治疗药物监测丙咪嗪相关性1例研究

Mohammed Misbah Ul Haq, B. Tazneem
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引用次数: 0

摘要

本文概述了丙咪嗪的药代动力学、药效学、禁忌症和注意事项。丙咪嗪是一种三环抗抑郁药(TCA),通常用于治疗抑郁症和其他精神疾病。丙咪嗪的药代动力学特性包括快速吸收,分布到各种组织,在肝脏代谢,并通过肾脏消除。丙咪嗪的药效学作用是通过其对多种神经递质的作用介导的,包括血清素、去甲肾上腺素和多巴胺。文章还讨论了丙咪嗪使用的禁忌症和注意事项。丙咪嗪禁忌用于有TCAs过敏史、近期心肌梗死和某些心脏疾病的患者。有癫痫发作、尿潴留、青光眼、肝肾疾病史的患者慎用。总之,丙咪嗪是一种具有良好的药代动力学和药效学特性的药物,但它的使用与某些禁忌症和注意事项有关。临床医生在给患有抑郁症或其他精神疾病的患者开丙咪嗪处方时,应仔细考虑这些因素。
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Therapeutic drug monitoring of imipramine correlation with a case study
This article provides an overview of the pharmacokinetics, pharmacodynamics, contraindications, and precautions of imipramine, a tricyclic antidepressant (TCA) medication commonly used to treat depression and other mental health conditions. Imipramine’s pharmacokinetic properties include rapid absorption, distribution to various tissues, metabolism in the liver, and elimination through the kidneys. Imipramine’s pharmacodynamic effects are mediated through its actions on various neurotransmitters, including serotonin, norepinephrine, and dopamine. The article also discusses the contraindications and precautions associated with imipramine use. Imipramine is contraindicated in patients with a history of hypersensitivity to TCAs, recent myocardial infarction, and certain cardiac disorders. It should also be used with caution in patients with a history of seizures, urinary retention, glaucoma, and liver or kidney disease. In conclusion, imipramine is a medication with well-established pharmacokinetic and pharmacodynamic properties, but its use is associated with certain contraindications and precautions. Clinicians should carefully consider these factors when prescribing imipramine to patients with depression or other mental health conditions.
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