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Una segunda mirada al bromuro de emepronio en la incontinencia urinaria
Lancet (London, England)
|March 5, 1977
Resumen
El bromuro de emepronio intramuscular trataba eficazmente la incontinencia urinaria al aumentar la capacidad de la vejiga. El bromuro de emepronio oral mostró una eficacia limitada debido a la mala absorción, afectando la función de la vejiga y la respuesta al propranolol.
Área de la Ciencia:
- Farmacología Farmacología.
- Urología Urología Urología.
Sus antecedentes:
- La disfunción de la vejiga no inhibida causa incontinencia urinaria.
- El bromuro de emepronio está siendo investigado por sus potenciales efectos terapéuticos.
Objetivo del estudio:
- Evaluar la eficacia del bromuro de emepronio oral e intramuscular en el tratamiento de la incontinencia urinaria.
- Evaluar el impacto del bromuro de emepronio oral en la capacidad de la vejiga y los espasmos.
- Para investigar la interacción entre el bromuro de emepronio oral y la absorción de propranolol.
Principales métodos:
- Evaluación sistométrica en nueve pacientes con incontinencia urinaria no inhibida.
- Administración de bromuro de emepronio por vía oral e intramuscular.
- Medición de la respuesta y las concentraciones plasmáticas de propranolol después de la administración concomitante.
Principales resultados:
- El bromuro de emepronio intramuscular aumentó la capacidad de la vejiga y retrasó el espasmo de la vejiga y el deseo de vaciar.
- El bromuro de emepronio oral no afectó la capacidad o función de la vejiga.
- El bromuro de emepronio oral retrasó la respuesta plasmática al propranolol y redujo sus concentraciones.
Conclusiones:
- El bromuro de emepronio intramuscular es eficaz para el tratamiento de la incontinencia urinaria.
- La absorción oral de bromuro de emepronio es insuficiente para afectar la función de la vejiga.
- El bromuro de emepronio oral puede influir en la farmacocinética de otros medicamentos como el propranolol.
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