[Comparative effectiveness of alpha-2 adrenergic agonists (clonidine-guanfacine) in the hospital detoxification of opiate addicts].

Abstract:

:The usefulness of two alpha-2 adrenergic agonists (clonidine and guanfacine) and their comparative effectiveness were evaluated regarding the control of the opiates abstinence syndrome and the secondary effects, including development of cardiovascular abnormalities, in 88 parenteral heroin abusers admitted to two hospital units for the treatment of addiction. The patients were treated in a random, double blind fashion, with clonidine or guanfacine. In the study dosages, both drugs proved to be useful to control the abstinence syndrome. Nearly 70% of those treated with any of the two agonists were able to complete the treatment. When both drugs were compared, a higher degree of restlessness (p less than 0.01) was found among those treated with clonidine, although there were no differences in any other evaluated parameters to compare the degree of abstinence in each drug. The most commonly found side effects were orthostatism, lassitude, mental torpor and oral xerosis. These were independent of the drug used. There were no differences between both drugs regarding heart rate or blood pressure, although both parameters were significantly modified with the doses used in the study.

journal_name

Med Clin (Barc)

journal_title

Medicina clinica

authors

Muga R,Tor J,Forteza-Rei J,Jacas C,Altés J,Mestre L

subject

Has Abstract

pub_date

1990-02-10 00:00:00

pages

169-72

issue

5

eissn

0025-7753

issn

1578-8989

journal_volume

94

pub_type

临床试验,杂志文章,随机对照试验
  • [Pharmacogenetics in oncology].

    abstract::Pharmacogenetics studies the relationship between genetic polymorphisms and individual responses to drugs. In recent years, there has been a great progress in our knowledge of the effects of drug-metabolizing enzymes and molecular target genetic polymorfisms on cancer chemotherapy. Pharmacogenetics focuses on the pred...

    journal_title:Medicina clinica

    pub_type: 杂志文章,评审

    doi:10.1157/13124283

    authors: Morán González D,Jiménez Cabrera S,Domínguez-Gil Hurlé A

    更新日期:2008-07-05 00:00:00

  • [Prospective randomized trial of meropenem versus cefotaxime and metronidazole in the treatment of intraabdominal infections].

    abstract:BACKGROUND:The empiric antibiotic treatment of intraabdominal infections is in constant evolution. Monotherapy appears to be a desirable goal because of the simplicity of its administration, lack of toxic effects and wide spectrum. PATIENTS AND METHODS:A multicentre, prospective, randomized, open study was carried out...

    journal_title:Medicina clinica

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:

    authors: Sitges-Serra A,Guirao X,Díaz J,Azanza R,Rodríguez Noriega A,Lizasoaín M,Jover JM,Moreno Azcoita M,Caínzos M

    更新日期:1998-06-27 00:00:00

  • [The relevance of the ankle-arm index to the reclassification of cardiovascular risk in asymptomatic hypertensive middle-aged males].

    abstract:BACKGROUND AND OBJECTIVE:The ankle-brachial index allows for the detection of subclinical cardiovascular disease and risk, by diagnosing peripheral arterial disease and arterial calcification. Asymptomatic hypertensive men, between 45-55 years and with the suspicion of low risk, could be an important population group t...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/j.medcli.2014.02.028

    authors: Oliveras V,Martín-Baranera M,Gracia M,Del Val JL,Plans M,Pujol-Moix N

    更新日期:2015-05-21 00:00:00

  • [Prevalence of exposure to environmental tobacco smoke in a urban population].

    abstract:BACKGROUND AND OBJECTIVE:We decided to assess the overall prevalence of exposure to environmental tobacco smoke (ETS) both in general and according to the settings of exposure (home, workplace and leisure time). SUBJECTS AND METHOD:We analyzed cross-sectional data of ETS exposure in 1,059 non-smokers included in the C...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(04)74570-4

    authors: Twose J,Schiaffino A,García M,Martí M,Fernández E,Investigadores del Estudio de Seguimiento de la Encuesta de Salud de Cornellà (ES-ESC).

