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Lack of interaction between diazepam and nimodipine during chronic oral administration to healthy elderly subjects. 总被引:1,自引:1,他引:0
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P R Heine G Weyer H P Breuel W Mück N Schmage J Kuhlmann 《British journal of clinical pharmacology》1994,38(1):39-43
1. Nimodipine (30 mg three times daily) and diazepam (10 mg once daily), were given orally to 24 elderly healthy subjects in a randomized, non-blinded, threefold-crossover study. Each of the three treatment periods lasted 5 days separated by 2 week washout phases. 2. Plasma concentrations of nimodipine and diazepam were not affected by the combined treatment. 3. No clinically relevant changes in haemodynamics, ECG recordings, clinical chemistry or haematology were observed after all of the three treatments. The overall frequency of side effects was lowest during monotherapy with nimodipine and highest during diazepam monotherapy. 4. In the test of subjective rating of tiredness (VAS) and the Pauli calculation test, diazepam, alone and with nimodipine co-medication, produced an increase in tiredness and a clear reduction in performance and endurance. After nimodipine monotherapy an improvement was observed only in the Pauli test. Using the critical flicker fusion frequency test (CFF) significant decrements in performance were found after diazepam monotherapy only. 5. In summary, there was no evidence that either nimodipine or diazepam affected the pharmacokinetics, safety and tolerance of each other. However, the CNS-effects of diazepam were compensated partially by nimodipine. 相似文献
5.
Vascularized bone graft pedicled on the volar carpal artery for non-union of the scaphoid 总被引:2,自引:0,他引:2
J N Kuhlmann M Mimoun A Boabighi S Baux 《The Journal of hand surgery, European volume》1987,12(2):203-210
A bone graft, taken from the medial part of the radial epiphysis can be pedicled on the radial branch of the volar carpal arch, freed back to its origin. The graft can be transferred into the proximal row of the carpus to fill up a loss of bony substance or to provide vascularised bone. This permits the treatment of chronic pseud-arthrosis of the scaphoid where a Matti-Russe operation has failed. In the first three cases operated upon, favourable results have been obtained. 相似文献
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Improved cytosolic free calcium mobilization and superoxide production in bicarbonate-based peritoneal dialysis solution 总被引:1,自引:0,他引:1
Dobos G; Burger M; Kuhlmann J; Passlick-Deetjen J; Schollmeyer P; Bohler J 《Nephrology, dialysis, transplantation》1997,12(5):973-977
Background. Intraperitoneal phagocytes play an
important role in local host defence to prevent CAPD peritonitis. The
intracellular calcium [Ca2+]i is thought to be
involved in the regulation of various cell functions. This study therefore
investigates the effect of lactate-based dialysis solution (LBDS) and
bicarbonate-based dialysis solution (BBDS) on cytosolic free calcium
mobilization and superoxide production (SP) as important steps in signal
transduction and bacterial killing. Methods. We
studied changes in [Ca2+]i and SP following
stimulation with N-formyl-methionyl-leucyl-phenylalanine (fMLP) in
polymorphonuclear neutrophils (PMNs) incubated in either LBDS-pH 5.2, LBDS
adjusted to pH 7.4, 1:10 diluted spent and fresh LBDS or BBDS-pH 7.4 with
different glucose concentrations, comparing the data with cells treated
with Hanks buffer (HBSS) pH 7.4 as control. To elucidate the effect of
glucose and lactate PMNs were additionally incubated in HBSS-pH 7.4,
containing glucose (HBSS-Glu-pH 7.4) or lactate (HBSS-Lact-pH 7.4) in the
same concentrations as contained in CAPD solutions and tested as above.
PMNs were isolated from healthy blood donors and incubated with dialysis
solution 10 min prior to stimulation with fMLP.
Results. [Ca2+]i mobilization
and SP were completely inhibited in PMNs incubated in LBDS pH 5.2. pH
adjustment of LBDS to 7.4 and 1:10 dilution of spent and fresh LBDS
corrected some of the suppression of the calcium influx and superoxide
production. BBDS pH 7.4, however, preserved physiological cell function
significantly better at low (1.5 and 2.3%) glucose concentrations.
