在小儿病患者的阿米提林诱导的高血糖血症
Safia Centner1, Felicia Cooper2, Shilpa Gurnurkar2
1Medicine, University of Central Florida College of Medicine, Orlando, USA.
Cureus
|June 3, 2024
概括
三环抗抑郁药,如阿米特利普提林,可以导致超益乳血症,这是一种益乳水平升高的情况. 这一案例凸显了医疗保健提供者认识到这种潜在副作用的重要性,即使怀疑其他药物.
科学领域:
- 内分泌学 在内分泌学.
- 药理学 药理学是指药理学的学科.
- 儿科 儿科 儿科
背景情况:
- 超益生菌性血症是一种内分泌疾病,其原因多种多样,包括药物.
- 抗抑郁药,抗精神病药和多巴胺受体抑制剂是已知的药理来源.
- 三环抗抑郁药Amitriptyline用于抑郁,疼痛和偏头痛的预防.
研究的目的:
- 报告与阿米二烯使用相关的儿童高血性乳腺炎病例.
- 提高人们对 amitriptyline 和高血清素水平之间不太常见的联系的认识.
主要方法:
- 一名患有自闭症谱系障碍,多动症和偏头痛的10岁患者的病例报告.
- 偶然发现在治疗偏头痛预防中使用阿米丁的过程中增加了前素水平.
主要成果:
- 这位患者出现了偶然发现的超益生菌血症.
- 这发生在患者接受阿米林治疗偏头痛预防的同时.
结论:
- 阿米特利普提林可以诱导高血性乳腺炎,这种副作用的记录较其他药物 (如瑞斯佩里) 鲜为常.
- 医疗保健提供者应将阿米林视为跨专业的高血的潜在原因.
相关概念视频
Drugs Affecting GI Tract Motility: Dopamine Receptor Antagonists
307
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...
307
Mania and Antimanic Drugs: Overview
168
Mania, a psychological condition characterized by elevated mood, increased energy, and reduced sleep need, is part of the bipolar disorder cycle. The exact cause of mania isn't entirely known, but it is thought to be a combination of genetic, environmental, and neurological factors. Bipolar disorder involves alternating manic and depressive episodes. Mood stabilizers like lithium, antipsychotics, and anticonvulsants help manage these episodes. Lithium carbonate is particularly effective as...
168
Nonlinear Pharmacokinetics: Dependence of Elimination Half-Life and Dose Clearance
122
The elimination half-life and drug clearance of drugs following nonlinear kinetics can vary with dosage. The Michaelis-Menten parameters and drug concentration influence these factors. As the dose increases, the elimination half-life tends to lengthen, resulting in a reduction in clearance and a disproportionately larger area under the curve. The total clearance can be derived from the Michaelis-Menten equation for drugs following a one-compartment model.
A study on guinea pigs examined the...
A study on guinea pigs examined the...
122
Drugs for Treatment of Constipation-Predominant IBS
157
Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
157
Parkinson's Disease: Treatment
257
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...
257
Drugs Affecting GI Tract Motility: Serotonin Receptor Agonists
247
Serotonin, a crucial neurotransmitter synthesized by enterochromaffin cells, plays a cardinal role in regulating gastrointestinal (GI) motility. With over 90% of the body's total serotonin in the GI tract, its influence on digestive processes is profound. Serotonin is swiftly released upon various stimuli, such as food boluses or certain drugs, triggering intrinsic sensory neurons in the myenteric plexus and extrinsic vagal and spinal sensory neurons. This leads to the activation of the...
247


