問題詳情

62.下列何者常用於鴉片成癮治療?
(A)nalbuphine
(B)buprenorphine
(C)oxymorphone
(D)levorphanol

參考答案

答案:B
難度:適中0.538462
統計:A(4),B(7),C(1),D(1),E(0)

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【解題】節錄自7th Foey's p.681內文buprenorphine has only partial mu agonist action, it will precipitate withdrawal in patients dependent on full mu agonists , but itnalso suppresses  symptoms of full-blown withdrawal【延伸學習 & 國考複習】 (完整表格詳見北醫藥學103級藥理藥化統整本 3.0 P104)【整理自7th Foey's p.681內文】(底線部分為國考考過考點)(From 王瑞賢 1081藥理藥化詳解p.85)【Buprenorphine】需IV/舌下1.機轉: Partial μ agonist、κ partial antagonist2.高μ親和力:(1)原因:A.C7可結合H、OH B.高親脂性(2) pseudoirreversible:半衰期長(37hr)→可QD(3)可減緩戒斷症狀:因高親和力使其從μ受體降解速...