    更新日期:2004-10-16 00:00:00

  • [Mild hyperhomocysteinemia, low folate levels and prognosis of acute coronary syndrome without ST elevation].

    abstract:BACKGROUND AND OBJECTIVE:The influence of homocysteine metabolism on the prognosis of acute coronary syndrome without ST elevation is controversial. PATIENTS AND METHOD:Prospective study of 109 patients admitted because of acute coronary syndrome without ST elevation. Basal plasmatic levels of homocysteine and folates...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1157/13109705

    authors: García-Pinilla JM,Espinosa-Caliani S,Gómez-Doblas JJ,Jiménez-Navarro MF,Cabrera-Bueno F,Muñoz Morán E,Ruiz-Galdón M,Reyes-Engel A,de Teresa Galván E

    更新日期:2007-09-08 00:00:00

  • [Megadosage of 6-methylprednisolone in systemic vasculitis with renal involvement. A prospective study].

    abstract::A prospective, open and uncontrolled study of effectiveness and side effects of intravenous 6-methylprednisolone megadoses was carried out in 20 patients with systemic vasculitis with rapidly progressive renal failure. The results showed a favorable response of renal function in 80% of patients and a control of pulmon...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Segarra Medrano A,Vallés Prats M,Vidal MT,Tovar Méndez JL,Piera Robert L

    更新日期:1990-12-01 00:00:00

  • [Carbapenem and multidrug-resistant Acinetobacter baumannii colonisation/infection: epidemiology and factors associated with infection].

    abstract:BACKGROUND AND OBJECTIVE:To study an outbreak of nosocomial colonisation/infection due to multidrug and carbapenem resistant A. baumannii (ABMDR-C). PATIENTS AND METHODS:Prospective study of patients with ABMDR-C colonisation/infection (January 2007-June 2008). Epidemiological and clinical variables and predictors of ...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/j.medcli.2010.01.033

    authors: Hernández-Torres A,García-Vázquez E,Gómez J,Canteras M,Ruiz J,Fernández-Rufete A,Herreroa JA,Yagüe G

    更新日期:2010-09-18 00:00:00

  • [The processes of manuscript evaluation and publication in Medicina Clínica. The editorial committee of Medicina Clínica].

    abstract::The decision-making process includes a series of activities undertaken in biomedical journals from the moment a manuscript is received until it is accepted or rejected. Firstly, the manuscript is evaluated by the members of the Editorial Board, who analyze both its suitability for the journal and its scientific qualit...

    journal_title:Medicina clinica

    pub_type: 指南,杂志文章

    doi:10.1016/s0025-7753(05)72202-8

    authors: Ribera JM,Cardellach F,Selva A,Editorial committee of Medicina Clínica.

    更新日期:2005-12-01 00:00:00

  • [Factors associated with sharing syringes among street-recruited injecting drug users].

    abstract:BACKGROUND AND OBJECTIVE:To estimate the prevalence of risk behaviors related to drug use and to identify factors associated with of accepting and passing on used syringes among intravenous drug users (IDU) recruited in Barcelona city and other surrounding areas in 2004. SUBJECTS AND METHOD:A cross-sectional study of ...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1157/13093723

    authors: Folch C,Meroño M,Casabona J

    更新日期:2006-10-14 00:00:00

  • [Familial aggregation of lipid and lipoprotein levels: the Cuenca study].

    abstract:BACKGROUND:The aim of this study was to assess the familial aggregation of lipid levels in schoolchildren of Cuenca city, Spain. SUBJECTS AND METHODS:A cross sectional study was made including 307 both sexes schoolchildren 9-12 years old recruited in three schools of Cuenca city, and 346 of their parents. Sociodemogra...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Martínez Vizcaíno V,Salcedo Aguilar F,Franquelo Gutiérrez R,Jarabo Crespo Y,Muelas Herráiz F,Domínguez Rojas V

