and AUC 0-24 h displayed no significant difference (P>0.05). It is concluded that the lovastatin sustained-release tablet and sustained-release capsule are able to maintain a sustained-release for 24 h. 展开更多
关键词 LOVASTATIN sustained-release tablets sustained-release capsules PHARMACOKINETIC SINGLE-DOSE MULTIPLE-DOSE
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Observation on Effect of Methimazole Combined with Propranolol Sustained Release Tablets in the Treatment of Hyperthyroidism and Analysis of the Influence of FT4 and FT3 Levels
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作者 MAJianhui 《外文科技期刊数据库(文摘版)医药卫生》 2022年第10期096-100,共5页
Objective: To evaluate the efficacy of methimazole combined with propranolol sustained-release tablets in the treatment of hyperthyroidism and its influence on FT4 and FT3 levels. Methods: Eighty-six hyperthyroidism p... Objective: To evaluate the efficacy of methimazole combined with propranolol sustained-release tablets in the treatment of hyperthyroidism and its influence on FT4 and FT3 levels. Methods: Eighty-six hyperthyroidism patients who are fully aware of the research content and voluntarily participate in the research were selected as the research samples. The first patient and the last patient were treated in our hospital in January 2021 and December 2021, respectively, and they were equally divided into two groups. There were two groups, one group was named as the control group, the other group was named as the observation group, and the treatment drug was methimazole combined with propranolol sustained-release tablets. Results: The indexes selected in the study were thyroid index, serum index, therapeutic effect and adverse reactions. The data obtained were analyzed and compared between groups, and the observation group was better than the control group (P 0.05). Conclusion: When treating patients with hyperthyroidism clinically, the scheme of methimazole combined with propranolol sustained-release tablets can not only effectively improve the thyroid index of patients, but also relieve their related symptoms, which has high clinical application value. 展开更多
关键词 HYPERTHYROIDISM METHIMAZOLE Propranolol sustained-release tablets FT4 and FT3 levels
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氢吗啡酮PCIA滴定与盐酸吗啡片治疗重度癌性疼疗效对比
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作者 苏静 薛凌飞 +1 位作者 王颖萍 张晓彤 《四川生理科学杂志》 2025年第9期1926-1929,共4页
