複選題
29.下列何種藥物,用於治療大腸激躁症?
(A)alosetron
(B)domperidone
(C)diphenoxylate
(D)octreotide
統計: A(6343), B(3730), C(5101), D(2587), E(517) #1943079
詳解 (共 10 筆)
整理加補充~
腸躁症分兩種
腹瀉型腸躁症 (水~筆畫3) |
|
便秘型腸躁症 (禾~筆畫4) |
|
Octreotide用於止瀉是off-label use
Octreotide
| 適應症 | off-label use |
1. VIPoma 2. 類癌瘤 3. 肢端肥大症 | 1. 與化療有關腹瀉 2. GVHD引起的腹瀉 3. 食管靜脈曲張破裂出血 4. 肝腎綜合徵 5. 胃腸胰十二指腸神經內分泌腫瘤 6. Zollinger-Ellison syndrome |
Irritable bowel syndrome治療
| 便秘Constipation | 腹瀉Diarrhea | 腹痛和腹脹Abdominal pain and bloating |
1. Osmotic laxatives:lactulose 2. Lubiprostone 3. Guanylate cyclase agonists:Linaclotide、Plecanatide 4. 5-HT4 receptor agonists:Tegaserod | 1. Antidiarrheal agents:Loperamide、Eluxadoline 2. Bile acid sequestrants:Cholestyramine、Colestipol、Colesevelam 3. 5-HT3 receptor antagonists:Alosetron、Ondansetron | 1. Antispasmodic agents:Dicyclomine、Hyoscyamine 2. Antidepressants:Amitriptyline、Nortriptyline、Imipramine、Deipramine 3. Probiotics |
5-HT作用:
1 Bus 2精神
3吐 4腸
想問(103-1)
下列何種藥物屬於somatostatin之合成類似物,可以用來止瀉?答案 D
(A)Diphenoxylate
(B)Cholestyramine
(C)Loperamide
(D)Octreotide
但本題卻沒有選它???
