Do predictors exist for the therapeutic effect of 5-HT3 receptor antagonists in fibromyalgia?

T Stratz, W Müller
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引用次数: 2

Abstract

From the findings outlined below, there are no reliable predictors of the therapeutic effect of the 5-HT3-receptor antagonists in fibromyalgia. Neither clinical change in pain and vegetative symptoms, nor alterations in biochemical parameters are appropriate predictors of response. The accompanying psychological changes in the form of depressive disorders appear to be somewhat predictive of decreased therapeutic effect, if such definitive statements can be applied to individual cases. If, following new trials, it becomes possible to judge the response of patients to therapy after 3-5 days treatment with 2 mg intravenous tropisetron then predictors will be unnecessary in practice.

5-HT3受体拮抗剂对纤维肌痛的治疗效果是否存在预测因子?
从下面概述的研究结果来看,没有可靠的预测5- ht3受体拮抗剂对纤维肌痛的治疗效果。无论是疼痛和植物性症状的临床变化,还是生化参数的改变都不是反应的适当预测指标。如果这种明确的陈述可以应用于个别病例,那么伴随的抑郁症形式的心理变化似乎在某种程度上预示着治疗效果的下降。如果在新的试验之后,可以判断患者在静脉注射2mg托哌司琼治疗3-5天后对治疗的反应,那么在实践中就不需要预测因子了。
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