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Benzonatate

苯佐那酯
Mechanism of action:
Benzonatate 能與神經元細胞膜上的電壓門控鈉離子通道(voltage-gated Na⁺ channels)結合,讓鈉離子通道處於不活化的狀態,阻止 Na⁺ 流入細胞產生去極化(depolarization),因此動作電位無法產生,使感覺神經麻痺,導致咳嗽反射敏感性下降。
Reference(s):
1. Dicpinigaitis PV et al. (2009). Inhibition of cough-reflex sensitivity by benzonatate and guaifenesin in acute viral cough. Respir Med.
2. Bishop-Freeman SC et al. (2017). Benzonatate toxicity: nothing to cough at. J Anal Toxicol.
3. Thimann DA et al. (2012). Benzonatate toxicity in a teenager resulting in coma, seizures, and severe metabolic acidosis. J Pediatr Pharmacol Ther.
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