• Title/Summary/Keyword: Drug withdrawal

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Neurobiology of Addiction Based on Neuroimaging Evidence (중독 정신 병리의 이해 : 뇌영상 연구를 중심으로)

  • Min, Jung-Ah;Kim, Dai-Jin
    • Korean Journal of Biological Psychiatry
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    • v.18 no.2
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    • pp.61-71
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    • 2011
  • Substance addiction is a chronically relapsing disorder that has been characterized by a vicious cycle composed of intoxication, craving/anticipation, withdrawal, and response inhibition/bingeing. Here we summarize the findings from neuroimaging studies in addiction according to these behavioral components and suggest the integrated neurobiological model of drug addiction and related brain correlates. The roles of various prefrontal regions, thalamus, memory circuit, anterior cingulated, and insula were also suggested in addition to those of classical mesolimbic dopaminergic system and its responsivity. Limited studies of behavioral addiction demonstrated a similarity with substance addiction on the neurobiological basis. Based on the current understanding of neurobiology of addiction, further researches on interactions of behavioral components and their brain correlates, behavioral addiction, and therapeutic applications will be desired.

Medications for Child with Chronic Constipation (소아 변비 치료에서 약물사용)

  • Bae, Sun Hwan
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.12 no.sup1
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    • pp.111-117
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    • 2009
  • Constipation is one of the most common symptoms that a child visits pediatrician. The general approach to the child with functional constipation includes the following steps; disimpaction, maintenance and withdrawal of medication. There are many drugs which can be applied to children; osmotic agents (lactulose, sorbitol, magnesium hydroxide/citrate, polyethylene glycol with/without electrolytes, sodium phosphate, glycerin), stimulants (senna, bisacodyl, caster oil), lubricant (mineral oil), bulking agent (psyllium, cellulose, glucomannan). At each stage of treatment, one or some of these drug can be applied to the purpose. The author tries to summarize recent studies on drugs for constipation in child, and finally introduces new dugs for constipation which is under investigation.

Anti-inflammatory and anti-nociceptive effects of extract of Astragalus membranaceous

  • Kim, Young-Ock;Kim, Su-Kang;Cho, Ah-Rang;Chung, Joo-Ho
    • Advances in Traditional Medicine
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    • v.7 no.5
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    • pp.569-572
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    • 2008
  • The root of Astragalus membranaceous (AM) has been used to treat edema and arthritis in the traditional Korean medicine. To elucidate the anti-inflammatory and anti-nociceptive effects of ethanol extract of AM, the carrageenan-induced paw edema using a plethysmometer and thermal hypersensitivity using the plantar test were measured. Ibuprofen was used as a control drug. Pretreatment with AM (400 mg/kg p.o.) significantly reduced paw edema, compared to the carrageenan-treated rats. In the plantar test, the thermal withdrawal latency in AM-treated group was significantly increased than the carrageenan-treated group. The results indicate that AM could have be the anti-inflammatory and anti-nociceptive properties.

The Reappraisal and Appropriate Use of Benzodiazepine (Benzodiazepine의 재평가 및 적절한 사용)

  • Park Sung-Hyouk;Kim Chan-Hyung
    • Anxiety and mood
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    • v.1 no.1
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    • pp.31-36
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    • 2005
  • Benzodiazepine (BDZ) has the possibilities of development of tolerance, withdrawal symptoms, and abuse/addiction, as well as chronically adverse effects. Although many guidelines have proposed the restricted prescription of them, their uses in many psychiatric areas as well as primary practice are still wide spread. So we tried to reappraise the clinical characteristics of BDZ and then to consider the appropriate use. Firstly, meta-analyses on long-term use of BDZ indicated the cognitive impairment, which could be improved after discontinuation of BDZ. Next, there have been some evidences that the long-term use of BDZ does not develop tolerance, contrary to our concern, and maintains good anxiolytic effects. Also, physiological dependence should be discriminated from abuse/addiction, assuming the reality that the risk of BDZ abuse/addiction is surely overestimated. These issues are discussed in detail.

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Effects of Ginkgo biloba Extract (EGb 761) on the Enalapril-induced ACE Inhibition in SHRs (SHR에 있어 Enalapril의 ACE억제효과에 대한 Ginkgo biloba Extract(EGb 761)의 영향)

  • 이영미;염윤기;신완균;손의동;안형수
    • YAKHAK HOEJI
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    • v.45 no.1
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    • pp.93-100
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    • 2001
  • Drug inetraction between of enalapril-induced angiotensin converting enzym) inhibitory effect and Ginkgo biloba Ext.-induced antioxidant action was evaluated in spontaneously hypertensive rats. Combination treatment of enalapril (20 mg/kg/day p.o.) and Ginkgo biloba Ext. (60 mg/kg/day, p.o.) for 6 weeks in drinking water to SHRs resulted the inhibition of ACE activity in lung tissue, angiotensin I-induced pressure response and plasma angiotensin II concentration as similar to enalapril alone treatment. But these effects were sustained after 1 week withdrawal of enalapril and Ginkgo biloba Ext. co-administeration. Also, coadministered group did not increase the concentration of bradykinin in lung tissue, which were different from enalapril alone treated group. Co-administration of enalapril and Ginkgo biloba Ext. inhibited the hemolysis induced by UV B type, even Ginkgo biloba Ext. alone treated group did not. These results suggested that Ginkgo biloba Ext. sustained ACE inhibitory effect and reduced the inhibitory effect of bradykinin inactivation induced by enalapril, meanwhile, enalapril increased the antioxidant effect of Ginkgo biloba Ext.

