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个长期多方面的调节,从而导致药动学参数差异不大。 [ 6 ] 王春霞,潘斌,刘静,等. 抑乳调经颗粒治疗肾虚肝郁型
对于 OLZ 来说,单次给药的大鼠模型存在许多缺 高泌乳素血症的临床疗效观察[J]. 中国药房,2009,20
陷,一是仅单次给药容易造成体内血药浓度的大幅度波 (18):1421-1423.
[12]
动 ;二是对于精神病患者来说,需要长期服用抗精神 [ 7 ] HUANG X,REN L,HOU L,et al. Paeoniflorin amelio‐
[13]
病药物治疗,单次给药无法模拟临床上的稳态浓度 。 rates antipsychotic-induced hyperprolactinemia in rats by
attenuating impairment of the dopamine D2 receptor and
以上结果提示,多剂量给药更为合理。
TGF- β1 signaling pathways in the hypothalamus and
综上所述,单次联用 YRTJ 会抑制 OLZ 在大鼠体内
pituitary[J] J Ethnopharmacol,2020,257:112862.
的吸收,长期联用 YRTJ 对 OLZ 的药动学过程无明显
[ 8 ] MAEDA K,HISAKA A,ITO K,et al. Classification of
影响。
drugs for evaluating drug interaction in drug development
参考文献
and clinical management[J]. Drug Metab Pharmacokinet,
[ 1 ] LÄHTEENVUO M,TIIHONEN J. Antipsychotic poly‐ 2021,41:100414.
pharmacy for the management of schizophrenia:evidence [ 9 ] PERITI P,MAZZEI T,MINI E,et al. Pharmacokinetic
and recommendations[J]. Drugs,2021,81(11):1273-
drug interactions of macrolides[J]. Clin Pharmacokinet,
1284. 1992,23(2):106-131.
[ 2 ] SIAFIS S,TZACHANIS D,SAMARA M,et al. Antipsy‐ [10] LOADMAN P M,BIBBY M C. Pharmacokinetic drug
chotic drugs:from receptor-binding profiles to metabolic
interactions with anticancer drugs[J]. Clin Pharmacokinet,
side effects[J]. Curr Neuropharmacol,2018,16(8):1210-
1994,26(6):486-500.
1223. [11] ARAVAGIRI M,TEPER Y,MARDER S R. Pharmacoki‐
[ 3 ] FULTON B,GOA K L. Olanzapine. A review of its phar‐ netics and tissue distribution of olanzapine in rats[J]. Bio‐
macological properties and therapeutic efficacy in the
pharm Drug Dispos,1999,20(8):369-377.
management of schizophrenia and related psychoses[J]. [12] KAPUR S,VANDERSPEK S C,BROWNLEE B A,et al.
Drugs,1997,53(2):281-298. Antipsychotic dosing in preclinical models is often unre-
[ 4 ] PEUSKENS J,PANI L,DETRAUX J,et al. The effects of
presentative of the clinical condition:a suggested solution
novel and newly approved antipsychotics on serum prolactin based on in vivo occupancy[J]. J Pharmacol Exp Ther,
levels:a comprehensive review[J]. CNS Drugs,2014,28 2003,305(2):625-631.
(5):421-453. [13] CALLAGHAN J T,BERGSTROM R F,PTAK L R,et al.
[ 5 ] BAPTISTA T,KIN N M,BEAULIEU S,et al. Obesity
Olanzapine: pharmacokinetic and pharmacodynamic pro‐
and related metabolic abnormalities during antipsychotic file[J]. Clin Pharmacokinet,1999,37(3):177-193.
drug administration:mechanisms,management and
(收稿日期:2023-06-07 修回日期:2023-08-28)
research perspectives[J]. Pharmacopsychiatry,2002,35 (编辑:邹丽娟)
(6):205-219.
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