加巴丁相关的运动障碍:文献综述
Jamir Pitton Rissardo1, Ursula Medeiros Araujo de Matos2, Ana Letícia Fornari Caprara3
1Neurology Department, Cooper University Hospital, Camden, NJ 08103, USA.
Medicines (Basel, Switzerland)
|September 27, 2023
概括
加巴丁可以导致运动障碍,如肌和动力障碍,往往被误诊. 在大多数情况下,停止服用 gabapentin (GBP) 会导致恢复.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
- 药物不良反应 药物不良反应
背景情况:
- 加巴丁诱导的运动障碍 (MDs) 是未被认可的不良药物反应.
- 这些反应往往被误诊,因为它们的突然发作和缺乏患者讨论.
- 了解与GBP相关的MD的临床特征,机制和管理至关重要.
研究的目的:
- 评估加巴丁相关运动障碍的临床流行病学概况.
- 调查这些不良药物反应背后的病理机制.
- 评估 gabapentin 诱导的 MDs 的管理策略和恢复结果.
主要方法:
- 在六个数据库中进行了系统的文献审查.
- 在1990年至2023年期间,在没有语言限制的情况下确定和评估了相关报告.
- 两个独立的审稿人进行了数据提取和分析.
主要成果:
- 确定了99份报告,涉及204名与GBP相关的MD患者.
- 肌 (135例) 和动力障碍 (22例) 是最常见的MDs.
- 在 gabapentin 停止后,在 82.5% 的患者中观察到完全康复.
结论:
- 肌和动力障碍是与 gabapentin 相关的最常见的运动障碍.
- 停用 gabapentin 是一个有效的管理策略.
- 需要提高对GBP诱导的MD的认识和及时诊断.
相关概念视频
Antiepileptic Drugs: Potassium Channel Activators
203
Ezocgabine or retigabine, an antiepileptic drug of remarkable efficacy, has revolutionized the management of seizures. It is a potassium channel activator, explicitly targeting the family of Q subtype potassium channels. It enhances the transmembrane potassium currents, regulating neuronal excitability. This action stabilizes the resting membrane potential, a pivotal factor in mitigating the hyperexcitability that characterizes epilepsy.
Ezogabine has gained approval as an adjunctive treatment...
Ezogabine has gained approval as an adjunctive treatment...
203
Parkinson's Disease: Treatment
292
Neurodegenerative disorders, such as Parkinson's Disease (PD), involve the gradual and irreversible destruction of neurons in particular brain areas. These disorders exhibit standard features like proteinopathies, selective vulnerability of some neurons, and an interaction of intrinsic properties, genetics, and environmental influences in neural injury.
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...
292
Antiepileptic Drugs: Glutamate Antagonists
407
Glutamate is a fundamental neurotransmitter in the central nervous system, playing a vital role in neuronal communication and various cognitive processes. Glutamate stands as the principal excitatory neurotransmitter in the brain. Its presence is crucial for the communication between neurons, underpinning essential processes such as synaptic transmission, neuronal excitability, and plasticity. These functions are vital for higher-order cognitive processes, including learning and memory. The...
407
Antiepileptic Drugs: GABAergic Pathway Potentiators
446
γ-aminobutyric acid or GABA, plays a pivotal role as an inhibitory neurotransmitter in the brain. GABA pathway potentiators, also known as GABAergic drugs, are a class of pharmaceutical agents designed to enhance the functioning of the GABAergic system. These medications primarily treat epilepsy, a neurological disorder characterized by recurrent seizures.
The key GABA pathway potentiators used in epilepsy management are as follows.
Benzodiazepines are a well-known class of drugs used for...
The key GABA pathway potentiators used in epilepsy management are as follows.
Benzodiazepines are a well-known class of drugs used for...
446
Antiepileptic Drugs: Modulators of Neurotransmitter Release Mediated by SV2A Protein
332
Antiepileptic drugs, such as levetiracetam (Keppra) and brivaracetam (Briviact), have emerged as crucial tools in managing epilepsy. These medications exert their therapeutic effects by targeting the synaptic vesicle protein SV2A, a transmembrane glycoprotein primarily found in the brain.
SV2A is a transmembrane glycoprotein located predominantly in the brain, modulating the release of neurotransmitters for neuronal communication. Both levetiracetam and brivaracetam exhibit a high affinity for...
SV2A is a transmembrane glycoprotein located predominantly in the brain, modulating the release of neurotransmitters for neuronal communication. Both levetiracetam and brivaracetam exhibit a high affinity for...
332
Drugs Affecting GI Tract Motility: Dopamine Receptor Antagonists
367
Prokinetic agents are specialized medications that stimulate gastrointestinal (GI) motility, promoting food movement through the GI tract. Dopamine, an inhibitory neurotransmitter, plays a significant role in this process, reducing GI motility and indirectly controlling the speed of digestion. Dopamine receptor antagonists, such as metoclopramide and domperidone, offer a unique advantage as prokinetic agents. By blocking the dopamine receptors, these drugs increase GI motility, improving food...
367


