用于戒烟的药理疗法
Kate Cahill1, Sarah Stevens2, Tim Lancaster1
1Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom2Cochrane Tobacco Addiction Group, University of Oxford, Oxford, United Kingdom.
JAMA
|January 9, 2014
概括
尼古丁替代疗法 (NRT) 和布普罗皮昂显示的戒烟率高于安慰剂. 瓦伦尼克林和组合NRT是最有效的,没有与任何治疗相关的严重不良事件.
科学领域:
- 药理学 药理学是指药理学的学科.
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
背景情况:
- 吸烟仍然是全球可预防死亡的主要原因之一.
- 有效的第一线药物治疗对于戒烟至关重要.
- 尼古丁替代疗法 (NRT),布普罗皮安和瓦雷尼克林是已知的治疗方法.
研究的目的:
- 为了比较NRT,布洛和瓦伦尼克林在长期戒烟禁欲方面的疗效.
- 评估与这些一线戒烟辅助器相关的严重不良事件.
主要方法:
- 随机对照试验的系统审查和元分析.
- 包括评估尼古丁替代疗法 (NRT),布普罗皮安和瓦雷尼克林的研究.
- 评估6个月或更长时间戒烟率和严重不良事件发生率.
主要成果:
- 与安慰剂 (10.6%) 相比,NRT (17.6%) 和布洛 (19.1%) 的戒断率更高.
- 瓦伦尼克林 (27.6%) 和组合NRT (31.5%) 在实现戒烟方面表现出最高的疗效.
- 对于任何活性疗法和安慰剂,没有观察到严重不良事件的显著增加.
结论:
- 瓦伦尼克林和组合NRT是戒烟最有效的第一线药物治疗方法.
- 所有评估的治疗方法,包括NRT,布洛普和瓦雷尼克林,在严重的不良事件方面都是安全的.
- 这些发现支持在试图戒烟的人群中使用瓦雷尼克林和组合NRT.
相关概念视频
Drugs Acting on Autonomic Ganglia: Stimulants
2.2K
Ganglionic stimulants activate NM nicotinic receptors in autonomic ganglia, falling into two categories: nicotine mimetics [e.g., lobeline, dimethylpiperazine, tetramethylammonium] and muscarinic receptor agonists [e.g., muscarine, methacholine]. The first category's action is rapid and blocked by nicotinic receptor antagonists, while the second category's action is delayed and blocked by atropine-like agents. Nicotine, an alkaloid, affects the heart rate by stimulating...
2.2K
Antidepressant Drugs: MAOIs and Other Agents
1.3K
Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
1.3K
CNS Depressants: Alcohol and Nicotine
1.7K
Ethanol, a clear colorless alcohol, has been consumed by humans for millennia, but its effects on the body are far from benign. At lower doses, it induces decreased inhibitions and loquaciousness, leading to its social appeal. However, it can cause severe consequences at higher doses, such as coma and respiratory depression, due to its zero-order elimination kinetics. Chronic ethanol abuse wreaks havoc on multiple organ systems, particularly the CNS and the liver. Abrupt cessation of ethanol...
1.7K
Chronic Obstructive Pulmonary Disease-V: Management
3.3K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
3.3K
Drug Dependence
1.9K
Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
1.9K
Drugs Used in Lower Respiratory Disorders: Overview
1.6K
Lower respiratory tract disorders present challenges that often require skilled and nuanced approaches for effective management. Common ailments, such as asthma and chronic obstructive pulmonary disease (COPD), have prompted the development of intricate treatment strategies involving bronchodilators and anti-inflammatory drugs, each tailored to ease breathing and revitalize the lungs.
Bronchodilators, the first step of respiration enhancement, come in various forms, each with its own mechanism...
Bronchodilators, the first step of respiration enhancement, come in various forms, each with its own mechanism...
1.6K