    更新日期:1997-10-04 00:00:00

  • [Cytogenetic study of 93 myelodysplastic syndromes].

    abstract:BACKGROUND:We describe the cytogenetic results of 93 patients with myelodysplastic syndromes (MDS). The main object of this report is to analyze the prognostic value of the karyotype in patients with MDS, in relation to the evolution to acute leukemia and the survival time. PATIENTS AND METHODS:Cytogenetic studies wer...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Solé F,Woessner S,Florensa L,Pérez-Losada A,Acín P,Besses C,García-Eroles L,Sans-Sabrafen J

    更新日期:1998-01-31 00:00:00

  • [Tolerance and heteroresistance in Gram-positive microorganisms].

    abstract::During the last few years, insufficient efficacy of currently recommended antimicrobial agents has been observed, mainly in the case of glycopeptides, during the treatment of infections due to methicillin-resistant Staphylococcus aureus, even if these isolates show MIC values within the susceptible range. The phenomen...

    journal_title:Medicina clinica

    pub_type: 杂志文章,评审

    doi:10.1016/S0025-7753(10)70036-1

    authors: Morosini MI,Cantón R

    更新日期:2010-12-01 00:00:00

  • [Neoplasms associated with human immunodeficiency virus infection. Study of the clinical course of 70 patients].

    abstract:BACKGROUND:A different epidemiologic pattern of the neoplasms associated to the human immunodeficiency virus (HIV) has been described in the Mediterranean area. The aim of the present study was to analyze the epidemiologic, clinical and evolutive characteristics of these patients. METHODS:A retrospective study of 74 n...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Pintado V,López-Dupla JM,Valencia ME,Lavilla P,Martín A,González MD,García-Puig J,Gil A

    更新日期:1993-05-15 00:00:00

  • [Therapeutic control and quality of life in coronary artery bypass surgery patients].

    abstract:BACKGROUND:Description of measures of secondary prevention and of health related quality of life one year after the intervention in patients undergoing coronary artery bypass surgery. PATIENTS AND METHOD:One year follow up prospective study in patients undergoing first coronary bypass surgery without associated proced...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(01)71785-x

    authors: Brotons Cuixart C,Moral Peláez I,Permanyer Miralda G,Ribera Solé A,Cascant Castelló P,Estudio CIRCORCA.

    更新日期:2001-02-24 00:00:00

  • [Number needed to treat: Interpretation and estimation in multivariable analyses and censored data].

    abstract::Number needed to treat has been recommended as an easy way to transmit results from a trial, especially controlled clinical trials. Most articles estimate it from a 2×2 table, as the inverse of the absolute risk reduction. However, some limitations have been pointed out: The interpretation is not as easy as claimed, c...

    journal_title:Medicina clinica

    pub_type: 杂志文章,评审

    doi:10.1016/j.medcli.2013.05.003

    authors: Gómez-Acebo I,Dierssen-Sotos T,Llorca J

    更新日期:2014-05-20 00:00:00

  • [Hereditary systemic autoinflammatory diseases. Hereditary periodic fever syndromes].

    abstract::Systemic autoinflammatory diseases are an heterogeneous group of systemic disorders clinically characterized by recurrent or persistent inflammatory episodes, which occur in the absence of infectious, neoplastic or autoimmune etiology. During the past years, genetic defects affecting different proteins involved in the...

    journal_title:Medicina clinica

    pub_type: 杂志文章,评审

    doi:10.1157/13108350

    authors: Aróstegui JI,Yagüe J

    更新日期:2007-07-14 00:00:00

  • [Use of drugs in the REACH registry: from guidelines to clinical practice].

    abstract::The REACH registry allows the degree of control of risk factors associated with atherothrombosis to be evaluated. Although 90% were taking at least one antihypertensive agent, hypertension was controlled in only 42.9% of the patients with vascular disease. This inadequate control may have multiple causes but the main ...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/S0025-7753(09)71754-3

    authors: Gómez Cerezo JF

    更新日期:2009-09-01 00:00:00

  • [The evolution and prediction of the incidence of breast cancer in Zaragoza, 1961-2000].

