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Trimebutine: abuse, addiction

机译:曲美布汀:滥用,成瘾

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摘要

Trimebutine, an antispasmodic drug, is used to relieve pain associated with irritable bowel syndrome, despite a lack of proven efficacy. Trimebutine has been shown to act on peripheral opioid receptors. Cases of trimebutine abuse and addiction have been reported in young adults, especially with the injectable form. Cases of serious accidental or intentional trimebutine overdose have been reported in infants and young adults, leading to neurological disorders (loss of consciousness, coma, drowsiness and convulsions) and cardiac disorders (bradycardia, ventricular tachycardia, arterial hypertension). Time to symptom onset was less than 3 hours after trimebutine intake. In practice, trimebutine is by no means a harmless drug, contrary to the impression given by the limited safety data available. Patients with pain due to irritable bowel syndrome should be informed of the adverse effects of trimebutine, and the harm-benefit balance should be reassessed in patients already taking this drug.
机译:曲美布汀是一种解痉药,尽管缺乏已证实的功效,但仍可用于缓解与肠易激综合症相关的疼痛。已显示曲美布汀可作用于外周阿片受体。年轻人中有曲美布汀滥用和成瘾的案例,尤其是注射剂。据报道,婴儿和年轻人严重或意外服用曲美布汀过量,导致神经系统疾病(意识丧失,昏迷,嗜睡和惊厥)和心脏疾病(心动过缓,室性心动过速,动脉高压)。曲美布汀摄入后症状发作时间少于3小时。实际上,曲美布汀绝不是无害的药物,这与有限的安全性数据给人的印象相反。因肠易激综合症而疼痛的患者应被告知曲美布汀的不良反应,并应重新评估已经服用该药的患者的伤害-获益平衡。

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    《Prescrire international》 |2013年第142期|共4页
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  • 正文语种 eng
  • 中图分类 药学;
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