21.有關carvedilol之敘述,下列何者錯誤?
(A)具β-blocker作用
(B)具α-blocker作用
(C)具抗氧化作用
(D)不經過肝臟酵素系統代謝
統計: A(17), B(300), C(790), D(4563), E(0) #2180225
詳解 (共 5 筆)
(A)(B) Carvedilol is a nonselective beta-adrenergic blocking agent with alpha-1 blocking activity
(C) carvedilol may improve hemodynamic and clinical function in patients with CONGESTIVE HEART FAILURE by the following mechanisms: protection from the cardiotoxic effects of increased catecholamines (ie, NOREPINEPHRINE); up-regulation of myocardial beta-1-adrenergic receptors (which improves myocardial responsiveness to beta-agonist stimulation); decrease in heart rate (which reduces myocardial oxygen consumption, enhances coronary artery blood flow, and improves myocardial perfusion); correction of abnormal intracellular calcium disposition; antioxidant effects ...
(D) The primary cytochrome P450 isoenzymes responsible for the metabolism of carvedilol are CYP2D6 and CYP2C9 and to a lesser extent CYP3A4, 2C19, 1A2, and 2E1.
Ref: Micromedex