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Ramosetron

雷莫司瓊
Mechanism of action:
Ramosetron 是一種選擇性 5-HT₃ 受體拮抗劑(selective serotonin 5-HT₃ receptor antagonist)。化療或麻醉刺激腸胃黏膜時,腸嗜鉻細胞(enterochromaffin cell)會釋放大量血清素(serotonin,5-HT),作用於迷走神經末端與延腦的化學受體觸發區(chemoreceptor trigger zone,CTZ),引起噁心、嘔吐。Ramosetron 透過競爭性拮抗 5-HT₃ 受體,阻止血清素活化這些神經路徑,從而抑制噁心與嘔吐反射。
Reference(s):
1. Fujii Y et al. (2000). Ramosetron for preventing postoperative nausea and vomiting in women undergoing gynecological surgery. Anesth Analg.
2. Lee SH et al. (2016). Population pharmacokinetics of ramosetron. J Pharmacokinet Pharmacodyn.
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