盐酸普拉克索
中文同义词: S(-)-2-氨基-6-正丙氨基-4,5,6,7-四氢苯并噻唑二盐酸盐;盐酸普拉克索;普拉克索盐酸盐
治疗帕金森药物:
盐酸普拉克索是一种治疗帕金森综合征药物,属选择性非麦角类多巴胺受体激动剂,由德国勃林格殷格翰(Boehringer Ingelheim)公司研发成功,是目前全球处方用量最大的多巴胺受体激动剂,1997年5月首次获得美国FDA批准用于特发性帕金森病的治疗,能减轻患者的症状和体征,可以单独或与左旋多巴联合应用,在美国上市销售的商品名Mirapex,是FDA在过去6年中首次批准用于帕金森的药物。2007年在中国上市,商品名森福罗,用来治疗特发性帕金森病的体征和症状,单独(无左旋多巴)或与左旋多巴联用。
盐酸普拉克索治疗帕金森病的两大疗效特点:
1,缓解帕金森病运动症状:帕金森病是由于脑内黑质多巴胺能神经元丢失引起多巴胺缺乏,导致患者出现震颤、肌强直和运动迟缓等一系列症状。盐酸普拉克索可高度选择性地作用于多巴胺能D2和D3受体,激动脑内多巴胺的释放,改善运动症状。Shannon等的研究显示,早期帕金森病患者接受普拉克索单药治疗后,可有效控制运动症状,帮助早期患者维持日常生活能力。普拉克索联合左旋多巴还能有效改善晚期帕金森病患者的ADL评分和运动症状评分,使晚期帕金森病患者生命更具活力。
2,显著改善帕金森病患者伴发的抑郁症状:盐酸普拉克索是多巴胺D2、D3受体激动剂,而多巴胺D3受体系统可能与患者的情绪和行为相关,普拉克索可以选择性地刺激D3受体,且其对D3受体的激动作用更高于D2受体,可明显缓解抑郁症状。在意大利Barone等的研究中,伴发抑郁的帕金森病患者分别接受普拉克索或舍曲林治疗后,普拉克索组抑郁症状缓解患者的比例明显高于舍曲林组。研究者认为,多巴胺受体激动剂(普拉克索)可替代抗抑郁药来治疗帕金森病患者的抑郁。
普拉克索对受损的神经元有保护效果,抖动症状控制得也很好,副作用在帕金森领域内最少,并且后期调药空间较大,利于后续治疗,可避免因长期使用左旋多巴造成的神经损害,延缓需要左旋多巴治疗的时间,减少左旋多巴的剂量。
Pramipexole dihydrochloride
Synonym: PRAMIPEXOLE DIHYDROCHLORIDE;PRAMIPEXOLE HCL;PRAMIPEXOLE HYDROCHLORIDE;PRAMIPEXOL HCL;(s)-2-amino-4,5,6,7-tetrahydro-6-(propylamino)benzothiazole dihydrochloride;PramipexoleDihcl;(S)-2-Amino-6-(propylamino)-4,5,6,7-tetrahydrobenzothiazol2HCltetrahydrobenzothiazol;(s)-4,5,6,7-Tetrahydro-N6-propyl-2,6-benzothiazolediamine, Dihydrochloride
CAS: 104632-25-9
MF: C10H19Cl2N3S
MW: 284.25
Assay: 99%
Appearance: White liquid
Specification: CP
Property: Pramipexole has protective effect on the damaged neurons, jitter symptom control well, side effects in the Parkinson area at least, and later revised Drug larger space, conducive to the follow-up treatment, can avoid the nerve damage caused by long-term use of levodopa, delaying the need to levodopa treatment time, reducing the dose of levodopa.
Usage:
Two therapeutic effects of pramipexole hydrochloride in the treatment of Parkinson's disease:
1. to alleviate the symptoms of Parkinson's disease: Parkinson's disease is due to the movement of brain dopaminergic neuron loss caused by dopamine deficiency, lead to patients with tremor, rigidity and bradykinesia and a series of symptoms. Hydrochloric acid highly selective effects on dopamine D2 and D3 receptor agonist, dopamine release, improve motor symptoms. Research on Shannon display, early Parkinson's disease patients pramipexole monotherapy after, can effectively control the motor symptoms in patients with early stage, to help maintain the ability of daily life. Pramipexole in combination with levodopa can effectively improve the ADL score and motor symptoms in patients with advanced Parkinson's disease score in patients with advanced Parkinson's disease, make life more vibrant.
2. significantly improve the depressive symptoms in patients with Parkinson's disease: pramipexole hydrochloride is dopamine D2 receptor agonist, D3, and the system of dopamine D3 receptor may be associated with emotions and behavior, pramipexole can selectively stimulate D3 receptors, and the D3 receptor agonist more higher than that of D2 receptor, could significantly relieve the symptoms of depression. In the study of Italy Barone, were treated with pramipexole or sertraline in the treatment of depression in patients with Parkinson's disease, pramipexole group with depression symptoms in patients with a significantly higher percentage of sertraline group. Researchers think, dopamine receptor agonist (pramipexole) alternative antidepressant treatment for Parkinson's disease patients with depression.
Package: 1kg/fluoride bottle
Price: USD 5400/kg
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