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Carisoprodol

卡立普多
Mechanism of action:
Carisoprodol 是一種中樞性骨骼肌鬆弛劑(centrally acting skeletal muscle relaxant)。Carisoprodol 的確切機制尚未完全清楚,不過可能作用於脊髓與網狀結構(reticular formation),抑制多突觸反射傳導(polysynaptic reflexes),減少肌張力與不自主肌肉收縮。在肝臟中 carisoprodol 會被 CYP2C19 酵素代謝為甲丙氨酯(meprobamate),甲丙氨酯能促效 GABA_A 受體,具有抗焦慮與鎮靜相關特性。
Reference(s):
1. Toth PP et al. (2004). Commonly used muscle relaxant therapies for acute low back pain: a review of carisoprodol, cyclobenzaprine hydrochloride, and metaxalone. Clin Ther.
2. Chou R et al. (2004). Comparative efficacy and safety of skeletal muscle relaxants for spasticity and musculoskeletal conditions: a systematic review. J Pain Symptom Manage.
3. Littrell RA et al. (1993). Carisoprodol (Soma): a new and cautious perspective on an old agent. South Med J.
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