Action of propranolol in mania: comparison of effects of the d- and the l-stereoisomer.

H M Emrich, D von Zerssen, H J Möller, W Kissling, C Cording, H J Schietsch, E Riedel
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引用次数: 39

Abstract

The antimanic action of high doses of the beta-receptor blocking agent propranolol was investigated by the use of a double-blind placebo controlled ABA design. For comparison, the d-stereoisomer (which is practically devoid of beta-blocking activity) was used. 6 trials were performed with d-propranolol, 6 trials with the racemic mixture. From dose-effect relations one can conclude that the d-stereoisomer is about half as effective against manic syndromes as the racemic mixture. From this finding it can be concluded that the antimanic action of propranolol is at least partially due to a mechanism independent of its beta-blocking action.

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心得安在躁狂中的作用:d-和l-立体异构体作用的比较。
采用双盲安慰剂对照ABA设计研究了高剂量β受体阻断剂心得安的抗躁狂作用。为了进行比较,使用了d立体异构体(实际上没有β阻断活性)。d-心得安组6例,外消旋混合物组6例。从剂量效应关系可以得出结论,d-立体异构体对躁狂综合征的疗效约为外消旋混合物的一半。从这一发现可以得出结论,心得安的抗躁狂作用至少部分是由于一种独立于其阻断作用的机制。
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