Safety of nicergoline as an agent for management of cognitive function disorders.

Safety of nicergoline as an agent for management of cognitive function disorders.
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DOI:
10.1155/2014/610103
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发表时间:
2014
影响因子:
--
通讯作者:
Shoeb A
Shoeb A
中科院分区:
生物学3区
文献类型:
--
作者:
Saletu B;Garg A;Shoeb A

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尼麦角林是一种半合成麦角衍生物,具有选择性 α-1A 肾上腺素受体阻断特性以及其他额外的作用机制,无论是在大脑还是在外周。三十多年来,它在五十多个国家的临床应用中用于治疗脑梗塞、急性和慢性外周循环障碍、血管性痴呆和阿尔茨海默氏病等疾病,并且已被发现对多种其他疾病有益。然而,人们对其安全性表示担忧,特别是在欧洲药品管理局 (EMEA) 限制使用包括尼麦角林在内的所有麦角衍生物之后。但是,大多数现有文献和数据表明,尼麦角林的不良事件是轻微且短暂的。此外,现有的认知障碍治疗方案都无法彻底解决症状。在此背景下,我们讨论尼麦角林的药理学,特别强调该化合物的安全性,特别是用于患有认知功能障碍的患者时。
Nicergoline is a semisynthetic ergot derivative and has a selective alpha-1A adrenergic receptor blocking property and also other additional mechanisms of actions, both in the brain and in the periphery. It is in clinical use for over three decades in over fifty countries for conditions such as cerebral infarction, acute and chronic peripheral circulation disorders, vascular dementia, and Alzheimer's disease and has been found to be beneficial in a variety of other conditions. However, concerns about its safety have been raised, especially after the European medicines agency's (EMEA's) restriction in the use of all ergot derivatives including nicergoline. But, most of the available literature and data suggest that the adverse events with nicergoline are mild and transient. Further, none of the available treatment options for cognitive disorders afford definitive resolution of symptoms. In this backdrop, we discuss the pharmacology of nicergoline with special emphasis on the safety of this compound, especially when used in patients suffering from cognitive function disorders.
评估尼麦角林不良事件概况和耐受性的系统评价和荟萃分析
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