Conclusion. In comparison to conventional
lactate-based dialysis solution, pH adjusted and 1:10 diluted LBDS,
bicarbonate-based dialysis solution is more biocompatible since it
preserves significantly better neutrophil cell functions. 相似文献
8.
U Nowak-G?ttl E Besier W D Kreuz R Linde M Koert H K Breddin B Kornhuber 《Klinische P?diatrie》1992,204(1):37-42
In order to establish an univariate nonparametric pediatric tolerance region platelet function has been investigated in 105 healthy children and adolescents. In comparison to adult normal values, the bleeding time is shortened, spontaneous platelet aggregation is enhanced as well as collagen-induced platelet aggregation. 30% of the children showed an increased disaggregation in ADP-induced aggregation. A slight delay was found in the spreading of thrombocytes. Platelet volume shifted to the left. Values of beta-thromboglobulin were raised. Compared to adult values no alterations could be found in platelet shape-change. Changes of platelet functions were more apparent in the younger children. 相似文献
9.
Liu JQ; Bai XF; Shi FD; Xiao BG; Li HL; Levi M; Mustafa M; Wahren B; Link H 《International immunology》1998,10(8):1139-1148
Induction of mucosal tolerance by inhalation of soluble peptides with
defined T cell epitopes is receiving much attention as a means of
specifically down-regulating pathogenic T cell reactivities in autoimmune
and allergic disorders. Experimental autoimmune encephalomyelitis (EAE)
induced in the Lewis rat by immunization with myelin basic protein (MBP)
and Freund's adjuvant (CFA) is mediated by CD4+ T cells specific for the
MBP amino acid sequences 68-86 and 87-99. To further define the principles
of nasal tolerance induction, we generated three different MBP peptides
(MBP 68-86, 87-99 and the non- encephalitogenic peptide 110-128), and
evaluated whether their nasal administration on day -11, -10, -9, -8 and -7
prior to immunization with guinea pig MBP (gp-MBP) + CFA confers protection
to Lewis rat EAE. Protection was achieved with the encephalitogenic
peptides MBP 68-86 and 87-99, MBP 68-86 being more potent, but not with MBP
110-128. Neither MBP 68-86 nor 87-99 at doses used conferred complete
protection to gp-MBP-induced EAE. In contrast, nasal administration of a
mixture of MBP 68-86 and 87-99 completely blocked gp-MBP-induced EAE even
at lower dosage compared to that being used for individual peptides. Rats
tolerized with MBP 68-86 + 87-99 nasally showed decreased T cell responses
to MBP reflected by lymphocyte proliferation and IFN-gamma ELISPOT assays.
Rats tolerized with MBP 68-86 + 87-99 also had abrogated MBP-reactive
IFN-gamma and tumor necrosis factor-alpha mRNA expression in lymph node
cells compared to rats receiving MBP 110-128 nasally, while similar low
levels of MBP-reactive transforming growth factor-beta and IL-4 mRNA
expressing cells were observed in the two groups. Nasal administration of
MBP 68-86 + 87-99 only slightly inhibited guinea pig spinal cord
homogenate-induced EAE, and passive transfer of spleen mononuclear cells
from MBP 68-86 + 87-99-tolerized rats did not protect naive rats from EAE.
Finally, we show that nasal administration of MBP 68-86 + 87-99 can reverse
ongoing EAE induced with gp-MBP, although higher doses are required
compared to the dosage needed for prevention. In conclusion, nasal
administration of encephalitogenic MBP peptides can induce antigen-specific
T cell tolerance and confer incomplete protection to gp-MBP-induced EAE,
and MBP 68-86 and 87-99 have synergistic effects. Non-regulatory mechanisms
are proposed to be responsible for tolerance development after nasal
peptide administration.
相似文献
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