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Protocollagen Proline Hydroxylase Activity in the Course of Rebound of Proliferative Inflammation (증식성 염증의 재증식과정에 따른 Protocollagen Proline Hydroxylase의 활성)

  • 신국현
    • YAKHAK HOEJI
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    • v.19 no.4
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    • pp.234-239
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    • 1975
  • Protocollagen proline hydroxylase (PPH) activity in the course of rebound of rat carrageenin granuloma was assyed to investigate its relationship with collagen blosynthesis. The specific activity of PPH which was inhibited significantly by treatments with hydrocortisone acetate 93mg/kg/day, 3days) was recovered near to the normal level by 48hr after the cessation of the corticoid treatments. The total enzyme activity of the granuloma of treated group was not yet recovered even on the 3rd day, still showing a significant difference from control. PPH activity expressed in terms of granuloma cells between control and the drug treated group, however, was changed showing no apparent difference throughout the experimental period. These results suggested that the synthesis of protocollagen(collagen precursor) rather than PPH activity was directly affected by administration and withdrawal of corticoid.

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Effects of Achyrantes japonica on Carrageenan-Induced Arthritis Rat Model (Carrageenan으로 유발한 관절염 쥐에서의 우슬추출물 효과)

  • Kim, Young-Ock;Lee, San-Won;Lee, Seung-Eun
    • Korean Journal of Medicinal Crop Science
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    • v.17 no.6
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    • pp.470-474
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    • 2009
  • Achyrantes japonica (AJ) has been used to treat edema and arthritis in the traditional Korean medicine. To elucidate the anti-inflammatory and anti-nociceptive effects of ethanol extract of AJ, the carrageenan-induced paw edema using a plethysmometer and thermal hypersensitivity using the plantar test were measured. Ibuprofen was used as a control drug. Treatment with AJ (200mg/kg p.o.) significantly reduced paw edema, compared to the carrageenan - treated rats. In the plantar test, the thermal withdrawal latency in AJ - treated group was significantly increased than the carrageenan - treated group. The results indicate that AJ could have be the anti-inflammatory and anti-nociceptive properties.

Anxiolytic effect of Albizzia julibrissin using elevated plus-maze in rats

  • Oh, Jin-Kyung;Ahn, Nam-Yoon;Oh, Hye-Rim;Oh, Hee-Kyung;Jung, Ji-Wook;Ryu, Jong-Hoon
    • Proceedings of the PSK Conference
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    • 2002.10a
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    • pp.393.2-393.2
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    • 2002
  • Benzodiazepine is a widely used anxiolytic agent. However it has been reported that most anxiolytics have side effects such as hypotension, depression of respiration. dizziness. headaches. chronic sleep disorders. drug poisonings. and withdrawal symptoms. In this report. we want to evaluate the anxiolytic effect of Albizia julibrissin (AJ), There are various reports that AJ has several biological activities such as sedative action. insomnia. irritability, anorexia and diuretic action. (omitted)

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Current Status of Clozapine for Treatment-Resistant Schizophrenia (치료저항성 조현병에서 클로자핀 치료의 현황)

  • Kim, Se Hyun
    • Korean Journal of Schizophrenia Research
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    • v.24 no.1
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    • pp.1-7
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    • 2021
  • Clozapine is the first and most effective atypical antipsychotic drug for treatment-resistant schizophrenia (TRS). After withdrawal of clozapine due to concerns of agranulocytosis, clozapine was reintroduced with a comprehensive safety monitoring system, the clozapine patient monitoring system (CPMS). The reintroduction was a response to the pressure from psychiatrists and patients with TRS and their families. Clozapine is still the best single agent for the treatment of TRS. However, approximately 30% of patients with TRS still show psychotic symptoms. In patients with clozapine-resistant schizophrenia (CRS), augmentation of other antipsychotic agents could be considered after a thorough evaluation of proper clozapine treatment. In this review, the status of clozapine in patients with TRS and CRS will be discussed.

Effect of Diethylcarbamazine against Brugia malayi Infection on Cheju Island, evaluated in 1965 (1965년(年)에 실시(實施)한 Diethylcarbamazine의 말레이사상충(絲狀蟲)에 대한 구충효과(驅蟲效果)의 평가(評價))

  • Paik, Yung-Han
    • Parasites, Hosts and Diseases
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    • v.24 no.2
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    • pp.201-204
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    • 1986
  • A study on the effect of diethylcarbamazine (DEC) (Supatonin) against Brugia malayi infection was conducted on Cheju Island in September 1965. A total of 182 persons living in a village of Aiwol Myun, Bukcheju-Gun was examined for microfilaraemia. Microscopic examination of smears of $20{\mu}l$ of blood revealed a microfilaria positivity rate of 28.5%. At the end of September 1965, 34 confirmed microfilaria positive cases were treated with DEC at a daily dosage of 5mg/kg body weight. A full course of 12 days of drug administration divided of two rounds for 6 days each was used. The first round of treatment was given under a strict supervision of the author in order to observe carefully side-effects of the drug. The second round of treatment was given in January 1966. The microfilaria density in $20{\mu}l$ of blood of those who received the drug was checked four times; before the treatment, during the first round of the treatment, 2 weeks and 4 months after the completion of the first round. The pre-treatment mean microfilaria density of 104.6 diminished to nearly zero (only two cases with one microfilaria respectively) 2 weeks after the first round and again slightly rose up to 0.5 four months after the first round. These results indicate that DEC (Supatonin) is highly effective to eliminate the microfilaria of B. malayi. However, severe side-effects, e.g. fever (average $38.6^{\circ}C$, maximum $39.7^{\circ}C$), headache, backache and seldom abdominal discomfort etc. were observed. There were two cases of withdrawal from the scheme due to refusal.

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