Scopolamine hydrobromideyog ib qho tshuaj muab tau los ntawm cov nroj tsuag ntawm tsev neeg nightshade. Nws belongs rau ib chav kawm ntawm cov tshuaj hu ua anticholinergics, uas ua haujlwm los ntawm kev thaiv cov kev ua ntawm neurotransmitter acetylcholine. Kev nkag siab txog ntau hom kev siv ntawm scopolamine hydrobromide yog qhov tseem ceeb rau cov kws kho mob thiab cov neeg mob ib yam nkaus, vim nws ua lub luag haujlwm tseem ceeb hauv ntau yam mob.
Scopolamine hydrobromide yog ib qho khoom siv hluavtaws uas muaj feem xyuam nrog atropine. Nws muaj nyob rau hauv ntau hom tshuaj, nrog rau cov ntsiav tshuaj, txhaj tshuaj, thiab cov tshuaj tiv thaiv kab mob. Cov tshuaj tau siv dav rau nws cov khoom anticholinergic, uas tuaj yeem txo ntau yam tsos mob cuam tshuam nrog kev ua haujlwm muscarinic ntau dhau.
Nrog rau nws lub peev xwm los cuam tshuam ntau lub cev lub cev, scopolamine hydrobromide pom cov ntawv thov hauv ntau yam kev kho mob xws li kev mob nkeeg mus rau ntau lub salivation thiab ua pa tawm. Nkag siab txog nws txoj kev siv ntau yam yog qhov tseem ceeb rau kev saib xyuas tus neeg mob kom zoo thiab tswj xyuas cov tsos mob cuam tshuam.
Motion Sickness Tiv Thaiv
Ib qho ntawm cov kev siv tseem ceeb ntawm scopolamine hydrobromide yog nyob rau hauv kev tiv thaiv thiab tswj kev mob ntawm kev txav, uas tuaj yeem tshwm sim thaum taug kev los ntawm huab cua, hiav txwv, lossis av.
Kev mob plab tshwm sim los ntawm kev tsis sib haum xeeb ntawm qhov muag pom thiab vestibular (hauv pob ntseg) nkag mus rau lub hlwb, ua rau xeev siab, ntuav, thiab kiv taub hau.Scopolamine hydrobromideexerts nws cov teebmeem antiemetic los ntawm inhibiting lub vestibular nucleus thiab txo qhov rhiab heev ntawm lub labyrinth rau cov lus tsa suab stimuli.
Ntau qhov kev tshawb fawb tau pom tias muaj txiaj ntsig zoo tshaj plaws ntawm scopolamine hydrobromide hauv kev tiv thaiv kev mob nkeeg piv rau lwm cov tshuaj antiemetic xws li dimenhydrinate thiab meclizine. Nws raug suav hais tias yog ib qho ntawm cov neeg ua haujlwm zoo tshaj plaws rau kev tiv thaiv kev mob nkeeg, tshwj xeeb tshaj yog thaum mob hnyav.
Kev kho mob xeev siab thiab ntuav
Ntxiv nrog rau nws lub luag haujlwm hauv kev mob nkeeg, scopolamine hydrobromide tau ua pov thawj muaj txiaj ntsig zoo hauv kev tswj cov xeev siab thiab ntuav cuam tshuam nrog ntau yam mob thiab kev kho mob.
Chemotherapy-induced xeev siab thiab ntuav (CINV) yog ib qho kev mob tshwm sim uas tshwm sim los ntawm cov neeg mob qog noj ntshav. Scopolamine hydrobromide, ua ke nrog lwm cov tshuaj tiv thaiv kab mob, tau pom tias muaj txiaj ntsig zoo los txo qhov tshwm sim thiab qhov hnyav ntawm CINV.
Postoperative xeev siab thiab ntuav (PONV) tuaj yeem cuam tshuam rau tus neeg mob rov qab los thiab txaus siab tom qab cov txheej txheem phais. Cov kev tshawb fawb tau pom tias kev tswj hwm ntawmscopolamine hydrobromide, txawm hais tias qhov ncauj los yog transdermally, tuaj yeem yog qhov kev tiv thaiv zoo rau kev txo qis ntawm PONV.
Kev tswj ntawm ntau dhau salivation thiab secretions
Scopolamine hydrobromide's anticholinergic zog ua rau nws muaj txiaj ntsig zoo hauv kev tswj cov salivation ntau dhau thiab ua pa tawm hauv ntau qhov chaw kho mob.