    abstract:BACKGROUND:Using the data available from the Cancer Registry of Zaragoza, the incidence of breast cancer in women from 1961 to 1985 was analyzed with future evolution being predicted up to the year 2000. METHODS:The age, period and birth cohort effects, in addition to the place of residence (capital/rest of province) ...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Vioque J,Navarro Gracia JF,Millas Ros J,Mateo de las Heras E

    更新日期:1993-05-29 00:00:00

  • [European study of asthma. Prevalence of atopy in young adults of 5 areas in Spain. Spanish Group of European Asthma Study].

    abstract:BACKGROUND:The aim of the current study is to show the prevalence of atopy in five Spanish areas, and its variability according to area, age and gender. PATIENTS AND METHODS:From a populational based sample of 16,884 individuals aged 20 to 44 years-old, we obtained a randomized 20% subsample (n = 3,310). Participants ...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Cortés X,Soriano JB,Sánchez-Ramos JL,Azofra J,Almar E,Ramos J

    更新日期:1998-11-07 00:00:00

  • [Significance of heterozygosity loss in the long arm of chromosome 5 (5q21) in small cell carcinoma of the lung].

    abstract:BACKGROUND:Loss of heterozygosity (LOH) at 5q21, where the APC/MCC genes reside, is one of the genetic alterations that characterizes lung cancer. The aim of this study was to analyse LOH frequency on chromosome 5q21 in patients with non-small cell lung cancer and its relationship with TNM staging and histological subt...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Sánchez Céspedes M,López Cabrerizo MP,Moreno I,Ariza A,Monzó M,Rosell R

    更新日期:1997-05-31 00:00:00

  • [Rapidly progressive glomerular disease treated with plasmapheresis (author's transl)].

    abstract::A case of rapidly progressive glomerular disease with 100% of epithelial crescents completely enveloping each glomerulus, prolonged anuria and renal failure requiring dialysis. There were no indications of either streptococcal etiology or systemic disease. Improvement in renal function in response to plasmapheresis an...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Praga M,Mijares R,Elósegui A,de los Mozos J,Ochoa de Olza M,Cortabitarte N,López de Novales E

    更新日期:1981-06-10 00:00:00

  • [Gender differences in early reperfusion treatment after myocardial infarction].

    abstract:BACKGROUND AND OBJECTIVE:Clinical variability in myocardial infarction (MI) regarding age, comorbidities and atypical symptoms could determine gender differences in inhospital care. This study analyzes the magnitude and determinants of differences between men and women in early reperfusion therapy in people hospitalize...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(07)72497-1

    authors: Aldasoro E,Calvo M,Esnaola S,Hurtado de Saracho I,Alonso E,Audicana C,Arós F,Lekuona I,Arteagoitia JM,Basterretxea M,Marrugat J,IBERICA-País Vasco Group.

    更新日期:2007-01-27 00:00:00

  • [Hypothyroid myopathy. A clinical and histologic prospective study of 19 patients].

    abstract::Nineteen patients with primary hypothyroidism were prospectively studied before starting replacement therapy with thyroid hormones. Most patients had mild to moderate muscle symptoms: generalized muscle weakness, myalgia and cramps, and increased serum levels of muscle enzymes. In two patients these features were the ...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Monforte R,Fernández-Solà J,Casademont J,Vernet M,Grau JM,Urbano-Márquez A

    更新日期:1990-06-23 00:00:00

  • [Results of the SHOP LNHB98 (LMB89) trial in pediatric patients with B-cell non-Hodgkin's lymphoma].

    abstract:BACKGROUND AND OBJECTIVE:After the good results obtained by the Société Française d'Oncologie Pédiatrique (SFOP) regarding the pediatric B-type non-Hodgkin's (Burkitt and large B-cell) lymphoma and L3 leukemia, the Sociedad Española de Hematología y Oncología Pediátricas (SHOP) decided to use the same treatment protoco...

    journal_title:Medicina clinica

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1157/13102049

    authors: Forns M,Javier G,Estella J,Fernández-Delgado R,Gallego S,García-Miguel P,Indiano JM,Navajas A,Pardo N,en representación del grupo SHOP de las Sociedades Españolas de Hematología (SEHP) y Oncología Pediátricas (SEOP).