目的:观察对比氢吗啡酮自控静脉镇痛(Patient-controlled intravenous analgesia,PCIA)滴定治疗与盐酸吗啡片治疗重度癌性疼痛的镇痛效果和安全性。方法:选取2022年6月至2024年6月期间本院收治的诊断为重度癌性疼痛(NRS≥7分)患者72例... 目的:观察对比氢吗啡酮自控静脉镇痛(Patient-controlled intravenous analgesia,PCIA)滴定治疗与盐酸吗啡片治疗重度癌性疼痛的镇痛效果和安全性。方法:选取2022年6月至2024年6月期间本院收治的诊断为重度癌性疼痛(NRS≥7分)患者72例作为研究对象。按照治疗方式不同分为对照组和试验组(n=36),分别口服盐酸吗啡片(初始剂量为5 mg)和氢吗啡酮PCIA(初始剂量为3 mg·h^(-1)),治疗3 d。统计患者治疗前及治疗3 d后疼痛分级(Numerical Rating Scale,NRS)评分,并计算两组患者的疼痛缓解率,统计两组患者治疗前后生活质量(Quality of life-30,QOL-30)评分及治疗3 d内两组不良反应发生情况。结果:试验组的疼痛稳定记录剂量及平均每日维持剂量均显著低于对照组(P<0.05)。试验组首次给药后到疼痛稳定控制的药物起效时间显著短于对照组,药效持续时间显著长于对照组(P<0.05)。治疗3 d后,试验组的NRS评分显著低于对照组,疼痛缓解率、QOL-30评分显著高于对照组(P<0.05)。两组的不良反应发生率无显著差异(P>0.05)。结论:氢吗啡酮PCIA滴定较口服盐酸吗啡片具有更高效、更稳定的镇痛效果,能提高重度癌痛患者生活质量,且安全性较高。 展开更多
关键词 重度癌性疼痛 氢吗啡酮 盐酸吗啡缓释片 镇痛效果 安全性
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盐酸羟考酮缓释片致5-羟色胺综合征1例分析 被引量:1
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作者 张梦宇 邢晓敏 +3 位作者 王基凯 李进峰 张媛 荆凡波 《药物流行病学杂志》 2025年第6期715-719,共5页
1例女性患者因乳腺癌骨转移所致癌性疼痛,先后服用新癀片、双氯芬酸钠双释放肠溶胶囊、氨酚双氢可待因片、氨酚羟考酮片,后调整为盐酸羟考酮缓释片。患者规律服用盐酸羟考酮缓释片20 mg,q12h,未见异常,因疼痛控制不佳增量至40 mg,q12h,... 1例女性患者因乳腺癌骨转移所致癌性疼痛,先后服用新癀片、双氯芬酸钠双释放肠溶胶囊、氨酚双氢可待因片、氨酚羟考酮片,后调整为盐酸羟考酮缓释片。患者规律服用盐酸羟考酮缓释片20 mg,q12h,未见异常,因疼痛控制不佳增量至40 mg,q12h,1 d后出现间断性反复震颤、肌强直、头皮出汗、烦躁不安及血压升高,诊断为5-羟色胺综合征。调整盐酸羟考酮缓释片剂量为20 mg,q12h,加用加巴喷丁胶囊0.1 g,tid,患者震颤、肌强直发作频次轻微下降,出汗、躁动症状未见缓解。14 d后停用盐酸羟考酮缓释片,更换为硫酸吗啡缓释片60 mg,q12h,3 d后患者症状消失。随访5个月,患者疼痛控制良好,硫酸吗啡缓释片未增减剂量,未见不良反应发生。采用Naranjo's评估量表对患者的5-羟色胺综合征与可疑药物盐酸羟考酮缓释片进行关联性评价,结果为“很可能有关”。本文提示临床医师应重点关注阿片类药物突然增量引发的不良反应,确保患者用药安全。 展开更多
关键词 盐酸羟考酮缓释片 5-羟色胺综合征 硫酸吗啡缓释片 药品不良反应
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加味芍药甘草汤缓解中晚期结肠癌患者癌性疼痛的效果 被引量:3
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作者 王文雯 孙颖 +3 位作者 李哲 王爱丽 赛佳洋 董莹 《辽宁中医杂志》 北大核心 2025年第4期122-126,共5页
目的评价加味芍药甘草汤缓解中晚期结肠癌患者癌性疼痛的效果。方法选取2021年5月—2023年5月北京中医药大学第三附属医院肿瘤血液科收治的中晚期结肠癌癌性疼痛患者79例,分为A组(39例)与B组(40例),方法为随机数字表法。所有患者均进行... 目的评价加味芍药甘草汤缓解中晚期结肠癌患者癌性疼痛的效果。方法选取2021年5月—2023年5月北京中医药大学第三附属医院肿瘤血液科收治的中晚期结肠癌癌性疼痛患者79例,分为A组(39例)与B组(40例),方法为随机数字表法。所有患者均进行基础治疗,A组于此基础上使用硫酸吗啡缓释片,B组则在A组治疗方案上加用加味芍药甘草汤,两组患者均持续治疗4周。比较两组治疗4周后临床疗效,治疗期间镇痛剂应用情况,不同时间NRS得分,治疗前及治疗4周后炎性因子、疼痛因子,治疗期间不良反应发生情况。结果治疗4周后,B组总有效率高于A组;B组镇痛剂每日平均剂量低于A组;平均起效时间短于A组;平均持续时间长于A组;与治疗前比,两组数字分级法(NRS)得分均呈逐渐降低趋势,且B组同期NRS得分低于A组;与治疗前比较,治疗4周后,两组血清肿瘤坏死因子(TNF)-α、白细胞介素(IL)-1β、S100钙结合蛋白A8(S100A8)、S100A9、前列腺素E2(PGE2)、神经肽Y(NPY)、内皮素1(ET-1)水平降低,且B组更低;血清β-内啡肽(β-EP)水平升高,且B组更高,差异具有统计学意义(P<0.05)。结论中晚期结肠癌患者加用加味芍药甘草汤相较于单一西药治疗疗效更佳,可有效改善镇痛剂使用情况,降低炎性因子水平,阻断负向循环,改善疼痛因子,并缓解癌性疼痛,且安全性良好。 展开更多
关键词 中晚期结肠癌 癌性疼痛 硫酸吗啡缓释片 加味芍药甘草汤 炎性因子 疼痛因子 安全性
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中药穴位贴敷温肾养血治疗肿瘤骨转移癌痛的临床疗效观察 被引量:2
