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Z-drugs

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唑吡坦的结构

Z类药物(Z-drugs)是一类药理作用与苯二氮类药物类似的药物,[1]主要用于治疗失眠,效果和苯二氮类药物相当接近。Z-drugs由三种z开头的物质组成:佐匹克隆(zopiclone)、唑吡坦(zolpidem)和扎来普隆(zaleplon)。这三种物质通常透过调控BZD的次结合位(GABA-A为接受者)作用。[2]

历史

Z-drugs最早出现于1980和1990年间。1989年,佐匹克隆英国NHS核准,并以“思梦还”(Imovane)作为商品名称上市;临接着法国赛诺菲药厂开发的唑吡坦也以“使蒂诺斯/思诺思”(Stilnox)作为商品名称上市。1999年国王制药英语King Pharmaceuticals制作的扎来普隆被FDA同意可以销售到市面;2005年FDA同意右佐匹克隆的使用;2012年FDA核准“间奏曲”(Intermezzo),而该药系使用较低剂量唑吡坦作为其主要配方,用于夜间睡眠中断而难以继续入睡的情况。

值得注意的是,美国FDA没有批准佐匹克隆右佐匹克隆作为药品上市。

参考文献

  1. ^ What's wrong with prescribing hypnotics?. Drug Ther Bull. December 2004, 42 (12): 89–93 [2013-07-04]. PMID 15587763. doi:10.1136/dtb.2004.421289. (原始内容存档于2009-03-03). 
  2. ^ Barbera J, Shapiro C. Benefit-risk assessment of zaleplon in the treatment of insomnia. Drug Saf. 2005, 28 (4): 301–18. PMID 15783240. doi:10.2165/00002018-200528040-00003. 
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Z-drugs
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