    更新日期:2007-05-05 00:00:00

  • [Lipid kinetics during dual antiviral therapy in patients with chronic hepatitis C].

    abstract:BACKGROUND AND OBJECTIVE:We analyzed baseline and kinetic characteristics of lipid metabolism during the first month of bitherapy in patients with chronic hepatitis C genotype 1 (CHC-1). PATIENTS AND METHODS:A longitudinal, prospective study including 99 naïve CHC-1 patients with liver biopsy who were treated with bit...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/j.medcli.2013.12.016

    authors: Jiménez Macías FM,Barrero Alor F,Casado Monge PG,Ramos Lora M,Pujol de la Llave E,Ruíz-Frutos C

    更新日期:2015-06-22 00:00:00

  • [Levodopa-induced psychosis in patients with idiopathic Parkinson disease].

    abstract:BACKGROUND:To identify which clinical factors can modify the probability of the appearance of the psychotic syndromes in patients with idiopathic Parkinson's disease treated with levodopa. PATIENTS AND METHODS:214 patients were retrospectively studied to evaluate the appearance of hallucinosis, delusions or mental con...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: García-Escrig M,Bermejo Pareja F,Fernández Ponsatí JT

    更新日期:1999-02-27 00:00:00

  • [Amebic liver abscess: review of 13 cases].

    abstract::Amebian hepatic abscess (AHA) is the most frequent extraintestinal localization of infection by Entamoeba histolytica. Despite being a disease mainly of tropical zones, it is currently also observed with higher frequency in Spain. Thirteen cases of AHA diagnosed in the authors' hospital over the last 11 years were ret...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: García-Forcada A,Sans M,Gascón J,Valls ME,Bru C,Corachán M

    更新日期:1995-10-28 00:00:00

  • [Local variability in the guidelines for hypertension screening, diagnosis and baseline assessment in 40 health centers].

    abstract:BACKGROUND:To identify and to compare the recommendations of the currently existing clinical protocols for arterial hypertension (HT) screening, diagnosis and baseline study in the Murcia Region, Spain, in order to assess their validity and reliability. MATERIAL AND METHODS:Structured comparative description of guidel...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Saturno Hernández PJ,Antón Botella JJ,Murcia Payá JF

    更新日期:2000-01-01 00:00:00

  • [Predictive factors of the persistence of sarcoidosis activity 2 years after diagnosis].

    abstract:BACKGROUND:The prognosis of sarcoidosis is difficult to predict. In general, sarcoidosis is considered as chronic when it remains active for over 2 years. The aim of this study was to analyze predictive factors in the persistence of sarcoidosis activity 2 years after diagnosis. METHODS:One hundred fifty-five patients ...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Mañá J,Badrinas F,Manresa F,Valverde J,Fernández-Nogués F

    更新日期:1991-12-07 00:00:00

  • [Paraoxonase, something more than an enzyme?].

    abstract::Coronary heart disease is one of the major causes of death in developed countries. The hypothesis that peroxidation of low density lipoproteins (LDL) may be the initial step of the atherosclerotic process has promoted numerous studies aimed at investigating the mechanisms by which the body protects itself from such ox...

    journal_title:Medicina clinica

    pub_type: 杂志文章,评审

    doi:10.1016/s0025-7753(03)74011-1

    authors: Canales A,Sánchez-Muniz FJ

    更新日期:2003-10-25 00:00:00