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作者 梁彐彐 陈亚楠 《中医药临床杂志》 2025年第3期547-551,共5页
目的:观察穴位贴敷联合硫酸吗啡缓释片治疗肿瘤骨转移引起中重度癌痛患者的临床疗效及安全性。方法:收集符合标准的首次癌痛治疗患者80例,随机分为联合组与单药组。联合组治疗为穴位贴敷于足三里、肾腧、阿是穴联合硫酸吗啡缓释片;单药... 目的:观察穴位贴敷联合硫酸吗啡缓释片治疗肿瘤骨转移引起中重度癌痛患者的临床疗效及安全性。方法:收集符合标准的首次癌痛治疗患者80例,随机分为联合组与单药组。联合组治疗为穴位贴敷于足三里、肾腧、阿是穴联合硫酸吗啡缓释片;单药组为硫酸吗啡缓释片。分析2组治疗后7天的癌痛缓解率、爆发痛次数、NRS评分、生活质量及不良反应发生情况。结果:联合组治疗7天后癌痛总缓解率为87.5%,高于单药组的70.0%,P=0.042<0.05,差异有统计学意义。2组患者NRS评分均低于治疗前,其中联合治疗组较单药组明显降低,P=0.002<0.05。且随剂量调整2组爆发痛次数均下降,联合组各时点的次数均较单药组减少,差异具有统计学差异P<0.05。规范止痛后癌痛对生活质量的影响均较前降低,联合组在日常生活、情绪、行走能力、睡眠、人际关系五个方便改善均高于单药组(P<0.05),差异有统计学意义。同时联合组较单药组不良反应小,差异具有统计学意义(P<0.05)。结论:穴位贴敷联合硫酸吗啡缓释片疗效更优、安全性高可较大减轻患者痛苦,且不良反应小。 展开更多
关键词 穴位贴敷 硫酸吗啡缓释片 癌痛 生活质量
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氨酚羟考酮片与盐酸吗啡片对高龄阿片类药物耐受癌痛患者暴发痛及血清炎症因子的影响 被引量:1
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作者 张蕾 陈小燕 +2 位作者 隋丽丽 钱立稳 侯欣妤 《转化医学杂志》 2025年第6期135-140,共6页
目的探究氨酚羟考酮片和盐酸吗啡片对高龄阿片类药物耐受癌痛患者暴发痛及血清炎症因子的影响。方法选取2023年10月至2024年10月北京市顺义区医院收治的122例高龄阿片类药物耐受癌痛患者,采用随机信封法分为A组(接受盐酸吗啡片镇痛治疗... 目的探究氨酚羟考酮片和盐酸吗啡片对高龄阿片类药物耐受癌痛患者暴发痛及血清炎症因子的影响。方法选取2023年10月至2024年10月北京市顺义区医院收治的122例高龄阿片类药物耐受癌痛患者,采用随机信封法分为A组(接受盐酸吗啡片镇痛治疗,61例)和B组(接受氨酚羟考酮片镇痛治疗,61例)。治疗2周后,比较两组患者的暴发痛缓解时间、疼痛强度[数字分级法(NRS)评分]、血清炎症因子水平[白细胞介素6(IL-6)、肿瘤坏死因子α(TNF-α)、IL-1β、趋化因子配体12(CXCL12)]、生命质量[生命质量测定量表EORTC V3.0中文版(EORTC QLQ-C30)]、身体情况[美国东部肿瘤协作组体能状态评分(ECOG-PS)]和不良反应发生情况。结果治疗期间B组暴发痛给药后缓解时间短于A组(P<0.05);NRS评分组间、时间点及交互差异均有统计学意义(P<0.05),两组患者的NRS评分均随时间逐渐降低(P<0.05),且B组治疗暴发痛给药前(T_(0))、给药后5 min(T_(1))、15 min(T_(2))、30 min(T_(3))、60 min(T_(4))时的NRS评分均低于A组(P<0.05);治疗2周后,两组患者的IL-6、TNF-α、IL-1β、CXCL12水平均降低,且B组均低于A组(P<0.05);治疗2周后,两组患者的EORTC QLQ-C30评分均升高,且B组高于A组(P<0.05),ECOG-PS评分均降低,且B组低于A组(P<0.05);两组患者不良反应发生情况比较,差异无统计学意义(P>0.05)。结论氨酚羟考酮片与盐酸吗啡片均能有效控制高龄阿片类药物耐受癌痛患者的爆发痛,但氨酚羟考酮片在减轻炎症、促进爆发痛缓解、减轻疼痛强度、提高患者生命质量、改善身体情况方面表现出更明显的优势,且具备安全性。 展开更多
关键词 氨酚羟考酮片 盐酸吗啡片 高龄 阿片类药物 耐受性 癌痛 炎症因子 爆发痛
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盐酸纳洛酮注射液致急性戒断综合征1例分析
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作者 陈桦宝 刘薇 +2 位作者 蒋婷 郑玲利 李静 《中国药物警戒》 2025年第8期944-946,共3页
目的探讨纳洛酮用于阿片类药物急性中毒解救引起急性戒断综合征的临床特点及其可能的发生机制。方法分析1例非小细胞肺癌患者,接受标准剂量纳洛酮解救吗啡缓释片中毒后发生的急性戒断综合征,并结合相关文献讨论其临床表现、发生机制及... 目的探讨纳洛酮用于阿片类药物急性中毒解救引起急性戒断综合征的临床特点及其可能的发生机制。方法分析1例非小细胞肺癌患者,接受标准剂量纳洛酮解救吗啡缓释片中毒后发生的急性戒断综合征,并结合相关文献讨论其临床表现、发生机制及治疗方案。结果患者出现急性戒断综合征经对症处理并调整纳洛酮解救剂量、给药方式,患者逐渐恢复正常。结论阿片类药物中毒需结合患者的个体情况,选择最佳的纳洛酮解救剂量及给药方式,并注意纳洛酮的急性戒断综合征风险,确保患者用药安全。 展开更多
关键词 纳洛酮 吗啡缓释片 吗啡中毒 急性戒断综合征 药品不良反应
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