Hauv kev kho mob palliative, scopolamine hydrobromide feem ntau yog siv los daws cov dej ntau dhau los yog sialorrhea nyob rau hauv cov neeg mob uas muaj mob xws li mob qog noj ntshav lossis mob hlwb. Qhov no tuaj yeem txhim kho cov neeg mob kev nplij siab thiab txo qhov kev pheej hmoo ntawm aspiration pneumonia.
Cov tshuaj kuj tseem yuav muaj txiaj ntsig zoo hauv kev tswj cov kab mob ua pa hauv cov neeg mob uas muaj kab mob xws li mob ntsws obstructive pulmonary disease (COPD) los yog cov kab mob neuromuscular, qhov uas cov kua dej ntau dhau tuaj yeem cuam tshuam ua pa thiab ua rau muaj kev pheej hmoo ntawm kev ua pa nyuaj.
Off-label siv thiab tshawb nrhiav
Thaum scopolamine hydrobromide tau tsim muaj cov txiaj ntsig zoo, cov kws tshawb fawb tau tshawb nrhiav nws cov peev txheej tawm ntawm daim ntawv lo siv rau ntau yam kev puas hlwb thiab puas hlwb.
Cov kev tshawb fawb ua ntej tau tshawb xyuas kev siv scopolamine hydrobromide hauv kev kho mob xws li kev nyuaj siab thiab schizophrenia vim nws muaj peev xwm cuam tshuam rau cholinergic neurotransmission. Txawm li cas los xij, kev tshawb fawb ntxiv yog xav tau los tsim kom muaj kev ua tau zoo thiab kev nyab xeeb hauv cov ntawv thov no.
Kev tshawb fawb tsis tu ncua tab tom tshawb nrhiav cov kev siv peev xwm ntawmscopolamine hydrobromidenyob rau hauv ntau yam neurological mob xws li Alzheimer's kab mob thiab migraine mob taub hau. Tsis tas li ntawd, nws lub luag haujlwm hauv kev tswj cov kab mob plab xws li chim siab plob tsis so tswj (IBS) thiab kev ua haujlwm dyspepsia raug tshawb xyuas.
Mechanisms ntawm Action thiab Pharmacokinetics
Scopolamine hydrobromide exerts nws cov teebmeem anticholinergic los ntawm thaiv qhov kev txiav txim ntawm acetylcholine ntawm muscarinic receptors. Qhov no inhibition ntawm cholinergic neurotransmission ua rau muaj ntau yam ntawm lub cev muaj zog, nrog rau kev txo qis cov leeg nqaij, txo qis, thiab hloov pauv kev paub thiab kev coj tus cwj pwm.
Cov tshuaj yog nqus tau zoo tom qab tswj qhov ncauj, nrog rau bioavailability ntawm ib ncig ntawm 60%. Nws tau dhau los ua cov metabolism hauv thawj zaug hauv lub siab thiab muaj ib nrab-lub neej ntawm kwv yees li 3-4 teev. Scopolamine hydrobromide feem ntau yog tshem tawm los ntawm lub raum excretion, nrog rau ib qho me me metabolized thiab tawm hauv cov quav.
Transdermal formulations ntawm scopolamine hydrobromide tau tsim los muab kev xa tshuaj tas mus li thiab tswj cov qib kev kho mob rau lub sijhawm ntev, tshwj xeeb tshaj yog nyob rau hauv kev tiv thaiv kev mob nkeeg thiab kev tswj hwm ntawm PONV.
Cov teebmeem tsis zoo thiab ceev faj
Thaumscopolamine hydrobromidetuaj yeem muab cov txiaj ntsig kho mob tseem ceeb, nws yog ib qho tseem ceeb uas yuav tau txiav txim siab txog cov txiaj ntsig tsis zoo thiab contraindications, xws li nrog rau txhua yam tshuaj.
Cov kev mob tshwm sim feem ntau cuam tshuam nrog scopolamine hydrobromide muaj xws li qhov ncauj qhuav, qhov muag tsis pom kev, cem quav, tsaug zog, thiab tsis meej pem. Cov teebmeem anticholinergic no tuaj yeem hais tau ntau dua hauv cov neeg mob laus lossis cov neeg uas muaj kev paub tsis meej ua ntej.
Scopolamine hydrobromide yuav tsum tau siv nrog ceev faj nyob rau hauv cov neeg mob uas muaj glaucoma, tso zis, los yog gastrointestinal obstructive ntshawv siab, raws li nws muaj peev xwm exacerbate cov mob vim nws anticholinergic zog.
