Do cytochrome enzymes influence the therapeutic effect of tropisetron in fibromyalgia?

Stratz, T. and Kees, Frieder and Mueller, W. (2003) Do cytochrome enzymes influence the therapeutic effect of tropisetron in fibromyalgia? DRUGS UNDER EXPERIMENTAL AND CLINICAL RESEARCH, 29 (2). pp. 91-94. ISSN 0378-6501

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Abstract

It is well known that the 5-HT3 receptor tropisetron shows a bell-shaped dose-response curve in the treatment of pain associated with fibromyalgia. The best results are achieved with a daily oral dose of 5 mg for 10 days. Dosages of 10 and 15 mg per day have a much weaker effect. If tropisetron is administered by intravenous injection, a regimen of 5 mg per day over 5 days will suffice to reduce pain substantially. An open study of selected cases revealed that 2 mg of tropisetron daily for 5 days also yielded satisfactory pain reduction, whereas this was not observed in a placebo-controlled double-blind study. We therefore investigated which factors might be responsible for the different effects of the drug. Judging from the above-mentioned studies, the effect of a minimum dosage of tropisetron could be assumed to be partly attributable to the different half-life periods. This is supported by the markedly different rates of constipation, a characteristic side effect of the drug, reported by the two studies.

Item Type: Article
Uncontrolled Keywords: PARKINSONS-DISEASE; CYP2D6;
Subjects: 600 Technology > 615 Pharmacy
Divisions: Chemistry and Pharmacy > Institute of Pharmacy > Alumni or Retired Professors > Prof. Frieder Kees
Depositing User: Dr. Gernot Deinzer
Date Deposited: 22 Sep 2021 05:47
Last Modified: 22 Sep 2021 05:47
URI: https://pred.uni-regensburg.de/id/eprint/39438

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