Tsis tas li ntawd, cov tshuaj tuaj yeem cuam tshuam nrog lwm cov tshuaj, xws li tshuaj tiv thaiv kab mob, tshuaj tiv thaiv kev ntxhov siab, thiab tshuaj tiv thaiv kev puas siab puas ntsws, uas tuaj yeem ua rau muaj kev pheej hmoo ntawm kev phiv los yog hloov lawv cov txiaj ntsig.
Kev kawm thiab kev saib xyuas tus neeg mob yog qhov tseem ceeb los xyuas kom muaj kev nyab xeeb thiab siv tau zoo ntawm scopolamine hydrobromide, tshwj xeeb tshaj yog nyob rau hauv cov neeg tsis muaj zog lossis cov neeg noj cov tshuaj sib xyaw.
Xaus
Scopolamine hydrobromideyog ib hom tshuaj muaj ntau yam nrog ntau yam kev siv hauv tshuaj. Los ntawm kev tiv thaiv kev mob nkeeg thiab tswj xeev siab thiab ntuav kom txo qis qis thiab ua pa ntau dhau, tus neeg sawv cev anticholinergic tau ua pov thawj nws tus nqi hauv ntau qhov chaw kho mob.
Thaum scopolamine hydrobromide muaj cov txiaj ntsig kho mob tseem ceeb, nws yog ib qho tseem ceeb uas yuav tsum xav txog cov kev mob tshwm sim thiab contraindications, xws li nrog rau txhua yam tshuaj. Kev tshawb fawb txuas ntxiv tuaj yeem nthuav tawm cov ntawv thov ntxiv thiab kho peb txoj kev nkag siab ntawm nws qhov kev siv zoo hauv cov kev kho mob sib txawv.
Cov kws kho mob yuav tsum ua tib zoo soj ntsuam cov kev pheej hmoo thiab cov txiaj ntsig ntawm scopolamine hydrobromide rau cov neeg mob ib leeg, xav txog lawv cov keeb kwm kho mob, cov tshuaj sib xyaw ua ke, thiab muaj peev xwm ua rau muaj kev phom sij. Los ntawm kev nkag siab txog ntau hom kev siv thiab cov txheej txheem ntawm kev ua ntawm cov tshuaj no, cov kws kho mob tuaj yeem txiav txim siab paub thiab ua kom zoo rau kev saib xyuas neeg mob.
PebScopolamine Hbr Powder Bulktau txais kev qhuas zoo los ntawm cov neeg siv khoom. Yog tias koj xav paub ntau ntxiv txog cov khoom no, thov hu rau dawbSales@Kintaibio.Com.
Cov ntaub ntawv:
1. Golding JF Gresty MA Pathphysiology thiab kev kho mob ntawm kev mob kev nkeeg Curr Opin Neurol 2015 28(1):83-88
2. Schmitt T Leyendecker P Petzold T Nürnberg B Boehm P Martiné U Kev ua tau zoo ntawm scopolamine hydrobromide hauv kev tiv thaiv kev mob plab tom qab xeev siab thiab ntuav hauv cov neeg mob uas tau phais hysteroscopic Curr Med Res Opin 2003 19(6):503-511
3. Navari RM Kev Tswj ntawm cov tshuaj kho mob vim xeev siab thiab ntuav Kev tsom mus rau cov neeg ua haujlwm tshiab thiab kev siv tshiab rau cov neeg laus Cov Tshuaj 2013 73(3):249-262
4. Hyson HC Johnson AM Jog MS Ib qho qhib-label pilot kawm txog cov tshuaj anticholinergic scopolamine hauv Parkinson tus kab mob tremor Mov Disord 2002 17(4):830-834
5. Fukunaga A Uematsu S Sugita K Tsuchida K Hiramatsu N Arai K Serotonin thiab dopamine attenuation los ntawm scopolamine Biol Psychiatry 1998 43(7):498-502
6. Gabril MY Watters KC Sataloff RT Scopolamine butylbromide (qhov ncauj daim ntawv) rau sialorrhea nyob rau hauv cov neeg mob uas tsis muaj zog neurologically Kws muaj txuj Rev Neurother 2009 9(1): 43-47
7. Barton C Connolly KK Kurun R McIver S Grunfeld A Pulmonary rehabilitation in chronic respiratory disease J Thorac Dis 2019 11(Suppl 17):S2203-S2214
8. Furuya N Izaki T Kumano S Endo T Himi T Cov teebmeem ntawm scopolamine ntawm lub plab zom mov Scopolamine induces kis polymigrating dysrhythmic kev ua si rau tib neeg noj qab haus huv J Gastroenterol Hepatol 2005 20(4): 579-586







